Relationship Between Adherence to Individual Goals Within the 5-2-1-0 Guidelines for Obesity Prevention and Number of PACER Laps in Adolescents.
Kibum Cho, Emily Jones, Christa Lilly and 3 others
PMID 28876479WHAT IT FOUND
Adolescents who met at least one of the 5-2-1-0 health goals completed more PACER shuttle-run laps than those meeting none.
Average laps did not rise further with more goals.
Key findings
01Students who met at least one goal had higher average PACER laps than students who met none.
02The reported average laps were 16.83 for students meeting no goals, 23 for one goal, 25.48 for two goals, 26.84 for three goals, and 30.29 for all four goals.
03Once students met at least one goal, average PACER laps did not differ by whether they met one, two, three, or all four goals.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
Health behavior data were self-reported, so answers about activity, screen time, diet, and sugary drinks may not be accurate. The PACER test was run in a volunteer-based school setting, so effort may not have reflected true cardiovascular fitness. Possible confounders such as peer influence, motivation, and fatigue were not measured. The analysis compared groups by reported behavior and fitness score, so it cannot show that behavior change caused higher laps. Participants were only 6th to 8th graders in two rural Appalachian schools and were mostly Caucasian, so results may not apply to other ages or populations.
The easy way to misread this
Do not read this as proof that changing one health behavior will improve aerobic fitness. It is an observational comparison of survey answers and PACER scores, and students who met goals may differ in unmeasured ways such as motivation or effort.