PTPilotThe Journal of school health2026

Classroom-Integrated Kettlebell Training: Effects on Motor Performance, Attention, and Health in Primary School Children.

Nicole Braun, Romina Ledergerber, Eric Lichtenstein and 2 others

PMID 41854388

WHAT IT FOUND

Brief daily kettlebell-based classroom training added to usual physical education was feasible and improved sprint performance in second-grade children.

Strength, coordination, attention, body composition, and blood pressure showed no meaningful change.

Key findings

01Children who added daily kettlebell-based training to usual physical education showed a significant improvement in sprint performance.

02Mid-thigh pull, eye-hand coordination, and side-hop changes were positive but not statistically significant and should not be treated as definitive effects.

03No relevant changes were observed in body composition, blood pressure, or Flanker attention outcomes.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

Classes were not randomized; teachers chose allocation in two schools, and one class was automatically assigned to the intervention group. Participant counts differ across the paper: 93 participated, 94 were assigned, 76 completed post-test, and 78 remained after attrition. Sample size was not based on a priori power calculations. No single primary outcome is stated, and several outcomes were examined, so the sprint result may reflect multiple comparisons. Training intensity was not monitored, so actual exertion during sessions is uncertain. Physical activity outside school was not measured, so total daily activity is unknown. Socioeconomic background distribution was not assessed. The Flanker task was done in a classroom with possible distractions and no familiarization. Null attention results are therefore uncertain.

Declared interests

This work was supported by Starak. No other funding or conflict-of-interest details are given in the supplied text.

The easy way to misread this

Do not conclude that kettlebell training alone improves strength, attention, body composition, or blood pressure. Only sprint performance showed a significant effect, the programme was added to usual physical education, and the study was not randomised.

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