Determinants of Change in Physical Activity in Children 0-6 years of Age: A Systematic Review of Quantitative Literature.
Determinants of Change in Physical Activity in Children 0-6 years of Age: A Systematic Review of Quantitative Literature.
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DOI：
10.1007/s40279-016-0656-0
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发表时间：
2017-07
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通讯作者：
van Sluijs EMF
中科院分区：
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作者：
Hesketh KR;O'Malley C;Paes VM;Moore H;Summerbell C;Ong KK;Lakshman R;van Sluijs EMF
了解儿童健康行为的决定因素对于制定成功的行为改变干预措施非常重要。我们的目的是综合有关幼儿（0-6岁）身体活动（PA）变化的决定因素（“先前预测因素”）的证据。作为一系列综述的一部分，我们从MEDLINE、Embase、CINAHL、PsycINFO、Web of Knowledge、英国护理指数、应用社会科学指数和摘要以及社会学摘要等8个数据库（截至2015年10月）中确定了调查0-6岁儿童身体活动变化的前瞻性定量研究。根据社会生态模型（个人、人际、组织、社区、政策）提取、描述和综合关联的决定因素和方向。44篇论文报告了44个决定因素，主要在人际关系和组织领域（6个前瞻性队列，38个干预性）；在四篇或更多的论文中评估了14个决定因素。父母监护显示与PA变化一致的正相关；提供者培训仅与儿童中度至重度PA的变化呈正相关。性别、父母目标设定、社会支持、运动技能训练和PA时间增加没有明显的关联。另外7项（儿童知识、父母知识、父母动机、父母技能、父母自我效能感、课程材料和便携式设备）与儿童PA的变化一致不相关。在所有三项研究中，母亲的角色塑造都与PA的变化呈正相关。一系列研究确定了幼儿PA变化的决定因素，但只有父母监测被发现始终呈正相关。需要更多关于低收入/中等收入国家社区和政策领域的证据，以及关于较少探索的可改变的家庭和儿童保育相关决定因素的证据。CRD42012002881。本文的在线版本（doi:10.1007/s40279-016-0656-0）包含补充材料，仅供授权用户使用。
Understanding the determinants of children’s health behaviours is important to develop successful behaviour-change interventions. We aimed to synthesise the evidence around determinants (‘preceding predictors’) of change in physical activity (PA) in young children (0–6 years of age). As part of a suite of reviews, prospective quantitative studies investigating change in physical activity in children aged 0–6 years were identified from eight databases (to October 2015): MEDLINE, Embase, CINAHL, PsycINFO, Web of Knowledge, British Nursing Index, Applied Social Sciences Index and Abstracts, and Sociological Abstracts. Determinants and direction of association were extracted, described and synthesised according to the socio-ecological model (individual, interpersonal, organisational, community, policy). Forty-four determinants, predominantly in the interpersonal and organisational domains, were reported across 44 papers (six prospective cohort, 38 interventional); 14 determinants were assessed in four or more papers. Parental monitoring showed a consistent positive association with change in PA; provider training was positively associated with change in children’s moderate-to-vigorous PA only. Five (sex, parental goal setting, social support, motor skill training and increased time for PA) showed no clear association. A further seven (child knowledge, parental knowledge, parental motivation, parenting skills, parental self-efficacy, curriculum materials and portable equipment) were consistently not associated with change in children’s PA. Maternal role-modelling was positively associated with change in PA in all three studies in which it was examined. A range of studied determinants of change in young children’s PA were identified, but only parental monitoring was found to be consistently positively associated. More evidence dealing with community and policy domains from low-/middle-income countries and about lesser-explored modifiable family- and childcare-related determinants is required. CRD42012002881. The online version of this article (doi:10.1007/s40279-016-0656-0) contains supplementary material, which is available to authorized users.