Labatt Family Heart Centre, The Hospital for Sick Children, University of Toronto, Toronto, Canada.
Department of Cardiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA, 02115, USA.
Curr Atheroscler Rep. 2023 Aug;25(8):479-485. doi: 10.1007/s11883-023-01121-2. Epub 2023 Jun 28.
Decreasing sedentary behaviors has been proposed as one approach to reduce the rate of obesity in youth. This review summarizes the contemporary literature examining the efficacy of these interventions in the school and community along with an additional focus on the role of socioeconomic status in these interventions.
Studies that focus on decreasing sedentary behavior have utilized a wide variety of strategies in a number of settings. The effects of these interventions are often hindered by non-standard outcome measures, study infidelity, and subjective measures of sedentary time. However, interventions that incorporate engaged stakeholders and include younger subjects appear to be the most likely to succeed. Promising interventions to decrease sedentary behaviors have been shown in recent clinical trials; however, replicating and sustaining these results is challenging. From the available literature, school-based interventions have the potential of reaching the largest group of children. In contrast, interventions in younger children, particularly those with invested parents, seem to be the most effective.
减少久坐行为已被提议作为降低青少年肥胖率的一种方法。本综述总结了当代文献中关于这些干预措施在学校和社区中的有效性，同时还特别关注了社会经济地位在这些干预措施中的作用。
专注于减少久坐行为的研究在许多环境中使用了各种各样的策略。这些干预措施的效果往往受到非标准的结果测量、研究不忠和久坐时间的主观测量的阻碍。然而，那些纳入了积极参与的利益相关者并包括年轻受试者的干预措施似乎最有可能成功。最近的临床试验表明，一些有希望的减少久坐行为的干预措施已经取得了成效；然而，复制和维持这些结果是具有挑战性的。从现有文献来看，基于学校的干预措施有可能覆盖最大数量的儿童。相比之下，对年幼儿童的干预措施，特别是对那些有投资意识的父母的干预措施，似乎是最有效的。
