期刊
OBESITY REVIEWS
卷 15, 期 11, 页码 905-919出版社
WILEY
DOI: 10.1111/obr.12215
关键词
Intervention; physical activity; sedentary behaviour; systematic review
资金
- Gordon E. Allen Post-Doctoral Fellowship in Health Behaviours at the University of Ottawa Heart Institute
- Canadian Institutes of Health Research Fellowship
- Heart and Stroke Foundation Post-Doctoral Fellowship
The objective of this study was to systematically review the literature and compare the effectiveness of controlled interventions with a focus on physical activity (PA) and/or sedentary behaviours (SBs) for reducing sedentary time in adults. Six electronic databases were searched to identify all studies that examined the effects of interventions that targeted PA and/or SBs and that reported on changes in SBs (sedentary, sitting or television time). A qualitative synthesis was performed for all studies, and meta-analyses conducted among studies with mean differences (min/d) of sedentary time. PROSPERO: CRD42014006535. Sixty-five controlled studies met inclusion criteria; 33 were used in the meta-analyses. Interventions with a focus on PA or that included a PA and SB component produced less consistent findings and generally resulted in modest reductions in sedentary time (PA: standardized mean differences [SMD]=-0.22 [95% confidence interval {CI}:-0.35,-0.10], PA+SB: SMD=-0.37 [95% CI:-0.69,-0.05]). Moderate quality evidence from the randomized controlled trial meta-analysis coupled with the qualitative synthesis provides consistent evidence that large and clinically meaningful reductions in sedentary time can be expected from interventions with a focus on reducing SBs (SMD=-1.28 [95% CI:-1.68,-0.87]). There is evidence to support the need for interventions to include a component focused on reducing SBs in order to generate clinically meaningful reductions in sedentary time.
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