Effectiveness of interventions to maintain physical activity behavior (device-measured): Systematic review and meta-analysis of randomized controlled trials.
behavior change
maintenance
physical activity
Journal
Obesity reviews : an official journal of the International Association for the Study of Obesity
ISSN: 1467-789X
Titre abrégé: Obes Rev
Pays: England
ID NLM: 100897395
Informations de publication
Date de publication:
10 2021
10 2021
Historique:
revised:
25
05
2021
received:
09
03
2021
accepted:
25
05
2021
pubmed:
16
6
2021
medline:
16
10
2021
entrez:
15
6
2021
Statut:
ppublish
Résumé
Physical activity has many physical, mental, and social health benefits. Interventions can be successful at helping people initiate participation, but there is a lack of evidence about the ability of these interventions to help adults maintain their physical activity. This systematic review and meta-analysis aims to address this evidence gap. We investigated the extent to which successful physical activity interventions with demonstrated success within randomized controlled trials result in maintenance of device-measured physical activity (at least 3 months post-intervention end). Five databases were searched, and 8919 titles and abstracts were screened for eligibility, and 29 trials met the inclusion criteria. Of these, 22 were included in the meta-analysis. We found that 60% to 80% of physical activity behavior was maintained, as equivalent to an additional 45 min/week of moderate-to-vigorous physical activity and 945 steps per day compared with comparators. We also examined trials that randomized participants to maintenance interventions after an initial physical activity intervention (n = 7) and we found small effects (standardized mean difference 0.14, 95% confidence interval [CI] 0.1 to 0.27). The evidence suggests that most (60%-80%) of the increases in physical activity in successful programs are maintained for at least 3 months and there are small effects from providing a maintenance intervention to the public. Registration: CRD42019144585.
Types de publication
Journal Article
Meta-Analysis
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
e13304Informations de copyright
© 2021 World Obesity Federation.
Références
Warburton D, Nicol C, Bredin SD. Health benefits of physical activity: the evidence. CMAJ. 2006;174(6):801-809.
Giacomantonio N, Bredin S, Foulds H, Warburton D. A systematic review of the health benefits of exercise rehabilitation in persons living with atrial fibrillation. Can J Cardiol. 2013;29(4):483-491.
Reiner M, Niermann C, Jekauc D, Woll A. Long-term health benefits of physical activity-a systematic review of longitudinal studies. BMC Public Health. 2013;13(813).
Daley A. Exercise and depression: a review of reviews. J Clin Psychol Med Settings. 2008;15(2):140-147.
Paixão C, Dias CM, Jorge R, et al. Successful weight loss maintenance: a systematic review of weight control registries. Obes Rev. 2020;21(5):e13003.
Dombrowski SU, Knittle K, Avenell A, Araújo-Soares V, Sniehotta FF. Long term maintenance of weight loss with non-surgical interventions in obese adults: systematic review and meta-analyses of randomised controlled trials. BMJ. 2014;348(may14 6).
WHO. WHO Guidelines on Physical Activity and Sedentary Behaviour. Geneva: World Health Organisation; 2020.
Organisation WH. Physical activity. https://www.who.int/news-room/fact-sheets/detail/physical-activity. Published 2018. Accessed 2020.
British Heart Foundation. Physical Inactivity and Sedentary Behaviour Report 2017. 2017. England.
World Health Organisation. Prevalence of insufficient physical activity. Global Health Observatory Data Web site. https://www.who.int/gho/ncd/risk_factors/physical_activity/en/index1.html. Published 2016. Accessed 2020.
Guthold R, Stevens G, Riley L, Bull F. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 19 million participants. Lancet (London, England). 2018;6(10):E1077-E1086.
Metzger J, Catellier D, Evenson K, Treuth M, Rosamond W, Siega-Riz A. Patterns of objectively measured physical activity in the United States. Med Sci Sports Exerc. 2008;40(4):630-638.
Fjeldsoe B, Neuhaus M, Winkler E, Eakin E. Systematic review of maintenance of behaviour change following physical activity and dietary interventions. Health Psychol. 2011;30(1):99-109.
Prince SA, Adamo KB, Hamel ME, Hardt J, Gorber SC, Tremblay M. A comparison of direct versus self-report measures for assessing physical activity in adults: a systematic review. Int J Behav Nutr Phys Act. 2008;5(1):56.
Gorzelitz J, Peppard PE, Malecki K, Gennuso K, Nieto FJ, Cadmus-Bertram L. Predictors of discordance in self-report versus device-measured physical activity measurement. Ann Epidemiol. 2018;28(7):427-431.
Wahlich C, Chaudhry UAR, Fortescue R, et al. Effectiveness of adult community-based physical activity interventions with objective physical activity measurements and long-term follow-up: a systematic review and meta-analysis. BMJ Open. 2020;10(5):e034541.
McEwan D, Rhodes RE, Beauchamp MR. What happens when the party is over?: sustaining physical activity behaviors after intervention cessation. Behav Med. 2020;1-9.
