Recent Secular Trends in Child and Adolescent Physical Activity and Sedentary Behavior Internationally: Analyses of Active Healthy Kids Global Alliance Global Matrices 1.0 to 4.0
Recent Secular Trends in Child and Adolescent Physical Activity and Sedentary Behavior Internationally: Analyses of Active Healthy Kids Global Alliance Global Matrices 1.0 to 4.0
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DOI：
10.1123/jpah.2022-0312
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发表时间：
2022-11-01
影响因子：
3.1
通讯作者：
Tremblay, Mark S.
中科院分区：
文献类型：
--
作者：
Reilly, John J.;Barnes, Joel;Tremblay, Mark S.
背景：我们考察了儿童和青少年身体活动和久坐行为的5个指标(总体体力活动、有组织的运动和身体活动、积极的游戏、积极的交通和久坐行为)以及对这些的4个影响(家庭和同龄人、学校、社区和环境以及政府)的最新全球长期趋势。方法：积极健康儿童全球联盟字母评分(A+至F)按15至2的顺序编号，缺失/不完整的编号为0。从积极健康儿童全球联盟全球矩阵1.0(2014年)到全球矩阵4.0(2022年)的趋势分析采用线性混合效应模型，将经济发展水平和性别不平等视为潜在的调节因素。结果：成绩单成绩总体上比较稳定。总体上，不同经济发展水平的趋势没有显著差异(活跃的交通和活跃的游戏除外)，但性别不平等在大多数指标上显著缓和了趋势，性别不平等越严重，分数的不利变化就越大。“不完整”年级的数量随着时间的推移而减少，但这并没有达到统计学意义。结论：尽管国家内部和国家之间的趋势有所不同，但在过去十年左右的时间里，身体活动和久坐行为及其对全球这些行为的影响相对稳定，尽管处于令人不快的水平。
Background: We examined recent global secular trends in 5 indicators of child and adolescent physical activity and sedentary behavior (Overall Physical Activity, Organized Sport and Physical Activity, Active Play, Active Transportation, and Sedentary Behavior) and 4 influences on these (Family and Peers, School, Community and Environment, and Government). Methods: Active Healthy Kids Global Alliance letter grades (A+ to F) were assigned numbers from 15 to 2, with 0 assigned for missing/ incomplete grades. Trends from Active Healthy Kids Global Alliance Global Matrices 1.0 (2014) to 4.0 (2022) were analyzed using linear mixed-effects models with level of economic development and gender inequity considered as potential moderators. Results: Report card grades were generally relatively stable. Trends generally did not differ significantly by level of economic development (except for Active Transportation and Active Play), but gender inequality did significantly moderate trends for most of the indicators, with higher gender inequality associated with more adverse changes in grades. The number of "incomplete" grades decreased over time, but this did not reach statistical significance. Conclusions: While trends varied within and between countries, physical activity and sedentary behaviors, and the influences on these behaviors globally, were relatively stable over the past decade or so, albeit at undesirable levels.