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

Anna Puggina¹, Katina Aleksovska¹, Christoph Buck², Con Burns³, Greet Cardon⁴, Angela Carlin⁵, Simon Chantal⁶, Donatella Ciarapica⁷, Giancarlo Condello⁸, Tara Coppinger³, Cristina Cortis⁹, Sara D'Haese⁴, Marieke De Craemer⁴, Andrea Di Blasio¹⁰, Sylvia Hansen¹¹, Licia Iacoviello¹², Johann Issartel¹³, Pascal Izzicupo¹⁰, Lina Jaeschke¹⁴, Martina Kanning¹¹, Aileen Kennedy¹⁵, Fiona Chun Man Ling^{5

16

17}, Agnes Luzak¹⁸, Giorgio Napolitano¹⁰, Julie-Anne Nazare¹⁹, Camille Perchoux^{19

20}, Tobias Pischon¹⁴, Angela Polito⁷, Alessandra Sannella⁹, Holger Schulz¹⁸, Rhoda Sohun⁵, Astrid Steinbrecher¹⁴, Wolfgang Schlicht¹¹, Walter Ricciardi^{21

22}, Ciaran MacDonncha⁵, Laura Capranica⁸, Stefania Boccia²¹; DEDIPAC Consortium

Affiliations

¹ Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.
² Leibniz Institute for Prevention Research and Epidemiology BIPS, Bremen, Germany.
³ Department of Sport, Leisure and Childhood Studies, Cork Institute of Technology, Cork, Munster, Ireland.
⁴ Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium.
⁵ Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland.
⁶ Department of Applied Sciences in Physical Activity and Management, Catholic University of Valencia 'San Vicente Mártir', Valencia, Spain.
⁷ Council for Agricultural Research and Economics, Research Centre for Food and Nutrition, Rome, Italy.
⁸ Department of Movement, Human and Health Sciences, University of Rome Foro Italico, Rome, Italy.
⁹ Department of Human Sciences, Society, and Health, University of Cassino and Lazio Meridionale, Cassino, Italy.
¹⁰ Department of Medicine and Aging Sciences, 'G. d'Annunzio' University of Chieti-Pescara, Chieti and Pescara, Italy.
¹¹ Department for Sport and Exercise Sciences, University of Stuttgart, Stuttgart, Germany.
¹² Department of Epidemiology and Prevention, IRCCS Istituto Neurologico Mediterraneo: NEUROMED, Pozzilli, Italy.
¹³ School of Health and Human Performance, Multisensory Motor Learning Lab, Dublin City University, Dublin, Ireland.
¹⁴ Molecular Epidemiology Group, Max Delbruck Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin, Germany.
¹⁵ Centre for Preventive Medicine, School of Health and Human Performance, Dublin City University, Dublin, Ireland.
¹⁶ Institute of Sport, Exercise and Active Living, Victoria University, Melbourne, Australia.
¹⁷ Department of Psychology, Bournemouth Univesity, Poole, UK.
¹⁸ Institute of Epidemiology I, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany.
¹⁹ Centre de Recherche en Nutrition Humaine Rhône-Alpes, CarMeN INSERM U1060, University of Lyon1, Lyon, France.
²⁰ Luxembourg Institute of Socio-Economic Research, Esch/Alzette, Luxembourg.
²¹ Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario 'Agostino Gemelli', Rome, Italy.
²² Italian National Institute of Health, Rome, Italy (Istituto Superiore di Sanita - ISS).

PMID: 29048468
PMCID: PMC5881728
DOI: 10.1093/eurpub/ckx174

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

Anna Puggina et al. Eur J Public Health. 2018.

. 2018 Feb 1;28(1):105-118.

doi: 10.1093/eurpub/ckx174.

Authors

Affiliations

¹ Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.
² Leibniz Institute for Prevention Research and Epidemiology BIPS, Bremen, Germany.
³ Department of Sport, Leisure and Childhood Studies, Cork Institute of Technology, Cork, Munster, Ireland.
⁴ Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium.
⁵ Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland.
⁶ Department of Applied Sciences in Physical Activity and Management, Catholic University of Valencia 'San Vicente Mártir', Valencia, Spain.
⁷ Council for Agricultural Research and Economics, Research Centre for Food and Nutrition, Rome, Italy.
⁸ Department of Movement, Human and Health Sciences, University of Rome Foro Italico, Rome, Italy.
⁹ Department of Human Sciences, Society, and Health, University of Cassino and Lazio Meridionale, Cassino, Italy.
¹⁰ Department of Medicine and Aging Sciences, 'G. d'Annunzio' University of Chieti-Pescara, Chieti and Pescara, Italy.
¹¹ Department for Sport and Exercise Sciences, University of Stuttgart, Stuttgart, Germany.
¹² Department of Epidemiology and Prevention, IRCCS Istituto Neurologico Mediterraneo: NEUROMED, Pozzilli, Italy.
¹³ School of Health and Human Performance, Multisensory Motor Learning Lab, Dublin City University, Dublin, Ireland.
¹⁴ Molecular Epidemiology Group, Max Delbruck Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin, Germany.
¹⁵ Centre for Preventive Medicine, School of Health and Human Performance, Dublin City University, Dublin, Ireland.
¹⁶ Institute of Sport, Exercise and Active Living, Victoria University, Melbourne, Australia.
¹⁷ Department of Psychology, Bournemouth Univesity, Poole, UK.
¹⁸ Institute of Epidemiology I, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany.
¹⁹ Centre de Recherche en Nutrition Humaine Rhône-Alpes, CarMeN INSERM U1060, University of Lyon1, Lyon, France.
²⁰ Luxembourg Institute of Socio-Economic Research, Esch/Alzette, Luxembourg.
²¹ Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario 'Agostino Gemelli', Rome, Italy.
²² Italian National Institute of Health, Rome, Italy (Istituto Superiore di Sanita - ISS).

PMID: 29048468
PMCID: PMC5881728
DOI: 10.1093/eurpub/ckx174

Abstract

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.

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Figures

**Figure 1**
Flowchart of the literature search

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References

1. WHO | Physical activity. WHO Fact Sheet. Geneva: World Health Organization, 2016. (15 March 2016, date last accessed).
1. Hallal PC, Andersen LB, Bull FC, et al. Global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet 380:247–57. Available at: http://www.ncbi.nlm.nih.gov/pubmed/22818937. - PubMed
1. World Health Organization (WHO). Global Recommendations on Physical Activity for Health [Internet]. WHO Fact Sheet. 2010. Available at: http://apps.who.int/iris/bitstream/10665/44399/1/9789241599979_eng.pdf (25 May 2016, date last accessed) - PubMed
1. Bauman AE, Reis RS, Sallis JF, et al. Physical activity 2 correlates of physical activity: why are some people physically active and others not? for the Lancet Physical Activity Series Working Group*. Lancet [Internet] 2012;380:258–71. - PubMed
1. Sallis JF, Cervero RB, Ascher W, et al. An ecological approach to creating active living communities. Annu Rev Public Health [Internet] 2006;27:297–322. Available at: http://www.ncbi.nlm.nih.gov/pubmed/16533119 (30 May 2016, date last accessed). - PubMed

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

Affiliations

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

Authors

Affiliations

Abstract

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References

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical

Miscellaneous