The effects of a school-based physical activity intervention programme on children's executive control: The Health Oriented Pedagogical Project (HOPP)

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Increase in peak oxygen uptake and Andersen test performance in children from age six to ten: The Health Oriented Pedagogical Project (HOPP)

The increased prevalence of non-communicable disease risk factors among children because of lack of physical activity is concerning. The Health Oriented Pedagogical Project was set up to combine learning activities and physical activity, thus reducing sedentariness during school time. The current study aimed to measure and describe the longitudinal and cross-sectional development of oxygen uptake and running performance in children at ages six and ten. The validity of the Andersen Test in predicting V̇O2peak in these age groups was also evaluated. Eighty-six children (53 boys, 33 girls) with complete datasets at ages 6 and 10 years were included in the longitudinal study, while 192 children (106 boys, 86 girls) were included in the cross-sectional analysis because they missed data from 1 year. Oxygen uptake was measured using a metabolic analyser and maximal treadmill running, while the distance covered during the AT determined running performance. Body mass, height, and waist-to-height ratios were recorded. Multiple regression analysis was used to assess the association between oxygen uptake and running performance. The cross-sectional results did not differ from the longitudinal data for anthropometrical data, oxygen uptake and running performance. Height, body mass and waist-to-height ratio did not differ between the sexes at ages six or ten. Boys had significantly higher peak oxygen uptake than girls at 6 years of age, irrespective of how oxygen uptake was expressed. Allometric scaling of oxygen uptake revealed differences between sexes at both ages. Longitudinal running performance increased in both sexes from 6 to 10 years. Boys ran significantly longer only at age ten. The association between oxygen uptake and running performance varied according to how the oxygen uptake was expressed and with sex and age. Ten-year-old girls had the highest correlations in the longitudinal investigation, from r 2 = 0.48 (fV̇O2peak) to 0.65 (rV̇O2peak) between AT and V̇O2peak. The AT was found to be as valid as the 20-m shuttle run test in estimating peak oxygen uptake, with a random measurement error of approximately 11% of mean values.publishedVersio

Increase in peak oxygen uptake and Andersen test performance in children from age six to ten: The Health Oriented Pedagogical Project (HOPP)

The increased prevalence of non-communicable disease risk factors among children because of lack of physical activity is concerning. The Health Oriented Pedagogical Project was set up to combine learning activities and physical activity, thus reducing sedentariness during school time. The current study aimed to measure and describe the longitudinal and cross-sectional development of oxygen uptake and running performance in children at ages six and ten. The validity of the Andersen Test in predicting V̇O2peak in these age groups was also evaluated. Eighty-six children (53 boys, 33 girls) with complete datasets at ages 6 and 10 years were included in the longitudinal study, while 192 children (106 boys, 86 girls) were included in the cross-sectional analysis because they missed data from 1 year. Oxygen uptake was measured using a metabolic analyser and maximal treadmill running, while the distance covered during the AT determined running performance. Body mass, height, and waist-to-height ratios were recorded. Multiple regression analysis was used to assess the association between oxygen uptake and running performance. The cross-sectional results did not differ from the longitudinal data for anthropometrical data, oxygen uptake and running performance. Height, body mass and waist-to-height ratio did not differ between the sexes at ages six or ten. Boys had significantly higher peak oxygen uptake than girls at 6 years of age, irrespective of how oxygen uptake was expressed. Allometric scaling of oxygen uptake revealed differences between sexes at both ages. Longitudinal running performance increased in both sexes from 6 to 10 years. Boys ran significantly longer only at age ten. The association between oxygen uptake and running performance varied according to how the oxygen uptake was expressed and with sex and age. Ten-year-old girls had the highest correlations in the longitudinal investigation, from r 2 = 0.48 (fV̇O2peak) to 0.65 (rV̇O2peak) between AT and V̇O2peak. The AT was found to be as valid as the 20-m shuttle run test in estimating peak oxygen uptake, with a random measurement error of approximately 11% of mean values.publishedVersio

