{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T11:58:16Z","timestamp":1790769496852,"version":"4.1.0"},"reference-count":40,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100009708","name":"Novo Nordisk Fonden","doi-asserted-by":"publisher","award":["NNF22SH0077612"],"award-info":[{"award-number":["NNF22SH0077612"]}],"id":[{"id":"10.13039\/501100009708","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Med Sci Sports"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    We evaluated the 1\u2010year effectiveness of FIT FIRST 20, a high\u2010intensity multisport physical education (PE) program, on physical fitness and psychological outcomes in 4\u20136 grade schoolchildren (10\u201313\u2009years). A cluster\u2010randomized controlled trial was conducted across 82 classes from 30 Danish schools (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20091652 pupils; 49% girls). Schools were allocated to either three weekly 40\u2010min FIT FIRST 20 sessions (intervention) or standard curriculum PE (control) over approximately 40\u2009weeks. Outcomes were assessed at baseline and post\u2010intervention; 2\u2010year follow\u2010up results will be reported separately. The primary outcome was cardiorespiratory fitness, assessed using the Yo\u2010Yo Intermittent Recovery Test Level 1 (children's version). Secondary outcomes included agility, lower\u2010body muscular power, postural balance, handgrip strength, body composition, blood pressure, resting heart rate, health\u2010related quality of life, physical self\u2010concept, motivation for physical activity, and satisfaction of basic psychological needs. Intervention effects were analyzed using linear mixed\u2010effects models adjusted for sex, baseline sport participation, age, body mass and height. The latter two were excluded from models predicting psychological outcomes. Compared with the control, the intervention arm showed significantly greater improvements in cardiorespiratory fitness (54.90\u2009m, 95% CI [8.35, 101.40],\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.021), along with significant gains in agility and lower\u2010body muscular power. No interaction effects were observed for other physical fitness and psychological outcomes, although significant overall effects of time were observed for several outcomes. Overall, FIT FIRST 20 appears to be a feasible school\u2010based strategy for improving selected physical fitness outcomes in 10\u201313\u2010year\u2010olds. Further modifications may be needed to strengthen the effects on psychological outcomes.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Clinical Trial Registration:<\/jats:bold>\n                    ISRCTN14624515\n                  <\/jats:p>","DOI":"10.1111\/sms.70374","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T11:16:16Z","timestamp":1790766976000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["One\u2010Year Effects of the\n                    <scp>FIT FIRST<\/scp>\n                    20 High\u2010Intensity and Multisport Physical Education Program on Physical Fitness and Psychological Outcomes in Early Adolescents: A Cluster\u2010Randomized Controlled Trial"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-7302-4911","authenticated-orcid":false,"given":"Chiara","family":"Cimenti","sequence":"first","affiliation":[{"name":"Danish Centre for Motivation and Behaviour Science (DRIVEN), Department of Sports Science and Clinical Biomechanics University of Southern Denmark  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0255-1263","authenticated-orcid":false,"given":"Cecilie","family":"Th\u00f8gersen\u2010Ntoumani","sequence":"additional","affiliation":[{"name":"Danish Centre for Motivation and Behaviour Science (DRIVEN), Department of Sports Science and Clinical Biomechanics University of Southern Denmark  Odense Denmark"},{"name":"School of Sport, Exercise, and Rehabilitation Sciences University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2600-7126","authenticated-orcid":false,"given":"Malte Nejst","family":"Larsen","sequence":"additional","affiliation":[{"name":"Sport and Health Sciences Cluster, Department of Sports Science and Clinical Biomechanics University of Southern Denmark  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9627-883X","authenticated-orcid":false,"given":"Giampiero","family":"Tarantino","sequence":"additional","affiliation":[{"name":"Danish Centre for Motivation and Behaviour Science (DRIVEN), Department of Sports Science and Clinical Biomechanics University of Southern Denmark  Odense Denmark"},{"name":"School of Sport, Exercise, and Rehabilitation Sciences University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9404-5001","authenticated-orcid":false,"given":"Sofie","family":"Koch","sequence":"additional","affiliation":[{"name":"Research Unit for Active Living, Department of Sports Science and Clinical Biomechanics University of Southern Denmark  Odense Denmark"},{"name":"Research and Implementation Centre for Human Movement and Learning, Department of Sports Science and Clinical Biomechanics University of Southern Denmark  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3618-7673","authenticated-orcid":false,"given":"Caroline","family":"Eckert","sequence":"additional","affiliation":[{"name":"Sport and Health Sciences Cluster, Department of Sports Science and Clinical Biomechanics University of Southern Denmark  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5780-565X","authenticated-orcid":false,"given":"Christina Birch","family":"Meiner","sequence":"additional","affiliation":[{"name":"Danish Centre for Motivation and Behaviour Science (DRIVEN), Department of Sports Science and Clinical Biomechanics University of Southern Denmark  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9289-2721","authenticated-orcid":false,"given":"Camilla","family":"Prisak","sequence":"additional","affiliation":[{"name":"Sport and Health Sciences Cluster, Department of Sports Science and Clinical Biomechanics University of Southern Denmark  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1461-9838","authenticated-orcid":false,"given":"Peter","family":"Krustrup","sequence":"additional","affiliation":[{"name":"Sport and Health Sciences Cluster, Department of Sports Science and Clinical Biomechanics University of Southern Denmark  Odense Denmark"},{"name":"Sport and Health Sciences University of Exeter  Exeter UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7122-3795","authenticated-orcid":false,"given":"Nikos","family":"Ntoumanis","sequence":"additional","affiliation":[{"name":"Danish Centre for Motivation and Behaviour Science (DRIVEN), Department of Sports Science and Clinical Biomechanics University of Southern Denmark  Odense Denmark"},{"name":"School of Sport, Exercise, and Rehabilitation Sciences University of Birmingham  Birmingham UK"},{"name":"School of Education, Language and Psychology York St. John University  York 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