scholarly journals Systematic literature review of built environment effects on physical activity and active transport – an update and new findings on health equity

Author(s):  
Melody Smith ◽  
Jamie Hosking ◽  
Alistair Woodward ◽  
Karen Witten ◽  
Alexandra MacMillan ◽  
...  
2020 ◽  
Vol 3 ◽  
pp. 62
Author(s):  
Kevin Volf ◽  
Liam Kelly ◽  
Enrique García Bengoechea ◽  
Blathin Casey ◽  
Anna Gobis ◽  
...  

Introduction: Over 40 million deaths annually are due to noncommunicable diseases, 15 million of these are premature deaths and physical inactivity attributes an estimated 9% to this figure. Global responses have included the sustainable development goals and the global action plan on physical activity. Both point to policy action in physical activity (PA) to address change, yet the impact of policy is unknown.  The protocol described outlines a systematic literature review that will be undertaken by the Policy Evaluation Network to address this knowledge gap. Protocol: This review of school PA policies is the first of seven planned reviews. The seven best investments for promotion of population PA identified in the Toronto Charter (whole-of-school programmes, transport policy, urban design policy, primary health care policy, public education policy, community programmes and sport programmes) will form the basis of these reviews. Seven individual scientific literature searches across six electronic databases, using key concepts of policy, PA, evaluation and a distinct concept for each area will be conducted. This will be supplemented with a search of the reference list of included articles. Methodological quality will be assessed and overall effectiveness for each included study will be described according to pre-determined categories. Conclusions: The review will provide policy makers with a list of policy statements and corresponding actions which the evidence has determined impact on PA directly or indirectly. By collating the evidence, and demonstrating the depth of the science base which informs these policy recommendations, this review will provide guidance to policymakers to use evidence-based or evidence-informed policies to achieve the 15% relative reduction in physical inactivity as defined by the ‘Global Action Plan on Physical Activity’. Registration:  PROSPERO CRD42020156630 (10/07/2020).


2019 ◽  
Vol 121 (7) ◽  
pp. 793-808 ◽  
Author(s):  
Renate H. M. de Groot ◽  
Rebecca Emmett ◽  
Barbara J. Meyer

AbstractNumerous health benefits are attributed to the n-3 long-chain PUFA (n-3 LCPUFA); EPA and DHA. A systematic literature review was conducted to investigate factors, other than diet, that are associated with the n-3 LCPUFA levels. The inclusion criteria were papers written in English, carried out in adult non-pregnant humans, n-3 LCPUFA measured in blood or tissue, data from cross-sectional studies, or baseline data from intervention studies. The search revealed 5076 unique articles of which seventy were included in the qualitative synthesis. Three main groups of factors potentially associated with n-3 LCPUFA levels were identified: (1) unmodifiable factors (sex, genetics, age), (2) modifiable factors (body size, physical activity, alcohol, smoking) and (3) bioavailability factors (chemically bound form of supplements, krill oil v. fish oil, and conversion of plant-derived α-linolenic acid (ALA) to n-3 LCPUFA). Results showed that factors positively associated with n-3 LCPUFA levels were age, female sex (women younger than 50 years), wine consumption and the TAG form. Factors negatively associated with n-3 LCPUFA levels were genetics, BMI (if erythrocyte EPA and DHA levels are <5·6 %) and smoking. The evidence for girth, physical activity and krill oil v. fish oil associated with n-3 LCPUFA levels is inconclusive. There is also evidence that higher ALA consumption leads to increased levels of EPA but not DHA. In conclusion, sex, age, BMI, alcohol consumption, smoking and the form of n-3 LCPUFA are all factors that need to be taken into account in n-3 LCPUFA research.


2016 ◽  
Vol 23 (2) ◽  
pp. 339-346 ◽  
Author(s):  
H Shukla ◽  
SR Nair ◽  
D Thakker

Introduction Increased physical activity and functional ability are the goals of total knee replacement surgery. Therefore, adequate rehabilitation is required for the recovery of patients after discharge from hospital following total knee arthroplasty (TKA). This systematic literature review aimed to evaluate the effectiveness of home telerehabilitation in patients who underwent TKA. Methods Studies published in the English language between 2000 and 2014 were retrieved from Embase, PubMed, and Cochrane databases using relevant search strategies. Two researchers independently reviewed the studies as per the Cochrane methodology for systematic literature review. We considered telerehabilitation sessions as those that were conducted by experienced physiotherapists, using videoconferencing to patients’ homes via an internet connection. The outcomes assessed included: knee movement (knee extension and flexion); quadriceps muscle strength; functional assessment (the timed up-and-go test); and assessment of pain, stiffness, and functional capacity using the Western Ontario and McMaster Universities Osteoarthritis Index and visual analogue scale for pain. Results In total, 160 potentially relevant studies were screened. Following the screening of studies as abstracts and full-text publications, six primary publications (four randomized controlled trials, one non-randomized controlled trial, and one single-arm trial) were included in the review. Patients experienced high levels of satisfaction with the use of telerehabilitation alone. There was no significant difference in change in active knee extension and flexion in the home telerehabilitation group as compared to the control group (mean difference (MD) −0.52, 95% CI −1.39 to 0.35, p = 0.24 and MD 1.14, 95% CI −0.61 to 2.89, p = 0.20, respectively). The patients in the home telerehabilitation group showed improvement in physical activity and functional status similar to patients in the conventional therapy group. Discussion The evidence from this systematic literature review demonstrated that telerehabilitation is a practical alternative to conventional face-to-face rehabilitation therapy in patients who underwent TKA.


2016 ◽  
Vol 9 (4) ◽  
pp. 899 ◽  
Author(s):  
Anjar Priyono ◽  
Winifred Ijomah ◽  
Umit Bititci

Purpose: Disassembly is an important process that distinguishes remanufacturing from conventional manufacturing. It is a unique process that becomes focus of investigation from many scholars. Yet, most scholars investigate disassembly from technical and operational standpoint that lack of strategic perspective. This paper attempts to fill this gap by looking at disassembly from a strategic perspective by considering organisational characteristics, process choices and product attributes. To be more specific, this paper has three objectives. First, to gain understanding what has been done, and what need to be done in the field of disassembly in remanufacturing. Second, to conduct a systematic literature review for identifying the factors affecting disassembly for remanufacturing. Third, to propose a new model of disassembly for remanufacturing and also to provide avenues for future research.Design/methodology/approach: This study used a systematic literature review method. A series of steps were undertaken during the review. The study was started with determining the purpose of the study, selecting appropriate keywords, and reducing the selected papers using a number of criteria. A deeper analysis was carried out on the final paper that meets the criteria for this review.Findings: There are two main findings of this study. First, a list of factors affecting disassembly in remanufacturing is identified. The factors can be categorised into three groups: organisational factors, process choices and product attributes. Second, using factors that have been identified, a new model of disassembly process for remanufacturing is developed. Current studies only consider disassembly as a physical activity to break down products into components. In the new model, disassembly is viewed as a process that converts into into output, which consist of a series of steps.Research limitations/implications: The opportunities for future research include: the need to develop an index of factors affecting disassembly, and how to most appropriate relationship between original equipment manufacturers and contract remanufacturers to share knowledge gained from remanufacturing operations to improve product remanufacturability.Practical implications: Remanufacturers should not focus on product attributes only in order to manage their disassembly process efficiently. Rather, more strategic factors such organisational factors and process choices should also be considered as well.Originality/value: This is the first study that identifies a comprehensive factors affecting disassembly in remanufacturing. In addition, it is for the first time that disassembly is not only viewed as a physical activity, but it is a process that consists of a series of step.


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