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Interventions for promoting physical activity.

M Hillsdon1, C Foster, M Thorogood

  • 1Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London, UK, WC1E 6BT. m.hillsdon@public-health.ucl.ac.uk

The Cochrane Database of Systematic Reviews
|January 28, 2005
PubMed
Summary
This summary is machine-generated.

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Physical activity interventions moderately improve self-reported activity and fitness but do not significantly increase meeting activity goals. Higher quality studies with professional guidance showed reduced heterogeneity.

Area of Science:

  • Public Health
  • Behavioral Science
  • Exercise Science

Background:

  • Effectiveness of strategies to increase physical activity remains largely unknown.
  • Sedentary lifestyles pose significant public health challenges.
  • Targeting adults aged 16+ outside institutional settings is crucial.

Purpose of the Study:

  • To evaluate the impact of interventions designed to promote physical activity in adults.
  • To assess effects on self-reported physical activity and cardio-respiratory fitness.
  • To determine if interventions help achieve predetermined physical activity thresholds.

Main Methods:

  • Systematic review of randomized controlled trials (RCTs) published up to December 2001.
  • Inclusion criteria: sedentary adults, minimum 6-month follow-up, intention-to-treat or low loss to follow-up.

Related Experiment Videos

  • Data extraction and quality assessment by at least two independent reviewers; meta-analysis using standardized mean differences and odds ratios.

    • Main Results:

    • Interventions showed a moderate positive effect on self-reported physical activity (SMD 0.31) and cardio-respiratory fitness (SMD 0.4).
    • No significant effect was observed for achieving predetermined physical activity levels (OR 1.30).
    • Significant heterogeneity was noted, reduced in higher-quality studies with professional guidance and ongoing support.

    Conclusions:

    • Physical activity interventions offer moderate benefits for self-reported activity and fitness, but not for meeting specific activity targets.
    • Clinical and statistical heterogeneity limit definitive conclusions on individual intervention components.
    • Future research should detail intervention components more thoroughly to understand effectiveness.