Primary prevention of overweight in children and adolescents: a meta-analysis of the effectiveness of interventions aiming to decrease sedentary behaviour

van Grieken, Amy; Ezendam, Nicole PM; Paulis, Winifred D; van der Wouden, Johannes C; Raat, Hein

doi:10.1186/1479-5868-9-61

Cited by 111Obesity, Physical Activity, DietPhysical Activity and HealthSchool Health and Nursing Education

Primary prevention of overweight in children and adolescents: a meta-analysis of the effectiveness of interventions aiming to decrease sedentary behaviour

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van Grieken, Amy, Ezendam, Nicole PM, Paulis, Winifred D, van der Wouden, Johannes C, Raat, Hein·2012·International Journal of Behavioral Nutrition and Physical Activity

DOI 10.1186/1479-5868-9-61PMC PMC3462110

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Abstract

The objectives of this meta-analysis were to provide an overview of the evidence regarding the effects of interventions, implemented in the school- and general population setting, aiming to prevent excessive sedentary behaviour in children and adolescents on (1) the amount of sedentary behaviour and (2) BMI. Differences in effects on sedentary behaviour and BMI between single health behaviour interventions (sedentary behaviour only) and multiple health behaviour interventions were explored. A literature search was conducted in PubMed, EMBASE, Web of Science, PsycINFO and Cochrane Database of Systematic Reviews. Thirty-four (R)CT studies evaluating 33 general population interventions, published between 1990 and April 2011, aiming to decrease sedentary behaviour in normal weight children or adolescents (0-18 years) were included. Intervention duration ranged from 7 days to 4 years. Mean change in sedentary behaviour and BMI from baseline to post-intervention was calculated using a random effects model. Results showed significant decreases for the amount of sedentary behaviour and BMI. For sedentary behaviour the post-intervention mean difference was -17.95 min/day (95%CI:-26.61;-9.28); the change-from-baseline mean difference was -20.44 min/day (95%CI:-30.69;-10.20). For BMI the post-intervention mean difference was -0.25 kg/m² (95%CI:-0.40;-0.09); the change-from-baseline mean difference was -0.14 kg/m² (95%CI:-0.23;-0.05). No differences were found between single and multiple health behaviour interventions. Interventions in the school- and general population setting aiming to reduce only sedentary behaviour and interventions targeting multiple health behaviours can result in significant decreases in sedentary behaviour. Studies need to increase follow-up time to estimate the sustainability of the intervention effects found.

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Few systematic reviews have considered sedentary behavior interventions within a school setting.
“Few systematic reviews have considered SB interventions within a school setting.17, 18, 35”
From A mixed-studies systematic review and meta-analysis of school-based interventions to promote physical activity and/or reduce sedentary time in children (2020) · cites this paper as [35]
Within the school setting, single or multi-component interventions that address dietary intake, and/or physical activity or sedentary behavior have shown limited effectiveness in reducing sedentary behavior and BMI.
“Within the school setting single or multi-component interventions that address dietary intake, and/or physical activity or sedentary behavior have shown limited effectiveness in reducing sedentary behavior and BMI [8–10].”
From Barriers, facilitators and capacities for childhood obesity prevention in 12 European nations: results of a policy-maker survey (2018) · cites this paper as [8]

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Whaley, S. E., McGregor, S., Jiang, L., Gomez, J., Harrison, G., & Jenks, E. (2010) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2010.02.010 · Cited by 47 · cited 1× · see citing works
“Four controlled trials [29-32] and 30 randomized controlled trials [33-”
Background
Outcomes of a school-based intervention (RESCATE) to improve physical activity patterns in Mexican children aged 8-10 years
Colin-Ramirez, E., Castillo-Martinez, L., Orea-Tejeda, A., Vergara-Castaneda, A., Keirns-Davis, C., & Villa-Romero, A. (2010) · Health Education Research · doi:10.1093/her/cyq056 · Cited by 43 · see citing works
A Review of Different Behavior Modification Strategies Designed to Reduce Sedentary Screen Behaviors in Children
Steeves, J. A., Thompson, D. L., Bassett, D. R., Fitzhugh, E. C., & Raynor, H. A. (2011) · Journal of Obesity · doi:10.1155/2012/379215 · Cited by 38 · cited 1× · see citing works
“Previous reviews and meta-analyses have been published on this topic [6,9-17].”
Background
Ethics committees and countries in transition: a figleaf for structural violence?
Ashcroft, R. E. (2005) · BMJ · doi:10.1136/bmj.331.7510.229 · Cited by 10 · see citing works

