Initiative Description: Renovate the school environment to include outdoor classrooms, gardens, nature trails, a gym, multiple playgrounds, sports fields, centrally located dining commons, music, art studios, classroom PA break areas, and dynamic and mobile classroom furniture.

Study Results: Decreased sedentary behavior and increased light PA.

Reference: Brittin, J., Frerichs, L., Sirard, J.R., Wells, N.M., Myers, B.M., Garcia, J., . . . Huang, T. (2017). Impacts of active school design on school-time sedentary behavior and physical activity: A pilot natural experiment. PLoS ONE, 12(12)

Level of Evidence: Very Good