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Effectiveness of centre-based childcare interventions in increasing child physical activity: A systematic review and meta-analysis for policymakers and practitioners
journal contribution
posted on 2023-02-15, 22:20 authored by M Finch, J Jones, Serene YoongSerene Yoong, J Wiggers, L WolfendenContext: The review describes the effectiveness of physical activity interventions implemented in centre-based childcare services and (i) examines characteristics of interventions that may influence intervention effects; (ii) describes the effects of pragmatic interventions and non-pragmatic interventions; (iii) assesses adverse effects; and (iv) describes cost-effectiveness of interventions Methods: Data sources were Cochrane Central Register of Controlled trials, MEDLINE, EMBASE, PsycINFO, ERIC, CINAHL, SCOPUS and SPORTDISCUS. Studies selected included randomized controlled trials conducted in centre-based childcare including an intervention to increase objectively measured physical activity in children aged less than 6years. Data were converted into standardized mean difference (SMD) and analysed using a random effects model. Results: Overall interventions significantly improved child physical activity (SMD 0.44; 95% confidence interval [CI]: 0.12-0.76). Significant effects were found for interventions that included structured activity (SMD 0.53; 95% CI: 0.12-0.94), delivery by experts (SMD 1.26; 95% CI: 0.20-2.32) and used theory (SMD 0.76; 95% CI: 0.08-1.44). Non-pragmatic (SMD 0.80; 95% CI: 0.12-1.48) but not pragmatic interventions (SMD 0.10; 95% CI:-0.13-0.33) improved child physical activity. One trial reported adverse events, and no trials reported cost data. Conclusions: Intervention effectiveness varied according to intervention and trial design characteristics. Pragmatic trials were not effective, and information on cost and adverse effects was lacking. Evidence gaps remain for policymakers and practitioners regarding the effectiveness and feasibility of childcare-based physical activity interventions.
History
Journal
Obesity ReviewsVolume
17Pagination
412-428Location
EnglandPublisher DOI
ISSN
1467-7881eISSN
1467-789XLanguage
enIssue
5Publisher
WileyUsage metrics
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No categories selectedKeywords
Childcareinterventionphysical activitypragmaticsystematic reviewBiasChildExerciseHumansObesityRisk FactorsPreventionPediatricClinical Trials and Supportive ActivitiesComparative Effectiveness ResearchClinical Research3.1 Primary prevention interventions to modify behaviours or promote wellbeing3 Prevention of disease and conditions, and promotion of well-beingCardiovascularMedical and Health SciencesPsychology and Cognitive Sciences
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