• <tr id="yyy80"></tr>
  • <sup id="yyy80"></sup>
  • <tfoot id="yyy80"><noscript id="yyy80"></noscript></tfoot>
  • 99热精品在线国产_美女午夜性视频免费_国产精品国产高清国产av_av欧美777_自拍偷自拍亚洲精品老妇_亚洲熟女精品中文字幕_www日本黄色视频网_国产精品野战在线观看 ?

    Influence of personal and lesson factors on caloric expenditure in physical education

    2012-07-06 04:21:59AngChenHihunSunXiheZhuCtherineEnnis
    Journal of Sport and Health Science 2012年1期

    Ang Chen*,Hihun Sun,Xihe Zhu,Ctherine D.Ennis

    aDepartmentof Kinesiology,Schoolof Health and Human Sciences,University of North Carolina at Greensboro,Greensboro,NC 27412,USA

    bSchool of Physical Education&Exercise Science,PED 228,College of Education,4202 E.Fowler Avenue,EDU105,University of South Florida,Tampa,FL 33620,USA

    cDepartment of Human Movement Sciences,2019 Student Recreation Center,Old Dominion University,Norfolk,VA 23529,USA

    Influence of personal and lesson factors on caloric expenditure in physical education

    Ang Chena,*,Haichun Sunb,Xihe Zhuc,Catherine D.Ennisa

    aDepartmentof Kinesiology,Schoolof Health and Human Sciences,University of North Carolina at Greensboro,Greensboro,NC 27412,USA

    bSchool of Physical Education&Exercise Science,PED 228,College of Education,4202 E.Fowler Avenue,EDU105,University of South Florida,Tampa,FL 33620,USA

    cDepartment of Human Movement Sciences,2019 Student Recreation Center,Old Dominion University,Norfolk,VA 23529,USA

    Background:Increasing caloric expenditure in physical education is considered an effective school-based approach to addressing the child obesity epidemic.This study was designed to determine synergistic influences of student characteristics and lesson factors on caloric expenditure in elementary and middle school physical education.

    Methods:The study used a multi-level design.Level-1 factors included personal characteristics:age,gender,and body mass index.Level-2 factors included lesson length,content,and school level.Based on the Center for Disease Controland Prevention age—gender adjusted growth chart,students in 87 classes from 14 elementary and 15 middle schools were pre-screened into“Overweight”,“Healthy weight”,or“Thin”groups.One boy and one girlwere randomly selected from each group in each class as data providers(264 elementary and 294 middle school students).Caloric expenditure was measured in 243 physical education lessons using accelerometers.

    Results:Analysis of variance revealed and hierarchicallinear modeling confirmed separate age by body mass index,age by gender,and content by lesson—length interaction effects,suggesting that the personal and lesson factors influenced caloric expenditure independently.Older male and heavier students burned more calories in alllessons.Students burned more calories in 45—60 min sportskillor fitness lessons than in shorter (30 min)or longer(75—90 min)game or multi-activity lessons.

    Conclusions:The hypothesized cross-levelinteraction was not observed in the data.Caloric expenditure can be optimized in 45—60 min sport skill or fitness development lessons.It can be recommended that schools adopt 45—60 min lesson length and provide skill and fitness development tasks in physical education to maximize caloric expenditure.

    Copyright?2012,Shanghai University of Sport.Production and hosting by Elsevier B.V.All rights reserved.

    Caloric expenditure;Child obesity;Personal factors;Physical education

    1.Introduction

    An increasingly serious health challenge in U.S.schools is child obesity resulting from unhealthy eating and insufficient physicalactivity.Compared with their counter parts from 1976 to 1980,current American children and adolescents’overweight prevalence increased three folds,from 6.5%to 17.0%for the 6—11 yearage group and from 5.0%to 17.6%for the 12—19 year age group.1Itis a consensus thatone cause of the child obesity epidemic is the caloric imbalanced living behavior,children simply taking in more calories than burning them out.2—4

    One way to increase children’s caloric expenditure is to increase their physicalactivity during physicaleducation.Itis recommended thatschools offera weekly minimum of150 min physical education and structure physical education lessons as such that children are physically active most of the time.5,6Therefore,empirical evidence is needed to help school administratorsand physical/health educatorsto schedule and structure lessons to increase caloric expenditure in physicaleducation.

    Lesson factor variables such as content type and lesson length and personal factors such as body mass index(BMI), gender,and age can influence children physical activity participation and,consequently,theircaloric expenditure.7For example studies on gender,a personallevelvariable,reported that boys tend to be more physically active than girls during school day8and in physical education.9For lesson factors, outdoor lessons seem to induce more physical activity than indoor lessons and children are likely to spend more calories in fitness and sport skill development lessons than in game or free play lessons.10

    Conceptually,these factors can be viewed in a two-level structure:personal characteristics and lesson factors.In research,these factors usually are examined separately.A comprehensive review of research identified ethnicity,gender, age,physical characteristics,and personal fitness level as personal level determinants associated with physical activity behavior.11It has been argued,however,that these personal factors may have little intervention value because they are difficult to manipulate both in research and in life.12In physical education,teachers plan activities for children to participate collectively.Although the teacher should be encouraged to consider uniqueness of each child,itmay notbe realistic for a teacher to intervene with each child to increase physical activity and caloric expenditure.

    In contrast,lesson factors may be manipulated to positively impactchildren physicalactivity.Forexample,an early review of research has established that the physical education curriculum has a significant impact on children’s physical activity motivation and behavior.13Recently,the Center for Disease Control and Prevention(CDC)of the United States urged educators to strengthen physical education curricula, instruction,policy,and assessment to enhance physical activity opportunities for children.14It has become clear that synergetic studies are needed to examine simultaneously the joint influence from both personal and lesson factors to determine theirrespective function in helping children balance caloric intake and expenditure.

    Thus,the purpose of this study was to determine the extent to which children caloric expenditure in physical education could be accounted for by personal and lesson factors synergistically and/or separately.The following specific questions guided this study:(a)to whatextentcould personaland lesson factors be considered as determinants for children in-class caloric expenditure?and(b)to what extent the lesson factors interacted with the personal factors to influence children inclass caloric expenditure?