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Research works printed but not linked: 1

Review Manager (RevMan) 2011 [Computer program], Version 51 The Nordic Cochrane Centre, The Cochrane Collaboration, Copenhagen

Sorted by citations

How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings
Messing, S., Rütten, A., Abu-Omar, K., Ungerer-Röhrich, U., Goodwin, L., Burlacu, I., & Gediga, G. (2019) · Frontiers in Public Health · doi:10.3389/fpubh.2019.00055 · Cited by 259 · see citing works
The effect of a cluster randomised control trial on objectively measured sedentary time and parental reports of time spent in sedentary activities in Belgian preschoolers: the ToyBox-study
on behalf of the ToyBox-study group, Craemer, M. D., Decker, E. D., Verloigne, M., Bourdeaudhuij, I. D., Μanios, Y., & Cardon, G. (2016) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-015-0325-y · Cited by 258 · see citing works
Physical Activity Promotion: Highlights from the 2018 Physical Activity Guidelines Advisory Committee Systematic Review
King, A. C., Whitt‐Glover, M. C., Márquez, D. X., Buman, M. P., Napolitano, M. A., Jakicic, J. M., Fulton, J. E., & Tennant, B. (2019) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000001945 · Cited by 252 · see citing works
Interventions designed to reduce sedentary behaviours in young people: a review of reviews
Biddle, S., Petrolini, I., & Pearson, N. (2013) · British Journal of Sports Medicine · doi:10.1136/bjsports-2013-093078 · Cited by 231 · see citing works
“Two reviews (15, 16) utilised the Cochrane Collaboration tool for Assessing Risk of Bias (24).”
BackgroundMethodInfluential
Effect of intervention aimed at increasing physical activity, reducing sedentary behaviour, and increasing fruit and vegetable consumption in children: active for life year 5 (AFLY5) school-based cluster randomised controlled trial
Kipping, R. R., Howe, L. D., Jago, R., Campbell, R., Wells, S., Chittleborough, C. R., Mytton, J., Noble, S. M., Peters, T. J., & Lawlor, D. A. (2014) · BMJ · doi:10.1136/bmj.g3256 · Cited by 221 · see citing works
Prevention of eating disorders: A systematic review of randomized, controlled trials
Watson, H. J., Joyce, T., French, E., Willan, V., Kane, R. T., Tanner‐Smith, E. E., McCormack, J., Dawkins, H., Hoiles, K. J., & Egan, S. J. (2016) · International Journal of Eating Disorders · doi:10.1002/eat.22577 · Cited by 200 · see citing works
A mixed-studies systematic review and meta-analysis of school-based interventions to promote physical activity and/or reduce sedentary time in children
Jones, M., Defever, E., Letsinger, A., Steele, J., & Mackintosh, K. A. (2020) · Journal of Sport and Health Science · doi:10.1016/j.jshs.2019.06.009 · Cited by 189 · see citing works
Impact of social norms and social support on diet, physical activity and sedentary behaviour of adolescents: a scoping review
Draper, C. E., Grobler, L., Micklesfield, L. K., & Norris, S. A. (2015) · Child Care Health and Development · doi:10.1111/cch.12241 · Cited by 154 · see citing works
An umbrella review of the benefits and risks associated with youths’ interactions with electronic screens
Sanders, T., Noetel, M., Parker, P., Del Pozo Cruz, B., Biddle, S., Ronto, R., Hulteen, R., Parker, R., Thomas, G., De Cocker, K., et al. (2023) · Nature Human Behaviour · doi:10.1038/s41562-023-01712-8 · Cited by 148 · see citing works
The effectiveness of sedentary behaviour interventions on sitting time and screen time in children and adults: an umbrella review of systematic reviews
Nguyen, P. K., Le, L. K., Nguyen, D., Gao, L., Dunstan, D. W., & Moodie, M. (2020) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-020-01009-3 · Cited by 139 · see citing works
Longitudinal relations of television, electronic games, and digital versatile discs with changes in diet in adolescents
