School-based physical activity intervention for older adolescents: rationale and study protocol for the Burn 2 Learn cluster randomised controlled trial

Article


Leahy, Angus A, Eather, Narelle, Smith, Jordan J, Hillman, Charles, Morgan, Philip J, Nilsson, Michael, Lonsdale, Chris, Plotnikoff, Ronald C, Noetel, Michael, Holliday, Elizabeth, Shigeta, Tatsuya T, Costigan, Sarah A, Walker, Frederick R, Young, Sarah, Valkenborghs, Sarah R, Gyawali, Prajwal, Harris, Nigel, Kennedy, Sarah G and Lubans, David R. 2019. "School-based physical activity intervention for older adolescents: rationale and study protocol for the Burn 2 Learn cluster randomised controlled trial." BMJ Open. 9 (5). https://doi.org/10.1136/bmjopen-2018-026029
Article Title

School-based physical activity intervention for older adolescents: rationale and study protocol for the Burn 2 Learn cluster randomised controlled trial

ERA Journal ID200230
Article CategoryArticle
AuthorsLeahy, Angus A (Author), Eather, Narelle (Author), Smith, Jordan J (Author), Hillman, Charles (Author), Morgan, Philip J (Author), Nilsson, Michael (Author), Lonsdale, Chris (Author), Plotnikoff, Ronald C (Author), Noetel, Michael (Author), Holliday, Elizabeth (Author), Shigeta, Tatsuya T (Author), Costigan, Sarah A (Author), Walker, Frederick R (Author), Young, Sarah (Author), Valkenborghs, Sarah R (Author), Gyawali, Prajwal (Author), Harris, Nigel (Author), Kennedy, Sarah G (Author) and Lubans, David R (Author)
Journal TitleBMJ Open
Journal Citation9 (5)
Article Numbere026029
Number of Pages14
Year2019
PublisherBMJ
Place of PublicationUnited Kingdom
ISSN2044-6055
Digital Object Identifier (DOI)https://doi.org/10.1136/bmjopen-2018-026029
Web Address (URL)https://bmjopen.bmj.com/content/9/5/e026029
Abstract

Introduction This trial aims to investigate the impact of a school-based physical activity programme, involving high-intensity interval training (HIIT), on the physical, mental and cognitive health of senior school students. Methods and analysis The Burn 2 Learn (B2L) intervention will be evaluated using a two-arm parallel group cluster randomised controlled trial with allocation occurring at the school level (to treatment or wait-list control). Schools will be recruited in two cohorts from New South Wales, Australia. The trial will aim to recruit ∼720 senior school students (aged 16-18 years) from 20 secondary schools (ie, 10 schools per cohort). A range of implementation strategies will be provided to teachers (eg, training, equipment and support) to facilitate the delivery of HIIT sessions during scheduled classes. In phase I and II (3 months each), teachers will facilitate the delivery of at least two HIIT sessions/week during lesson-time. In phase III (6 months), students will be encouraged to complete sessions outside of lesson-time (teachers may continue to facilitate the delivery of B2L sessions during lesson-time). Study outcomes will be assessed at baseline, 6 months (primary end point) and 12 months. Cardiorespiratory fitness (shuttle run test) is the primary outcome. Secondary outcomes include: vigorous physical activity, muscular fitness, cognition and mental health. A subsample of students will (i) provide hair samples to determine their accumulated exposure to stressful events and (ii) undergo multimodal MRI to examine brain structure and function. A process evaluation will be conducted (ie, recruitment, retention, attendance and programme satisfaction).

