Modifiable determinants of older adults' physical activity and sedentary behavior in community and healthcare settings: a DE-PASS systematic review and meta-analysis.
Objectives: To identify the modifiable determinants targeted in interventions involving older adults, and to determine which of these interventions effectively increased physical activity (PA) and/or reduced sedentary behaviour (SB). Additionally, to explore whether the effects of these intervention...
| Publicado en: | European Review of Aging & Physical Activity Vol. 22; no. 1; pp. 1 - 23 |
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| Autores principales: | , , , , , , , , , , , , , , , , , , , |
| Formato: | Artículo |
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BioMed Central
5/24/2025
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=185426655&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 185426655 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 18137253 3RAQ jtl: European Review of Aging & Physical Activity issn: 18137253 maglogo: N pubinfo: dt: 5/24/2025 vid: 22 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 185426655 10.1186/s11556-025-00373-y ppf: 1 ppct: 22 formats: fmt: – @attributes: type: T – @attributes: type: P size: 1.9MB tig: atl: Modifiable determinants of older adults' physical activity and sedentary behavior in community and healthcare settings: a DE-PASS systematic review and meta-analysis. aug: au: Ciaccioni, Simone Compernolle, Sofie Lerfald, Maren Palumbo, Federico Fadda, Floriana Toma, Ginevra Akpinar, Selcuk Borodulin, Katja Caglar, Emine Cardon, Greet Celen, Murat Cenk Cieślińska-Świder, Joanna Cortis, Cristina Di Credico, Andrea Emirzeoğlu, Murat Fusco, Andrea Gallardo Gómez, Daniel Hagen, Linn Marita Karaca, Ayda Khudair, Mohammed affil: Department of Education and Sport Sciences, Pegaso Telematic University, Naples, Italy https://ror.org/03j4zvd18 Department of Movement, Human and Health Sciences, Foro Italico University of Rome, Rome, Italy https://ror.org/00cv9y106 Department of Movement and Sports Sciences - Physical Activity and Health, Ghent University, Ghent, Belgium https://ror.org/03qtxy027 Research Foundation Flanders, Brussels, Belgium https://ror.org/05xg72x27 Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway https://ror.org/01a4hbq44 Clinic of Medicine, St Olav's University Hospital, Trondheim, Norway https://ror.org/00a0n9e72 Department of Physical Education and Sport Sciences, Health Research Institute, University of Limerick, Limerick, Ireland https://ror.org/02be6w209 Department of Public Health, Farmacy and Medicine, Sapienza University of Rome, Rome, Italy https://ror.org/02be6w209 Department of Physiology and Pharmacology "V. Erspamer", Sapienza University of Rome, Rome, Italy https://ror.org/019jds967 Department of Physical Education and Sport Teaching, Faculty of Sport Sciences, Nevşehir Hacı Bektaş Veli University, Nevşehir, Turkey https://ror.org/041bcjv49 Age Institute, Helsinki, Finland https://ror.org/04kwvgz42 Department of Physical Education and Sport Teaching, Faculty of Sport Sciences, Hacettepe University, Ankara, Turkey https://ror.org/03tg3eb07 Department of Biophysics, Faculty of Medicine, Bursa Uludag University, Bursa, Turkey https://ror.org/05wtrdx73 Department of Physiotherapy of Movement Disorders and Sports Medicine, The Jerzy Kukuczka Academy of Physical Education in Katowice, Katowice, Poland https://ror.org/04nxkaq16 Department of Human Sciences, Society and Health, University of Cassino and Lazio Meridionale, Viale dell'Università, Cassino, Italy https://ror.org/00qjgza05 Department of Medicine and Aging Sciences, University "G. d'Annunzio" of Chieti-Pescara, Chieti, Italy https://ror.org/03z8fyr40 Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Karadeniz Technical University, Trabzon, Turkey Andalusian Health Technology Assessment Area (AETSA), Progress and Health Public Foundation (FPS), Seville, Spain https://ror.org/04kwvgz42 Division of Physical Activity and Health, Department of Recreation, Faculty of Sport Sciences, Hacettepe University, Ankara, Turkey https://ror.org/03kk7td41 School of Psychology, Cardiff University, Cardiff, United Kingdom su: Health facilities Older people Physical activity Sedentary behavior Treatment effectiveness sug: subj: Health facilities Older people All Other Outpatient Care Centers Physical activity Sedentary behavior Treatment effectiveness keyword: Community-dwelling older adults Controlled trials Device-measured physical activity Device-measured sedentary time Exercise Inactive Interventions Medical and Health Sciences Public Health and Health Services Psychology and Cognitive Sciences Psychology Randomized controlled trials Self-reported physical activity Self-reported sedentary behaviour Seniors Settings Community-dwelling older adults Controlled trials Device-measured physical activity Device-measured sedentary time Exercise Inactive Interventions Medical and Health Sciences Public Health and Health Services Psychology and Cognitive Sciences Psychology Randomized controlled trials Self-reported physical activity Self-reported sedentary behaviour Seniors Settings ab: Objectives: To identify the modifiable determinants targeted in interventions involving older adults, and to determine which of these interventions effectively increased physical activity (PA) and/or reduced sedentary behaviour (SB). Additionally, to explore whether the effects of these interventions vary based on the implementation setting. Methods: A search of randomized controlled trials (RCTs) and controlled trials (CTs) was performed in Medline, APA PsycArticles, SPORTDiscus, and Web of Science. Risk of bias assessment was performed with Cochrane's tool. Modifiable determinants were narratively synthesized, and random-effects models were performed to meta-analyse studies reporting device-measured physical activity or sedentary behaviour. Moderator analyses were performed to investigate the role of implementation setting. Standardized between-group mean difference (SMD) with 95% confidence interval (CI) was used to indicate effect sizes. Results: From 31,727 individual records, 52 eligible studies published between 2012–2022 were identified, 30 and 22 studies from community and health care settings, respectively. Determinants within the category physical health and wellbeing (n = 23) were most frequently reported while only one study reported determinants within a social or cultural context. Eighteen studies were included in the meta-analysis. Interventions targeting physical health and wellbeing revealed an increase in steps (SMD = 0.46; 95%CI: 0.15 to 0.77) and minutes of moderate-to-vigorous intensity physical activity (SMD = 0.41; 95%CI: 0.19 to 0.64) among intervention participants compared to controls, whereas interventions targeting psychological or behavioural determinants showed no between-group differences in steps (SMD = 0.10; 95%CI: -0.12 to 0.32) and moderate-to-vigorous intensity physical activity (SMD = 0.26; 95%CI: -0.24 to -0.75). Interventions targeting physical health and wellbeing showed significant heterogeneity (p < 0.0001; I = 73.10%). Subgroup analyses showed a significant effect on device-measured physical activity for the eight community-based interventions (SMD = 0.42; 95%CI: 0.07 to 0.77), while no significant effect was found for the eight studies performed in healthcare settings (SMD = 0.26; 95%CI; -0.10 to 0.62). Conclusion: Interventions targeting physical health and wellbeing may increase PA in older adults, with community-based studies appearing more effective than studies in healthcare settings. The significant heterogeneity of study findings indicates that further research is needed to fully understand the influence of PA and SB determinants across settings, particularly those related to psychological, behavioural, social, and cultural factors. Systematic review registration: PROSPERO: CRD42022287606. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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