{"title":"[操场标记对比久坐生活方式:系统文献综述]。","authors":"Fabio Cruciani, Zuzana Mitrova, Patrizia Brigoni, Thellenxa Kalemi, Alice Masini, Rosella Saulle","doi":"10.19191/EP25.2-3.A838.028","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>promoting physical activity and reducing sedentary behaviour are public health priorities aimed at ensuring health and well-being at all stages of life. Physical activity should be encouraged from early childhood, with play being a key component, including interactive 'floor-based' activities in safe spaces. The introduction of colourful markings in playgrounds and public spaces (such as 'playground markings') may offer a cost-effective and feasible way to promote physical activity, also providing structured opportunities for teachers to support motor skill development.</p><p><strong>Objectives: </strong>to provide evidence of the benefits of playground markings interventions in schools on increasing physical activity levels and enhancing the physical and psychological well-being in pre-school and school-aged children.</p><p><strong>Design: </strong>a systematic literature search was conducted in Cochrane Library, MedLine, Embase, PsycInfo, and Epistemonikos databases up to 13.02.2024. The primary focus was to identify systematic reviews (SRs) or, in their absence, randomized controlled trials (RCTs) and non-randomized controlled trials (NRCTs). Study quality was assessed using validated tools according to study design, and meta-analyses were conducted where feasible. The GRADE approach was used to evaluate the certainty of evidence and results were presented in Summary of Findings (SoF) tables. Studies not included in the meta-analyses due to data unavailability or heterogeneity in outcome measures or interventions were narratively reported.</p><p><strong>Setting and participants: </strong>students aged 3 to 10 years attending preschool and primary school.</p><p><strong>Main outcome measures: </strong>increased physical activity (including light, moderate vigorous and reduction of sedentary lifestyle); reduced obesity, overweight, Body Mass Index; well-being (quality of life, psychological aspect); cognitive level; school performance.</p><p><strong>Results: </strong>a total of 557 records were screened and 35 potentially eligible full-text assessed publications. The review included 14 publications corresponding to 11 studies: 6 RCTs and 5 NRCTs. No systematic reviews were included. Meta-analyses were conducted using data from 2 RCTs, examining outcomes related to reduced sedentary behaviour and increased light, moderate, and vigorous physical activity. No statistically significant differences between comparison groups. The certainty of evidence was very low for all outcomes. Four of the 9 studies that were not included in the meta-analysis were RCT studies and 5 non-randomized studies reported heterogeneous results with respect to the physical activity outcome with some outcomes showing an effect in favour of the intervention while others reported no effect.</p><p><strong>Conclusions: </strong>multi-coloured playground markings consist of a low-cost approach to promote physical activity in children. However, the results reported by the few available studies in both pre-school and school-age children are inconclusive.</p>","PeriodicalId":50511,"journal":{"name":"Epidemiologia & Prevenzione","volume":"49 2-3","pages":"200-207"},"PeriodicalIF":1.5000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Playground marking for contrasting sedentary lifestyle: systematic literature review].\",\"authors\":\"Fabio Cruciani, Zuzana Mitrova, Patrizia Brigoni, Thellenxa Kalemi, Alice Masini, Rosella Saulle\",\"doi\":\"10.19191/EP25.2-3.A838.028\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>promoting physical activity and reducing sedentary behaviour are public health priorities aimed at ensuring health and well-being at all stages of life. Physical activity should be encouraged from early childhood, with play being a key component, including interactive 'floor-based' activities in safe spaces. The introduction of colourful markings in playgrounds and public spaces (such as 'playground markings') may offer a cost-effective and feasible way to promote physical activity, also providing structured opportunities for teachers to support motor skill development.</p><p><strong>Objectives: </strong>to provide evidence of the benefits of playground markings interventions in schools on increasing physical activity levels and enhancing the physical and psychological well-being in pre-school and school-aged children.</p><p><strong>Design: </strong>a systematic literature search was conducted in Cochrane Library, MedLine, Embase, PsycInfo, and Epistemonikos databases up to 13.02.2024. The primary focus was to identify systematic reviews (SRs) or, in their absence, randomized controlled trials (RCTs) and non-randomized controlled trials (NRCTs). Study quality was assessed using validated tools according to study design, and meta-analyses were conducted where feasible. The GRADE approach was used to evaluate the certainty of evidence and results were presented in Summary of Findings (SoF) tables. Studies not included in the meta-analyses due to data unavailability or heterogeneity in outcome measures or interventions were narratively reported.</p><p><strong>Setting and participants: </strong>students aged 3 to 10 years attending preschool and primary school.</p><p><strong>Main outcome measures: </strong>increased physical activity (including light, moderate vigorous and reduction of sedentary lifestyle); reduced obesity, overweight, Body Mass Index; well-being (quality of life, psychological aspect); cognitive level; school performance.</p><p><strong>Results: </strong>a total of 557 records were screened and 35 potentially eligible full-text assessed publications. The review included 14 publications corresponding to 11 studies: 6 RCTs and 5 NRCTs. No systematic reviews were included. Meta-analyses were conducted using data from 2 RCTs, examining outcomes related to reduced sedentary behaviour and increased light, moderate, and vigorous physical activity. No statistically significant differences between comparison groups. The certainty of evidence was very low for all outcomes. Four of the 9 studies that were not included in the meta-analysis were RCT studies and 5 non-randomized studies reported heterogeneous results with respect to the physical activity outcome with some outcomes showing an effect in favour of the intervention while others reported no effect.</p><p><strong>Conclusions: </strong>multi-coloured playground markings consist of a low-cost approach to promote physical activity in children. However, the results reported by the few available studies in both pre-school and school-age children are inconclusive.</p>\",\"PeriodicalId\":50511,\"journal\":{\"name\":\"Epidemiologia & Prevenzione\",\"volume\":\"49 2-3\",\"pages\":\"200-207\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2025-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Epidemiologia & Prevenzione\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.19191/EP25.2-3.A838.028\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Epidemiologia & Prevenzione","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.19191/EP25.2-3.A838.028","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
[Playground marking for contrasting sedentary lifestyle: systematic literature review].
