Authors

Anna Puggina, Università Cattolica del Sacro Cuore, Rome
Katina Aleksovska, Università Cattolica del Sacro Cuore, Rome
Christoph Buck, Leibniz Institute for Prevention Research and Epidemiology
Con Burns, Department of Sport, Leisure & Childhood Studies, Cork Institute of Technology, Cork, IrelandFollow
Greet Cardon, Universiteit Gent
Angela Carlin, University of Limerick
Simon Chantal, University of Valencia
Donatella Ciarapica, Research Centre for Food and Nutrition
Giancarlo Condello, Università degli Studi di Roma "Foro Italico"
Tara Coppinger, Department of Sport, Leisure & Childhood Studies, Cork Institute of Technology, Cork, IrelandFollow
Cristina Cortis, Universita di Cassino e del Lazio Meridionale
Sara D'Haese, Universiteit Gent
Marieke De Craemer, Universiteit Gent
Andrea Di Blasio, University of G. d'Annunzio Chieti and Pescara
Sylvia Hansen, Universität Stuttgart
Licia Iacoviello, Istituto Neurologico Mediterraneo Neuromed, Pozzilli
Johann Issartel, Dublin City University
Pascal Izzicupo, University of G. d'Annunzio Chieti and Pescara
Lina Jaeschke, Max Delbruck Center for Molecular Medicine
Martina Kanning, Universität Stuttgart
Aileen Kennedy, Dublin City University
Fiona Chun Man Ling, University of Limerick
Agnes Luzak, Helmholtz Center Munich German Research Center for Environmental Health
Giorgio Napolitano, University of G. d'Annunzio Chieti and Pescara
Julie Anne Nazare, Université Claude Bernard Lyon 1
Camille Perchoux, Université Claude Bernard Lyon 1
Tobias Pischon, Max Delbruck Center for Molecular Medicine
Angela Polito, Research Centre for Food and Nutrition
Alessandra Sannella, Universita di Cassino e del Lazio Meridionale
Holger Schulz, Helmholtz Center Munich German Research Center for Environmental Health
Rhoda Sohun, University of Limerick
Astrid Steinbrecher, Max Delbruck Center for Molecular Medicine

ORCID

https://orcid.org/0000-0002-7251-4516

Document Type

Article

Creative Commons License

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.

Disciplines

Environmental Public Health | Health Policy | Health Services Administration | International Public Health | Medicine and Health Sciences | Public Affairs, Public Policy and Public Administration | Public Health | Social and Behavioral Sciences

Publication Details

© The Author 2017. Published by Oxford University Press on behalf of the European Public Health Association..

Puggina, A. et al., 2017. Policy determinants of physical activity across the life course: a “DEDIPAC” umbrella systematic literature review. European Journal of Public Health, 28(1), pp.105–118. Available at: http://dx.doi.org/10.1093/eurpub/ckx174.

Abstract

Background Despite the large number of studies and reviews available, the evidence regarding the policy determinants of physical activity (PA) is inconclusive. This umbrella systematic literature review (SLR) summarizes the current evidence on the policy determinants of PA across the life course, by pooling the results of the available SLRs and meta-analyses (MAs). Methods A systematic online search was conducted on MEDLINE, ISI Web of Science, Scopus and SPORTDiscus databases up to April 2016. SLRs and MAs of observational studies investigating the association between policy determinants of PA and having PA as outcome were considered eligible. The extracted data were assessed based on the importance of the determinants, the strength of evidence and the methodological quality. Results Fourteen reviews on 27 policy determinants of PA were eligible for this umbrella SLR. The majority of the reviews were of moderate quality. Among children, a clear association between time spent outdoors and PA emerged. Among adults, working hours were negatively associated with PA, though evidence was limited. At the population level, community-and street-scale urban design and land use policies were found to positively support PA levels, but levels of evidences were low. Conclusions With this umbrella SLR the policy determinants of PA at individual-level and population-level have been summarized and assessed. None of the investigated policy determinants had a convincing level of evidence, and very few had a probable level of evidence. Further research is needed, preferably by using prospective study designs, standardized definitions of PA and objective measurement of PA.

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