Falbe, J., Willett, W. C., ROSNER, B. A., Gortmaker, S. L., Sonneville, K. R., & Field, A. E. (2014) · American Journal of Clinical Nutrition · doi:10.3945/ajcn.114.088500 · Cited by 124 · see citing works
Family-based interventions for reducing sedentary time in youth: a systematic review of randomized controlled trials
Marsh, S., Foley, L. S., Wilks, D. C., & Maddison, R. (2014) · Obesity Reviews · doi:10.1111/obr.12105 · Cited by 117 · see citing works
“Alternatively, a review that focused on schools and the general population reported no differences in the effectiveness of single and multiple health behaviour interventions (18); however, interventions that targeted both the child and the family were highlighted as being particularly effective.”
Background
Role of Dietary Factors, Food Habits, and Lifestyle in Childhood Obesity Development
Verduci, E., Bronský, J., Embleton, N. D., Gerasimidis, K., Indrio, F., Köglmeier, J., de Koning, B., Lapillonne, A., Moltu, S. J., Norsa, L., et al. (2021) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/mpg.0000000000003075 · Cited by 124 · see citing works
Effective implementation of primary school-based healthy lifestyle programmes: a qualitative study of views of school staff
Day, R. E., Sahota, P., & Christian, M. S. (2019) · BMC Public Health · doi:10.1186/s12889-019-7550-2 · Cited by 107 · see citing works
Interventions aimed at preventing and reducing overweight/obesity among children and adolescents: a meta‐synthesis
Kobes, A., Kretschmer, T., Timmerman, G., & Schreuder, P. (2018) · Obesity Reviews · doi:10.1111/obr.12688 · Cited by 94 · see citing works
“A few studies overlapped considerably (70% (33,34), 71% (39,57), 71% (37,39), 80% (37,57), 80% (71,83)), however, the average overlap here was also modest at 8% (SD = 0.”
The effect of interventions targeting screen time reduction: A systematic review and meta-analysis
Wu, L., Sun, S., He, Y., & Jiang, B. (2016) · Medicine · doi:10.1097/md.0000000000004029 · Cited by 95 · see citing works
Prevalence, trajectories, and determinants of television viewing time in an ethnically diverse sample of young children from the UK
Barber, S., Kelly, B., Collings, P. J., Nagy, L., Bywater, T. J., & Wright, J. (2017) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-017-0541-8 · Cited by 96 · see citing works
“ment (usually in the form of parent education and training), however none explicitly targeted parents TV behaviours [35].”
Background
Prevention and treatment of childhood and adolescent obesity: a systematic review of meta-analyses
Ψαλτοπούλου, Θ., Tzanninis, S., Ntanasis‐Stathopoulos, I., Panotopoulos, G., Kostopoulou, M., Tzanninis, I., Tsagianni, A., & Sergentanis, T. Ν. (2019) · World Journal of Pediatrics · doi:10.1007/s12519-019-00266-y · Cited by 91 · see citing works
Effectiveness of intervention strategies exclusively targeting reductions in children’s sedentary time: a systematic review of the literature
Altenburg, T. M., Holthe, J. K.-V., & Chinapaw, M. J. M. (2016) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-016-0387-5 · Cited by 88 · see citing works
School-Based Family-Oriented Health Interventions to Promote Physical Activity in Children and Adolescents: A Systematic Review
Santos, F., Sousa, H. J., Gouveia, É. R., Lopes, H., Peralta, M., Martins, J., Murawska‐Ciałowicz, E., Żurek, G., & Marques, A. (2022) · American Journal of Health Promotion · doi:10.1177/08901171221113836 · Cited by 94 · see citing works
School-based Interventions to Reduce Sedentary Behaviour in Children: A Systematic Review
Hegarty, L., Mair, J. L., Kirby, K., Murtagh, E., & MURPHY, M. H. (2016) · AIMS Public Health · doi:10.3934/publichealth.2016.3.520 · Cited by 82 · see citing works
“School-based interventions have been shown to be effective in reducing health inequalities [21,22], promoting healthy behaviours generally [23], increasing physical activity [12] and may also be helpful in preventing excessive sedentary behaviour in children [24].”
