Brief summary describing the background
and objectives of the trial
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Childhood and adolescence represent a period of rapid growth and development characterized by neuronal plasticity, formulation of self-concept, and the establishment of behavioural patterns that may enhance or diminish mental health. There is growing evidence indicating adolescents with physical health conditions also have a greater prevalence of mental and sleep disorders as well as musculoskeletal pain (MSK) than the general population (Aarons et al., 2008; Hedden et al., 2017; Nelson et al., 2013) (Van Dyk, Thompson, & Nelson, 2016; Lavato & Gradisar, 2014; Crawley et al., 2014; Gregory & Sadeh, 2012; Reigstad, Jorgensen, Sund, & Wichstorm, 2010; Moreau, Belanger, Begin, & Morin, 2009). This is said to be carried into adulthood if not managed properly (Aarons et al., 2008; Bardone et al., 1998; Wickrama, Wickrama, & Lott, 2009). Sleep loss is an important factor in the global burden of disease with collateral effects on cardiovascular and mental health as well as injury and violent death through human error. A vulnerable population such as adolescents may be facing sleep loss and associated musculoskeletal pain. According to the executive summary of the global action plan on physical activity 2018 - 2030 WHO (2018), regular physical activity is proven to help prevent and treat non-communicable diseases (NCDs) and can improve mental health, quality of life and well-being. Recent studies (Desjardins &Tanguay-Labonté, 2018; Brett et al., 2017; Xiong et al., 2017) had demonstrated positive effects of structured physical activity (SPA) on the quality/quantity of sleep and daily functioning of adolescents with various mental disorders. However, it is still not known whether a conditioned SPA can be used to prevent sleep loss and MSK pain among adolescents in Nigeria. |