Evidence map›Paper›PMID 26062038›Full record

SynthesisInternational journal of environmental research and public health2015

What is the Relationship between Risky Outdoor Play and Health in Children? A Systematic Review.

Mariana Brussoni, Rebecca Gibbons, Casey Gray, Takuro Ishikawa, Ellen Beate Hansen Sandseter, Adam Bienenstock, Guylaine Chabot, Pamela Fuselli, Susan Herrington, Ian Janssen and 5 more

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in International journal of environmental research and public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 136 papers, 16 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
136citing papers in PubMed, 16 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

136 citing papers in PubMed, 16 syntheses or guidelines pooled it.

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  6. Measuring Early Childhood Educators' Physical Activity and Sedentary Behavior-Related Self-Efficacy: A Systematic Review of Tools.Health education & behavior : the official publication of the Society for Public Health Education · 2021
    Pooled it
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  9. Don't take down the monkey bars: Rapid systematic review of playground-related injuries.Canadian family physician Medecin de famille canadien · 2019
    Pooled it
  10. Parental Correlates of Outdoor Play in Boys and Girls Aged 0 to 12-A Systematic Review.International journal of environmental research and public health · 2019
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  14. A systematic review of the risk factors and interventions for the prevention of playground injuries.Canadian journal of public health = Revue canadienne de sante publique · 2018
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76 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Mariana BrussoniBritish Columbia Injury Research & Prevention Unit, Child & Family Research Institute, University of British Columbia, British Columbia Children's Hospital, F511-4480 Oak Street, Vancouver, BC V6H 3V4, Canada. mbrussoni@cw.bc.ca.
Rebecca GibbonsSchool of Population & Public Health, University of British Columbia, 2206 East Mall, Vancouver, BC V6H 3V4, Canada. rlgibbons6@gmail.com.
Casey GrayHealthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada. casgray@cheo.on.ca.
Takuro IshikawaBritish Columbia Injury Research & Prevention Unit, Child & Family Research Institute, University of British Columbia, British Columbia Children's Hospital, F511-4480 Oak Street, Vancouver, BC V6H 3V4, Canada. takuro.ishikawa@cw.bc.ca.
Ellen Beate Hansen SandseterDepartment of Physical Education and Health, College of Early Childhood Education, Queen Maud University, Thrond Nergaards Vei 7, NO-7044 Trondheim, Norway. ebs@dmmh.no.
Adam BienenstockBienenstock Natural Playgrounds, 64 Hatt Street, Dundas, ON L9H 7T6, Canada. adam@naturalplaygrounds.ca.
Guylaine ChabotEvaluation Platform on Obesity Prevention, Quebec Heart and Lung Institute, Laval University, 2725 Chemin Ste-Foy, Local Y4283, QC G1V 4G5, Canada. guylaine.chabot@criucpq.ulaval.ca.
Pamela FuselliParachute, 150 Eglinton Avenue East, Suite 300, Toronto, ON M4P 1E8, Canada. pfuselli@parachutecanada.org.
Susan HerringtonSchool of Architecture and Landscape Architecture, University of British Columbia, 379-2357 Main Mall, Vancouver, BC B6T 1Z4, Canada. susan.herrington@ubc.ca.
Ian JanssenSchool of Kinesiology and Health Studies, Queen's University, 99 University Avenue, Kingston, ON K7L 2P5, Canada. takuro.ishikawa@cw.bc.ca.
William PickettDepartment of Public Health Sciences, Carruthers Hall, Queen's University, Kingston, ON K7L 2P5, Canada. takuro.ishikawa@cw.bc.ca.
Marlene PowerForest School Canada, 411 Corkstown Road, Ottawa, ON K2K 2Y1, Canada. takuro.ishikawa@cw.bc.ca.
Nick StangerDepartment of Environmental Studies, Huxley College of the Environment, Western Washington University, 416 High Street, Bellingham, Washington, DC 98225, USA. rlgibbons6@gmail.com.
Margaret SampsonLibrary Services, Children's Hospital of Eastern Ontario, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada. casgray@cheo.on.ca.
Mark S TremblayHealthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada. ebs@dmmh.no.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Risky outdoor play has been associated with promoting children's health and development, but also with injury and death. Risky outdoor play has diminished over time, concurrent with increasing concerns regarding child safety and emphasis on injury prevention. We sought to conduct a systematic review to examine the relationship between risky outdoor play and health in children, in order to inform the debate regarding its benefits and harms. We identified and evaluated 21 relevant papers for quality using the GRADE framework. Included articles addressed the effect on health indicators and behaviours from three types of risky play, as well as risky play supportive environments. The systematic review revealed overall positive effects of risky outdoor play on a variety of health indicators and behaviours, most commonly physical activity, but also social health and behaviours, injuries, and aggression. The review indicated the need for additional "good quality" studies; however, we note that even in the face of the generally exclusionary systematic review process, our findings support the promotion of risky outdoor play for healthy child development. These positive results with the marked reduction in risky outdoor play opportunities in recent generations indicate the need to encourage action to support children's risky outdoor play opportunities. Policy and practice precedents and recommendations for action are discussed.

Indexed as

Child DevelopmentHealth StatusPlay and PlaythingsChildChild, PreschoolEnvironmentHumansInfantInfant, NewbornRiskindependent mobilityinjuryphysical activityplaygroundrisk takingsupervision

Identifiers

PMID26062038
PMCPMC4483710

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.