DE-PASS Best Evidence Statement (BESt): A systematic review and meta-analysis on the effectiveness of trials on device-measured physical activity and sedentary behaviour and their determinants in children aged 5-12 years

Khudair, Mohammed, Marcuzzi, Anna, Tempest, Gavin Daniel, Kwok, Ng, Peric, Ratko, Bartoš, František, Maier, Maximilian, Brandes, Mirko, Carlin, Angela, Ciaccioni, Simone, Cortis, Cristina, Corvino, Chiara, di Credico, Andrea, Drid, Patrik, Gallè, Francesca, Izzicupo, Pascal, Jahre, Henriette, Kolovenlonis, Athanasios, Kongsvold, Atle, Jouidi, Evangelia, Mork, Paul Jarle, Palumbo, Federico, Rumbold, Penny Louise Sheena, Sandu, Petru, Stavnsbo, Mette, Syrmpas, Ioannis, Vilela, Sofia, Woods, Catherine, Wunsch, Kathrin, Capranica, Laura, MacDonncha, Ciaran and Chun Man Ling, Fiona 2025. DE-PASS Best Evidence Statement (BESt): A systematic review and meta-analysis on the effectiveness of trials on device-measured physical activity and sedentary behaviour and their determinants in children aged 5-12 years. Sports Medicine 55 , pp. 419-458. 10.1007/s40279-024-02136-8

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Abstract

Background: To combat the high prevalence of physical inactivity among children, there is an urgent need to develop and implement real-world interventions and policies that promote physical activity (PA) and reduce sedentary behaviour (SB). To inform policy makers, the current body of evidence around children’s PA/SB interventions needs to be translated. Objectives: The current systematic review and meta-analysis aimed to identify modifiable determinants of device-measured PA and SB targeted in available intervention studies with RCT and CT designs in children and early adolescents (5-12 years) and quantify the effects of the interventions within their respective settings on the determinants of PA/SB, and the outcomes PA and SB. Methods: A systematic search was conducted in MEDLINE, PsycINFO, Web of Science, SPORTDiscus and CENTRAL. Studies were considered if they were randomized controlled trials (RCT)s or controlled trials (CT)s, included children and/or early adolescents (5-12 years; henceforth termed children), measured PA and/or SB using device-based methods and measured PA and/or SB and determinants of PA/SB at least at two time points. Risk of bias was assessed using Cochrane Risk of Bias Tool for Randomised Trials (RoB2) for RCTs and Risk of Bias in Non-randomised Studies-of Interventions (ROBINS-I) for CTs. The quality of the generated evidence was assessed using Grading of Recommendations Assessment, Development and Evaluation (GRADE). Robust Bayesian Meta-Analysis was conducted to quantify the effects of the interventions on the determinants of PA/SB, and the outcomes PA and SB, stratifying by study design, duration of PA/SB measurement, intervention setting and duration of follow-up measurement. Study characteristics and interventions were summarized. Results: Thirty-eight studies were included with a total sample size of n=14,258 (67% girls). Settings identified were school, family/home, community, and combinations among them. The review identified 38 modifiable determinants, spanning seven categories on individual, interpersonal and physical environmental levels, with 66% of determinants on the individual level. Overall, the results indicated trivial-to-moderate effects of the interventions on the determinants, PA and SB, with mostly trivial level of evidence for the presence of an effect (as indicated by a small Bayes factor; BF10<3.00). The exceptions were moderate effects on parental PA modelling in the family/home setting and SB measured during specific parts of the school day. Higher quality of evidence was found in the family/home setting compared to other settings. Discussion: Overall, the results indicated that interventions have neither been effective in modifying the determinants of PA/SB, nor changing the PA/SB outcomes in children. In general, the approach in the current review revealed the breadth of methodological variability in children’s PA interventions. Research is needed to address novel approaches to children’s PA research and to identify potential determinants to inform policy and future interventions.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Schools > Psychology
Publisher:	Springer
ISSN:	0112-1642
Funders:	COST (European Cooperation in Science and Technology)
Date of First Compliant Deposit:	11 November 2024
Date of Acceptance:	10 October 2024
Last Modified:	16 Apr 2025 12:32
URI:	https://orca.cardiff.ac.uk/id/eprint/173702

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