儿童和青少年运动行为改变干预的溢出效应:随机对照试验的系统回顾和元分析

IF 9.3 1区 医学 Q1 SPORT SCIENCES
Jie Feng, Wendy Yajun Huang, Chen Zheng, Jiao Jiao, Asaduzzaman Khan, Mehwish Nisar, Stephen Heung-Sang Wong
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引用次数: 0

摘要

背景考虑到一天 24 小时内的时间有限,人们发现花在运动行为上的时间分布与健康结果有关。本系统综述和荟萃分析旨在总结和评估针对单一行为(体育活动、久坐行为/屏幕时间或睡眠)的干预措施对儿童和青少年其他非目标行为的溢出效应。方法检索六个数据库(MEDLINE [Ovid]、PsycINFO [ProQuest]、EMBASE [Ovid]、PubMed、Web of Science 和 SPORTDiscus [EBSCO]),查找 2024 年 5 月 13 日之前发表的相关研究。其中包括针对单一行为的随机对照试验和分组随机对照试验,这些试验还评估了对非目标行为的影响,试验对象为 18 岁以下的健康儿童。运动行为可以通过客观或主观的方式进行测量。结果 来自 21 个国家的 102 项研究(45998 名参与者)被纳入荟萃分析,其中 60 项研究(26183 名参与者)被纳入荟萃分析。荟萃分析表明,体育锻炼干预措施可减少每天用于久坐不动行为的时间比例(平均差异 = - 0.95% 的穿戴时间,95% 置信区间 - 1.44, - 0.45,I2 = 39%)。久坐行为干预措施增加了站立时间(平均差异 = 3.87%,95% 置信区间为 1.99 - 5.75,I2 = 0%)。针对屏幕时间的干预措施并没有改变身体活动或睡眠。总之,研究结果表明,旨在增加体育锻炼或减少久坐行为的干预措施对非目标行为有溢出效应,但效应大小较小。关于行为改变干预措施对睡眠的影响以及睡眠干预措施的溢出效应,还需要更多证据才能得出明确结论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The Overflow Effects of Movement Behaviour Change Interventions for Children and Adolescents: A Systematic Review and Meta-Analysis of Randomised Controlled Trials

The Overflow Effects of Movement Behaviour Change Interventions for Children and Adolescents: A Systematic Review and Meta-Analysis of Randomised Controlled Trials

Background

Considering the finite time within a 24-h day, the distribution of time spent on movement behaviours has been found to be associated with health outcomes.

Objectives

This systematic review and meta-analysis aimed to summarise and evaluate the overflow effects of interventions targeting a single behaviour (physical activity, sedentary behaviour/screen time, or sleep) on other non-targeted behaviours among children and adolescents.

Methods

Six databases (MEDLINE [Ovid], PsycINFO [ProQuest], EMBASE [Ovid], PubMed, Web of Science and SPORTDiscus [EBSCO]) were searched for relevant studies published before 13 May, 2024. Randomised controlled trials and clustered randomised controlled trials that targeted a single behaviour and also assessed the effects on non-targeted behaviours, comprised of healthy children under the age of 18 years, were included. Movement behaviours can be measured either objectively or subjectively. The revised Cochrane risk-of-bias tool for randomised trials was adopted to evaluate the risk of bias.

Results

A total of 102 studies with 45,998 participants from 21 countries were identified, and 60 of them with 26,183 participants were incorporated into the meta-analysis. The meta-analysis demonstrated that physical activity interventions led to a reduction in the proportion of each day spent in sedentary behaviour (mean difference = − 0.95% of wear time, 95% confidence interval − 1.44, − 0.45, I2 = 39%). Sedentary behaviour interventions resulted in increased standing time (mean difference = 3.87%, 95% confidence interval 1.99, 5.75, I2 = 0%). Interventions targeting screen time did not yield changes in physical activity or sleep. The findings on the effectiveness of sleep interventions on non-targeted behaviours and of physical activity interventions on sleep were inconclusive.

Conclusions

Overall, the findings suggested that interventions aimed at increasing physical activity or reducing sedentary behaviour had overflow effects on non-targeted behaviours, but the effect sizes were small. Additional evidence is needed to reach definitive conclusions regarding the impact of behaviour change interventions on sleep and of the overflow effects of sleep interventions.

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来源期刊
Sports Medicine
Sports Medicine 医学-运动科学
CiteScore
18.40
自引率
5.10%
发文量
165
审稿时长
6-12 weeks
期刊介绍: Sports Medicine focuses on providing definitive and comprehensive review articles that interpret and evaluate current literature, aiming to offer insights into research findings in the sports medicine and exercise field. The journal covers major topics such as sports medicine and sports science, medical syndromes associated with sport and exercise, clinical medicine's role in injury prevention and treatment, exercise for rehabilitation and health, and the application of physiological and biomechanical principles to specific sports. Types of Articles: Review Articles: Definitive and comprehensive reviews that interpret and evaluate current literature to provide rationale for and application of research findings. Leading/Current Opinion Articles: Overviews of contentious or emerging issues in the field. Original Research Articles: High-quality research articles. Enhanced Features: Additional features like slide sets, videos, and animations aimed at increasing the visibility, readership, and educational value of the journal's content. Plain Language Summaries: Summaries accompanying articles to assist readers in understanding important medical advances. Peer Review Process: All manuscripts undergo peer review by international experts to ensure quality and rigor. The journal also welcomes Letters to the Editor, which will be considered for publication.
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