Family-based interventions for reducing sedentary time in youth: a systematic review of randomized controlled trials
Open accessAbstract
Family involvement in interventions to reduce sedentary time may help foster appropriate long-term screen-based habits in children. This review systematically synthesized evidence from randomized controlled trials of interventions with a family component that targeted reduction of sedentary time, including TV viewing, video games and computer use, in children. MEDLINE, PubMed, PsycInfo, CINAHL and Embase were searched from inception through March 2012. Seventeen articles were considered eligible and included in the review. Studies were judged to be at low-to-moderate risk of bias. Despite inconsistent study results, level of parental involvement, rather than the setting itself, appeared an important determinant of intervention success. Studies including a parental component of medium-to-high intensity were consistently associated with statistically significant changes in sedentary behaviours. Participant age was also identified as a determinant of intervention outcomes; all three studies conducted in pre-school children demonstrated significant decreases in sedentary time. Finally, TV exposure appeared to be related to changes in energy intake rather than physical activity. Future studies should assess the effects of greater parental involvement and child age on success of sedentary behaviour interventions. More research is required to better understand the relationship between screen time and health behaviours, particularly energy intake.
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Parental encouragement and support can reduce sedentary behaviour in children.
“All three reviews stated that parental encouragement and support can increase PA in children (58, 59), as well as reduce sedentary behaviour (57).”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [57]
The level of parental involvement is more important than the setting in which the intervention is conducted.
“One review concluded that the level of parental involvement is more important than the setting in which the intervention is conducted (57).”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [57]
Three systematic reviews were identified that deal specifically with interventions in the family and home setting.
“Three systematic reviews were identified that deal specifically with interventions in the family and home setting (Table 3) (57–59).”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [57]
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“All three reviews stated that parental encouragement and support can increase PA in children (58, 59), as well as reduce sedentary behaviour (57).”
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- Authors
- Marsh, S., Foley, L. S., Wilks, D. C., & Maddison, R.
- Affiliations
- University of Auckland (NZ)
- University of Passau (DE)
- Corresponding author
- Marsh, S.
- Venue
- Obesity Reviews
- Publisher
- Wiley
- Published
- 2013-09-16
- Volume
- 15
- Issue
- 2
- Pages
- 117-133
- ISSN
- 1467-7881 (ISSN-L)
- 1467-789X
- OpenAlex
- W1604448167
- Cited by
- 117
- References
- 61
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 9 · 2023: 8 · 2022: 13 · 2021: 7 · 2020: 16 · 2019: 11 · 2018: 13 · 2017: 5 · 2016: 16 · 2015: 3 · 2014: 7
- FWCI
- 0.96
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Locations
- Obesity Reviews (publishedVersion)
- PubMed (publishedVersion)
- Figshare (submittedVersion, cc-by)
- Funders
- Medical Research Council (MR/K023187/1, MC_UU_12015/6)
- Economic and Social Research Council (ES/G007462/1)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Social Sciences › Education › Child Development and Digital Technology
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- sedentary behavior, family intervention, children, parental involvement, screen time, television viewing, video games, computer use, energy intake, physical activity, preschool children, childhood obesity prevention
- MeSH terms
- Adolescent, Energy Intake, Child, Child, Preschool, Computers, Energy Metabolism, Family Health, Female, Health Promotion, Humans, Leisure Activities, Male, Obesity, Parents, Television, Time Factors, Randomized Controlled Trials as Topic, Risk Reduction Behavior, Sedentary Behavior
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