    Answers to these questions willhave implications to school health/curricular policies that help address children’s health. First,the answers can help us determine whether personal and lesson factors should be weighed equally in decision making about school-based child obesity intervention.Secondly, answers to the questions may provide usefulresearch evidence for school administrators and physical educators to structure physical education content and lesson length to optimize caloric expenditure for children in physical education and promote caloric balanced living behavior in school.

    2.Methods

    A randomized two-level factorial design was used in this study.The dependent variable was students’in-class caloric expenditure in physical education.The Level-1 factors included student personal level variables:age,gender,and BMI.The Level-2 factors included lesson factors of lesson length,content type,and school level(elementary or middle). Instructional styles of physical education teachers were considered as possible confound and were controlled through randomization.The sampling plan,parentconsentand student assent forms were approved by the university’s Institutional Review Board(IRB)and the participating school district’s research office forhuman subjectprotection purposes.Consent forms were received from parents and guardians of participating children.

    2.1.Subjects

    Subjects included 264 elementary school students(130 boys,49.2%)and 294 middle school students(153 boys, 52.0%).They were from 14 elementary and 15 middle schools in a very large metropolitan school district in the eastern United States.Based on Heck and Thomas’s recommendation15for multi-level design sampling,it was determined through a pre-sampling power analysis that 30 organization units(15 elementary and 15 middle schools)were needed to maintain adequate statistical power(≥0.80 whereα=0.05). A two-stage sampling was used.In the first stage,school sample was selected.There were 131 elementary and 38 middle schools in the schooldistrict.Free and Reduced Meal rate(FARMS%)quartiles were used to stratify the schools into four sampling brackets.Four elementary and four middle schools from each bracket then were randomly selected, exceptfor one bracketfrom which three schools were selected (this bracket was randomly determined before sampling started).One elementary school was dropped during the study. The final random school sample included 14 elementary and 15 middle schools.

    In the second stage,one class from each 3rd,4th,and 5th grade from each elementary school and one class from each 6th,7th,and 8th grade from each middle school were selected randomly as participating class.This procedure resulted in 87 intact classes.During a pre-screening,all students in these classes were measured in height and weight,and provided gender and age information.Based on the CDC age—gender adjusted growth chart,16they were classified into“Overweight”,“Healthy weight”,and“Thin”groups.One boy andone girl were randomly selected from each group in each class as data providers.There were six data providers from each class.Additional students were selected as backup for data providing students.Each backup student shared identical height,weight,age,and gender attributes with the principal participant.

    All students were required to take physical education in three of the four academic quarters each year.The minimum weekly allocated academic minutes for physical education were 30 min for elementary school and 150 min for middle school.However,most schools designated more time than the requirements.Lessons were either 30 min or 45—60 min long in the elementary schools and were either30 min,45—60 min, or 75—90 min long in the middle schools.Both elementary and middle schools were typically equipped for physical education.There was a gymnasium or a multi-purpose room in each elementary school.In each middle school,there was at least one large gymnasium and an outside field.Physical education was taught by certified physical education teachers in all schools.

    2.2.Instruments

    2.2.1.In-class caloric expenditure

    In-class caloric expenditure in this study was defined as the total amount of caloric expenditure in physical education minus the resting(basal metabolic)caloric expenditure. Caloric expenditure in physicaleducation was recorded using RT3 accelerometers(Stayhealthy.com?).RT3 accelerometers have been determined as a device thatcan generate valid and reliable caloric expenditure data in physicalactivity settings.17Each of the six students’caloric value recorded in a lesson was converted individually to metabolic equivalent(MET/min). One MET represents the average energy costsetat3.5 mL/kg/ min of oxygen,or 1 kcal/kg/h at seated,resting condition adjusted for age and gender.18Any additional caloric expenditure is considered due to physical activity the individual engages in such as those resulted from participating in physical education classes.The MET values were aggregated to representthe average caloric expenditure of the class and the aggregated MET were used also to signify the categorical physical activity levels(intensity)of a lesson:light(<3 METs),moderate(3—6 METs),or rigorous(>6 METs).17

    2.2.2.Body mass index

    Student BMI values were calculated using the formula, weight(kg)/height2(m).Students’height and weight were measured using standard equipment in inches and pounds which were converted into meters and kilograms.In addition to being used to calculate BMI,height and weight data were used to pre-program the accelerometers to collect accurate caloric expenditure data.

    2.2.3.Gender,grade and age

    Gender and grade information was identified by data collectors when the data collection began.The information was confirmed with the demographic information reported by the students and teachers in various occasions during the data collection period.Self-reported date of birth was used to determine age.The gender and age information was also used to pre-program the accelerometers.

    2.2.4.Lesson length and content

    The lesson lengths on schools’official schedules were recorded.Content categories included fitness development, sport skill development,game play,and multi-activities.The category for each lesson was determined by viewing teacher lesson plans’lesson-focus portion and on-site observation.For example,a lesson on lacrosse passing and receiving was determined as a sportskilllesson.A fitnesslesson was one that provided physical activities to develop one or more specific fitness components;such as a lesson of jump-rope and aerobic relays for developing cardio-respiratory capacity.A lesson was determined as game when the lesson focus was on playing games thatwere notregulation sports such as scootersoccer.A multi-activity lesson focused on severalactivities thatdid not fallinto the other three categories and did nothave an activity theme.For example,playing kickball,playground activities,or field-day activities were typical multi-activity lessons.Lesson information was collected by data collectors using a standardized general-purpose systematic observation instrument.19Data collectors recorded lesson activities every 15 s on the instrument.A lesson focus was determined when one activity category exceeded 50%of lesson time.

    2.3.Procedure

    All data were collected by data collectors who were specifically trained for this study.Each data collector was assigned to two schools.A detailed data collection protocolfor each variable was developed for the data collectors to follow during data collection.Students’height and weightdata were collected first for calculating BMI and programming the accelerometers.Gender and age information was collected at the same time.In each data collection lesson,data collectors arrived attheir assigned schools approximately 15 min before the bell.They calibrated equipment such as the stopwatch, weight and height scale,and laptop computer.

