Skip to main content
Top
Published in: BMC Primary Care 1/2021

01-12-2021 | Care | Research article

Sedentary behaviour among general practitioners: a systematic review

Authors: Richard S. Mayne, Nigel D. Hart, Neil Heron

Published in: BMC Primary Care | Issue 1/2021

Login to get access

Abstract

Background

Sedentary behaviour is when someone is awake, in a sitting, lying or reclining posture and is an independent risk factor for multiple causes of morbidity and mortality. A dose-response relationship has been demonstrated, whereby increasing sedentary time corresponds with increasing mortality rate. This study aimed to identify current levels of sedentary behaviour among General Practitioners (GPs), by examining and synthesising how sedentary behaviour has been measured in the primary care literature.

Methods

A systematic review was conducted to identify studies relating to levels of sedentary behaviour among GPs. Searches were performed using Medline®, Embase®, PscycINFO, Web of Science and the Cochrane Library, from inception of databases until January 2020, with a subsequent search of grey literature. Articles were assessed for quality and bias, with extraction of relevant data.

Results

The search criteria returned 1707 studies. Thirty four full texts were reviewed and 2 studies included in the final review. Both were cross-sectional surveys using self-reported estimation of sedentary time within the International Physical Activity Questionnaire (IPAQ). Keohane et al. examined GP trainees and GP trainers in Ireland. 60% reported spending in excess of 7 h sitting each day, 24% between 4 and 7 h, and 16% less than or equal to 4 h. Suija et al. examined female GPs in Estonia. The mean reported daily sitting time was 6 h and 36 min, with 56% sitting for over 6 h per day. Both studies were of satisfactory methodological quality but had a high risk of bias.

