Department of Pediatrics, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB,Canada.
Faculty of Kinesiology, Sport & Recreation, University of Alberta, Edmonton, AB,Canada.
J Phys Act Health. 2023 Mar 25;20(5):423-437. doi: 10.1123/jpah.2022-0350. Print 2023 May 1.
The objectives of this systematic review were to synthesize qualitative evidence on the impacts of COVID-19 restrictions on physical activity (PA) for children and youth, and explore factors perceived to influence those impacts.
Five databases (MEDLINE, Embase, SPORTDiscus, ERIC, and CINAHL) were searched initially in June 2021 and updated in December 2021 to locate qualitative articles considering COVID-19 restrictions and PA for children and youth (≤18 y old), in any setting. Eligibility, quality assessments, and data extraction were completed by 2 independent reviewers. Data were synthesized using meta-aggregation with confidence of findings rated using ConQual.
After screening 3505 records, 15 studies were included. Curriculum-based PA, organized sport, and active transportation were negatively impacted by COVID-19 restrictions. Negative changes were affected by COVID-19 exposure risks, inadequate instruction, poor access, screen time, and poor weather. Unstructured PA was inconsistently impacted; outdoor unstructured PA increased for some. Positive changes were facilitated by family co-participation, availability of outdoor space, and perceived mental health benefits.
Qualitative data indicated restrictions had a predominantly negative impact on PA for children and youth, but inconsistent impacts on unstructured PA. The improved contextual understanding offered by our review will be foundational knowledge for health strategies moving forward.
本系统评价的目的是综合关于 COVID-19 限制措施对儿童和青少年体育活动（PA）影响的定性证据，并探讨被认为影响这些影响的因素。
2021 年 6 月首次在五个数据库（MEDLINE、Embase、SPORTDiscus、ERIC 和 CINAHL）中进行检索，并于 2021 年 12 月更新，以定位考虑 COVID-19 限制措施和儿童和青少年（≤18 岁）PA 的定性文章，任何环境。由 2 名独立评审员完成资格、质量评估和数据提取。使用置信度评定的元聚合对数据进行综合。
在筛选了 3505 条记录后，纳入了 15 项研究。基于课程的 PA、有组织的运动和积极的交通受到 COVID-19 限制的负面影响。COVID-19 暴露风险、教学不足、缺乏资源、久坐时间和恶劣天气等因素影响了负面变化。无组织的 PA 受到的影响不一致；一些人的户外无组织 PA 增加了。家庭共同参与、户外空间的可用性和感知到的心理健康益处促进了积极的变化。
定性数据表明，限制措施对儿童和青少年的 PA 产生了主要的负面影响，但对无组织的 PA 的影响不一致。本评价提供的更具上下文的理解将成为未来健康策略的基础知识。
