Sibling influence on children’s objectively measured physical activity: a meta-analysis and systematic review

Abstract Children without siblings (only children) have higher rates of obesity than children with siblings. Childhood obesity may be prevented by minimising sedentary behaviour and accumulating sufficient physical activity in young children. A growing number of articles have examined the influence...

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Main Authors: Chelsea L Kracht, Susan B Sisson
Format: Article
Language:English
Published: BMJ Publishing Group 2018-12-01
Series:BMJ Open Sport & Exercise Medicine
Online Access:https://bmjopensem.bmj.com/content/4/1/e000405.full
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author Chelsea L Kracht
Susan B Sisson
author_facet Chelsea L Kracht
Susan B Sisson
author_sort Chelsea L Kracht
collection DOAJ
description Abstract Children without siblings (only children) have higher rates of obesity than children with siblings. Childhood obesity may be prevented by minimising sedentary behaviour and accumulating sufficient physical activity in young children. A growing number of articles have examined the influence of siblings on physical activity and sedentary behaviour, yet these articles have not been synthesised. Objective To synthesise literature and describe the influence of siblings on objectively measured physical activity and sedentary behaviour of children (ages 2–18 years). Design Outcomes were analysed in a systematic review and meta-analysis. Data sources PubMed, EMBASE, Web of Science and Medline OVID were searched for articles related to siblings, physical activity, sedentary behaviour and obesity outcomes from 1947 to March 2018. Eligibility criteria Articles that evaluated sibling status on physical activity objectively measured by accelerometer or pedometer were included. Results Nineteen articles, representing 17 independent datasets, were included in the review. Nine were included in the quantitative analysis. Pooled data from nine articles indicated children with siblings had higher moderate-to-vigorous physical activity (MVPA) relative to only children, with a potential dose response for higher number of children in household and higher MVPA (Mean Difference=3.13, 95% CI 1.90 to 4.35, p=0.001). Findings were mixed for the influence of siblings on sedentary behaviour and light physical activity.Summary/Conclusion Children with siblings had healthier physical activity patterns, as measured by accelerometer or pedometer, than did only children. Suggested mechanisms include peer modelling, encouraging active transport and sports participation, opportunity for playmate and serving as additional caregivers.Trial registration number CRD42017055463.
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spelling doaj-art-b8247446c2454cb39a575c849578dd1e2025-08-20T02:17:01ZengBMJ Publishing GroupBMJ Open Sport & Exercise Medicine2055-76472018-12-014110.1136/bmjsem-2018-000405Sibling influence on children’s objectively measured physical activity: a meta-analysis and systematic reviewChelsea L Kracht0Susan B Sisson1Department of Nutritional Sciences, College of Allied Health, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USADepartment of Nutritional Sciences, College of Allied Health, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USAAbstract Children without siblings (only children) have higher rates of obesity than children with siblings. Childhood obesity may be prevented by minimising sedentary behaviour and accumulating sufficient physical activity in young children. A growing number of articles have examined the influence of siblings on physical activity and sedentary behaviour, yet these articles have not been synthesised. Objective To synthesise literature and describe the influence of siblings on objectively measured physical activity and sedentary behaviour of children (ages 2–18 years). Design Outcomes were analysed in a systematic review and meta-analysis. Data sources PubMed, EMBASE, Web of Science and Medline OVID were searched for articles related to siblings, physical activity, sedentary behaviour and obesity outcomes from 1947 to March 2018. Eligibility criteria Articles that evaluated sibling status on physical activity objectively measured by accelerometer or pedometer were included. Results Nineteen articles, representing 17 independent datasets, were included in the review. Nine were included in the quantitative analysis. Pooled data from nine articles indicated children with siblings had higher moderate-to-vigorous physical activity (MVPA) relative to only children, with a potential dose response for higher number of children in household and higher MVPA (Mean Difference=3.13, 95% CI 1.90 to 4.35, p=0.001). Findings were mixed for the influence of siblings on sedentary behaviour and light physical activity.Summary/Conclusion Children with siblings had healthier physical activity patterns, as measured by accelerometer or pedometer, than did only children. Suggested mechanisms include peer modelling, encouraging active transport and sports participation, opportunity for playmate and serving as additional caregivers.Trial registration number CRD42017055463.https://bmjopensem.bmj.com/content/4/1/e000405.full
spellingShingle Chelsea L Kracht
Susan B Sisson
Sibling influence on children’s objectively measured physical activity: a meta-analysis and systematic review
BMJ Open Sport & Exercise Medicine
title Sibling influence on children’s objectively measured physical activity: a meta-analysis and systematic review
title_full Sibling influence on children’s objectively measured physical activity: a meta-analysis and systematic review
title_fullStr Sibling influence on children’s objectively measured physical activity: a meta-analysis and systematic review
title_full_unstemmed Sibling influence on children’s objectively measured physical activity: a meta-analysis and systematic review
title_short Sibling influence on children’s objectively measured physical activity: a meta-analysis and systematic review
title_sort sibling influence on children s objectively measured physical activity a meta analysis and systematic review
url https://bmjopensem.bmj.com/content/4/1/e000405.full
work_keys_str_mv AT chelsealkracht siblinginfluenceonchildrensobjectivelymeasuredphysicalactivityametaanalysisandsystematicreview
AT susanbsisson siblinginfluenceonchildrensobjectivelymeasuredphysicalactivityametaanalysisandsystematicreview