从性别视角出发对儿童和青少年身体活动和久坐行为干预措施的系统评价方案
Interventions on children's and adolescents' physical activity and sedentary behaviour: protocol for a systematic review from a sex/gender perspective.
机构信息
Department of Sport and Health Sciences, Technical University of Munich, Georg-Brauchle-Ring 62, 80992, Munich, Germany.
Department of Natural and Human Sciences, Heidelberg University of Education, Heidelberg, Germany.
出版信息
Syst Rev. 2019 Feb 26;8(1):65. doi: 10.1186/s13643-019-0963-2.
BACKGROUND
Low levels of physical activity (PA) and high levels of sedentary behaviour (SB) have been observed in young people. Both behaviours are detrimental for health with patterns tending to continue into adulthood. There is sustained value in establishing health habits in early years. Even though levels of SB and participation in PA differ among boys and girls, and the effectiveness of interventions to promote PA and/or prevent sedentary behaviours varies by sex/gender to date, sex/gender in systematic reviews is not yet widely considered. Additionally, while tools have been proposed, there is no consensus on the criteria to assess sex/gender in systematic reviews in the context of health promotion. The main objectives of this systematic review are to evaluate the effects of interventions on girls' and boys' PA and SB and to appraise the extent to which the studies have taken sex/gender into account.
METHODS
Eleven electronic databases will be searched to identify all relevant (randomized) controlled trials. Two independent reviewers will screen studies, extract data and appraise the quality of studies. The main outcome of the studies will be a quantified measure of PA and/or SB. Risk of bias of individual studies will be assessed using the Cochrane Risk of Bias Tool for RCTs. Meta-analyses will be conducted when possible among studies with sufficient homogeneity. To evaluate sex/gender considerations in primary studies, we will use a sex/gender checklist that builds on existing tools and was developed during a 2-day, iterative process among a multidisciplinary panel of 16 experts. The GRADE framework will be used to evaluate evidence across studies for each main efficacy outcome.
DISCUSSION
To our knowledge, our systematic review will be the first to analyse how sex/gender is considered in interventions promoting PA and/or reducing SB in children and adolescents in detail. The review will provide information on how sex/gender aspects have been considered in recent research and the extent to which sex/gender might impact study outcomes. Our findings will be of interest to stakeholders, health promoters, researchers and policy makers who wish to support more equal outcomes from interventions promoting PA and/or reducing SB.
TRIAL REGISTRATION
PROSPERO CRD42018109528 .
背景
年轻人中普遍存在体力活动（PA）水平低和久坐行为（SB）水平高的现象。这两种行为都对健康有害，而且往往会持续到成年。在早年养成健康习惯具有持续的价值。尽管男孩和女孩的 SB 水平和参与 PA 的程度不同，并且迄今为止，干预措施促进 PA 和/或预防久坐行为的效果因性别而异，但系统评价中尚未广泛考虑性别。此外，虽然已经提出了工具，但在促进健康的背景下，系统评价中评估性别的标准尚未达成共识。本系统评价的主要目的是评估干预措施对女孩和男孩 PA 和 SB 的影响，并评估研究在多大程度上考虑了性别。
方法
将从 11 个电子数据库中搜索所有相关（随机）对照试验。两名独立的审查员将筛选研究、提取数据并评估研究质量。研究的主要结果将是 PA 和/或 SB 的量化测量值。将使用 Cochrane 随机对照试验风险偏倚工具评估个别研究的风险偏倚。如果可能，将对具有足够同质性的研究进行荟萃分析。为了评估初级研究中对性别的考虑，我们将使用一个基于现有工具并在由 16 名多学科专家组成的为期两天的迭代过程中开发的性别检查表。将使用 GRADE 框架对每项主要疗效结果的研究进行评估。
讨论
据我们所知，我们的系统评价将是第一个详细分析促进儿童和青少年 PA 和/或减少 SB 的干预措施中如何考虑性别的。该综述将提供有关最近研究中如何考虑性别问题的信息，以及性别问题在多大程度上可能影响研究结果。我们的研究结果将引起利益相关者、健康促进者、研究人员和政策制定者的兴趣，他们希望支持促进 PA 和/或减少 SB 的干预措施取得更平等的结果。
试验注册
PROSPERO CRD42018109528。
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