The features of interventions associated with long-term effectiveness of physical activity interventions in adults aged 55–70 years: a systematic review and meta-analysis

Abstract Background Adults in urban areas spend almost 77% of their waking time being inactive at workplaces, which leaves little time for physical activity. The aim of this systematic review and meta-analysis was to synthesize evidence for the effect of workplace physical activity interventions on the cardio-metabolic health markers (body weight, waist circumference, body mass index (BMI), blood pressure, lipids and blood glucose) among working adults. Methods All experimental studies up to March 2018, reporting cardio-metabolic worksite intervention outcomes among adult employees were identified from PUBMED, EMBASE, COCHRANE CENTRAL, CINAHL and PsycINFO. The Cochrane Risk of Bias tool was used to assess bias in studies. All studies were assessed qualitatively and meta-analysis was done where possible. Forest plots were generated for pooled estimates of each study outcome. Results A total of 33 studies met the eligibility criteria and 24 were included in the meta-analysis. Multi-component workplace interventions significantly reduced body weight (16 studies; mean diff: − 2.61 kg, 95% CI: − 3.89 to − 1.33) BMI (19 studies, mean diff: − 0.42 kg/m2, 95% CI: − 0.69 to − 0.15) and waist circumference (13 studies; mean diff: − 1.92 cm, 95% CI: − 3.25 to − 0.60). Reduction in blood pressure, lipids and blood glucose was not statistically significant. Conclusions Workplace interventions significantly reduced body weight, BMI and waist circumference. Non-significant results for biochemical markers could be due to them being secondary outcomes in most studies. Intervention acceptability and adherence, follow-up duration and exploring non-RCT designs are factors that need attention in future research. Prospero registration number: CRD42018094436.

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The Effect of Physical Activity Interventions Comprising Wearables and Smartphone Applications on Physical Activity: a Systematic Review and Meta-analysis

Sports Medicine - Open ◽

10.1186/s40798-018-0157-9 ◽

2018 ◽

Vol 4 (1) ◽

Cited By ~ 51

Author(s):

Roxanne Gal ◽

Anne M. May ◽

Elon J. van Overmeeren ◽

Monique Simons ◽

Evelyn M. Monninkhof

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Meta Analysis ◽

Smartphone Applications ◽

Physical Activity Interventions

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Notice of Retraction. Hodkinson et al. Accelerometer- and Pedometer-Based Physical Activity Interventions Among Adults With Cardiometabolic Conditions: A Systematic Review and Meta-analysis. JAMA Netw Open. 2019;2(10):e1912895.

JAMA Network Open ◽

10.1001/jamanetworkopen.2020.32700 ◽

2020 ◽

Vol 3 (12) ◽

pp. e2032700 ◽

Cited By ~ 1

Author(s):

Alexander Hodkinson ◽

Evangelos Kontopantelis ◽

Charles Adeniji ◽

Harm van Marwijk ◽

Brian McMillan ◽

...

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Meta Analysis ◽

Physical Activity Interventions

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Long-term follow-up and objective physical activity measurements of community-based physical interventions in adults: a systematic review and meta-analysis

The Lancet ◽

10.1016/s0140-6736(19)32893-4 ◽

2019 ◽

Vol 394 ◽

pp. S96

Author(s):

Charlotte Wahlich ◽

Umar A R Chaudhry ◽

Rebecca Fortescue ◽

Derek G Cook ◽

Shashi Hirani ◽

...

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Meta Analysis ◽

Community Based ◽

Activity Measurements ◽

Long Term Follow Up

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The effectiveness of incidental physical activity interventions compared to other interventions in the management of people with low back pain: A systematic review and meta-analysis of randomised controlled trials

Physical Therapy in Sport ◽

10.1016/j.ptsp.2018.12.008 ◽

2019 ◽

Vol 36 ◽

pp. 34-42 ◽

Cited By ~ 2

Author(s):

Hosam Alzahrani ◽

Martin Mackey ◽

Emmanuel Stamatakis ◽

Marina B. Pinheiro ◽

Manuela Wicks ◽

...

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Low Back Pain ◽

Back Pain ◽

Randomised Controlled Trials ◽

Meta Analysis ◽

Controlled Trials ◽

Low Back ◽

Physical Activity Interventions ◽

Randomised Controlled

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Maintenance motives for physical activity among older adults: a protocol for a systematic review and meta-analysis

BMJ Open ◽

10.1136/bmjopen-2019-032605 ◽

2020 ◽

Vol 10 (2) ◽

pp. e032605 ◽

Cited By ~ 2

Author(s):

Mary Katherine Huffman ◽

Jason Brian Reed ◽

Theresa Carpenter ◽

Steve Amireault

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Older Adults ◽

Meta Analysis ◽

Well Being ◽

Publication Date ◽

Sample Mean ◽

Institutional Review Board Review ◽

Human Research Protection Program

IntroductionPhysical activity (PA) is an important aspect for health and well-being, yet many older adults do not maintain their PA long term. The identification of key factors that are associated with, and likely causally related to, older adults’ PA maintenance is a crucial first step towards developing programmes that are effective at promoting long-term PA behaviour change. The purpose of this protocol is to outline a systematic review that will examine the relationship between four motives (ie, satisfaction, enjoyment, self-determination and identity) and older adults’ PA maintenance.Methods and analysisStudies that investigated PA maintenance with a sample mean age ≥55 years will be included. Five electronic databases (PubMed, Cumulative Index to Nursing and Allied Health Literature, SPORTDiscus, PsycINFO and ProQuest Dissertations and Theses) were searched on 6 April 2018 with no publication date limit (ie, from inception). One reviewer screened 100% of titles and abstracts (k=21 470) while a random subsample (20%) was screened independently by two reviewers. An update of the search was run on 1 October 2019. All studies for which the full text was retrieved will be independently screened by two reviewers. Data pertaining to study sample, design, motives, PA (eg, measurement validity evidence, study definition of maintenance) and essential bias domains (eg, bias due to missing data) will be extracted. Study-level effect sizes will be calculated, and if the number of studies is ≥5, a random-effects meta-analysis will be performed using inverse-variance methods; a narrative synthesis will be performed otherwise.Ethics and disseminationThe university’s Human Research Protection Program determined that the proposed study qualifies as exempt from the Institutional Review Board review under Exemption Category 4 (PROPEL #: 80047007). Results will be published in a peer-review journal, and the findings will help inform future interventions with older adults.PROSPERO registration numberCRD42018088161.

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