Health effects of children's summer holiday programs: a systematic review and meta-analysis.

IF 5.6 1区 医学 Q1 NUTRITION & DIETETICS
Emily Eglitis, Ben Singh, Timothy Olds, Rosa Virgara, Amanda Machell, Mandy Richardson, Kylie Brannelly, Aniella Grant, Jessica Gray, Terri Wilkinson, Zoe Rix, Grant R Tomkinson, Carol Maher
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引用次数: 0

Abstract

Background: Unfavourable changes occur in children's health behaviours and outcomes during the summer holidays. This systematic review aimed to determine the effectiveness of summer holiday programs in mitigating these changes.

Methods: Six databases (MEDLINE, JBI, PsychINFO, Embase, ERIC and Scopus) were systematically searched for experimental controlled studies that investigated programs of at least 5 days' duration conducted exclusively during the summer holiday period on school-aged children (5-18 years). Primary outcomes were moderate-vigorous physical activity and energy intake. Secondary outcomes were sedentary behavior, diet quality, adiposity, and cardiorespiratory fitness. Risk of Bias was assessed using the PEDro tool. Effect sizes were calculated using random-effects meta-analysis with narrative synthesis of effects by student or program characteristics.

Results: Ten studies (two randomised controlled trials, and eight non-randomised controlled trials) involving 1,446 participants were included. Summer programs had a significant moderate effect on reducing sedentary behaviour (g= -0.59, 95%CI= -1.16, -0.03) and significant small effects on improving moderate-to-vigorous physical activity (g = 0.35, 95%CI = 0.02, 0.67) and adiposity (g= -0.25, 95% CI = -0.39, -0.10). No significant change was detected for cardiorespiratory fitness (g = 0.43, 95%CI= -0.32, 1.17), energy intake (g= -0.06, 95% CI -2.33, 2.22), or diet quality (g = 0.20, 95%CI= -0.43, 0.83). Summer program effectiveness did not appear to differ by child sociodemographic or program characteristics. Concerns regarding bias and high heterogeneity impacted results.

Conclusions: Summer programs show potential in promoting healthier movement behaviours in children and supporting healthy body weight during the summer months. Although evidence from the included studies has limitations, these programs produced small to moderate effect sizes and present promising health intervention opportunities for children. Future research with more rigorous study designs and comprehensive reporting is needed to confirm these findings and better understand the impact of summer programs on children's health.

Prospero registration: CRD42023409795.

儿童暑假计划对健康的影响:系统回顾和荟萃分析。
背景:暑假期间,儿童的健康行为和结果会发生不利的变化。本系统综述旨在确定暑假计划在缓解这些变化方面的有效性:对六个数据库(MEDLINE、JBI、PsychINFO、Embase、ERIC 和 Scopus)进行了系统性检索,以了解对专门在暑假期间针对学龄儿童(5-18 岁)开展的持续时间至少为 5 天的项目进行调查的实验性对照研究。主要结果是中等强度的体育活动和能量摄入。次要结果是久坐行为、饮食质量、脂肪含量和心肺功能。偏倚风险采用 PEDro 工具进行评估。采用随机效应荟萃分析法计算效应大小,并根据学生或项目特征对效应进行叙述性综合:共纳入十项研究(两项随机对照试验和八项非随机对照试验),涉及 1446 名参与者。暑期项目对减少久坐行为(g=-0.59,95%CI=-1.16,-0.03)有明显的中度影响,对改善中强度体育活动(g=0.35,95%CI=0.02,0.67)和脂肪含量(g=-0.25,95%CI=-0.39,-0.10)有明显的小幅影响。心肺功能(g=0.43,95%CI=-0.32,1.17)、能量摄入(g=-0.06,95%CI=-2.33,2.22)或饮食质量(g=0.20,95%CI=-0.43,0.83)均未发现明显变化。暑期项目的有效性似乎并不因儿童的社会人口学特征或项目特征而有所不同。偏差和高度异质性影响了研究结果:暑期项目在促进儿童更健康的运动行为和支持夏季健康体重方面显示出潜力。虽然所纳入研究的证据存在局限性,但这些项目产生了小到中等的效应大小,为儿童提供了很好的健康干预机会。未来的研究需要更严格的研究设计和更全面的报告来证实这些发现,并更好地了解暑期项目对儿童健康的影响:CRD42023409795。
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来源期刊
CiteScore
13.80
自引率
3.40%
发文量
138
审稿时长
4-8 weeks
期刊介绍: International Journal of Behavioral Nutrition and Physical Activity (IJBNPA) is an open access, peer-reviewed journal offering high quality articles, rapid publication and wide diffusion in the public domain. IJBNPA is devoted to furthering the understanding of the behavioral aspects of diet and physical activity and is unique in its inclusion of multiple levels of analysis, including populations, groups and individuals and its inclusion of epidemiology, and behavioral, theoretical and measurement research areas.
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