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Systematic Review

Improvement of In-School Physical Activity with Active School-Based Interventions to Interrupt Prolonged Sitting: A Systematic Review and Meta-Analysis

by
Andoni Carrasco-Uribarren
1,
Anna Ortega-Martínez
1,2,*,
Marta Amor-Barbosa
1,*,
Aida Cadellans-Arróniz
1,
Sara Cabanillas-Barea
1 and
Maria Caridad Bagur-Calafat
1
1
Physiotherapy Department, Universitat Internacional de Catalunya, 08195 Barcelona, Spain
2
Physiotherapy Department, Fundació Aspace Catalunya, 08001 Barcelona, Spain
*
Authors to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2023, 20(2), 1636; https://doi.org/10.3390/ijerph20021636
Submission received: 22 December 2022 / Accepted: 7 January 2023 / Published: 16 January 2023

Abstract

Background: Sedentary behaviors have increased in recent years and their consequences have led the World Health Organization to make recommendations for promoting a more active lifestyle. The school environment has been defined as a key place for achieving this objective for children and adolescents. This systematic review and meta-analysis aims to analyze the effect of active-break interventions for interrupting prolonged sitting times during school-time on physical activity (PA) and sedentary behavior (SB), at school, in childhood and youth. Methods: A systematic review and meta-analysis were carried out, including clinical trials aimed at assessing the effects of interrupting prolonged sitting at school with active breaks on in-school PA and/or SB. Multimodal and static interventions were excluded. Six databases were analyzed: Medline, WOS, Cochrane Library, SPORT Discus, CINAHL and EMBASE. PA, SB; moderate-to-vigorous physical activity (MVPA) were the variables considered. Results: Nine studies were included, with a total of 2145 children between 6 and 12 years old. The heterogeneity in the duration (five–sixty min), the frequency (one–three times per-day up to three times per week), and duration (five days to three years) of the interventions was detected. The meta-analyses for in-school PA, MVPA, and SB were performed, showing a significant improvement in both PA and MVPA. Conclusions: Interrupting prolonged sitting with active-based school interventions could improve PA and MVPA levels during school time. (PROSPERO: CRD42022358933).
Keywords: physical activity; moderate-to-vigorous physical activity; sedentary behavior; sitting interruption; school; children; adolescents physical activity; moderate-to-vigorous physical activity; sedentary behavior; sitting interruption; school; children; adolescents

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MDPI and ACS Style

Carrasco-Uribarren, A.; Ortega-Martínez, A.; Amor-Barbosa, M.; Cadellans-Arróniz, A.; Cabanillas-Barea, S.; Bagur-Calafat, M.C. Improvement of In-School Physical Activity with Active School-Based Interventions to Interrupt Prolonged Sitting: A Systematic Review and Meta-Analysis. Int. J. Environ. Res. Public Health 2023, 20, 1636. https://doi.org/10.3390/ijerph20021636

AMA Style

Carrasco-Uribarren A, Ortega-Martínez A, Amor-Barbosa M, Cadellans-Arróniz A, Cabanillas-Barea S, Bagur-Calafat MC. Improvement of In-School Physical Activity with Active School-Based Interventions to Interrupt Prolonged Sitting: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health. 2023; 20(2):1636. https://doi.org/10.3390/ijerph20021636

Chicago/Turabian Style

Carrasco-Uribarren, Andoni, Anna Ortega-Martínez, Marta Amor-Barbosa, Aida Cadellans-Arróniz, Sara Cabanillas-Barea, and Maria Caridad Bagur-Calafat. 2023. "Improvement of In-School Physical Activity with Active School-Based Interventions to Interrupt Prolonged Sitting: A Systematic Review and Meta-Analysis" International Journal of Environmental Research and Public Health 20, no. 2: 1636. https://doi.org/10.3390/ijerph20021636

APA Style

Carrasco-Uribarren, A., Ortega-Martínez, A., Amor-Barbosa, M., Cadellans-Arróniz, A., Cabanillas-Barea, S., & Bagur-Calafat, M. C. (2023). Improvement of In-School Physical Activity with Active School-Based Interventions to Interrupt Prolonged Sitting: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health, 20(2), 1636. https://doi.org/10.3390/ijerph20021636

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