Literature Review

Initiative Description: Systematic review of interventions proposed as forms of increasing children’s physical activity levels during recess. Studies were classified according to the intervention used: playground markings, game equipment, playground markings plus physical structures, and playground markings plus game equipment

Study Results: The cumulative evidence was (a) that interventions based on playground markings, game equipment, or a combination of the two, do not seem to increase the physical activity of preschoolers and schoolchildren during recess and (ii) that interventions based on playground markings plus physical structures do increase the physical activity of schoolchildren during recess in the short to medium term.

Reference: Escalante, Y., García-Hermoso, A., Backx, K., & Saavedra, J. M. (2014). Playground designs to increase physical activity levels during school recess: A systematic review. Health Education & Behavior, 41(2), 138-144. Retrieved from

Level of Evidence: 3 out of 5 stars Very Good