Children’s physical activity: stimulating policy debate and health improvements
Submitting Institution
University College LondonUnit of Assessment
Civil and Construction EngineeringSummary Impact Type
HealthResearch Subject Area(s)
Medical and Health Sciences: Public Health and Health Services
Summary of the impact
Research led by Professor Roger Mackett of the Department of Civil,
Environmental and Geomatic Engineering at UCL on children's physical
activity has been used by central and local government, other public
bodies and various advocacy groups to encourage children to be more
active. It has been used to support policy documents and proposals aimed
at improving children's health and wellbeing. It has led to improvements
in the health, welfare and quality of life of many UK communities through,
for example, their greater use of walking buses, which also contributes to
reduced CO2 emissions.
Underpinning research
Research into children's physical activity, looking particularly at the
benefits of walking to school and the contribution of play, was carried
out in two EPSRC-funded projects led between 2001 and 2006 by Roger
Mackett (Professor of Transport Studies at UCL since 1997). The projects,
on which Mackett was Principal Investigator, also involved researchers
from the Universities of Exeter and Oxford, Hertfordshire County Council,
and Herts Health Promotion as Co-investigators. All the research was
carried out at UCL under Mackett's supervision.
The first of these projects, `Reducing Children's Car Use', ran between
2001 and 2003. It addressed the issue identified in Mackett's earlier work
for the Department for Transport (1998-2000) that many short car trips in
Britain result from meeting the needs of children. Making large numbers of
trips by car has possible serious implications for children's health
because of the lack of physical activity, and may contribute to car
dependency in later life. The UCL-based research took the innovative step
of fitting accelerometers to 200 children for four days and requiring them
to complete travel and activity diaries. Mackett's group devised a
taxonomy scheme for the children's activities, allowing the number of
calories consumed per minute on each activity to be calculated. The
research showed that not only did children use more calories when walking
than they did in the car, but that the older children aged 12-13 used more
calories walking to and from school in a week than they did in two hours
of PE and games lessons (the recommended standard levels of physical
activity for children) [6]. It was also shown that children use more
calories in free play than in equivalent organised activities, and that
they tend to walk when they go out to play, but are taken by car to
organised activities. This research provided useful evidence to explain
the increase in obesity amongst children. A specific intervention that was
examined as part of this project was walking buses, in which groups of
children walk to school under adult supervision. The research found that
nearly half the trips made on walking buses were previously made by car,
and that children transferring from a car to using a walking bus were
involved in an extra 22 minutes of physical activity per day [7].
The second project, titled `Children's activities, perceptions and
behaviour in the local environment' (CAPABLE), ran between 2004 and 2006,
and sought to monitor and explore children's interactions with the local
environment. In order to achieve this, the research team added GPS
monitors, as well as various qualitative indicators such as children's
drawings and interviews with parents, to the tools used previously
(diaries and accelerometers) to understand both the quantity and the
quality of children's activity by identifying differences in their
behaviour in different environments and under different circumstances.
Boys, for example, were found to move about more than girls [1,5]. It was
also shown that children moved in much straighter lines when they were
accompanied by an adult than they did when they were with other children,
suggesting that greater adult supervision of children outside the home may
be reducing children's exploratory behaviour and interaction with local
environments [5].
The data sets collected on the two projects were combined and analysed in
2012 to show the hypothetical benefits to children of a switch to
year-round British Summer Time. These benefits accrue particularly from
the findings of the research that children tend to be more active when
evenings are light [4], and that children who walk to school are more
active at other times [3]. Mackett has been able to incorporate a strong
international-comparative perspective on the earlier research through his
contribution between 2007 and 2009 to a project funded by the Norwegian
Research Council comparing children's car use and physical activity in
Britain, Denmark, Finland and Norway [2]. Mackett provided the data for
Britain and participated in the discussions leading to the conclusions
that children in Britain use active travel less than in the other
countries. In 2009 Mackett joined a project led by the Policy Studies
Institute to examine how children's independent mobility has changed over
the past 40 years and how it varies around the world. The results are
currently being published. They show that children's independent mobility
has continued to decrease in England over the period 1990-2010, but at a
slower rate than in the period 1971-1990 and that children have less
freedom to go out without adult supervision than in most other countries.
