Kracht Chelsea L, Burkart Sarah, Groves Claire I, Balbim Guilherme Moraes, Pfledderer Christopher D, Porter Carah D, St Laurent Christine W, Johnson Emily K, Brown Denver M Y
University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS 66160 USA.
Arnold School of Public Health, University of South Carolina, 921 Assembly St, Columbia, SC 29208 USA.
J Act Sedentary Sleep Behav. 2024;3(1):25. doi: 10.1186/s44167-024-00064-6. Epub 2024 Oct 11.
Physical activity, sedentary behavior, and sleep, collectively known as the 24-hour movement behaviors, demonstrate individual and joint benefits on physical and mental health. Examination of these behaviors has expanded beyond guideline adherence to reviews of isotemporal substitution models (ISM) and compositional data analysis (CoDA). This umbrella review sought to review existing systematic reviews to (1) characterize the breadth and scope, (2) examine prevalence estimates for 24-hour movement guideline adherence, and (3) examine the relationship between these behaviors with health outcomes based on various approaches.
Eight databases and multiple supplementary strategies were used to identify systematic reviews, meta-analyses and pooled analyses that included two or more of the three 24-hour movement behaviors and a multi-behavior assessment approach. Overall review characteristics, movement behavior definitions, approaches, and health outcomes assessed were extracted, and methodological quality was assessed using the AMSTAR2 tool. Review characteristics (Aim 1), guideline prevalence estimates (Aim 2), and associations with health outcomes (Aim 3) were examined.
Thirty-two reviews (20 systematic reviews, 10 meta-analyses, and 2 pooled analyses) were included. Reviews captured the entire lifespan, global regions, and several physical and mental health outcomes. Individual and total guideline adherence waned from preschool to adolescence, but reviews reported similar prevalence estimates and ranges (i.e., within 10%). Common approaches included ISM and CoDA, evaluating 24-hour movement behavior's interactive associations with health outcomes, guideline adherence, and profile-based analysis. Despite heterogeneous approaches, reviews found consistent evidence for beneficial associations between meeting all three guidelines and high amount of physical activity on physical and mental health outcomes, but varied assessment of sedentary behavior or sleep. Most reviews were rated as low or critically low quality.
The breadth and scope of current reviews on 24-hour movement behaviors was wide and varied in this umbrella review, including all ages and across the globe. Prevalence estimates among populations beyond children need to be synthesized. Amongst the variety of definitions and approaches, reviews found benefit from achieving healthy amounts of all three behaviors. Longitudinal multi-behavior original research studies with rigorous assessment of sleep and sedentary behavior may help improve future systematic reviews of these various approaches.
The online version contains supplementary material available at 10.1186/s44167-024-00064-6.
身体活动、久坐行为和睡眠，统称为24小时运动行为，对身心健康具有个体和综合益处。对这些行为的研究已从遵循指南扩展到对等时替代模型（ISM）和成分数据分析（CoDA）的综述。本伞式综述旨在回顾现有系统综述，以（1）描述其广度和范围，（2）检查24小时运动指南遵循情况的患病率估计，以及（3）基于各种方法检查这些行为与健康结果之间的关系。
使用八个数据库和多种补充策略来识别系统综述、荟萃分析和汇总分析，这些分析包括三种24小时运动行为中的两种或更多种以及多行为评估方法。提取总体综述特征、运动行为定义、方法和评估的健康结果，并使用AMSTAR2工具评估方法质量。检查综述特征（目标1）、指南患病率估计（目标2）以及与健康结果的关联（目标3）。
纳入了32篇综述（20篇系统综述、10篇荟萃分析和2篇汇总分析）。综述涵盖了整个生命周期、全球区域以及多种身心健康结果。从学龄前到青少年，个体和总体指南遵循率下降，但综述报告的患病率估计和范围相似（即相差在10%以内）。常见方法包括ISM和CoDA，评估24小时运动行为与健康结果、指南遵循情况以及基于特征分析的交互关联。尽管方法各异，但综述发现一致的证据表明，符合所有三项指南以及进行大量身体活动与身心健康结果之间存在有益关联，但对久坐行为或睡眠的评估各不相同。大多数综述被评为低质量或极低质量。
在本伞式综述中，当前关于24小时运动行为的综述广度和范围广泛且多样，涵盖了所有年龄段和全球范围。需要综合儿童以外人群的患病率估计。在各种定义和方法中，综述发现实现所有三种行为的健康量有益处。对睡眠和久坐行为进行严格评估的纵向多行为原始研究可能有助于改进未来对这些各种方法的系统综述。
在线版本包含可在10.1186/s44167 - 024 - 00064 - 6获取的补充材料。
