Summary of findings 2. Physical activity interventions with a caregiver component compared to interventions without a caregiver component for improving children's physical activity behaviors.

Physical activity interventions with a caregiver component compared to interventions without a caregiver component for improving children's physical activity behaviors
Patient or population: children aged 3 to 11 years Setting: child + caregiver arm: home, online, school; child‐only arm: school, home Intervention: physical activity interventions with a caregiver component Comparison: physical activity interventions without a caregiver component
Outcomes	Illustrative comparative risks* (95% CI)		Relative effect (95% CI)	No. of participants (studies)	Quality of the evidence (GRADE)	Comments
	Assumed risk—physical activity interventions without a caregiver component	Corresponding risk—physical activity interventions with a caregiver component
Percentage of children's total energy intake from saturated fat (not measured)	‐	‐	‐	‐	‐	No studies reported data for percentage of children's total energy intake from saturated fat
Children's sodium intake (not measured)	‐	‐	‐	‐	‐	No studies reported data for children's sodium intake
Children's fruit and vegetable intake (not measured)	‐	‐	‐	‐	‐	No studies reported data for children's fruit and vegetable intake
Children's SSB intake (not measured)	‐	‐	‐	‐	‐	No studies reported data for children's SSB intake
Children's total physical activity (min/h) Measured by accelerometry Assessed at end of intervention (6 months)	Mean total physical activity score in the control group was 26.8 min/h	Mean total physical activity score in the intervention group was0.2 min/h more (1.19 less to 1.59 more)	‐	54 (1 RCT)	⊕⊕⊝⊝ Lowa,b	WHO recommends that physical activity beyond 60 minutes of MVPA per day provides additional benefits (WHO 2010)
Children's MVPA (% time spent/d and min/h) Measured by accelerometry Assessed at end of intervention (12 weeks and 6 months)	‐	Mean MVPA score in the intervention group was 0.04 standard deviations higher (0.41 lower to 0.49 higher)	‐	80 (2 RCTs)	⊕⊕⊕⊝ Moderateb	WHO recommends that youth aged 5 to 17 years should do at least 60 minutes of MVPA daily (WHO 2010) The observed standard deviation of 0.04 probably represents a trivial, non‐significant difference between arms
Adverse effects (not measured)	‐	‐	‐	‐	‐	No studies reported data for adverse effects
*The risk in the intervention group (and its 95% CI) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI). CI: confidence interval; MVPA: moderate to vigorous physical activity; RCT: randomized controlled trial; SSB: sugar‐sweetened beverage; WHO: World Health Organization.
GRADE Working Group grades of evidence. High quality: we are very confident that the true effect lies close to that of the estimate of the effect. Moderate quality: we are moderately confident in the effect estimate: the true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different. Low quality: our confidence in the effect estimate is limited: the true effect may be substantially different from the estimate of the effect. Very low quality: we have very little confidence in the effect estimate: the true effect is likely to be substantially different from the estimate of effect.

^aDowngraded by one level for indirectness: one trial only.
 ^bDowngraded by one level for risk of bias: high attrition.