scholarly journals Methodological evaluation of leisure-time physical activity interventions in adults with obesity: a systematic review

2018 ◽  
Vol 23 ◽  
pp. 1-8
Author(s):  
Marina Christofoletti ◽  
Anne Ribeiro Streb ◽  
Robert Passos Da Silva ◽  
Tânia Rosane Bertoldo Benedetti ◽  
Fábio Araújo Almeida ◽  
...  

The aim of the present study was to systematize and analyze the methodological quality of physical activity interventions in leisure time in obese adults. A systematic review was conducted between June and August 2017 through four electronic databases (PubMed, Lilacs, ScienceDirect and Web of Science). A total of two researchers selected articles and, through consensus, analyzed these articles using the RE-AIM framework, which aims to identify the following dimensions: reach, effectiveness, adoption, implementation and maintenance of interventions. Of the 2,334 articles selected, nine met all eligibility criteria. The mean duration of the interventions was 14 weeks, with strategies including mainly aerobic exercises and nutritional monitoring. When the individual studies were taken into consideration, 67% reported at least one category of each dimension. The dimension with the highest reported proportion was “reach”, found in 65% of the interventions. The “effectiveness”, “adoption” (organizational and staff), “implementation” and “maintenance” dimensions (individual and organizational) were reported in less than 40% of the items investigated for this information. The conclusion is that most of intervention studies reported the “reach” dimension, while only a few described “maintenance”. Thus, it is suggested that future studies should previously look at the presentation of the total effect of the intervention and the methods applied, offering detailed information about each procedure. The scientific and practical scenario will provide relevant information about construction, application and subsequent follow-up of the interventions in leisure-time physical activity for obese adults.

Lung Cancer ◽  
2016 ◽  
Vol 95 ◽  
pp. 17-27 ◽  
Author(s):  
Darren R. Brenner ◽  
Demetra H. Yannitsos ◽  
Megan S. Farris ◽  
Mattias Johansson ◽  
Christine M. Friedenreich

2018 ◽  
Vol 52 (20) ◽  
pp. 1320-1326 ◽  
Author(s):  
Pieter Coenen ◽  
Maaike A Huysmans ◽  
Andreas Holtermann ◽  
Niklas Krause ◽  
Willem van Mechelen ◽  
...  

ObjectiveRecent evidence suggests the existence of a physical activity paradox, with beneficial health outcomes associated with leisure time physical activity, but detrimental health outcomes for those engaging in high level occupational physical activity. This is the first quantitative systematic review of evidence regarding the association between occupational physical activity and all-cause mortality.DesignSystematic review with meta-analysis.Data sourceA literature search was performed in electronic databases PubMed, Embase, CINAHL, PsycINFO and Cochrane.Eligibility criteria for selecting studiesWe screened for peer reviewed articles from prospective studies assessing the association of occupational physical activity with all-cause mortality. A meta-analysis assessed the association of high (compared with low) level occupational physical activity with all-cause mortality, estimating pooled hazard ratios (HR) (with 95% CI).Results2490 unique articles were screened and 33 (from 26 studies) were included. Data from 17 studies (with 193 696 participants) were used in a meta-analysis, showing that men with high level occupational physical activity had an 18% increased risk of early mortality compared with those engaging in low level occupational physical activity (HR 1.18, 95% CI 1.05 to 1.34). No such association was observed among women, for whom instead a tendency for an inverse association was found (HR 0.90, 95% CI 0.80 to 1.01).ConclusionsThe results of this review indicate detrimental health consequences associated with high level occupational physical activity in men, even when adjusting for relevant factors (such as leisure time physical activity). These findings suggest that research and physical activity guidelines may differentiate between occupational and leisure time physical activity.


Author(s):  
Maria Isabel Cardona ◽  
Adel Afi ◽  
Nemanja Lakicevic ◽  
Jochen René Thyrian

Background: Physical activity (PA) has emerged as an alternative nonpharmacological approach to effectively address the effects of dementia. The primary aim was to identify and summarize PA interventions and their effects on cognitive function among persons with dementia (PwD). Methods: A systematic review was conducted with a meta-analysis using different electronic databases, such as PubMed, Embase, APA PsycNET, and the Web of Science. The identified and selected studies were randomized controlled trials (RCTs) that were written in English, published between 2000 and 2020, and implemented among PwD who received a PA intervention and whose cognitive function was measured at baseline and during a follow-up. Results: Twenty-two PA intervention studies met the eligibility criteria and showed a medium-size effect on the cognitive function of PwD, 0.4803 (95% CI = 0.1901–0.7704), with a high percentage of heterogeneity (I2 = 86%, p ≤ 0.0001). Moreover, this review complements other reviews by including eight studies that have not previously been considered. Overall, studies have methodological limitations. However, six studies implemented in the past five years have shown more robust methodological designs, including larger sample sizes and more comprehensive measurement tools. Conclusion: It is not yet possible to draw a conclusion on the ideal PA intervention for this population due to the high proportion of heterogeneity within the included studies. More emphasis is needed on the intensity of PA monitoring and adherence to such programs.


2020 ◽  
Vol 63 (2) ◽  
pp. 162-171
Author(s):  
Byron Lai ◽  
Eunbi Lee ◽  
Yumi Kim ◽  
Coke Matthews ◽  
Erin Swanson‐Kimani ◽  
...  

2016 ◽  
Vol 71 (7) ◽  
pp. 673-680 ◽  
Author(s):  
Ahmed Elhakeem ◽  
Rebecca Hardy ◽  
David Bann ◽  
Rishi Caleyachetty ◽  
Theodore D Cosco ◽  
...  

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