Alalawi Abdullah, Blank Lindsay, Goyder Elizabeth
Health and Related Research, University of Sheffield, Sheffield, United Kingdom.
Al Qunfudah Health Sciences College, Umm Al-Qura University, Makkah, Saudi Arabia.
PLoS One. 2024 Jun 13;19(6):e0304513. doi: 10.1371/journal.pone.0304513. eCollection 2024.
Obesity and physical inactivity among children and young people are public health concerns. Despite the wide variety of interventions available to promote physical activity, little is known about which interventions are most effective. This review aimed to evaluate the existing literature on school-based interventions that aim to increase physical activity among children and young people aged 6 to 18 years.
A systematic review of reviews was undertaken. We searched for systematic reviews and meta-analyses published between December 2017 and January 2024 using databases such as PubMed, Scopus, and CINAHL. Titles and abstracts were independently screened by two reviewers, who also conducted data extraction and quality assessments. We focused on outcomes like changes in physical activity levels and body mass index to assess the effectiveness of the interventions.
A total of 23 reviews examining school-based physical activity interventions met the inclusion criteria, comprising 15 systematic reviews and 8 meta-analyses. All reviews (N = 23) were implemented in the school setting: three in primary schools, seven in secondary schools, and thirteen targeted both primary and secondary schools. The findings demonstrated that six reviews reported a statistical increase in physical activity levels among the target population, and one review found a decrease in body mass index. The most promising interventions focused on physical activity included within the school curriculum and were characterised as long-term interventions. 20 out of 23 reviews assessed the quality of primary studies.
Some interventions were promising in promoting physical activity among school-aged children and young people such as Daily Mile, Active Break, and Active transport while multi-component interventions seem to be positively effective in reducing BMI. Future efforts should focus on long-term, theory-driven programmes to ensure sustainable increases in physical activity.
儿童和青少年的肥胖及缺乏体育活动是公共卫生问题。尽管有各种各样的干预措施可促进体育活动，但对于哪些干预措施最有效却知之甚少。本综述旨在评估有关旨在增加6至18岁儿童和青少年体育活动的校本干预措施的现有文献。
进行了一项系统的综述之综述。我们使用PubMed、Scopus和CINAHL等数据库搜索了2017年12月至2024年1月期间发表的系统综述和荟萃分析。标题和摘要由两名评审员独立筛选，他们还进行了数据提取和质量评估。我们关注体育活动水平和体重指数的变化等结果，以评估干预措施的有效性。
共有23项审查学校体育活动干预措施的综述符合纳入标准，包括15项系统综述和8项荟萃分析。所有综述（N = 23）均在学校环境中实施：3项针对小学，7项针对中学，13项针对小学和中学。研究结果表明，6项综述报告目标人群的体育活动水平有统计学上的增加，1项综述发现体重指数有所下降。最有前景的干预措施侧重于学校课程中的体育活动，其特点是长期干预。23项综述中有20项评估了原始研究的质量。
一些干预措施在促进学龄儿童和青少年的体育活动方面很有前景，如每日一英里、课间活动和积极出行，而多成分干预措施似乎在降低体重指数方面有积极效果。未来的努力应集中在长期的、理论驱动的项目上，以确保体育活动的可持续增加。
