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Do Interventions to Increase Walking Work? A Systematic Review of Interventions in Children and Adolescents.

Sports medicine (Auckland, N.Z.)
April 1, 2016
Angela Carlin et al. (3 authors)
Journal ArticleResearch Support, Non-U.S. Gov'tReviewSystematic ReviewHuman Study
Study Details

Study Goal

The researchers aimed to systematically review interventions promoting walking among children and adolescents to assess their effectiveness in increasing physical activity levels.

Results Summary

Nine out of twelve studies reported significant increases in walking in intervention groups compared to controls, particularly in school-based settings. Commonly effective behavior change techniques included goal-setting, feedback, social support, and repetition.

Population

Children and adolescents aged 5-18 years.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (4)
InterventionDirectionEndpointPopulationDosageImpactClaim #
walking interventions
increase
PA
children and adolescents
-
have the potential to increase
#1
walking interventions
increase
PA
children and adolescents
-
have the potential to increase
#2
walking interventions
increase
walking
intervention groups versus controls
-
significantly increased
#3
walking interventions
increase
levels of walking
this population
-
short-term effectiveness
#4
Abstract

BACKGROUND: Physical activity (PA) levels decline as children move into adolescence, with this decline more notable in girls. As a consequence, many young people are failing to meet current PA guidelines. Walking has been a cornerstone of PA promotion in adults and may provide an effective means of increasing PA levels among younger people. OBJECTIVE: Our objective was to conduct a systematic review of interventions aimed at promoting increased levels of walking among children and adolescents. METHODS: Eight electronic databases-CINAHL, Cochrane Library CENTRAL database, EMBASE, Medline OVID, PsycINFO, Scopus, SPORTDiscus and Web of Knowledge-were searched from their inception up to January 2015 using predefined text terms: walking terms AND intervention terms AND population terms AND (physical activity OR exercise). Reference lists of published systematic reviews and original articles included in the review were also screened. Included studies were randomised and non-randomised controlled trials reporting a specific measure of walking levels (self-reported or objective) to assess the effectiveness of interventions aimed at promoting walking in children and adolescents (aged 5-18 years). Only full articles published in English in peer-reviewed journals were included. Risk of bias and behaviour change techniques of included studies were assessed. RESULTS: Twelve studies were included in this review. The majority of studies assessed interventions delivered within an educational setting, with one study conducted within the family setting. Nine of the included studies reported significant increases in walking in intervention groups versus controls. Commonly employed behaviour change techniques within successful interventions included goals and planning, feedback and monitoring, social support and repetition and substitution. CONCLUSIONS: Walking interventions, particularly those conducted in the school environment, have the potential to increase PA in children and adolescents. Conclusions on which interventions most effectively increased walking behaviours in this population were hindered by the limited number of identified interventions and the short duration of interventions evaluated. The short-term effectiveness of the majority of included studies on levels of walking in this population is promising and further research, particularly within non-educational settings and targeted at sub-groups (e.g. adolescent girls and overweight/obese children and adolescents), is warranted.

Medical Subject Headings (MeSH)
AdolescentChildChild, PreschoolHealth PromotionHumansNon-Randomized Controlled Trials as TopicObesityRandomized Controlled Trials as TopicWalking
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations27
Citations/Year3.0
Relative Citation Ratio1.70
NIH Percentile69.4%
Research Impact Scores
APT Score0.75
Weight Score1.90
Normalized Score0.66
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