School-related sedentary behaviours and indicators of health and well-being among children and youth: a systematic review

International Journal of Behavioral Nutrition and Physical Activity

Travis J. Saunders¹  Wendy Yajun Huang²  Stacey Bélanger³  Valerie Carson⁴  Yeongho Hwang⁴  Mark S. Tremblay⁵  Nicholas Kuzik⁵  Scott Rollo⁵  Simone J. J. M. Verswijveren⁶  Jo Salmon⁶  Katrien Wijndaele⁷  Susan Hornby⁸  Lucy-Joy Wachira⁹  Melanie Davis^1,10  Jennifer R. Tomasone^1,11  Barbi Law^1,12  Bruno G. G. da Costa^1,12 

[1] Department of Applied Human Sciences, University of Prince Edward Island;Department of Sport, Physical Education and Health, Hong Kong Baptist University;Département de Pédiatrie, Faculté de Médicine, Université de Montréal and CHU Sainte Justine, CIRENE (Centre Intégré du Réseau en Neurodéveloppement de L’Enfant);Faculty of Kinesiology, Sport, and Recreation, University of Alberta;Healthy Active Living and Obesity Research Group, Children’s Hospital of Eastern Ontario Research Institute;Institute for Physical Activity and Nutrition, Deakin University;MRC Epidemiology Unit, University of Cambridge;Pan-Canadian Joint Consortium for School Health (JCSH);Physical Education, Exercise and Sports Science, Kenyatta University;Physical and Health Education (PHE) Canada;School of Kinesiology and Health Studies, Queen’s University;School of Physical & Health Education, Nipissing University;

关键词: Sedentary Behaviour;    School;    Children;    Youth;    Adolescent;    Systematic Review;   

DOI  :  10.1186/s12966-022-01258-4

来源: DOAJ

【 摘 要 】

Abstract Background The purpose of this systematic review was to examine the associations between school-related sedentary behaviours and indicators of health and well-being in children and youth (~ 5–18 years) attending school. Methods This review was conducted to inform the development of School-Related Sedentary Behaviour Recommendations. Peer-reviewed, published, or in-press articles in English were included. Reviews, meta-analyses, and case studies were excluded; all other study designs were eligible. Further, articles had to meet the a priori study criteria for population, intervention, comparator (PROSPERO ID: CRD42021227600). Embase, MEDLINE® ALL, and PsycINFO were searched. Risk of bias was assessed for individual experimental studies using the Cochrane risk of bias assessment tool, and in observational studies based on the GRADE framework and in line with previous systematic reviews examining sedentary behaviours in children. Overall quality of evidence was assessed using the GRADE framework for each outcome category and study design. Results were synthesized narratively, grouped by study design and outcome category. Further, several high-level summaries were conducted to help interpret results. Results Evidence was synthesized from 116 reports, including 1,385,038 participants and 1173 extracted associations. More school-related sedentary behaviour was favourably associated with nearly one-third of extracted associations for cognitive (33%) and social-emotional (32%) indicators (e.g., less anxiety), but unfavourably associated with other movement behaviours (e.g., less physical activity) (35%). Active lessons were favourable (72%), compared to more school-related sedentary behaviours, when examining associations for all health and well-being indicators. More homework was favourable across all health and well-being indicators in 4% of extracted associations for primary school children, and 25% of extracted associations for secondary school children. However, ≥2 h/day of homework appeared to be unfavourable for health and well-being. Limitations for synthesized studies included generally low quality of evidence and a lack of studies in South American, African, or low-middle income countries. Conclusions Findings can help inform policy makers, schools, and teachers, regarding the amount of homework assigned and the introduction of active lessons into the classroom to enhance health and well-being of children. More research is needed examining school-related sedentary behaviours and indicators of health and well-being in low- and middle-income countries.

【 授权许可】

Unknown