School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland.
Obes Rev. 2023 Nov;24(11):e13615. doi: 10.1111/obr.13615. Epub 2023 Aug 7.
Overweight and obesity are consistently associated with lower physical activity (PA) levels and greater sedentary behavior (SB) in population studies. To date, no review has evaluated the factors associated with these behaviors in the specific population who have developed obesity/overweight. The aim of this systematic review was to identify the correlates/determinants of SB and PA in adults with overweight and obesity. Five databases were searched for studies, which reported factors or outcomes relating to PA or SB in adults living with overweight/obesity, published from 1980 to 2021. The factors were categorized using a socioecological model, strength, and direction of association. Of 34,058 articles retrieved, 45 studies were included, and 155 factors were identified. Self-efficacy, intrinsic motivation, exercise enjoyment, self-perceived good health, and social support were consistently associated with higher levels of PA. Consistent negative correlations were married females, increased BMI, obesity severity, pain, number of comorbidities, lack of time, energy, and willpower, and hilly terrain. Few studies (n = 12) examined SB, and no evidence for consistent associations were found. This review identified several correlates specific to PA in this population. Further studies are required to identify directionality and distal correlates for PA and all correlate levels of SB.
超重和肥胖与人群研究中的较低体力活动（PA）水平和更多的久坐行为（SB）密切相关。迄今为止，尚无综述评估特定肥胖/超重人群中这些行为的相关因素。本系统综述的目的是确定超重和肥胖成年人 SB 和 PA 的相关因素/决定因素。从 1980 年至 2021 年，检索了五个数据库，以寻找报告与超重/肥胖成年人的 PA 或 SB 相关的因素或结果的研究。使用社会生态学模型对这些因素进行分类，并评估其关联的强度和方向。在检索到的 34058 篇文章中，纳入了 45 项研究，共确定了 155 个因素。自我效能感、内在动机、运动享受、自我感知健康状况和社会支持与更高水平的 PA 密切相关。已婚女性、BMI 增加、肥胖严重程度、疼痛、合并症数量、缺乏时间、精力和意志力以及丘陵地形与 SB 呈一致的负相关。很少有研究（n=12）研究了 SB，没有发现一致的关联证据。本综述确定了该人群中与 PA 相关的几个特定因素。需要进一步研究以确定 PA 的方向性和远端相关因素以及所有 SB 的相关因素水平。
