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RESEARCH PRODUCT

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

Astrid SteinbrecherFiona Chun Man LingFiona Chun Man LingFiona Chun Man LingSylvia HansenSara D’haeseStefania BocciaJulie Anne NazareRhoda SohunGiorgio NapolitanoAngela CarlinAndrea Di BlasioTara CoppingerGiancarlo CondelloMartina KanningAlessandra SannellaHolger SchulzSimon ChantalAgnes LuzakAnna PugginaMarieke De CraemerLina JaeschkeGreet CardonJohann IssartelDonatella CiarapicaChristoph BuckPascal IzzicupoLaura CapranicaCamille PerchouxCiaran MacdonnchaWolfgang SchlichtKatina AleksovskaCristina CortisWalter RicciardiWalter RicciardiLicia IacovielloAngela PolitoAileen KennedyTobias PischonCon Burns

subject

GerontologyMalePRESCHOOL-CHILDRENCHILDHOOD0302 clinical medicineMedicine and Health Sciences030212 general & internal medicineChildlife courseHealth PolicySystematic literature reviewAge FactorsSCIENCEMiddle AgedC900EuropeSystematic reviewYOUTHChild PreschoolOBESITYLife course approachFemaleENERGY-BALANCEHEALTHumbrella systematic literature reviewPsychologyAdultmedicine.medical_specialtyAdolescentMEDLINEScopus030209 endocrinology & metabolismBEHAVIORSRECESS03 medical and health sciencesYoung AdultPolicy determinants physical activity life course DEDIPAC umbrella systematic literature reviewmedicineHumansDEDIPACSettore MED/42 - IGIENE GENERALE E APPLICATAExerciseHealth policyPublic healthPublic Health Environmental and Occupational HealthEvidence-based medicinePhysical ActivityPolicy determinantsFRAMEWORKC600B900Observational study

description

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.

10.1093/eurpub/ckx174https://nrl.northumbria.ac.uk/id/eprint/40143/1/ckx174.pdf