基于ICF-CY影响青少年久坐行为相关环境因素Scoping综述

doi:10.3969/j.issn.1006-9771.2020.06.001

Abstract

Abstract:

Objective To analyze the content and structure of environmental factors related to sedentary behavior of adolescents based on theoretical framework of International Classification of Functioning, Disability and Health-Children and Youth Version (ICF-CY), and review the issues involved in related literature.Methods The literatures related with adolescents' sedentary behavior were retrieved from CNKI, Wanfang and the core collection of Web of Science. The English literatures were searched from establishment to January 31st, 2020, and the Chinese literatures were searched from establishment to April 20th, 2020. The authors, countries, published time, published journals, research objectives, object of the study and their ages, data collection tool, and the key findings were extracted.Results A total of 3217 literatures were searched, and 21 of them were enrolled finally, which were published from eight countries, and most were from journals on topics related to public health. They were published from 2015 to 2019, and mainly used survey, including questionnaire and objective measurement. Using ICF-CY environmental factors to code the contents, there were 17 environmental factors, and 14 showed positive or negative influence, including nine categories of Products and Technology (e150, e160, e110, e115, e120, e125, e140, e165, e130), namely community, residence/exercise place design, street/land use, school flexible learning space, adjustable height desk and home entertainment/sports equipment; two categories of Natural Environment and Human-made Changes to Environment (e225, e245), temperature, humidity, season, rainfall, sunlight hours; and three categories for Support and Relationships (e310, e320, e325), family, friends, peer activities participation/support level. There was shortage of researches in fields of attitude and services, system and policies. The indicators of environments, such as land utilization rate, walking facilities, perceived neighborhood aesthetics, pedestrian/vehicle traffic safety, adjustable desks, and flexible learning spaces reduced the sedentary time for adolescents. Low quality of home entertainment equipment and connection conveniences, shorter sunlight and poorer climatic conditions increased adolescents' sedentary time. It proposed to further test the effects of some factors, including family, friend and peer activity participation/support level, air quality, and the objective measurements indicators of community residence/ neighborhood, on adolescent sedentary behavior.Conclusion Based on ICF-CY, there are three influential environmental factors on adolescents' sedentary behavior in the fields of Products and Technology, Natural Environment and Human-made Changes to Environment, and Support and Relationships. It proposed to develop a healthy lifestyle and reduce sedentary behavior by eliminating negative impact of environmental factors.

Key words: sedentary behavior, influence factors, environmental factors, International Classification of Functioning, Disability and Health-Children and Youth Version, adolescents, scoping review

CLC Number:

WU Ming,YANG Jian,WANG Guo-xiang,LI Xin,YANG Jia-kun. Effects of Relavant Environmental Factors on Adolescent Sedentary Behavior Using ICF-CY: A Scoping Review[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(6): 621-630.