    Caloric expenditure data were collected in three to four lessons from each of the 87 classes.Thus,the data represented a total of 270 lessons of various lengths and content.Before each lesson began,the data collector identified the data providing students and secured individually-programmed accelerometers on their waistband above the right knee.After the lesson,the data collector took down the accelerometer and uploaded the accelerometer data into a laptop computer.Two sets of accelerometers were available for collecting data from back-to-back lessons.Otherwise the data collector re-programmed accelerometers using a laptop computer between lessons.But data from 27 lessons were deemed unusable due to either equipment malfunctioning or incomplete data sets. The final lesson sample included 116 lessons from the elementary schools and 127 lessons from the middle schools.

    2.4.Data analysis

    Both total and activity calories were recorded on the accelerometers.Total calories were the sum of resting(basal metabolic)calorie expenditure and activity calories due to physical activity participation in class.Only activity calories were used in analyses to reflect lesson-induced caloric expenditure.In data reduction,caloric values were also converted to MET for each individual student.The conversion allowed meaningfulinterpretation of the caloric expenditure in relation to activity intensity.For example,a MET=3.0 can be interpreted as the caloric expenditure resulted from moderate physical activity,indicating the individual is receiving health benefit.20

    Preliminary statistical analysis included calculating descriptive statistics to determine data normality and variance homogeneity.Analysis of variance(ANOVA)on individual student means were used to determine the effects by the personal factors.ANOVA on class means were conducted to determine the effects by the lesson context factors.A hierarchical linear modeling(HLM)analysis was conducted to detect any impact from lesson length and content types on personallevelcaloric expenditure slope(rate ofchange)due to lesson factor variations.The HLM models were specified as follows:

    where:Y=the caloric expenditure;B0=Level-1 intercept, B1,2,3=slopes of Level-1(personal)factors;G00,G10, G20,G30=intercepts of Level-2 models;G01…,G11…, G21…,G31…G33=slopes of Level-2(lesson)factors. R=Level-1 random effect;U 0,1,2,3=Level-2 random effects.The function of the Level-2 model is to determine if the slope(effecton Y)ofa particular Level-1 factor(i.e.,BMI, age,and gender)was significantly influenced/moderated by any of the Level-2 factors(i.e.,schoollevel,lesson length,and content).

    3.Results

    Tables 1 and 2 report METs by personaland lesson factors, respectively.The ANOVA analysis revealed statistically significant age by gender(Type III SS=70.18,F6=5.43, p=0.001,η2=0.06,R2=0.28)and age by BMI(Type III SS=76.12,F12=2.94,p=0.001,η2=0.07,R2=0.34) interaction effects.The ANOVA analysis on the lesson factor revealed lesson length by content(Type III SS=19.34, F6=2.39,p=0.02,η2=0.06)and school level by lesson length(Type III SS=9.15,F2=3.40,p=0.04,η2=0.03) interaction effects.These results indicate thatstudents’caloric expenditure in physicaleducation is likely to be influenced by, separately,personal or lesson factors.The visual indications can be seen in Figs.1 and 2,respectively.

    Table 3 reports individual students’average total activity calories(in kcal)expended in lessons with different length. Table 4 reports class-level average total activity calories(in kcal)accounted for by lesson length and contenttypes.Results from univariate inferentialstatisticalanalysis,shown in Figs.3 and 4,indicate a gender by grade interaction effect and a lesson length by content type interaction effect,respectively. The results suggest that the boys in middle school,after the 6th grade,expended more calories than the girls(Fig.3). Students in 45—60 min and 75—90 min sportor fitness lessons expended similar amount of calories,which is higher than those expended in 30 min lessons(Fig.4).These preliminary results warranted the use of HLM to further examine the impact from the personal and lesson factors on students’physicalactivity.

    In the HLM analysis a visualinspection was conducted on the standard error terms from both ordinary and robust algorithms.The inspection showed that the standard errors fromthe two procedures were very similar(difference attwo digits after the decimal),indicating that key assumptions for HLM statistics were not violated.Following the recommended guidelines,21the robust algorithms were chosen to minimize potential threats to data reliability.

    Table 1Student in-class calorie expenditure(METs)(mean±SD)by age and gender(n=558).

    Table 2In-class calorie expenditure(METs)(mean±SD)by lesson length and contenttypes(n=243).

    As reported in Table 5,the HLM analysis generated a number of evidence thatsuggestno interaction cross Level-1 and-2 factors on caloric expenditure.For example,the reliability estimates for the random components of Level-1 factors were:BMI=0.25,age=0.03,and gender=0.08.The small coefficients suggest that the cross-level impact from lesson (Level-2)factors would be minimal.Information reported in Table 5 indicates that influences from the lesson factors were rather independent and direct(G00,G01,G02,and G03)on the original intercept(grand mean of METs)rather than interactive or indirect through mediating the impact by personal factors(G10,G20,G30,G31,G32,and G33).

    4.Discussion

    Research findings on child obesity issues in the U.S.almost exclusively point to the need to increase children caloric expenditure through active participation in physical activity. Physicaleducation is an idealcontextthatprovides structured opportunities for allchildren to engage in physicalactivities to receive health benefits;one of which is burning calories.The goalof the study was to determine the impactof personaland lesson factors on children caloric expenditure in physical education classes.It was found that at the personal factor level,the data reflected caloric expenditures by students of both genders,with different BMI,and across an age span from 8 to 14.The data from this study support the notion that children across elementary and middle schools do have substantial opportunities to burn calories in a variety of physical education lessons.But the extent of caloric expenditure was uneven in terms ofpersonaland lesson factors.The statistical analyses further indicate that both personal and lesson factors operated within their own parameters.

    Fig.1.Age by body weight interaction effect.MET means metabolic equivalent.

    4.1.Separate impact of the factors

    Three personal factors—age,gender and BMI,all identified in previous research to be influential on children’s physical activity,5,9were identified as contributing factors to inclass caloric expenditure.The statistical analysis suggests, however,that their impacts are interactive rather than independent.Age seems to be a primary changing agent or determinant with sizable effect size on both age by gender (η2=0.06)and age by BMI(η2=0.07)interactions.Older and heavier children spent more calories than their younger and healthy weight or younger and thin counterparts;older male students spent more calories than younger female students(see Fig.1 and Table 1 for broken-down statistics).

