DE-PASS最佳证据陈述 (BESt):青少年基于设备的身体活动和在环境中的久坐行为决定因素:系统性审查和元分析
Athanasios Kolovelonis1, Ioannis Syrmpas2, Anna Marcuzzi3
1Department of Physical Education and Sport Science, University of Thessaly, 42 100 Karies, Trikala, Greece. akolov@pe.uth.gr.
BMC public health
|June 26, 2024
概括
针对青少年身体活动 (PA) 和久坐行为 (SB) 的干预措施对基于设备的PA/SB产生了很小的影响. 未来的研究应该专注于多组件干预,解决各种可修改的决定因素.
科学领域:
- 公共卫生 公共卫生
- 青少年健康 青少年健康
- 行为科学 行为科学
背景情况:
- 身体活动 (PA) 提供了显著的健康益处,但很少有青少年达到推水平.
- 青少年的久坐行为 (SB) 是一个日益严重的公共卫生问题.
- 了解PA和SB的可修改决定因素对于有效的干预至关重要.
研究的目的:
- 系统地审查和分析青少年基于设备的PA和SB的可修改决定因素.
- 评估针对这些决定因素的干预措施.
- 检查PA/SB与各种环境中的决定因素之间的关联.
主要方法:
- 对RCT和CT进行系统审查和元分析 (2010年1月至2023年7月).
- 包括的研究测量了基于设备的PA / SB和可修改的决定因素在两个时间点.
- 使用了强大的贝叶斯元分析 (RoBMA),评估了证据的确定性.
主要成果:
- 包括15项试验 (14项RCT,1项CT),确定了33个可修改的决定因素.
- RoBMAs表明PA/SB或跨设置的决定因素的综合干预效应可以忽略不计.
- 对干预影响的证据确定性较低;叙事分析显示,在没有PA/SB变化的情况下,有一些决定性影响.
结论:
- 干预措施在影响青少年基于设备的PA / SB方面表现出微弱至最小的有效性.
- 不有效可能源于干预本身.
- 未来的多元干预应探索更广泛的可修改决定因素,包括政策和环境.
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