Accelerometer-measured physical activity and sedentary behavior in Chinese children and adolescents: a systematic review and meta-analysis

Zhang, Z.H.; Li, H.J.; Slapšinskaitė, Agnė; Zhang, T.; Zhang, L.; Gui, Chunyan

doi:10.1016/j.puhe.2020.07.001

Cited by 20 publications

(22 citation statements)

References 44 publications

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“…Despite the apparent increase in sedentary time during the pandemic in children observed in the present meta-analysis, the total sedentary time determined in this review (383.9 ± 138.2 min day −1 ) was nonetheless in accord with [ 91 , 92 ], or lower than [ 13 , 93 ], the figures reported prior to the pandemic. This is likely to be predominantly due to a reliance on subjective recall measures during the pandemic [ 94 ].…”

Section: Discussioncontrasting

confidence: 78%

“…Indeed, even 10 min of uninterrupted sedentary time has been reported to decrease insulin sensitivity and glucose tolerance and increase circulating triglyceride levels [ 1 ]. Of concern, however, the average North American child (8–18 years) engages in 75 h week −1 (or 10.7 h day −1 ) of multimedia use [ 10 , 11 ], with comparable levels reported in European [ 12 ] and Asian [ 13 ] children. Similar levels of sedentary time (up to 12.3 ± 1.4 h day −1 ) have been reported globally in adults [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

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Impact of the COVID-19 Pandemic on Sedentary Time and Behaviour in Children and Adults: A Systematic Review and Meta-Analysis

Runacres

Mackintosh

Knight

et al. 2021

IJERPH

136

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The aim of this meta-analysis was to quantify the change in sedentary time during the COVID-19 pandemic and its effect on health outcomes in the general population. One thousand six hundred and one articles published after 2019 were retrieved from five databases, of which 64 and 40 were included in the systematic review and meta-analysis, respectively. Studies were grouped according to population: children (<18 years), adults (18–64 years) and older adults (>65 years). Average sedentary time was calculated, with sub-analyses performed by country, behaviour type and health outcomes. Children were most affected, increasing their sedentary time by 159.5 ± 142.6 min day−1, followed by adults (+126.9 ± 42.2 min day−1) and older adults (+46.9 ± 22.0 min day−1). There were no sex differences in any age group. Screen time was the only consistently measured behaviour and accounted for 46.8% and 57.2% of total sedentary time in children and adults, respectively. Increases in sedentary time were negatively correlated with global mental health, depression, anxiety and quality of life, irrespective of age. Whilst lockdown negatively affected all age groups, children were more negatively affected than adults or older adults, highlighting this population as a key intervention target. As lockdowns ease worldwide, strategies should be employed to reduce time spent sedentary. Trial registration: PROSPERO (CRD42020208909).

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Section: Discussioncontrasting

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic on Sedentary Time and Behaviour in Children and Adults: A Systematic Review and Meta-Analysis

Runacres

Mackintosh

Knight

et al. 2021

IJERPH

136

View full text Add to dashboard Cite

show abstract

“…The values obtained were less than the level of 60 min/day recommended by the World Health Organization 5 . Children and adolescents with ID spent an average of 25.1 min/day in MVPA, which was much lower than that of their typically developing peers (41.1 min/day) 6 . More adolescents (aged 13–18 years) were overweight and with obesity and insufficiently active compared to those aged 6–12 years 5 …”

Section: Introductionmentioning

confidence: 71%

“…5 Children and adolescents with ID spent an average of 25.1 min/day in MVPA, which was much lower than that of their typically developing peers (41.1 min/day). 6 More adolescents (aged 13-18 years) were overweight and with obesity and insufficiently active compared to those aged 6-12 years. 5 Given the high prevalence and serious consequences of obesity among adolescents with ID, an effective intervention to reduce obesity in this vulnerable population is desperately needed; PA should be included and regarded as a priority.…”

mentioning

confidence: 99%

Effectiveness of an adapted physical activity intervention for weight management in adolescents with intellectual disability: A randomized controlled trial

