Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore.
Department of Obstetrics & Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Obes Rev. 2022 Sep;23(9):e13485. doi: 10.1111/obr.13485. Epub 2022 Jun 13.
This systematic review aims to identify the multilevel correlates of sedentary behavior (SB) and its sub-domains among preschool-aged children aged 0-7 years in Asia. We systematically searched for studies published from 2000 onwards using terms related to SB correlates and Asia in six databases. Eligible studies were observational and used quantitative methods to examine correlates of total, and domain-specific SB (screen viewing [SV] and non-screen-based SB) in Asian children living in Asia. Two reviewers independently screened identified references. Following quality assessment of included studies, we performed narrative synthesis to summarize the evidence on the intrapersonal, interpersonal, environmental correlates of total and domain-specific SB (PROSPERO: CRD42018095268). Twenty-two studies from 4 regions and 12 countries/territories were included. Out of the 94 correlates explored, the following associations were consistent: older age, being a boy, non-Chinese ethnicity (Southeast Asia), younger maternal age, higher maternal and paternal television-viewing time with higher SV; higher SV at earlier age with higher SV and total SB; and presence of TV/computer in the bedroom with higher leisure-time SB. We encourage more studies from low- and middle-income Asian countries with an increased focus on different SB domains, further exploration of environmental correlates, and the use of objective measurements to capture SB.
本系统评价旨在确定亚洲 0-7 岁学龄前儿童久坐行为（SB）及其各领域的多层次相关性。我们使用与 SB 相关性和亚洲相关的术语，在六个数据库中对 2000 年以后发表的研究进行了系统检索。符合条件的研究为观察性研究，采用定量方法来考察亚洲儿童总 SB（屏幕观看 [SV] 和非屏幕 SB）和特定领域 SB（SV 和非屏幕 SB）的相关性。两名审查员独立筛选确定了参考文献。在对纳入研究进行质量评估后，我们进行了叙述性综合，以总结关于个人、人际、环境与总 SB 和特定领域 SB（PROSPERO：CRD42018095268）相关性的证据。来自 4 个地区和 12 个国家/地区的 22 项研究被纳入。在所探讨的 94 个相关性中，以下关联是一致的：年龄较大、男孩、非华裔（东南亚）、母亲年龄较小、母亲和父亲看电视时间较长与 SV 较高；早期 SV 较高与 SV 和总 SB 较高有关；卧室里有电视/电脑与休闲时间 SB 较高有关。我们鼓励来自亚洲低收入和中等收入国家的更多研究，重点关注不同的 SB 领域，进一步探索环境相关性，并使用客观测量来捕捉 SB。
