Does a 10-week school flag football programme improve fitness in 9–11-year-old children in Shanghai, China?

ISRCTN ISRCTN62093106
DOI https://doi.org/10.1186/ISRCTN62093106
Sponsor Shanghai University of Sport
Funders Science and Technology Commission of Shanghai Municipality, Shanghai Oriental Talent Program, Shanghai University of Sport Graduate Student Research Fund
Submission date
28/01/2026
Registration date
04/02/2026
Last edited
04/02/2026
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Flag football is a non-contact form of American football that focuses on running, passing and teamwork. This study looked at whether taking part in a school-based flag football programme could improve physical fitness in children aged 9 to 11 years. The study aimed to see whether this type of school-based physical activity programme could help improve children’s fitness and support healthy development.

Who can participate?
Children aged 9 to 11 years from a public primary school in Shanghai, China.

What does the study involve?
Participants were randomly assigned to either take part in a 10-week flag football programme during their regular physical education classes or to continue with their usual physical education lessons. The flag football programme took place twice a week and was taught by trained physical education teachers.
Physical fitness, including speed, strength, flexibility and coordination were measured before the programme started and again after it finished.

What are the possible benefits and risks of participating?
Benefits and risks not provided at time of registration

Where is the study run from?
Shanghai University of Sport, China.

When is the study starting and how long is it expected to run for?
September 2017 to June 2018.

Who is funding the study?
1. Science and Technology Commission of Shanghai Municipality, China.
2. Shanghai Oriental Talent Program, China.
3. Shanghai University of Sport Graduate Student Research Fund, China.

Who is the main contact?
Prof Jie Zhuang, zhuangjiesh@163.com

Contact information

Prof Jie Zhuang
Public, Scientific, Principal investigator

650 Qingyuanhuan Rd, Yangpu District
Shanghai
200438
China

ORCiD logoORCID ID 0000-0002-2442-7418
Phone +86 13301850538
Email zhuangjiesh@163.com

Study information

Primary study designInterventional
AllocationRandomized controlled trial
MaskingOpen (masking not used)
ControlActive
AssignmentParallel
PurposePrevention
Scientific titleImpact of a school based flag football intervention on fitness outcomes in chinese children aged 9 to 11 years: a randomized controlled trial
Study acronymFLAG-FIT (China)
Study objectivesTo examine the effects of a 10-week school-based flag football intervention on physical fitness outcomes in Chinese children aged 9 to 11 years, compared with usual physical education classes.
Ethics approval(s)

Approved 01/11/2016, Shanghai University of Sport Scientific Research Ethics Committee (650 Qingyuanhuan Rd, Yangpu District, Shanghai, 200438, China; +86 21 65507393; lunli@sus.edu.cn), ref: 2016223

Health condition(s) or problem(s) studiedPhysical fitness and prevention of physical inactivity in school-aged children
InterventionParticipants were randomly allocated in a 1:1 ratio to either the school-based flag football intervention or the control condition. The allocation sequence was generated by an independent researcher using a computer-generated random number list, and allocation was concealed using sequentially numbered, opaque, sealed envelopes opened only after baseline assessments were completed. Randomisation was conducted within classes to minimise disruption to teaching. Blinding of participants and instructors was not possible because of the nature of the intervention; however, outcome assessments were conducted by trained postgraduate students who were independent of intervention delivery and were not informed of allocation whenever feasible. The intervention comprised a structured 10-week flag football programme delivered during regular physical education classes, with two sessions per week. Sessions followed a standardised lesson plan including warm-up activities, skill development drills and small-sided games, delivered by trained physical education teachers using a standard curriculum. The control group continued usual physical education classes delivered by the school, with no additional structured flag football activities provided by the research team.
Intervention typeBehavioural
Primary outcome measure(s)
  1. Physical fitness measured using standardized field-based fitness tests, including 50-m sprint (speed), standing long jump (lower limb power), sit-and-reach test (flexibility), and timed rope skipping (coordination and endurance) at baseline (week 0) and post-intervention (week 10)
  2. Body mass index (BMI), calculated as weight in kilograms divided by height in meters squared (kg/m²), measured using standard methods at baseline (week 0) and post-intervention (week 10)
Key secondary outcome measure(s)
Completion date30/06/2018

Eligibility

Participant type(s)
Age groupChild
Lower age limit9 Years
Upper age limit11 Years
SexAll
Target sample size at registration147
Total final enrolment147
Key inclusion criteria1. Children enrolled in grades 3 to 5 in a public primary school
2. Aged 9 to 11 years at baseline
3. Able to participate in moderate-to-vigorous physical activity
4. Written informed consent obtained from parents or legal guardians
5. Assent provided by the child
Key exclusion criteria1. Physician-diagnosed chronic disease
2. Musculoskeletal or neurological disorders limiting participation in running or jumping activities
3. Any other medical condition judged by the school physician or research team to make participation unsafe
Date of first enrolment01/09/2017
Date of final enrolment30/09/2017

Locations

Countries of recruitment

  • China

Study participating centre

Public primary school in Shanghai
-
Shanghai
200438
China

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
IPD sharing plan

Editorial Notes

04/02/2026: Study’s existence confirmed by the Ethics Committee of Shanghai University of Sport, China.