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The effect of school uniform on incidental physical activity among 10-year-old children

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The school setting provides a unique opportunity to promote physical activity in children by ensuring adequate time, appropriate facilities and education guidance is offered. However school uniform design could also limit physical activity. A repeated measures cross over design was used to compare school recess and lunch time physical activity over 4 weeks in 64 primary school children (M = 10.48 yrs) when wearing winter uniform or sports uniform. Pedometers recorded step counts during each school recess and lunch breaks. Mixed model analyses found that girls, but not boys, were significantly more active at recess (p=.03), lunch (p = .04) and overall (p=.006) when wearing their sports uniform compared to their winter uniform. School uniform did not impact the boy’s physical activity levels. A physically- restrictive school uniform has the potential to inhibit physical activity among primary school aged girls.
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Asia-Pacific Journal of Health, Sport
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The effect of school uniform on
incidental physical activity among 10-
year-old children
Hannah Norrish a , Fiona Farringdon a , Max Bulsara a & Beth
Hands a
a School of Health Sciences, University of Notre Dame Australia,
Fremantle, Australia
Version of record first published: 24 Apr 2012.
To cite this article: Hannah Norrish , Fiona Farringdon , Max Bulsara & Beth Hands (2012): The
effect of school uniform on incidental physical activity among 10-year-old children, Asia-Pacific
Journal of Health, Sport and Physical Education, 3:1, 51-63
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The effect of school uniform on incidental physical activity among
10-year-old children
Hannah Norrish, Fiona Farringdon, Max Bulsara and Beth Hands*
School of Health Sciences, University of Notre Dame Australia, Fremantle, Australia
The school setting provides a unique opportunity to promote physical activity in
children by ensuring adequate time, appropriate facilities and education guidance
is offered. However school uniform design could also limit physical activity. A
repeated measures crossover design was used to compare school recess and
lunchtime physical activity over four weeks in 64 primary school children
(M10.48 yrs) when wearing winter uniform or sports uniform. Pedometers
recorded step counts during each school recess and lunch break. Perception of the
level of intensity of physical activity was also measured using a self-report log
book. Mixed model analyses found that girls, but not boys, were significantly
more active at recess (p.03), lunch (p.04) and overall (p.006) when wearing
their sports uniform compared to their winter uniform. School uniform did not
impact the boy’s physical activity levels. Perceived intensity of physical activity
increased slightly among both girls and boys. A physically restrictive school
uniform has the potential to inhibit physical activity among primary-school-aged
girls.
Keywords: children; physical activity; school uniform; incidental breaks; ped-
ometer; gender difference
Introduction
The school environment provides an important opportunity to enhance daily
physical activity in children. The school day includes formal physical activity
opportunities such as physical education and sport as well as unstructured play time
during recess and lunchtime breaks. Activity undertaken during these important play
breaks is discretionary and children best accumulate activity when they are able to
interact with their peers in an outdoors setting (Pate, Baranowski, Dowda, & Trost,
1996). These school breaks generally comprise a recess of approximately 15 minutes
and lunch break of approximately 3040 minutes and therefore provide important
opportunities for children to meet a significant proportion of the recommended daily
physical activity level of 60 minutes (Department of Health and Aging, 2004). Data
collected during the 2007 Australian National Children’s Nutrition and Physical
Activity Survey showed that approximately 20 minutes of lunch breaks were spent
engaged in moderate to vigorous activity in a sample of 794 10- to 13-year-old
children (Stanley, Ridley, & Olds, 2011). Beighle, Alderman, Morgan, and Le
Masurier (2008) found that children spent more than 60% of their recess time in
physical activity compared to outside school time (20%) and Loucaides and Jago
(2008) found that recess activity alone accounted for 9% of daily physical activity.
*Corresponding author. Email: bhands@nd.edu.au
Asia-Pacific Journal of Health, Sport and Physical Education
Vol. 3, No. 1, March 2012, 5163
ISSN 1837-7122 print/ISSN 1837-7130 online
#2012 Australian Council for Health, Physical Education and Recreation
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Gender differences in physical activity level and intensity are consistently
reported across numerous studies regardless of the measurement protocol. Sallis,
Prochaska, and Taylor (2000) reviewed 1089 studies that evaluated 40 variables that
impact on physical activity levels in children aged 3 to 12 years. In 81% of gender
comparisons, boys were more active than girls. Pedometry is the most common
objective measure of physical activity in the school setting. Morgan, Graser, and
Pangrazi (2008) found that late elementary and junior high girls took approximately
10% fewer steps per day than boys. Tudor-Locke, Williams, Reis, and Pluto (2006)
studied Year 6 children and reported that boys took significantly more total steps per
day than girls especially during recess, lunch and after school. Of interest to this
present study, Loucaides and Jago (2008) found that the largest differences in steps
between boys and girls were observed during the 20 minute recess period.
These differences could be due in part to intensity of preferred activities. Boys
and girls appear to use their play periods to engage in different activities (Harper &
Sanders, 1975). Numerous researchers have reported that boys participate in more
total games, ball games, chase games and rough and tumble activities than girls
(Cratty, Ikeda, Martin, Jennett, & Morris, 1970; Hands, Parker & Larkin, 2006;
Pellegrini, Blatchford, Kato, & Baines, 2004; Pfister, 1993; Reilly & Stratton, 1995).
Girls are more likely to play more jumping/verbal games, such as jump rope and
clapping/chanting games. The intensity of these activities range from light to
vigorous, and overall time engaged in moderate to vigorous physical activity during
school break times may not be optimal. For example, Zask, Beurden, Barnett,
Brooks, & Dietrich (2001) found that of 500 kindergarten to Year 6 children, only
50% of the boys and 28.6% girls engaged in moderate to vigorous physical activity in
most break periods. Hands, Parker, Glasson, Brinkman, and Read (2004) found that
more females engaged in low intensity physical activity such as standing or walking
around during recess (20.2%) and lunch (12.4%) compared with males during recess
(8.9%) and lunch (4.5%).
