Interventions on children’s and adolescents’ physical activity and sedentary behaviour: protocol for a systematic review from a sex/gender perspective View Full Text


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Article Info

DATE

2019-02-26

AUTHORS

Yolanda Demetriou, Catherina Vondung, Jens Bucksch, Annegret Schlund, Carolin Schulze, Guido Knapp, Stephanie E. Coen, Lorri Puil, Susan P. Phillips, Anne K. Reimers

ABSTRACT

BACKGROUND: Low levels of physical activity (PA) and high levels of sedentary behaviour (SB) have been observed in young people. Both behaviours are detrimental for health with patterns tending to continue into adulthood. There is sustained value in establishing health habits in early years. Even though levels of SB and participation in PA differ among boys and girls, and the effectiveness of interventions to promote PA and/or prevent sedentary behaviours varies by sex/gender to date, sex/gender in systematic reviews is not yet widely considered. Additionally, while tools have been proposed, there is no consensus on the criteria to assess sex/gender in systematic reviews in the context of health promotion. The main objectives of this systematic review are to evaluate the effects of interventions on girls' and boys' PA and SB and to appraise the extent to which the studies have taken sex/gender into account. METHODS: Eleven electronic databases will be searched to identify all relevant (randomized) controlled trials. Two independent reviewers will screen studies, extract data and appraise the quality of studies. The main outcome of the studies will be a quantified measure of PA and/or SB. Risk of bias of individual studies will be assessed using the Cochrane Risk of Bias Tool for RCTs. Meta-analyses will be conducted when possible among studies with sufficient homogeneity. To evaluate sex/gender considerations in primary studies, we will use a sex/gender checklist that builds on existing tools and was developed during a 2-day, iterative process among a multidisciplinary panel of 16 experts. The GRADE framework will be used to evaluate evidence across studies for each main efficacy outcome. DISCUSSION: To our knowledge, our systematic review will be the first to analyse how sex/gender is considered in interventions promoting PA and/or reducing SB in children and adolescents in detail. The review will provide information on how sex/gender aspects have been considered in recent research and the extent to which sex/gender might impact study outcomes. Our findings will be of interest to stakeholders, health promoters, researchers and policy makers who wish to support more equal outcomes from interventions promoting PA and/or reducing SB. TRIAL REGISTRATION: PROSPERO CRD42018109528 . More... »

PAGES

65

References to SciGraph publications

  • 2015-09-17. Objectively measured physical activity and sedentary time in youth: the International children’s accelerometry database (ICAD) in INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY
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  • 2017-02-15. Examples of sex/gender sensitivity in epidemiological research: results of an evaluation of original articles published in JECH 2006–2014 in HEALTH RESEARCH POLICY AND SYSTEMS
  • 2016-05-20. Exploring equity in primary-care-based physical activity interventions using PROGRESS-Plus: a systematic review and evidence synthesis in INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY
  • 2013-06-15. Synthesising evidence for equity impacts of population-based physical activity interventions: a pilot study in INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY
  • 2014-04-10. The challenges of including sex/gender analysis in systematic reviews: a qualitative survey in SYSTEMATIC REVIEWS
  • 2009-05-06. Better science with sex and gender: Facilitating the use of a sex and gender-based analysis in health research in INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH
  • 2015-01-01. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement in SYSTEMATIC REVIEWS
  • 2014-04-12. Trends in television time, non-gaming PC use and moderate-to-vigorous physical activity among German adolescents 2002–2010 in BMC PUBLIC HEALTH
  • 2013-06-22. Health equity: evidence synthesis and knowledge translation methods in SYSTEMATIC REVIEWS
  • 2016-06-28. Variation in population levels of sedentary time in European children and adolescents according to cross-European studies: a systematic literature review within DEDIPAC in INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY
  • 2013-06-28. Physical activity in sports clubs of children and adolescents in Germany: results from a nationwide representative survey in JOURNAL OF PUBLIC HEALTH
  • 2016-06-28. Variation in population levels of physical activity in European children and adolescents according to cross-European studies: a systematic literature review within DEDIPAC in INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1186/s13643-019-0963-2

    DOI

    http://dx.doi.org/10.1186/s13643-019-0963-2

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1112393385

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/30808402


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