KeywordsIntensity interval exercise; alters brain activation; health-related fitness; body-mass index; hair cortisol; cardiorespiratory fitness; aerobic fitness; public-health; children; overweight
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420702. Exercise physiology
420603. Health promotion
Byline AffiliationsUniversity of Newcastle
Northeastern University, United States
Australian Catholic University
Institution of OriginUniversity of Southern Queensland
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English, Coralie, Janssen, Heidi, Crowfoot, Gary, Bourne, Josephine, Callister, Robin, Dunn, Ashlee, Oldmeadow, Christopher, Ong, Lin K., Palazzi, Kerrin, Patterson, Amanda, Spratt, Neil J., Walker, F. R., Dunstan, David W. and Bernhardt, Julie. 2018. "Frequent, short bouts of light-intensity exercises while standing decreases systolic blood pressure: Breaking Up Sitting Time after Stroke (BUST-Stroke) trial." International Journal of Stroke. 13 (9), pp. 932-940. https://doi.org/10.1177/1747493018798535
Breaking up sitting time after stroke (BUST-stroke)
English, Coralie, Janssen, Heidi, Crowfoot, Gary, Callister, Robin, Dunn, Ashlee, Mackie, Paul, Oldmeadow, Christopher, Ong, Lin K., Palazzi, Kerrin, Patterson, Amanda J., Spratt, Neil J., Walker, F. Rohan, Bernhardt, Julie and Dunstan, David W.. 2018. "Breaking up sitting time after stroke (BUST-stroke)." International Journal of Stroke. 13 (9), pp. 921-931. https://doi.org/10.1177/1747493018801222
Age-dependent Disturbances of Neuronal and Glial Protein Expression Profiles in Areas of Secondary Neurodegeneration Post-stroke
Kluge, Murielle G., Jones, Kimberley, Ong, Lin Kooi, Gowing, Emma K., Nilsson, Michael, Clarkson, Andrew N. and Walker, Frederick R.. 2018. "Age-dependent Disturbances of Neuronal and Glial Protein Expression Profiles in Areas of Secondary Neurodegeneration Post-stroke." Neuroscience. 393, pp. 185-195. https://doi.org/10.1016/j.neuroscience.2018.07.034
Growth Hormone Deficiency Is Frequent After Recent Stroke
Lillicrap, Thomas, Garcia-Esperon, Carlos, Walker, Frederick Rohan, Ong, Lin Kooi, Nilsson, Michael, Spratt, Neil, Levi, Christopher R., Parsons, Mark, Isgaard, Jorgen and Bivard, Andrew. 2018. "Growth Hormone Deficiency Is Frequent After Recent Stroke." Frontiers in Neurology. 9, pp. 1-4. https://doi.org/10.3389/fneur.2018.00713
Growth Hormone Improves Cognitive Function After Experimental Stroke
Ong, Lin Kooi, Chow, Wei Zhen, TeBay, Clifford, Kluge, Murielle, Pietrogrande, Giovanni, Zalewska, Katarzyna, Crock, Patricia, Åberg, N. David, Bivard, Andrew, Johnson, Sarah J., Walker, Frederick R., Nilsson, Michael and Isgaard, Jorgen. 2018. "Growth Hormone Improves Cognitive Function After Experimental Stroke." Stroke. 49 (5), pp. 1257 - 1266. https://doi.org/10.1161/STROKEAHA.117.020557
Sustained administration of corticosterone at stress-like levels after stroke suppressed glial reactivity at sites of thalamic secondary neurodegeneration
Zalewska, Katarzyna, Pietrogrande, Giovanni, Ong, Lin Kooi, Abdolhoseini, Mahmoud, Kluge, Murielle, Johnson, Sarah J., Walker, Frederick R. and Nilsson, Michael. 2018. "Sustained administration of corticosterone at stress-like levels after stroke suppressed glial reactivity at sites of thalamic secondary neurodegeneration." Brain, Behavior, and Immunity. 69, pp. 210-222. https://doi.org/10.1016/j.bbi.2017.11.014
The relationship of moderate-to-vigorous physical activity to cognitive processing in adolescents: findings from the ALSPAC birth cohort
Pindus, Dominika M., Davis, Robert D. Moore, Hillman, Charles H., Bandelow, Stephan, Hogervorst, Eef, Biddle, Stuart J. H. and Sherar, Lauren B.. 2015. "The relationship of moderate-to-vigorous physical activity to cognitive processing in adolescents: findings from the ALSPAC birth cohort." Psychological Research: an international journal of perception, attention, memory and action. 79 (5), pp. 715-728. https://doi.org/10.1007/s00426-014-0612-2