Howlett N, Trivedi D, Troop NA, Chater AM. Are physical activity interventions for healthy inactive adults effective in promoting behavior change and maintenance, and which behavior change techniques are effective? A systematic review and meta-analysis. Transl Behav Med. 2019;9(1):147-157.
Kahlert D. Maintenance of physical activity: do we know what we are talking about? Prev Med Rep. 2015;2:178-180.
Jefferis BJ, Parsons TJ, Sartini C, et al. Objectively measured physical activity, sedentary behaviour and all-cause mortality in older men: does volume of activity matter more than pattern of accumulation? Br J Sports Med. 2019;53(16):1013-1020.
Kelly P, Kahlmeier S, Götschi T, et al. Systematic review and meta-analysis of reduction in all-cause mortality from walking and cycling and shape of dose response relationship. Int J Behav Nutr Phys Act. 2014;11(1):132.
Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097.
Review Manager (RevMan) [computer program]. Version 5.4: Copenhagen; 2014.
Kirk AF, Mutrie N, MacIntyre PD, Fisher MB. Promoting and maintaining physical activity in people with type 2 diabetes. Am J Prev Med. 2004;27(4):289-296.
Keyserling TC, Samuel-Hodge CD, Ammerman AS, et al. A randomized trial of an intervention to improve self-care behaviors of African-American women with type 2 diabetes. Imp Phys Acti. 2002;25(9):1576-1583.
Balducci S, D'Errico V, Haxhi J, et al. Effect of a behavioral intervention strategy on sustained change in physical activity and sedentary behavior in patients with type 2 diabetes: the IDES_2 randomized clinical trial. JAMA. 2019;321(9):880-890.
Devi R, Powell J, Singh S. A web-based program improves physical activity outcomes in a primary care angina population: randomized controlled trial. J Med Internet Res. 2014;16(9):e186.
Carter A, Daley A, Humphreys L, et al. Pragmatic intervention for increasing self-directed exercise behaviour and improving important health outcomes in people with multiple sclerosis: a randomised controlled trial. Mult Scler. 2014;20(8):1112-1122.
Yates T, Davies M, Gorely T, Bull F, Khunti K. Effectiveness of a pragmatic education program designed to promote walking activity in individuals with impaired glucose tolerance: a randomized controlled trial. Diabetes Care. 2009;32(8):1404-1410.
Gomersall S, Maher C, English C, Rowlands A, Olds T. Time regained: when people stop a physical activity program, how does their time use change? A randomised controlled trial. PLoS ONE. 2015;10(1):e0126665.
Harris T, Kerry SM, Limb ES, et al. Physical activity levels in adults and older adults 3-4 years after pedometer-based walking interventions: long-term follow-up of participants from two randomised controlled trials in UK primary care. PLoS Med. 2018;15(3):e1002526.
Whitt-Glover MC, Goldmon MV, Gizlice Z, Sillice M, Hornbuckle L, Heil DP. Increasing physical activity in black women: results from a randomized trial conducted in faith-based settings. Ethn Dis. 2017;27(4):411-420.
Kerr J, Rosenberg D, Millstein RA, et al. Cluster randomized controlled trial of a multilevel physical activity intervention for older adults. Int J Behav Nutr Phys Act. 2018;15(1):32.
Cochrane Collaboration. In: Higgins J, Green S, eds. Cochrane Handbook for Systematic Reviews of Interventions; 2011: http://handbook.cochrane.org/ Accessed 19/09/2013.
Cohrane Collaboration. In: Higgins J, Thomas J, Chandler J, et al., eds. Cochrane Handbook for Systematic Reviews of Interventions; 2021 www.training.cochrane.org/handbook
Eakin EG, Winkler EA, Dunstan DW, et al. Living well with diabetes: 24-month outcomes from a randomized trial of telephone-delivered weight loss and physical activity intervention to improve glycemic control. Diabetes Care. 2014;37(8):2177-2185.
Clanchy KM, Tweedy SM, Trost SG. Evaluation of a physical activity intervention for adults with brain impairment: a controlled clinical trial. Neurorehabil Neural Repair. 2016;30(9):854-865.
Morgan PJ, Callister R, Collins CE, et al. The SHED-IT community trial: a randomized controlled trial of internet- and paper-based weight loss programs tailored for overweight and obese men. Ann Behav Med. 2013;45(2):139-152.
Ter Hoeve N, Sunamura M, Stam HJ, et al. Effects of two behavioral cardiac rehabilitation interventions on physical activity: a randomized controlled trial. Int J Cardiol. 2018;255:221-228.
Whitt-Glover MC, Goldmon MV, Gizlice Z, Heil DP, Karanja N. Learning and developing individual exercise skills (L.A.D.I.E.S.) for a better life: a church-based physical activity intervention-baseline participant characteristics. Ethn Dis. 2017;27(3):257-264.