Background
Implementation conditions for diet and physical activity interventions and policies: an umbrella review
Horodyska, K., Luszczynska, A., Hayes, C. B., O’Shea, M. P., Langøien, L. J., Roos, G., van den Berg, M., Hendriksen, M., De Bourdeaudhuij, I., & Brug, J. (2015) · BMC Public Health · doi:10.1186/s12889-015-2585-5 · Cited by 80 · see citing works
Untitled work
Abu-Omar (2018) · doi:10.1186/s12889-018-6368-7 · Cited by 67 · see citing works
Effectiveness of Family-Based Behavior Change Interventions on Obesity-Related Behavior Change in Children: A Realist Synthesis
Enright, G., Allman-Farinelli, M. A., & Redfern, J. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17114099 · Cited by 79 · see citing works
Prevention of Childhood Obesity
Koletzko, B. V., Fishbein, M. H., Lee, W. S., Moreno, L. A., Mouane, N., Mouzaki, M., & Verduci, E. (2020) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/mpg.0000000000002708 · Cited by 82 · see citing works
Children's and adolescents' sedentary behaviour in relation to socioeconomic position
Coombs, N. A., Shelton, N. J., Rowlands, A. V., & Stamatakis, E. A. (2013) · Journal of Epidemiology & Community Health · doi:10.1136/jech-2013-202609 · Cited by 74 · see citing works
The Effectiveness of School-Based Interventions on Obesity-Related Behaviours in Primary School Children: A Systematic Review and Meta-Analysis of Randomised Controlled Trials
Nally, S., Carlin, A., Blackburn, N. E., Baird, J., Salmon, J., MURPHY, M. H., & Gallagher, A. M. (2021) · Children · doi:10.3390/children8060489 · Cited by 76 · see citing works
Effects of combined physical education and nutritional programs on schoolchildren’s healthy habits
Gallotta, M. C., Iazzoni, S., Emerenziani, G. P., Meucci, M., Migliaccio, S., Guidetti, L., & Baldari, C. (2016) · PeerJ · doi:10.7717/peerj.1880 · Cited by 67 · see citing works
“According to previous studies (Aburto et al., 2011; Van Grieken et al., 2012), our results revealed that children reduced their sedentary activities and increased the time spent Gallotta et al. (2016), PeerJ, DOI 10.7717/peerj.1880 11/20 engaged in PA after the intervention period.”
ResultInfluential
Screen-Time Weight-loss Intervention Targeting Children at Home (SWITCH): a randomized controlled trial
Maddison, R., Marsh, S., Foley, L. S., Epstein, L. H., Olds, T., Dewes, O., Heke, I., Carter, K., Jiang, Y., & Mhurchú, C. N. (2014) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-014-0111-2 · Cited by 67 · see citing works
“While systematic reviews [17-24] of such interventions have tended to report positive, albeit small effect sizes, a number of these reviews have flagged parental involvement and targeting of the home environment as key aspects related to intervention success [21,23].”
Impact of the Boston Active School Day Policy to Promote Physical Activity among Children
Cradock, A. L. I., Barrett, J. L., Carter, J., McHugh, A., Sproul, J., Russo, E. T., Dao-Tran, P., & Gortmaker, S. L. (2013) · American Journal of Health Promotion · doi:10.4278/ajhp.130430-quan-204 · Cited by 67 · see citing works
Active Video Games in Schools and Effects on Physical Activity and Health: A Systematic Review
Norris, E., Hamer, M., & Stamatakis, E. (2016) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2016.02.001 · Cited by 66 · see citing works
Recommendations for Promoting Physical Activity for Children and Adolescents in Germany. A Consensus Statement
Gräf, C., Beneke, R., Bloch, W., Bucksch, J., Dordel, S., Eiser, S., Ferrari, N., Koch, B., Krug, S., Lawrenz, W., et al. (2014) · Obesity Facts · doi:10.1159/000362485 · Cited by 61 · see citing works
Which type of sedentary behaviour intervention is more effective at reducing body mass index in children? A meta‐analytic review
