Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health research institute, Van der Boechorststraat 7, 1081, BT, Amsterdam, The Netherlands.
Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, PO Box 616, 6200, MD, Maastricht, The Netherlands.
Int J Behav Nutr Phys Act. 2022 Feb 14;19(1):18. doi: 10.1186/s12966-022-01251-x.
Accurate proxy-report questionnaires, adapted to the child's developmental stage, are required to monitor 24-h movement behaviors in young children, especially for large samples and low-resource settings.
This review aimed to summarize available studies evaluating measurement properties of proxy-report questionnaires assessing physical activity, sedentary behavior and/or sleep in children aged 0-5 years.
Systematic literature searches were carried out in the PubMed, Embase and SPORTDiscus databases, up to January 2021. For physical activity and sedentary behavior questionnaires this is a review update, whereas for sleep questionnaires we included all relevant studies published up to now. Studies had to evaluate at least one of the measurement properties of a proxy-report questionnaire assessing at least duration and/or frequency of physical activity, sedentary behavior and/or sleep in 0- to 5-year-old children. The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) guideline was used to evaluate the quality of evidence.
Thirty-three studies were included, examining a total of 37 questionnaires. Ten questionnaires were designed for infants, two for toddlers, 11 for preschoolers, and 14 for a broader age range targeting multiple of these age groups. Twenty questionnaires assessed constructs of sleep, four assessed constructs of physical activity, two assessed screen behavior, five assessed constructs of both physical activity and sedentary behavior, and six assessed constructs of all 24-h movement behaviors. Content validity was evaluated for six questionnaires, structural validity for two, internal consistency for three, test-retest reliability for 16, measurement error for one, criterion validity for one, and construct validity for 26 questionnaires. None of the questionnaires were considered sufficiently valid and/or reliable for assessing one or more movement behaviors in 0- to 5-year-old children, and the quality of evidence was mostly low or very low.
Valid and/or reliable questionnaires assessing 24-h movement behaviors in 0- to 5-year-olds are lacking. High-quality studies are therefore required, to develop proxy-report questionnaires and evaluate their measurement properties.
CRD42020169268.
为了监测幼儿 24 小时的运动行为，特别是对于大样本和资源匮乏的环境，需要使用经过儿童发育阶段调整的准确代理报告问卷。
本综述旨在总结评估 0-5 岁儿童体力活动、久坐行为和/或睡眠的代理报告问卷的测量特性的现有研究。
系统地在 PubMed、Embase 和 SPORTDiscus 数据库中进行文献检索，检索时间截至 2021 年 1 月。对于体力活动和久坐行为问卷，这是一项综述更新，而对于睡眠问卷，我们纳入了迄今为止所有相关的研究。研究必须评估至少一个代理报告问卷的测量特性，该问卷评估了 0-5 岁儿童的体力活动、久坐行为和/或睡眠的持续时间和/或频率。使用共识基础的健康测量仪器选择标准（COSMIN）指南来评估证据的质量。
共纳入 33 项研究，共涉及 37 个问卷。其中 10 个问卷是为婴儿设计的，2 个为学步儿设计的，11 个为学龄前儿童设计的，14 个为针对多个年龄组的更广泛的年龄范围设计的。20 个问卷评估睡眠结构，4 个评估体力活动结构，2 个评估屏幕行为，5 个评估体力活动和久坐行为的结构，6 个评估所有 24 小时运动行为的结构。有 6 个问卷评估了内容效度，2 个评估了结构效度，3 个评估了内部一致性，16 个评估了重测信度，1 个评估了测量误差，1 个评估了标准效度，26 个问卷评估了结构效度。没有一个问卷被认为在评估 0-5 岁儿童的一种或多种运动行为方面足够有效和/或可靠，并且证据质量大多为低或极低。
缺乏评估 0-5 岁儿童 24 小时运动行为的有效和/或可靠问卷。因此，需要高质量的研究来开发代理报告问卷并评估其测量特性。
PROSPERO 注册号：CRD42020169268。
