Correlates of sedentary behavior in Asian preschool‐aged children: A systematic review

Abstract

Summary This systematic review aims to identify the multilevel correlates of sedentary behavior (SB) and its sub‐domains among preschool‐aged children aged 0–7 years in Asia. We systematically searched for studies published from 2000 onwards using terms related to SB correlates and Asia in six databases. Eligible studies were observational and used quantitative methods to examine correlates of total, and domain‐specific SB (screen viewing [SV] and non‐screen‐based SB) in Asian children living in Asia. Two reviewers independently screened identified references. Following quality assessment of included studies, we performed narrative synthesis to summarize the evidence on the intrapersonal, interpersonal, environmental correlates of total and domain‐specific SB (PROSPERO: CRD42018095268). Twenty‐two studies from 4 regions and 12 countries/territories were included. Out of the 94 correlates explored, the following associations were consistent: older age, being a boy, non‐Chinese ethnicity (Southeast Asia), younger maternal age, higher maternal and paternal television‐viewing time with higher SV; higher SV at earlier age with higher SV and total SB; and presence of TV/computer in the bedroom with higher leisure‐time SB. We encourage more studies from low‐ and middle‐income Asian countries with an increased focus on different SB domains, further exploration of environmental correlates, and the use of objective measurements to capture SB.

The cross-sectional and prospective associations of parental practices and environmental factors with 24-hour movement behaviours among school-aged Asian children

“…However, a review of systematic reviews suggests that results of previous studies were less consistent and a large number of studies have not observed associations between environmental factors and PA among children and adolescents aged 1–18 years [ 26 ]. More importantly, the vast majority of previous studies have been conducted in Western countries [ 25 , 26 ], with few studies from Asia to date [ 14 , 31 ]. Across the world, the neighbourhood environment varies, and it changes rapidly; this may greatly influence the impact of neighbourhood factors on children’s behaviours [ 32 ].…”

Physical activity in kindergarten, fundamental movement skills, and screen time in Spanish preschool children

“…The World Health Organization (WHO) recommends that preschool children spend at least 180 min per day doing physical activity (PA), of which at least 60 min are moderate‐to‐vigorous intensity, and that the time of sedentary screen time is less than 1 h (WHO, 2019). However, previous studies have reported that most preschool children do not reach the recommended levels of PA (Chaput et al, 2017; Lahuerta‐Contell et al, 2021; Tucker, 2008) and spend excessively sedentary behavior, mainly devoted to screen time (Chen et al, 2022; Hinkley et al, 2012).…”