References to the research
1. Brown B, Mackett R L, Gong Y, Kitazawa K, Paskins J (2008) Gender
differences in children's pathways to independent mobility, Special Issue
of Children's Geographies on `New research/directions in Children's
Geographies', 6, 385-401. doi.org/bc7vhb
2. Fyhri A, Hjorthal R, Mackett R, Fotel T and Kyttä M (2011) Children's
active travel and independent mobility in four countries: Development,
social contributing trends and measures, Transport Policy, 18, 703-710. doi.org/fm63j7
3. Goodman A, Mackett R L and Paskins J (2011) Activity compensation and
activity synergy in British 8-13 year olds, Preventive Medicine, 53,
293-298 doi.org/cc66m8
5. Mackett R L, Brown B, Gong Y, Kitazawa K, Paskins J (2007) Children's
independent movement in the local environment, Special Issue of Built
Environment on `Critical approaches to designing environments/environments
designed for children' 33, 454-468 doi.org/fhdp8s
6. Mackett R L, Lucas L, Paskins J and Turbin J (2005) The therapeutic
value of children's everyday travel, Transportation Research A, 39,
205-219. doi.org/bfn35b
7. Mackett R L, Lucas L, Paskins J and Turbin J (2005) Walking buses in
Hertfordshire: Impacts and lessons, Report, Centre for Transport Studies,
UCL. Available on request.
References 1, 5 and 6 best demonstrate the quality of this research.
Research grants: The two EPSRC projects mentioned above were
funded for £317,058
(GR/N33638/01 — Reducing children's car use) and £385,026 (GR/T09378/01 -
CAPABLE)
Details of the impact
The research outlined above has had multifarious impacts: it has
influenced central and local government policies relating to play and
school transport; contributed to public discourse about, and engagement
with, the same issues; and improved health, welfare and quality of life in
many UK communities through, for example, their greater use of walking
buses.
Stakeholder engagement: Mackett has communicated his research
findings to government and community stakeholders through more than 25
invited presentations since 2008. These have included conferences and
seminars for professionals involved in children's travel and play,
including the Play Research Network (1 Feb 2008), Play Scotland (19 Nov
2008), the Health and Consumers Directorate General of the EU (11 Feb
2011), the West Midlands Region School Travel Advisors (3 March 2011), and
at invited seminars in Romania (10 November 2008) the USA (20 Feb 2009)
and New Zealand (5 Nov 2012).
Informing policy advocacy: The Sustainable Development
Commission, formerly the UK government's independent adviser on
sustainable development, cited Mackett's research on calories burned by
children undertaking various activities and using various modes of travel
in its 2011 report `Fairness in a Car-dependent Society', quoting various
results as part of the discussion about obesity [a, pages 29, 67].
Advocacy groups such as Sustrans and Living Streets, and local groups,
frequently cite Mackett's research as evidence for action to be undertaken
to increase children's physical activity. For example, Sustrans quoted
Mackett in an October 2011 submission on road safety to the parliamentary
Transport Select Committee [b], while Living Streets cited his work in an
expert paper included in NICE public health guidance on promoting walking
and cycling, issued in November 2012 [c]. `State of Play', published by
the Association of Play Industries for use by advocates of children's play
and the play equipment industry, quotes Mackett in outlining the benefits
of play for children's health and in claiming that children tend to walk
when they go out to play. They use this evidence to argue for safer
streets and places for play [d, page 11]. Play England, a charity
supported by government departments and industry, which seeks to promote
the vision in the UN Convention on the Rights of the Child, used Mackett's
research to argue for the health benefits of children's play, and
Play Wales used the research to provide evidence for public health
specialists, primary care teams and healthy school co-ordinators about
the benefits of children's play [e, pages 4-5; f, page 2].