Schools present a unique opportunity to provide time, facilities and guidance for
children to participate in physical activity and contribute largely to meeting
recommended daily physical activity levels (World Health Organization, 2008).
However, some school rules, policies or physical environments may act as either
barriers or motivators to physical activity. Previous school-based structural
interventions shown to increase childrens physical activity during play breaks
include fitness sessions (Scruggs, Beveridge, & Watson, 2003), structured games
(Connolly & McKenzie, 1995), provision of playground markings (Stratton, 2000;
Stratton & Leonard, 2002; Stratton & Mota, 2000), loose equipment (Afonso &
Botelho, 2003; Verstraete, Cardon, DeClercq, & Bourdeaudhuij, 2006), fixed
equipment (Sutterby & Frost, 2002), improved design of the playground (Afonso
& Botelho, 2003; Ridgers, Stratton, Fairclough, & Twisk, 2007; Stratton & Leonard,
2002), length of play break (Verstraete, Cardon, DeClercq, and Bourdeaudhuij,
2006; Zask, Beurden, Barnett, Brooks, & Dietrich, 2001) and teacher prompts
(McKenzie et al., 1997; Sallis et al., 2001). On the other hand, barriers to physical
activity include limited availability of play space or lack of playground markings
(Stratton, 2000; Stratton & Leonard, 2002), and restrictive school rules and policies,
such as insufficient sports equipment and length of scheduled eating time and play
time (Marron, 2008). Marron (2008) found that 19.9% of schools did not provide
equipment during incidental breaks due to limited storage space, high equipment
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costs or risk of equipment loss/damage. Further, many schools did not permit
students to bring their own sporting equipment to school.
One potential barrier that has not been explicitly explored, yet anecdotally
observed, is the requirement by some schools for students to wear school uniforms
that may restrict free movement. In many independent Australian schools, the
standard winter uniform for boys consists of long- or short-sleeve buttoned-up shirts,
tie, jumper, long trousers, and leather shoes. For girls, the uniform consists of similar
upper body attire, however they wear a knee-length skirt or pinafore and stockings
with their leather shoes. The summer uniform for boys comprises shorts, short-sleeve
shirt and leather shoes; for girls it consists of a belted tunic or short-sleeve shirt and
lightweight skirt which are less physically restrictive. Overall however, such school
uniforms are not designed for students to participate in moderate or vigorous
physical activity. In contrast, the sports uniform consists of shorts or tracksuit pants,
a t-shirt and tracksuit top, combined with sports shoes for both sexes. However
children are only permitted to wear this on physical education or sports days. Some
studies have found that childrens physical activity levels differ significantly
throughout the course of the year (Beighle et al., 2008, Kohl & Hobbs, 1998). In
Mediterranean climates, children tend to be more active during summer than winter
(Loucaides, Chedzoy, & Bennett, 2003; Rowland & Hughes, 2006). As seasonality
may impact on childrens physical activity levels, it would be of interest to examine if
the design of school uniforms contributes towards this trend. In many Australian
schools, winter uniforms, particularly for girls, appear to be more restrictive than
summer uniforms, and therefore may discourage physical activity.
Some researchers have reported complaints by girls that clothing can be a barrier
to being more physically active. Biddle et al. (2005) found that adolescent girls felt
inhibited from cycling to school because they were required to wear a skirt as part of
the school uniform. Others did not participate in school sport due to tight, ill-fitting
or inappropriate clothing (Coakley & White, 1992; Hands, et al., 2004, Orme, 1991;
Porter, 2002). However, few studies have investigated the impact of clothing attire,
and more specifically school uniform, on childrens physical activity and intensity.
The purpose of the study was to examine the effect of school uniform on the
amount, and perceived intensity of physical activity, undertaken by 10-year-old
children during play breaks at school. We hypothesized that the children would be
more active, particularly the girls, when wearing their sports uniform compared to
their school winter uniform. We also hypothesized that the children would engage in
more vigorous activity when wearing the sports uniform compared to the winter
uniform. Reflecting on school rules and policies in the context of physical activity is
crucial if physical activity is to be encouraged. Therefore, how active friendlythe
school uniform is for playing during incidental breaks should be considered
(Department of Education, 2012)
Methods
This pilot study used a repeated measures crossover design to compare school recess
and lunchtime physical activity over four weeks in Year Six primary school children
when wearing winter uniform or sports uniform. The study was conducted in term
two of the school year, beginning at the start of June when students change to winter
school uniform; in part to minimize the effect of adverse weather conditions.
Asia-Pacific Journal of Health, Sport and Physical Education 53
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In Weeks 1 and 3 participants wore their standard winter school uniform and in
Weeks 2 and 4, participants wore their sports uniform.
Participants
The participants were 64 children (males 36, females28) with a mean age of
10.48 yrs (SD.53). This convenience sample comprised students in the two Year 6
classes attending a small independent metropolitan primary school. Once permission
was obtained from the principal and teachers at the school, all Year 6 students were
invited to participate in the study via information sheets and letters to parents. Active
parent and student consent was obtained from 98.46% of the sample. Only one
student declined to participate. This study was approved by the Institutional Human
Research Ethics Committee.
Measures and procedures
Physical activity
Yamax Digi-Walker SW200 pedometers were used to record the number of steps
taken during recess and lunchtime each day. This model is a valid and reliable
measure of physical activity among children (Barfield, Rowe, & Michael, 2004;
Bassett et al., 2000) and four or five days is sufficient time to obtain a reliable mean
step count (Gretebeck & Montoye, 1992; Trost, Pate, Freedson, Sallis, & Taylor,
2000). At the beginning of the study, each pedometer was tested for accuracy by
completion of a 20-step test (Tudor-Locke, Williams, Reis, & Pluto, 2002). During
the data collection, a team of 10 adults retested each pedometer on the Sunday prior
to each week (Sidman, Vincent, Corbin, Pangrazi, & Vincent, 2001).