Liao, Y., Liao, J., Durand, C. P., & Dunton, G. F. (2013) · Obesity Reviews · doi:10.1111/obr.12112 · Cited by 60 · see citing works
“This result is consistent with van Grieken’s (28) findings.”
BackgroundResult
Screen time, weight status and the self‐concept of physical attractiveness in adolescents
Suchert, V., Hanewinkel, R., & Isensee, B. (2016) · Journal of Adolescence · doi:10.1016/j.adolescence.2016.01.005 · Cited by 57 · see citing works
Examination of Different Accelerometer Cut-Points for Assessing Sedentary Behaviors in Children
Kim, Y., Lee, J. M., Peters, B. P., Gaesser, G. A., & Welk, G. J. (2014) · PLoS ONE · doi:10.1371/journal.pone.0090630 · Cited by 54 · see citing works
The effectiveness of sedentary behaviour interventions for reducing body mass index in children and adolescents: systematic review and meta‐analysis
Azevedo, L. B., Ling, J., Soós, I., Robalino, S., & Ells, L. J. (2016) · Obesity Reviews · doi:10.1111/obr.12414 · Cited by 55 · see citing works
“Previous sedentary behaviour reviews which looked to the effect of single (SB only) versus multiple behaviour interventions have not found statistically significant differences between these (19;65).”
Background
Weight loss interventions for overweight and obese adolescents: a systematic review
Boff, R. D. M., Liboni, R. P. A., Batista, I. P. D. A., de Souza, L. H., & Oliveira, M. D. S. (2016) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-016-0309-1 · Cited by 51 · see citing works
“Earlier meta-analyses have also shown that the interventions failed in weight reductions [16, 54].”
Background
The Role of Recreational Online Activities in School-Based Screen Time Sedentary Behaviour Interventions for Adolescents: A Systematic and Critical Literature Review
Throuvala, M. A., Griffiths, M. D., Rennoldson, M., & Kuss, D. J. (2020) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-019-00213-y · Cited by 49 · see citing works
“Previous reviews and meta-analyses on sedentary intervention studies have reported mixed effects ranging from no effects (Wahi 2011) to small to medium effect sizes (Biddle et al. 2015; Maniccia et al. 2011; Schmidt et al. 2012), to significant intervention effects for some of the studies reported (Altenburg et al. 20…”
BackgroundInfluential
Obesity and sedentarism in children and adolescents: what should be bone?
Santaliestra-Pasías, A. M., Rey-López, J. P., & Moreno, L. A. (2013) · PubMed · doi:10.3305/nh.2013.28.sup5.6924 · Cited by 44 · see citing works
“Several systematic reviews and meta-analysis have been recently published regarding the effectiveness of interventions aiming to decrease sedentary behaviours.(28,29) In a review, 13 trials with children aged between 3.”
BackgroundResultInfluential
Effects of a Theory-Based Education Program to Prevent Overweightness in Primary School Children
Kocken, P., Scholten, A.-M., Westhoff, E., de Kok, B., Taal, E., & Goldbohm, R. A. (2016) · Nutrients · doi:10.3390/nu8010012 · Cited by 43 · see citing works
“This may have affected the power to show signiﬁcant statistical associations.”
Environmental components of childhood obesity prevention interventions: an overview of systematic reviews
Cauchi, D., Glonti, K., Petticrew, M. P., & Knai, C. (2016) · Obesity Reviews · doi:10.1111/obr.12441 · Cited by 41 · see citing works
“Across all settings, strategies targeting sedentary behaviour emerged as the most consistently successful (57,65,104,110), with ES ranging from 0.”
Background
Long-term effects of the Active for Life Year 5 (AFLY5) school-based cluster-randomised controlled trial
Anderson, E. L., Howe, L. D., Kipping, R., Campbell, R. M., Jago, R., Noble, S., Wells, S. L., Chittleborough, C., Peters, T. J., & Lawlor, D. A. (2016) · BMJ Open · doi:10.1136/bmjopen-2015-010957 · Cited by 40 · see citing works
