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A life course examination of the physical environmental determinants of physical activity behaviour: A "Determinants of Diet and Physical Activity" (DEDIPAC) umbrella systematic literature review

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Item Type:Review
Title:A life course examination of the physical environmental determinants of physical activity behaviour: A "Determinants of Diet and Physical Activity" (DEDIPAC) umbrella systematic literature review
Creators Name:Carlin, A. and Perchoux, C. and Puggina, A. and Aleksovska, K. and Buck, C. and Burns, C. and Cardon, G. and Chantal, S. and Ciarapica, D. and Condello, G. and Coppinger, T. and Cortis, C. and D'Haese, S. and De Craemer, M. and Di Blasio, A. and Hansen, S. and Iacoviello, L. and Issartel, J. and Izzicupo, P. and Jaeschke, L. and Kanning, M. and Kennedy, A. and Lakerveld, J. and Chun Man Ling, F. and Luzak, A. and Napolitano, G. and Nazare, J.A. and Pischon, T. and Polito, A. and Sannella, A. and Schulz, H. and Sohun, R. and Steinbrecher, A. and Schlicht, W. and Ricciardi, W. and MacDonncha, C. and Capranica, L. and Boccia, S.
Abstract:Background: Participation in regular physical activity is associated with a multitude of health benefits across the life course. However, many people fail to meet PA recommendations. Despite a plethora of studies, the evidence regarding the environmental (physical) determinants of physical activity remains inconclusive. Objective: To identify the physical environmental determinants that influence PA across the life course. Methods: An online systematic literature search was conducted using MEDLINE, ISI Web of Science, Scopus and SPORTDiscus. The search was limited to studies published in English (January 2004 to April 2016). Only systematic literature reviews (SLRs) and meta-analyses (MAs) of observational studies, that investigated the association between physical determinants and physical activity outcomes, were eligible for inclusion. The extracted data were assessed on the importance of determinants, strength of evidence and methodological quality. Results: The literature search identified 28 SLRs and 3 MAs on 67 physical environmental characteristics potentially related to physical activity that were eligible for inclusion. Among preschool children, a positive association was reported between availability of backyard space and outdoor toys/equipment in the home and overall physical activity. The availability of physical activity programs and equipment within schools, and neighbourhood features such as pedestrian and cyclist safety structure were positively associated with physical activity in children and adolescents. Negative street characteristics, for example, lack of sidewalks and streetlights, were negatively associated with physical activity in adults. Inconsistent associations were reported for the majority of reviewed determinants in adults. Conclusion: This umbrella SLR provided a comprehensive overview of the physical environment determinants of physical activity across the life course and has highlighted, particularly amongst youth, a number of key determinants that may be associated with overall physical activity. Given the limited evidence drawn mostly from cross-sectional studies, longitudinal studies are needed to further explore these associations. Registration: PROSPERO CRD42015010616.
Keywords:Aging, Environment, Exercise, Humans
Source:PLoS ONE
ISSN:1932-6203
Publisher:Public Library of Science (U.S.A.)
Volume:12
Number:8
Page Range:e0182083
Date:7 August 2017
Official Publication:https://doi.org/10.1371/journal.pone.0182083
PubMed:View item in PubMed

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