The data were collected by trained students from the Year 7 class. They were
shown how to ensure all pedometers were working, how to seal the pedometers with
stickers to record data after each break. All pedometers were numbered so that each
student used the same pedometer during all four data-collection weeks. During a
briefing before the study, all participants were shown how to ensure pedometers were
fastened 23 inches to the right of their navels, in line with the midpoint of the right
knee, and on the waistband of their pants/shorts/skirts.
Approximately five minutes before each play break, the research assistants
distributed pedometer boards to the Year 6 classrooms. Pedometers were worn for 20
minutes during recess and 35 minutes during lunch. Both breaks had a warning bell 5
minutes prior to the end of the break. At that time, students put away any play
equipment and started to return to class. Actual activity time, therefore, was
calculated as 15 minutes for recess and 20 minutes for lunch, as students were
required to sit and eat their lunch for the first 10 minutes of lunchtime. At the
conclusion of each break, the students reattached their pedometer to their number
on the pedometer board. The research assistants recorded step data against each
pedometer number in a record book and resealed the pedometers in preparation for
the next break. The participants also recorded if they lost their pedometer and the
type of uniform they were wearing in their log book.
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Perceived intensity of physical activity
Perceived intensity of physical activity was recorded in a log book by the student
immediately after each break. Diary measures and log books have the strongest
validity of 18 self-report methods of assessment on physical activity in children
(Sallis, 1991; Sirard and Pate, 2001). In this study, a simple scale of faces rated one to
three was used with 1light physical activity (no huffing and puffing), 2moderate
physical activity (some huffing and puffing), and 3vigorous activity (lots of huffing
and puffing) (see Figure 1). The face validity of the log book designed for this study
was confirmed by a team of experts in measurement of physical activity then piloted
and modified with a small group of primary school children. The Year 6 teachers
used a set protocol to prompt completion. These scores were converted into a mean
perceived-intensity score for each uniform condition (maximum 3, minimum 1).
Data collection
Data were collected at recess and lunch over the four-week period, with a potential
maximum of 10 days (10 recess and 10 lunch occasions) for each uniform condition.
The data for the first day were not included to minimize the effect of reactivity, and
data were not gathered on four days due to inclement weather during Week 4 when
the participants were wearing sports uniform. In addition, data were missing due to
children being absent, kept in class to finish work or as a consequence of poor
behavior, getting injured or falling ill, going on a school excursion, being removed
from the playground due to the no hat, no playrule, or the weather being
Tick the box below that best describes how you felt during this play
No huffing and puffing
Some huffing and puffing
Lots of huffing and puffing
Figure 1. Perceived intensity scale.
Asia-Pacific Journal of Health, Sport and Physical Education 55
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unfavourable for outdoors play. The final number of data points for participants
ranged between 4 and 15 for winter uniform and 2 and 12 for summer uniform.
Data analysis
Data were excluded if the pedometer malfunctioned; was taken off for over five
minutes; lost; if the student wore the incorrect uniform; or did not provide at least
four days data for each uniform type. In addition, pedometer data were removed if
the recorded step counts were below 100 or over 2000 during recess or below 150 and
over 3000 during lunch as these were considered to be unusually high or low step
counts and therefore considered as outliers. For these data, the responses for
individuals were tracked to see if there was a pattern before exclusion. Consequently
the final sample sizes varied each day and between recess and lunch throughout the
study. Differences in perceived intensity between gender, uniform type and occasion
were examined using t-tests. A linear mixed model was used to quantify the
relationship between the number of pedometer steps (the dependent variable),
uniform type, play breaks (recess or lunch) for the whole sample and stratified by
gender. This model can account for repeated observations taken over time (Singer &
Willett, 2003). Uniform and Incidental Breaks were treated as fixed effect parameters
and a post-hoc test was carried out to compare the mean changes in number of steps
over time. Statistical analysis was carried out using SPSS v. 18 utilizing the mixed
procedure and the level of significance was set at pB.05.
Results
Boys took more steps than the girls overall (t3.86, pB.001), at recess (t4.16,
pB.001), and at lunch (t2.50, p.015) regardless of uniform type (Table 1). The
mean steps per minute were based on 15 minutes and 20 minutes of activity during
recess and lunch respectively.
Table 2 provides the unadjusted mean step counts for males and females
according to occasion and uniform type. The mixed model analyses found that girls,
but not boys, were significantly more active at recess, lunch and overall when wearing
their sports uniform compared to their winter uniform. The girls took more steps
during recess (128) and lunch (176) when wearing their sports uniform than when
wearing their winter uniform. The boys marginally increased their step counts during
recess and overall but the differences were not significant. When the data for the total
Table 1. Mean pedometer steps and steps per minute for combined, recess and lunch breaks
for boys (n36) and girls (n24).
Combined Recess Lunch
Mean Mean Steps/min Mean Steps/min
M (SD) M(SD) M(SD) M(SD) M(SD)
Boys 1310.0 (347.6) 1134.1 (471.3) 75.6 1460.3 (378.5) 73.0
Girls 1031.8 (227.3) 735.0 (211.7) 49.0 1251.3 (259.7) 62.5
Note: All gender differences significant pB.01.
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Table 2. Unadjusted mean daily pedometer steps for winter and sports uniforms during combined and separate incidental breaks.
