Policy determinants of physical activity across the life course

a 'DEDIPAC' umbrella systematic literature review

DEDIPAC Consortium

Research output: Contribution to journalArticle

Abstract

Background: Despite the large number of studies and reviews available, the evidence regarding the policy determinants of physical activity (PA) is inconclusive. This umbrella systematic literature review (SLR) summarizes the current evidence on the policy determinants of PA across the life course, by pooling the results of the available SLRs and meta-analyses (MAs).

Methods: A systematic online search was conducted on MEDLINE, ISI Web of Science, Scopus and SPORTDiscus databases up to April 2016. SLRs and MAs of observational studies investigating the association between policy determinants of PA and having PA as outcome were considered eligible. The extracted data were assessed based on the importance of the determinants, the strength of evidence and the methodological quality.

Results: Fourteen reviews on 27 policy determinants of PA were eligible for this umbrella SLR. The majority of the reviews were of moderate quality. Among children, a clear association between time spent outdoors and PA emerged. Among adults, working hours were negatively associated with PA, though evidence was limited. At the population level, community- and street-scale urban design and land use policies were found to positively support PA levels, but levels of evidences were low.

Conclusions: With this umbrella SLR the policy determinants of PA at individual-level and population-level have been summarized and assessed. None of the investigated policy determinants had a convincing level of evidence, and very few had a probable level of evidence. Further research is needed, preferably by using prospective study designs, standardized definitions of PA and objective measurement of PA.

Original languageEnglish
Pages (from-to)105-118
Number of pages14
JournalEuropean Journal of Public Health
Volume28
Issue number1
DOIs
Publication statusPublished - Feb 1 2018

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Policy determinants of physical activity across the life course : a 'DEDIPAC' umbrella systematic literature review. / DEDIPAC Consortium.

In: European Journal of Public Health, Vol. 28, No. 1, 01.02.2018, p. 105-118.

Research output: Contribution to journalArticle

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title = "Policy determinants of physical activity across the life course: a 'DEDIPAC' umbrella systematic literature review",
abstract = "Background: Despite the large number of studies and reviews available, the evidence regarding the policy determinants of physical activity (PA) is inconclusive. This umbrella systematic literature review (SLR) summarizes the current evidence on the policy determinants of PA across the life course, by pooling the results of the available SLRs and meta-analyses (MAs).Methods: A systematic online search was conducted on MEDLINE, ISI Web of Science, Scopus and SPORTDiscus databases up to April 2016. SLRs and MAs of observational studies investigating the association between policy determinants of PA and having PA as outcome were considered eligible. The extracted data were assessed based on the importance of the determinants, the strength of evidence and the methodological quality.Results: Fourteen reviews on 27 policy determinants of PA were eligible for this umbrella SLR. The majority of the reviews were of moderate quality. Among children, a clear association between time spent outdoors and PA emerged. Among adults, working hours were negatively associated with PA, though evidence was limited. At the population level, community- and street-scale urban design and land use policies were found to positively support PA levels, but levels of evidences were low.Conclusions: With this umbrella SLR the policy determinants of PA at individual-level and population-level have been summarized and assessed. None of the investigated policy determinants had a convincing level of evidence, and very few had a probable level of evidence. Further research is needed, preferably by using prospective study designs, standardized definitions of PA and objective measurement of PA.",
author = "{DEDIPAC Consortium} and Anna Puggina and Katina Aleksovska and Christoph Buck and Con Burns and Greet Cardon and Angela Carlin and Simon Chantal and Donatella Ciarapica and Giancarlo Condello and Tara Coppinger and Cristina Cortis and Sara D'Haese and {De Craemer}, Marieke and {Di Blasio}, Andrea and Sylvia Hansen and Licia Iacoviello and Johann Issartel and Pascal Izzicupo and Lina Jaeschke and Martina Kanning and Aileen Kennedy and {Chun Man Ling}, Fiona and Agnes Luzak and Giorgio Napolitano and Julie-Anne Nazare and Camille Perchoux and Tobias Pischon and Angela Polito and Alessandra Sannella and Holger Schulz and Rhoda Sohun and Astrid Steinbrecher and Wolfgang Schlicht and Walter Ricciardi and Ciaran MacDonncha and Laura Capranica and Stefania Boccia",
note = "{\circledC} The Author 2017. Published by Oxford University Press on behalf of the European Public Health Association.",
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doi = "10.1093/eurpub/ckx174",
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T1 - Policy determinants of physical activity across the life course

