Physical activity based screen time interventions for children and adolescents
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摘要: 儿童青少年过多使用屏幕媒体的情况非常普遍,对超重、肥胖及近视的风险产生不利影响。因此,有关视屏时间干预的研究至关重要。本研究对国外以减少儿童青少年视屏时间为目的研究成果进行回顾分析,以总结在不同环境和策略下实施干预研究的经验以及运动方案设置。分析发现,国外关于减少儿童青少年视屏时间的干预研究注重跨学科整合研究,且设计严谨、科学。但也存在未对屏幕媒体类型、年龄、性别等变量进行差异性检验,以及缺少运动干预的综合评定等方面的不足。中国研究者可从倡导多部门、跨领域的合作研究,重视“学校-社区-家庭”的联合干预研究,加强数据分析过程的全面性等3个方面,制定科学合理的干预方案,减少儿童青少年视屏时间,促进其健康发展。Abstract: Excessive screen-media use among children and adolescents is highly prevalent which increases the risk of being overweight or obese, as well as developing myopia. Therefore, screen time interventions for children and adolescents is of great importance. This review presents a retrospective analysis of foreign studies aimed at reducing screen time for children and adolescents, and summarizes the experience of implementing intervention studies, strategies, and exercise programs in different settings. The findings revealed that foreign studies of screen time in children and adolescents rely on interdisciplinary integration, and the research design of such studies is rigorous and scientific. However, there are still some limitations: Research has failed to account for certain variables (screen media type, age, and gender), and comprehensive evaluations of exercise interventions are lacking. Chinese researchers can formulate scientific and reasonable intervention programs by focusing on the following three factors: advocating multi-department and cross-domain, research cooperation; attaching importance to joint intervention studies based in schools, the community, and family; and strengthening the comprehensiveness of data analytic process, with the ultimate goal of reducing screen time for children and adolescents, as well as promoting their healthy development.
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Key words:
- Motor activity /
- Fixation ocular /
- Time /
- Child /
- Adolescent
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[1] STRASBURGER V C, HOGAN M J, MULLIGAN D A, et al. Children, adolescents, and the media[J]. Pediatrics, 2013, 132(5): 958-961. doi: 10.1542/peds.2013-2656 [2] RAMSEY B L, ROOKS-PECK C R, FINNIE R K C, et al. Reducing recreat-ional sedentary screen time[J]. Am J Prev Med, 2016, 50(3): 402-415. doi: 10.1016/j.amepre.2015.09.030 [3] FRIEDRICH R R, POLET J P, SCHUCH I, et al. Effect of intervention programs in schools to reduce screen time: a meta-analysis[J]. J Pediatr, 2014, 90(3): 232-241. doi: 10.1016/j.jped.2014.01.003 [4] YILMAZ G, DEMIRLI C N, KARACAN C D. An intervention to preschool children for reducing screen time: a randomized controlled trial[J]. Child Care Health Dev, 2014, 41(3): 443-449. http://europepmc.org/abstract/MED/24571538 [5] TREMBLAY M S, LEBLANC A G, KHO M E, et al. Systematic review of sedentary behaviour and health indicators in school-aged children and youth[J]. Int J Behav Nutr Phys, 2011, 8(98): 1-22. http://jech.bmj.com/external-ref?access_num=10.1186/1479-5868-8-98&link_type=DOI [6] TWENGE J M, MARTIN G N, CAMPBELL W K. Decreases in psychological well-being among American adolescents after 2012 and links to screen time during the rise of smartphone technology[J]. Emotion, 2018, 18(6): 765-780. doi: 10.1037/emo0000403 [7] MARSH S, FOLEY L S, WILKS D C, et al. Family-based interventions for reducing sedentary time in youth: a systematic review of randomized controlled trials[J]. Obes Rev, 2014, 15(2): 117-133. doi: 10.1111/obr.12105 [8] GUTNICK A L, ROBB M, TAKEUCHI L, et al. Always connected: the new digital mediahabits of young children[M]. New York: Joan Ganz Cooney Center at Sesame Workshop, 2010: 15. [9] WHO.Physical activity and young people-recommended levels of physical activity for children aged 5-17 years[EB/OL].