Recess Lunch Total
Winter Sports p Winter Sports p Winter Sports p
M(SD) M(SD) M(SD) M(SD) M(SD) M(SD)
Boys 1036.1 (345.1) 1127.1 (532.6) 0.16 1485.4 (374.7) 1455.8 (539.4) 0.82 1275.5 (331.9) 1364 (522.0) 0.37
Girls 690.1 (275.0) 818.2 (244.5) 0.03 1172.6 (296.5) 1348.3 (368.3) 0.04 933.3 (271.8) 1134.1 (271.9) 0.006
Total 884.7 (358.5) 1050.7 (441.5) 0.02 1348.5 (376.2) 1408.1 (470.7) 0.17 1125.8 (349.4) 1261.9 (441.5) 0.02
Note: pvalues based on linear mixed model analyses.
Asia-Pacific Journal of Health, Sport and Physical Education 57
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sample were considered and controlling for gender, mean step counts were
significantly higher at recess and overall when the sports uniform was worn.
The participants recorded their perceived intensity of effort (1, 2 or 3) after each
activity period. The number of occasions where each intensity level was reported were
summed for boys and girls when wearing each uniform type (Figure 2).
More low-intensity play breaks were reported for both boys and girls during play
breaks regardless of uniform type. Of interest, when sports uniform was worn, the
prevalence of vigorous-intensity occasions increased for boys (6.8 % to 17.3%) and
the prevalence of moderate-intensity occasions increased for the girls from 11.5 % to
23.3%). Girls only reported five play occasions (four wearing winter uniform and one
wearing sport uniform) as vigorous. For each participant, the intensity scores were
converted to a mean composite score for each uniform condition (see Table 3). There
were no gender, uniform or occasion differences in perceived intensity (Table 3),
Figure 2. Prevalence (%) of perceived intensity of males and females for all breaks.
Table 3. Perceived intensity of activities M(SD) for recess and lunch according to uniform
type.
Recess Lunch Total
Winter Sports pWinter Sports pWinter Sports p
M(SD) M(SD) M(SD) M(SD) M (SD) M(SD)
Boys 1.42(.40) 1.49(.56) .73 1.52(.46) 1.40(.50) .22 1.44(.37) 1.46(.57) .87
Girls 1.13(.34) 1.24(.32) .22 1.15(.30) 1.27(.35) .14 1.14(.31) 1.25(.30) .17
Total 1.25(.39) 1.33(.45) .24 1.30(.41) 1.33(.42) .74 1.27(.37) 1.34(.44) .28
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although a trend was apparent for the girls. At both recess and lunch, girls had a
higher mean perceived intensity when wearing sports uniform.
Discussion
The primary purpose of the study was to examine the effect of school uniform on
physical activity during school play breaks, and if the effect differed between girls
and boys. The results revealed that girls, but not boys, took more steps during play
breaks when wearing sports uniform compared to winter uniform. Although
perceived intensity levels of the play breaks increased for both boys and girls when
wearing sports uniform, it appears that this increase was more apparent in the girls
than the boys. Light activity was the most prevalent intensity level for both boys and
girls across both uniform types.
Regardless of uniform type, the boys took more steps during recess and lunch
than girls which is consistent with many other school-based studies, (Beighle,
Morgan, Masurier, & Pangrazi, 2006; Vincent & Pangrazi, 2002), however the mean
steps per minutes for males and females were much lower at recess and lunch than
those reported in other studies (Beighle & Pangrazi, 2006; Loucaides & Jago, 2008;
Tudor-Locke et al., 2006). The researchers were unable to identify any specific data
for 10-year-old children, however Beighle and Pangrazi (2006) suggested a mean of
90 steps per minute is typical of nine-year-old children. For primary-school-aged
children, Tudor-Locke et al. (2006) reported means of 99.3 steps/min and 67.4 steps/
min and Loucaides and Jago (2008) reported 72.2 steps/min and 51.9 steps/min for
males and females respectively during recess. Given these ranging levels, further
studies are needed to better determine mean steps per minute for boys and girls of
different ages.
The gender difference in steps per minute could be attributed to differences in the
intensity of play patterns. In this study, a higher prevalence of play breaks with a
perceived vigorous intensity were reported by boys than girls. Others have reported
that boys tend to dominate available playground space as they engage in more
vigorous activities such as competitive games like soccer and football, chase games,
or rough-and-tumble play requiring speed, strength, endurance, and aggression
(Beighle et al., 2008; Pellegrini, Blatchford, Kato, &Baines, 2004). On the other hand,
girls participate in more sedentary activities (Ridgers, Stratton, Fairclough, 2006).
Uniform type had a greater impact on physical activity level among the girls than
the boys. They were significantly more active at both recess and lunch when wearing
their sports uniform compared to their winter uniform. Other studies have found that
changing the structural environment can impact on physical activity, especially in
relation to girls. Verstraete et al. (2006) found providing game equipment at recess
was effective in girls, but not in boys. Similar to the current study, Verstraete et al.
(2006) indicated that the boys had high physical-activity levels prior to the game
equipment being introduced, making it difficult to find significant improvements. In
this study, boys had similar step counts in both conditions and boys were
significantly more active than girls in both uniform conditions over the four weeks.
Therefore, the boys already had higher physical activity levels in the winter uniform
condition, and, similar to the study by Verstraete et al. (2006) it was difficult to find
significant improvements when they were in the sport uniform condition. Conversely,
as the girls had lower physical-activity levels than boys in the winter uniform
Asia-Pacific Journal of Health, Sport and Physical Education 59
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condition, they had the opportunity to show a significant difference when wearing
the sport uniform. It appears that the winter uniform for boys does not adversely
impact on their ability to be physically active whereas the restrictive nature of the
winter uniform for girls has the opposite effect. It should be noted that the winter
uniform for boys requires long trousers whereas a skirt is required for girls. It is not
such a big change in uniform when moving from trousers to a sport tracksuit
however; moving from a skirt to sports tracksuit is clearly a greater change for the
girls.