Figures/Tables 4

研究	国家	期刊	研究目的	被试数(年龄,岁)	数据收集/研究工具	久坐影响因素(ICF-CY code)
Kariippan-on^[12] (2019)	AU	J Sci Med Sport	比较学生在灵活学习空间和传统教室中的SB模式。	191(13.2)	交叉实验加速度计	F：与传统教学手段和教学空间相比,灵活学习空间^a能够显著减少学生ST。(e1300+)
Viciana^[13] (2019)	ES	Cien Saude Colet	比较青少年在高污染空气日与非高污染空气日时的课间SB。	15(13.4)	客观测量加速度计 SB时长 > 10 min SB < 100 cpm	N/S：不同空气污染状况对青少年SB影响不显著。 (e2601)
Sudholz^[14](2016)	AU	Aims Public Health	探讨可调节高度桌子对中学课堂教学中坐/站时间的影响及其可行性。	43(13.7)	受测者内设计,客观测量,问卷加速度计,青少年/教师感知问卷 SB < 100 cpm	F：与传统教室相比,可调节高度课桌显著减少ST。干预过程中,青少年短坐姿频率更高。(e1300+)
Ramirez^[15] (2011)	US	J Adolescent Health	调查青少年屏幕时间,屏幕时间规则和青少年卧室中电子媒体的关系。	160(14.6)	问卷 ST/屏幕时间/屏幕规则/媒体设备环境问卷	B：卧室视频游戏系统与青少年玩视频游戏所花费的时间呈正相关。 N/S：青少年电视观看、电脑使用不显著。(e1152.)
Da Costa^[16] (2019)	BR	J School Health	确定青少年在学校进行的SB与人口统计学,生物学和社会心理因素的关系。	567(12.9)	客观测量加速度计SB < 100 cpm	F：同伴PA的支持程度与SB呈负相关。 N/S：父母PA支持程度与SB的影响不显著。(e325+, e310)
Garcia^[17] (2016)	US	J Phys Act Health	使用混合方法设计,检查心理和朋友因素对青少年SB和屏幕时间的影响。	108(14.5)	客观测量,问卷加速度计,屏幕时间自我效能量表,屏幕时间享受程度量表	B：朋友屏幕时间与个体屏幕时间呈正相关。 N/S：朋友屏幕时间对客观测量的SB影响未达显著性。(e320.)
Bejarano^[18] (2019)	US	Health Place	调查青少年感知和客观邻里环境与电视时间,总屏幕时间,总ST,居家ST及居家总时间的关系。	524(14.1)	问卷,客观测量邻里环境步行量表,屏幕时间问卷,加速度计	F：土地混合使用权和步行设施与青少年居家ST呈负相关。感知邻里美学与青少年每日电视时间,每日总屏幕时间和青少年在家时间呈负相关。死胡同密度与青少年总ST呈负相关。 B：街道连通性与青少年总ST呈正相关,混合使用与青少年家庭ST呈正相关。 (e1502+,e1509+,e1608.)
马成亮^[19] (2018)	CN	当代体育科技	考察太原市初中生静态生活状况及其与社会支持的关系。	528(初中生,未报告年龄均值)	问卷、客观测量学生体质健康监测调查问卷,CLASS-C问卷,Sense Wear Pro Armband 运动传感器	F：家人和朋友鼓励参与体育活动与上学时SB呈负相关,与家人一起玩电脑与SB成负相关。 B：缺少锻炼同伴与上学日SB成负相关。 N/S：家中运动器材拥有量与SB关系不显著。 (e310+, e320., e1400)
Parker^[20] (2019)	AU	BMC Public Health	确定青少年PA与SB类型的生态相关性。	473(15.0)	问卷,客观测量自编问卷,加速度计	F：父母屏幕时间规则和对PA支持、兄弟姐妹共同参与的屏幕时间降低“不活跃-久坐”比率。 B：与“不活跃-久坐”相比,朋友一起参加屏幕时间增加 “中等活跃-高屏幕时间”比率。 N/S：感知邻里行人/交通安全增加了“活跃-久坐”比率。 (e310+, e1553., e315)
Ridgers^[21] (2013)	US	PLoS One	考察个人、行为、社会和政策/组织等因素与学校休息时间PA和ST的横向、纵向联系。	146(14.1)	问卷,客观测量加速度计,自编问卷,SB<100cpm	N/S：家庭、同伴支持对青少年ST的影响未达显著性。 (e310, e320)
Zheng^[22] (2019)	CN	Appl Physiol Nutr Me	研究天气状况与PA,ST和睡眠时间的关系。	561(14.7)	客观测量,问卷加速度计,记录起床/入睡时间。	B：在上学日,高湿度水平、高降雨量、日照时间短与较长ST相关,温度不显著;温度能够显著正向预测ST。 N/S：在周末,湿度、降雨量、日照时间对青少年ST的影响不显著。(e2250., e2251., e2253., e2450.)
Wang^[23] (2015)	CN	BMC Public Health	研究不同类型的家庭影响力与MVPA、SB的关联。	7286(7~9年级高中生,未报告年龄均值)	问卷自编问卷(PA,SB,家庭支持,性别,年级等)	F：口头鼓励与较少的休闲SB有关;家庭参与孩子活动与较少的休闲SB相关。(e310+)
Sirard^[24] (2010)	US	Int J Behav Nutr Phy	考察家庭环境与PA、ST、屏幕时间的关系。	613(14.5)	问卷,客观测量身体活动及媒体使用报告,加速度计	F：男生家庭活动/媒体比率^b越高,ST越短。活动/媒体比率越高,屏幕时间越短。 N/S：媒体密度、电视数量、卧室电视数量均不显著。(e1400+)
Rosenberg^[25] (2010)	US	Int J Behav Nutr Phy	检验家庭电子设备与身体活动量表的信效度,考察量表与PA、SB、体质量的关系。	360(14.6)	问卷 PA与久坐设备量表,电视观看、SB、PA、BMI调查问卷	F：运动设备与电视收看时间成反比。 B：家庭电视数量与电视收看成正比,卧室电子设备、便携式电子设备与SB呈正比。 N/S：家用电子设备不显著。(e1250., e1400+)
Hinckson^[26] (2017)	NZ	Int J Behav Nutr Phy	评估单个居住缓冲区中的步行性成分与青少年MVPA和ST的关系。	527(15.8)	客观测量,问卷加速度计,GIS,青少年邻里环境步行量表	F：客观测量的GIS感知土地使用组合-多样性,街道连通性,美观性和行人/汽车交通安全与ST负相关。 B：感知步行障碍与ST正相关。 N/S：未发现ST客观环境因素。(e1503+, e1609+, e1502.)
Guedes^[27] (2012)	BR	Percept Motor Skill	分析巴西青少年PA和SB的决定因素。	1268(15~18)	问卷国际身体活动问卷、自编问卷	F：步行或骑自行车上学减少青少年ST。 B：每天抽烟数量和每周饮酒量与久坐风险成正比,全职工作增加了ST。(e1201+, e1108.)
Gracia-Marco^[28] (2013)	UK	J Sport Sci	研究季节性和PA、SB的关系,分析地理位置对其的影响。	2173(15.0)	客观测量,问卷加速度计、家庭富裕量表	B：与春季相比,冬季女孩ST较长。 N/S：欧洲中北部与南部女生SB表现无差异,男生ST在不同季节间没有变化。(e2255., e2108)
Lee^[29] (2017)	CA	Glob Health Promot	比较加拿大和危地马拉青少年PA和SB水平,考察社会人口统计学变量与PA和屏幕时间的关系。	加拿大：39817(15.6) 危地马拉：1221(15.1)	问卷身体活动和久坐行为问卷,社会人口因素调查	F：每周≥6$比每周0$-5$的加拿大青少年屏幕时间更少。 N/S：零花钱对危地马拉青少年屏幕时间影响不显著。(e1650+)
Berge^[30] (2013)	US	J Adolescent Health	考察家庭功能与青少年体重状况及相关饮食、PA间的关系。	男：1307(14.5) 女：1486(14.4)	问卷家庭功能量表、戈丁休闲时间运动问卷、自编SB问卷	F：青少年家庭功能水平越高,其ST越少。 (e310+)
Coombes^[31] (2017)	UK	Int J Behav Nutr Phy	考察家庭邻居对PA的支持作用。	995(13.5)	客观测量加速度计、GIS	B：家庭邻居支持度低的青少年其ST较长。(e325.)
方明珠^[32](2015)	CN	中华预防医学杂志	分析武汉市青少年健康相关行为及家庭、同伴支持情况。	1052(14.6)	问卷人口学调查,青少年健康相关行为调查问卷	N/S：家庭、同伴支持在SB各阶段差异不显著。 (e310, e325)