Rogers LQ, Hopkins-Price P, Vicari S, et al. Physical activity and health outcomes three months after completing a physical activity behavior change intervention: persistent and delayed effects. Cancer Epidemiol Biomarkers Prev. 2009;18(5):1410-1418.
Sterne JAC, Savović J, Page MJ, et al. RoB 2: a revised tool for assessing risk of bias in randomised trials. BMJ. 2019;366:l4898.
Madigan CD, Daley A, Lewis A, Aveyard P, Jolly K. Is self-weighing an effective tool for weight loss: a systematic literature review and meta-analysis. Int J Behav Nutr Phys Act. 2015;12(104).
Crutzen R, Viechtbauer W, Spigt M, Kotz D. Differential attrition in health behaviour change trials: a systematic review and meta-analysis. Psychol Health. 2015;30(1):122-134. https://doi.org/10.1080/08870446.2014.953526
Alonso-Dominguez R, Patino-Alonso MC, Sanchez-Aguadero N, Garcia-Ortiz L, Recio-Rodriguez JI, Gomez-Marcos MA. Effect of a multifactorial intervention on the increase in physical activity in subjects with type 2 diabetes mellitus: a randomized clinical trial (EMID study). Eur J Cardiovasc Nurs. 2019;18(5):399-409.
Rogers LQ, Courneya KS, Anton PM, et al. Effects of the BEAT cancer physical activity behavior change intervention on physical activity, aerobic fitness, and quality of life in breast cancer survivors: a multicenter randomized controlled trial. Breast Cancer Res Treat. 2015;149(1):109-119.
Morgan P, Callister R, Collins C, et al. The SHED-IT community trial: a randomized controlled trial of internet- and paper-based weight loss programs tailored for overweight and obese men. Ann Behav Med. 2013;45(2):139-152.
Wyke S, Bunn C, Andersen E, et al. The effect of a programme to improve men's sedentary time and physical activity: the European Fans in Training (EuroFIT) randomised controlled trial. PLoS Med. 2019;16(2):e1002736.
De Greef KP, Deforche BI, Ruige JB, et al. The effects of a pedometer-based behavioral modification program with telephone support on physical activity and sedentary behavior in type 2 diabetes patients. Patient Educ Couns. 2011;84(2):275-279.
Balducci S, D'Errico V, Haxhi J, et al. Effect of a behavioral intervention strategy for adoption and maintenance of a physically active lifestyle: the Italian diabetes and exercise study 2 (IDES_2): a randomized controlled trial. Diabetes Care. 2017;40(11):1444-1452.
Cunningham MA, Swanson V, Holdsworth RJ, O'Carroll RE. Late effects of a brief psychological intervention in patients with intermittent claudication in a randomized clinical trial. Br J Surg. 2013;100(6):756-760.
Bond DS, Thomas JG, Vithiananthan S, et al. Intervention-related increases in preoperative physical activity are maintained 6-months after Bariatric surgery: results from the bari-active trial. Int J Obes (Lond). 2017;41(3):467-470.
Barrett S, Begg S, O'Halloran P, Kingsley M. Integrated motivational interviewing and cognitive behaviour therapy can increase physical activity and improve health of adult ambulatory care patients in a regional hospital: the Healthy4U randomised controlled trial. BMC Public Health. 2018;18(1):1166.
Avila A, Claes J, Goetschalckx K, et al. Home-based rehabilitation with telemonitoring guidance for patients with coronary artery disease (short-term results of the TRiCH study): randomized controlled trial. J Med Internet Res. 2018;20(6):e225.
Hughes AR, Mutrie N, Macintyre PD. Effect of an exercise consultation on maintenance of physical activity after completion of phase III exercise-based cardiac rehabilitation. Euro J Cardi Prevent Rehab: Offi J Europ Soc Cardiology, Working Grou Epidem Preven Cardiac Rehab Exerc Physi. 2007;14(1):114-121.
Duscha BD, Piner LW, Patel MP, et al. Effects of a 12-week mHealth program on peak VO2 and physical activity patterns after completing cardiac rehabilitation: a randomized controlled trial. Am Heart J. 2018;199:105-114.
Fjeldsoe BS, Goode AD, Phongsavan P, et al. Get healthy, stay healthy: evaluation of the maintenance of lifestyle changes six months after an extended contact intervention. JMIR Mhealth Uhealth. 2019;7(3):e11070.
Goyder E, Hind D, Breckon J, et al. A randomised controlled trial and cost-effectiveness evaluation of ‘booster’ interventions to sustain increases in physical activity in middle-aged adults in deprived urban neighbourhoods. Health Technol Assess. 2014;18(13).
Moore SM, Charvat JM, Gordon NH, et al. Effects of a CHANGE intervention to increase exercise maintenance following cardiac events. Ann Behav Med. 2006;31(1):53-62.
Murray JM, Brennan SF, French DP, Patterson CC, Kee F, Hunter RF. Effectiveness of physical activity interventions in achieving behaviour change maintenance in young and middle aged adults: a systematic review and meta-analysis. Soc Sci Med. 2017;192:125-133.