TY - JOUR
T1 - A life course examination of the physical environmental determinants of physical activity behaviour
T2 - A “Determinants of Diet and Physical Activity” (DEDIPAC) umbrella systematic literature review
AU - Carlin, Angela
AU - Perchoux, Camille
AU - Puggina, Anna
AU - Aleksovska, Katina
AU - Buck, Christoph
AU - Burns, Con
AU - Cardon, Greet
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 - Lakerveld, Jeroen
AU - Ling, Fiona Chun Man
AU - Luzak, Agnes
AU - Napolitano, Giorgio
AU - Nazare, Julie Anne
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 - 2017/8/1
Y1 - 2017/8/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85026857264&partnerID=8YFLogxK
U2 - https://doi.org/10.1371/journal.pone.0182083
DO - https://doi.org/10.1371/journal.pone.0182083
M3 - Article
C2 - 28787023
SN - 1932-6203
VL - 12
JO - PLOS ONE
JF - PLOS ONE
IS - 8
M1 - e0182083
ER -