Sports Medicine ( IF 9.3 ) Pub Date : 2022-10-11 , DOI: 10.1007/s40279-022-01761-5 Jelle Arts 1 , Elizabeth Drotos 2 , Amika S Singh 3, 4 , Mai J M Chinapaw 1 , Teatske M Altenburg 1 , Jessica S Gubbels 2
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Background
Many children aged 0–5 years do not meet the WHO physical activity guidelines. To develop effective, evidence-based interventions, it is necessary to understand which factors are associated with physical activity in early childhood.
Objective
To summarize the current evidence on correlates of physical activity in 0- to 5-year-old children.
Methods
First, a systematic umbrella review was conducted following PRISMA guidelines. PubMed, Embase, PsycINFO, and SPORTDiscus were searched up to May 2020 for systematic reviews examining the association between potential correlates and quantitatively measured physical activity in children aged 0–5.9 years. Included reviews were assessed on methodological quality, and results were categorized according to the socio-ecological model. Second, 31 international researchers of physical activity in young children participated in an expert panel to reflect on the outcomes of the umbrella review and propose directions for future research.
Results
Twenty-one reviews were included that examined a total of 98 potential correlates. When synthesizing all reviews, 23 correlates were found with consistent evidence for an association with a physical activity outcome. For most other potential correlates there was inconsistent evidence across reviews for associations with physical activity in young children. Although there was little overlap between the correlates identified in the umbrella review and determinants suggested by the expert panel, both confirmed the importance of socio-cultural, policy, and physical environmental factors in general.
Conclusion
Multiple correlates of young children's physical activity were identified. However, various methodological challenges (e.g., measurement instruments) and the large heterogeneity (e.g., study samples, correlates, and outcome measures) hindered formulating definitive conclusions. Moreover, none of the reviews reported on the interrelatedness between correlates, which would align with more holistic understandings of behavior. Our findings indicate the urgent need for establishing a common ground in definitions, assessment methods, and analytical methods to further the field of physical activity research in this tremendously important age group.
Prospero Registration Number
CRD42020184159.
中文翻译：
0 至 5 岁儿童身体活动的相关性：一项系统的综合审查和国际研究人员的咨询
背景
许多 0-5 岁的儿童不符合世卫组织的身体活动指南。为了制定有效的、基于证据的干预措施，有必要了解哪些因素与幼儿期的身体活动有关。
客观的
总结有关 0 至 5 岁儿童身体活动相关性的当前证据。
方法
首先，根据 PRISMA 指南进行了系统的总体审查。在 PubMed、Embase、PsycINFO 和 SPORTDiscus 中搜索了截至 2020 年 5 月的系统评价，以检验 0-5.9 岁儿童的潜在相关性和定量测量的身体活动之间的关联。对纳入的评论进行了方法学质量评估，并根据社会生态模型对结果进行了分类。其次，31 名国际幼儿身体活动研究人员参加了一个专家小组，以反思总体审查的结果并提出未来研究的方向。
结果
包括 21 条评论，检查了总共 98 个潜在相关性。在综合所有评论时，发现了 23 个相关性，并提供了与身体活动结果相关的一致证据。对于大多数其他潜在相关因素，关于与幼儿身体活动的关联的评论证据不一致。尽管综合审查中确定的相关因素与专家小组建议的决定因素之间几乎没有重叠，但两者都证实了社会文化、政策和物理环境因素的重要性。
结论
确定了幼儿身体活动的多重相关性。然而，各种方法学挑战（例如，测量仪器）和较大的异质性（例如，研究样本、相关性和结果测量）阻碍了明确结论的形成。此外，没有任何评论报告相关因素之间的相互关联性，这与对行为的更全面的理解相一致。我们的研究结果表明，迫切需要在定义、评估方法和分析方法方面建立共同点，以进一步推进这个极其重要的年龄组的身体活动研究领域。
Prospero 注册号
CRD42020184159。
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