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Physical Activity During the Early Years: A Systematic Review of Correlates and Determinants
Daniel D Bingham1, Silvia Costa2, Trina Hinkley3
1School of Sport, Exercise and Health Sciences, Loughborough University, Leicestershire, United Kingdom; Bradford Institute for Health Research, Bradford, United Kingdom.
Insights
Physical activity in early childhood is crucial for development. Male sex, parental activity, and outdoor time were linked to total physical activity, but high-quality research is needed.
Area of Science:
- Pediatrics
- Public Health
- Behavioral Science
Background:
- Physical activity (PA) in early childhood (0-6 years) is essential for healthy development.
- Identifying factors influencing children's PA is key for designing effective interventions.
- This review focuses on correlates and determinants of PA in preschool-aged children.
Purpose of the Study:
- To systematically review and synthesize evidence on correlates and determinants of physical activity in early childhood.
- To examine associations across different types of PA (total, moderate-to-vigorous, light).
- To assess consistency of findings between objective and subjective PA measures.
Main Methods:
- Systematic review of 130 observational studies published in English peer-reviewed journals.
- Searched nine electronic databases from inception to September 2014.
- Analyzed data using an ecologic model framework, considering demographic, social, and environmental factors.
Main Results:
- Male sex, parental PA, parental support, and time outdoors were correlates of total PA.
- Male sex and time spent playing with parents were determinants of total PA.
- Male sex was the only correlate of moderate-to-vigorous PA; no determinants were identified for MVPA or light PA.
Conclusions:
- Few high-quality studies exist, with most conducted in high-income countries.
- Demographic/biological and social/cultural factors show some association with early childhood PA.
- Future research should prioritize high-quality studies across all ecologic model domains to identify PA correlates and determinants.
Context:
Being physically active during the early years (age 0-6 years) is vital for healthy development. Identifying correlates and determinants of physical activity (PA) is crucial to guide effective interventions. This systematic review synthesized studies investigating potential correlates and determinants of PA during the early years, accounting for different types of PA assessment.
Evidence Acquisition:
Nine electronic databases were searched from inception year (1900) until September 2014; data were analyzed/interpreted in April 2015. The following inclusion criteria were used: written in English, published in peer-reviewed journals, participants not in statutory/school education, and an observational design investigating associations between an exposure/variable, and a quantitative measure of PA. Correlates/determinants of total, moderate to vigorous, and light PA were reported using an ecologic model.
Evidence Synthesis:
Of 22,045 identified studies, 130 were included. All took place in high-income countries and few (6%) were of high quality. Correlates of total PA were sex (male, ++); parental PA (+); parental support (+); and time outdoors (+). Determinants of total PA were sex (+) and time spent playing with parents (+). The only correlate of moderate to vigorous PA was sex (male, ++). No determinants of moderate to vigorous or light PA were found. PA correlates/determinants were relatively consistent between objective and subjective PA measures.
Conclusions:
Numerous studies investigated potential correlates and determinants of PA, but overall quality was low. A small number of demographic/biological and social/cultural factors were associated with PA. There is a need for high-quality studies exploring correlates/determinants across all domains of the ecologic model.
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