A global systematic scoping review of studies analysing indicators, development, and content of national-level physical activity and sedentary behaviour policies

Pogrmilovic, Bojana Klepac and O'Sullivan, Grant and Milton, Karen and Biddle, Stuart J. H. and Bauman, Adrian and Bull, Fiona and Kahlmeier, Sonja and Pratt, Michael and Pedisic, Zeljko (2018) A global systematic scoping review of studies analysing indicators, development, and content of national-level physical activity and sedentary behaviour policies. International Journal of Behavioral Nutrition and Physical Activity, 15 (1 - Article 123).

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Abstract

Background: National policy approaches to physical activity (PA) promotion and sedentary behaviour (SB) reduction
are needed to address rising rates of non-communicable diseases. Understanding the policy process and impact
through robust research and evaluation is crucial for facilitating successful reforms in national health policy. This scoping review, therefore, aimed to map the evidence on indicators, development, and content of national PA and/or SB policies globally.

Methods: A systematic search of academic and grey literature was conducted through six bibliographic databases, Google, and websites of three large organisations for PA promotion.

Results: Out of 24,872 screened documents, 203 publications from 163 studies were selected. The selected studies
investigated PA/SB policies in 168 countries worldwide, and we provided summary results for each of the countries.
Overall, 69, 29, and 2% of the analyses of national PA/SB policies were conducted for high-, middle-, and low-income
countries, respectively. Twenty-two percent of the studies mentioned SB policies as part of their analysis, with only one study focusing solely on assessing SB policies. Operational definitions of policy were found in only 13% of publications. Only 15% of the studies used a conceptual or theoretical framework. A large variety of methods were used for data collection and analysis of PA/SB policy.

Conclusions: We found that PA policy research is much more developed than it was considered several years ago.
Research around SB policies is still in its infancy, but it seems to have experienced some positive progress in the last
few years. Three key issues were identified that should be addressed in further research: [i] there is a lack of PA/SB
policy research in low- and middle-income countries, which is an important limitation of the current body of evidence;
[ii] the definition of policy varied significantly across studies, and most studies did not rely on any theoretical
framework, which may impede cross-study comparisons; and [iii] studies have used a variety of methods to
analyse policy, which may also cause problems with comparability. Future PA/SB policy research should aim
towards a clearer conceptualisation of policy, greater reliance on existing theoretical frameworks, and the use
and further development of standardised methods for PA/SB policy analysis.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: © The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Faculty/School / Institute/Centre: Current - Institute for Resilient Regions - Centre for Health, Informatics and Economic Research (1 Aug 2018 -)
Faculty/School / Institute/Centre: Current - Institute for Resilient Regions - Centre for Health, Informatics and Economic Research (1 Aug 2018 -)
Date Deposited: 24 Jun 2019 06:35
Last Modified: 29 Oct 2019 05:04
Uncontrolled Keywords: physical activity, national policy, sedentary behaviour, sitting, physical inactivity, national plan, strategy
Fields of Research : 16 Studies in Human Society > 1605 Policy and Administration > 160508 Health Policy
11 Medical and Health Sciences > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified
11 Medical and Health Sciences > 1106 Human Movement and Sports Science > 110699 Human Movement and Sports Science not elsewhere classified
Socio-Economic Objective: C Society > 92 Health > 9204 Public Health (excl. Specific Population Health) > 920499 Public Health (excl. Specific Population Health) not elsewhere classified
Identification Number or DOI: 10.1186/s12966-018-0742-9
URI: http://eprints.usq.edu.au/id/eprint/36649

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