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Comparing and assessing physical activity guidelines for children and adolescents: a systematic literature review and analysis

Published on Feb 10, 2020in International Journal of Behavioral Nutrition and Physical Activity6.037
· DOI :10.1186/S12966-020-0914-2
Anne-Maree Parrish8
Estimated H-index: 8
(Illawarra Health & Medical Research Institute),
S TremblayMark67
Estimated H-index: 67
(Children's Hospital of Eastern Ontario)
+ 12 AuthorsYvonne G. Ellis4
Estimated H-index: 4
(UOW: University of Wollongong)
Abstract
BACKGROUND: The impact of declining physical activity and increased sedentary behaviour in children and adolescents globally prompted the development of national and international physical activity guidelines. This research aims to systematically identify and compare national and international physical activity guidelines for children and adolescents and appraise the quality of the guidelines to promote best practice in guideline development. METHODS: This systematic review was registered in the International Prospective Register of Systematic Reviews (PROSPERO) and reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Only national, or international physical activity and/or sedentary behaviour guidelines were included in the review. Included guidelines targeted children and adolescents aged between 5 and 18 years. A grey literature search was undertaken incorporating electronic databases, custom Google search engines, targeted websites and international expert consultation. Guideline quality was assessed using the Appraisal of Guidelines for Research and Evaluation II Instrument (AGREE II). RESULTS: The search resulted in 50 national or international guidelines being identified. Twenty-five countries had a national guideline and there were three international guidelines (European Union, Nordic countries (used by Iceland, Norway and Sweden), World Health Organization (WHO)). Nineteen countries and the European Union adopted the WHO guidelines. Guidelines varied in relation to date of release (2008 to 2019), targeted age group, and guideline wording regarding: type, amount, duration, intensity, frequency and total amount of physical activity. Twenty-two countries included sedentary behaviour within the guidelines and three included sleep. Total scores for all domains of the AGREE II assessment for each guideline indicated considerable variability in guideline quality ranging from 25.8 to 95.3%, with similar variability in the six individual domains. Rigorous guideline development is essential to ensure appropriate guidance for population level initiatives. CONCLUSIONS: This review revealed considerable variability between national/international physical activity guideline quality, development and recommendations, highlighting the need for rigorous and transparent guideline development methodologies to ensure appropriate guidance for population-based approaches. Where countries do not have the resources to ensure this level of quality, the adoption or adolopment (framework to review and update guidelines) of the WHO guidelines or guidelines of similar quality is recommended. TRIAL REGISTRATION: Review registration: PROSPERO 2017 CRD42017072558.
  • References (28)
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References28
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#1Byron J. Kemp (UOW: University of Wollongong)H-Index: 3
#2Dylan P. Cliff (Illawarra Health & Medical Research Institute)H-Index: 30
Last. Anne-Maree Parrish (Illawarra Health & Medical Research Institute)H-Index: 8
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Abstract Objectives Physical activity (PA) participation is prone to decline during adolescence. An understanding of the domains of PA that are susceptible to decline may support a more targeted approach to PA and health promotion. The aim of this study was to review longitudinal trends in participation in four PA domains during childhood and adolescence: organized PA, non-organized PA, active transport and active chores. Design Systematic review. Methods 5517 research articles were sourced from...
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#1Salomé AubertH-Index: 7
#2Joel D. BarnesH-Index: 19
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#1D OkelyAnthony (Illawarra Health & Medical Research Institute)H-Index: 58
#2Davina Ghersi (National Health and Medical Research Council)H-Index: 33
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Abstract Background Guideline developers can: (1) adopt existing recommendations from others; (2) adapt existing recommendations to their own context; or (3) create recommendations de novo. Monetary and nonmonetary resources, credibility, maximization of uptake, as well as logical arguments should guide the choice of the approach and processes. Objectives To describe a potentially efficient model for guideline production based on adoption, adaptation, and/or de novo development of recommendation...
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#1S TremblayMark (Children's Hospital of Eastern Ontario)H-Index: 67
#2Joel D. Barnes (Children's Hospital of Eastern Ontario)H-Index: 19
Last. Grant R. Tomkinson (UND: University of North Dakota)H-Index: 25
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The Active Healthy Kids Global Alliance organized the concurrent preparation of Report Cards on the physical activity of children and youth in 38 countries from 6 continents (representing 60% of the world's population). Nine common indicators were used (Overall Physical Activity, Organized Sport Participation, Active Play, Active Transportation, Sedentary Behavior, Family and Peers, School, Community and the Built Environment, and Government Strategies and Investments), and all Report Cards were...
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Background Depression represents a growing public health burden. Understanding how screen time (ST) in juveniles may be associated with risk of depression is critical for the development of prevention and intervention strategies. Findings from studies addressing this question thus far have been inconsistent. Therefore, we conducted a comprehensive systematic review and meta-analysis of data related to this question. Methods The meta-analysis was conducted in accordance with the PRISMA guideline....
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#1Kwok NgH-Index: 5
#2Gorden SudeckH-Index: 12
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BACKGROUND Regular physical activity and doing well in school are important for growing adolescents. In this study, the associations between physical activity and perceived school performance (PSP) are examined together. METHODS Young adolescents from 42 countries (n = 193,949) in Europe and Canada were examined for associations between self-reported moderate to vigorous physical activity (MVPA) and PSP. Multinominal analyses were conducted with 0 to 2 days of MVPA and below average PSP as refer...
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