Abstract:
OBJECTIVE:It is unknown how much previous reviews on promoting physical activity (PA) for children and adolescents (aged 6-18years) take into account studies from low- and middle-income countries (LMIC, based on the World Bank definition) and the level of evidence of the effect of PA interventions in this population. This study aims to answer such questions using an umbrella systematic review approach. METHODS:We searched for peer-reviewed systematic reviews and original studies in eight electronic databases, screening of reference lists and expert contacts. Information in systematic reviews on PA interventions for children and adolescents from LMIC was discussed. Original studies on PA interventions (randomized-controlled trials [RCT], cluster-RCT and non-RCT) with children and adolescents from LMIC were eligible. We assessed the methodological quality in all studies, and the evidence level of effect on PA in intervention studies. RESULTS:Fifty systematic reviews (nine meta-analyses) and 25 original studies (20 different interventions) met eligibility criteria. Only 3.1% of mentioned studies in previous reviews were from LMIC. Strong and LMIC-specific evidence was found that school-based, multicomponent, and short-term (up to six months) interventions, focused on adolescents primarily (aged 13-18years), can promote PA in children and adolescents from LMIC. Other intervention characteristics had inconclusive evidence due to the low number of studies, low methodological quality, and/or small sample size. CONCLUSION:A minimal part of PA interventions mentioned in previous reviews are from LMIC. Our LMIC-specific analyses showed priorities of implementation and practical implication that can be used in public policies for PA promotion in LMIC.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Barbosa Filho VC,Minatto G,Mota J,Silva KS,de Campos W,Lopes Ada Sdoi
10.1016/j.ypmed.2016.03.025subject
Has Abstractpub_date
2016-07-01 00:00:00pages
115-26eissn
0091-7435issn
1096-0260pii
S0091-7435(16)30049-4journal_volume
88pub_type
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journal_title:Preventive medicine
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journal_title:Preventive medicine
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journal_title:Preventive medicine
pub_type: 杂志文章,评审
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