Wang

Sun

et al. 2022

Pediatric Obesity

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Summary Objective To evaluate the effectiveness of a 9‐month school‐based adapted physical activity (APA) program for reducing weight among adolescents with intellectual disability (ID). Methods In this randomized controlled trial, adolescents with ID, aged 12–18 years, who were overweight/or with obesity were randomly assigned into intervention and control groups. The APA intervention consisted of aerobic and resistance exercises with an overall moderate intensity and was delivered at a frequency of two sessions per week for 9 months. Changes in body mass index (BMI, primary outcome) and changes in BMIz, weight, percent body fat, waist circumference and waist‐to‐height ratio (secondary outcomes) were examined using general linear models. Results In total 61 subjects (39 in the intervention and 22 in the control) completed the study and were included in the analyses. At 9 months, the intervention group exhibited a reduced BMI of −0.66 kg/m2 (95% CI −1.06 to −0.25 kg/m2, p = 0.002), while a significant increase in BMI was observed in the control group. A significant post‐intervention between‐group difference in change in BMI (−1.31 kg/m2 [95% CI −1.99 to −0.63], p < 0.01) was found in favour of the intervention group. Similar results were also observed for all secondary outcomes. Conclusions This study provides evidence that a 9‐month APA intervention induced clinically meaningful effects on weight loss in adolescents with ID.

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“…In behavior, they are considered to be quiet and dignified, and even in a physical education class, some teacher requirements and expectations for the physical fitness of girls are automatically reduced. The longterm accumulation of such rigid thinking reduces women's interest and learning in healthy physical fitness (21)(22)(23). Sidani et al (24) believe that women emphasize personal interpersonal relationships in terms of interpersonal support, and they usually solve problems in an interpersonal and intimate way.…”

Section: Discussionmentioning

confidence: 99%

Predictive Analysis of Health/Physical Fitness in Health-Promoting Lifestyle of Adolescents

Líu

Liu

2021

Front. Public Health

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Objective: Explore the correlation and predictive power of health physical fitness on health-promoting lifestyle of adolescents to provide an important reference for reform in middle school physical education classroom teaching.Methods: Taking some junior and senior high school students in Nanchong City of Sichuan Province as survey objects, a stratified random sampling method was used to carry out a health/fitness test and conduct a questionnaire survey. SPSS17.0, amos 21.0, and other statistical analysis software were used to process the relevant data.Results: (1) Male adolescents had 14.4% predictive power for their overall health-promoting lifestyle through the combined effects of cardiopulmonary endurance, muscle strength, and explosive strength, while female adolescents had 16.8% predictive power for their overall health-promoting lifestyle through the combined effects of cardiopulmonary endurance, flexibility, and body mass index (BMI). (2) Ten percent of the variation in the health-promoting lifestyle of men under 14 years old was caused by the combined effects of muscle endurance and muscle strength, while 14.4% of the variation in the health-promoting lifestyle of female adolescents was caused by the combined effects of muscle endurance, muscle strength, flexibility, and cardiopulmonary endurance. (3) Some 10.9 and 17.6% of the variation in health-promoting lifestyle of male and female adolescents aged between 14 and 17 was caused by the combined effects of cardiopulmonary endurance, muscle strength, and flexibility, respectively. (4) Some 20.7% of the variation in health promoting lifestyle of male adolescents aged 17 years or above was caused by cardiopulmonary endurance, explosive force, and muscle endurance, while 16.8% of the variation in health-promoting lifestyle of female adolescents was caused by the combined effect of cardiopulmonary endurance, BMI, and muscle endurance.Conclusion: Health and physical fitness of adolescents can significantly predict their health-promoting lifestyle, and the predictive power and typical correlation between them are affected by demographic factors.

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Accelerometer-measured physical activity and sedentary behavior in Chinese children and adolescents: a systematic review and meta-analysis

Cited by 20 publications

References 44 publications

Impact of the COVID-19 Pandemic on Sedentary Time and Behaviour in Children and Adults: A Systematic Review and Meta-Analysis

Impact of the COVID-19 Pandemic on Sedentary Time and Behaviour in Children and Adults: A Systematic Review and Meta-Analysis

Effectiveness of an adapted physical activity intervention for weight management in adolescents with intellectual disability: A randomized controlled trial

Predictive Analysis of Health/Physical Fitness in Health-Promoting Lifestyle of Adolescents

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