Conclusion

There is a paucity of research examining current levels of sedentary behaviour among GPs. Objective data is needed to determine GPs’ current levels of sedentary behaviour, particularly in light of the increase in remote consulting as a result of the COVID-19 pandemic.
Appendix
Available only for authorised users
Literature
1.
go back to reference Sedentary Behaviour Research Network. Letter to the editor: standardized use of the terms “sedentary” and “sedentary behaviours.” Appl Physiol Nutr Metab. 2012;37(3):540–2. Sedentary Behaviour Research Network. Letter to the editor: standardized use of the terms “sedentary” and “sedentary behaviours.” Appl Physiol Nutr Metab. 2012;37(3):540–2.
2.
go back to reference Tremblay MS, Aubert S, Barnes JD, Saunders TJ, Carson V, Latimer-Cheung AE, et al. Sedentary Behavior Research Network (SBRN) – Terminology Consensus Project process and outcome. Int J Behav Nutr Phys Act. 2017;14(1):75.PubMedPubMedCentralCrossRef Tremblay MS, Aubert S, Barnes JD, Saunders TJ, Carson V, Latimer-Cheung AE, et al. Sedentary Behavior Research Network (SBRN) – Terminology Consensus Project process and outcome. Int J Behav Nutr Phys Act. 2017;14(1):75.PubMedPubMedCentralCrossRef
3.
go back to reference Jetté M, Sidney K, Blümchen G. Metabolic equivalents (METS) in exercise testing, exercise prescription, and evaluation of functional capacity. Clin Cardiol. 1990;13(8):555–65.PubMedCrossRef Jetté M, Sidney K, Blümchen G. Metabolic equivalents (METS) in exercise testing, exercise prescription, and evaluation of functional capacity. Clin Cardiol. 1990;13(8):555–65.PubMedCrossRef
4.
go back to reference Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep. 1985;100(2):126–31.PubMedPubMedCentral Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep. 1985;100(2):126–31.PubMedPubMedCentral
5.
go back to reference Davies SC, Atherton F, McBride M, Calderwood C. UK chief medical Officers' physical activity guidelines; 2019. Davies SC, Atherton F, McBride M, Calderwood C. UK chief medical Officers' physical activity guidelines; 2019.
6.
go back to reference Morris JN, Heady JA, Raffle PAB, Roberts CG, Parks JW. Coronary heart-disease and physical activity of work. Lancet. 1953;262(6795):1053–7.PubMedCrossRef Morris JN, Heady JA, Raffle PAB, Roberts CG, Parks JW. Coronary heart-disease and physical activity of work. Lancet. 1953;262(6795):1053–7.PubMedCrossRef
7.
go back to reference Morris JN, Heady JA, Raffle PAB, Roberts CG, Parks JW. Coronary heart-disease and physical activity of work. Lancet. 1953;262(6796):1111–20.PubMedCrossRef Morris JN, Heady JA, Raffle PAB, Roberts CG, Parks JW. Coronary heart-disease and physical activity of work. Lancet. 1953;262(6796):1111–20.PubMedCrossRef
8.
go back to reference Paffenbarger RS Jr, Blair SN, Lee IM. A history of physical activity, cardiovascular health and longevity: the scientific contributions of Jeremy N Morris, DSc, DPH. FRCP Int J Epidemiol. 2001;30(5):1184–92.PubMedCrossRef Paffenbarger RS Jr, Blair SN, Lee IM. A history of physical activity, cardiovascular health and longevity: the scientific contributions of Jeremy N Morris, DSc, DPH. FRCP Int J Epidemiol. 2001;30(5):1184–92.PubMedCrossRef
9.
go back to reference Hamer M, Stamatakis E, Steptoe A. Dose-response relationship between physical activity and mental health: the Scottish health survey. Br J Sports Med. 2009;43(14):1111–4.PubMedCrossRef Hamer M, Stamatakis E, Steptoe A. Dose-response relationship between physical activity and mental health: the Scottish health survey. Br J Sports Med. 2009;43(14):1111–4.PubMedCrossRef
10.
go back to reference Ravaglia G, Forti P, Lucicesare A, Pisacane N, Rietti E, Bianchin M, et al. Physical activity and dementia risk in the elderly. Find Prospect Italian Stud. 2008;70(19 Part 2):1786–94. Ravaglia G, Forti P, Lucicesare A, Pisacane N, Rietti E, Bianchin M, et al. Physical activity and dementia risk in the elderly. Find Prospect Italian Stud. 2008;70(19 Part 2):1786–94.
11.
go back to reference Rovio S, Kåreholt I, Helkala E-L, Viitanen M, Winblad B, Tuomilehto J, et al. Leisure-time physical activity at midlife and the risk of dementia and Alzheimer's disease. Lancet Neurol. 2005;4(11):705–11.PubMedCrossRef Rovio S, Kåreholt I, Helkala E-L, Viitanen M, Winblad B, Tuomilehto J, et al. Leisure-time physical activity at midlife and the risk of dementia and Alzheimer's disease. Lancet Neurol. 2005;4(11):705–11.PubMedCrossRef
12.
go back to reference Biswas A, Oh PI, Faulkner GE, Bajaj RR, Silver MA, Mitchell MS, et al. Sedentary time and its association with risk for disease incidence, mortality, and hospitalization in adults: a systematic review and meta-analysis. Ann Intern Med. 2015;162(2):123–32.PubMedCrossRef Biswas A, Oh PI, Faulkner GE, Bajaj RR, Silver MA, Mitchell MS, et al. Sedentary time and its association with risk for disease incidence, mortality, and hospitalization in adults: a systematic review and meta-analysis. Ann Intern Med. 2015;162(2):123–32.PubMedCrossRef
