Despite strong evidence supporting the benefits of physical activity participation, substantial numbers of individuals are insufficiently active later in life. To promote active lifestyles, inform policy makers and develop targeted interventions for older adults (aged ≥65 years), it is crucial to investigate modifiable determinants of their physical activity and sedentary behaviours (PAB/SB) and the quality, strength, and relevance of the underpinning evidence. Thus, a systematic literature review leading to a best-evidence statement (BESt) was conducted, involving a search in PubMed, EBSCOhost and Web of Science resulting in 31,727 individual studies. The best evidence based on 52 randomized controlled trials was selected and assessed for risk of bias using Cochrane’s RoB 2.0 tool. Published between 2012 and 2022, the studies were carried out in America (n = 18), Asia (n = 7), Europe (n = 15) and Oceania (n = 12) with 9,112 individuals identified either in community- (n = 30) or healthcare- (n = 22) settings. Respiratory diseases (e.g., COPD) were the most common clinical conditions. Interventions to improve PAB and reduce SB encompassed light, moderate-to-vigorous intensity, multicomponent, sport exercises as well as education- and device-based programs performed in- or outdoor, autonomously or assisted, in group or individually. Comparison groups included no-exercise and usual care controls as well as different exercise or education interventions. Psychological (e.g., motivation, self-efficacy), physical (e.g., anthropometry, functional fitness) and multifactorial (e.g., quality of life, health status) modifiable determinants emerged. Both self-reported and device-based PAB/SB measurements have been identi- fied. Mixed outcomes emerged with quality of life and functional fitness as the most reported PAB/SB determinants. A meta-analysis has been planned to synthesize sufficiently homogeneous studies. From the present research and connected reviews targeting different age groups a BESt will be developed. Funding source: COST Action CA19101 Determinants of Physical Activities in Settings (DE-PASS), supported by COST (European Cooperation in Science and Technology).
DE-PASS - Modifiable determinants of physical activity behaviours in older adults: Preliminary results of a systematic review
Simone Ciaccioni
;
2024-01-01
Abstract
Despite strong evidence supporting the benefits of physical activity participation, substantial numbers of individuals are insufficiently active later in life. To promote active lifestyles, inform policy makers and develop targeted interventions for older adults (aged ≥65 years), it is crucial to investigate modifiable determinants of their physical activity and sedentary behaviours (PAB/SB) and the quality, strength, and relevance of the underpinning evidence. Thus, a systematic literature review leading to a best-evidence statement (BESt) was conducted, involving a search in PubMed, EBSCOhost and Web of Science resulting in 31,727 individual studies. The best evidence based on 52 randomized controlled trials was selected and assessed for risk of bias using Cochrane’s RoB 2.0 tool. Published between 2012 and 2022, the studies were carried out in America (n = 18), Asia (n = 7), Europe (n = 15) and Oceania (n = 12) with 9,112 individuals identified either in community- (n = 30) or healthcare- (n = 22) settings. Respiratory diseases (e.g., COPD) were the most common clinical conditions. Interventions to improve PAB and reduce SB encompassed light, moderate-to-vigorous intensity, multicomponent, sport exercises as well as education- and device-based programs performed in- or outdoor, autonomously or assisted, in group or individually. Comparison groups included no-exercise and usual care controls as well as different exercise or education interventions. Psychological (e.g., motivation, self-efficacy), physical (e.g., anthropometry, functional fitness) and multifactorial (e.g., quality of life, health status) modifiable determinants emerged. Both self-reported and device-based PAB/SB measurements have been identi- fied. Mixed outcomes emerged with quality of life and functional fitness as the most reported PAB/SB determinants. A meta-analysis has been planned to synthesize sufficiently homogeneous studies. From the present research and connected reviews targeting different age groups a BESt will be developed. Funding source: COST Action CA19101 Determinants of Physical Activities in Settings (DE-PASS), supported by COST (European Cooperation in Science and Technology).I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
