Journal
PREVENTIVE MEDICINE
Volume 88, Issue -, Pages 115-126Publisher
ACADEMIC PRESS INC ELSEVIER SCIENCE
DOI: 10.1016/j.ypmed.2016.03.025
Keywords
Motor activity; Systematic review; Evidence-based medicine; Clinical trial; Intervention studies; Vulnerable populations; Socioeconomic factors; Health and environment
Funding
- Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES) [10737/2014-6, 006674/2015-01]
- Conselho Nacional de Ciencia e Tecnologia (CNPQ) [303012/2013-7]
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Objective. It is unknown how much previous reviews on promoting physical activity (PA) for children and adolescents (aged 6-18 years) take into account studies from low-and middle-income countries (LMIC, based on the World Bank definition) and the level of evidence of the effect of PA interventions in this population. This study aims to answer such questions using an umbrella systematic review approach. Methods. We searched for peer-reviewed systematic reviews and original studies in eight electronic databases, screening of reference lists and expert contacts. Information in systematic reviews on PA interventions for children and adolescents from LMIC was discussed. Original studies on PA interventions (randomized-controlled trials [RCT], cluster-RCT and non-RCT) with children and adolescents from LMIC were eligible. We assessed the methodological quality in all studies, and the evidence level of effect on PA in intervention studies. Results. Fifty systematic reviews (nine meta-analyses) and 25 original studies (20 different interventions) met eligibility criteria. Only 3.1% of mentioned studies in previous reviews were from LMIC. Strong and LMIC-specific evidence was found that school-based, multicomponent, and short-term (up to six months) interventions, focused on adolescents primarily (aged 13-18 years), can promote PA in children and adolescents from LMIC. Other intervention characteristics had inconclusive evidence due to the low number of studies, low methodological quality, and/or small sample size. Conclusion. A minimal part of PA interventions mentioned in previous reviews are from LMIC. Our LMIC-specific analyses showed priorities of implementation and practical implication that can be used in public policies for PA promotion in LMIC. (C) 2016 Elsevier Inc. All rights reserved.
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