Hematology reference intervals in 6-12-year-old children: the health-oriented pedagogical project (HOPP)

Reference intervals are essential for correct interpretation of laboratory test results, supporting clinicians in distinguishing between healthy and sick individuals. The present study aims to establish pediatric reference intervals for hematological parameters based on a large population of healthy schoolchildren. Blood samples were obtained from 1351 children 6–12 years of age participating in the Health-Oriented Pedagogical Project (HOPP). Reference intervals for hematological parameters were estimated by the nonparametric method following the CLSI C28-A3 guidelines. Reference intervals were estimated as 2.5th and 97.5th percentiles with corresponding 90% confidence intervals. While hematocrit and MCV required age and sex partitioning, hemoglobin and erythrocytes were partitioned for age. The remaining parameters, MCH, MCHC, platelets and white blood cell counts did not require partitioning. While red blood cell parameters exhibited an increasing trend with age, there was a slight decrease in leukocytes, lymphocytes, basophils and platelets with age. The remaining parameters were stable across our age span.publishedVersio

Hematology reference intervals in 6-12-year-old children: the health-oriented pedagogical project (HOPP)

Reference intervals are essential for correct interpretation of laboratory test results, supporting clinicians in distinguishing between healthy and sick individuals. The present study aims to establish pediatric reference intervals for hematological parameters based on a large population of healthy schoolchildren. Blood samples were obtained from 1351 children 6–12 years of age participating in the Health-Oriented Pedagogical Project (HOPP). Reference intervals for hematological parameters were estimated by the nonparametric method following the CLSI C28-A3 guidelines. Reference intervals were estimated as 2.5th and 97.5th percentiles with corresponding 90% confidence intervals. While hematocrit and MCV required age and sex partitioning, hemoglobin and erythrocytes were partitioned for age. The remaining parameters, MCH, MCHC, platelets and white blood cell counts did not require partitioning. While red blood cell parameters exhibited an increasing trend with age, there was a slight decrease in leukocytes, lymphocytes, basophils and platelets with age. The remaining parameters were stable across our age span.publishedVersio

Changes in Quality of Life in Elementary School Children-The Health Oriented Pedagogical Project (HOPP)

Background: Quality of life (QoL) studies may provide information of change in healthstatus in the population. Few studies have followed up previous cross-sectional studies to investigateany change in the QoL status of healthy children. The aim of the current study is to compare QoL inchildren 6–12 years old in two large cross-sectional studies of healthy children completed a decadeapart. Methods: In the current study children and parents from nine elementary schools (n = 2816)were included in a cross-sectional study investigating children’s QoL. Using the Life Quality inChildren and Adolescents (ILC), completed by both children and parents, the global QoL-score wasestimated for 2297 children and 1639 parental reports. These results were compared to a similarstudy performed in 2004. The scores from both studies were divided into categories of below average,average and above average QoL. The percentage change of QoL between the two studies is presented.Results: Our results show that parents report that more children have below and above average QoLin 2015 compared to 2004. In contrast, more children scored in the average and above average QoLcategory in 2015 than in 2004. Conclusion: Parents reported lower QoL and children higher QoL in2015 compared to 2004.publishedVersio

Unveiling the Data Shadow: A Scalable Software Architecture for Public Health and Electronically Assessed Data