Background: promoting physical activity and reducing sedentary behaviour are public health priorities aimed at ensuring health and well-being at all stages of life. Physical activity should be encouraged from early childhood, with play being a key component, including interactive 'floor-based' activities in safe spaces. The introduction of colourful markings in playgrounds and public spaces (such as 'playground markings') may offer a cost-effective and feasible way to promote physical activity, also providing structured opportunities for teachers to support motor skill development.
Objectives: to provide evidence of the benefits of playground markings interventions in schools on increasing physical activity levels and enhancing the physical and psychological well-being in pre-school and school-aged children.
Design: a systematic literature search was conducted in Cochrane Library, MedLine, Embase, PsycInfo, and Epistemonikos databases up to 13.02.2024. The primary focus was to identify systematic reviews (SRs) or, in their absence, randomized controlled trials (RCTs) and non-randomized controlled trials (NRCTs). Study quality was assessed using validated tools according to study design, and meta-analyses were conducted where feasible. The GRADE approach was used to evaluate the certainty of evidence and results were presented in Summary of Findings (SoF) tables. Studies not included in the meta-analyses due to data unavailability or heterogeneity in outcome measures or interventions were narratively reported.
Setting and participants: students aged 3 to 10 years attending preschool and primary school.
Main outcome measures: increased physical activity (including light, moderate vigorous and reduction of sedentary lifestyle); reduced obesity, overweight, Body Mass Index; well-being (quality of life, psychological aspect); cognitive level; school performance.
Results: a total of 557 records were screened and 35 potentially eligible full-text assessed publications. The review included 14 publications corresponding to 11 studies: 6 RCTs and 5 NRCTs. No systematic reviews were included. Meta-analyses were conducted using data from 2 RCTs, examining outcomes related to reduced sedentary behaviour and increased light, moderate, and vigorous physical activity. No statistically significant differences between comparison groups. The certainty of evidence was very low for all outcomes. Four of the 9 studies that were not included in the meta-analysis were RCT studies and 5 non-randomized studies reported heterogeneous results with respect to the physical activity outcome with some outcomes showing an effect in favour of the intervention while others reported no effect.
Conclusions: multi-coloured playground markings consist of a low-cost approach to promote physical activity in children. However, the results reported by the few available studies in both pre-school and school-age children are inconclusive.
期刊介绍:
Epidemiologia & Prevenzione, oggi organo della Associazione italiana di epidemiologia, raccoglie buona parte delle migliori e originali esperienze italiane di ricerca epidemiologica e di studio degli interventi per la prevenzione e la sanità pubblica.
La rivista – indicizzata su Medline e dotata di Impact Factor – è un canale importante anche per la segnalazione al pubblico internazionale di contributi che altrimenti circolerebbero soltanto in Italia.
E&P in questi decenni ha svolto una funzione di riferimento per la sanità pubblica ma anche per i cittadini e le loro diverse forme di aggregazione. Il principio che l’ha ispirata era, e rimane, che l’epidemiologia ha senso se è funzionale alla prevenzione e alla sanità pubblica e che la prevenzione ha ben poche possibilità di realizzarsi se non si fonda su valide basi scientifiche e se non c’è la partecipazione di tutti i soggetti interessati.
Modalità di comunicazione aggiornate, metodologia statistica ed epidemiologica rigorosa, validità degli studi e solidità delle interpretazioni dei risultati sono la solida matrice su cui E&P è costruita. A questa si accompagna una forte responsabilità etica verso la salute pubblica, che oggi ha ampliato in forma irreversibile il suo orizzonte, e include in forma sempre più consapevole non solo gli esseri umani, ma l’intero pianeta e le modificazioni che l’uomo apporta all’universo in cui vive.
L’ambizione è che l’offerta di nuovi strumenti di comunicazione, informazione e formazione, soprattutto attraverso l''uso di internet, renda la rivista non solo un tradizionale veicolo di contenuti e analisi scientifiche, ma anche un potente strumento a disposizione di una comunità di interessi e di valori che ha a cuore la salute pubblica.