[2019-12-20]. https://www.who.int/dietphysicalactivity/factsheet_young_people/en/. [10] National Heart, Lung, and Blood Institute.Tips to reduce screen time[EB/OL].[2020-01-13]. https://www.nhlbi.nih.gov/health/educational/wecan/reduce-screen-time/tips-to-reduce-screen-time.htm. [11] National Health Service.Physical activity guidelines for children and young people.United Kingdom[EB/OL].[2020-01-05]. https://www.nhs.uk/live-well/exercise/physical-activity-guidelines-childre-n-and-young-people/. [12] Department of Health.Australias physical activity and sedentary behaviour guidelines for children(5-12 years)[EB/OL].[2019-12-12]. http://www.health.gov.au/internet/main/publishing.nsf/content/he-alth-pubhlthstrateg-phys-a-ct-guidelines#apa512. [13] TREMBLAY M S, LEBLANC A G, JANSSEN I, et al. Canadian sedentary behaviour guidelines for children and youth[J]. Appl Physiol Nutr Metab, 2011, 36(1): 59-64. doi: 10.1139/H11-012 [14] 健康中国行动推进委员会. 健康中国行动(2019—2030年)[EB/OL]. [2020-02-12]. http://www.gov.cn/xinwen/2019-07/15/content_5409694.html.Health China Action Promotion Committee.Healthy China Action(2019-2030)[EB/OL].[2020-02-12]. http://www.gov.cn/xinwen/2019-07/15/content_5409694.html. [15] COMMON S M.The common sense census: media use by kids age zero to eight[EB/OL].[2020-02-09]. https://www.commonsensemedia.org/research/the-commonsense-census-media-use-by-ki-ds-age-zero-toeight-2017. [16] SANTALIESTRA-PASIAS A M, MOURATIDOU T, VERBESTEL V, et al. Physical activety and sedentary behaviour in european children: the IDEFICS study[J]. Public Health Nutr, 2013, 17(10): 2295-2306. http://www.ncbi.nlm.nih.gov/pubmed/24103326?dopt=Abstract [17] Australian Bureau of Statistics.Australian health survey: physical activity, 2011-12[EB/OL].[2020-02-09]. https://www.abs.gov.au/ausstats/abs@.nsf/Lookup/4364.0.55.004Chapter1002011-12. [18] CAI Y, ZHU X, WU X. Overweight, obesity, and screen-time viewing among Chinese school-aged children: national prevalence estimates from the 2016 physical activity and fitness in China-the youth study[J]. J Sport Health Sci, 2017, 6(4): 404-409. doi: 10.1016/j.jshs.2017.09.002 [19] 中华人民共和国教育部, 中华人民共和国国家卫生健康委员会, 国家体育总局, 等. 教育部等八部门关于印发《综合防控儿童青少年近视实施方案》的通知(教体艺〔2018〕3号)[EB/OL]. [2020-02-17]. http://www.moe.gov.cn/srcsite/A17/moe_943/s3285/201808/t20180830_346672.html.Ministry of Education of the People's Republic of China, National Health Commission of the People's Republic of China, General Administration of sport of China, et al.The ministry of education and other eight departments issued the notice on the implementation plan for comprehensive prevention and control of myopia among children and adolescents (No.3[2018] of The Ministry of Education)[EB/OL]. [2020-02-17]. http://www.moe.gov.cn/srcsite/A17/moe_943/s3285/201808/t20180830_346672.html. [20] SALMON J, JORNA M, HUME C, et al. A translational research intervention to reduce screen behaviours and promote physical activity among children: switch-2-activity[J]. Health Promot Int, 2010, 26(3): 311-321. http://www.europepmc.org/abstract/MED/21177770 [21] PUDE J J, MARQUES-VIDAL P, SCHINDLER C, et al. Effect of multidimensional lifestyle intervention on fitness and adiposety in predominantly migrant preschool children(Ballabeina): cluster randomised controlled trial[J]. BMJ, 2011, 343: 1-11. doi: 10.1186%2F1741-7015-9-37 [22] SINGH A S, CHINAPAW M J M, BRUG J, et al. Dutch Obesity Intervention in Teena-gers Effectiveness of a school-based program on body composition and behavior[J]. Arch Pediat Adol Med, 2009, 163(4): 309-317. doi: 10.1001/archpediatrics.2009.2 [23] NEMET D, BARKAN S, EPSTEIN Y, et al. Short-and long-term beneficial effects of a combined dietary behavioral physical activity intervention for the