In 2017, health expenditure in Norway amounted to 10,4 percent of GDP, and it increases by approx. 0,3 percent annually. Medical treatment and rehabilitation include treatment in hospitals, medical services, dental services, etc., and about half of Norway's health expenses are related to these services. In total, 97 percent of the budget is spent on treating disorders and support functions. Despite studies have shown that the greatest effect on health is within preventive health, only 3 percent of the Norwegian health expenses is used for that purpose. Computer-based technology is used to measure a large amount of health-related information as activity level, heartrate, sleep rhythms, eating habits, exercise habits and emotions. These large amounts of data collected by patients are available in electronic recording equipment and social media but are not shared with the physician or other healthcare professionals – in fact establishing a data shadow. The volume of data is massive, and health personnel do not know how to break the data down to sensible and usable information. This research project is founded in this perspective of preventive health and synthesizes available personal health information by utilizing commodity mobile and wearable hardware to gain a comprehensive insight into the health data shadow of an individual. This is further used to give individuals a fact-based awareness of own health and make informed choices, showcased through a persuasive technologies experiment, and secondly by a built prototype solution upon which health workers and medical doctors can be provided with a comprehensive, unfiltered data foundation to base diagnoses, treatment and council upon. Our major contribution is a proof of concept implementation and leveraging state of the art cloud based function as a service approach to build a scalable software architecture for a ubiquitous and heterogeneous environment harvesting the data shadow through activity tracking devices

A school-based physical activity intervention on psychosocial health outcomes among 11- and 12-year-olds – HOPP-project

The purpose was to investigate the effect of a school-based physical activity (PA)-intervention among 11- and 12-year-olds (6th- and 7th graders) across 4 years. Seven primary schools in Horten municipality in Norway received 45 min daily extra PA as part of the curriculum. The intervention started in 2015 with follow-up in 2016–2019. The effect was measured after 1–4 years of participation, among the same children (6th to 7th grade) and among new children starting in 6th grade. Two control schools received no additional PA beyond the regular PA at school. The Self-reported Strength and Difficulties Questionnaire (SDQ-S) focusing on internalizing and externalizing difficulties were administrated. A statistical model for repeated measurements was used and adjusted for parents' educational level, sex, age, and waist-to-height ratio (WHtR). The significance level was p ≤ 0.01. In total, 1221 children completed the SDQ-S. SDQ-S scores were stable, and difficulties were relatively low. The control group had significantly lower SDQ-S scores than the intervention group at start, indicating fewer difficulties. The adjusted effect within the intervention schools showed a borderline significant increase in total difficulty scores between 2018 and 2019 (mean difference: 1.02, 95% CI: −1.82, −0.23, p ≤ 0.01). Educational level showed a weak negative correlation with total difficulty score (r = −0.1). No significant change was reported within the control schools. Few psychosocial health problems among 11- and 12-year-olds were detected. The borderline increase in total difficulty score that was seen for the intervention schools, is believed to be of limited clinical relevance.publishedVersio

A school-based physical activity intervention on psychosocial health outcomes among 11- and 12-year-olds – HOPP-project

The purpose was to investigate the effect of a school-based physical activity (PA)-intervention among 11- and 12-year-olds (6th- and 7th graders) across 4 years. Seven primary schools in Horten municipality in Norway received 45 min daily extra PA as part of the curriculum. The intervention started in 2015 with follow-up in 2016–2019. The effect was measured after 1–4 years of participation, among the same children (6th to 7th grade) and among new children starting in 6th grade. Two control schools received no additional PA beyond the regular PA at school. The Self-reported Strength and Difficulties Questionnaire (SDQ-S) focusing on internalizing and externalizing difficulties were administrated. A statistical model for repeated measurements was used and adjusted for parents' educational level, sex, age, and waist-to-height ratio (WHtR). The significance level was p ≤ 0.01. In total, 1221 children completed the SDQ-S. SDQ-S scores were stable, and difficulties were relatively low. The control group had significantly lower SDQ-S scores than the intervention group at start, indicating fewer difficulties. The adjusted effect within the intervention schools showed a borderline significant increase in total difficulty scores between 2018 and 2019 (mean difference: 1.02, 95% CI: −1.82, −0.23, p ≤ 0.01). Educational level showed a weak negative correlation with total difficulty score (r = −0.1). No significant change was reported within the control schools. Few psychosocial health problems among 11- and 12-year-olds were detected. The borderline increase in total difficulty score that was seen for the intervention schools, is believed to be of limited clinical relevance.publishedVersio