Longitudinal changes in moderate-to-vigorous-intensity physical activity in children and adolescents : A systematic review and meta-analysis

Journal article


Farooq, Abdulaziz, Martin, Anne, Janssen, Xanne, Wilson, Mathew G., Gibson, Ann-Marie, Hughes, Adrienne and Reilly, John J.. (2020). Longitudinal changes in moderate-to-vigorous-intensity physical activity in children and adolescents : A systematic review and meta-analysis. Obesity Reviews. 21(1), p. Article e12953. https://doi.org/10.1111/obr.12953
AuthorsFarooq, Abdulaziz, Martin, Anne, Janssen, Xanne, Wilson, Mathew G., Gibson, Ann-Marie, Hughes, Adrienne and Reilly, John J.
Abstract

Moderate-to-vigorous-intensity physical activity (MVPA) is important for childhood obesity prevention and treatment, yet declines with age. Timing and magnitude of the decline in MVPA in children and adolescents are unclear but important for informing effective obesity intervention development. This systematic review aimed to determine and compare the year-to-year changes in MVPA among children and adolescents. Longitudinal studies were identified by searching 10 relevant databases up to December 2018. Studies were eligible for inclusion if they reported accelerometer-assessed MVPA (min day−1) separately for boys and girls and had follow-up duration of at least 1 year. After screening 9,232 studies, 52 were included representing 22,091 aged 3 to 18 year olds (boys=8,857; girls=13,234). Pooled-analysis of the relative change in MVPA per year showed a decline of −3.4% (95% CI, −5.9 to −0.9) in boys and −5.3% (95% CI, −7.6 to −3.1) in girls, across all age groups. There were notable declines in MVPA at age 9 for both boys (−7.8%, 95% CI, −11.2 to −4.4) and girls (−10.2%, 95% CI, −14.2 to −6.3). The relative decline in MVPA affects both sexes from an early age; however, it is greater among girls. Interventions to promote MVPA should start before adolescence.

Keywordsaccelerometer; adolescents; children; moderate-to-vigorous; physical activity
Year2020
JournalObesity Reviews
Journal citation21 (1), p. Article e12953
PublisherJohn Wiley & Sons Ltd
ISSN1467-7881
Digital Object Identifier (DOI)https://doi.org/10.1111/obr.12953
PubMed ID31646739
Scopus EID2-s2.0-85074583087
PubMed Central IDPMC6916562
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range1-15
FunderUnited Kingdom Medical Research Council
Scottish Government Chief Scientist Office
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online23 Oct 2019
Publication process dates
Accepted08 Sep 2019
Deposited23 Aug 2022
Grant IDSPHSU14
MC_UU_12017/14
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