Interventions to reduce sedentary behaviour in 0-5-year-olds: a systematic review and meta-analysis of randomised controlled trials.

Interventions to reduce sedentary behaviour in 0-5-year-olds: a systematic review and meta-analysis of randomised controlled trials.
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DOI:
10.1136/bjsports-2016-096634
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发表时间:
2018-03
影响因子:
18.4
通讯作者:
Hesketh KD
Hesketh KD
中科院分区:
医学1区
文献类型:
--
作者:
Downing KL;Hnatiuk JA;Hinkley T;Salmon J;Hesketh KD

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评估报告儿童早期久坐行为结果的行为干预措施的有效性。系统综述和荟萃分析。应用计算机检索2016年3月的学术全文数据库、CINAHL Complete、Global Health、MEDLINE Complete、PancINFO、SPORTDiscus全文数据库和EMBASE电子数据库。纳入标准是:(1)发表在同行评议的英语期刊上;(2)报道的久坐行为结果;(3)随机对照试验(RCT)研究设计;(4)参与者是干预后平均年龄为≤5.9 岁且尚未上小学/小学的儿童。31篇研究纳入系统综述,17篇研究纳入Meta分析。两组间筛查时间结果的总体平均差异为−17.12(95%可信区间−28.82至−5.42)分钟/天,总体干预效果显著(Z=2.87,p=0.004)。两组间坐着时间的总体平均差异为−18.91(95%CI−33.31至−4.51)分钟/天,总体干预效果显著(Z=2.57,P=0.01)。亚组分析表明,对于筛查时间,≥6 月持续时间和在社区环境中进行的干预最有效。对于久坐时间,针对体力活动的干预(以及报告久坐时间的变化)比直接针对久坐时间的干预更有效。尽管研究方法和结果不同,但减少儿童早期久坐行为的总体干预措施显示出显著减少,这表明现在可能是进行干预的时机。CRD42015017090。
To evaluate the effectiveness of behavioural interventions that report sedentary behaviour outcomes during early childhood. Systematic review and meta-analysis. Academic Search Complete, CINAHL Complete, Global Health, MEDLINE Complete, PsycINFO, SPORTDiscus with Full Text and EMBASE electronic databases were searched in March 2016. Inclusion criteria were: (1) published in a peer-reviewed English language journal; (2) sedentary behaviour outcomes reported; (3) randomised controlled trial (RCT) study design; and (4) participants were children with a mean age of ≤5.9 years and not yet attending primary/elementary school at postintervention. 31 studies were included in the systematic review and 17 studies in the meta-analysis. The overall mean difference in screen time outcomes between groups was −17.12 (95% CI −28.82 to −5.42) min/day with a significant overall intervention effect (Z=2.87, p=0.004). The overall mean difference in sedentary time between groups was −18.91 (95% CI −33.31 to −4.51) min/day with a significant overall intervention effect (Z=2.57, p=0.01). Subgroup analyses suggest that for screen time, interventions of ≥6 months duration and those conducted in a community-based setting are most effective. For sedentary time, interventions targeting physical activity (and reporting changes in sedentary time) are more effective than those directly targeting sedentary time. Despite heterogeneity in study methods and results, overall interventions to reduce sedentary behaviour in early childhood show significant reductions, suggesting that this may be an opportune time to intervene. CRD42015017090.
加拿大早期的体育锻炼和久坐行为:一项横断面研究。
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