Perceived stress and musculoskeletal pain are prevalent and significantly associated in adolescents: an epidemiological cross-sectional study.

BACKGROUND: Long-term musculoskeletal pain and negative stress are health risks with adverse long-term health effects, and these health risks seem to increase among young people. The mechanisms behind this are unclear. There is a need for a better understanding of perceived stress and musculoskeletal pain among adolescents, in order to improve health promotion and treatment approaches in this group. METHODS: Objectives were to evaluate the current prevalence of perceived stress and musculoskeletal pain in 15 and 16 year olds, to explore stress-pain associations and the probability that perceived stress (PSQ) was related to the reporting of pain and variations in pain, and to investigate possible differences in stress between different types of musculoskeletal pain in the adolescents. A cross-sectional study was conducted. Elementary schools participated. The outcomes were stress (Perceived stress questionnaire; PSQ) and musculoskeletal pain (pain/no pain, pain sites, pain duration and pain intensity (Visual analogue scale; VAS). RESULTS: Fifty-one point two percent (N = 422) reported pain, of which 70.8 % reported long-term pain. Some more girls (57.9 %) reported pain. 22.0 % of the study population reported moderate to severe stress (PSQ ≥ 0.45), of which 79.6 % were bothered by pain (Pearson Chi-square 38.47, p ≤ .001). All stress and pain variables were significantly associated (p < .01). The strongest association appeared between pain intensity (VAS) and stress (PSQ) (r = 0.40). Perceived stress (PSQ) was associated with the reporting of pain among the adolescents (Odds Ratio [OR] 1.68) and could explain some of the variation in pain intensity (VAS; ß = 0.15, p < .001) and number of pain sites (ß = 0.14, p < .01), according to the regression analyses. There were no mean differences in stress (PSQ) between different types of musculoskeletal pain. CONCLUSIONS: There was high prevalence of musculoskeletal pain, long-term pain and moderate to severe stress (PSQ ≥ 0.45) in this study sample. Perceived stress (PSQ) was related to the reporting of musculoskeletal pain among the adolescents and could explain some of the variation in pain intensity (VAS) and number of pain sites. There were no differences in stress levels (PSQ) between different types of musculoskeletal pain in the adolescents.

THE RELATIONSHIP BETWEEN MOTOR COMPETENCE AND PHYSICAL FITNESS IS WEAKER IN THE 15-16 YR. ADOLESCENT AGE GROUP THAN IN YOUNGER AGE GROUPS (4-5 YR. AND 11-12 YR.).

Developing motor competence and physical fitness can affect the maintenance of a sufficient level of physical activity in children and adolescents. This study assesses the relationship between motor competence and physical fitness from childhood through early adolescence. A cross-sectional sample of 194 participants from 4 to 16 years old were divided into three groups; 4-6 yr. (n=42, M age=5.2, SD 0.6), 11-12 yr. (n=58, M age=12.4, SD=0.3), and 15-16 yr. (n=94, M age=15.9, SD=0.4). To assess motor competence, each child completed the Movement Assessment Battery for Children (MABC). To measure physical fitness, three tasks (strength, speed, and endurance) were selected from the Test of Physical Fitness (TPF). To analyze the significance of the difference between the correlation coefficient in the three age groups (samples) (4-6, 11-12, and 15-16 yr.), Fischer r-to-z transformation was used. The correlation (Pearson's) between motor competence and physical fitness in the age groups was statistically higher for the youngest age groups (4-6 and 11-12 yr.) and the adolescent group (age 15-16). The differences between the two youngest age groups were not statistically significant. The results demonstrate that the correlation between motor competence and physical fitness decreases with age.

Motor competence and physical fitness in adolescents.

PURPOSE: In this study we examined the relationship between physical fitness and motor competence in adolescents aged 15 to 16 years. METHODS: A sample of 94 adolescents participated in the study. To test motor competence, the Movement Assessment Battery for Children-2 was used. Physical fitness was assessed using the following test items: standing broad jump, 20-m dash, reduced Cooper test, and sit-and-reach test. RESULTS: The results revealed a significant but weak relationship (0.248) between motor competence and physical fitness for the whole sample. More specifically, the correlation between the 2 variables was significant for girls (0.353) but not for boys (0.248). CONCLUSIONS: The relatively weak relationship between motor competence and physical fitness suggests that motor competence might not be critical in adolescents to maintain their physical fitness.