    Atthe lesson factor level,the ANOVA results clearly show that lesson length and content interactively provided powerful influence on students’caloric expenditure(p=0.02, η2=0.06).Information in Figs.2 and 4 as wellas in Tables 2 and 4 suggests that modest lesson length(45—70 min)with a focus on sport skill and fitness development led to greater caloric expenditure than either shorter or longer lessons with a focus on game play or multi-activity.

    Fig.2.Lesson length by content interaction effect.MET means metabolic equivalent;min means,minute.

    Table 3Individual average totalcalorie counts(kcal)(mean±SD)by lesson length,gender,and grade(n=546).

    Table 4Class average total caloric count(kcal)(mean±SD)by lesson length and content types(n=243).

    Fig.3.Grade by gender interaction effect(f=4.81,p<0.001,effect size η2=0.18).

    A significant finding of the study is that the personal and lesson factors functioned independently.The HLM analysis revealed that the lesson factors would not change the impact from the personal factors in both elementary and middle schoolphysicaleducation.Based on the variance explained by the personal factors(R2=0.28)and the lesson factors (R2=0.34),the HLMmodelindicates thatboth sets of factors deserve further research attention to effectively clarify the extent to which different factors contribute to physical activity.22Taken together,the findings supportthe notion that while reducing calorie intake to balance caloric intake and expenditure is necessary,4,23promoting caloric expenditure inphysical education can be effective to increase caloric expenditure,especially for overweight children,24,25to help them further balance energy intake and expenditure.

    Fig.4.Contenttype and lesson length interaction effect(f=4.97,p<0.001, effect size—η2=0.11).

    Table 5Hierarchicallinear modeling analysis results on cross-levelinteraction effect.

    Intuitively,interventions can only be effective if they target factors that will make a difference on outcome variables.In addition,the targeted factors must be receptive to the intervention.In other words,they should be those factors that researchers orpractitioners are able to manipulate to maximize its impact.Itis clear thatthe personal factors examined in this study and others such as ethnicity and personal fitness levels are difficult to manipulate in an intervention.In contrast, lesson factors can be manipulated by school administrators and teachers.Contentand lesson length examined in this study are such factors whose joint effect accounted for a significant amount of variance(34%)in the children’s in-class caloric expenditure.In addition,the results clearly indicate that a“l(fā)ess-is-more”approach to coupling content with lesson length can be effective.The 45—60 min long lesson focusing on sportskilldevelopment(e.g.,lacrosse skilldevelopment)or fitness development(e.g.,animal movement circuit training for upper body strength)can help students burn more calories than game or multi-activity lessons with shorter or longer durations.The evidence suggests a need forfuture intervention in physical education to use sport skill and/or fitness development tasks as primary intervention content and the 45—60 min lesson length as the intervention delivery and dosage structure.

    The data,however,also demonstrate a need to increase overall physical intensity in all physical education lessons. The physicalactivity levels of these lessons were rarely higher than moderate level(MET:3.0—4.0).Mostlessons were below the 3.0 MET threshold.To help students receive health benefits through burning more calories,the lessons should be structured to provide more opportunities for them to engage in activities at an intensity level that requires spending more calories.To accomplish this goal,research studies are needed to focus on other influential personal and lesson factors that can be manipulated by teachers such as student motivation, teacher planning,and equal opportunity and access to equipment and meaningful content.

    5.Conclusion

    The study revealed that children’s caloric expenditure in physical education could be accounted for by personal and lesson factors separately.The hypothesized synergistic,crosslevelinteractive influence was notobserved in the data.Based on the findings,it can be concluded that children in-class physicalactivity is determined by separate sets of personaland lesson factors.Each setfunctions independently in influencing children in-class caloric expenditure directly.But the level of caloric expenditure can be optimized in 45—60 min long lessons that offer sport skill development or fitness development opportunities.It can be recommended that future intervention studies focus on manipulating these lesson factors for maximizing caloric expenditure in physical education.

    On a broaderscope,physicaleducation has comprehensive, multiple,and diverse goals for children to accomplish.All these goals are for helping children develop life-long physically active lifestyle to enjoy their productive and healthy lives.Caloric expenditure thatthis study focused on is butone small aspect of the comprehensive educational experience in physical education.The findings shall not be understood as fulfilling all other important goals of physicaleducation.

    1.Ogden CL,Carroll KD,Flegal KM.High body mass index for age among U.S.children and adolescents 2003—2006.JAMA 2008;299:2401—5.

    2.Dunford M.Fundamentals ofsportand exercise nutrition.Champaign,IL: Human Kinetics;2010.

    3.Jeffery RW,Harnack LJ.Evidence implicating eating as a primary driver for the obesity epidemic.Diabetes 2007;56:2673—6.

    4.Malik VS,Schulze MB,Hu FB.Intake of sugar-sweetened beverages and weightgain:a systematic review.Am J Clin Nutr 2006;84:274—88.

    5.Centers for Disease Control and Prevention(CDC)guidelines for school and community programs to promote lifelong physical activity among young people.MMWR Morb Mortal Wkly Rep 1997;46:1—36.

    6.National Association for Sport and Physical Education(NASPE)& American Heart Association(AHA).2010 Shape of the nation report: status ofphysicaleducation in the USA.Reston,VA:NationalAssociation for Sport and Physical Education;2010.

    7.Fairclough SJ,Stratton G.A review of physical activity levels during elementary school physical education.J Teach Phys Educ 2006;25:239—57.

    8.LeMasurier G,Corbin CB.Steps counts among middle school students vary with aerobic fitness level.Res Q Exerc Sport 2006;77:14—22.

    9.McKenzie TL,Catellier DJ,Conway T,Lytle LA,Grieser M,Webber LA, etal.Girls’activity levels and lesson contexts in middle schoolPE:TAAG baseline.Med Sci Sports Exerc 2006;38:1229—35.

