DE-PASS best evidence statement (BESt): determinants of adolescents' device-based physical activity and sedentary behaviour in settings: a systematic review and meta-analysis.

Autor: Kolovelonis A; Department of Physical Education and Sport Science, University of Thessaly, 42 100 Karies, Trikala, Greece. akolov@pe.uth.gr., Syrmpas I; Department of Physical Education and Sport Science, University of Thessaly, 42 100 Karies, Trikala, Greece., Marcuzzi A; Department of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, Norway., Khudair M; Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle, UK., Ng K; Faculty of Education, University of Turku, Turku, Finland.; Department of Physical Education and Sport Sciences, Physical Activity for Health Centre, University of Limerick, Limerick, Ireland.; Institute of Innovation and Sports Science, Lithuanian Sports University, Kaunas, Lithuania., Tempest GD; Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle, UK., Peric R; Exercise Physiology Laboratory, OrthoSport Banja Luka, Banja Luka, Bosnia-Herzegovina., Bartoš F; Department of Psychological Methods, University of Amsterdam, Amsterdam, the Netherlands., Maier M; University College London, London, UK., Brandes M; Department of Prevention and Evaluation, Leibniz, Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany., Carlin A; Centre for Exercise Medicine, Physical Activity and Health, Sport and Exercise Sciences Research Institute, Ulster University, Belfast, UK., Ciaccioni S; Department of Movement, Human and Health Sciences, University of Rome 'Foro Italico', Rome, Italy., Cortis C; Department of Human Sciences, Society and Health, University of Cassino and Lazio Meridionale, Cassino, Italy., Corvino C; Faculty of Economics, Department of Psychology, Universita Cattolica del Sacro Cuore, Milan, Italy., Di Credico A; Department of Medicine and Aging Sciences, University 'G. d'Annunzio' of Chieti-Pescara, Chieti, Italy., Drid P; Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia., Gallè F; Department of Medical, Movement and Wellbeing Sciences, University of Naples 'Parthenope', Naples, Italy., Izzicupo P; Department of Medicine and Aging Sciences, University 'G. d'Annunzio' of Chieti-Pescara, Chieti, Italy., Jahre H; Department of Rehabilitation Science and Health Technology, Oslo Metropolitan University, Oslo, Norway., Kongsvold A; Department of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, Norway., Kouidi E; Laboratory of Sports Medicne, Department of Physical Education and Sports Science, Aristotle University of Thessaloniki, Thessaloniki, Greece., Mork PJ; Department of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, Norway., Palumbo F; Department of Movement, Human and Health Sciences, University of Rome 'Foro Italico', Rome, Italy., Rumbold PLS; Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle, UK., Sandu P; Health Promotion and Evaluation, National Institute of Public Health in Romania, Bucharest, Romania., Stavnsbo M; Department of Sport Science and Physical Education, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway., Vilela S; EPIUnit - Institute of Public Health, University of Porto, Porto, Portugal., Woods C; Physical Activity for Health Cluster, Department of Physical Education and Sport Sciences, Health Research Institute, University of Limerick, Limerick, Ireland., Wunsch K; Institute of Sports and Sports Science, Karlsruhe Institute of Technology, Karlsruhe, Germany., Capranica L; Department of Movement, Human and Health Sciences, University of Rome 'Foro Italico', Rome, Italy., MacDonncha C; Physical Activity for Health Cluster, Department of Physical Education and Sport Sciences, Health Research Institute, University of Limerick, Limerick, Ireland., Ling FCM; Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle, UK.
Jazyk: angličtina
Zdroj: BMC public health [BMC Public Health] 2024 Jun 26; Vol. 24 (1), pp. 1706. Date of Electronic Publication: 2024 Jun 26.
DOI: 10.1186/s12889-024-19136-y
Abstrakt: Background: Although physical activity (PA) is associated with significant health benefits, only a small percentage of adolescents meet recommended PA levels. This systematic review with meta-analysis explored the modifiable determinants of adolescents' device-based PA and/or sedentary behaviour (SB), evaluated in previous interventions and examined the associations between PA/SB and these determinants in settings.
Methods: A search was conducted on five electronic databases, including papers published from January 2010 to July 2023. Randomized Controlled Trials (RCTs) or Controlled Trials (CTs) measuring adolescents' device-based PA/SB and their modifiable determinants at least at two time points: pre- and post-intervention were considered eligible. PA/SB and determinants were the main outcomes. Modifiable determinants were classified after data extraction adopting the social-ecological perspective. Robust Bayesian meta-analyses (RoBMA) were performed per each study setting. Outcomes identified in only one study were presented narratively. The risk of bias for each study and the certainty of the evidence for each meta-analysis were evaluated. The publication bias was also checked.
Prospero Id: CRD42021282874.
Results: Fourteen RCTs (eight in school, three in school and family, and one in the family setting) and one CT (in the school setting) were included. Fifty-four modifiable determinants were identified and were combined into 33 broader determinants (21 individual-psychological, four individual-behavioural, seven interpersonal, and one institutional). RoBMAs revealed none or negligible pooled intervention effects on PA/SB or determinants in all settings. The certainty of the evidence of the impact of interventions on outcomes ranged from very low to low. Narratively, intervention effects in favour of the experimental group were detected in school setting for the determinants: knowledge of the environment for practicing PA, d = 1.84, 95%CI (1.48, 2.20), behaviour change techniques, d = 0.90, 95%CI (0.09, 1.70), choice provided, d = 0.70, 95%CI (0.36, 1.03), but no corresponding effects on PA or SB were found.
Conclusions: Weak to minimal evidence regarding the associations between the identified modifiable determinants and adolescents' device-based PA/SB in settings were found, probably due to intervention ineffectiveness. Well-designed and well-implemented multicomponent interventions should further explore the variety of modifiable determinants of adolescents' PA/SB, including policy and environmental variables.
(© 2024. The Author(s).)
Databáze: MEDLINE
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