T2 - a 'DEDIPAC' umbrella systematic literature review

AU - DEDIPAC Consortium

AU - Puggina, Anna

AU - Aleksovska, Katina

AU - Buck, Christoph

AU - Burns, Con

AU - Cardon, Greet

AU - Carlin, Angela

AU - Chantal, Simon

AU - Ciarapica, Donatella

AU - Condello, Giancarlo

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

AU - Kennedy, Aileen

AU - Chun Man Ling, Fiona

AU - Luzak, Agnes

AU - Napolitano, Giorgio

AU - Nazare, Julie-Anne

AU - Perchoux, Camille

AU - Pischon, Tobias

AU - Polito, Angela

AU - Sannella, Alessandra

AU - Schulz, Holger

AU - Sohun, Rhoda

AU - Steinbrecher, Astrid

AU - Schlicht, Wolfgang

AU - Ricciardi, Walter

AU - MacDonncha, Ciaran

AU - Capranica, Laura

AU - Boccia, Stefania

N1 - © The Author 2017. Published by Oxford University Press on behalf of the European Public Health Association.

PY - 2018/2/1

Y1 - 2018/2/1

N2 - Background: Despite the large number of studies and reviews available, the evidence regarding the policy determinants of physical activity (PA) is inconclusive. This umbrella systematic literature review (SLR) summarizes the current evidence on the policy determinants of PA across the life course, by pooling the results of the available SLRs and meta-analyses (MAs).Methods: A systematic online search was conducted on MEDLINE, ISI Web of Science, Scopus and SPORTDiscus databases up to April 2016. SLRs and MAs of observational studies investigating the association between policy determinants of PA and having PA as outcome were considered eligible. The extracted data were assessed based on the importance of the determinants, the strength of evidence and the methodological quality.Results: Fourteen reviews on 27 policy determinants of PA were eligible for this umbrella SLR. The majority of the reviews were of moderate quality. Among children, a clear association between time spent outdoors and PA emerged. Among adults, working hours were negatively associated with PA, though evidence was limited. At the population level, community- and street-scale urban design and land use policies were found to positively support PA levels, but levels of evidences were low.Conclusions: With this umbrella SLR the policy determinants of PA at individual-level and population-level have been summarized and assessed. None of the investigated policy determinants had a convincing level of evidence, and very few had a probable level of evidence. Further research is needed, preferably by using prospective study designs, standardized definitions of PA and objective measurement of PA.

AB - Background: Despite the large number of studies and reviews available, the evidence regarding the policy determinants of physical activity (PA) is inconclusive. This umbrella systematic literature review (SLR) summarizes the current evidence on the policy determinants of PA across the life course, by pooling the results of the available SLRs and meta-analyses (MAs).Methods: A systematic online search was conducted on MEDLINE, ISI Web of Science, Scopus and SPORTDiscus databases up to April 2016. SLRs and MAs of observational studies investigating the association between policy determinants of PA and having PA as outcome were considered eligible. The extracted data were assessed based on the importance of the determinants, the strength of evidence and the methodological quality.Results: Fourteen reviews on 27 policy determinants of PA were eligible for this umbrella SLR. The majority of the reviews were of moderate quality. Among children, a clear association between time spent outdoors and PA emerged. Among adults, working hours were negatively associated with PA, though evidence was limited. At the population level, community- and street-scale urban design and land use policies were found to positively support PA levels, but levels of evidences were low.Conclusions: With this umbrella SLR the policy determinants of PA at individual-level and population-level have been summarized and assessed. None of the investigated policy determinants had a convincing level of evidence, and very few had a probable level of evidence. Further research is needed, preferably by using prospective study designs, standardized definitions of PA and objective measurement of PA.

U2 - 10.1093/eurpub/ckx174

DO - 10.1093/eurpub/ckx174

M3 - Article

VL - 28

SP - 105

EP - 118

JO - European Journal of Public Health

JF - European Journal of Public Health

SN - 1101-1262

IS - 1

ER -