    10.McKenzie TL,Feldman H,Woods SE,Romero KA,Dahistrom V, Stone EJ,etal.Children’s activity levels and lesson contextduring thirdgrade physical education.Res Q Exerc Sport 1995;66:184—93.

    11.Sallis JF,Prochaska JJ,Taylor WC.A review of correlates of physical activity of children and adolescents.Med Sci Sport Exerc 2000;32:963—75.

    12.Kahn EB,Ramsey LT,Brownson RC,Heath GW,Howze EH,Powell KE, et al.The effectiveness of interventions to increase physical activity: a systematic review.Am J Prev Med 2002;22:73—107.

    13.Stone EJ,McKenzie TL,Welk GJ,Booth ML.Effects of physicalactivity interventions in youth:review and synthesis.Am J Prev Med 1998;15:298—315.

    14.Center for Disease Controland Prevention.Physicaleducation curriculum analysistool.Atlanta,GA:CenterforDisease Controland Prevention;2006.

    15.Heck RH,Thomas SL.An introduction to multilevelmodeling techniques. Mahwah,NJ:Lawrence Erlbaum Associates,Inc.;2000.

    16.Center for Disease Control and Prevention.2000 CDC growth charts for the United States:methods and development.Hyattsville,MD:Department of Health and Human Services;2000.

    17.Rowlands AV,Thomas PWM,Eston RG,Topping R.Validation of the RT3 triaxialaccelerometerforthe assessmentofphysicalactivity.Med Sci Sports Exerc 2004;36:518—24.

    18.Plowman SA,Smith DL.Exercise physiology for health,fitness,and performance.Needham Heights,MA:Allyn&Bacon;1997.

    19.Metzler MW.Instructional supervision for physical education.Champaign,IL:Human Kinetics;1990.

    20.Freedson P,Pober D,Janz KF.Calibration of accelerometer output for children.Med Sci Sports Exerc 2005;37(Suppl 11):S523—30.

    21.Snijders T,Brosker R.Multilevel analysis:an introduction to basic and advanced multilevel modeling.Thousand Oaks,CA:Sage;1999.

    22.Baranowski T,Cullen KW,Nicklas T,Thompson D,Baranowski J. School-based obesity prevention:a blueprintfor taming the epidemic.Am J Health Beh 2002;26:486—93.

    23.Dunn AL,Anderson RE,Jakicic JM.Lifestyle physical activity interventions:history,short-and long-term effects,and recommendations.Am J Prev Med 1998;15:398—412.

    24.Institute of Medicine:Committee on Prevention of Obesity in Children and Youth.Preventing childhood obesity:health in the balance.Washington,DC:National Academies Press;2005.

    25.Kain J,Uauy R,Albala C,Vio F,Cerda R,Leyton B.School-based obesity prevention in Chilean primary school children:methodology and evaluation of a controlled study.Int J Obes Relat Metab Disord 2004;28:483—93.

    Received 27 October 2011;revised 4 January 2012;accepted 12 January 2012

    *Corresponding author.

    E-mailaddress:a_chen@uncg.edu(A.Chen)

    Peer review under responsibility of Shanghai University of Sport

    Production and hosting by Elsevier

    2095-2546/$-see front matter Copyright?2012,Shanghai University of Sport.Production and hosting by Elsevier B.V.All rights reserved.