BMI and Healthcare Cost Impact of Eliminating Tax Subsidy for Advertising Unhealthy Food to Youth
Sonneville, K. R., Long, M. W., Ward, Z. J., Resch, S., Wang, Y. C., Pomeranz, J. L., Moodie, M., Carter, R., Sacks, G., Swinburn, B. A., et al. (2015) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2015.02.026 · Cited by 37 · see citing works
Activity–Inactivity Patterns, Screen Time, and Physical Activity: The Association with Overweight, Central Obesity and Muscle Strength in Polish Teenagers. Report from the ABC of Healthy Eating Study
Górnicka, M., Hamułka, J., Wądołowska, L., Kowalkowska, J., Kostyra, E., Tomaszewska, M., Czeczelewski, J., & Bronkowska, M. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17217842 · Cited by 45 · see citing works
“School-based interventions, according to research, have the potential and effectiveness of programs by targeting a variety of health behaviors [53,54].”
Background
What Works in Sedentary Behavior Interventions for Youth: A Review of Reviews
dos Santos, P. C., Filho, V. C. B., da Silva, J. A., Bandeira, A. D. S., Minatto, G., & da Silva, K. S. (2018) · Adolescent Research Review · doi:10.1007/s40894-018-0105-4 · Cited by 34 · see citing works
“2014) and meta-analyses (Biddle et al. 2011; Grieken et al. 2012; Kamath et al. 2008; Maniccia et al. 2011; Friedrich et al. 2014), regardless of their methodological quality.”
BackgroundMethodInfluential
Interventions to Promote Physical Activity and Healthy Digital Media Use in Children and Adolescents: A Systematic Review
Oh, C., Carducci, B., Vaivada, T., & Bhutta, Z. A. (2022) · Pediatrics · doi:10.1542/peds.2021-053852i · Cited by 42 · see citing works
The effects of a lifestyle intervention on leisure-time sedentary behaviors in adults at risk: The Hoorn Prevention Study, a randomized controlled trial
Lakerveld, J., Bot, S. D. M., van der Ploeg, H. P., & Nijpels, G. (2013) · Preventive Medicine · doi:10.1016/j.ypmed.2013.06.011 · Cited by 31 · see citing works
“A recent meta-analysis quantitatively compared the results of 34 studies evaluating sedentary behavior change interventions in children and adolescents (van Grieken et al., 2012).”
Result
Stand Out in Class: restructuring the classroom environment to reduce sitting time – findings from a pilot cluster randomised controlled trial
Clemes, S. A., Bingham, D. D., Pearson, N., Chen, Y., Edwardson, C. L., McEachan, R., Tolfrey, K., Cale, L., Richardson, G. A., Fray, M., et al. (2020) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-020-00958-z · Cited by 30 · see citing works
Vorschläge zur Förderung der körperlichen Aktivität von Kindern und Jugendlichen in Deutschland
Graf, C., Beneke, R., Bloch, W., Bucksch, J., Dordel, S., Eiser, S., Ferrari, N., Koch, B., Krug, S., Lawrenz, W., et al. (2013) · Monatsschrift Kinderheilkunde · doi:10.1007/s00112-012-2863-6 · Cited by 29 · see citing works
Executive function mediates prospective relationships between sleep duration and sedentary behavior in children
Warren, C. M., Riggs, N. R., & Pentz, M. A. (2016) · Preventive Medicine · doi:10.1016/j.ypmed.2016.07.024 · Cited by 30 · see citing works
“…sedentary behavior in children found that a variety of intervention types (e.g. single vs. multi-component) administered in numerous settings (i.e. school-based, homebased, clinic-based) are effective in reducing sedentary behavior (van Grieken et al., 2012; Wahi et al., 2011; Leung et al., 2012).”
Background
Predictors of Segmented School Day Physical Activity and Sedentary Time in Children from a Northwest England Low-Income Community
Taylor, S. L., Curry, W. B., Knowles, Z. R., Noonan, R. J., McGrane, B., & Fairclough, S. J. (2017) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph14050534 · Cited by 29 · see citing works
“Results from intervention studies suggest that preventing excessive sedentary behaviour may be an effective approach in improving healthy weight among children [66].”
