Peng Sanying, Khairani Ahmad Zamri, Yuan Fang, Uba Abubakar Rabiu, Yang Xiaoming
Department of Physical Education, Hohai University, Nanjing 210024, China.
School of Educational Studies, University Sains Malaysia, Penang 11800, Malaysia.
Behav Sci (Basel). 2024 Nov 28;14(12):1143. doi: 10.3390/bs14121143.
Substantial evidence globally confirms the benefits of physical activity (PA) interventions for the physical and mental health of overweight and obese children and adolescents. However, current research has yet to determine which behavior change techniques (BCTs) are most effective in PA interventions for this population. This systematic review aims to evaluate the application of BCTs in PA interventions for overweight and obese children and adolescents and to identify the most effective BCTs using the promise ratio. Five electronic databases (PubMed, Embase, Cochrane Central, Web of Science, and PsycINFO) were searched up to 31 May 2024, to identify intervention studies meeting the eligibility criteria for promoting PA in the target population. Thirteen studies were included (nine randomized controlled trials and four quasi-experimental studies). The quality of the included studies was assessed using a revised version of the Cochrane Risk of Bias tool and the Risk of Bias in Non-randomized Studies tool. Among the 24 BCTs implemented, the most frequently applied were goal setting (behavior), instruction on how to perform the behavior, feedback on behavior, and self-monitoring of behavior. Action planning, social support, and material incentives showed the most significant potential to promote PA. These findings provide valuable insights for designing future PA interventions for this group, with the potential to improve health outcomes and enhance PA participation among obese children and adolescents.
全球大量证据证实，体育活动（PA）干预对超重和肥胖儿童及青少年的身心健康有益。然而，目前的研究尚未确定哪些行为改变技术（BCTs）在针对该人群的PA干预中最为有效。本系统综述旨在评估BCTs在超重和肥胖儿童及青少年PA干预中的应用，并使用承诺比确定最有效的BCTs。截至2024年5月31日，对五个电子数据库（PubMed、Embase、Cochrane Central、Web of Science和PsycINFO）进行了检索，以识别符合在目标人群中促进PA的纳入标准的干预研究。纳入了13项研究（9项随机对照试验和4项准实验研究）。使用Cochrane偏倚风险工具的修订版和非随机研究中的偏倚风险工具评估纳入研究的质量。在所实施的24种BCTs中，最常应用的是目标设定（行为）、行为执行指导、行为反馈和行为自我监测。行动计划、社会支持和物质激励在促进PA方面显示出最显著的潜力。这些发现为设计该群体未来的PA干预措施提供了有价值的见解，有可能改善健康结果并提高肥胖儿童和青少年的PA参与度。
