Change in physical activity from adolescence to early adulthood: a systematic review and meta-analysis of longitudinal cohort studies.
Change in physical activity from adolescence to early adulthood: a systematic review and meta-analysis of longitudinal cohort studies.
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DOI：
10.1136/bjsports-2016-097330
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发表时间：
2019-04
影响因子：
18.4
通讯作者：
Sluijs EV
中科院分区：
文献类型：
--
作者：
Corder K;Winpenny E;Love R;Brown HE;White M;Sluijs EV
系统回顾和荟萃分析身体活动（PA）从青春期到成年早期（13-30岁）的变化。检索了Medline、Embase、PsycInfo、SCOPUS、ASSIA、SPORTdiscus和Web of Science等7个电子数据库。纳入英语纵向研究（1980年1月至2017年1月），评估PA≥两次，青春期（13-19岁）平均年龄≥1，青年期（16-30岁）平均年龄≥1。在可能的情况下，将数据转换为中等至剧烈的身体活动（MVPA）分钟/天，并对青春期和成年期的加权平均差异（wmd）进行meta分析。采用元回归探讨异质性。67项纳入的研究中，49项符合荟萃分析的条件。成年期PA低于青春期WMD (95% CI) - 5.2(- 7.3至-3.1)min/day MVPA平均（SD） 3.4（2.6）年；异质性很高（I2 >99.0%），没有预测因子解释这种差异（均p>0.05）。当我们将分析限制在男性（n=29）和女性（n=30）的研究数据时，WMD的下降幅度略大（- 6.5（- 10.6至-2.3）和- 5.5(- 8.4至- 2.6)min/day MVPA）（均为2%至99.0%）。对于使用加速度计数据的研究（n=9），下降为- 7.4(- 11.6至-3.1)，更长的随访表明WMD下降更多（95% CI）（- 1.9(- 3.6至-0.2)min/day MVPA），解释了研究间差异的27.0%。在不符合荟萃分析条件的18项研究中，有9项在统计上测试了随时间的变化：7项显示下降，2项显示没有变化。从青春期到成年早期，PA会适度下降。在这一转变过程中，更客观的纵向PA数据（如加速度计）将是有价值的，同时调查PA变化如何与同期社会转型相关联，以更好地为PA促进干预提供信息。普洛斯彼罗裁判:CRD42015030114。
To systematically review and meta-analyse how physical activity (PA) changes from adolescence to early adulthood (13–30 years). Seven electronic databases were searched: Medline, Embase, PsycInfo, SCOPUS, ASSIA, SPORTdiscus and Web of Science. English-language, longitudinal studies (from 01/1980 to 01/2017) assessing PA ≥twice, with the mean age of ≥1 measurement in adolescence (13–19 years) and ≥1 in young adulthood (16–30 years) were included. Where possible, data were converted to moderate-to-vigorous physical activity (MVPA) min/day, and meta-analyses were conducted between weighted mean differences (WMDs) in adolescence and adulthood. Heterogeneity was explored using meta-regression. Of 67 included studies, 49 were eligible for meta-analysis. PA was lower during adulthood than adolescence WMD (95% CI) −5.2 (−7.3 to –3.1) min/day MVPA over mean (SD) 3.4 (2.6) years; heterogeneity was high (I2 >99.0%), and no predictors explained this variation (all p>0.05). When we restricted analysis to studies with data for males (n=29) and females (n=30) separately, there were slightly larger declines in WMD (−6.5 (−10.6 to –2.3) and −5.5 (−8.4 to −2.6) min/day MVPA) (both I2 >99.0%). For studies with accelerometer data (n=9), the decline was −7.4 (−11.6 to –3.1) and longer follow-up indicated more of a decline in WMD (95% CI) (−1.9 (−3.6 to –0.2) min/day MVPA), explaining 27.0% of between-study variation. Of 18 studies not eligible for meta-analysis, nine statistically tested change over time: seven showed a decline and two showed no change. PA declines modestly between adolescence and young adulthood. More objective longitudinal PA data (eg, accelerometry) over this transition would be valuable, as would investigating how PA change is associated with contemporaneous social transitions to better inform PA promotion interventions. PROSPERO ref:CRD42015030114.
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影响因子：
120.7
作者：
Ekelund, Ulf;Luan, Jian'an;Sherar, Lauren B.;Esliger, Dale W.;Griew, Pippa;Cooper, Ashley
通讯作者：
Cooper, Ashley
DOI：
10.1007/s40279-014-0215-5
发表时间：
2014-10
期刊：
Sports medicine (Auckland, N.Z.)
影响因子：
--
作者：
Brooke HL;Corder K;Atkin AJ;van Sluijs EM
通讯作者：
van Sluijs EM
影响因子：
5.1
作者：
Gunnell, Katie E.;Flament, Martine F.;Goldfield, Gary S.
通讯作者：
Goldfield, Gary S.
影响因子：
--
作者：
Cluskey, Mary;Grobe, Deana
通讯作者：
Grobe, Deana
影响因子：
18.4
作者：
Corder, Kirsten;Sharp, Stephen J.;van Sluijs, Esther M. F.
通讯作者：
van Sluijs, Esther M. F.