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Family‐based interventions for reducing sedentary time in youth: a systematic review of randomized controlled trials
Author(s) -
Marsh S.,
Foley L. S.,
Wilks D. C.,
Maddison R.
Publication year - 2014
Publication title -
obesity reviews
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.845
H-Index - 162
eISSN - 1467-789X
pISSN - 1467-7881
DOI - 10.1111/obr.12105
Subject(s) - psychological intervention , randomized controlled trial , sedentary behavior , medicine , physical therapy , gerontology , physical activity , psychology , nursing
Summary Family involvement in interventions to reduce sedentary time may help foster appropriate long‐term screen‐based habits in children. This review systematically synthesized evidence from randomized controlled trials of interventions with a family component that targeted reduction of sedentary time, including TV viewing, video games and computer use, in children. MEDLINE , PubMed , PsycInfo , CINAHL and E mbase were searched from inception through M arch 2012. Seventeen articles were considered eligible and included in the review. Studies were judged to be at low‐to‐moderate risk of bias. Despite inconsistent study results, level of parental involvement, rather than the setting itself, appeared an important determinant of intervention success. Studies including a parental component of medium‐to‐high intensity were consistently associated with statistically significant changes in sedentary behaviours. Participant age was also identified as a determinant of intervention outcomes; all three studies conducted in pre‐school children demonstrated significant decreases in sedentary time. Finally, TV exposure appeared to be related to changes in energy intake rather than physical activity. Future studies should assess the effects of greater parental involvement and child age on success of sedentary behaviour interventions. More research is required to better understand the relationship between screen time and health behaviours, particularly energy intake.