File(s) under permanent embargo
Effectiveness of interventions to promote physical activity and/or decrease sedentary behaviour among rural adults: a systematic review and meta-analysis
journal contribution
posted on 2017-07-01, 00:00 authored by V Cleland, K Squibb, Lena StephensLena Stephens, J Dalby, Anna TimperioAnna Timperio, T Winzenberg, Kylie BallKylie Ball, J DollmanPhysical inactivity and overweight and obesity are more prevalent among rural than urban populations. This study aimed to review published evidence of the effectiveness of interventions to increase physical activity (PA) and/or decrease sedentary behaviour (SB) among rural adults and to identify factors associated with effectiveness. Seven electronic databases were searched for controlled trials of a PA or SB intervention. Meta-analysis was conducted using random effects models and meta-regression. Thirteen studies were included in the qualitative synthesis (n = 4,848 participants) and 12 in the meta-analysis (n = 4,820). All studies were interventions to increase PA. Overall, there was no effect on PA (standardized mean difference [SMD] 0.11; 95% confidence interval [CI] 0.04, 0.25) or SB (SMD 0.07; 95% CI 0.33, 0.20). In PA subgroup analyses, studies employing objective outcome measures demonstrated effects in favour of the intervention (SMD 0.65, 95% CI 0.30, 1.00), while those using self-reported measures did not (SMD 0.00; 95% CI 0.11, 0.10). This review highlights significant gaps in our understanding of how best to promote PA and reduce SB among rural adults. Future studies should use objective measures of PA as study outcomes. The absence of interventions to decrease SB is of concern, with immediate action required to address this large knowledge gap.
History
Journal
Obesity ReviewsVolume
18Issue
7Pagination
727 - 741Publisher
WileyLocation
United KingdomPublisher DOI
ISSN
1467-7881eISSN
1467-789XLanguage
EngPublication classification
C Journal article; C1 Refereed article in a scholarly journalCopyright notice
2017 World Obesity FederationUsage metrics
Categories
No categories selectedKeywords
Science & TechnologyLife Sciences & BiomedicineEndocrinology & MetabolismAdultcontrolled trialshealth behaviourregionalAFRICAN-AMERICAN WOMENRISK-FACTORSCARDIOVASCULAR-DISEASEACTIVITY QUESTIONNAIREPRISMA STATEMENTHEALTH PROMOTIONLIFE EXPECTANCYPROGRAMURBANRESPONSIVENESSWOMENOVERWEIGHTVILLAGEDISEASEPsychologyPsychology, ClinicalSocial Sciences
Licence
Exports
RefWorks
BibTeX
Ref. manager
Endnote
DataCite
NLM
DC