Wang Qian, Lam Lawrence T, Lin Heng, Yang Wenxian, Yin Fuxian, Li Yongwei
Macau University of Science and Technology, Taipa, Macao SAR, China.
Jiangsu Sports Science Research Institute, Nanjing, Jiangsu, China.
Front Public Health. 2025 Jul 15;13:1611496. doi: 10.3389/fpubh.2025.1611496. eCollection 2025.
This review aims to evaluate the efficacy of family-centered physical activity interventions, as assessed through randomized controlled trials (RCTs) on objectively measured moderate-to-vigorous physical activity (MVPA) and sedentary behavior (SB) in children under 13. To ensure higher quality and reduce measurement bias, a quantitative approach was employed.
A detailed search was systematically conducted in PubMed, Medline, Web of Science, and Embase for studies published between January 2013 and February 2024. Only RCTs investigating the efficacy of family-centered interventions using objective measurements in children under 13 were included. Study characteristics were systematically summarized, and the risk of bias was assessed using the Cochrane risk of bias tool. Meta-analyses were performed to evaluate the effectiveness of interventions, and subgroup analyses were conducted in RevMan 5.4 to explore potential effects.
Ten studies, comprising a total of 1,557 parent-child dyads, met the inclusion criteria. The mean age of participants ranged from 3 to 11 years. The studies assessed various outcomes, including MVPA and sedentary time. Meta-analysis revealed that family-centered interventions were significantly associated with increased MVPA (WMD = 5.13, 95% CI = 1.09 to 9.17, = 0.01). However, no significant difference in SB was found between the intervention and control groups (WMD = -2.24, 95% CI = -9.33 to 4.86, = 0.54). Subgroup analyses showed significant effects for short-term interventions (WMD = 9.08, 95% CI = 2.54 to 15.62, = 0.007) and on weekends (SMD = 0.63, 95% CI = 0.33 to 0.93, < 0.05).
Family-centered interventions are a promising approach to enhancing children's MVPA, particularly in the short-term and on weekends. However, the effect on reducing SB appears limited. Future research should focus on larger, more diverse samples (e.g., populations in developing countries), utilize high-quality measurement tools, and novel outcomes (e.g., FMS) to better assess the effectiveness of these interventions.
Meta-analysis PROSPERO: CRD42023488011.
本综述旨在评估以家庭为中心的体育活动干预措施的效果，该效果通过随机对照试验（RCT）对13岁以下儿童客观测量的中度至剧烈体育活动（MVPA）和久坐行为（SB）进行评估。为确保更高质量并减少测量偏差，采用了定量方法。
在PubMed、Medline、Web of Science和Embase中系统地进行了详细检索，以查找2013年1月至2024年2月发表的研究。仅纳入了使用客观测量方法研究以家庭为中心的干预措施对13岁以下儿童效果的RCT。系统地总结了研究特征，并使用Cochrane偏倚风险工具评估了偏倚风险。进行荟萃分析以评估干预措施的有效性，并在RevMan 5.4中进行亚组分析以探索潜在影响。
十项研究共纳入了1557对亲子，符合纳入标准。参与者的平均年龄在3至11岁之间。这些研究评估了各种结果，包括MVPA和久坐时间。荟萃分析显示，以家庭为中心的干预措施与MVPA增加显著相关（加权均数差[WMD]=5.13，95%置信区间[CI]=1.09至9.17，P=0.01）。然而，干预组和对照组在SB方面未发现显著差异（WMD=-2.24，95%CI=-9.33至4.86，P=0.54）。亚组分析显示短期干预（WMD=9.08，95%CI=2.54至15.62，P=0.007）和周末干预（标准化均数差[SMD]=0.63，95%CI=0.33至0.93，P<0.05）有显著效果。
以家庭为中心的干预措施是增加儿童MVPA的一种有前景的方法，特别是在短期和周末。然而，对减少SB的效果似乎有限。未来的研究应侧重于更大、更多样化的样本（如发展中国家的人群），使用高质量的测量工具，并关注新的结果（如功能性动作筛查[FMS]），以更好地评估这些干预措施的有效性。
荟萃分析PROSPERO：CRD42023488011。
