SynthesisInternational journal of environmental research and public health2015
What Is the Relationship between Outdoor Time and Physical Activity, Sedentary Behaviour, and Physical Fitness in Children? A Systematic Review.
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. It is linked to trial NCT04587765 (Effect of Extra-curricular Sports Activities After School on Primary School Children's Academic Performance in China), which is not on this map. Cited by 206 papers, 14 of them syntheses that pooled 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.
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.
Effect of Extra-curricular Sports Activities After School on Primary School Children's Academic Performance in China: A Non-inferiority Cluster Randomized Controlled Trial
Who cites it
206 citing papers in PubMed, 14 syntheses or guidelines pooled it, 471 citations in OpenAlex.
- Influence of Neighborhood Built Environments on the Outdoor Free Play of Young Children: a Systematic, Mixed-Studies Review and Thematic Synthesis.Journal of urban health : bulletin of the New York Academy of Medicine · 2023Pooled it
- Determinants of Outdoor Time in Children and Youth: A Systematic Review of Longitudinal and Intervention Studies.International journal of environmental research and public health · 2023Pooled it
- Environmental and practice factors associated with children's device-measured physical activity and sedentary time in early childhood education and care centres: a systematic review.The international journal of behavioral nutrition and physical activity · 2022Pooled it
- Play, Learn, and Teach Outdoors-Network (PLaTO-Net): terminology, taxonomy, and ontology.The international journal of behavioral nutrition and physical activity · 2022Pooled it
- School-related sedentary behaviours and indicators of health and well-being among children and youth: a systematic review.The international journal of behavioral nutrition and physical activity · 2022Pooled it
- Is Sedentary Behavior Associated With Executive Function in Children and Adolescents? A Systematic Review.Frontiers in public health · 2022Pooled it
- Impact of the COVID-19 Pandemic on Sedentary Time and Behaviour in Children and Adults: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2021Pooled it
- Systematic review of the correlates of outdoor play and time among children aged 3-12 years.The international journal of behavioral nutrition and physical activity · 2021Pooled it
- Trends in Physical Fitness Among School-Aged Children and Adolescents: A Systematic Review.Frontiers in pediatrics · 2020Pooled it
- Psychosocial and Physiological Health Outcomes of Green Exercise in Children and Adolescents-A Systematic Review.International journal of environmental research and public health · 2019Pooled it
- Don't take down the monkey bars: Rapid systematic review of playground-related injuries.Canadian family physician Medecin de famille canadien · 2019Pooled it
- Parental Correlates of Outdoor Play in Boys and Girls Aged 0 to 12-A Systematic Review.International journal of environmental research and public health · 2019Pooled it
- Utilising active play interventions to promote physical activity and improve fundamental movement skills in children: a systematic review and meta-analysis.BMC public health · 2018Pooled it
- Policy determinants of physical activity across the life course: a 'DEDIPAC' umbrella systematic literature review.European journal of public health · 2018Pooled it
- A 12-week afterschool game-based physical activity program improves physical fitness of 9-10-year-old children: a randomized controlled study.Scientific reports · 2025Trial
- Impact of a multi-component implementation strategy to increase outdoor free play opportunities in early childhood education and care (ECEC) services: the get outside get active (GOGA) randomised controlled trial.The international journal of behavioral nutrition and physical activity · 2025Trial
- Trial
- Evaluation of the Web-Based OutsidePlay-ECE Intervention to Influence Early Childhood Educators' Attitudes and Supportive Behaviors Toward Outdoor Play: Randomized Controlled Trial.Journal of medical Internet research · 2022Trial
- The Impact of COVID-19 on Eating Environments and Activity in Early Childhood Education and Care in Alberta, Canada: A Cross-Sectional Study.Nutrients · 2021Trial
- A Web-Based and In-Person Risk Reframing Intervention to Influence Mothers' Tolerance for, and Parenting Practices Associated With, Children's Outdoor Risky Play: Randomized Controlled Trial.Journal of medical Internet research · 2021Trial
146 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors at 7 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The objective of this systematic review was to examine the relationship between outdoor time and: (1) physical activity, (2) cardiorespiratory fitness, (3) musculoskeletal fitness, (4) sedentary behaviour; or (5) motor skill development in children aged 3-12 years. We identified 28 relevant studies that were assessed for quality using the GRADE framework. The systematic review revealed overall positive effects of outdoor time on physical activity, sedentary behaviour, and cardiorespiratory fitness, although causality could not be assumed due to a lack of RCTs. Motor skill development was unrelated to outdoor time; however, this relationship was only examined in a single study of preschool children. No studies were found that examined associations between outdoor time and musculoskeletal fitness.
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Registered trials
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.