Influence on policy documents and guidelines: In 2008, the
National Institute for Health and Clinical Excellence (NICE) produced
`Guidance on physical activity, play and sport for pre-school and school
age children' for health and transport policy makers and practitioners,
which includes a cost-effectiveness analysis of four interventions to
increase child and adolescent physical activity. One of the interventions
considered was walking buses to school: evidence from Mackett's
research was used by the NICE team to demonstrate that this was the most
cost-effective intervention [g, pages 5-12, 27-29]. Additionally,
the research on the benefits of play has been widely taken up by
central and local government. It was cited in the document `Fair
Play: A Consultation on the Play Strategy, A Commitment from the
Children's Plan' issued by the Department for Children, Schools and
Families and the Department of Culture, Media and Sport [h], which says:
"Active play is also one of the best ways for children to burn calories
outside of PE lessons." [h, page 10]. This consultation was used to
develop the National Play Strategy, published in December 2008 and
which set out the government's 10-year vision to deliver more and better
play opportunities for children in England.
Implementation by local authorities: Conwy Active for Life,
published by Conwy County Borough Council (2011) "to strategically
prioritise effective delivery mechanisms to ensure that Conwy is a county
where physical activity is at the heart of the community", cites Mackett's
research about the benefits of various types of play for children [i, page
12]. Figures from the Reducing Children's Car Use study published in 2004
are used to calculate of the number of calories consumed walking and
cycling to school in the School Travel Health Check (STHC) tool
which is used by local authorities and schools to set priorities,
outcomes and milestones to improve active and sustainable travel to
school [j]. In 2011, the STHC was used by 29 local authorities, 4,626
schools, and over 1.5 million pupils, for example in Plymouth, Bristol and
Cornwall [k]. The STHC was also used in the 2012 South East Dorset
Multi-Modal Transport Study [k], which led to the adoption of School
Travel Plans in Bournemouth to encourage more walking and cycling to
school and has been used by Dorset County Council to set targets for
walking and cycling. This strategy to increase working and cycling by
children will require a budget of £2.042m over 15 years [k].
Informing media coverage: This has helped to further inform
public understanding of the importance of children's activity. Since
2008, this has included an article on the effects of parental choice of
school on children's physical activity levels, in the Daily Telegraph; the
risk of children whose parents drive them a lot becoming car-dependent
adults, in the New York Times; and a BBC Breakfast television feature on
children's independent movement on urban areas. [l]
Improving children's health through the institution of walking
buses to school: Since the publication of the 2008 NICE
guidance on physical activity, play and sport for children (which drew on
Mackett's research, as noted above), walking buses have been set up
around the country. 130 now exist in Staffordshire, for example; a
further 60 have been set up in Kent and 30 in West Sussex [m]. The
benefits of these buses extend, moreover, beyond positive impacts on
children's health and well-being to environmental benefits arising
from reductions in the number of car journeys made to school: in
Thurrock, Essex, for instance, estimates show walking buses have saved
an average of 2160g of CO2 per mile [n].
Preventing school closures: Campaigners used the research
on children's travel to school to help make the case to keep Bearsden
Primary School at Bearsden Cross, in East Dunbartonshire, Scotland, rather
then move to Castlehill where, it was claimed, more children would need to
travel by car [o]. Campaigners said that closure would damage educational
outcomes, represent poor value for the council taxpayer and harm the
commercial and community heart of Bearsden. The school was subsequently
saved [o].
Sources to corroborate the impact
[a] Sustainable Development Commission (2011) Fairness in a Car-dependent
Society, available from http://www.sd-commission.org.uk/publications.php?id=1184.