Rapid review to update evidence for Healthy Child Programme 0-5
Axford, N., Barlow, J., Coad, J. E., McMillan, A. S., Bjornstad, G. J., Berry, V., Wrigley, Z., Goodwin, A., Ohlson, C., Sonthalia, S., et al. (2015) · Open Research Exeter (University of Exeter) · Cited by 28 · see citing works
Guidelines Summary: Clinical guidelines for weight management in New Zealand adults, children and young people
Jull, A., Lawes, C. M. M., Eyles, H. C., Maddison, R., Gorton, D., Arcus, K., Chee, N., Taylor, B. J., & Jim Mann on behalf of the guideline development team (2011) · Journal of Primary Health Care · doi:10.1071/hc11066 · Cited by 28 · see citing works
“If You Let Them, They Will Be on It 24 Hours a Day”: Qualitative Study Conducted in the United States Exploring Brazilian Immigrant Mothers’ Beliefs, Attitudes, and Practices Related to Screen Time Behaviors of Their Preschool-Age Children
Lindsay, A. C., Arruda, C. A. M., Machado, M. M. T., & Greaney, M. L. (2018) · JMIR Pediatrics and Parenting · doi:10.2196/11791 · Cited by 27 · see citing works
“A growing number of studies have documented excessive ST (≥2 hours per day) among preschool-age children (aged 2 to 5 years) [4-11], and some studies have linked excessive ST to an increased risk of overweight and obesity among children [4,12,13].”
Influential
Australia and Other Nations Are Failing to Meet Sedentary Behaviour Guidelines for Children: Implications and a Way Forward
Straker, L. M., Howie, E. K., Cliff, D. P., Davern, M. T., Engelen, L., Gomersall, S. R., Ziviani, J. M., Schranz, N. K., Olds, T., & Tomkinson, G. R. (2015) · Journal of Physical Activity and Health · doi:10.1123/jpah.2015-0026 · Cited by 26 · see citing works
Reducing screen-time and unhealthy snacking in 9–11 year old children: the Kids FIRST pilot randomised controlled trial
Pearson, N., Biddle, S., Griffiths, P. L., Sherar, L. B., McGeorge, S., & Haycraft, E. (2020) · BMC Public Health · doi:10.1186/s12889-020-8232-9 · Cited by 25 · see citing works
Mediterranean Diet, Screen-Time-Based Sedentary Behavior and Their Interaction Effect on Adiposity in European Adolescents: The HELENA Study
Seral-Cortés, M., Sabroso‐Lasa, S., Bailo-Aysa, A., González‐Gross, M., Molnár, D., Censi, L., Molina‐Hidalgo, C., Gottrand, F., Henauw, S. D., Μanios, Y., et al. (2021) · Nutrients · doi:10.3390/nu13020474 · Cited by 24 · see citing works
“In previous childhood obesity prevention programs, the greatest changes were observed in sedentary time [59].”
Background
Latin American interventions in children and adolescents’ sedentary behavior: a systematic review
Ribeiro, E. H. C., Guerra, P. H., de Oliveira, A. C., da Silva, K. S., dos Santos, P. C., Santos, R., Okely, A. D., & Florindo, A. A. (2020) · Revista de Saúde Pública · doi:10.11606/s1518-8787.2020054001977 · Cited by 23 · see citing works
“We found that effective interventions targeted changes in multiple health behaviors, corroborating Grieken et al. (2012)39, which reported no difference in the positive effects of interventions of single or multiple health behavior on SB.”
Result
The impact of height-adjustable desks and prompts to break-up classroom sitting on adolescents' energy expenditure, adiposity markers and perceived musculoskeletal discomfort
Ayala, A. M. C., Sudholz, B., Salmon, J., Dunstan, D. W., Ridgers, N. D., Arundell, L., & Timperio, A. F. (2018) · PLoS ONE · doi:10.1371/journal.pone.0203938 · Cited by 22 · see citing works
Public policies to increase physical activity and reduce sedentary behavior: a narrative synthesis of “reviews of reviews”
Alghannam, A. F., Malkin, J. D., Al-Hazzaa, H. M., AlAhmed, R. S., Evenson, K. R., Rakić, S., Alsukait, R. F., Herbst, C. H., Alqahtani, S. A., & Finkelstein, E. A. (2023) · Global Health Action · doi:10.1080/16549716.2023.2194715 · Cited by 22 · see citing works
