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Behavioral determinants of physical activity across the life course : a 'DEterminants of DIet and Physical ACtivity' (DEDIPAC) umbrella systematic literature review

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Abstract
Background: Low levels of physical activity (PA) are a global concern and increasing PA engagement is becoming a priority in current public health policies. Despite the large number of studies and reviews available, the evidence regarding the behavioral determinants of PA is still inconclusive. Thus, the aim of this umbrella systematic literature review (SLR) was to summarize the evidence on the behavioral determinants of PA across the life course. Methods: A systematic online search was conducted on MEDLINE, ISI Web of Science, Scopus, and SPORTDiscus databases. The search was limited to studies published in English from January, 2004 to April, 2016. SLRs and meta-analyses (MAs) of observational studies that investigated the behavioral determinants of PA were considered eligible. The extracted data were assessed based on the importance of the determinants, the strength of evidence, and the methodological quality. The full protocol is available from PROSPERO (PROSPERO 2014: CRD42015010616). Results: Seventeen reviews on 35 behavioral determinants of PA were eligible for this umbrella SLR. Regardless of age, the most investigated determinants were those related with 'screen use' and 'smoking'. For youth, probable positive evidence emerged for 'previous PA' and 'independent mobility and active transport' among children and adolescents. For the adult population, 'transition to university' and 'pregnancy/having a child' showed probable negative associations. Conclusions: Although the majority of the evidence was limited and most of the determinants were not associated with PA, this umbrella SLR provided a comprehensive overview of the associations between behavioral determinants and PA. Youth should be physically active in the early years and increase active transportation to/from school, independent mobility, and 'free-range activities' without adult supervision, whilst adult PA behaviors are mostly influenced by the life events. Finally, more research is needed that incorporates prospective study designs, standardized definitions of PA, objective measurement methods of PA assessment, and the use of interactionist and mediational approaches for the evaluation of different behavioral determinants influencing PA behaviors.
Keywords
Physical activity, Behavioral determinants, Umbrella systematic literature review, Health promotion, SEDENTARY BEHAVIOR, LEISURE-TIME, CHILDREN, SCHOOL, YOUTH, ASSOCIATIONS, ADOLESCENTS, METAANALYSIS, EXERCISE, QUALITY

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Chicago
Condello, Giancarlo, Anna Puggina, Katina Aleksovska, Christoph Buck, Con Burns, Greet Cardon, Angela Carlin, et al. 2017. “Behavioral Determinants of Physical Activity Across the Life Course : a ‘DEterminants of DIet and Physical ACtivity’ (DEDIPAC) Umbrella Systematic Literature Review.” International Journal of Behavioral Nutrition and Physical Activity 14.
APA
Condello, G., Puggina, A., Aleksovska, K., Buck, C., Burns, C., Cardon, G., Carlin, A., et al. (2017). Behavioral determinants of physical activity across the life course : a “DEterminants of DIet and Physical ACtivity” (DEDIPAC) umbrella systematic literature review. INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY, 14.
Vancouver
1.
Condello G, Puggina A, Aleksovska K, Buck C, Burns C, Cardon G, et al. Behavioral determinants of physical activity across the life course : a “DEterminants of DIet and Physical ACtivity” (DEDIPAC) umbrella systematic literature review. INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY. 2017;14.
MLA
Condello, Giancarlo, Anna Puggina, Katina Aleksovska, et al. “Behavioral Determinants of Physical Activity Across the Life Course : a ‘DEterminants of DIet and Physical ACtivity’ (DEDIPAC) Umbrella Systematic Literature Review.” INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY 14 (2017): n. pag. Print.
@article{8522273,
  abstract     = {Background: Low levels of physical activity (PA) are a global concern and increasing PA engagement is becoming a priority in current public health policies. Despite the large number of studies and reviews available, the evidence regarding the behavioral determinants of PA is still inconclusive. Thus, the aim of this umbrella systematic literature review (SLR) was to summarize the evidence on the behavioral determinants of PA across the life course. 
Methods: A systematic online search was conducted on MEDLINE, ISI Web of Science, Scopus, and SPORTDiscus databases. The search was limited to studies published in English from January, 2004 to April, 2016. SLRs and meta-analyses (MAs) of observational studies that investigated the behavioral determinants of PA were considered eligible. The extracted data were assessed based on the importance of the determinants, the strength of evidence, and the methodological quality. The full protocol is available from PROSPERO (PROSPERO 2014: CRD42015010616). 
Results: Seventeen reviews on 35 behavioral determinants of PA were eligible for this umbrella SLR. Regardless of age, the most investigated determinants were those related with 'screen use' and 'smoking'. For youth, probable positive evidence emerged for 'previous PA' and 'independent mobility and active transport' among children and adolescents. For the adult population, 'transition to university' and 'pregnancy/having a child' showed probable negative associations. 
Conclusions: Although the majority of the evidence was limited and most of the determinants were not associated with PA, this umbrella SLR provided a comprehensive overview of the associations between behavioral determinants and PA. Youth should be physically active in the early years and increase active transportation to/from school, independent mobility, and 'free-range activities' without adult supervision, whilst adult PA behaviors are mostly influenced by the life events. Finally, more research is needed that incorporates prospective study designs, standardized definitions of PA, objective measurement methods of PA assessment, and the use of interactionist and mediational approaches for the evaluation of different behavioral determinants influencing PA behaviors.},
  articleno    = {58},
  author       = {Condello, Giancarlo and Puggina, Anna and Aleksovska, Katina and Buck, Christoph and Burns, Con and Cardon, Greet and Carlin, Angela and Simon, Chantal and Ciarapica, Donatella and Coppinger, Tara and Cortis, Cristina and D'Haese, Sara and De Craemer, Marieke and Di Blasio, Andrea and Hansen, Sylvia and Iacoviello, Licia and Issartel, Johann and Izzicupo, Pascal and Jaeschke, Lina and Kanning, Martina and Kennedy, Aileen and Ling, Fiona Chun Man and Luzak, Agnes and Napolitano, Giorgio and Nazare, Julie-Anne and Perchoux, Camille and Pesce, Caterina and Pischon, Tobias and Polito, Angela and Sannella, Alessandra and Schulz, Holger and Sohun, Rhoda and Steinbrecher, Astrid and Schlicht, Wolfgang and Ricciardi, Walter and MacDonncha, Ciaran and Capranica, Laura and Boccia, Stefania},
  issn         = {1479-5868},
  journal      = {INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY},
  keyword      = {Physical activity,Behavioral determinants,Umbrella systematic literature review,Health promotion,SEDENTARY BEHAVIOR,LEISURE-TIME,CHILDREN,SCHOOL,YOUTH,ASSOCIATIONS,ADOLESCENTS,METAANALYSIS,EXERCISE,QUALITY},
  language     = {eng},
  pages        = {23},
  title        = {Behavioral determinants of physical activity across the life course : a 'DEterminants of DIet and Physical ACtivity' (DEDIPAC) umbrella systematic literature review},
  url          = {http://dx.doi.org/10.1186/s12966-017-0510-2},
  volume       = {14},
  year         = {2017},
}

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