treatment of childhood obesity[J]. Pediatrics, 2005, 115(4): e443-e449. doi: 10.1542/peds.2004-2172 [24] GENTILE D A, WELK G, EISENMANN J C, et al. Evaluation of a multiple ecological-level child obesity prevention program: switch what you do, view, and chew[J]. BMC Med, 2009, 7(1): 1-12. doi: 10.1186/1741-7015-7-1 [25] BJELLAND M, BERGH I H, GRYDELAND M, et al. Changes in adolescents intake ofsugar sweetened beverages and sedentary behaviour: results at 8 month mid-way asses-sment of the HEIA study-a comprehensive, multi-component school-based randomized trial[J]. Int J Behav Nutr Phy, 2011, 8(1): 1-11. doi: 10.1186/1479-5868-8-1 [26] ANDRADE S, VERLOIGNE M, CARDON G, et al. School-based intervention on healthy behaviour among ecuadorian adolescents: effect of a cluster-randomized controlled trial on screen-time[J]. BMC Public Health, 2015, 15: 942. DOI: 10.1186/s12889-015-2274-4. [27] NEMET D, BARZILAY-TEENI N, ELIAKIM A. Treatment of childhood obesity in obese families[J]. J Pediatr Endocr Met, 2008, 21(5): 461-467. http://www.europepmc.org/abstract/MED/18655528 [28] GOLDFIELD G S, MALLORY R, PARKER T, et al. Effects of open-loop feedback on physical activity and television viewing in overweight and obese children: a randomized, controlled trial[J]. Pediatrics, 2006, 118(1): e157-e166. doi: 10.1542/peds.2005-3052 [29] SIGMUNDOVÁ D, BADURA P, SIGMUND E, et al. Weekday weekend variations in mother-father child physical activity and screen time relationship: a cross-sectional study in a random sample of Czech families with 5-to 12-year-old children[J]. Eur J Sport Sci, 2018, 18(8): 1158-1167. doi: 10.1080/17461391.2018.1474951 [30] COLIN-RAMIREZ E, CASTILLO-MARTINEZ L, OREA-TEJEDA A, et al. Outcomes of a school-based intervention (RESCATE) to improve physical activity patterns in Mexican children aged 8-10 years[J]. Health Educ Res, 2010, 25(6): 1042-1049. doi: 10.1093/her/cyq056 [31] FITZGIBBON M L, STOLLEY M R, SCHIFFER L, et al. Hip-Hop to health Jr. for Latino preschool children[J]. Obesity, 2006, 14(9): 1616-1625. doi: 10.1038/oby.2006.186 [32] KYUNG R. Childhood overweight and the relation ship between parent behaviors, parenting style, and family functioning[J]. Ann Am Acad Polit Ss, 2008, 615(1): 12-37. http://www.onacademic.com/detail/journal_1000039476386910_f0af.html [33] XU H, WEN L M, RISSEL C. Associations of parental influences with physical activity and screen time among young children: a systematic review[J]. J Obes, 2015, 2015: 546925. DOI: 10.1155/2015/546925.Epub2015Mar19. [34] MCCURDY L E, WINTERBOTTOM K E, MEHTA S S, et al. Using nature and outdoor activity to improve children's health[J]. Curr Probl Pediatr Adolesc Health Care, 2010, 40(5): 102-117. doi: 10.1016/j.cppeds.2010.02.003 [35] SCHMIDT M E, HAINES J, O'BRIEN A, et al. Systematic review of effective strategies for reducing screen time among young children[J]. Obesity, 2012, 20(7): 1338-1354. doi: 10.1038/oby.2011.348 [36] STAIANO A E, BROYLES S T, KATZMARZYK P T. School term vs. school holiday: associations with children's physical activity, screen-time, diet and sleep[J]. Int J Env Res Pub Heal, 2015, 12(8): 8861-8870. doi: 10.3390/ijerph120808861 [37] JAGO R, THOMPSON J L, SEBIRE S J, et al. Cross-sectional associations between the screen-time of parents and young children: differences by parent and child gender and day of the week[J]. Int J Behav Nutr Phy, 2014, 11(1): 1-8. doi: 10.1186/1479-5868-11-1 [38] 国家体育总局. 2014年国民体质监测公报[EB/OL]. [2020-01-15]. http://www.sport.gov.cn/n16/n1077/n1227/7328132.html.General Administration of Sport of Chinat. National Physical Fitness Monitoring Bulletin 2014[EB/OL].[2020-01-15]. http://www.sport.gov.cn/n16/n1077/n1227/7328132.html.
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