    10.1016/j.jshs.2012.04.005

    亚洲18禁久久av| 亚洲精品456在线播放app| 国产乱人偷精品视频| 国产精品99久久久久久久久| 久久人人精品亚洲av| 国产av不卡久久| 久久韩国三级中文字幕| 亚洲av电影不卡..在线观看| 亚洲最大成人中文| 亚洲精品在线观看二区| 国产亚洲91精品色在线| 日韩亚洲欧美综合| 成人综合一区亚洲| 亚洲第一区二区三区不卡| 无遮挡黄片免费观看| 国产精品三级大全| av女优亚洲男人天堂| 天堂影院成人在线观看| 国产毛片a区久久久久| av在线亚洲专区| 色5月婷婷丁香| 一进一出抽搐gif免费好疼| 久久久久久伊人网av| 俄罗斯特黄特色一大片| 人妻少妇偷人精品九色| 成人欧美大片| 不卡一级毛片| 99热只有精品国产| 美女cb高潮喷水在线观看| 99热这里只有精品一区| 亚洲av五月六月丁香网| 久久这里只有精品中国| 欧美xxxx黑人xx丫x性爽| 如何舔出高潮| 国内精品一区二区在线观看| 欧美bdsm另类| 亚洲精品影视一区二区三区av| 老司机午夜福利在线观看视频| 看黄色毛片网站| 国产高潮美女av| 丰满人妻一区二区三区视频av| 少妇猛男粗大的猛烈进出视频 | 国产精品一区www在线观看| 中文在线观看免费www的网站| 大香蕉久久网| 久久精品国产亚洲av香蕉五月| 最近视频中文字幕2019在线8| 搡老妇女老女人老熟妇| 综合色丁香网| 国产精品三级大全| 夜夜看夜夜爽夜夜摸| 亚洲第一区二区三区不卡| 亚洲自拍偷在线| 国产高潮美女av| 午夜福利高清视频| 蜜臀久久99精品久久宅男| 欧美又色又爽又黄视频| 久久久久国产网址| 亚洲色图av天堂| 国产老妇女一区| 最新在线观看一区二区三区| 亚洲七黄色美女视频| 欧美最新免费一区二区三区| 久久草成人影院| 精品无人区乱码1区二区| 日本爱情动作片www.在线观看 | 国产又黄又爽又无遮挡在线| 在线播放国产精品三级| 国产精品久久久久久久久免| 女人十人毛片免费观看3o分钟| 美女内射精品一级片tv| 午夜精品在线福利| 成人亚洲精品av一区二区| av专区在线播放| 国产亚洲精品久久久久久毛片| 日本与韩国留学比较| 久久久成人免费电影| 日本精品一区二区三区蜜桃| 一级黄色大片毛片| 亚洲,欧美,日韩| 老师上课跳d突然被开到最大视频| 国产久久久一区二区三区| 成人av在线播放网站| 日韩欧美免费精品| 亚洲美女黄片视频| avwww免费| 少妇被粗大猛烈的视频| 日韩精品有码人妻一区| 午夜影院日韩av| 中文亚洲av片在线观看爽| 欧美日韩精品成人综合77777| 成人特级av手机在线观看| 亚洲精品影视一区二区三区av| 非洲黑人性xxxx精品又粗又长| aaaaa片日本免费| 色吧在线观看| 国产一区二区在线av高清观看| 亚洲七黄色美女视频| 丝袜美腿在线中文| 亚洲av免费在线观看| 深夜a级毛片| 国产精品综合久久久久久久免费| 天天一区二区日本电影三级| 国产精品电影一区二区三区| 又黄又爽又刺激的免费视频.| 午夜福利成人在线免费观看| 精品人妻熟女av久视频| 日本爱情动作片www.在线观看 | 国产在视频线在精品| 国产乱人偷精品视频| 国产精品乱码一区二三区的特点| 99久久久亚洲精品蜜臀av| 亚洲av.av天堂| 免费人成在线观看视频色| 国产探花极品一区二区| 亚洲中文字幕日韩| avwww免费| а√天堂www在线а√下载| 嫩草影院入口| 国产黄色小视频在线观看| av在线播放精品| 久久九九热精品免费| 别揉我奶头~嗯~啊~动态视频| 晚上一个人看的免费电影| 国产在视频线在精品| 久久人妻av系列| 亚洲欧美日韩高清在线视频| 亚洲av五月六月丁香网| 免费看a级黄色片| 久久精品国产亚洲av香蕉五月| 九九热线精品视视频播放| 女人十人毛片免费观看3o分钟| 久久久国产成人免费| 国产精品久久久久久久久免| 精品一区二区三区视频在线| 国产成人aa在线观看| 亚洲七黄色美女视频| 无遮挡黄片免费观看| av天堂中文字幕网| 久久久国产成人精品二区| 亚洲最大成人手机在线| 精品久久久久久久久av| ponron亚洲| 国产在线男女| 成人亚洲精品av一区二区| 国产亚洲精品久久久com| 久久国内精品自在自线图片| 日韩欧美国产在线观看| 国产精品1区2区在线观看.| 亚洲激情五月婷婷啪啪| 亚洲精品粉嫩美女一区| 毛片一级片免费看久久久久| 欧美成人免费av一区二区三区| 国产白丝娇喘喷水9色精品| 色吧在线观看| 蜜桃亚洲精品一区二区三区| 在线a可以看的网站| 亚洲内射少妇av| 国产日本99.免费观看| 欧美激情久久久久久爽电影| 国产成人福利小说| 一卡2卡三卡四卡精品乱码亚洲| 九九在线视频观看精品| 中国国产av一级| 午夜福利成人在线免费观看| 大型黄色视频在线免费观看| 午夜亚洲福利在线播放| 精品一区二区三区av网在线观看| 亚洲自拍偷在线| 精品久久久久久久末码| 欧美高清成人免费视频www| 久久精品国产自在天天线| 午夜福利视频1000在线观看| 一个人看视频在线观看www免费| 久久精品国产亚洲av香蕉五月| 成人av在线播放网站| 熟妇人妻久久中文字幕3abv| 天堂√8在线中文| 国产视频内射| 日本黄色视频三级网站网址| 69人妻影院| 午夜久久久久精精品| 大型黄色视频在线免费观看| av视频在线观看入口| 中文在线观看免费www的网站| 大型黄色视频在线免费观看| 亚洲熟妇中文字幕五十中出| 国产精品三级大全| 日韩,欧美,国产一区二区三区 | 欧美日本视频| av在线老鸭窝| 国产综合懂色| 欧美xxxx黑人xx丫x性爽| 亚州av有码| 亚洲内射少妇av| а√天堂www在线а√下载| 国产一区二区亚洲精品在线观看| 熟妇人妻久久中文字幕3abv| 日产精品乱码卡一卡2卡三| 深爱激情五月婷婷| 非洲黑人性xxxx精品又粗又长| 国产精品野战在线观看| 