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Updated: Feb 26, 2026
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Published on: July 27, 2022
Associations Between Pedometer-Determined Physical Activity and Adiposity in Children and Adolescents: Systematic
María L Miguel-Berges1,2, John J Reilly3, Luis A Moreno Aznar1,2,4,5
1GENUD (Growth, Exercise, Nutrition and Development) Research Group, University of Zaragoza, Zaragoza, Spain.
Objective:
The present review sought to examine the evidence on the associations between pedometer-determined physical activity and adiposity.
Design:
Of 304 potentially eligible articles, 36 were included. A search for observational studies was carried out using Cochrane Library (CENTRAL), the OVID (MEDLINE, Embase, and PsycINFO), EBSCOhost (Sportdiscus), and PEDro database from their commenced to July 2015. Of 304 potentially eligible articles, 36 were included.
Results:
Most studies (30/36; 83%) were cross sectional and all used proxies for adiposity, such as body mass index (BMI) or BMI z-score as the outcome measure. Few studies (2/36; 6%) focused on preschool children. There was consistent evidence of negative associations between walking and adiposity; significant negative associations were observed in 72% (26/36) of studies overall.
Conclusions:
The present review supports the hypothesis that higher levels of walking are protective against child and adolescent obesity. However, prospective longitudinal studies are warranted; there is a need for more research on younger children and for more "dose-response" evidence.
