PT  - JOURNAL ARTICLE
AU  - Katherine L Downing
AU  - Jill A Hnatiuk
AU  - Trina Hinkley
AU  - Jo Salmon
AU  - Kylie D Hesketh
TI  - Interventions to reduce sedentary behaviour in 0–5-year-olds: a systematic review and meta-analysis of randomised controlled trials
AID  - 10.1136/bjsports-2016-096634
DP  - 2018 Mar 01
TA  - British Journal of Sports Medicine
PG  - 314--321
VI  - 52
IP  - 5
4099  - http://bjsm.bmj.com/content/52/5/314.short
4100  - http://bjsm.bmj.com/content/52/5/314.full
SO  - Br J Sports Med2018 Mar 01; 52
AB  - Aim or objective To evaluate the effectiveness of behavioural interventions that report sedentary behaviour outcomes during early childhood.Design Systematic review and meta-analysis.Data sources Academic Search Complete, CINAHL Complete, Global Health, MEDLINE Complete, PsycINFO, SPORTDiscus with Full Text and EMBASE electronic databases were searched in March 2016.Eligibility criteria for selecting studies Inclusion criteria were: (1) published in a peer-reviewed English language journal; (2) sedentary behaviour outcomes reported; (3) randomised controlled trial (RCT) study design; and (4) participants were children with a mean age of ≤5.9 years and not yet attending primary/elementary school at postintervention.Results 31 studies were included in the systematic review and 17 studies in the meta-analysis. The overall mean difference in screen time outcomes between groups was −17.12 (95% CI −28.82 to −5.42) min/day with a significant overall intervention effect (Z=2.87, p=0.004). The overall mean difference in sedentary time between groups was −18.91 (95% CI −33.31 to −4.51) min/day with a significant overall intervention effect (Z=2.57, p=0.01). Subgroup analyses suggest that for screen time, interventions of ≥6 months duration and those conducted in a community-based setting are most effective. For sedentary time, interventions targeting physical activity (and reporting changes in sedentary time) are more effective than those directly targeting sedentary time.Summary/conclusions Despite heterogeneity in study methods and results, overall interventions to reduce sedentary behaviour in early childhood show significant reductions, suggesting that this may be an opportune time to intervene.Trial registration number CRD42015017090.