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Determinants of Change in Physical Activity in Children 0–6 years of Age: A Systematic Review of Quantitative Literature

Hesketh, K.; O'Malley, C.; Paes, V.; Moore, H.; Summerbell, C.; Ong, K.; Lakshman, R.; Sluijs, E.

Determinants of Change in Physical Activity in Children 0–6 years of Age: A Systematic Review of Quantitative Literature Thumbnail


Authors

K. Hesketh

C. O'Malley

V. Paes

H. Moore

K. Ong

R. Lakshman

E. Sluijs



Abstract

Background Understanding the determinants of children’s health behaviours is important to develop successful behaviour-change interventions. Objective We aimed to synthesise the evidence around determinants (‘preceding predictors’) of change in physical activity (PA) in young children (0–6 years of age). Methods As part of a suite of reviews, prospective quantitative studies investigating change in physical activity in children aged 0–6 years were identified from eight databases (to October 2015): MEDLINE, Embase, CINAHL, PsycINFO, Web of Knowledge, British Nursing Index, Applied Social Sciences Index and Abstracts, and Sociological Abstracts. Determinants and direction of association were extracted, described and synthesised according to the socio-ecological model (individual, interpersonal, organisational, community, policy). Results Forty-four determinants, predominantly in the interpersonal and organisational domains, were reported across 44 papers (six prospective cohort, 38 interventional); 14 determinants were assessed in four or more papers. Parental monitoring showed a consistent positive association with change in PA; provider training was positively associated with change in children’s moderate-to-vigorous PA only. Five (sex, parental goal setting, social support, motor skill training and increased time for PA) showed no clear association. A further seven (child knowledge, parental knowledge, parental motivation, parenting skills, parental self-efficacy, curriculum materials and portable equipment) were consistently not associated with change in children’s PA. Maternal role-modelling was positively associated with change in PA in all three studies in which it was examined. Conclusions A range of studied determinants of change in young children’s PA were identified, but only parental monitoring was found to be consistently positively associated. More evidence dealing with community and policy domains from low-/middle-income countries and about lesser-explored modifiable family- and childcare-related determinants is required. International Prospective Register for Systematic Reviews (PROSPERO) Registration Number CRD42012002881. Electronic supplementary material The online version of this article (doi:10.1007/s40279-016-0656-0) contains supplementary material, which is available to authorized users.

Citation

Hesketh, K., O'Malley, C., Paes, V., Moore, H., Summerbell, C., Ong, K., …Sluijs, E. (2016). Determinants of Change in Physical Activity in Children 0–6 years of Age: A Systematic Review of Quantitative Literature. Sports Medicine, 47(4), 1349-1374. https://doi.org/10.1007/s40279-016-0656-0

Journal Article Type Article
Acceptance Date Dec 1, 2016
Online Publication Date Dec 17, 2016
Publication Date Dec 17, 2016
Deposit Date Jan 17, 2017
Publicly Available Date Jan 18, 2017
Journal Sports Medicine
Print ISSN 0112-1642
Electronic ISSN 1179-2035
Publisher Springer
Peer Reviewed Peer Reviewed
Volume 47
Issue 4
Pages 1349-1374
DOI https://doi.org/10.1007/s40279-016-0656-0

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Publisher Licence URL
http://creativecommons.org/licenses/by/4.0/

Copyright Statement
© The Author(s) 2016 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.






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