轻度身体活动等时替代久坐行为对儿童青少年身体成分和心脏代谢影响的系统综述

doi:10.11852/zgetbjzz2024-1430

摘要/Abstract

摘要： 目的系统评价基于成分数据分析的轻度身体活动(LPA)等时替代久坐行为(SB)对儿童青少年身体成分和心脏代谢的影响。方法检索在CNKI、PubMed、Embase、EBSCO、Web of Science数据库检索截至2024年4月8日发表的相关文献。对纳入文献进行筛选和质量评价,提取研究对象、年龄、替代形式等数据。结果共纳入文献32篇,其中身体成分相关22篇,心脏代谢相关10篇。在心脏代谢方面,7项短时替代研究显示有显著效应,2项长时替代研究显示对血脂改善有积极作用。在身体成分方面,8项短时替代和1项长时替代研究显示对身体成分改善效应显著,8项短时替代和3项长时替代研究显示效应不显著,2项短时替代产生负面效益。结论通过利用LPA替代SB在一定程度上能够减轻SB给儿童青少年健康带来的某些负面影响,但替代效应尚有争议,需进一步研究验证。

关键词: 轻度身体活动, 久坐行为, 儿童青少年, 身体成分, 心脏代谢, 等时替代, 系统综述

Abstract: Objective To systematically evaluate the effects of isochronous substitution of light physical activity (LPA) for sedentary behavior (SB) on body composition and cardiometabolic health in children and adolescents based on compositional data analysis. Methods Relevant literature published up to April 8, 2024, was retrieved from CNKI, PubMed, Embase, EBSCO, and Web of Science.Literature screening and quality assessment were conducted, and data on study population, age, and substitution patterns were extracted. Results A total of 32 studies were included, with 22 focusing on body composition and 10 on cardiometabolic health.For cardiometabolic outcomes, 7 short-duration substitution studies demonstrated beneficial effects, and 2 long-duration substitution studies showed positive improvements in blood lipids.Regarding body composition, 8 short-duration and 1 long-duration substitution studies reported significant improvements; 8 short-duration and 3 long-duration substitutions showed non-significant results; and 2 short-duration substitutions indicated adverse effects. Conclusion Substituting SB with LPA may partially mitigate some health risks associated with sedentary behavior in children and adolescents, although the evidence remains inconsistent and warrants further investigation.

Key words: light physical activity, sedentary behavior, children and adolescents, body composition, cardiac metabolism, isochronous substitution, systematic review

中图分类号:

R179
B804

王思积, 陈九, 谢军. 轻度身体活动等时替代久坐行为对儿童青少年身体成分和心脏代谢影响的系统综述[J]. 中国儿童保健杂志, 2026, 34(1): 46-52.

WANG Siji, CHEN Jiu, XIE Jun. Systematic review of the effects of isotemporal substitution of sedentary behavior with light physical activity on body composition and cardiometabolic health in children and adolescents[J]. Chinese Journal of Child Health Care, 2026, 34(1): 46-52.

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