The effectiveness of physical activity interventions in Asian children and adolescents: a systematic review

Ahmed, K. R. and Uddin, R. and Kolbe-Alexander, T. L. ORCID: and Khan, A. (2021) The effectiveness of physical activity interventions in Asian children and adolescents: a systematic review. Public Health, 194. pp. 48-59. ISSN 0033-3506


Objective: The objective of this review is to investigate the effectiveness of interventions to promote
physical activity (PA) among children and adolescents in Asian countries.

Study design: Systematic review.

Methods: A systematic search of eight electronic databases was performed to retrieve articles published between January 1990 and August 2019, in English language, including any interventions to promote PA outcomes among children (aged 3e12 years) and adolescents (aged 13e18 years) in Asian countries.

Results: Thirty studies met the eligibility criteria and were included. Most studies were school-based (70%, n ¼ 21), and half were cluster randomized controlled trials (53%, n ¼ 16). Twelve of 30 included studies were among children, 15 among adolescents, and three among both children and adolescents. Only four studies (13%) used device-based measures of PA. The duration of intervention ranged from one day to 60 months (median 4.5 months). Twenty-one studies were of moderate-to-high quality, of which 15 demonstrated significant increases in PA behavior or physical fitness. Evidence was found that schoolbased,
short-term (up to six months) interventions with a single or multicomponent approach including PA sessions, physical education, health education, and/or educational materials may increase overall PA in Asian children and adolescents.

Conclusions: The present review provides some evidence supporting the effectiveness of interventions in promoting PA-related outcomes. However, the findings are inconsistent due to the low number of studies, low-methodological quality, and/or small sample size. Well-designed interventions are needed to inform strategies to enhance PA engagements among children and adolescents in Asia.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Permanent restricted access to Published version, in accordance with the copyright policy of the publisher.
Faculty/School / Institute/Centre: Current - Faculty of Health, Engineering and Sciences - School of Health and Wellbeing (1 Jan 2015 -)
Faculty/School / Institute/Centre: Current - Institute for Resilient Regions - Centre for Health Research (1 Apr 2020 -)
Date Deposited: 15 Apr 2021 03:28
Last Modified: 15 Apr 2021 03:28
Uncontrolled Keywords: Asia, adolescents, children, interventions, physical activity
Fields of Research (2008): 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified
Fields of Research (2020): 42 HEALTH SCIENCES > 4207 Sports science and exercise > 420799 Sports science and exercise not elsewhere classified
42 HEALTH SCIENCES > 4206 Public health > 420699 Public health not elsewhere classified
Socio-Economic Objectives (2008): C Society > 92 Health > 9204 Public Health (excl. Specific Population Health) > 920401 Behaviour and Health
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