Evaluating the Physical Wellbeing of Secondary School Students Within A School Health Program Framework: Evidence from Kaduna State, Nigeria

Authors

  • Sadi Joel MDRMDS, College of Nursing Science, Gombe, Nigeria; and Department of Interdisciplinary Research & Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Author
  • Kennedy Oberhiri Obohwemu PhD, Department of Interdisciplinary Research and Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Author https://orcid.org/0000-0001-5175-1179
  • Celestine Emeka Ekwuluo MPH, Family Health International, Ukraine; and PENKUP Research Institute, Birmingham, United Kingdom; Department of Multidisciplinary Studies & Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Author https://orcid.org/0000-0002-0153-5475
  • Gordon Mabengban Yakpir PhD, Faculty of Health, Wellbeing & Social Care, Oxford Brookes University, GBS Partnership, Birmingham Campus, United Kingdom; and Department of Interdisciplinary Research & Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Author https://orcid.org/0000-0002-6221-8705
  • Kenneth Oshiokhayamhe Iyevhobu MPH, Department of Medical Laboratory Science, Faculty of Applied Health Science, Edo State University, Iyamho, Edo State, Nigeria; Department of Medical Microbiology, Faculty of Medical Laboratory Science, Ambrose Alli University, Ekpoma, Edo State, Nigeria; and Department of Interdisciplinary Research and Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Author https://orcid.org/0000-0001-6577-0637
  • Eddy Eidenehi Esezobor PhD, Department of Management Studies, Universidad Católica San Antonio de Murcia (UCAM), Murcia, Spain; and Department of Interdisciplinary Research & Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Author https://orcid.org/0009-0006-9986-5734
  • Nera Perpetual Kadiri-Eneh PhD, School of Public Health, University of Port Harcourt, Rivers State, Nigeria; and Department of Interdisciplinary Research & Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Author https://orcid.org/0000-0002-3811-4025
  • Jennifer Adaeze Chukwu PhD, World Health Organization, United Nations House, Abuja, Nigeria; and Department of Interdisciplinary Research & Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Author https://orcid.org/0000-0002-1003-4664
  • Joan Ifeoluwa Akande FWACP, Department of Paediatrics, Obafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria; and Department of Interdisciplinary Research & Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Author https://orcid.org/0009-0001-6161-7579
  • Aminat Abidemi Ekunsumi MScPH, Department of Interdisciplinary Research & Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Author
  • Yetunde Esther Olotu MScPH, Department of Interdisciplinary Research & Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Author
  • Ekenedilichukwu Anselem Odiegwu MScPH, Tees, Esk and Wear Valleys NHS Foundation Trust, Lanchester Road Hospital, Durham, United Kingdom; and Department of Interdisciplinary Research & Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Author
  • Imaobong Imayuse Ekanem MBBS, Department of Internal Medicine, Kubwa General Hospital, Abuja, Nigeria; and Department of Interdisciplinary Research and Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Author

DOI:

https://doi.org/10.55640/ijmm-05-04-06

Keywords:

School Health Program, physical wellbeing, adolescent health, health promotion, Nigeria

Abstract

School Health Programs are designed to promote holistic wellbeing among school-age populations. Physical health remains a central pillar of such programmes, particularly in contexts where preventive services are inconsistently implemented. This study evaluates the physical wellbeing of secondary school students in Samaru, Kaduna State, Nigeria, within the framework of a School Health Program guided by Pender’s Health Promotion Model. A cross-sectional descriptive survey was conducted among 160 students drawn from four secondary schools. Physical wellbeing was assessed using self-reported behavioural indicators including moderate exercise, daily activity, strength training, flexibility exercises, warm-up and cool-down practices, and balance improvement activities. Screening indicators for eye and dental problems were also examined. Aggregate mean comparison revealed a score of 3.40 relative to a benchmark mean of 3.5, indicating insufficient physical health practice. While high levels of daily activity and balance exercises were reported, moderate sustained exercise was less consistent. Prevalence of eye defects was 11.3% and dental problems 7.5%. The findings suggest partial engagement with health-promoting behaviours but highlight important gaps in structured physical activity. Strengthening School Health Programs through preventive education and structured exercise promotion is recommended.

