Active School-Based Interventions to Interrupt Prolonged Sitting Improve Daily Physical Activity: A Systematic Review and Meta-Analysis

Marta Amor-Barbosa, Anna Ortega-Martínez (), Andoni Carrasco-Uribarren () and Maria Caridad Bagur-Calafat
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Marta Amor-Barbosa: Physiotherapy Department, Universitat Internacional de Catalunya, 08195 Barcelona, Spain
Anna Ortega-Martínez: Physiotherapy Department, Universitat Internacional de Catalunya, 08195 Barcelona, Spain
Andoni Carrasco-Uribarren: Physiotherapy Department, Universitat Internacional de Catalunya, 08195 Barcelona, Spain
Maria Caridad Bagur-Calafat: Physiotherapy Department, Universitat Internacional de Catalunya, 08195 Barcelona, Spain

IJERPH, 2022, vol. 19, issue 22, 1-12

Abstract: Background: Sedentary behavior (SB) is a negative routine for health, especially during advancing age. Promoting an active lifestyle and reducing SB is a global endeavor. The aim of this study was to analyze the effects of active school-based programs to interrupt prolonged sitting for daily physical activity (PA) and daily SB in children and adolescents. Methods: A systematic review was conducted. Clinical trials analyzing the effect of interrupting prolonged sitting with active breaks and classroom-based PA were included. Studies that implemented PA in class without interrupting prolonged sitting or those that implemented multimodal interventions were excluded. A systematic search was conducted in 6 databases: Medline, WOS, Cochrane Library, SPORTDiscus, CINAHL and EMBASE. Primary outcomes were daily PA and daily SB, while moderate-to vigorous physical activity (MVPA) was considered a secondary outcome. Results: Six studies were included, with a total of 976 participants between 6–14 years. The interventions were heterogeneous in duration of the sitting time interruption (5–30 min), frequency (1–3 times per-day up to three times per-week) and total duration (five days to three years). 50% of the studies scored “high risk” of bias. Three meta-analyses were performed for daily PA, MVPA and SB, showing a significant improvement in the daily PA and MVPA. Conclusions: School-based programs aimed to interrupt prolonged sitting could be a good strategy to improve daily PA and MVPA levels. (Registration number: CRD42022358933).

Keywords: sitting interruption; daily physical activity; sedentary behavior; moderate-to-vigorous physical activity; school; children; adolescents (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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