Systematic Review of the Relationships between 24-Hour Movement Behaviours and Health Indicators in School-Aged Children from Arab-Speaking Countries.

Yazeed A Alanazi,Anthony D Okely,Kar Hau Chong,Anne-Maree Parrish,Eduarda Sousa-Sá

doi:10.3390/ijerph18168640

Abstract

The Australian and Canadian 24-hour movement guidelines for children and youth synthesized studies in English and French or other languages (if able to be translated with Google translate) and found very few studies published in English from Arabic countries that examined the relationship between objectively measured sedentary behaviour (SB), sleep and physical activity (PA) and health indicators in children aged 5–12 years. The purpose of this systematic review was to investigate the relationships between 24-hour movement behaviours and health indicators in school-aged children from Arab-speaking countries. Online databases MEDLINE, EMBASE, SPORTdiscus, CINAHL, PsycINFO and Scopus were searched for English, French and Arabic studies (written in English), while Saudi Digital Library, ArabBase, HumanIndex, KSUP, Pan-Arab Academic Journal, e-Marefa, Al Manhal eLibrary and Google Scholar were searched for Arabic studies. The Grading of Recommendations Assessment, Development and Evaluation framework was used to assess the risk of bias and the quality of evidence for each health indicator. A total of 16 studies, comprising 15,346 participants from nine countries were included. These studies were conducted between 2000 and 2019. In general, low levels of PA and sleep and high SB were unfavourably associated with adiposity outcomes, behavioural problems, depression and low self-esteem. Favourable associations were reported between sleep duration and adiposity outcomes. SB was favourably associated with adiposity outcomes, withdrawn behaviour, attention and externalizing problems. PA was favourably associated with improved self-esteem and adiposity outcomes. Further studies to address the inequality in the literature in the Arab-speaking countries to understand the role of 24-hour movement behaviours and its positive influence on health outcomes across childhood are urgently needed.

Highlights

Movement guidelines for children and adolescents have concentrated on moderate- to vigorous-intensity physical activity (MVPA) [1]
This study systematically reviewed the relationships between the movement behaviours of physical activity, sedentary behaviours and sleep and health indicators among school-aged children in Arab-speaking countries
Due to the prior emphasis on MVPA [1] and the common use of subjective assessments of PA [4], no study in the present review examined different PA intensities such as light-intensity physical activity (LPA), emerging evidence suggests that LPA

Summary

Methods

This systematic review was registered with the International Prospective Register of Systematic Reviews It was conducted and reported following the Preferred Reporting Items for Systematic Reviews and MetaAnalyses (PRISMA) statement for reporting systematic reviews and meta-analyses [12]. The protocol of this study was adopted partly from the systematic review performed by Saunders et al [7]. Eligible participants included apparently healthy children aged 5 to 12 years old. Studies where the sample were aged above 12 years or below 5 years were included if the mean age was between 5–12 years

Results

Discussion

Conclusion