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An International Consensus Statement on the Methodological Standards for Physical Activity and Sedentary Behavior
Karen Milton1, Alice Pearsons2, Coral L Hanson2
1Norwich Medical School, University of East Anglia, Norwich, United Kingdom.
Journal of Physical Activity & Health
|August 28, 2025
Summary
International experts established methodological standards for physical activity and sedentary behavior guidelines. This consensus aims to improve consistency and rigor in developing future health recommendations globally.
Area of Science:
- Public Health
- Epidemiology
- Health Policy
Background:
- Global health organizations provide physical activity and sedentary behavior guidelines.
- Inconsistencies exist across guidelines due to varied development processes.
- International consensus on methodological standards is needed for future guidelines.
Purpose of the Study:
- To achieve international consensus on methodological standards for developing physical activity and sedentary behavior guidelines.
- To enhance consistency and rigor in guideline development processes.
- To inform future guideline creation by experts.
Main Methods:
- A modified Delphi study was employed.
- Experts in physical activity and guideline development participated.
- Statements on stakeholder involvement, evidence types, and formal approaches were rated for consensus (≥80% agreement).
Main Results:
- Consensus reached on stakeholder involvement at different guideline stages.
- Agreement on including synthesized evidence and specific individual studies.
- Consensus on including parallel randomized controlled studies and formal quality assessment approaches for studies and reviews.
Conclusions:
- A set of methodological standards was established.
- These standards aim to improve consistency and rigor in future guideline development.
- The findings support more uniform and robust health recommendations.
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