Gutenberg Johanna, Kulnik Stefan Tino, Niebauer Josef, Crutzen Rik
Ludwig Boltzmann Institute for Digital Health and Prevention, Salzburg, Austria.
Department of Health Promotion, Care and Public Health Research Institute, Maastricht University, Maastricht, Netherlands.
JMIR Res Protoc. 2022 Sep 7;11(9):e39188. doi: 10.2196/39188.
Lack of physical activity is a critical contributing risk factor to cardiovascular disease. Hence, regular physical activity is a mainstay in the primary and secondary prevention of cardiovascular disease. Despite the extensive promotion of physical activity in both primary and secondary prevention programs, including cardiac rehabilitation, physical activity levels in the cardiac population remain low. Therefore, it is crucial to understand critical determinants that influence physical activity behavior.
This study aims to deliver a systematic review of studies with collated observational data exploring the association between determinants and physical activity behavior in the target population. These new insights inform the design of future interventions targeted at lasting heart-healthy physical activity behavior in the cardiac population.
Primary studies with observational quantitative data on determinants and their association with physical activity behavior in the cardiac population will be included. Information on relevant primary studies will be retrieved from various databases, including Embase, CINAHL, MEDLINE, PsycInfo, and Web of Science Core Collection. Six reviewers will independently double-screen articles. Studies will be selected according to the prespecified inclusion and exclusion criteria. Data will be extracted and entered into suitable worksheets. The US-based National Heart, Lung, and Blood Institute's Study Quality Assessment Tool for Observational Studies will be used to assess the quality of all eligible primary studies. The results will be presented in a descriptive and narrative synthesis. If the type and quality of data are suitable, meta-analyses will be conducted. Study reporting will follow the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement.
Data collection started in September 2020, and the literature search was updated in July 2021. Data synthesis is ongoing, and the literature search will be updated in October 2022.
This review will be valuable to relevant stakeholders, including clinicians and health care professionals, intervention developers, and decision makers in health care. It lays a comprehensive foundation for understanding the determinants of physical activity to inform the design of secondary prevention interventions relevant to the cardiac population.
PROSPERO CRD42020206637; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=206637.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR1-10.2196/39188.
缺乏体育活动是心血管疾病的一个关键促成风险因素。因此，定期进行体育活动是心血管疾病一级和二级预防的主要手段。尽管在包括心脏康复在内的一级和二级预防项目中广泛推广体育活动，但心脏疾病人群的体育活动水平仍然很低。因此，了解影响体育活动行为的关键决定因素至关重要。
本研究旨在对收集了观察性数据的研究进行系统综述，探讨目标人群中决定因素与体育活动行为之间的关联。这些新见解为未来针对心脏疾病人群持久的心脏健康体育活动行为的干预措施设计提供了参考。
将纳入有关决定因素及其与心脏疾病人群体育活动行为关联的观察性定量数据的原始研究。有关相关原始研究的信息将从包括Embase、CINAHL、MEDLINE、PsycInfo和Web of Science核心合集在内的各种数据库中检索。六位评审员将独立进行双盲筛选文章。将根据预先设定的纳入和排除标准选择研究。将提取数据并输入合适的工作表。将使用美国国立心肺血液研究所的观察性研究质量评估工具来评估所有符合条件的原始研究的质量。结果将以描述性和叙述性综合形式呈现。如果数据的类型和质量合适，将进行荟萃分析。研究报告将遵循PRISMA（系统综述和荟萃分析的首选报告项目）声明。
数据收集于2020年9月开始，文献检索于2021年7月更新。数据综合正在进行中，文献检索将于2022年10月更新。
本综述对包括临床医生和医疗保健专业人员、干预措施开发者以及医疗保健领域决策者在内的相关利益相关者具有重要价值。它为理解体育活动的决定因素奠定了全面基础，为设计与心脏疾病人群相关的二级预防干预措施提供了参考。
PROSPERO CRD42020206637；https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=206637。
国际注册报告识别号（IRRID）：RR1-10.2196/39188。