13.
go back to reference Chau JY, Grunseit AC, Chey T, Stamatakis E, Brown WJ, Matthews CE, et al. Daily sitting time and all-cause mortality: a meta-analysis. PLoS One. 2013;8(11):e80000.PubMedPubMedCentralCrossRef Chau JY, Grunseit AC, Chey T, Stamatakis E, Brown WJ, Matthews CE, et al. Daily sitting time and all-cause mortality: a meta-analysis. PLoS One. 2013;8(11):e80000.PubMedPubMedCentralCrossRef
14.
go back to reference Koster A, Caserotti P, Patel KV, Matthews CE, Berrigan D, Van Domelen DR, et al. Association of sedentary time with mortality independent of moderate to vigorous physical activity. PLoS One. 2012;7(6):e37696.PubMedPubMedCentralCrossRef Koster A, Caserotti P, Patel KV, Matthews CE, Berrigan D, Van Domelen DR, et al. Association of sedentary time with mortality independent of moderate to vigorous physical activity. PLoS One. 2012;7(6):e37696.PubMedPubMedCentralCrossRef
15.
go back to reference Katzmarzyk PT, Church TS, Craig CL, Bouchard C. Sitting time and mortality from all causes, cardiovascular disease, and cancer. Med Sci Sports Exerc. 2009;41(5):998–1005.PubMedCrossRef Katzmarzyk PT, Church TS, Craig CL, Bouchard C. Sitting time and mortality from all causes, cardiovascular disease, and cancer. Med Sci Sports Exerc. 2009;41(5):998–1005.PubMedCrossRef
16.
go back to reference Heron L, O'Neill C, McAneney H, Kee F, Tully MA. Direct healthcare costs of sedentary behaviour in the UK. J Epidemiol Community Health. 2019;73(7):625–9.PubMedCrossRef Heron L, O'Neill C, McAneney H, Kee F, Tully MA. Direct healthcare costs of sedentary behaviour in the UK. J Epidemiol Community Health. 2019;73(7):625–9.PubMedCrossRef
17.
go back to reference Reed JL, Prince SA. Women's heart health: a focus on nurses' physical activity and sedentary behaviour. Curr Opin Cardiol. 2018;33(5):514–20.PubMedCrossRef Reed JL, Prince SA. Women's heart health: a focus on nurses' physical activity and sedentary behaviour. Curr Opin Cardiol. 2018;33(5):514–20.PubMedCrossRef
18.
go back to reference Kazi A, Duncan M, Clemes S, Haslam C. A survey of sitting time among UK employees. Occup Med. 2014;64(7):497–502.CrossRef Kazi A, Duncan M, Clemes S, Haslam C. A survey of sitting time among UK employees. Occup Med. 2014;64(7):497–502.CrossRef
20.
go back to reference Lewith G, Peters D, Manning C. Primary care is the cornerstone of our NHS. Bri J Gen Pract. 2016;66(653):604. Lewith G, Peters D, Manning C. Primary care is the cornerstone of our NHS. Bri J Gen Pract. 2016;66(653):604.
21.
go back to reference Abramson S, Stein J, Schaufele M, Frates E, Rogan S. Personal exercise habits and counseling practices of primary care physicians: a national survey. Clin J Sport Med. 2000;10(1):40–8.PubMedCrossRef Abramson S, Stein J, Schaufele M, Frates E, Rogan S. Personal exercise habits and counseling practices of primary care physicians: a national survey. Clin J Sport Med. 2000;10(1):40–8.PubMedCrossRef
22.
go back to reference Brotons C, Björkelund C, Bulc M, Ciurana R, Godycki-Cwirko M, Jurgova E, et al. Prevention and health promotion in clinical practice: the views of general practitioners in Europe. Prev Med. 2005;40(5):595–601.PubMedCrossRef Brotons C, Björkelund C, Bulc M, Ciurana R, Godycki-Cwirko M, Jurgova E, et al. Prevention and health promotion in clinical practice: the views of general practitioners in Europe. Prev Med. 2005;40(5):595–601.PubMedCrossRef
23.
go back to reference Cornuz J, Ghali WA, Di Carlantonio D, Pecoud A, Paccaud F. Physicians attitudes towards prevention: importance of intervention-specific barriers and physicians health habits. Fam Pract. 2000;17(6):535–40.PubMedCrossRef Cornuz J, Ghali WA, Di Carlantonio D, Pecoud A, Paccaud F. Physicians attitudes towards prevention: importance of intervention-specific barriers and physicians health habits. Fam Pract. 2000;17(6):535–40.PubMedCrossRef
24.
go back to reference Duclos M, Coudeyre E, Ouchchane L. General Practitioners’ Barriers to Physical Activity Negatively Influence Type 2 Diabetic Patients’ Involvement in Regular Physical Activity. Diabetes Care. 2011;34(7):e122.PubMedPubMedCentralCrossRef Duclos M, Coudeyre E, Ouchchane L. General Practitioners’ Barriers to Physical Activity Negatively Influence Type 2 Diabetic Patients’ Involvement in Regular Physical Activity. Diabetes Care. 2011;34(7):e122.PubMedPubMedCentralCrossRef
25.
26.
go back to reference Klein D, Guenther C, Ross S. Do as I say, not as I do. Lifestyles and counseling practices of physician faculty at the University of Alberta 2016;62(7):e393-e3e9. Klein D, Guenther C, Ross S. Do as I say, not as I do. Lifestyles and counseling practices of physician faculty at the University of Alberta 2016;62(7):e393-e3e9.
27.
