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Review
. 2024 Mar;34(3):e14593.
doi: 10.1111/sms.14593.

How to design and establish a national school-based physical fitness monitoring and surveillance system for children and adolescents: A 10-step approach recommended by the FitBack network

Laura Joensuu  1   2 , Tamás Csányi  3   4 , Mikko Huhtiniemi  2 , Katalin Kälbi  4   5 , João Magalhães  6 , Ivana Milanović  7 , Shawnda A Morrison  8   9 , Francisco B Ortega  2   10 , Luis B Sardinha  6 , Gregor Starc  8 , Tuija H Tammelin  1 , Gregor Jurak  8 ; FitBack Network
Affiliations
Review

How to design and establish a national school-based physical fitness monitoring and surveillance system for children and adolescents: A 10-step approach recommended by the FitBack network

Laura Joensuu et al. Scand J Med Sci Sports. 2024 Mar.

Abstract

Background: Providing individual- and population-level data on children's physical fitness (PF) is a crucial public health and education priority. However, few national fitness monitoring or surveillance systems are currently in practice internationally. We aim to summarize the current European PF monitoring and surveillance systems for school-aged children and to provide experience-based guidelines on how to design such systems.

Methods: The FitBack network consists of experts from diverse backgrounds with the common interest to improve the accessibility of PF monitoring for young people globally. Through FitBack network, we identified and compared the national or regional PF monitoring and surveillance systems currently in operation across Europe. We formulated a 10-step approach for designing and establishing one's own system, based on analysis of experienced strengths, weaknesses, opportunities, and threats to monitoring childhood fitness.

Results: We identified a total of eight PF monitoring systems in Finland, France, Galicia of Spain, Hungary, Lithuania, Portugal, Serbia, and Slovenia. The FitBack network recommends the following steps for designing and establishing one's own system: (1) set up mission statements and aims, (2) involve stakeholders, (3) utilize scientific background, (4) governance structure, (5) ensure sufficient funding, (6) data management planning, (7) provide meaningful feedback, (8) conduct pilot testing, (9) plan implementation process, and (10) invest in communication with stakeholders.

Conclusions: This study provides an updated overview of the best practices for school-aged children's fitness monitoring and surveillance in Europe. Additionally, it offers a 10-step approach to assist in the creation of similar systems in Europe or globally.

Keywords: NCDs; assessment; disease prevention; education; epidemiology; physical literacy; policy; population health.

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References

REFERENCES

    1. Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep. 1985;100(2):126-131.
    1. President's Council on Physical Fitness and Sports. Physical Fitness Research Digest. President's Council on Physical Fitness and Sports; 1971.
    1. Ruiz JR, Castro-Pinero J, Espana-Romero V, et al. Field-based fitness assessment in young people: the ALPHA health-related fitness test battery for children and adolescents. Br J Sports Med. 2011;45(6):518-524. doi:10.1136/bjsm.2010.075341
    1. Institute of Medicine (U.S.), Pate RR, Oria M, Pillsbury L, edsFitness Measures and Health Outcomes in Youth. National Academies Press; 2012.
    1. ALPHA Fitness Test Battery for Children and Adolescents working group. The ALPHA Health-Related Fitness Test Battery for Children and Adolescents. Test Manual 2009:1-34.