Interventions for promoting physical activity among adolescents in school settings: systematic review and meta-analysis

School-based interventions can modestly increase adolescents' physical activity in the short term, but their effects diminish over time. Sustaining behavioural change may require long-term, system-level strategies that involve schools, families, and communities. Overall, the certainty of evidence was low to moderate, and findings should be interpreted with caution due to high heterogeneity across studies.