Passion and grit in individuals with high levels of growth mindset are different than in individuals who have low growth mindset.

The main aim of the study was to investigate whether passion and grit varied in individuals with distinct levels of growth mindset. From an original sample of 1548 participants in the age 13 to 77 years, two groups with the 5 % highest scoring and the 5 % lowest scoring on growth mindset, respectively, were compared on their scores in passion and grit. Participants completed as a measure of Mindset the Theories of intelligence Scale (TIS). Grit-S scale was used to assess grit and to assess passion the eight item Passion Scale was used. Findings displayed that the growth mindset group with low scoring had significantly lower score in passion and grit than the growth mindset group with high scoring, indicating that adults with low growth mindset shows lower levels of passion and grit related to their peers with a high-level score. These results may probable be significant for better understanding of the relationship between these constructs positively related to life satisfaction, well-being, achievement, and learning. Additionally, acquiring a better picture of what indicate individuals with different levels of growth mindset can increase our comprehension of how to increase motivation, pursue long-term goals and maintain effort in different groups. It can be argued that growth mindset should be all encompassing in our society. Both in schools, sports, working life and within the walls of the family.

I CAN Intervention to Increase Grit and Self-Efficacy: A Pilot Study.

In recent years, there has been a growing interest in increasing motivational factors within the domain of psychology. Among these factors, Grit, Mindset, Self-Efficacy, and Well-Being (Flourishing) have been suggested to play an important role in individuals' performance and Well-Being. Thus, cultivating these factors in the general population is important. Previous interventions have displayed substantial effects in certain areas. However, these interventions have primarily been Mindset oriented. This paper presents a novel intervention approach by also emphasizing the importance of brain development; the importance of stimuli for building a network in the brain; the importance of repetition for strengthening the network; and the importance of perseverance and deliberate practice for achievement. The purpose of the current study was to examine the effects of a 35-40 min online intervention to increase the beliefs of 'I CAN' for 38 university students in Norway. The mean age of the 38 participants was 22.55 (SD = 1.59) and they completed a pre-test assessment of the Grit-S Scale, Theories of Intelligence Scale (Mindset), General Self-Efficacy Scale, and Flourishing Scale (Well-Being). This was followed up by the novel intervention and finally a post-test of the scales eight weeks later. The results showed an increase in Grit, Self-Efficacy, and Well-Being. However, only Grit displayed a significant increase. We aimed at creating an intervention where the participants would "turn on the switch", meaning that they develop stronger beliefs. These promising results warrant a further development of the intervention, and studies with a larger group.

Letter-sound knowledge in Icelandic children at the age 6 years-old.

The aim of this study was to examine letter-sound knowledge when children start at school in Iceland. 392 children aged 5-6 years completed assessments of letter-sound knowledge, i.e., the names and sounds of uppercase and lowercase letters of the Icelandic alphabet (uppercase letter-name; uppercase letter-sound; lowercase letter-name; lowercase letter-sound). Whether the child had broken the reading code (could read words) was also recorded. The results revealed no significant difference between girls and boys in the four factors (letter name, letter sound). The results indicated that 56.9 % of the children had broken the reading code when they started school. 58.2 % of the girls and 55.6 % of the boys, not significant difference between the genders. There was a significant difference between the group which had broken the reading code and the group which have not in all the four factors. There was also a high significant correlation between all 4 variables from 0.915 between uppercase letter and lowercase sound to 0.963 between uppercase sounds and uppercase letter. Based on these data, it seems reasonable to advocate learning letter-sound correspondences early in the first year of school to form the best possible basis for breaking the reading code and further reading development.

Well-Being and Perceived Competence in School Children from 1 to 9 Class.

