School-Based Family-Oriented Health Interventions to Promote Physical Activity in Children and Adolescents: A Systematic Review

Am J Health Promot. 2023 Feb;37(2):243-262. doi: 10.1177/08901171221113836. Epub 2022 Nov 22.

Abstract

Objective: This study aimed to systematically review and analyse intervention programs in a school context centred on the family, focused on increasing youths' physical activity.

Data source: The research was carried out in the PubMed, Scopus and Web of Science databases.

Study inclusion criteria: Studies were included if participants were children or adolescents, focusing on school-based intervention studies with parental involvement and physical activity, sedentary behaviour or physical fitness outcomes.

Data extraction: The search was performed according to the PRISMA protocol. A total of 416 articles were identified. After being considered for eligibility and duplicates, 22 studies were identified as relevant for inclusion.

Data synthesis: Sample and intervention characteristics, objective, the role of the family, outcomes measures, main findings regarding the outcomes and risk of bias.

Results: Ten studies reported improvements in physical activity, 6 in sedentary behaviour and 9 in the components of physical fitness and/or skills related to healthy behaviours and lifestyles. Most of the interventions adopted a multidisciplinary and multi-component approach.

Conclusions: Most interventions employed a school's multidisciplinary/multi-component approach to promoting physical activity, nutrition, and general education for healthier lifestyle behaviours. The impact of school-based interventions involving families on youth's physical activity levels is still a relatively emerging theme. Further research is needed given the diversity of the intervention's characteristics and the disparity in the results' efficacy.

Keywords: adolescents; family participation; physical activity program; school context.

Publication types

  • Systematic Review
  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Child
  • Exercise*
  • Humans
  • Life Style
  • Physical Fitness
  • Schools*
  • Sedentary Behavior