黄色配什么色好看| 日韩欧美国产在线观看| 少妇高潮的动态图| 国产蜜桃级精品一区二区三区| videossex国产| 观看免费一级毛片| 熟女电影av网| 我的女老师完整版在线观看| 欧美成人a在线观看| 国产色爽女视频免费观看| 两个人的视频大全免费| 少妇的逼好多水| 久久人人爽人人片av| 亚洲av中文字字幕乱码综合| 日产精品乱码卡一卡2卡三| 在线观看美女被高潮喷水网站| 麻豆精品久久久久久蜜桃| 国产伦精品一区二区三区四那| 伊人久久精品亚洲午夜| 日日摸夜夜添夜夜添av毛片| 国产免费一级a男人的天堂| 成人特级黄色片久久久久久久| 我的老师免费观看完整版| 欧美bdsm另类| 亚洲精品粉嫩美女一区| 久久天躁狠狠躁夜夜2o2o| 51国产日韩欧美| 亚洲精品乱码久久久v下载方式| 搡老熟女国产l中国老女人| 一个人看的www免费观看视频| 一级a爱片免费观看的视频| 久久中文看片网| 我要搜黄色片| 欧美zozozo另类| 国产日本99.免费观看| 尾随美女入室| 久久人人精品亚洲av| 变态另类丝袜制服| 男女下面进入的视频免费午夜| 嫩草影院入口| 校园春色视频在线观看| 色综合色国产| av国产免费在线观看| 一个人免费在线观看电影| 亚洲一区高清亚洲精品| 婷婷精品国产亚洲av| 变态另类丝袜制服| 如何舔出高潮| 国产成人freesex在线 | a级毛片a级免费在线| 国产精品嫩草影院av在线观看| 一本精品99久久精品77| 99视频精品全部免费 在线| 婷婷六月久久综合丁香| 夜夜爽天天搞| 在线观看美女被高潮喷水网站| 亚洲av免费高清在线观看| 桃色一区二区三区在线观看| 成人一区二区视频在线观看| 不卡视频在线观看欧美| 美女大奶头视频| 国产av不卡久久| 中国美女看黄片| 成人二区视频| 亚洲性久久影院| 亚洲精品日韩av片在线观看| 国产一区二区三区在线臀色熟女| 国产麻豆成人av免费视频| 午夜激情欧美在线| 日韩在线高清观看一区二区三区| 欧美日韩一区二区视频在线观看视频在线 | 看黄色毛片网站| 色5月婷婷丁香| 亚洲中文字幕一区二区三区有码在线看| 欧美bdsm另类| 国产黄a三级三级三级人| av视频在线观看入口| 人妻久久中文字幕网| 日韩欧美国产在线观看| 免费av不卡在线播放| av中文乱码字幕在线| 国产一区二区激情短视频| 我要搜黄色片| 国产欧美日韩一区二区精品| 又爽又黄a免费视频| 国产成人精品久久久久久| 俄罗斯特黄特色一大片| 亚洲国产精品久久男人天堂| 日本黄色视频三级网站网址| 国产一区二区在线av高清观看| 九色成人免费人妻av| 一进一出好大好爽视频| 性插视频无遮挡在线免费观看| 亚洲美女搞黄在线观看 | 身体一侧抽搐| 午夜影院日韩av| 精品久久久噜噜| 国产高清不卡午夜福利| 日韩精品有码人妻一区| 狠狠狠狠99中文字幕| 久久草成人影院| 色5月婷婷丁香| 国产av麻豆久久久久久久| 国产视频一区二区在线看| 天堂动漫精品| 成人鲁丝片一二三区免费| 91狼人影院| 久久精品久久久久久噜噜老黄 | 少妇高潮的动态图| 美女黄网站色视频| 午夜爱爱视频在线播放| 女同久久另类99精品国产91| 久久久精品94久久精品| 级片在线观看| 亚洲激情五月婷婷啪啪| 一夜夜www| 一级黄片播放器| 真人做人爱边吃奶动态| 村上凉子中文字幕在线| 日韩欧美精品免费久久| 波多野结衣巨乳人妻| 国产高清激情床上av| 偷拍熟女少妇极品色| 99在线视频只有这里精品首页| 亚洲人成网站在线播| 国产精品人妻久久久久久| 亚洲激情五月婷婷啪啪| 国产高清激情床上av| 亚洲五月天丁香| 国产精品人妻久久久久久| 日韩精品青青久久久久久| 久久久久久久午夜电影| 久久精品夜色国产| 久久久久久久亚洲中文字幕| 变态另类成人亚洲欧美熟女| 国产男靠女视频免费网站| 黄色视频,在线免费观看| 亚洲成人久久爱视频| 99热这里只有是精品50| 一进一出抽搐gif免费好疼| 九色成人免费人妻av| 精品人妻熟女av久视频| 又黄又爽又刺激的免费视频.| 亚洲第一区二区三区不卡| 日韩制服骚丝袜av| 午夜老司机福利剧场| 成人美女网站在线观看视频| 久久久久久九九精品二区国产| 女人十人毛片免费观看3o分钟| 国产精品电影一区二区三区| 久久99热这里只有精品18| 国产美女午夜福利| 中文亚洲av片在线观看爽| 99热全是精品| 成年女人看的毛片在线观看| 蜜臀久久99精品久久宅男| 免费在线观看影片大全网站| 日本 av在线| 亚洲精品影视一区二区三区av| 久久99热6这里只有精品| 伦精品一区二区三区| 国产高清视频在线播放一区| 久久精品影院6| 能在线免费观看的黄片| 久久久久久久久中文| 亚洲成人精品中文字幕电影| 免费大片18禁| 一级黄片播放器| 国产视频一区二区在线看| 国产精品一区二区三区四区久久| 在线观看午夜福利视频| av黄色大香蕉| 日韩av不卡免费在线播放| 我的女老师完整版在线观看| 可以在线观看的亚洲视频| 99热这里只有是精品50| 国产女主播在线喷水免费视频网站 | 亚洲成人精品中文字幕电影| 色视频www国产| 神马国产精品三级电影在线观看| 国产69精品久久久久777片| 免费观看在线日韩| 久久6这里有精品| 91狼人影院| 深爱激情五月婷婷| 欧美激情久久久久久爽电影| 嫩草影院入口| 精品一区二区三区视频在线观看免费| 亚洲四区av| 日韩欧美 国产精品| 99在线视频只有这里精品首页| 日韩欧美 国产精品| 六月丁香七月| 国产黄片美女视频| 国产精华一区二区三区| 免费无遮挡裸体视频| 中国美女看黄片| 波野结衣二区三区在线| 久久午夜亚洲精品久久| 麻豆久久精品国产亚洲av| 1024手机看黄色片| 国产免费一级a男人的天堂| 久99久视频精品免费| 一区二区三区高清视频在线| 韩国av在线不卡| 国产一级毛片七仙女欲春2| 亚洲欧美日韩高清专用| 男女啪啪激烈高潮av片| 99热这里只有是精品在线观看| 久久久午夜欧美精品| 国产日本99.