This randomized controlled trial evaluated whether structured exercise during school recess could improve observable classroom attention-related behavior in primary school children and whether the effects differed between grade levels.
A total of 144 third- and fifth-grade students were randomly assigned to one of three groups: high-intensity interval training (HIIT), moderate-intensity continuous training (MICT), or routine recess activity. The intervention lasted 6 weeks and was conducted three times per week during scheduled school recess. Each structured exercise session lasted 15 minutes, including warm-up, a 9-minute main exercise component, and cool-down.
Observable classroom attention-related behavior was assessed before and after the intervention using an automated video-based behavioral analysis system. The system evaluated observable indicators including head posture, eye gaze, eye opening or closing, and facial detection persistence. The study compared changes among the three groups and examined whether the effects of HIIT and MICT differed between third- and fifth-grade students.
Inclusion Criteria:
Exclusion Criteria:
Due to the nature of the exercise interventions, participants and intervention instructors could not be blinded to group allocation. Personnel responsible for video data processing and statistical analysis were not involved in intervention delivery and followed standardized procedures to minimize assessment and analysis bias.
Participants received a structured high-intensity interval training program during scheduled school recess for 6 weeks, three sessions per week, for a total of 18 sessions. Each 15-minute session included a 3-minute warm-up, a 9-minute HIIT component, and a 3-minute cool-down. The HIIT component consisted of jumping jacks, cross jumps, vertical jumps, and burpees. Each movement was performed for 30 seconds followed by 30 seconds of recovery. The sequence was completed twice, with a 1-minute rest between sets. The target intensity during the main exercise component was at least 85% of age-predicted maximal heart rate.
Participants received a structured moderate-intensity continuous training program during scheduled school recess for 6 weeks, three sessions per week, for a total of 18 sessions. Each 15-minute session included a 3-minute warm-up, 9 minutes of continuous aerobic running, and a 3-minute cool-down. The target intensity during the continuous running component was maintained at 60% to 69% of age-predicted maximal heart rate. Heart rate was monitored during each session to confirm adherence to the prescribed exercise intensity.
Participants continued the routine recess activities arranged by the school and received no additional structured exercise intervention. Routine activities included walking, free play, standing rest, and other usual unstructured or school-arranged recess behaviors. Participants followed the same school schedule as the two structured exercise groups and returned to classroom learning at the same time.
Shanghai, Shanghai Municipality 200438, China
Classroom Break, Cognition, and Fitness in Elementary School Children
Intervention to Reduce Sedentary Behavior During School Recess Among Adolescents
The Benefits of a High-intensity Interval Training Intervention Delivered in a School Setting Among Adolescents
School-based HIIT and Dose-Response Effects
Effects of High-intensity Interval Training and Moderate-intensity Continuous Training on Functioning of Attentional Networks and Heart Rate Variability in Healthy Adults
Acute Effects of High-intensity Interval Training With Mindfulness-based Recovery on Executive Function in Children
The HIIT Cognition Study
High-Intensity Interval Training(HIIT) on Cardio-metabolic Risk in School-age Children