Early Start, Faculty of Social Sciences, University of Wollongong and Illawarra Health and Medical Research Institute, Wollongong, New South Wales, Australia
Early Start, Faculty of Social Sciences, University of Wollongong and Illawarra Health and Medical Research Institute, Wollongong, New South Wales, Australia.
Pediatrics. 2020 Jun;145(6). doi: 10.1542/peds.2019-2168. Epub 2020 May 5.
The World Health Organization recommends tummy time for infants because of the benefits of improved motor development and reduced likelihood of plagiocephaly. Because of poor uptake of these recommendations, the association of tummy time with other health outcomes requires further investigation.
To review existing evidence regarding the association of tummy time with a broad and specific range of infant health outcomes.
Electronic databases were searched between June 2018 and April 2019.
Peer-reviewed English-language articles were included if they investigated a population of healthy infants (0 to 12 months), using an observational or experimental study design containing an objective or subjective measure of tummy time which examined the association with a health outcome (adiposity, motor development, psychosocial health, cognitive development, fitness, cardiometabolic health, or risks/harms).
Two reviewers independently extracted data and assessed their quality.
Sixteen articles representing 4237 participants from 8 countries were included. Tummy time was positively associated with gross motor and total development, a reduction in the BMI- score, prevention of brachycephaly, and the ability to move while prone, supine, crawling, and rolling. An indeterminate association was found for social and cognitive domains, plagiocephaly, walking, standing, and sitting. No association was found for fine motor development and communication.
Most studies were observational in design and lacked the robustness of a randomized controlled trial. High selection and performance bias were also present.
These findings guide the prioritization of interventions aimed at assisting parents meet the global and national physical activity guidelines.
世界卫生组织建议婴儿趴着，因为这样有助于改善运动发育，减少扁头畸形的可能性。由于这些建议的接受度不高，因此需要进一步研究趴着与其他健康结果之间的关系。
综述现有关于趴着与广泛和具体的一系列婴儿健康结果之间关系的证据。
在 2018 年 6 月至 2019 年 4 月期间，检索了电子数据库。
如果研究调查了健康婴儿（0 至 12 个月）群体，采用了观察性或实验性研究设计，包含对趴着时间的客观或主观测量，并检查了与健康结果（肥胖、运动发育、心理社会健康、认知发育、体能、心血管代谢健康或风险/危害）的关联，则纳入同行评审的英文文章。
两名评审员独立提取数据并评估其质量。
来自 8 个国家的 4237 名参与者的 16 篇文章被纳入研究。趴着时间与粗大运动和总发育、BMI 评分降低、预防短头畸形以及能够在趴着、仰卧、爬行和滚动时移动有关。社会和认知领域、扁头畸形、行走、站立和坐立与趴着时间之间的关系不确定。精细运动发育和交流与趴着时间无关联。
大多数研究为观察性设计，缺乏随机对照试验的稳健性。还存在高度的选择和表现偏倚。
这些发现为旨在帮助父母满足全球和国家身体活动指南的干预措施的优先排序提供了依据。
