Chen Jiangxi, Bai Yinmengke, Ni Weiguang
Physical Education College, Jilin University, 130012, Changchun, China.
Sports Med Health Sci. 2023 Nov 7;6(1):25-36. doi: 10.1016/j.smhs.2023.10.004. eCollection 2024 Mar.
To explore the reasons for low levels of physical activity in obese/overweight children and adolescents and to propose appropriate strategies to promote their physical activity (PA). This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines by searching and analyzing the literature of studies related to physical activity in obese/overweight children and adolescents published between January 2003 and January 2023 in Web of Science, Scopus, and PubMed databases. A total of 31 relevant studies were included for analysis, of which 16 were quantitative and 15 qualitative. According to these studies, the PA of obese/overweight children and adolescents is mainly constrained by negative factors: Individual, interpersonal, and environmental. Among these factors, low levels of individual motivation and psychological sensitivity and vulnerability, lack of family support, negative social feedback, insufficient protection from government policies, and inadequate support from the built environment are the main reasons that constrain their PA. The promotion of PA in obese/overweight children and adolescents, who are subject to more constraints at all levels, requires a system of security that involves the government, the community, the school, and the family to address the problems they encounter and enhance the sustainability of engagement in PA.
探讨肥胖/超重儿童和青少年身体活动水平较低的原因，并提出促进其身体活动（PA）的适当策略。本综述遵循系统评价和Meta分析的首选报告项目（PRISMA）指南，通过检索和分析2003年1月至2023年1月期间发表在Web of Science、Scopus和PubMed数据库中与肥胖/超重儿童和青少年身体活动相关的研究文献。共纳入31项相关研究进行分析，其中16项为定量研究，15项为定性研究。根据这些研究，肥胖/超重儿童和青少年的身体活动主要受到负面因素的制约：个人因素、人际因素和环境因素。在这些因素中，个人动机水平低、心理敏感和脆弱、缺乏家庭支持、负面社会反馈、政府政策保护不足以及建筑环境支持不足是制约他们身体活动的主要原因。肥胖/超重儿童和青少年在各个层面受到的限制更多，促进他们的身体活动需要一个由政府、社区、学校和家庭组成的保障体系，以解决他们遇到的问题，并提高身体活动参与的可持续性。
