Jaeschke Lina, Steinbrecher Astrid, Luzak Agnes, Puggina Anna, Aleksovska Katina, Buck Christoph, Burns Con, Cardon Greet, Carlin Angela, Chantal Simon, Ciarapica Donatella, Condello Giancarlo, Coppinger Tara, Cortis Cristina, De Craemer Marieke, D'Haese Sara, Di Blasio Andrea, Hansen Sylvia, Iacoviello Licia, Issartel Johann, Izzicupo Pascal, Kanning Martina, Kennedy Aileen, Ling Fiona Chun Man, Napolitano Giorgio, Nazare Julie-Anne, Perchoux Camille, Polito Angela, Ricciardi Walter, Sannella Alessandra, Schlicht Wolfgang, Sohun Rhoda, MacDonncha Ciaran, Boccia Stefania, Capranica Laura, Schulz Holger, Pischon Tobias
Molecular Epidemiology Group, Max Delbrück Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin-Buch, Robert-Roessle-Strasse 10, 13125, Berlin, Germany.
Institute of Epidemiology I, Helmholtz Zentrum München - German Research Center for Environmental Health, Neuherberg, Germany.
Int J Behav Nutr Phys Act. 2017 Dec 20;14(1):173. doi: 10.1186/s12966-017-0627-3.
Regular physical activity (PA) reduces the risk of disease and premature death. Knowing factors associated with PA might help reducing the disease and economic burden caused by low activity. Studies suggest that socio-cultural factors may affect PA, but systematic overviews of findings across the life course are scarce. This umbrella systematic literature review (SLR) summarizes and evaluates available evidence on socio-cultural determinants of PA in children, adolescents, and adults.
This manuscript was drafted following the recommendations of the 'Preferred Reporting Items for Systematic reviews and Meta-Analyses' (PRISMA) checklist. The MEDLINE, Web of Science, Scopus, and SPORTDiscus databases were searched for SLRs and meta-analyses (MAs) on observational studies published in English that assessed PA determinants between January 2004 and April 2016. The methodological quality was assessed and relevant information on socio-cultural determinants and any associations with PA was extracted. The available evidence was evaluated based on the importance of potential determinants and the strength of the evidence.
Twenty SLRs and three MAs encompassing 657 eligible primary studies investigated potential socio-cultural PA determinants, with predominantly moderate methodological quality. Twenty-nine potential PA determinants were identified that were primarily assessed in children and adolescents and investigated the micro-environmental home/household level. We found probable evidence that receiving encouragement from significant others and having a companion for PA were associated with higher PA in children and adolescents, and that parental marital status (living with partner) and experiencing parental modeling were not associated with PA in children. Evidence for the other potential determinants was limited, suggestive, or non-conclusive. In adults, quantitative and conclusive data were scarce.
A substantial number of SLRs and MAs investigating potential socio-cultural determinants of PA were identified. Our data suggest that receiving social support from significant others may increase PA levels in children and adolescents, whereas parental marital status is not a determinant in children. Evidence for other potential determinants was limited. This was mainly due to inconsistencies in results on potential socio-cultural determinants of PA across reviews and studies.
This umbrella SLR was recorded on PROSPERO (Record ID: CRD42015010616 ).
规律的体育活动（PA）可降低疾病风险和过早死亡风险。了解与体育活动相关的因素可能有助于减轻因活动不足导致的疾病负担和经济负担。研究表明，社会文化因素可能会影响体育活动，但对整个生命历程中研究结果的系统综述却很匮乏。本综合性系统文献综述（SLR）总结并评估了关于儿童、青少年和成年人体育活动社会文化决定因素的现有证据。
本手稿是根据“系统评价和Meta分析的首选报告项目”（PRISMA）清单的建议起草的。在MEDLINE、科学网、Scopus和SPORTDiscus数据库中检索了2004年1月至2016年4月期间发表的、以英文撰写的、评估体育活动决定因素的观察性研究的系统综述和Meta分析（MAs）。评估了方法学质量，并提取了有关社会文化决定因素以及与体育活动的任何关联的相关信息。根据潜在决定因素的重要性和证据强度对现有证据进行了评估。
20项系统综述和3项Meta分析涵盖了657项符合条件的主要研究，调查了潜在的社会文化体育活动决定因素，方法学质量大多为中等。确定了29个潜在的体育活动决定因素，这些因素主要在儿童和青少年中进行评估，并研究了微观环境家庭/家庭层面。我们发现有可能的证据表明，从重要他人那里获得鼓励以及有体育活动伙伴与儿童和青少年更高的体育活动水平相关，而父母的婚姻状况（与伴侣同住）和经历父母的示范作用与儿童的体育活动无关。其他潜在决定因素的证据有限、具有提示性或不具有决定性。在成年人中，定量和确定性数据很少。
确定了大量调查体育活动潜在社会文化决定因素的系统综述和Meta分析。我们的数据表明，从重要他人那里获得社会支持可能会提高儿童和青少年的体育活动水平，而父母的婚姻状况不是儿童体育活动的决定因素。其他潜在决定因素的证据有限。这主要是由于不同综述和研究中关于体育活动潜在社会文化决定因素的结果不一致。
本综合性系统综述已在PROSPERO上登记（记录编号：CRD42015010616）。