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References

Bull, F. C., Al-Ansari, S. S., Biddle, S., Borodulin, K., Buman, M. P., Cardon, G., Carty, C., Chaput, J. P., Chastin, S., Chou, R., Dempsey, P. C., DiPietro, L., Ekelund, U., Firth, J., Friedenreich, C. M., Garcia, L., Gichu, M., Jago, R., Katzmarzyk, P. T., & Willumsen, J. F. (2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British Journal of Sports Medicine, 54(24), 1451–1462. https://doi.org/10.1136/bjsports-2020-102955

Guthold, R., Stevens, G. A., Riley, L. M., & Bull, F. C. (2020). Global trends in insufficient physical activity among adolescents. The Lancet Child & Adolescent Health, 4(1), 23–35. https://doi.org/10.1016/S2352-4642(19)30323-2

World Health Organization. (2020). WHO guidelines on physical activity and sedentary behaviour. World Health Organization. Available at: https://www.who.int/publications/i/item/9789240015128, (Accessed: 02 January 2026)

World Health Organization & UNESCO. (2021). Making every school a health-promoting school: Global standards and indicators. World Health Organization. Available at: https://www.who.int/publications/i/item/9789240025059, (Accessed: 31 December 2025)

Azzopardi, P. S., Hearps, S. J. C., Francis, K. L., Kennedy, E. C., Mokdad, A. H., Kassebaum, N. J., Lim, S., Irvine, C. M. S., Vos, T., Brown, A. D., Dogra, S., Kinner, S. A., Patton, G. C., & Sawyer, S. M. (2019). Progress in adolescent health and wellbeing: Tracking 12 headline indicators for 195 countries and territories, 1990–2016. The Lancet, 393(10176), 1101–1118. https://doi.org/10.1016/S0140-6736(18)32427-9

Foláyan, M. O., Ishola, A. G., Bhayat, A., El Tantawi, M., & Ndembi, N. (2025). Strengthening health systems to tackle oral diseases in Africa: Africa centers for disease control and prevention’s role. Frontiers in Public Health, 13, 1539805.

Dean, W. H., Buchan, J. C., Gichuhi, S., Faal, H., Mpyet, C., Resnikoff, S., ... & Burton, M. J. (2021). Ophthalmology training in sub-Saharan Africa: a scoping review. Eye, 35(4), 1066-1083.

Kaguru, G., Ayah, R., Mutave, R., & Mugambi, C. (2022). Integrating oral health into primary health care: a systematic review of oral health training in sub-Saharan Africa. Journal of Multidisciplinary Healthcare, 1361-1367.

Calcaterra, V., Vandoni, M., Rossi, V., Berardo, C., Grazi, R., Cordaro, E., ... & Zuccotti, G. (2022). Use of physical activity and exercise to reduce inflammation in children and adolescents with obesity. International journal of environmental research and public health, 19(11), 6908.

García-Hermoso, A., Agostinis-Sobrinho, C., Camargo-Villalba, G. E., González-Jiménez, N. M., Izquierdo, M., Correa-Bautista, J. E., & Ramírez-Vélez, R. (2020). Normal-weight obesity is associated with poorer cardiometabolic profile and lower physical fitness levels in children and adolescents. Nutrients, 12(4), 1171.

Myers, J., Kokkinos, P., & Nyelin, E. (2019). Physical activity, cardiorespiratory fitness, and the metabolic syndrome. Nutrients, 11(7), 1652.

Bello, B., Hartley, S. E., & Yeowell, G. (2022). Nigerian physiotherapists’ knowledge, current practice and perceptions of their role for promoting physical activity: A cross-sectional survey. Plos one, 17(5), e0266765.

Maduafokwa, B. A., Balogun, M., & Abdulraheem, K.S., (2026). Facilitators and barriers of physical activity, sedentariness and exercise adoption among healthcare professionals in Lagos State, Nigeria–A qualitative review. PloS one, 21(2), e0342108.