This study also questioned if intensity would change if the type of uniform
changed. Although minimal, students engaged in slightly more vigorous activities
when wearing their sports uniform and this did not differ significantly between boys
and girls. Ridgers et al. (2007) indicated that while boys are more active overall
during play time, boys and girls experienced comparable increases in their recess
Moderate to Vigorous Physical Activity (MVPA) and Vigorous Physical Activity
(VPA) following the playground markings and physical structures intervention.
Perhaps the reason this study did not capture any major changes in intensity was the
nature of the measurement. There were only three choices to rate intensity level,
making it difficult to detect any significant change. Students also may not have
clearly understood how each statement and face was related to each feeling after
being physically active. Although they recorded responses in the log book
immediately after the play break there was no way to determine if the intensity of
the activity varied in the break. For example they may have engaged in vigorous
activity for the first 10 minutes, but not in the last 5 minutes of the break. Therefore,
recording how they felt immediately after the break may not actually reflect the
intensity of their activities over the entire break.
In addition, although the three intensity categories were explained to the students
prior to the study, some students may have overestimated or underestimated their
intensity.
Strengths and limitations
This is the first study to identify a negative effect of school uniform on activity levels
in primary school children; however as the small pilot study involved a convenience
sample from one year group in one school the study needs to be replicated with a
larger sample. Some events may have prevented the students from engaging in
physical activity during the play breaks and it was not possible to record all of these.
As discussed above, the scale used for the students to report perceived intensity may
not have been sufficiently discriminatory to detect change, or sufficiently detailed to
monitor variations in intensity over the play break.
In conclusion, the increase in mean steps, especially in females, and the slight
increase in intensity when wearing the sports uniform reported in this study are
important given that many children do not meet the recommended daily physical
activity level of 60 minutes (Department of Health and Aging 2004). Any strategies
that increase the potential to be physically active should not be ignored. Schools are
able to provide opportunities for young people to be physically active (Al-Nakeeb,
Duncan, Lyons, Woodfield, 2007; Booth, 1997;Tudor-Locke et al., 2006) and a
range of school-based interventions have lead to increases in childrens physical
activity (Alfonso & Botelho, 2003; Ridgers, Stratton, Fairclough & Twisk, 2006;
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Scruggs et al., 2003; Stratton, 2000; Stratton & Leonnard, 2002; Stratton & Mullan,
2003; Sutterby &Frost, 2002; ; Verstraete et al., 2006; Zask, et al., 2001). School
policies may either enhance this potential or create barriers (Marron, 2008). Clearly
structural changes to the school environment can be successful in encouraging
physical activity levels. In the case of this study, it was a simple change in the type of
uniform worn.
Notes on contributors
Hannah Norrish completed her Bachelor in Health and Physical Education (honours) in 2010.
She was awarded first class honours and the findings from her research project, The Effect of
School Uniform on Incidental Physical Activity among 10-year-old children, provided the basis
of this article. Hannah is now teaching in a country primary school in Western Australia.
Fiona Farringdon is Assistant Dean, Health Sciences and coordinates the Bachelor of
Preventive Health. She has been involved in health education and health promotion for over
twenty five years at the practitioner and academic levels and previously taught at a variety of
secondary and primary schools as a health and physical education teacher for ten years. Her
research interests include the efficacy of school-based health education programmes; reducing
alcohol and other drug related harm for individuals and communities, eating patterns of
adolescents, increasing physical activity levels in children and adolescents and mental health in
adolescents.
Max Bulsara holds the chair in Biostatistics at the University of Notre Dame in Western
Australia. He has been involved in epidemiological studies for over two decades both overseas
and in Australia, and a number of research projects relating to the physical activity, built
environment and health.
Beth Hands has been involved in research involving children and adolescents for two decades.
She is currently the Director of the Institute for Health and Rehabilitation Research at the
University of Notre Dame. She authored the highly regarded Fundamental Movement Skills
Teacher Resource and Play5 Teacher Manual.
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... 38,39 Experimental evidence also suggests primary school-aged girls are more active and less sedentary on days when they are not wearing their regular uniform. 40,41 However, studies come from a limited number of high-income countries, report on small sample sizes, and focus solely on school-time physical activity. Associations between uniforms and total weekly physical activity, which is most strongly associated with health and educational benefits, 2 have not been explored. ...
... To date, boys have been reported not to perceive uniforms as a barrier to their physical activity 17,37À39 or have been excluded from studies prompting participants to consider their role. 36 Previous quantitative evidence suggests boys accumulate more vigorous-intensity physical activity 40 and are less sedentary 41 during recess when not wearing their regular uniform, but these studies did not report an association with total school-time physical activity. We examined associations between uniforms and physical activity guideline compliance across the week. ...
... This may present greater challenges for girls if they are required or expected to wear skirts and dresses as part of their school uniform. Our findings are supported by experimental research 40,41 but limited by power. 17 Broader sociocultural factors may also be driving some of the relationship. ...
