0~5岁婴幼儿24 h活动研究系统综述

在4个英文数据库(WoS核心合集、PubMed、Embase、MEDLINE)和4个中文数据库(CNKI、万方数据库、维普数据库、中国生物医学文献数据库)中检索2020年5月1日前发表的0~5岁婴幼儿24 h活动相关文献,对文献的基本特征信息进行提取,并运用文献归纳法对所纳入研究的结果进行分析与提炼。共有12篇文献纳入研究,平均61.95%、26.59%、82.61%的婴幼儿分别达到了身体活动水平、屏幕时间、睡眠时长3项指标推荐量,3.44%、29.53%、58.25%、9%的婴幼儿分别达到了身体活动水平、屏幕时间和睡眠时长3项指标0、1、2、3条的建议标准;家庭经济水平、屏幕时间、种族是影响婴幼儿24 h活动的重要因素,但因研究数量过少无法确定其具体影响机制;24 h活动的多项指标达标可改善婴幼儿不同的身心健康指标。

A Systematic Review on 24-hourMovement of InfantsAged 0-5 Years

The researches on 24-hour movement of infants aged 0-5 years were systematically reviewed.Research characteristics,research method and research results were summarized.Systematic search was conducted with four English database including Web of Science Core Collection、PubMed、Embase、MEDLINE and four Chinese database such as CNKI,Wanfang Database,VIP Database,and CBM till May 1,2020.Data on basic characteristics of these studies were extracted.Inductive approach was used to analyze all the research results from these included studies.The final 12 studies were included in this systematic review.The result showed that 61.95%、26.59%、82.61%of infants met physical activity,screen time,and sleep guidelines,respectively.Overall,3.44%、29.53%、58.25%、9%of infants met none,1,2,and all 3 of the 24-hour healthy movement guidelines.Some factors such as family economic status,screen time,and ethnicity influence the meeting of 24-hour movement guideline.However,too limited studies focus on these factors and the results can not be confirmed.No significant relationship between meeting of 24-hour movement guideline and gender or age was found.Moreover,results all showed that meeting 24-hour movement guideline is associated with increased bone density,cognitive development,and improvement of emotional problems.