Mann, M. J., & Lohrmann, D. K. (2019). Addressing challenges to the reliable, large-scale implementation of effective school health education. Health promotion practice, 20(6), 834-844.

Katangolo-Nakashwa, N., & Mfidi, F. H. (2025). Exploring the hurdles of implementing National School Health Policy in Namibian Schools: insights from stakeholders. BMC Health Services Research, 25(1), 131.

Langford, R., Bonell, C., Jones, H., Pouliou, T., Murphy, S., Waters, E., Komro, K., Gibbs, L., Magnus, D., & Campbell, R. (2015). The WHO Health Promoting School framework for improving the health and wellbeing of students and staff. Cochrane Database of Systematic Reviews, CD008958. https://doi.org/10.1002/14651858.CD008958.pub2

UNICEF. (2021). The state of the world’s children 2021: On my mind – Promoting, protecting and caring for children’s mental health. UNICEF. Available at: https://www.unicef.org/reports/state-worlds-children-2021, (Accessed: 14 October 2025)

Murdaugh, C. L., Parsons, M. A. & Pender, N. J., (2021). Health promotion in nursing practice (8th ed.). Pearson. https://www.pearsonhighered.com/assets/preface/0/1/3/4/0134754085.pdf

Whitehead, D. (2004) Health promotion and health education: advancing the concepts. J Adv Nurs. 2004 Aug;47(3):311-20. https://doi.org/10.1111/j.1365-2648.2004.03095.x.

Etikan, I., & Bala, K. (2017). Sampling and sampling methods. Biometrics & Biostatistics International Journal, 5(6), 00149. https://doi.org/10.15406/bbij.2017.05.00149

Joshi, A., Kale, S., Chandel, S., & Pal, D. (2015). Likert scale: Explored and explained. British Journal of Applied Science & Technology, 7(4), 396–403. https://doi.org/10.9734/BJAST/2015/14975

Setia, M. S. (2016). Methodology series module 3: Cross-sectional studies. Indian Journal of Dermatology, 61(3), 261–264. https://doi.org/10.4103/0019-5154.182410

Bundy, D. A. P., de Silva, N., Horton, S., Jamison, D. T., & Patton, G. C. (2018). Disease control priorities: Child and adolescent health and development (3rd ed., Vol. 8). World Bank. https://doi.org/10.1596/978-1-4648-0423-6

Dobbins, M., Husson, H., DeCorby, K., & LaRocca, R. L. (2013). School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6–18. Cochrane Database of Systematic Reviews, CD007651. https://doi.org/10.1002/14651858.CD007651.pub2

Sandmo, S. B., Gooijers, J., Seer, C., Kaufmann, D., Bahr, R., Pasternak, O., ... & Koerte, I. K. (2021). Evaluating the validity of self-report as a method for quantifying heading exposure in male youth soccer. Research in sports medicine, 29(5), 427-439.

Quinlan, C., Rattray, B., Pryor, D., Northey, J. M., Anstey, K. J., Butterworth, P., & Cherbuin, N. (2021). The accuracy of self-reported physical activity questionnaires varies with sex and body mass index. Plos one, 16(8), e0256008.

Nelson, M. C., Taylor, K., & Vella, C. A. (2019). Comparison of self-reported and objectively measured sedentary behavior and physical activity in undergraduate students. Measurement in Physical Education and Exercise Science.

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Published

2026-04-09

How to Cite

Joel, S., Obohwemu, K. O. ., Ekwuluo, C. E. ., Yakpir, G. M. ., Iyevhobu, K. O. ., Esezobor, E. E. ., Kadiri-Eneh, N. P. ., Chukwu, J. A. ., Akande, J. I. ., Ekunsumi, A. A. ., Olotu, Y. E. ., Odiegwu, E. A. ., & Ekanem, I. I. . . (2026). Evaluating the Physical Wellbeing of Secondary School Students Within A School Health Program Framework: Evidence from Kaduna State, Nigeria. International Journal of Modern Medicine, 5(04), 28-44. https://doi.org/10.55640/ijmm-05-04-06

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