Interventions to Increase Physical Activity Among Healthy Adults

Meta-Analysis of Outcomes

Dados Bibliográficos

ID11037303
AutoresVicki S Conn (0000-0003-2404-6575, Vicki S. Conn is with the University of Missouri School of Nursing, Columbia. Adam R. Hafdahl is with ARCH Statistical Consulting, Lawrence, KS. David R. Mehr is with the Department of Family and Community Medicine, University of Missouri School of Medicine, Columbia.), Adam R Hafdahl (0000-0003-2567-8355, Vicki S. Conn is with the University of Missouri School of Nursing, Columbia. Adam R. Hafdahl is with ARCH Statistical Consulting, Lawrence, KS. David R. Mehr is with the Department of Family and Community Medicine, University of Missouri School of Medicine, Columbia.), David R Mehr (0000-0002-5194-1383, Vicki S. Conn is with the University of Missouri School of Nursing, Columbia. Adam R. Hafdahl is with ARCH Statistical Consulting, Lawrence, KS. David R. Mehr is with the Department of Family and Community Medicine, University of Missouri School of Medicine, Columbia.)
Ano2011
Volume101
Fascículo4
Páginas751-758
Data de publicação2011-04-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoAmerican Journal of Public Health (JOURNAL)
Identificadores do periódicoISSN: 0090-0036 • E-ISSN: 1541-0048
EditoraAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2010.194381
PMID21330590
PMCIDPMC3052337
IdiomaEN
Citações recebidas38
Referências citadas36

Objectives. We conducted a meta-analysis summarizing the effects of interventions designed to increase physical activity among healthy adults. Methods. Our comprehensive searches located 358 reports eligible for inclusion. We used random-effects analyses to synthesize data, and we used meta-analytic analogues of regression and analysis of variance to examine potential moderator variables. We also explored moderator variable robustness and publication bias. Results. We computed meta-analytic results from studies comprising 99 011 participants. The overall mean effect size for comparisons of treatment groups versus control groups was 0.19 (higher mean for treatment participants than for control participants). This effect size is consistent with a mean difference of 496 ambulatory steps per day between treatment and control participants. Exploratory moderator analyses suggested that the characteristics of the most effective interventions were behavioral interventions instead of cognitive interventions, face-to-face delivery versus mediated interventions (e.g., via telephone or mail), and targeting individuals instead of communities. Participant characteristics were unrelated to physical activity effect sizes. Substantial between-studies heterogeneity remained beyond individual moderators. Conclusions. Interventions designed to increase physical activity were modestly effective. Interventions to increase activity should emphasize behavioral strategies over cognitive strategies