TY - JOUR T1 - THe impact of state laws and district policies on physical education and recess practices in a nationally representative sample of us public elementary schools AU - Slater SJ, Nicholson L, Chriqui J, Turner L, Chaloupka F Y1 - 2012/04/01 N1 - 10.1001/archpediatrics.2011.1133 JO - Archives of Pediatrics & Adolescent Medicine SP - 311 EP - 316 VL - 166 IS - 4 N2 - Objective  To examine the impact of state- and school district–level policies on the prevalence of physical education (PE) and recess in a nationally representative sample of US public elementary schools.Design  Analyses from annual, nationally representative, cross-sectional surveys of school administrators in the United States.Setting  Data were collected through surveys conducted between February and June during the 2006-2007 through 2008-2009 school years. State laws and district policies were compiled annually by researchers at the University of Illinois at Chicago using established legal research techniques.Participants  The sample size was 47 states, 690 districts, and 1761 schools.Main Exposures  State- and school district–level PE and recess-related lawsMain Outcome Measures  Twenty minutes of daily recess and 150 min/wk of PE.Results  The odds of schools having 150 min/wk of PE increased if they were located in states (odds ratio [OR], 2.8; 95% CI, 1.3-5.7) or school districts (OR, 2.4; 95% CI, 1.3-4.3) having a law or policy requiring 150 min/wk of PE. Schools located in states with laws encouraging daily recess were significantly more likely to have 20 minutes of recess daily (OR, 1.8; 95% CI, 1.2-2.8). District policies were not significantly associated with school-level recess practices. Adequate PE time was inversely associated with recess and vice versa, suggesting that schools are substituting one form of physical activity for another rather than providing the recommended amount of both recess and PE.Conclusion  By mandating PE or recess, policy makers can effectively increase school-based physical activity opportunities for youth. SN - 1072-4710 M3 - doi: 10.1001/archpediatrics.2011.1133 UR - http://dx.doi.org/10.1001/archpediatrics.2011.1133 ER -