Are school-based behavioural interventions an effective strategy for improving physical activity and sedentary behaviour in children and adolescents? A meta-analysis.

IF 2.1 3区 医学 Q2 PEDIATRICS
Frontiers in Pediatrics Pub Date : 2025-03-11 eCollection Date: 2025-01-01 DOI:10.3389/fped.2025.1532035
Liangru Guo, Hengwang He, Chaochao Wang
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引用次数: 0

Abstract

Objective: This systematic evaluation and meta-analysis [PROSPERO CRD42024598218] was conducted in order to summarise the effectiveness of a body of school-based behavioural interventions on physical activity (PA) and sedentary behaviour in children and adolescents.

Methods: We conducted a systematic search of the literature up to November 2024 using PubMed, Web of Science and SCOPUS. The methodological quality of the included literature was assessed using the Cochrane Risk Assessment Tool.

Results: Of the 6,071 search records initially identified, 26 studies were considered eligible for systematic evaluation and meta-analysis. School-based behavioural interventions were effective in increasing moderate-intensity physical activity [standardised mean difference (SMD), 0.18 (95% CI, 0.04-0.31), p = 0.01]. School-based behavioural interventions failed to reduce ST (sedentary time) [-0.04 (95% CI, -0.08 to -0.01), p = 0.12] and failed to improve low-intensity PA (LPA) [0.18 (95% CI, -0.07-0.44), p = 0.16]. Subgroup analyses showed that school-based behavioural interventions were more effective in improving moderate-intensity PA in children and adolescents who were in school [0.46 (95% CI, 0.20-0.72), p = 0.02]. School-based behavioral interventions do not differentiate moderate-intensity physical activity among children and adolescents of different ages, [0.18 (95% CI, 0.05-0.31), p = 0.1], nor do they make a difference in moderate-intensity physical activity among children and adolescents in different regions [0.18 (95% CI, 0.04-0.31), p = 0.12].

Conclusion: School-based behavioural interventions are effective in increasing moderate-intensity PA among children and adolescents, particularly those who were in school.

Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/recorddashboard, PROSPERO [CRD42024598218].

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来源期刊
Frontiers in Pediatrics
Frontiers in Pediatrics Medicine-Pediatrics, Perinatology and Child Health
CiteScore
3.60
自引率
7.70%
发文量
2132
审稿时长
14 weeks
期刊介绍: Frontiers in Pediatrics (Impact Factor 2.33) publishes rigorously peer-reviewed research broadly across the field, from basic to clinical research that meets ongoing challenges in pediatric patient care and child health. Field Chief Editors Arjan Te Pas at Leiden University and Michael L. Moritz at the Children''s Hospital of Pittsburgh are supported by an outstanding Editorial Board of international experts. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. Frontiers in Pediatrics also features Research Topics, Frontiers special theme-focused issues managed by Guest Associate Editors, addressing important areas in pediatrics. In this fashion, Frontiers serves as an outlet to publish the broadest aspects of pediatrics in both basic and clinical research, including high-quality reviews, case reports, editorials and commentaries related to all aspects of pediatrics.
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