Health-enhancing physical activity and sedentary behaviour in children and adolescents

2004 ◽  
Vol 22 (8) ◽  
pp. 679-701 ◽  
Author(s):  
Stuart JH Biddle ◽  
Trish Gorely ◽  
David J Stensel
Author(s):  
Phuong Nguyen ◽  
Long Khanh-Dao Le ◽  
Dieu Nguyen ◽  
Lan Gao ◽  
David W. Dunstan ◽  
...  

Abstract Background There is increasing concern about the time people spend in sedentary behaviour, including screen time, leisure and occupational sitting. The number of both primary research studies (published trials) and reviews has been growing rapidly in this research area. A summary of the highest level of evidence that provides a broader quantitative synthesis of diverse types of interventions is needed. This research is to articulate the evidence of efficacy of sedentary behaviour interventions to inform interventions to reduce sitting time. The umbrella review, therefore, synthesised systematic reviews that conducted meta-analyses of interventions aiming at reducing sedentary behaviour outcomes across all age group and settings. Method A systematic search was conducted on six databases (MEDLINE Complete, PsycINFO, CINAHL, Global Health via EBSCOhost platform, EMBASE, and Cochrane Central Register of Systematic Reviews). Included articles were systematic reviews with meta-analysis of interventions aiming at reducing sedentary behaviour (screen time, sitting time or sedentary time) in the general population across all age group. Results Seventeen reviews met the inclusion criteria (7 in children and adolescent, 10 in adults). All reviews of sedentary behaviour interventions in children and adolescents investigated intervention effectiveness in reducing screen time. Six out of 11 meta-analyses (reported in 7 reviews) showed small but significant changes in viewing time. All reviews of sedentary behaviour interventions in office workplaces indicated substantial reduction in occupational sitting time (range: 39.6 to 100 min per 8-h workday). Sub-group analyses reported a trend favouring environmental change components such as sit-stand desks, active permissive workstations etc. Meta-analyses indicated that sedentary behaviour interventions were superior to physical activity alone interventions or combined physical activity and sedentary behaviour interventions in reducing sitting time. Conclusion The current systematic reviews and meta-analyses supported sedentary behaviour interventions for reducing occupational sitting time in particular, with small changes seen in screen time in children and adolescents. Future research should explore approaches to maintaining behaviour change beyond the intervention period and investigate the potential of sedentary behaviour reduction interventions in older age groups in non-occupational settings.


2020 ◽  
Vol 109 (10) ◽  
pp. 1956-1973
Author(s):  
Eduarda Sousa‐Sá ◽  
Zhiguang Zhang ◽  
João R. Pereira ◽  
Ian M. Wright ◽  
Anthony D. Okely ◽  
...  

Author(s):  
Lindsay M. Bearne ◽  
Christina H. Opava

This chapter provides an overview of the role of physical activity and exercise in the management of people with rheumatoid arthritis (RA). It defines the concepts of physical activity, exercise, and sedentary behaviour and considers how these are measured objectively and subjectively in research studies and clinical practice. The symptoms and disabilities targeted by appropriately prescribed interventions are discussed and the growing evidence base for the effects of exercise in people with RA is highlighted. The recommendations and guidelines for health-enhancing physical activity and exercise prescription are reviewed and the factors that influence adherence to these are acknowledged. Suggestions of how clinicians may adapt their management approach to facilitate the uptake and maintenance of health-enhancing physical activity and exercise are considered.


BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e034045 ◽  
Author(s):  
Peter Gelius ◽  
Antonina Tcymbal ◽  
Karim Abu-Omar ◽  
Romeu Mendes ◽  
Sara Tribuzi Morais ◽  
...  

ObjectivesWe analysed the information on current national physical activity recommendations in all EU Member States provided by governments in a joint EU/WHO survey on the implementation status of the EU Council Recommendation on Health-Enhancing Physical Activity across Sectors.DesignCross-sectional survey.ParticipantsThe representatives of the 28 EU Member State governments to the EU Physical Activity Focal Point Network.Outcome measuresNational recommendations on: (A) minimum frequency, duration, intensity and lengths of bouts of physical activity, (B) preventing inactivity or sedentary behaviour and (C) further recommendations for additional health benefits, obesity prevention and specific types of activity.ResultsAn official document could be located for 23 of the 28 EU Member States, while four are currently developing recommendations. For children and adolescents, most countries follow the 2010 WHO Global Recommendations for Physical Activity, but there are notable differences in the delimitation of age groups. 14 countries also followed WHO in their recommendations for adults, and 11 countries have additional advice on avoiding inactivity and sitting among adults. 18 Member States have recommendations for older adults, 12 of which follow WHO. Thirteen countries also address at least one special population (eg, pregnant women, people with disabilities and people with chronic diseases), but the level of detail varies substantially between countries.ConclusionsThe large majority of EU Member States either has physical activity recommendations in place or is in the process of developing them. There is a general tendency to use the WHO Global Recommendations as a basis, with the greatest variation observable for children and adolescents. Comparing results with a previous round of data collection shows that the number of EU countries with physical activity recommendations is increasing and that both special groups and sedentary behaviour have become more important in recent years.


2018 ◽  
Author(s):  
Hugo Nivaldo Melo ◽  
Simone Joanna-Maria Stoots ◽  
Marijn Aimee Pool ◽  
Vitor Oliveira Carvalho ◽  
Max Luan De Carvalho Aragão ◽  
...  

Abstract:The aim of this study was to identify the levels of physical activity and sedentary behaviour of children and adolescents with sickle cell disease (SCA) compared to healthy individuals. A cross-sectional study with a quantitative approach was performed at a reference center for the treatment of patients with hemoglobinopathies in northeastern Brazil. Patients were recruited between October 2015 and January 2017. Eligible participants answered a Physical Activity Questionnaire for Older Children and Adolescents (PAQ-C) and were instructed to use an ActiGraph wGT3X-BT triaxial accelerometer for seven consecutive days. The analysis of the results was performed using the SPSS software (version 13.0). Differences between means were analysed using the Mann-Whitney U test and the chi-square test was used to evaluate the proportions of occurrence of categorical variables, comparing patient and controls groups. Among the 352 patients in the follow-up, 64 met the inclusion criteria and agreed to participate. Of those, 14 did not use the accelerometer during the 7 consecutive days and were excluded. 50 patients (and their 50 controls) were then evaluated. We observed a statistically significant difference between cases and controls in the variables “total time of moderate and vigorous physical activity” (p=0.009 and p=0.0001, respectively) and “daily mean of moderate and vigorous physical activity” (p=0.005 and p=0.003). There was also a significant difference among cases and controls in the following variables: “metabolic equivalent” (MET), with p=0.04, total of steps (p=0.04) and “total caloric expenditure” (p=0.0001), with the worst performances for the group of patients with SCA. Children and adolescents with SCA presented lower levels of physical activity than healthy children and adolescents, both when evaluated by the PAQs or by the accelerometer. The results suggest the need to develop specific programs aimed at promoting physical activity levels and reducing sedentary behaviour among young individuals with SCA.


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