Bourke Matthew, Harrison Zoe, Fortnum Kathryn, Thomas George, O'Flaherty Martin, Mulcahy Samantha K, Gomersall Sjaan R, Alsop Tahlia, Trost Stewart G, Koplin Jennifer J, Bruijns Brianne A, Phillips Sophie M, Vanderloo Leigh M, Tucker Patricia, Hesketh Kylie D, Kwan Matthew Y W, Cairney John
Health and Wellbeing Centre for Research Innovation, School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Queensland, Australia.
School of Occupational Therapy, Faculty of Health Sciences, Western University, London, ON, Canada.
Obes Rev. 2025 May;26(5):e13884. doi: 10.1111/obr.13884. Epub 2025 Jan 20.
To quantitatively synthesize published evidence on the association between 24-hour movement behavior composition with adiposity in children and adolescents aged 3-18 years.
Systematic literature searches were conducted in five electronic databases to identify papers published between January 2015 and January 2024. A machine learning-assisted systematic review was conducted to identify studies applying compositional data analysis to examine the association between 24-hour movement behaviors and adiposity in children and youth. Random effect meta-analyses were estimated to examine the relative association between each component of the 24-hour movement behavior composition and body mass index z-score (zBMI), waist circumference, fat mass percentage, and fat mass index (FMI).
A total of 16 studies reporting on 15,230 children and youth were included in the review. Most studies reported on zBMI (k = 14), followed by waist circumference (k = 5), body fat percentage (k = 3), and FMI (k = 2). Spending more time sleeping and engaged in moderate-to-vigorous intensity physical activity (MVPA) relative to other behaviors was associated with lower adiposity, while spending more time sedentary and engaged in light-intensity physical activity was associated with higher adiposity.
These results provide support for most recommendations of the 24-hour movement behavior guidelines, including getting an adequate amount of sleep, limiting sedentary time, and engaging in MVPA, to improve adiposity outcomes.
定量综合已发表的关于3至18岁儿童和青少年24小时运动行为构成与肥胖之间关联的证据。
在五个电子数据库中进行系统的文献检索，以识别2015年1月至2024年1月期间发表的论文。进行了一项机器学习辅助的系统评价，以识别应用成分数据分析来检验儿童和青少年24小时运动行为与肥胖之间关联的研究。估计随机效应荟萃分析，以检验24小时运动行为构成的每个组成部分与体重指数z评分（zBMI）、腰围、体脂百分比和脂肪量指数（FMI）之间的相对关联。
该评价共纳入了16项报告15230名儿童和青少年情况的研究。大多数研究报告了zBMI（k = 14），其次是腰围（k = 5）、体脂百分比（k = 3）和FMI（k = 2）。相对于其他行为，睡眠时间更长以及进行中等到剧烈强度的身体活动（MVPA）与较低的肥胖程度相关，而久坐时间更长以及进行轻度身体活动则与较高的肥胖程度相关。
这些结果为24小时运动行为指南的大多数建议提供了支持，包括获得充足的睡眠、限制久坐时间以及进行MVPA，以改善肥胖状况。