免费观看| 亚洲美女黄片视频| 欧美高清性xxxxhd video| 一区福利在线观看| 一本精品99久久精品77| 久久精品影院6| 亚洲人成网站在线观看播放| 综合色av麻豆| 亚洲欧美日韩东京热| 综合色丁香网| 一级黄色大片毛片| 亚洲av免费高清在线观看| 午夜福利高清视频| 国产视频内射| 亚洲欧美成人综合另类久久久 | 久久草成人影院| 一a级毛片在线观看| 欧美国产日韩亚洲一区| 国产成年人精品一区二区| 啦啦啦韩国在线观看视频| 国产一区二区激情短视频| 尾随美女入室| 免费搜索国产男女视频| 寂寞人妻少妇视频99o| 午夜爱爱视频在线播放| 亚洲成人精品中文字幕电影| 亚洲美女搞黄在线观看 | 国产亚洲精品av在线| 听说在线观看完整版免费高清| 国产成人一区二区在线| 18禁在线无遮挡免费观看视频 | 给我免费播放毛片高清在线观看| 国产毛片a区久久久久| 国产精品,欧美在线| 99国产极品粉嫩在线观看| 免费看美女性在线毛片视频| 色尼玛亚洲综合影院| 身体一侧抽搐| av视频在线观看入口| av在线亚洲专区| 美女黄网站色视频| 内地一区二区视频在线| 深夜a级毛片| 性插视频无遮挡在线免费观看| 亚洲成av人片在线播放无| av免费在线看不卡| 色av中文字幕| 亚洲欧美精品自产自拍| 免费人成视频x8x8入口观看| 一级毛片aaaaaa免费看小| 淫秽高清视频在线观看| 久久亚洲国产成人精品v| 最近中文字幕高清免费大全6| 欧美日韩综合久久久久久| 久久久色成人| 人人妻,人人澡人人爽秒播| 成熟少妇高潮喷水视频| 久久久久久伊人网av| 美女被艹到高潮喷水动态| 欧美性猛交╳xxx乱大交人| 看十八女毛片水多多多| 久久久色成人| 少妇人妻一区二区三区视频| 国产在视频线在精品| 国产一区二区激情短视频| 国产免费男女视频| 日韩欧美精品免费久久| 熟女电影av网| 久久天躁狠狠躁夜夜2o2o| 最近2019中文字幕mv第一页| 一本精品99久久精品77| 一区二区三区高清视频在线| 18禁裸乳无遮挡免费网站照片| 少妇高潮的动态图| 亚洲国产精品成人综合色| 久久久久久久久中文| 日韩欧美一区二区三区在线观看| 欧美丝袜亚洲另类| 悠悠久久av| 亚洲va在线va天堂va国产| 精品人妻一区二区三区麻豆 | 一进一出好大好爽视频| 午夜精品国产一区二区电影 | 老师上课跳d突然被开到最大视频| 久久国产乱子免费精品| 国产欧美日韩一区二区精品| 亚洲中文字幕日韩| 天美传媒精品一区二区| 丝袜喷水一区| 日日撸夜夜添| 免费黄网站久久成人精品| 人人妻人人澡欧美一区二区| 国产片特级美女逼逼视频| 老熟妇乱子伦视频在线观看| 成人特级av手机在线观看| 亚洲精华国产精华液的使用体验 | 国产高清激情床上av| 亚洲在线观看片| 我要搜黄色片| 全区人妻精品视频| 日本黄色片子视频| 久久精品国产清高在天天线| 在线播放无遮挡| 97热精品久久久久久| 天天躁夜夜躁狠狠久久av| 欧美另类亚洲清纯唯美| 天堂动漫精品| 日韩,欧美,国产一区二区三区 | 99国产精品一区二区蜜桃av| 不卡一级毛片| 亚洲欧美精品综合久久99| 亚洲一级一片aⅴ在线观看| 国产亚洲精品av在线| 18禁在线无遮挡免费观看视频 | 99久久精品国产国产毛片| 精品熟女少妇av免费看| 久久精品影院6| 久久久久九九精品影院| 老熟妇乱子伦视频在线观看| 成人午夜高清在线视频| 一个人看的www免费观看视频| 插阴视频在线观看视频| 特级一级黄色大片| 欧美zozozo另类| 人人妻人人看人人澡| 国产一区二区三区在线臀色熟女| 小蜜桃在线观看免费完整版高清| 欧美性猛交╳xxx乱大交人| 听说在线观看完整版免费高清| 中文亚洲av片在线观看爽| 日韩人妻高清精品专区| 亚洲人成网站高清观看| 色哟哟·www| 成人性生交大片免费视频hd| 我的老师免费观看完整版| 免费观看的影片在线观看| 免费在线观看影片大全网站| 在现免费观看毛片| 寂寞人妻少妇视频99o| 国产精品一区www在线观看| 免费无遮挡裸体视频| 日日干狠狠操夜夜爽| 不卡视频在线观看欧美| 亚洲无线在线观看| 少妇的逼水好多| 欧美一区二区国产精品久久精品| 男女那种视频在线观看| 国产伦在线观看视频一区| 日本a在线网址| 国产精品亚洲美女久久久| 国产私拍福利视频在线观看| 蜜桃亚洲精品一区二区三区| 国产私拍福利视频在线观看| 成人一区二区视频在线观看| 黄色视频,在线免费观看| 人妻制服诱惑在线中文字幕| 男女视频在线观看网站免费| 黄色一级大片看看| 最近手机中文字幕大全| 精品一区二区三区人妻视频| 毛片女人毛片| 国产精品国产高清国产av| 久久天躁狠狠躁夜夜2o2o| 我的老师免费观看完整版| 在线免费观看不下载黄p国产| 99国产极品粉嫩在线观看| 亚洲av电影不卡..在线观看| 美女黄网站色视频| 啦啦啦观看免费观看视频高清| 变态另类丝袜制服| 国产精品乱码一区二三区的特点| 免费大片18禁| 国产色爽女视频免费观看| 久久久久久久午夜电影| 国产精品不卡视频一区二区| 我的女老师完整版在线观看| 蜜桃亚洲精品一区二区三区| 此物有八面人人有两片| 国产视频内射| 男人舔女人下体高潮全视频| 亚洲av成人精品一区久久| 亚洲性夜色夜夜综合| 99热精品在线国产| 我要看日韩黄色一级片| 老熟妇乱子伦视频在线观看| 亚洲七黄色美女视频| 熟女电影av网| 非洲黑人性xxxx精品又粗又长| 亚洲最大成人中文| 日韩欧美三级三区| 日韩在线高清观看一区二区三区| 99国产精品一区二区蜜桃av| 1000部很黄的大片| 91精品国产九色| 免费不卡的大黄色大毛片视频在线观看 | 日本欧美国产在线视频| 亚洲真实伦在线观看| 色尼玛亚洲综合影院| 床上黄色一级片| 亚洲av五月六月丁香网| 最近在线观看免费完整版| 亚洲精品成人久久久久久| 欧洲精品卡2卡3卡4卡5卡区|