Overall , total PA was favourably associated with physical , psychological/social , and cognitive health indicators .
Relationships were more consistent and robust for higher ( e.g. , MVPA ) versus lower ( e.g. , LPA ) intensity PA .
All patterns of activity ( sporadic , bouts , continuous ) provided benefit .
LPA was favourably associated with cardiometabolic biomarkers ; data were scarce for other outcomes .
These findings continue to support the importance of at least 60 min/day of MVPA for disease prevention and health promotion in children and youth , but also highlight the potential benefits of LPA and total PA .
Moderate-to-vigorous physical activity ( MVPA ) is essential for disease prevention and health promotion .
Emerging evidence suggests other intensities of physical activity ( PA ) , including light-intensity activity ( LPA ) , may also be important , but there has been no rigorous evaluation of the evidence .
The purpose of this systematic review was to examine the relationships between objective ly measured PA ( total and all intensities ) and health indicators in school-aged children and youth .
Online data bases were search ed for peer- review ed studies that met the a priori inclusion criteria : population ( apparently healthy , aged 5 - 17 years ) , intervention/exposure/comparator ( volumes , duration s , frequencies , intensities , and patterns of objective ly measured PA ) , and outcome ( body composition , cardiometabolic biomarkers , physical fitness , behavioural conduct/pro-social behaviour , cognition/academic achievement , quality of life/well-being , harms , bone health , motor skill development , psychological distress , self-esteem ) .
Utilization of the PICO framework to improve searching PubMed for clinical questions
Background Supporting 21st century health care and the practice of evidence -based medicine ( EBM ) requires ubiquitous access to clinical information and to knowledge-based re sources to answer clinical questions . Many questions go unanswered , however , due to lack of skills in formulating questions , crafting effective search strategies , and accessing data bases to identify best levels of evidence . Methods This r and omized trial was design ed as a pilot study to measure the relevancy of search results using three different interfaces for the PubMed search system . Two of the search interfaces utilized a specific framework called PICO , which was design ed to focus clinical questions and to prompt for publication type or type of question asked . The third interface was the st and ard PubMed interface readily available on the Web . Study subjects were recruited from interns and residents on an inpatient general medicine rotation at an academic medical center in the US . Thirty-one subjects were r and omized to one of the three interfaces , given 3 clinical questions , and asked to search PubMed for a set of relevant articles that would provide an answer for each question . The success of the search results was determined by a precision score , which compared the number of relevant or gold st and ard articles retrieved in a result set to the total number of articles retrieved in that set . Results Participants using the PICO templates ( Protocol A or Protocol B ) had higher precision scores for each question than the participants who used Protocol C , the st and ard PubMed Web interface . ( Question 1 : A = 35 % , B = 28 % , C = 20 % ; Question 2 : A = 5 % , B = 6 % , C = 4 % ; Question 3 : A = 1 % , B = 0 % , C = 0 % ) 95 % confidence intervals were calculated for the precision for each question using a lower boundary of zero . However , the 95 % confidence limits were overlapping , suggesting no statistical difference between the groups . Conclusion Due to the small number of search es for each arm , this pilot study could not demonstrate a statistically significant difference between the search protocol s. However there was a trend towards higher precision that needs to be investigated in a larger study to determine if PICO can improve the relevancy of search results
Overall , total PA was favourably associated with physical , psychological/social , and cognitive health indicators .
Relationships were more consistent and robust for higher ( e.g. , MVPA ) versus lower ( e.g. , LPA ) intensity PA .
All patterns of activity ( sporadic , bouts , continuous ) provided benefit .
LPA was favourably associated with cardiometabolic biomarkers ; data were scarce for other outcomes .
These findings continue to support the importance of at least 60 min/day of MVPA for disease prevention and health promotion in children and youth , but also highlight the potential benefits of LPA and total PA .
Moderate-to-vigorous physical activity ( MVPA ) is essential for disease prevention and health promotion .
Emerging evidence suggests other intensities of physical activity ( PA ) , including light-intensity activity ( LPA ) , may also be important , but there has been no rigorous evaluation of the evidence .
The purpose of this systematic review was to examine the relationships between objective ly measured PA ( total and all intensities ) and health indicators in school-aged children and youth .
Online data bases were search ed for peer- review ed studies that met the a priori inclusion criteria : population ( apparently healthy , aged 5 - 17 years ) , intervention/exposure/comparator ( volumes , duration s , frequencies , intensities , and patterns of objective ly measured PA ) , and outcome ( body composition , cardiometabolic biomarkers , physical fitness , behavioural conduct/pro-social behaviour , cognition/academic achievement , quality of life/well-being , harms , bone health , motor skill development , psychological distress , self-esteem ) .