TY - GEN
T1 - Behavioral determinants of physical activity across the life course: a “determinants of dlet and physical activity” (DEDIPAC) umbrella systematic literature review
AU - Condello, Giancarlo
AU - Puggina, Anna
AU - Aleksovska, Katina
AU - Buck, Christoph
AU - Burns, Con
AU - Cardon, Greet
AU - Carlin, Angela
AU - Simon, Chantal
AU - Ciarapica, Donatella
AU - Coppinger, Tara
AU - Cortis, Cristina
AU - D’Haese, Sara
AU - De Craemer, Marieke
AU - Di Blasio, Andrea
AU - Hansen, Sylvia
AU - Iacoviello, Licia
AU - Issartel, Johann
AU - Izzicupo, Pascal
AU - Jaeschke, Lina
AU - Kanning, Martina
PY - 2017
Y1 - 2017
N2 - Background: Low levels of physical activity (PA) are a global concern and increasing PA engagement is becoming a priority in current public health policies. Despite the large number of studies and reviews available, the evidence regarding the behavioral determinants of PA is still inconclusive. Thus, the aim of this umbrella systematic literaturereview (SLR) was to summarize the evidence on the behavioral determinants of PA across the life course.Methods: A systematic online search was conducted on MEDLINE, ISI Web of Science, Scopus, and SPORT Discus databases. The search was limited to studies published in English from January, 2004 to April, 2016. SLRs and meta-analyses (MAs) of observational studies that investigated the behavioral determinants of PA were consideredeligible. The extracted data were assessed based on the importance of the determinants, the strength of evidence, and the methodological quality. The full protocol is available from PROSPERO (PROSPERO 2014:CRD42015010616).Results: Seventeen reviews on 35 behavioral determinants of PA were eligible for this umbrella SLR. Regardless of age, the most investigated determinants were those related with ‘screen use’ and ‘smoking’. For youth, probable positive evidence emerged for ‘previous PA’ and ‘independent mobility and active transport’ among children andadolescents. For the adult population, ‘transition to university’ and ‘pregnancy/having a child’ showed probable negative associations.Conclusions: Although the majority of the evidence was limited and most of the determinants were not associated with PA, this umbrella SLR provided a comprehensive overview of the associations between behavioural determinants and PA. Youth should be physically active in the early years and increase active transportation to/from school, independent mobility, and ‘free-range activities’ without adult supervision, whilst adult PA behaviors are mostly influenced by the life events. Finally, more research is needed that incorporates prospective study designs, standardized definitions of PA, objective measurement methods of PA assessment, and the use of interactionist andmediational approaches for the evaluation of different behavioral determinants influencing PA behaviors.
AB - Background: Low levels of physical activity (PA) are a global concern and increasing PA engagement is becoming a priority in current public health policies. Despite the large number of studies and reviews available, the evidence regarding the behavioral determinants of PA is still inconclusive. Thus, the aim of this umbrella systematic literaturereview (SLR) was to summarize the evidence on the behavioral determinants of PA across the life course.Methods: A systematic online search was conducted on MEDLINE, ISI Web of Science, Scopus, and SPORT Discus databases. The search was limited to studies published in English from January, 2004 to April, 2016. SLRs and meta-analyses (MAs) of observational studies that investigated the behavioral determinants of PA were consideredeligible. The extracted data were assessed based on the importance of the determinants, the strength of evidence, and the methodological quality. The full protocol is available from PROSPERO (PROSPERO 2014:CRD42015010616).Results: Seventeen reviews on 35 behavioral determinants of PA were eligible for this umbrella SLR. Regardless of age, the most investigated determinants were those related with ‘screen use’ and ‘smoking’. For youth, probable positive evidence emerged for ‘previous PA’ and ‘independent mobility and active transport’ among children andadolescents. For the adult population, ‘transition to university’ and ‘pregnancy/having a child’ showed probable negative associations.Conclusions: Although the majority of the evidence was limited and most of the determinants were not associated with PA, this umbrella SLR provided a comprehensive overview of the associations between behavioural determinants and PA. Youth should be physically active in the early years and increase active transportation to/from school, independent mobility, and ‘free-range activities’ without adult supervision, whilst adult PA behaviors are mostly influenced by the life events. Finally, more research is needed that incorporates prospective study designs, standardized definitions of PA, objective measurement methods of PA assessment, and the use of interactionist andmediational approaches for the evaluation of different behavioral determinants influencing PA behaviors.
KW - physical activity
KW - behavioral determinants
KW - umbrella systematic literature review
KW - health promotion
U2 - 10.1186/s12966-017-0510-2
DO - 10.1186/s12966-017-0510-2
M3 - Other contribution
C2 - 28464958
PB - BioMed Central
ER -