Physical activity for cognitive and mental health in youth: A systematic review of mechanisms
Lubans, David, Richards, Justin, Hillman, Charles, Faulkner, Guy, Beauchamp, Mark, Nilsson, Michael, Kelly, Paul, Smith, Jordan, Raine, Lauren and Biddle, Stuart. 2016. "Physical activity for cognitive and mental health in youth: A systematic review of mechanisms." Pediatrics. 138 (3), pp. 1-15. https://doi.org/10.1542/peds.2016-1642
Chronic stress induced disruption of the peri-infarct neurovascular unit following experimentally induced photothrombotic stroke
Zhao, Zidan, Ong, Lin Kooi, Johnson, Sarah, Nilsson, Michael and Walker, Frederick R.. 2017. "Chronic stress induced disruption of the peri-infarct neurovascular unit following experimentally induced photothrombotic stroke." Journal of Cerebral Blood Flow and Metabolism. 37 (12), pp. 3709-3724. https://doi.org/10.1177/0271678X17696100
Impaired microglia process dynamics post-stroke are specific to sites of secondary neurodegeneration
Kluge, Murielle G., Kracht, Laura, Mahmoud Abdolhoseini, Ong, Lin Kooi, Johnson, Sarah J., Nilsson, Michael and Walker, Frederick R.. 2017. "Impaired microglia process dynamics post-stroke are specific to sites of secondary neurodegeneration." Glia. 65 (12), pp. 1885-1899. https://doi.org/10.1002/glia.23201
Oral administration of corticosterone at stress-like levels drives microglial but not vascular disturbances post-stroke
Zalewska, Katarzyna, Ong, Lin Kooi, Johnson, Sarah J., Nilsson, Michael and Walker, Frederick R.. 2017. "Oral administration of corticosterone at stress-like levels drives microglial but not vascular disturbances post-stroke." Neuroscience. 352, pp. 30-38. https://doi.org/10.1016/j.neuroscience.2017.03.005
Oral corticosterone administration alone is sufficient to simulate the actions of chronic stress on glial cells but not on vasculature
Zalewska, K., Ong, L. K., Pietrogrande, G., Johnson, S. J., Nilsson, M. and Walker, F. R.. 2017. "Oral corticosterone administration alone is sufficient to simulate the actions of chronic stress on glial cells but not on vasculature." 13th European Meeting on Glial Cells in Health and Disease (2017). Scotland 08 - 11 Jul 2017 United States.
Chronic stress exposure following photothrombotic stroke is associated with increased levels of Amyloid beta accumulation and altered oligomerisation at sites of thalamic secondary neurodegeneration in mice
Ong, Lin Kooi, Zhao, Zidan, Kluge, Murielle, Walker, Frederick R. and Nilsson, Michael. 2017. "Chronic stress exposure following photothrombotic stroke is associated with increased levels of Amyloid beta accumulation and altered oligomerisation at sites of thalamic secondary neurodegeneration in mice." Journal of Cerebral Blood Flow and Metabolism. 37 (4), pp. 1338-1348. https://doi.org/10.1177/0271678X16654920
Authors’ response re: ‘‘Reconsidering the role of glial cells in chronic stress-induced dopaminergic neurons loss within the substantia nigra? Friend of foe?” by Ong et al. Brain Behavior and Immunity, 2016
Ong, Lin Kooi, Nilsson, Michael and Walker, Frederick R.. 2017. "Authors’ response re: ‘‘Reconsidering the role of glial cells in chronic stress-induced dopaminergic neurons loss within the substantia nigra? Friend of foe?” by Ong et al. Brain Behavior and Immunity, 2016." Brain, Behavior, and Immunity. 60, pp. 384-384. https://doi.org/10.1016/j.bbi.2016.11.029
Reconsidering the role of glial cells in chronic stress-induced dopaminergic neurons loss within the substantia nigra? Friend or foe?
