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促进儿童和青少年身体活动及减少久坐行为的干预研究是否考虑了性别因素?一项系统综述。

Do Intervention Studies to Promote Physical Activity and Reduce Sedentary Behavior in Children and Adolescents Take Sex/Gender Into Account? A Systematic Review.

作者信息

Schlund Annegret, Reimers Anne K, Bucksch Jens, Brindley Catherina, Schulze Carolin, Puil Lorri, Coen Stephanie E, Phillips Susan P, Knapp Guido, Demetriou Yolanda

出版信息

J Phys Act Health. 2021 Mar 5;18(4):461-468. doi: 10.1123/jpah.2020-0666. Print 2021 Apr 1.

DOI:10.1123/jpah.2020-0666
PMID:33668018
Abstract

BACKGROUND

Physical inactivity is often reported in youth and differs among boys and girls. The aim of this study is to assess sex/gender considerations in intervention studies promoting physical activity and reducing sedentary behavior in youth using a sex/gender checklist.

METHODS

A systematic search was conducted in August 2018 to identify all relevant controlled trials. Studies screened must have reported a quantified measure of physical activity and/or sedentary behavior, and identified participants by sex/gender at baseline. For evaluation of the sex/gender consideration, the authors used a sex/gender checklist developed by expert consensus.

RESULTS

The authors reviewed sex/gender considerations in all aspects of intervention development, implementation, and evaluation in 217 studies. Sex/gender aspects were only rudimentarily taken into account, most frequently during statistical analyses, such as stratification or interaction analysis.

CONCLUSIONS

Sex/gender effects are not sufficiently reported. To develop guidelines that are more inclusive of all girls and boys, future interventions need to document sex/gender differences and similarities, and explore whether sex/gender influences different phases of intervention programs. The newly developed sex/gender checklist can hereby be used as a tool and guidance to adequately consider sex/gender in the several steps of intervention planning, implementation, and evaluation.

摘要

背景

青少年身体活动不足的情况屡见不鲜,且存在性别差异。本研究旨在使用性别清单评估在促进青少年身体活动和减少久坐行为的干预研究中对性别因素的考量。

方法

2018年8月进行了系统检索,以识别所有相关对照试验。纳入筛选的研究必须报告身体活动和/或久坐行为的量化测量指标,并在基线时按性别识别参与者。为评估性别因素的考量情况,作者使用了通过专家共识制定的性别清单。

结果

作者审查了217项研究在干预开发、实施和评估各方面对性别因素的考量。性别因素仅在统计分析(如分层或交互分析)中得到初步考虑。

结论

性别效应的报告不够充分。为制定更具包容性的针对所有青少年的指南,未来的干预措施需要记录性别差异和相似之处,并探讨性别是否会影响干预计划的不同阶段。新开发的性别清单可作为一种工具和指导,以便在干预计划、实施和评估的几个步骤中充分考虑性别因素。

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