Motivational aspects in reading, math, science and physical education are often studied on whole samples and not grouped into different classes. In our study we wish to investigate cross-sectional data across classes. Our research question wishes to investigate what class differences are there in school subject-based well-being and perceived competence? A total of 378 Icelandic pupils in classes 1-9 did answer a survey with nine items, focusing on how are you feeling at school, how do you like and how are you doing in reading, math, science and physical education. There were 163 girls (43%), and 202 boys (53%) ranging from 6 to 15 years of age (M = 10.86, SD = 2.57). The findings, for the whole sample, indicate that girls tend to like reading more than boys do. Additionally, girls feel that they are better in science compared to boys, while boys like physical education more than girls. In terms of classes, multiple items, including reading, math and science, indicated class differences, where higher classes (i.e., eighth and ninth class) tend to have lower average scores in how much they liked a certain topic, and how competent they felt. It is also of great interest that the correlation between 'how do you like' and 'how are you doing' are 0.53, 0.71, 0.66 and 0.66 for reading, math, science and physical activity, respectively. Well-being and perceived competence in all subjects correlate with each other, and well-being at school. This shows the importance of seeing the school as a holistic system, where experiences related to individual subjects coincide with the overall experience (and vice versa). The results are discussed in relation to self-perception, motivation and practice.

Interrelations between three fine motor skills in young adults.

Motor skills are typically considered to be highly specific, although some researchers have attempted to identify evidence for general motor aptitude. The present study tested these contentions by assessing the extent of relationship between fine motor tasks, using correlations between selected performance measures for three fine motor skills. University students ages 18 to 35 years (N = 305; 147 men, 158 women) completed three fine motor tasks with both right and left hands (placing pegs, posting coins, and placing bricks). Performance was assessed by time to complete each individual task. The intercorrelations between the three tasks were generally low and at a level that can be expected by chance (r < or = .3), indicating that performance was quite specific to the individual skills rather than attributable to a general ability. As a further test for evidence for a general motor ability, the dimensionality of the data set was analyzed using a principal component analysis on the correlation matrix. A three-factor solution explaining approximately 80% of the total variance in performance on the fine motor tasks was identified, where each factor could be associated with each fine motor task. These findings provide further support for the high specificity in fine motor skills and against the existence of a general aptitude for motor ability.

Exploring the relationships between visuospatial working memory, math, letter-sound knowledge, motor competence, and gender in first grade children: A correlational study.

Introduction: Development of crucial skills accelerates at the start of formal schooling, although, more knowledge is needed about the relationships between such skills. The current study explored the relationships between visuospatial working memory, letter-sound knowledge, math competence and motor competence, as well as potential effects of gender. Materials and methods: The sample consisted of 85 (42 girls) 6 to 7 years old first grade children, and was measured with a test battery consisting of tests designed for each skill domain. Results: Results demonstrated weak to moderate statistically significant correlations between visuospatial working memory, letter-sound knowledge, math competence, with no statistically significant gender differences. Two motor tasks measuring manual dexterity, placing bricks and building bricks, showed a weak statistically significant correlation. Discussion: We argue that the findings demonstrate the relationships between these skills are low to moderate in first grade. Furthermore, we argue that these skills ought to be trained deliberately. The potential role of visuospatial working memory in procurement of novel skills in early childhood ought to be explored further in future studies.

The association between academic achievement in physical education and timing of biological maturity in adolescents.

Individual differences in tempo and timing of biological maturity, especially in adolescents, has been argued as a potential underlying cause of relative age effects observed in Physical education (PE). Indeed, differences in maturation could influence pupils`achievement in PE where motor behavior and physical activity are central tenets. However, the timing of biological maturity has not previously been investigated in the context of academic achievement in PE. Therefore, the current study`s aim was to investigate the association between timing of biological maturity and relative age on adolescents`academic achievement in PE. The data material consists of two samples from lower secondary schools (13-16 years old). Sample 1 (45 boys and 31 girls) was used to compare differences in anthropometrics and indicators of biological maturity between pupils with different grades (i.e., 3/4, 5, 6), while in sample 2 (114 boys and 127 girls) differences in mean grade were compared between birth quartiles. Pupils`final grade in PE were collected for both samples as a proxy for academic achievement. A one-way analysis of variance indicated a moderate-to-large association between timing of biological maturity, through age at peak height velocity, and academic achievement in PE, where later maturing pupils received a higher grade compared to earlier maturing pupils. Results from a factorial analysis of variance indicated an interaction effect between gender and birth quartile on academic achievement in PE. Post hoc analysis revealed that relatively younger boys received significantly lower grades as opposed to their relatively older peers. This effect was not present for girls. Collectively, these results indicate that developmental differences are associated with academic achievement in PE. Hence, PE teachers should be aware of these individual constraints in their teaching and assessment practice to accommodate fair and equal opportunities for achievement in the subject.

Motion, Relation, and Passion in Brain Physiological and Cognitive Aging.