Article
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Purpose It is aimed to assess whether school uniforms are associated with population-level gender inequalities in physical activity, and whether associations differ by school level, country/region income, and assessment method. Methods An ecological study design was employed. We collected data about global uniform practices using an online survey. We searched for country/region-level estimates of school-aged youth meeting physical activity guidelines from international surveillance studies. Study selection was conducted in duplicate using a systematic process, and a random sample of all data was checked to ensure extraction and pooling processes were accurate. We calculated absolute and relative gender inequalities in physical activity for each country. Linear regression examined associations between country/region-level uniform practices (binary yes/no exposure variable) and country/region-level gender inequalities in physical activity guideline compliance (absolute and relative inequalities). We investigated moderation by school level, stratified analyses by income group, and repeated primary analyses using device-measured data. Results Pooling data from 135 countries/regions (n = 1,089,852), we found no association between population-level uniform practices and gender inequalities in physical activity across all ages (absolute: β = –0.2; 95% confidence interval (95%CI): –1.7 to 1.3, p = 0.74; relative: β = 0.1; 95%CI: –0.1 to 0.2, p = 0.51). Subgroup analysis suggested a positive association in primary school settings (absolute: β = 4.3; 95%CI: –0.0 to 8.6, p = 0.05). Among high-income countries, absolute inequalities were significantly greater in countries/regions with uniform practices (N = 37) compared to those without (N = 48) (9.1 (SD = 3.6) vs. 7.8 percentage points (SD = 4.3)). Repeating analyses using device-measured data (n = 32,130; N = 24) did not alter our primary finding. From initial descriptive statistics, we found that in countries/regions where a majority of schools (>50%) reportedly use uniforms, there was lower compliance with physical activity guidelines among all genders (median: 16.0%, interquartile range: 13.2%–19.9%, N = 103) compared to generally non-uniform countries/regions (median: 19.5%, interquartile range: 16.4%–23.5%, N = 32) (z = 3.04, p = 0.002). (N = countries, regions and studies represented; n = sample size or participants included). Conclusion School uniforms are associated with greater gender inequalities in physical activity in primary school settings and in high-income countries. Our population-level findings warrant testing using individual-level data across contexts.
... In this sense, in recent years, different investigations have been carried out on the influence of school uniforms on the general wellbeing of students, with special attention to physical activity and health (1,(9)(10)(11)(12). Accumulating evidence suggests a notable association between the type of school uniform and student performance in fitness-related activities (1). ...
... In particular, studies consistently indicate that TU is associated with poorer outcomes in terms of fitness levels, physical activity, and overall health (1,6,13). In contrast, SU positively correlates with improved physical fitness (especially cardiorespiratory fitness), increased physical activity participation, and improved general health indicators (8)(9)(10). The mechanism underlying the association between SU and improved fitness can be attributed to several factors. ...
... The mechanism underlying the association between SU and improved fitness can be attributed to several factors. Firstly, the freedom of movement afforded by this type of uniform enables students to engage in physical activities more comfortably and effectively (8,9,11). The absence of restrictive clothing, such as skirts or ties, allows for a broader range of motion, facilitating participation in exercise and active play (10,12). ...
... Participants discussed how the gendered nature of sport and school clothing can act as a barrier to participation in physical activity. This aligns with existent evidence focusing on children, which highlights that school uniforms can be a barrier to physical activity participation among girls, children from ethnic and religious minorities, gender-diverse students, and those from socioeconomically disadvantaged backgrounds [34][35][36]. Feeling self-conscious emerged as a common theme among females, as evidenced by qualitative research foregrounding pressure to perform, anxiety related to body image, and the reinforcement of gender stereotypes, especially among females from socioeconomically deprived contexts [13]. These findings underscore the intersection of gender and socioeconomic disparities in physical activity, with significant implications for inclusivity. ...
... In order to make physical activity more inclusive, further efforts are required to move away from a gender focus in sport. This extends to school uniform policy, where modifying student uniforms and PE clothing may represent a simple intervention to enhance physical activity [36]. ...
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Background Adolescent physical activity levels are low and are shown to decline with age into adulthood. Emerging literature suggests these trends were exacerbated during the Covid-19 pandemic. We aimed to understand, from the perspective of adolescents living in deprived communities, whether the Covid-19 pandemic influenced their physical behaviour and explore their ideas for physical activity promotion moving forward. Methods Purposive sampling was used to recruit older adolescents (13-18-year-old) living in one of the 20% most deprived areas in the UK, as defined by the UK Index of Multiple Deprivation. A mix of in-person and online one-to-one semi-structured interviews were conducted between July 2021- March 2022. Interviews were audio-recorded, transcribed verbatim and anonymised. Data were imported into Nvivo software and analysed drawing on Braun and Clarke’s six phases of thematic analysis. Results The sample consisted of 16 adolescents and included a mix of genders. The following themes were generated during the data analysis: (1) Physical activity behaviour in everyday life (prepandemic), (2) The impact of Covid-19 on physical activity (during) and (3) Young people’s ideas about physical activity promotion (moving forward). Participants described themselves as inactive, with their activity limited to active travel, informal activity and physical education. Experiences of the pandemic were largely negative, impacting participants’ physical and mental health. Ideas around physical activity promotion ranged from the individual to the societal level. Conclusions Our findings suggest the Covid-19 pandemic had a major impact on young people living in the context of socioeconomic deprivation. Physical activity promotion efforts should focus on school-based opportunities and the provision of safe and low-cost opportunities in socioeconomically deprived areas. As we aim to build back from the Covid-19 pandemic, supporting young people living in socioeconomically deprived communities should be prioritised.
... The school setting provides a unique opportunity to promote physical activity in pupils by ensuring adequate time, appropriate facilities and education guidance are offered. However, school uniform design could also limit physical activity (Norrish et al., 2012). Teacher #4 answered: ...
... The school day includes formal physical activity opportunities such as physical education and sport as well as unstructured play time during recess and lunchtime breaks. Activity undertaken during these important play breaks is discretionary and pupils' best accumulate activity when they are able to interact with their peers in an outdoors setting (Norrish et al., 2012). ...
Article
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Physical education is critical in primary grades because it lays the foundation for lifelong commitment to physical activities for holistic development. Numerous scholars have examined the implementation of physical education in the Philippines, but only a few have attempted to investigate the implementation in primary grades. Hence, this research was undertaken using a Qualitative Phenomenological Research Design to fill this void. Selected primary school teachers teaching physical education in South Cotabato, Philippines, served as primary research participants. Series of in-depth interviews were done to extract the necessary information needed. Five significant themes appeared to be substantial findings of this study. These include the following: Development of physical education lesson plans for primary grades with objectives that are appropriate for learners; mastery of elementary teachers teaching physical education; teachers teaching physical education on motivating pupils to participate; effectiveness of implementation through demonstration; and appropriate attire for the subject. The findings were then used to form critical components of the conclusions.
