The effectiveness and complexity of interventions targeting sedentary behaviour across the lifespan: a systematic review and meta-analysis.

Autor: Blackburn NE; Centre for Health and Rehabilitation Technologies, Institute of Nursing and Health Research, School of Health Sciences, Ulster University, Newtownabbey, United Kingdom. ne.blackburn@ulster.ac.uk., Wilson JJ; Centre for Health and Rehabilitation Technologies, Institute of Nursing and Health Research, School of Health Sciences, Ulster University, Newtownabbey, United Kingdom., McMullan II; Centre for Health and Rehabilitation Technologies, Institute of Nursing and Health Research, School of Health Sciences, Ulster University, Newtownabbey, United Kingdom., Caserotti P; Department of Sports Science and Clinical Biomechanics, Center for Active and Healthy Ageing (CAHA), Syddansk Universitet, Odense, Denmark., Giné-Garriga M; Department of Sport Sciences, Faculty of Psychology, Education and Sport Sciences Blanquerna, Universitat Ramon Llull, Barcelona, Spain.; School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, United Kingdom., Wirth K; Agaplesion Bethesda Clinic Ulm, Geriatric Centre Ulm/Alb-Donau, Ulm, Germany.; Department of Epidemiology and Medical Biometry, Ulm University, Ulm, Germany., Coll-Planas L; Fundació Salut i Envelliment-Universitat Autònoma de Barcelona, Barcelona, Spain.; Biomedical Research Institute Sant Pau (IIB-Sant Pau), Barcelona, Spain., Alias SB; Fundació Salut i Envelliment-Universitat Autònoma de Barcelona, Barcelona, Spain.; Biomedical Research Institute Sant Pau (IIB-Sant Pau), Barcelona, Spain., Roqué M; Fundació Salut i Envelliment-Universitat Autònoma de Barcelona, Barcelona, Spain.; Biomedical Research Institute Sant Pau (IIB-Sant Pau), Barcelona, Spain., Deidda M; Health Economics and Health Technology Assessment (HEHTA), Institute of Health and Wellbeing (IHW), University of Glasgow, Glasgow, United Kingdom., Kunzmann AT; School of Medicine, Dentistry and Biomedical Sciences, Centre for Public Health, Queen's University Belfast, Belfast, United Kingdom., Dallmeier D; Agaplesion Bethesda Clinic Ulm, Geriatric Centre Ulm/Alb-Donau, Ulm, Germany.; Department of Epidemiology, Boston University School of Public Health, Boston, USA., Tully MA; Centre for Health and Rehabilitation Technologies, Institute of Nursing and Health Research, School of Health Sciences, Ulster University, Newtownabbey, United Kingdom.; Institute of Mental Health Sciences, School of Health Sciences, Ulster University, Newtownabbey, United Kingdom.
Jazyk: angličtina
Zdroj: The international journal of behavioral nutrition and physical activity [Int J Behav Nutr Phys Act] 2020 Apr 25; Vol. 17 (1), pp. 53. Date of Electronic Publication: 2020 Apr 25.
DOI: 10.1186/s12966-020-00957-0
Abstrakt: Background: Evidence suggests that sedentary behaviour (SB) is associated with poor health outcomes. SB at any age may have significant consequences for health and well-being and interventions targeting SB are accumulating. Therefore, the need to review the effects of multicomponent, complex interventions that incorporate effective strategies to reduce SB are essential.
Methods: A systematic review and meta-analysis were conducted investigating the impact of interventions targeting SB across the lifespan. Six databases were searched and two review authors independently screened studies for eligibility, completed data extraction and assessed the risk of bias and complexity of each of the included studies.
Results: A total of 77 adult studies (n=62, RCTs) and 84 studies (n=62, RCTs) in children were included. The findings demonstrated that interventions in adults when compared to active controls resulted in non-significant reductions in SB, although when compared to inactive controls significant reductions were found in both the short (MD -56.86; 95%CI -74.10, -39.63; n=4632; I 2 83%) and medium-to-long term (MD -20.14; 95%CI -34.13, -6.16; n=4537; I 2 65%). The findings demonstrated that interventions in children when compared to active controls may lead to relevant reductions in daily sedentary time in the short-term (MD -59.90; 95%CI -102.16, -17.65; n=267; I 2 86%), while interventions in children when compared to inactive controls may lead to relevant reductions in the short-term (MD -25.86; 95%CI -40.77, -10.96; n=9480; I 2 98%) and medium-to-long term (MD -14.02; 95%CI -19.49, -8.55; n=41,138; I 2 98%). The assessment of complexity suggested that interventions may need to be suitably complex to address the challenges of a complex behaviour such as SB, but demonstrated that a higher complexity score is not necessarily associated with better outcomes in terms of sustained long-term changes.
Conclusions: Interventions targeting reductions in SB have been shown to be successful, especially environmental interventions in both children and adults. More needs to be known about how best to optimise intervention effects. Future intervention studies should apply more rigorous methods to improve research quality, considering larger sample sizes, randomised controlled designs and valid and reliable measures of SB.
Databáze: MEDLINE
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