Stand Out in Class: restructuring the classroom environment to reduce sedentary behaviour in 9–10-year-olds — study protocol for a pilot cluster randomised controlled trial
Clemes, S. A., Bingham, D. D., Pearson, N., Chen, Y., Edwardson, C. L., McEachan, R., Tolfrey, K., Cale, L., Richardson, G. A., Fray, M., et al. (2018) · Pilot and Feasibility Studies · doi:10.1186/s40814-018-0295-3 · Cited by 21 · see citing works
The Active for Life Year 5 (AFLY5) school-based cluster randomised controlled trial: effect on potential mediators
Lawlor, D. A., Howe, L. D., Anderson, E. L., Kipping, R., Campbell, R. M., Wells, S. L., Chittleborough, C., Peters, T. J., & Jago, R. (2015) · BMC Public Health · doi:10.1186/s12889-016-2734-5 · Cited by 21 · see citing works
The German recommendations for physical activity promotion
Abu‐Omar, K., Rütten, A., Messing, S., Pfeifer, K., Ungerer-Röhrich, U., Goodwin, L., Burlacu, I., & Gediga, G. (2018) · Journal of Public Health · doi:10.1007/s10389-018-0986-5 · Cited by 20 · see citing works
“…those 39, 3 were reviews of reviews (Heath et al. 2012; Kriemler et al. 2011; Steenbock et al. 2014); 33 were systematic reviews, with 6 having conducted a meta-analysis (Beets et al. 2009; Cushing et al. 2014; Kamath et al. 2008; Lonsdale et al. 2013; van Grieken et al. 2012; Waters et al. 2014).”
Background
Post-intervention effects on screen behaviours and mediating effect of parental regulation: the HEalth In Adolescents study – a multi-component school-based randomized controlled trial
Bergh, I. H., van Stralen, M. M., Bjelland, M., Grydeland, M., Lien, N., Klepp, K., Anderssen, S. A., & Ommundsen, Y. (2014) · BMC Public Health · doi:10.1186/1471-2458-14-200 · Cited by 20 · see citing works
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Authors: van Grieken, A., Ezendam, N. P., Paulis, W. D., van der Wouden, J. C., & Raat, H.
Affiliations: Erasmus MC (NL)
Corresponding author: Raat, Hein
ORCID: Ezendam, Nicole PM
Raat, Hein
Venue: International Journal of Behavioral Nutrition and Physical Activity
Publisher: Springer Science and Business Media LLC
Published: 2012-05-28
Volume: 9
Issue: 1
Pages: 61-61
ISSN: 1479-5868 (ISSN-L)
DOI: 10.1186/1479-5868-9-61
PMC: PMC3462110
OpenAlex: W2118742552
Cited by: 111
References: 66
Citations by year: 2026: 3 · 2025: 3 · 2024: 1 · 2023: 3 · 2022: 4 · 2021: 5 · 2020: 16 · 2019: 6 · 2018: 9 · 2017: 7 · 2016: 19 · 2015: 11 · 2014: 14 · 2013: 9
FWCI: 1.68
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
Locations: International Journal of Behavioral Nutrition and Physical Activity (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
EUR Research Repository (Erasmus University Rotterdam) (publishedVersion, other-oa)
EUR Research Repository (Erasmus University Rotterdam) (submittedVersion, other-oa)
RePub (Erasmus University Rotterdam) (submittedVersion, other-oa)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Pure Amsterdam UMC (submittedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion)
Funders: ZonMw (121020027)
Nederlandse Organisatie voor Wetenschappelijk Onderzoek
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Health Sciences › Medicine › Physiology › Physical Activity and Health
Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
Keywords: sedentary behavior, overweight prevention, children, adolescents, body mass index, health behavior interventions, school-based intervention, intervention effectiveness
MeSH terms: Adolescent, Child, Humans, Health Knowledge, Attitudes, Practice, Primary Prevention, Health Behavior, Internet, Overweight, Sedentary Behavior

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Primary prevention of overweight in children and adolescents: a meta-analysis of the effectiveness of interventions aiming to decrease sedentary behaviour

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