What is the Relationship between Risky Outdoor Play and Health in Children? A Systematic Review.

What is the Relationship between Risky Outdoor Play and Health in Children? A Systematic Review.
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DOI:
10.3390/ijerph120606423
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发表时间:
2015-06-08
影响因子:
--
通讯作者:
Tremblay MS
Tremblay MS
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Brussoni M;Gibbons R;Gray C;Ishikawa T;Sandseter EB;Bienenstock A;Chabot G;Fuselli P;Herrington S;Janssen I;Pickett W;Power M;Stanger N;Sampson M;Tremblay MS

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危险的户外游戏与促进儿童的健康和发展有关,但也与伤害和死亡有关。随着时间的推移,危险的户外游戏已经减少,同时对儿童安全的关注越来越多,并强调预防伤害。我们试图进行一项系统性的综述,以研究危险的户外游戏与儿童健康之间的关系,以便为关于其益处和危害的辩论提供信息。我们使用GRADE框架确定并评估了21篇相关论文的质量。纳入的文章讨论了三种风险游戏对健康指标和行为的影响,以及风险游戏的支持环境。系统性审查显示,风险户外游戏对各种健康指标和行为,最常见的是体力活动,但也对社会健康和行为,伤害和攻击性产生了总体积极影响。审查表明,需要额外的“高质量”的研究,但是,我们注意到,即使在面对一般排斥系统的审查过程中,我们的研究结果支持促进儿童健康发展的危险户外游戏。这些积极的结果表明,近几代人的户外冒险游戏机会明显减少,这表明有必要鼓励采取行动,支持儿童的户外冒险游戏机会。政策和实践的先例和行动建议进行了讨论。
Risky outdoor play has been associated with promoting children’s health and development, but also with injury and death. Risky outdoor play has diminished over time, concurrent with increasing concerns regarding child safety and emphasis on injury prevention. We sought to conduct a systematic review to examine the relationship between risky outdoor play and health in children, in order to inform the debate regarding its benefits and harms. We identified and evaluated 21 relevant papers for quality using the GRADE framework. Included articles addressed the effect on health indicators and behaviours from three types of risky play, as well as risky play supportive environments. The systematic review revealed overall positive effects of risky outdoor play on a variety of health indicators and behaviours, most commonly physical activity, but also social health and behaviours, injuries, and aggression. The review indicated the need for additional “good quality” studies; however, we note that even in the face of the generally exclusionary systematic review process, our findings support the promotion of risky outdoor play for healthy child development. These positive results with the marked reduction in risky outdoor play opportunities in recent generations indicate the need to encourage action to support children’s risky outdoor play opportunities. Policy and practice precedents and recommendations for action are discussed.
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