动作能力对儿童青少年日常体力活动水平影响的系统评价

Effects of motor competence on physical activity of children and adolescents: a systematic review

目的探讨动作能力对儿童青少年体力活动水平的影响,为儿童青少年体力活动促进工作的进一步开展提供有益的借鉴。方法搜集国内外有关动作能力对儿童青少年体力活动水平影响的相关研究,提取关键资料,进行质量评价,报告研究方法、结果及结论。结果共纳入文献23篇,证据水平在1a～2c之间;随机对照试验(RCT)研究的PEDro平均得分为7.5。从系统综述及纵向(队列)研究结论可以看出,动作能力可以在一定程度上预测儿童青少年未来的体力活动状况,但目前已发表的RCT实验尚未完全证实发展动作能力可以提升儿童青少年未来的体力活动水平。结论儿童青少年个体当前的动作能力可以成为未来体力活动水平的预测指标。建议开展更多高质量的RCT实验进一步证实发展动作能力对儿童青少年体力活动的具体影响,各级各类学校及教育机构应系统地将动作能力训练内容纳入到体育课程体系中。

Objective To review the scientific evidence on associations between motor competence（ MC） on physical activity（ PA） in children and adolescents. Methods Systematic search was undertaken to search studies examining associations between MC and PA, including longitudinal（ cohort） studies and randomized controlled trials（ RCT） in children and adolescents. The origin, design, sample, measure of MC, measure of the PA, main results and statistics of the studies were analyzed, and a narrative synthesis was conducted. Results Twenty-three studies were included. There was moderate scientific evidence（ 1 a to 2 c level）supporting an effect of MC on later PA among children and adolescents. Average score of PEDro was 7.5. Evidence from RCTs suggested uncertain effects of MC on PA. Conclusion The development of motor competence during childhood may augment physical activity and may serve to enhance the development of long-term health outcomes in children and adolescents. More high quality RCTs are needed to verify the specific impacts of developing MC on PA. MC training should be incorporated into Chinese school physical educations in the future.