Abdeta Chalchisa, Cliff Dylan P, Toledo-Vargas Marcelo, Okely Anthony D
Early Start, School of Education, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, Australia.
Early Start, School of Health and Society, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, Australia.
BMC Public Health. 2025 May 15;25(1):1799. doi: 10.1186/s12889-025-22996-7.
While there is growing evidence on 24-hour movement behaviours (physical activity, sedentary behaviour, and sleep) in non-displacement settings, understanding these behaviours among displaced children remains limited. This scoping review explored evidence on 24-hour movement behaviours, including active play and health among forcibly displaced children (birth to 12 years) affected by conflict or natural disasters.
We followed JBI guidelines and PRISMA extensions for scoping reviews. Seven databases (PubMed, Medline, Web of Science, Scopus, CINAHL, PsycINFO, and ProQuest) were searched for peer-reviewed studies published in English between January 2000 and July 2024. We used the Population, Concept and Context framework to set eligibility criteria based on our research questions. Two independent reviewers screened the records, and the first author extracted the data, which was then double-checked by a co-author. Data were analysed using narrative synthesis.
A total of 28 articles met the inclusion criteria, all of which relied on parent- or self-reports. Forcibly displaced children generally had low levels of physical activity, high sedentary behaviour, including excessive screen time, and disrupted sleep. Girls were less active than boys. An increased risk of obesity and developmental delays were found to be prevalent among forcibly displaced children. Disaster-related stress negatively associated with muscular strength, whereas child-friendly spaces, structured activities, and physical education enhanced the resilience and well-being of displaced children. However, a limited number of child-friendly play spaces were observed in displacement settings.
This scoping review highlights the urgent need to promote healthy levels of 24-hour movement behaviours and recognise the right to play among forcibly displaced children, considering limited active play spaces in such settings. Future research should prioritise mixed methods, including device-based measures, particularly in low- and middle-income countries, to gain better insights and inform humanitarian responses.
虽然在非流离失所环境中，关于24小时运动行为（身体活动、久坐行为和睡眠）的证据越来越多，但对流离失所儿童的这些行为的了解仍然有限。本范围综述探讨了受冲突或自然灾害影响的（0至12岁）被迫流离失所儿童的24小时运动行为，包括积极玩耍和健康状况的证据。
我们遵循循证卫生保健国际协作网（JBI）的指南和系统综述与Meta分析扩展版（PRISMA）范围综述的方法。检索了七个数据库（PubMed、Medline、科学网、Scopus、护理学与健康领域数据库（CINAHL）、心理学文摘数据库（PsycINFO）和ProQuest），以查找2000年1月至2024年7月期间以英文发表的同行评审研究。我们使用人群、概念和背景框架，根据研究问题设定纳入标准。两名独立评审员筛选记录，第一作者提取数据，然后由共同作者进行二次核对。使用叙述性综合分析数据。
共有28篇文章符合纳入标准，所有文章均依赖家长报告或自我报告。被迫流离失所儿童的身体活动水平普遍较低，久坐行为较多，包括屏幕时间过长，睡眠也受到干扰。女孩的活动量比男孩少。肥胖和发育迟缓风险增加在被迫流离失所儿童中普遍存在。与灾害相关的压力与肌肉力量呈负相关，而儿童友好空间、结构化活动和体育教育可增强流离失所儿童的恢复力和幸福感。然而，在流离失所环境中观察到的儿童友好游乐空间数量有限。
本范围综述强调，鉴于此类环境中积极玩耍空间有限，迫切需要促进被迫流离失所儿童达到健康的24小时运动行为水平，并承认他们的玩耍权利。未来的研究应优先采用混合方法，包括基于设备的测量方法，特别是在低收入和中等收入国家，以获得更深入的见解并为人道主义应对提供信息。
