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Effectiveness of interventions to promote physical activity and/or decrease sedentary behaviour among rural adults: a

V Cleland¹, K Squibb¹, L Stephens²

¹Menzies Institute for Medical Research, University of Tasmania, Hobart, Australia.

Obesity Reviews : an Official Journal of the International Association for the Study of Obesity

|April 13, 2017

Summary

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Interventions to boost physical activity (PA) in rural adults showed no overall effect. However, studies using objective PA measures found positive results, unlike those relying on self-reports.

Area of Science:

Public Health
Exercise Science
Rural Health

Background:

Rural populations exhibit higher rates of physical inactivity, overweight, and obesity compared to urban counterparts.
Effective strategies to promote physical activity (PA) and reduce sedentary behavior (SB) in rural adults are urgently needed.

Purpose of the Study:

To systematically review evidence on the effectiveness of interventions designed to increase PA and/or decrease SB among rural adults.
To identify factors influencing the success of these health interventions.

Main Methods:

A comprehensive search of seven electronic databases was conducted for controlled trials focusing on PA or SB interventions.
Meta-analysis and meta-regression were employed, including 13 studies for qualitative synthesis (n=4,848) and 12 for meta-analysis (n=4,820).

Keywords:

Adult controlled trials health behaviour regional

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Main Results:

The overall meta-analysis revealed no significant effect of interventions on PA (SMD 0.11) or SB (SMD 0.07).
Subgroup analysis indicated that interventions using objective PA measures showed a positive effect (SMD 0.65), whereas those using self-reported measures did not (SMD 0.00).

Conclusions:

Current evidence suggests a lack of effective interventions to significantly increase PA or decrease SB in rural adults.
Future research should prioritize objective PA measurement tools and address the critical knowledge gap regarding SB reduction strategies for this demographic.