... In developed Western countries, research (e.g., McCarthy et al., 2020;Norrish et al., 2012) has suggested that one of the reasons children, particularly girls, may not be active enough at school is due to the impracticability of their school uniforms (SDG5). Many school children are expected to wear traditional uniforms, usually consisting of leather shoes with shirts and pants for boys, and a dress, or skirt and shirt, with leather shoes and socks or stockings for girls (McCarthy et al., 2020). ...
... This gender-based disparity is also evident in school break times, with research identifying uniform as a key contributor. For example, Norrish et al. (2012) compared the school recess and lunchtime physical activity of 64 primary school children over four weeks and found that girls, but not boys, were significantly more active when wearing their sports uniforms compared to their traditional uniforms. Similarly, the Watson et al. (2015) focus groups with 15 adolescent girls found that uniforms could either be the strong facilitator (if an activity-promoting uniform) or a strong barrier (if not an activity-promoting uniform) for lunchtime physical activities in both high and low socioeconomic status schools. ...
Chapter
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Over recent decades, the importance of encouraging physical activity participation for both children and adults has emerged as a major international public health objective. The United Nations (Transforming our world: The 2030 agenda for sustainable development. http://www.un.org/en/development/desa/population/migration/generalassembly/docs/globalcompact/A_RES_70_1_E.pdf, 2015) stated that people need to develop lifelong physical activity habits for the benefit of all of society. Physical activity is defined as “any bodily movement produced by skeletal muscles that results in energy expenditure”.
... Experimental studies 451in Australia comparing active versus traditional school uniforms in primary schools, 452 collecting device-measured physical activity, found mixed results. One study reported 453 increased activity for girls during break time43 and the other found minimal effects.44 Further 454 research is required to determine whether redesigning secondary school PE uniforms can 455 improve girls' PE engagement and activity levels. ...
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Background: Many adolescent girls experience body dissatisfaction and have low levels of physical activity. Secondary school Physical Education (PE) offers opportunities for girls to build self-confidence and stay active; however, PE uniforms can be a barrier to participation. Objectives: To explore how secondary school PE uniform policies influence body image and PE engagement (participation and enjoyment) among adolescent girls, and how these policies could be co-developed in future. Design: A qualitative study involving focus groups and interviews. Participants and setting: Forty-four 13-14-year-old girls and six PE staff members from six mixed-sex secondary schools in England. Data collection and analysis: Using topic guides and participatory activities to aid discussions, we explored PE uniform preferences and the influence on body image and PE engagement with adolescent girls, as well as the PE uniform policy development process with PE staff. Data were analysed using reflexive thematic analysis, supported by NVivo 14. Results: Three themes were generated. Theme 1, Striking the right balance between choice, comfort and uniformity, describes the challenges of developing PE uniform policies that offer pupils choice to maximise comfort, whilst maintaining uniformity to ensure smartness, and to reduce social comparison. Theme 2, PE uniforms are made for boys, reflects that current policies can often provide unisex uniforms that do not fit the female body, or gendered options that limit girls choices over style and fit. Theme 3, Self-confidence influences comfort in wearing PE uniform, and in turn PE engagement, suggests girls with high self-confidence may be less concerned about others opinions and how they look, leading to greater PE enjoyment, whereas girls with lower self-confidence described feeling self-conscious, especially in communal changing rooms, which could impact their comfort and PE engagement. Conclusions: Our findings suggest that developing PE uniform policies, which allow pupils to choose their own bottoms, wear additional layers, and wear PE uniform all day may improve comfort and inclusivity among girls, facilitating better PE engagement.
... Studies have explored the impact of school uniform in limiting physical activity and how a 'sports uniform' could improve activity, which may be gendered. [53][54][55] However, other studies have found particular groups, for example girls or girls from particular faith communities, feel selfconscious or uncomfortable in PE kit. 56,57 These complex factors need to be considered. ...
Article
Full-text available
Background The COVID-19 lockdowns and social distancing measures, including school closures, had a major impact on children’s physical activity in England, with data showing an initial reduction in activity in the short-term post-lockdown phase of the pandemic followed by a recovery on average in the medium-term post-lockdown period. The school environment is an important context for child physical activity. The purpose of this study is to understand the changes that took place to school physical activity environments once schools reopened after lockdowns. This information will improve understanding of why changes to children’s physical activity have occurred over the course of the pandemic and the implications for future promotion of physical activity in schools. Methods Interviews with parents ( n = 43), school staff ( n = 18) and focus groups with 10- to 11-year-old children (participant n = 92) were conducted at two time points: between September–December 2021 and February–July 2022. Interview and focus group guides covered the impact of the pandemic on child physical activity and changes to this over time. The framework method was used for analysis. Results Three themes and three subthemes were generated: (1) the return to school; (2) over-pressured staff and environment and (3) the uneven impact of the pandemic. Theme 3 consists of three subthemes: (a) retained pandemic policies, (b) impact on physical activity culture and (c) different children need different things. Limitations and future work Conducting this research in schools during ongoing COVID-19 disruptions was a challenge and may have limited school and participant participation, particularly school staff. The parent interview sample is predominantly female, active and of higher socioeconomic status, so the experiences of male, less active and lower socioeconomic parents are limited. This study suggests that the impact of COVID-19 on child physical activity is uneven, affecting some children more than others. Future work is therefore needed to explore the details of this potential diverging experience. Conclusion The COVID-19 pandemic, school closures and post-lockdown school policies have impacted upon primary school physical activity environments. The post-lockdown school environment is highly pressured, impacting the extent to which schools can support and encourage child physical activity. Future research is needed to further explore the impact of post-lockdown changes on physical activity environments in schools, particularly over the longer term, as schools continue to adapt post lockdowns. Strategies required to support school physical activity environments must be context specific and sensitive to these changes, pressures and needs. Funding This article presents independent research funded by the National Institute for Health and Care Research (NIHR) Public Health Research programme as award number NIHR131847.