The aim of the current paper was to present important factors for keeping the basic structures of a person's brain function, i.e., the grey and white matter, intact. Several lines of evidence have shown that motion, relation, and passion are central factors for preserving the neural system in the grey and white matter during ageing. An active lifestyle has shown to contribute to the development of the central nervous system and to contrast brain ageing. Interpersonal relationships, and interactions, have shown to contribute to complex biological factors that benefit the cognitive resilience to decline. Furthermore, the current scientific literature suggests that passion, strong interest, could be the driving factor motivating individuals to learn new things, thus influencing the development and maintenance of the neural functional network over time. The present theoretical perspective paper aims to convey several key messages: (1) brain development is critically affected by lifestyle; (2) physical training allows one to develop and maintain brain structures during ageing, and may be one of the keys for good quality of life as an older person; (3) diverse stimuli are a key factor in maintaining brain structures; (4) motion, relation, and passion are key elements for contrasting the loss of the grey and white matter of the brain.

Reading: From the Simple to the Complex.

The aim of this article was to present an important perspective on reading skill development. The perspective 'READ' builds on the phonics approach which has been found to be most important in relation to reading achievement i.e., to teach children to break the reading code. In addition, READ builds on theories within learning and skill development. The Ericsson concept of 'deliberate practice' refer to baseline measurements that provide a basis for follow-up and deliberate practice. The concept of 'flow' is also of great importance where challenges are always in relation to the skills. It means that each child will be able to experience 'flow' where mastery is the key word, feeling I CAN! When mastery is experienced, the dopamine hormone gives the feeling of reward. Stimuli, experience, and repetition is also a key word in the 'training hour' where children get the possibility to strengthen the neural network that is used for specific skills which are trained. In this respect, the letter-sound knowledge is trained until the child has broken the reading code. The results from the first year in the school in Vestmannaeyjar in Iceland indicates that all the children were able to break the reading code or read simple words. In addition, 96% of the children were able to read sentences, and 88% where able to read text. These promising results are discussed in relation to Ericsson's and Csikszentmihalyi's important theories.

Effects of Free Play and Partly Structured Playground Activity on Motor Competence in Preschool Children: A Pragmatic Comparison Trial.

Both the indoor and the outdoor environments and their organization exert pronounced influence upon physical activity behavior and motor development of preschool children. The aim of this study was to explore whether partly structured activity or free play in a specific playground had different impacts on motor competence development in 4-6-year-old preschoolers. The study had a pretest-post-test design, with two intervention groups and one control. Sixty-two children were included in a partly structured activity group and forty-three children in a free-play group. Both groups participated in playground activities consisting of 10 sessions (once a week), each lasting 1 h, in a specific playground setting. For the partly structured activity group, activities in each session consisted of a combination of both structured and free activity while the free-play group were engaged in unstructured play only. The control group did not attend the playground activities (N = 36). To assess levels of motor skills, each child completed pre- and post-tests using the Movement Assessment Battery for children (MABC-2), the Test of Motor Competence (TMC) and two playground-specific tests. A 3 (study group) and X 2 (gender) ANCOVAs were conducted on post-test scores on each of the test items from TMC, MABC-II and playground tests, with pre-test scores as covariates. Post hoc pairwise multiple comparisons were conducted with the alpha Bonferroni corrected, and the partial eta-squared (η2p) was applied as a measure of effect size. The results indicate no significant differences in motor competence measured by the TMC or the MABC-2 between groups. On the contrary, a significant improvement in performance in the playground-specific tests was observed in the partly structured activity group compared to the free-play and control groups.

Motivational Factors Are Varying across Age Groups and Gender.

The aim of the current study was to explore differences in passion for achievement, grit, and mindset across age and gender, by using a cross-sectional design. The sample consisted of 1548 participants including 931 females and 617 males aged from 13 to 77 years (Mage 26.53 years, SD = 11.77). The eight-item Passion for Achievement Scale was used to assess general passion and the Grit-S scale was used to assess grit. Mindset was assessed using the eight-item Theories of Intelligence Scale (TIS). The results indicated significant differences between the three factors related to age, age groups, and gender. For the total sample, there was a significant gender difference in passion, where males score higher, and growth mindset, where females score higher. With age, passion decreases until the age of 50-59, and slightly increases for the remaining age groups. After a decrease in grit between the first (13-19 years) and the second (20-29 years) age group, grit increases with age. Mindset scores decline strongly after the age of 40-49. Generally, the patterns show that mindset and passion decrease across the life-span, while grit increases. Indeed, these attributes seems to be different from each other, and how they change varies across age groups.

