基于学校的行为干预措施是改善儿童和青少年身体活动和久坐行为的有效策略吗? 一个元分析
Liangru Guo1, Hengwang He1, Chaochao Wang2
1School of Sports Science, Hengyang Normal University, Hengyang, Hunan, China.
Frontiers in pediatrics
|March 26, 2025
概括
基于学校的行为干预措施有效地增加了儿童和青少年中等强度的体力活动. 然而,这些干预措施并没有显著减少久坐时间或改善低强度体力活动水平.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 儿科 儿科 儿科
背景情况:
- 儿童肥胖和久坐不动的生活方式是严重的公共卫生问题.
- 需要有效的干预措施来促进体力活动 (PA) 和减少青少年的久坐行为 (SB).
- 学校环境为实施广泛的行为干预提供了一个独特的机会.
研究的目的:
- 系统地评估和元分析基于学校的行为干预措施对儿童和青少年身体活动和久坐行为的有效性.
- 确定产生最大效益的具体干预组件或目标人群.
主要方法:
- 在PubMed,Web of Science和SCOPUS.com进行了系统的文献搜索,直到2024年11月.
- 考克伦风险评估工具被用于评估26项符合条件的研究的方法质量.
- 对最初识别的6,071个搜索记录的数据进行了元分析.
主要成果:
- 基于学校的行为干预措施显著增加了中等强度的体力活动 (SMD,0.18;p=0.01).
- 干预措施没有显著减少久坐时间 (SMD, -0.04; p=0.12) 或改善低强度体力活动 (SMD, 0.18; p=0.16).
- 小组分析表明,在学校环境中的儿童和青少年中,中等强度的PA的效果更大 (SMD,0.46;p=0.02).
结论:
- 基于学校的行为干预措施在增强儿童和青少年中适度强度的身体活动方面是有效的.
- 这些积极影响在学校环境中的学生中尤为明显.
- 可能需要进一步的研究来优化减少久坐时间和增加低强度体育活动的干预措施.
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