Policy determinants of physical activity across the life course: a ‘DEDIPAC’ umbrella systematic literature review

Autor: Astrid Steinbrecher, Fiona Chun Man Ling, Sylvia Hansen, Sara D’Haese, Stefania Boccia, Julie Anne Nazare, Rhoda Sohun, Giorgio Napolitano, Angela Carlin, Andrea Di Blasio, Tara Coppinger, Giancarlo Condello, Martina Kanning, Alessandra Sannella, Holger Schulz, Simon Chantal, Agnes Luzak, Anna Puggina, Marieke De Craemer, Lina Jaeschke, Greet Cardon, Johann Issartel, Donatella Ciarapica, Christoph Buck, Pascal Izzicupo, Laura Capranica, Camille Perchoux, Ciaran MacDonncha, Wolfgang Schlicht, Katina Aleksovska, Cristina Cortis, Walter Ricciardi, Licia Iacoviello, Angela Polito, Aileen Kennedy, Tobias Pischon, Con Burns
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Gerontology
Male
PRESCHOOL-CHILDREN
CHILDHOOD
0302 clinical medicine
Medicine and Health Sciences
030212 general & internal medicine
Child
life course
Health Policy
Systematic literature review
Age Factors
SCIENCE
Middle Aged
C900
Europe
Systematic review
YOUTH
Child
Preschool
OBESITY
Life course approach
Female
ENERGY-BALANCE
HEALTH
umbrella systematic literature review
Psychology
Adult
medicine.medical_specialty
Adolescent
MEDLINE
Scopus
030209 endocrinology & metabolism
BEHAVIORS
RECESS
03 medical and health sciences
Young Adult
Policy determinants
physical activity
life course
DEDIPAC
umbrella systematic literature review
medicine
Humans
DEDIPAC
Settore MED/42 - IGIENE GENERALE E APPLICATA
Exercise
Health policy
Public health
Public Health
Environmental and Occupational Health
Evidence-based medicine
Physical Activity
Policy determinants
FRAMEWORK
C600
B900
Observational study
Zdroj: EUROPEAN JOURNAL OF PUBLIC HEALTH
The European Journal of Public Health
ISSN: 1101-1262
1464-360X
Popis: Background\ud 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).\ud \ud Methods\ud 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.\ud \ud Results\ud 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.\ud \ud Conclusions\ud 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.
Databáze: OpenAIRE
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