Exploration of the Specificity of Motor Skills Hypothesis in 7-8 Year Old Primary School Children: Exploring the Relationship Between 12 Different Motor Skills From Two Different Motor Competence Test Batteries.

This study examined the specificity hypothesis by examining the association between two specific motor competence test batteries [Movement Assessment Battery for Children (MABC) and Test of Motor Competence (TMC)] in a sample of young children. In addition, we explored the factorial structure of the MABC and TMC. A total of 80 children participated in the study (38 girls and 42 boys) with a mean chronological age of 7.9 years (SD 0.55). The correlation between total score MABC and total z-score TMC was r = 0.46. In general, low pair-wise correlations (r 2 < 0.20) between the different motor tasks were found. The highest correlation was between the placing bricks and building bricks r = 0.45 (TMC); the stork balance and jumping in squares r = 0.45 (MABC). These low pair-wise relations of items are consistent with findings from younger and older children's age-related motor competence test batteries. Principal components analysis (PCA) showed that the 1st component accommodated 25% of the variance and was dominated in the top five variable weightings by items of the MABC test; whereas the 2nd component accommodated 12% of the variance with the higher weightings all from the TMC test. The findings provide evidence with children for specificity rather than generality in learning motor skills a viewpoint that has predominantly been driven by adult learning studies. The PCA revealed that the MABC and TMC are testing different properties of children's motor competence though in both cases the variance accounted for is relatively modest, but generally higher than the motor item pair-wise correlation.

Association Between Motor Competence, Physical Fitness, and Academic Achievement in Physical Education in 13- to 16-Year-Old School Children.

In physical education (PE), both assessment practices and choice of teaching content indicate that pupil-related factors such as motor competence and physical fitness potentially influence pupils' academic achievement in PE. However, neither of these factors are explicitly expressed as assessment criteria in the Norwegian PE-curriculum. Hence, the aim of the current study was to investigate potential differences in motor competence and physical fitness between pupils with different academic achievements in PE. Forty-five boys and 31 girls (N = 76) from grades 8 to 10 in the lower secondary school participated in this study. In addition to collecting pupils' final grade in PE, as a proxy for academic achievement, they were assessed on the Test of Motor Competence (placing bricks, building bricks, heal-to-toe-walking, and walking/running in slopes) and four task items from the Test of Physical fitness (standing broad jump, pushing medicine ball, running 20 m as fast as possible, and reduced Cooper test). In the main analysis, the total score for motor competence and physical fitness, as well as their respective task items, were compared between pupils with different grades (i.e., 3 or 4, 5, 6). A one-way ANOVA revealed neither significant difference between pupils with different grades in overall motor competence (total score) nor the respective task items for fine motor assessment or the gross motor task heal-to-toe-walking. However, there was a large difference between pupils with different grades in performance of the gross motor task walking/running in slopes, where pupils receiving a grade of 6 and 5 completed the task significantly faster compared to their peers with a grade of 3 or 4. Furthermore, a one-way ANOVA indicated moderate-to-large differences between pupils with different grades in the total score of physical fitness and performance in three of the four respective task items (i.e., standing broad jump, running 20 m as fast as possible, and reduced Cooper test). Pupils with a grade of 6 had a significantly greater total score of physical fitness and jumped longer compared to pupils with a grade of 5 and 3 or 4. Additionally, pupils with a grade of 6 ran significantly faster as opposed to pupils with a grade of 3 or 4. Performance on the reduced Cooper test was significantly different between all groups of grades, with the distance covered being progressively increased from pupils receiving a grade of 3 or 4 to 6, respectively. These results indicate that physical fitness levels and one component of motor competence may influence pupils' academic achievement in PE. Since neither certain levels of gross motor competence nor physical fitness are explicitly stated as assessment criteria in the Norwegian PE curriculum, these findings may indicate a lack of alignment between PE-teachers' assessment practice and the curriculum's intentions. It is argued that PE-teachers should be aware of how these individual constraints may influence pupils' academic achievement in PE so that all pupils are given equal opportunities to meet the described learning outcomes.