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影响青少年久坐行为的因素	涉及ICF-CY环境因素类目			影响作用及其编码
影响青少年久坐行为的因素	一级类目		二级类目	促进	障碍
包括社区居所/锻炼场所设计、街道/土地利用等		用品和技术	e150公共建筑物的设计、建设及建筑用品	e1509	e1502, e1503
包括社区居所/锻炼场所设计、街道/土地利用等		用品和技术	e160土地开发的用品和技术	e1608, e1609	e1608
包括家庭娱乐/运动设备、便携通讯设备、生活物品等		用品和技术	e110个人消费用品或物质		e1108
			e115个人日常生活用品和技术		e1152
			e120个人室内外移动/运输的用品和技术	e1201
			e125通信用品和技术		e1250
			e140文化、娱乐用品和技术	e1400
			e165资产	e1650
包括学校灵活学习空间、可调节桌椅设施等		用品和技术	e130教育用品和技术	e1300
包括温度、日照时长等自然环境		自然环境和对环境的人为改变	e225气候		e2250, e2251 e2253, e2255
包括温度、日照时长等自然环境		自然环境和对环境的人为改变	e245与时间有关的变化		e2450
包括父母、兄妹、朋友及同伴身体活动支持等		支持和相互联系	e310直系亲属家庭	e310
			e320朋友	e320	e320
			e325熟人、同伴、同事、邻居和社区成员		e325

Effects of Relavant Environmental Factors on Adolescent Sedentary Behavior Using ICF-CY: A Scoping Review

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