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Unravelling the association between accelerometer‐derived physical activity and adiposity among preschool children: A systematic review and meta‐analyses
Author(s) -
Wiersma Rikstje,
Haverkamp Barbara F.,
Beek Jasper H.,
Riemersma André M.J.,
Boezen H. Marike,
Smidt Nynke,
Corpeleijn Eva,
Hartman Esther
Publication year - 2020
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.12936
Subject(s) - association (psychology) , meta analysis , physical activity , accelerometer , systematic review , medicine , psychology , medline , computer science , physical medicine and rehabilitation , biology , biochemistry , psychotherapist , operating system
Summary Evidence on the association between physical activity (PA) and adiposity in young children is inconclusive. A systematic review and meta‐analyses were conducted to examine associations between accelerometer‐derived PA and varying adiposity outcomes in preschool children. Searches were conducted in Embase, MEDLINE and Web of Science to identify studies on the association between total PA, sedentary behaviour or different PA intensities and adiposity in children aged 2 to 7 years. Separate random effects meta‐analyses were performed for varying PA intensities and adiposity outcomes. Fifty‐six articles were included in the review and 48 in the meta‐analyses. There was substantial evidence of an inverse association between moderate‐to‐vigorous‐ or vigorous PA and body fat percentage (stdβ [SE] = −0.162[0.041]; 5 studies), weight status ( r = −0.120, P <.001; 11 studies), fat mass (stdβ [SE] = −0.103[0.051]; 5 studies), fat mass index (stdβ [SE] = −0.121[0.036]; 2 studies) and skinfold thickness (stdβ [SE] = −0.145[0.036]; 4 studies). However, total PA, sedentary behaviour, and different PA intensities were not associated with body mass index (BMI) or waist circumference. Adiposity levels were lower among preschool children engaged in more (moderate‐to‐) vigorous PA compared with their peers, but no associations between PA and BMI or waist circumference were found.