a systematic review of intervention effects on potential mediators of childrens physical activity系统回顾的干预对儿童身体活动的潜在介质的影响.pdfVIP

Brown et al. BMC Public Health 2013, 13:165 /1471-2458/13/165 RESEARCH ARTICLE Open Access A systematic review of intervention effects on potential mediators of children’s physical activity 1* 1 2 1 Helen Brown , Clare Hume , Natalie Pearson and Jo Salmon Abstract Background: Many interventions aiming to increase children’s physical activity have been developed and implemented in a variety of settings, and these interventions have previously been reviewed; however the focus of these reviews tends to be on the intervention effects on physical activity outcomes without consideration of the reasons and pathways leading to intervention success or otherwise. To systematically review the efficacy of physical activity interventions targeting 5-12 year old children on potential mediators and, where possible, to calculate the size of the intervention effect on the potential mediator. Methods: A systematic search identified intervention studies that reported outcomes on potential mediators of physical activity among 5-12 year old children. Original research articles published between 1985 and April 2012 were reviewed. Results: Eighteen potential mediators were identified from 31 studies. Positive effects on cognitive/psychological potential mediators were reported in 15 out of 31 studies. Positive effects on social environmental potential mediators were reported in three out of seven studies, and no effects on the physical environment were reported. Although no studies were identified that performed a mediating analysis, 33 positive intervention effects were found on targeted potential mediators (with effect sizes ranging from small to large) and 73% of the time a positive effect on the physical activity outcome was reported. Conc