"11 For Health" in Türkiye; Effect on Physical Performance and Executive Function in 10-11-Year-Olds

NCT06939881 | Completed

• 1 other identifier: NamikemalUU
• Study Type: interventional
• Target: 56
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this study was to evaluate whether the school-based "11 for Health" program could improve physical performance and executive function among 10-11-year-old Turkish schoolchildren. The main questions it aimed to answer were: Does the program enhance physical performance, including agility, balance, and vertical jump? Does it improve executive function skills such as response inhibition, problem solving, and working memory? Researchers compared students who participated in the 11-week "11 for Health" intervention to those who continued their regular school curriculum. Participants: A total of 56 children (28 girls and 28 boys) from 5th grade participated. The training group attended two 45-minute "11 for Health" sessions per week for 11 weeks. Both groups were assessed before and after the intervention on physical performance (e.g., balance, agility, countermovement jump) and executive function (Go/No-Go, Tower of Hanoi, and Corsi Block tests).

Conditions

Physical Activity; Executive Function (Cognition); Physical Performance

Keywords

11 for Health in Türkiye; executive function; schoolchildren

Outcome Measures

Primary Outcomes (8)

• Changes in Static Balance Performance (% Score)

  Static balance was measured using the Sensbalance MiniBoard device. Participants were asked to stand still on the platform for approximately 30 seconds. The device calculated the participant's ability to maintain posture without significant sway.

  before and at the end of the 11-week intervention.

• Changes in Dynamic Balance Performance - Left-Right and Front-Back (% Score)

  Dynamic balance was evaluated using the Sensbalance MiniBoard through controlled weight shifting in mediolateral and anteroposterior directions.

  before and at the end of the 11-week intervention.

• Changes in Proprioceptive Balance Performance (% Score)

  Proprioceptive balance was assessed via subtle postural adjustments on the Sensbalance MiniBoard. Scores were automatically generated based on sway control.

  before and at the end of the 11-week intervention.

• Changes in Countermovement Jump Performance (cm)

  Vertical jump height was measured using an accelerometer-based system (IVMES, Ankara, Turkey) during countermovement jump (CMJ) trials. Unit of Measurement: Centimeter (cm) - Highest jump height

  before and at the end of the 11-week intervention.

• Changes in Agility (seconds)

  Assessed via the Pro-Agility Test (20-yard shuttle run) using photocell timing gates. The total time to complete the right-left-center shuttle sequence was recorded. Unit of Measurement: Seconds (s) - Time to complete the test

  before and at the end of the 11-week intervention.

• Changes in Inhibitory Control (Number of correct responses and Reaction Time (ms))

  Inhibitory control was assessed using a computer-based Go/No-Go task, which measured participants' ability to suppress automatic motor responses. The task included 200 trials: 100 Go (letter X) and 100 No-Go (letter O) stimuli. Participants were instructed to press a button as quickly as possible for Go stimuli and withhold responses for No-Go stimuli. Key outcome variables included: Accuracy of correct responses to Go stimuli (AC-Go) Accuracy of correct inhibitions to No-Go stimuli (AC-NoGo) Mean reaction time for correct Go responses (Go RT) Unit of Measurement: Number of correct responses and reaction time in milliseconds (ms)

  before and at the end of the 11-week intervention.

• Changes in Planning and Problem-Solving Skills (Number of moves and seconds)

  Description: Executive function was assessed using a computer-based Tower of Hanoi task, designed to evaluate planning, problem-solving, and rule-based learning. Participants moved three disks across three pegs while following predefined rules to match a target configuration. Four outcome variables were recorded: Total number of moves Total time to solution (seconds) Average time per move (seconds) Latency to first move (planning time in seconds) Unit of Measurement: Number of moves and seconds (s)

  before and at the end of the 11-week intervention.

• Changes in Visuospatial Working Memory (correctly repeated number score)

  Description: The Corsi Block Test was used to evaluate visual working memory and attention. In this computerized task, participants were asked to reproduce increasingly complex sequences of illuminated blocks. The task terminated when the participant failed to correctly repeat sequences of a given length twice in a row. Unit of Measurement: Span score (maximum sequence length correctly repeated)

  before and at the end of the 11-week intervention.

Study Arms (2)

"11 for Health" program

EXPERIMENTAL

"11 for Health" program training group

Other: "11 for Health" training group

control group

NO INTERVENTION

Control Group; The control group continued with their regular school curriculum, which included two 45-minute physical education classes per week, and did not receive any additional intervention.

Interventions

"11 for Health" training group OTHER

The "11 for Health" intervention consisted of two 45-minute sessions per week for 11 weeks, implemented during school hours. Each week included one session focused on football-related physical activities (e.g., passing, dribbling, shooting) and another on health education topics (e.g., hygiene, nutrition, mental well-being), both delivered in an engaging and inclusive format. The program emphasized social interaction, autonomy-supportive teaching, and real-life applicability through take-home tasks.

"11 for Health" program

Eligibility Criteria

• Age: 10 Years - 11 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Typically developing children
• Aged between 10 and 11 years
• Enrolled in the 5th grade of primary school
• Not currently taking any medication
• Provided informed consent from both the child and their parent/guardian

You may not qualify if:

• Having any diagnosed cardiovascular, neurological, orthopedic, or psychiatric condition
• Taking regular medication
• Outside the age range of 10-11 years
• Presence of any developmental disorder or learning disability

Sponsors & Collaborators

• Namik Kemal University: lead
• University of Southern Denmark: collaborator

Study Sites (1)

Tekirdag Namik Kemal University, Sports Sciences Research and Development Centre, Tekirdag, Suleymanpasa 59030

Tekirdağ, Suleymanpasa, 59030, Turkey (Türkiye)

Location

Related Publications (2)

• Lind RR, Geertsen SS, Orntoft C, Madsen M, Larsen MN, Dvorak J, Ritz C, Krustrup P. Improved cognitive performance in preadolescent Danish children after the school-based physical activity programme "FIFA 11 for Health" for Europe - A cluster-randomised controlled trial. Eur J Sport Sci. 2018 Feb;18(1):130-139. doi: 10.1080/17461391.2017.1394369. Epub 2017 Nov 21.

  PMID: 29161988 BACKGROUND

• Madsen M, Elbe AM, Madsen EE, Ermidis G, Ryom K, Wikman JM, Rasmussen Lind R, Larsen MN, Krustrup P. The "11 for Health in Denmark" intervention in 10- to 12-year-old Danish girls and boys and its effects on well-being-A large-scale cluster RCT. Scand J Med Sci Sports. 2020 Sep;30(9):1787-1795. doi: 10.1111/sms.13704. Epub 2020 May 27.

  PMID: 32353906 BACKGROUND

MeSH Terms

Conditions

Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Model Details: The study sample was determined and divided into groups using the convenience sampling method. This non-random sampling approach involves selecting participants based on the researcher's judgment, allowing for practical, fast, and cost-effective data collection. At this stage, two 5th-grade classes from the same school that met the inclusion criteria and agreed to participate were selected. One class was assigned as the control group (CG; n=29) and the other as the training group (TG; n=27).

Study Record Dates

• First Submitted: April 11, 2025
• First Posted: April 23, 2025
• Study Start: February 5, 2024
• Primary Completion: February 23, 2024
• Study Completion: June 14, 2024
• Last Updated: April 23, 2025

Record last verified: 2025-04

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: Beginning 1 year after publication with no end date.
• Access Criteria: Access Control: Access to the shared IPD will be granted to qualified researchers who provide a valid research proposal and agree to comply with data use agreements that ensure the data will be used solely for research purposes and not for commercial gain.

Locations

TU (1)