TY - JOUR
T1 - Policy determinants of physical activity across the life course
T2 - A DEDIPAC' umbrella systematic literature review
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 - Ling, Fiona Chun Man
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
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.
UR - http://www.scopus.com/inward/record.url?scp=85041667807&partnerID=8YFLogxK
U2 - 10.1093/eurpub/ckx174
DO - 10.1093/eurpub/ckx174
M3 - Review article
C2 - 29048468
AN - SCOPUS:85041667807
SN - 1101-1262
VL - 28
SP - 105
EP - 118
JO - European Journal of Public Health
JF - European Journal of Public Health
IS - 1
ER -