School of Occupational Therapy, University of Western Ontario, London, Ontario, Canada
Department of Health and Rehabilitation Sciences, University of Western Ontario, London, Ontario, Canada.
BMJ Open. 2022 Aug 16;12(8):e060140. doi: 10.1136/bmjopen-2021-060140.
Physical activity in the early years is necessary for setting the foundation for healthy growth and development in later childhood and adolescence. While most published evidence to date focuses on typically developing children, prevalence rates of physical activity among children with disabilities have been less studied. This protocol paper documents the plan of a systematic review, which aims to synthesise the evidence regarding physical activity levels among young children with disabilities.
Searches are anticipated to commence in May 2022. Empirical quantitative studies will be considered for inclusion if they present intervention or observational data on non-therapeutic (ie, leisure time) physical activity among children <5.99 years with physical, mental, intellectual or sensory impairments. Data sources will be retrieved via electronic database searches (Cumulative Index to Nursing and Allied Health Literature (CINAHL), EBSCO Sports Medicine Database (SPORTDiscus), Medical Literature Analysis and Retrieval System Online (MEDLINE), Elsevier Bibliographic Database (Scopus), Psychological Abstracts (PsycINFO), Education Resources Information Centre (ERIC) and Excerpta Medica Database (EMBASE)). Additional strategies to identify relevant studies will include manual searching and citation tracking of included articles. Titles and abstracts of identified studies will be screened for inclusion, followed by full-text reviews. Three independent reviewers will conduct quality appraisal using the Downs and Black checklist. A summary of included studies will describe the study designs, participant and activity characteristics, and outcomes.
This systematic review involves a secondary analysis of previously published data; therefore, this review does not require ethical approval. The proposed paper will summarise the current evidence base on physical activity levels among young children with a diagnosed disability. The findings from this systematic review will identify gaps to be explored by future research studies and inform future investigations among the paediatric disability population.
CRD42021266585.
在早年进行身体活动对于在儿童后期和青少年时期为健康成长和发育奠定基础是必要的。虽然迄今为止大多数已发表的证据都集中在典型发育的儿童身上，但残疾儿童的身体活动流行率研究较少。本方案文件记录了一项系统评价的计划，该评价旨在综合有关残疾幼儿身体活动水平的证据。
预计搜索工作将于 2022 年 5 月开始。如果研究提供了有关身体、精神、智力或感官障碍儿童 <5.99 岁非治疗性（即休闲时间）身体活动的干预或观察数据，则将考虑纳入实证定量研究。将通过电子数据库搜索（护理和联合健康文献累积索引（CINAHL）、EBSCO 运动医学数据库（SPORTDiscus）、医学文献分析和检索系统在线（MEDLINE）、爱思唯尔书目数据库（Scopus）、心理学文摘（PsycINFO）、教育资源信息中心（ERIC）和摘录医学数据库（EMBASE））检索数据来源。确定相关研究的其他策略包括纳入文章的手动搜索和引文跟踪。将筛选已识别研究的标题和摘要，以确定是否纳入，然后进行全文审查。三名独立评审员将使用唐斯和布莱克清单进行质量评估。纳入研究的摘要将描述研究设计、参与者和活动特征以及结果。
这项系统评价涉及对先前发表数据的二次分析；因此，本评价不需要伦理批准。拟议的论文将总结目前关于诊断为残疾的幼儿身体活动水平的证据基础。这项系统评价的结果将确定未来研究的差距，并为儿科残疾人群的未来研究提供信息。
CRD42021266585。