Ong, Lin Kooi, Zhao, Zidan, Kluge, Murielle, TeBay, Clifford, Zalewska, Katarzyna, Dickson, Phillip W., Johnson, Sarah J., Nilsson, Michael and Walker, Frederick R.. 2017. "Reconsidering the role of glial cells in chronic stress-induced dopaminergic neurons loss within the substantia nigra? Friend or foe?" Brain, Behavior, and Immunity. 60, pp. 117-125. https://doi.org/10.1016/j.bbi.2016.10.001
Hemorheology, ankle brachial pressure index (ABPI) and toe brachial pressure index (TBPI) in metabolic syndrome
Gyawali, Prajwal, Richards, Ross S., Tinley, Paul and Nwose, Ezekiel Uba. 2014. "Hemorheology, ankle brachial pressure index (ABPI) and toe brachial pressure index (TBPI) in metabolic syndrome ." Microvascular Research. 95, pp. 31-36. https://doi.org/10.1016/j.mvr.2014.06.013
Product of serum calcium and phosphorus (Ca× PO4) as predictor of cardiovascular disease risk in predialysis patients
Regmi, Prashant, Malla, Bimala, Gyawali, Prajwal, Sigdel, Manoj, Shrestha, Rojeet, Shah, Dibya Singh and Khanal, Madhav Prasad. 2014. "Product of serum calcium and phosphorus (Ca× PO4) as predictor of cardiovascular disease risk in predialysis patients." Clinical Biochemistry. 47 (1-2), pp. 77-81. https://doi.org/10.1016/j.clinbiochem.2013.09.012
Erythrocyte aggregation and metabolic syndrome
Gyawali, Prajwal, Richards, Ross S., Hughes, Diane L. and Tinley, Paul. 2014. "Erythrocyte aggregation and metabolic syndrome." Clinical Hemorheology and Microcirculation. 57 (1), pp. 73-83. https://doi.org/10.3233/CH-131792
Whole-blood viscosity and metabolic syndrome
Gyawali, Prajwal, Richards, Ross S, Nwose, Ezekiel Uba and Bwititi, Phillip T. 2012. "Whole-blood viscosity and metabolic syndrome ." Clinical Lipidology. 7 (6), pp. 709-719. https://doi.org/10.2217/CLP.12.65
Erythrocyte morphology in metabolic syndrome
Gyawali, Prajwal, Richards, Ross S. and Nwose, Ezekiel Uba. 2012. "Erythrocyte morphology in metabolic syndrome ." Expert Review of Hematology. 5 (5), pp. 523-531. https://doi.org/10.1586/EHM.12.47
Increased microglial activation in the rat brain following neonatal exposure to a bacterial mimetic
Sominsky, L., Walker, A. K., Ong, L. K., Tynan, R. J., Walker, F. R. and Hodgson, D. M.. 2012. "Increased microglial activation in the rat brain following neonatal exposure to a bacterial mimetic." Behavioural Brain Research. 226 (1), pp. 351-356. https://doi.org/10.1016/j.bbr.2011.08.038
Epigenetic Inheritance of Anxiety-Like Behaviour in Rats - Role of Early Life Exposure to a Bacterial Mimetic
Sominsky, L., Walker, A. K., Ong, L., Tynan, R. J., Walker, F. R. and Hodgson, D. M.. 2011. "Epigenetic Inheritance of Anxiety-Like Behaviour in Rats - Role of Early Life Exposure to a Bacterial Mimetic." Journal of Developmental Origins of Health and Disease. 2, pp. S109-S109.
The Effect of Social Defeat on Tyrosine Hydroxylase Phosphorylation in the Rat Brain and Adrenal Gland
Ong, Lin Kooi, Bobrovskaya, Larisa, Walker, Frederick R., Day, Trevor A., Dickson, Phillip W. and Dunkley, Peter R.. 2011. "The Effect of Social Defeat on Tyrosine Hydroxylase Phosphorylation in the Rat Brain and Adrenal Gland." Neurochemical Research. 36 (1), pp. 27-33. https://doi.org/10.1007/s11064-010-0255-7
The effect of social conflict on tyrosine hydroxylase phosphorylation in catecholamine-producing cells from sprague-dawley rats
Ong, L., Bobrovskaya, L., Walker, F., Day, Trevor, Dickson, P. and Dunkley, P.. 2009. "The effect of social conflict on tyrosine hydroxylase phosphorylation in catecholamine-producing cells from sprague-dawley rats." 22nd Biennial Meeting of the International Society for Neurochemistry & Asian Pacific Society for Neurochemistry (2009). South Korea 23 - 29 Aug 2009 United Kingdom.