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

  • Ming WU ,
  • Jian YANG ,
  • Guo-xiang WANG ,
  • Xin LI ,
  • Jia-kun YANG
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  • 1. Key Laboratory of Adolescent Health Assessment and Exercise Intervention of Ministry of Education, East China Normal University, Shanghai 200241, China
    2. College of Physical Education and Health, East China Normal University, Shanghai 200241, China
    3. WHO Family of International Classifications Collaborating Center in China, Beijing 100068, China
    4. Physical Education College of Soochow University/Sports Rehabilitation Institute, Suzhou, Jiangsu 215021, China
    5. China Key Laboratory of Classification, Evaluation and Rehabilitation (Sport) of Intellectual and Developmental Disability/School of Physical Education (Main Campus), Zhengzhou University, Zhengzhou, Henan 450001, China
    6. School of Physical Education, China Mining University, Xuzhou, Jiangsu 221116, China

Received date: 2020-04-24

  Online published: 2020-06-29

Supported by

Ministry of Education Humanities and Social Sciences Fund(Plan)(19YJA890030);East China Normal University 2020 "Excellent PhD Students Academic Innovation Ability Improvement Plan" Project

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.

Cite this article

Ming WU , Jian YANG , Guo-xiang WANG , Xin LI , Jia-kun YANG . 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 . DOI: 10.3969/j.issn.1006-9771.2020.06.001

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