School of Sport, Exercise & Health Sciences, Loughborough University, Loughborough, UK.
MRC Epidemiology Unit, University of Cambridge, Cambridge, UK
BMJ Open. 2022 May 2;12(5):e051736. doi: 10.1136/bmjopen-2021-051736.
To examine the evidence on the associations between socioeconomic position and young people's physical activity and sedentary behaviours in the UK.
Scoping review.
PubMed, SCOPUS and Web of Science databases were searched for articles published up to and including January 2021.
Observational studies in children and adolescents (aged 5-18 years) from the UK that had assessed associations between at least one indicator of socioeconomic position and at least one outcome of physical activity and/or sedentary behaviour.
Data were extracted by one reviewer and 20% were double checked. Indicators of socioeconomic position were tabulated with domains of physical activity and sedentary behaviour.
Fifty-seven publications were included in the review; 37 publications from 19 studies (k=23) of children and 21 publications from 15 studies (k=23) of adolescents. Most studies were cross-sectional. 63% of studies of children, and 40% of studies of adolescents assessed Index of Multiple Deprivation. Eighteen studies measured physical activity in children, 13 measured sedentary behaviour. Eleven studies of adolescents included a measure of physical activity, 10 included a measure of sedentary behaviour. Among children and adolescents, the association between socioeconomic position and measures of either physical activity or sedentary behaviour was highly variable depending on the measure of both socioeconomic position used and the behavioural outcome, with the exception of higher family affluence which was consistently associated with higher reported physical activity among adolescents.
Physical activity and sedentary behaviours of children and adolescents in the UK are complex and influenced by multiple indicators of socioeconomic position that are, in most cases, different across age stages, outcomes examined and measurement tools. Greater consistency in the use and measures of socioeconomic position as well as outcomes of behaviour are required for robust country-specific meta-analyses.
考察英国社会经济地位与年轻人身体活动和久坐行为之间关联的证据。
范围综述。
在 PubMed、SCOPUS 和 Web of Science 数据库中检索截至 2021 年 1 月发表的文章。
在英国，对儿童和青少年（5-18 岁）进行的观察性研究，评估了至少一种社会经济地位指标与至少一种身体活动和/或久坐行为结果之间的关联。
由一名评审员提取数据，20%的数据进行了双重检查。将社会经济地位指标与身体活动和久坐行为的各个领域进行了列表。
综述共纳入 57 篇文献；其中 37 篇来自 19 项研究（k=23）的儿童，21 篇来自 15 项研究（k=23）的青少年。大多数研究是横断面研究。63%的儿童研究和 40%的青少年研究评估了多重剥夺指数。18 项研究测量了儿童的身体活动，13 项研究测量了久坐行为。11 项青少年研究包括身体活动测量，10 项研究包括久坐行为测量。在儿童和青少年中，社会经济地位与身体活动或久坐行为测量值之间的关联高度可变，这取决于使用的社会经济地位衡量指标以及行为结果，除了家庭富裕程度较高，这与青少年报告的身体活动较高始终相关。
英国儿童和青少年的身体活动和久坐行为复杂，受多种社会经济地位指标的影响，这些指标在大多数情况下，因年龄阶段、所研究的结果和测量工具而不同。为了进行稳健的国家特定荟萃分析，需要在社会经济地位的使用和衡量以及行为结果方面更加一致。