Effect of a Single Bout of Acute Aerobic Exercise at Moderate-to-Vigorous Intensities on Motor Learning, Retention and Transfer.

Acute exercise influences human cognition, and evidence suggests that learning can be improved. According to the cognitive-energetic approach towards exercise cognition, exercise represents a stressor that elevates physiological arousal, which, in turn, increases the availability of mental resources. However, the degree of arousal is hypothesized to have optimal and suboptimal states, and moderate intensity exercise is thus considered to be favorable compared to low intensity and vigorous exercise. The current evidence for such a moderating effect of exercise intensity on motor learning, however, appears somewhat mixed. Therefore, the purpose of this study was to explore the effect of aerobic exercise conducted with different exercise intensities on immediate practice, transfer, and 24-hour retention of a motor skill. To this end, young adults (n = 40, mean (SD) age: 23.80 (1.98) years) were randomized to exercise at either 50% or 75% of age-predicted maximal heart rate according to the Karvonen formulae. Immediately after exercising, participants practiced a high-precision golf putting task in a blocked design. Retention and transfer of skill were assessed after 24 h. Results indicated that both groups demonstrated motor learning, retention, and transfer at a similar level. Further works are thus needed to establish the specific relationship between exercise and learning and establish the factors that have an influence.

Motor Competence in Adolescents: Exploring Association with Physical Fitness.

The purpose of this study was twofold: First, to examine the correlation between adolescents' performance on the Movement Assessment Battery for Children -2 (MABC-2) and the Test of Motor Competence (TMC), and second, to interpret the correlation between performance on physical fitness measures and motor competence. This study had a cross-sectional design, in which 101 adolescents age 15-16 years were recruited. The participants were assessed with the MABC-2 (eight tasks), the TMC (four tasks) and physical fitness measures (four tasks). Ninety-four participants completed all the test items (51% male). The correlation between the standard score of the MABC-2 and TMC total score was found to be moderate (r = -0.418). A weak correlation was found between MABC-2 and total score of physical fitness (r = 0.278), while the correlation between TMC and physical fitness was a little stronger (r = 0.361). However, when removing one measure from the TMC (the walking/running in slopes), the correlation was weak and not significant (r = 0.109). The results suggest that different test batteries can cause discrepancy in the results regarding correlation between motor competence and physical fitness in adolescents.

The Effect of Aerobic Exercise on Speed and Accuracy Task Components in Motor Learning.

Acute exercise has an influence on human cognition, and both theoretical approaches and previous investigations suggest that the learning process can be facilitated. A distinction has been made however, between the predominately positive effects on task speed compared to both the negative and null effects on aspects of task accuracy. The aim of this study was to investigate the effect of moderate-intensity aerobic exercise conducted before each practice trial (3 × week) for a period of four weeks, on speed and accuracy components in a novel keyboard typing task. To this end, young adults (n = 26) where randomized to a non-exercise resting group (control) or an exercise group (ergometer cycling at 65% of age-predicted maximal heart rate). Immediately after exercise or resting, participants practiced keyboard typing through specialized online software for a total of 2 h across the study period. All participants improved their speed and accuracy in the keyboard typing task. At 7-day retention, no differences were found between groups. Thus, the degree of improvement on both speed and accuracy task components was not significantly different between the exercise and control group. Further studies are warranted to establish the specific relationship between aerobic exercise and task components in motor learning and retention.

Comparing Free Play and Partly Structured Play in 4-5-Years-Old Children in an Outdoor Playground.

The aim of this study was to compare how the organization of a movement session as partly structured play or free play influenced the physical activity engagement in 4-5 years old pre-schoolers. The partly structured playgroup consisted of 46 children and the free playgroup consisted of 33 children. The playground activities consisted of 10 sessions each lasting 1 h, executed once per week in the period Mars to May 2017 at a specific playground setting. The partly structured playgroup conducted a movement activity session that included a combination of both structured- and free play activities. The free playgroup engaged in unstructured play, only. To detect the intensity of the physical activity each child carried an accelerometer 1 h the first week and last week of the intervention. Results indicate a significant difference in physical activity level between the two groups for the 5-year-old in the favor of the partly structured playgroup. There was a significant difference between the four-and 5-year-old in relation to physical activity level. No significant difference between the activity in March and May for the whole group was found.