[b] Sustrans' written submission to Parliament cites Mackett,
http://www.publications.parliament.uk/pa/cm201213/cmselect/cmtran/506/506we03.htm;
their website cites outputs [1] and [6]: http://www.sustrans.org.uk/policy-evidence/related-academic-research/children-and-active-travel
[c] Living Streets' expert paper, cites output [6]:
http://www.nice.org.uk/guidance/index.jsp?action=download&o=58975
[d] Association of Play Industries (2011) State of Play, A report into
the future of UK play provision and the Playbuilder legacy (2008-2011),
available from http://www.api-play.org/upload/public/documents/webpage/Lobbying/API%20state%20of%20play%20report%20WEB.pdf
[e] Play England (2010) People make play: The impact of staffed play
provision on children, families and communities, available from http://www.playengland.org.uk/media/120465/people-make-play.pdf;
[f] Play Wales (2012) Play: health and wellbeing, available from
http://playwales.org.uk/login/uploaded/documents/Playing%20and%20Hanging%20Out%20/play%20health%20and%20wellbeing.pdf
[g] National Institute of Health and Clinical Excellence (NICE) (2008)
Promotion of Physical Activity in Children: Programme Guidance: A
cost-effectiveness scenario analysis of four interventions to increase
child and adolescent physical activity: the case of walking buses, free
swimming, dance classes and community sports, available from
http://www.nice.org.uk/media/C83/74/PromotingPhysicalActivityChildrenCostEffectivenessAnalysis.pdf
[h] Department for Children, Schools and Families and the Department of
Culture, Media and Sport (2008) Fair Play: A Consultation on the Play
Strategy, A Commitment from the children's Plan, available from
http://webarchive.nationalarchives.gov.uk/20080528125538/http://dcsf.gov.uk/publications/fairplay/downloads/7567-DCFS-Fair%20Play.pdf
[i] Conwy County Borough Council (2011) Conwy Active for Life, available
from
http://www.conwy.gov.uk/upload/public/attachments/470/Conwy_Active_for_Life.pdf
[j] School Travel Health Check.co.uk, Standard STHC Analysis Output,
available from
http://www.sthc.co.uk/Report.aspx
[k] Use of School Travel Health Check, available from: http://www.acttravelwise.org/news/1663).
Plymouth: http://www.plymouth.gov.uk/sthc),
Bristol (p. 37
http://www.bristol.gov.uk/sites/default/files/documents/transport_and_streets/walking/WALKING%20STRATEGY%20-%20FINAL%20VERSION%20-%20JAN11.pdf)
and Cornwall
http://www.cornwall.gov.uk/default.aspx?page=27198;
Atkins (2012) South East Dorset Multi-Modal Transport Study, available
from
http://www.dorsetforyou.com/media.jsp?mediaid=175733&filetype=pdf
[l] Raising awareness through the media of the importance of children's
activities: BBC Breakfast 8 May 2008; Daily Telegraph, 17 January 2009 http://fw.to/qf92I0B; New York Times, 27
March 2009 http://nyti.ms/HgMuDu;
[m] Number and use of walking buses: Staffordshire (http://www.staffssaferroads.co.uk/walking-bus/guidance-leaflets),
Kent
(https://www.canterbury.gov.uk/parking-travel-roads/walking-cycling/walking-buses/)
and West Sussex
(http://www.westsussex.gov.uk/default.aspx?page=10124)
[n] Europa (undated) Walking buses cut carbon emissions on school run,
available from
http://www.europa-services.co.uk/portals/europaservices/csr/download/case_study1.pdf
[o] Save Bearsden Primary (2013) Response to the East Dunbartonshire
Council Primary School Estate Review: February 2013, page 26, available
from http://savebearsdenprimary.com/wp-content/uploads/2013/02/Save-Bearsden-Primary-response-040213.pdf;
Save Bearsden School wins on East Dunbartonshire Council's merger proposal
(2013), available from http://forargyll.com/2013/03/save-bearsden-school-wins-on-east-dunbartonshire-cpuncils-merger-proposal/.