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Interventions to reduce sedentary behaviour in 0-5-year-olds: A systematic review and meta-analysis of randomised controlled trials

Downing, Katherine, Hnatiuk, Jill, Hinkley, Trina, Salmon, Jo-Ann and Hesketh, Kylie 2016, Interventions to reduce sedentary behaviour in 0-5-year-olds: A systematic review and meta-analysis of randomised controlled trials, British journal of sports medicine, pp. 1-10, doi: 10.1136/bjsports-2016-096634.

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Title Interventions to reduce sedentary behaviour in 0-5-year-olds: A systematic review and meta-analysis of randomised controlled trials
Author(s) Downing, Katherine
Hnatiuk, Jill
Hinkley, TrinaORCID iD for Hinkley, Trina orcid.org/0000-0003-2742-8579
Salmon, Jo-AnnORCID iD for Salmon, Jo-Ann orcid.org/0000-0002-4734-6354
Hesketh, KylieORCID iD for Hesketh, Kylie orcid.org/0000-0002-2702-7110
Journal name British journal of sports medicine
Start page 1
End page 10
Total pages 10
Publisher BMJ Publishing Group
Publication date 2016-10-06
ISSN 0306-3674
1473-0480
Summary Aim or objective To evaluate the effectiveness of behavioural interventions that report sedentary behaviour outcomes during early childhood. Design Systematic review and meta-analysis. Data sources Academic Search Complete, CINAHL Complete, Global Health, MEDLINE Complete, PsycINFO, SPORTDiscus with Full Text and EMBASE electronic databases were searched in March 2016. Eligibility criteria for selecting studies Inclusion criteria were: (1) published in a peer-reviewed English language journal; (2) sedentary behaviour outcomes reported; (3) randomised controlled trial (RCT) study design; and (4) participants were children with a mean age of =5.9 years and not yet attending primary/ elementary school at postintervention. Results 31 studies were included in the systematic review and 17 studies in the meta-analysis. The overall mean difference in screen time outcomes between groups was -17.12 (95% CI -28.82 to -5.42) min/day with a significant overall intervention effect (Z=2.87, p=0.004). The overall mean difference in sedentary time between groups was -18.91 (95% CI -33.31 to -4.51) min/day with a significant overall intervention effect (Z=2.57, p=0.01). Subgroup analyses suggest that for screen time, interventions of =6 months duration and those conducted in a community-based setting are most effective. For sedentary time, interventions targeting physical activity (and reporting changes in sedentary time) are more effective than those directly targeting sedentary time. Summary/conclusions Despite heterogeneity in study methods and results, overall interventions to reduce sedentary behaviour in early childhood show significant reductions, suggesting that this may be an opportune time to intervene.
Language eng
DOI 10.1136/bjsports-2016-096634
Field of Research 110699 Human Movement and Sports Science not elsewhere classified
11 Medical And Health Sciences
09 Engineering
13 Education
Socio Economic Objective 920401 Behaviour and Health
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, BMJ Publishing Group
Persistent URL http://hdl.handle.net/10536/DRO/DU:30088680

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Created: Thu, 10 Nov 2016, 11:44:01 EST

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