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遵循 24 小时运动指南是否与儿童和青少年的学业相关成果增加有关?系统评价和荟萃分析。

Is adherence to the 24-h movement guidelines associated with greater academic-related outcomes in children and adolescents? A systematic review and meta-analysis.

机构信息

Centre for Active Living and Learning, College of Human and Social Futures, University of Newcastle, Callaghan, NSW, 2308, Australia.

Active Living Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW, 2305, Australia.

出版信息

Eur J Pediatr. 2024 May;183(5):2003-2014. doi: 10.1007/s00431-024-05461-2. Epub 2024 Feb 28.

DOI:10.1007/s00431-024-05461-2
PMID:38416259
Abstract

The purpose of this systematic review was to synthesise the evidence for the association of adherence to the 24-h movement guidelines with academic-related outcomes in children and adolescents. This systematic review was based on the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement. PubMed, PsycINFO, Scopus, WOS, SPORTDiscus, and EMBASE were searched from their inception to 12 December 2023. The Joanna Briggs Institute (JBI) Critical Appraisal Checklist was used to assess the risk of bias of included studies. In total, 4326 records were identified through database searches; 10 articles met the inclusion criteria and were included in this systematic review. There were eight cross-sectional studies and two longitudinal studies; the main academic-related outcomes were academic achievement and cognitive function. A small association between adherence to all three recommendations and academic achievement (k = 5, r = 0.17, 95% CI = 0.10-0.24, I = 49%) was found compared to those who did not adhere to any recommendations.   Conclusion: Findings from this systematic review and meta-analysis reveal a small association between adherence to all three recommendations and greater academic achievement in children and adolescents. Nevertheless, it is imperative to underscore the need for more studies to establish robust evidence underpinning this relationship.   Trial registration: PROSPERO (CRD42021295403). What is Known: • Regular physical activity, reduced screen time, and optimal sleep duration are independently associated with improved academic-related outcomes in children and adolescents. • The associations between adherence to the 24-h movement guidelines and academic-related outcomes in children and adolescents have not been quantitatively synthesised. What is New: • There is a small but positive association between adherence to all three recommendations of the 24-h movement guidelines and greater academic achievement in children and adolescents. • Further well-designed research is needed to focus on academic achievement, cognitive function and classroom behaviours in young individuals.

摘要

本系统评价的目的是综合证据,探讨儿童和青少年遵循 24 小时运动指南与学业相关结果之间的关联。本系统评价基于首选报告项目的系统评价和荟萃分析(PRISMA)声明。从建库开始至 2023 年 12 月 12 日,在 PubMed、PsycINFO、Scopus、WOS、SPORTDiscus 和 EMBASE 中进行了检索。采用 Joanna Briggs 研究所(JBI)的批判性评价清单评估纳入研究的偏倚风险。通过数据库检索共确定了 4326 条记录;符合纳入标准的 10 篇文章被纳入本系统评价。其中有 8 项横断面研究和 2 项纵向研究;主要的学业相关结果是学业成绩和认知功能。与不遵守任何建议的人相比,发现遵守所有三项建议与学业成绩较高之间存在小的关联(k=5,r=0.17,95%CI=0.10-0.24,I=49%)。结论:本系统评价和荟萃分析的结果表明,儿童和青少年遵守所有三项建议与较高的学业成绩之间存在小的关联。然而,必须强调需要更多的研究来建立支持这种关系的稳健证据。试验注册:PROSPERO(CRD42021295403)。已知情况:• 定期进行体育活动、减少屏幕时间和保证最佳睡眠时间可独立改善儿童和青少年的学业相关结果。• 儿童和青少年遵守 24 小时运动指南与学业相关结果之间的关联尚未进行定量综合。新情况:• 儿童和青少年遵守 24 小时运动指南的所有三项建议与学业成绩提高之间存在小但积极的关联。• 需要进一步设计良好的研究,重点关注年轻个体的学业成绩、认知功能和课堂行为。

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