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Chapter
Ireland increasingly positions itself as a liberal, agentic and entrepreneurial nation, motivated to move between and beyond binaries of Church/State, man/woman, advantaged/disadvantaged. Despite this, the uniformed body can be seen as a material assemblage that is intimately tied to a distinct national and cultural past and that continues to intersect religion, class and gender in complex ways.This chapter engages with recent public conversations around school uniforms in the Irish context. For example, in September 2020 children returned to school after months of homeschooling and public health restrictions. Some schools issued directives on the daily washing of uniforms, with parents taking to social media to voice their concerns about the financial implications of this. This was not the first time school uniforms hit the headlines, with debates often focused on affordability, but more recently on issues of sexism and gender autonomy and diversity. However, the public conversation around uniforms is typically momentary and fleeting, and schools continue to enforce uniform policies and police student bodies in largely uncontested ways. This chapter identifies school uniforms as a material reality that cross-cuts historical dualisms and contemporary freedoms, presenting students with a multifaceted identity quandary.KeywordsIrelandSchool uniformsAffordabilityGender
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This study explored the dynamics of how young people make decisions about their sport participation. In-depth semistructured interviews were conducted with 34 young men and 26 young women, ages 13–23 (only 3 were older than 18), from predominantly working-class families residing in an industrial area southeast of London. Interviews focused on descriptions of sport experiences, how young people defined and interpreted those experiences, how this influenced decisions about participation, and how participation was integrated into the rest of their lives. We found that young women and men shared concerns about their transition into adulthood and had common desires to develop and display personal competence and autonomy. However, these common concerns were significantly mediated by gender. Furthermore, gender differences were found in the ways sport experiences were defined and interpreted, in the ways that constraints related to money, parents, and opposite-sex friends operated, and in the ways that past expe...
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Physical activity is a key component of energy balance and is promoted in children and adolescents as a lifelong positive health behavior. Understanding the potential behavioral determinants necessitates understanding influences from three fundamental areas: 1) physiologic and developmental factors, 2) environmental factors, and 3) psychological, social, and demographic factors. The literature to date has generally investigated potential predictors of physical activity in children and adolescents in each of these three general areas, although existing data rely largely on cross-sectional studies in which it is difficult to distinguish a determinant from a correlate. In all likelihood, aspects of each of these three areas interact in a multidimensional way to influence physical activity in youth. This article reviews evidence of potential determinants of physical activity in children and adolescents and provides recommendations for future work.
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The CARS systematic observation instrument was used in conjunction with heart rate telemetry to measure the physical activity levels of 9 English and 9 Portuguese, 10 year old schoolgirls during primary school playtime. Individual time series correlation coefficients between heart rate and Children's Activity Rating Scale (CARS) activity levels were not significant for Liverpool girls and only significant for one Oporto girl. Results indicate that a vast amount of variance is unaccounted for in both groups of subjects. Moreover, environmental, morphological and physiological factors may affect the relationship between heart rate and the CARS. When used separately, heart rate and CARS methodologies may provide robust patterns of physical activity during playtime. However, results from this study suggest that the efficacy of using a combination of methods is difficult to support, as heart rates and CARS provide contrasting results and may compound the errors in each method.
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Fifth-grade students' physical activity levels were examined via heart rate telemetry and pedometry during school fitness and recess breaks. Twenty-seven students with a mean age of 11.03 (±.32) years participated in morning recess (MR), lunch recess (LR), and fitness breaks (FB) for three days. Structured FB's consisted of students engaging in locomotor and nonlocomotor activities within an obstacle course framework, while recess breaks followed a traditional model. Results from repeated measures ANOVAs indicated students engaged in significantly more physical activity during FB than MR and LR. Fitness breaks provided a viable method for increasing children's school time activity levels.
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Background: Interactive electronic games have recently been popularized and are believed to help promote children's physical activity (PA). The purpose of the study was to examine preferences and PA levels during interactive and online electronic games among overweight and nonoverweight boys and girls. Methods: Using a modification of the SOFIT, we systematically observed 70 Hong Kong Chinese children (35 boys, 35 girls; 50 nonoverweight, 20 overweight), age 9 to 12 years, during 2 60-minute recreation sessions and recorded their game mode choices and PA levels. During Session One children could play either an interactive or an online electronic bowling game and during Session Two they could play an interactive or an online electronic running game. Results: Children chose to play the games during 94% of session time and split this time between interactive (52%) and online (48%) versions. They engaged in significantly more moderate-to-vigorous physical activity (MVPA) during interactive games than their online electronic versions (70% vs. 2% of game time). Boys and nonoverweight children expended relatively more energy during the interactive games than girls and overweight children, respectively. Conclusions: New-generation interactive games can facilitate physical activity in children, and given the opportunity children may select them over sedentary versions.
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The energy expenditure of 47 children aged 5-7 years was assessed before and after a school playground was painted with fluorescent markings. Physical activity was measured using heart rate monitors and energy expenditure calculated for 3 playtimes per child before and after the playground was painted. Total energy expenditure and the rate of energy expenditure increased significantly, as did the duration of play. The effect of painting the playground on total energy expenditure was analysed using an ANCOVA to control for play duration and body mass. Results revealed a 35% increase in total energy expenditure (P ≤ .01) and a 6% increase in the rate of energy expenditure (P ≤ .01). The significant interaction between time (before and after) and group (experimental and control) (P ≤ .02) demonstrated that the intervention programme significantly increased heart rates. These results suggest that playground markings and duration of play can have a significant and positive influence on young children's energy expenditure.