go back to reference Lobelo F, de Quevedo IG. The evidence in support of physicians and health care providers as physical activity role models. Am J Lifestyle Med. 2016;10(1):36–52.PubMedCrossRef Lobelo F, de Quevedo IG. The evidence in support of physicians and health care providers as physical activity role models. Am J Lifestyle Med. 2016;10(1):36–52.PubMedCrossRef
28.
go back to reference Lobelo F, Duperly J, Frank E. Physical activity habits of doctors and medical students influence their counselling practices. Br J Sports Med. 2008;43(2):89–92.PubMedCrossRef Lobelo F, Duperly J, Frank E. Physical activity habits of doctors and medical students influence their counselling practices. Br J Sports Med. 2008;43(2):89–92.PubMedCrossRef
29.
go back to reference Shahar DR, Henkin Y, Rozen GS, Adler D, Levy O, Safra C, et al. A controlled intervention study of changing health-providers' attitudes toward personal lifestyle habits and health-promotion skills. Nutrition. 2009;25(5):532–9.PubMedCrossRef Shahar DR, Henkin Y, Rozen GS, Adler D, Levy O, Safra C, et al. A controlled intervention study of changing health-providers' attitudes toward personal lifestyle habits and health-promotion skills. Nutrition. 2009;25(5):532–9.PubMedCrossRef
30.
go back to reference Stanford FC, Durkin MW, Stallworth JR, Powell CK, Poston MB, Blair SN. Factors that Influence Physicians’ and Medical Students’ Confidence in Counseling Patients About Physical Activity. J Prim Prev. 2014;35(3):193–201.PubMedPubMedCentralCrossRef Stanford FC, Durkin MW, Stallworth JR, Powell CK, Poston MB, Blair SN. Factors that Influence Physicians’ and Medical Students’ Confidence in Counseling Patients About Physical Activity. J Prim Prev. 2014;35(3):193–201.PubMedPubMedCentralCrossRef
31.
go back to reference Frank E, Breyan J, Elon L. Physician disclosure of healthy personal behaviors improves credibility and ability to motivate. Arch Fam Med. 2000;9(3):287–9.PubMedCrossRef Frank E, Breyan J, Elon L. Physician disclosure of healthy personal behaviors improves credibility and ability to motivate. Arch Fam Med. 2000;9(3):287–9.PubMedCrossRef
32.
go back to reference Fraser S, Leveritt M, Ball L. Patients' perceptions of their general practitioner's health and weight influences their perceptions of nutrition and exercise advice received. J Prim Health Care. 2013;5(4):301–7.PubMedCrossRef Fraser S, Leveritt M, Ball L. Patients' perceptions of their general practitioner's health and weight influences their perceptions of nutrition and exercise advice received. J Prim Health Care. 2013;5(4):301–7.PubMedCrossRef
33.
go back to reference Lemaire JB, Ewashina D, Polachek AJ, Dixit J, Yiu V. Understanding how patients perceive physician wellness and its links to patient care: a qualitative study. PLoS One. 2018;13(5):e0196888.PubMedPubMedCentralCrossRef Lemaire JB, Ewashina D, Polachek AJ, Dixit J, Yiu V. Understanding how patients perceive physician wellness and its links to patient care: a qualitative study. PLoS One. 2018;13(5):e0196888.PubMedPubMedCentralCrossRef
34.
go back to reference Puhl RM, Gold JA, Luedicke J, Depierre JA. The effect of physicians’ body weight on patient attitudes: implications for physician selection, trust and adherence to medical advice. Int J Obes. 2013;37(11):1415–21.CrossRef Puhl RM, Gold JA, Luedicke J, Depierre JA. The effect of physicians’ body weight on patient attitudes: implications for physician selection, trust and adherence to medical advice. Int J Obes. 2013;37(11):1415–21.CrossRef
35.
go back to reference Ainsworth BE, Haskell WL, Herrmann SD, Meckes N, Bassett DR Jr, Tudor-Locke C, et al. 2011 compendium of physical activities: a second update of codes and MET values. Med Sci Sports Exerc. 2011;43(8):1575–81.PubMedCrossRef Ainsworth BE, Haskell WL, Herrmann SD, Meckes N, Bassett DR Jr, Tudor-Locke C, et al. 2011 compendium of physical activities: a second update of codes and MET values. Med Sci Sports Exerc. 2011;43(8):1575–81.PubMedCrossRef
36.
go back to reference Herzog R, Álvarez-Pasquin MJ, Díaz C, Del Barrio JL, Estrada JM, Gil Á. Are healthcare workers’ intentions to vaccinate related to their knowledge, beliefs and attitudes? A systematic review. BMC Public Health. 2013;13(1):154.PubMedPubMedCentralCrossRef Herzog R, Álvarez-Pasquin MJ, Díaz C, Del Barrio JL, Estrada JM, Gil Á. Are healthcare workers’ intentions to vaccinate related to their knowledge, beliefs and attitudes? A systematic review. BMC Public Health. 2013;13(1):154.PubMedPubMedCentralCrossRef
37.
go back to reference Luchini C, Stubbs B, Solmi M, Veronese N. Assessing the quality of studies in meta-analyses: advantages and limitations of the Newcastle Ottawa scale. World J Meta-Analysis. 2017;5(4):80.CrossRef Luchini C, Stubbs B, Solmi M, Veronese N. Assessing the quality of studies in meta-analyses: advantages and limitations of the Newcastle Ottawa scale. World J Meta-Analysis. 2017;5(4):80.CrossRef
38.
go back to reference Chastin SF, Culhane B, Dall PM. Comparison of self-reported measure of sitting time (IPAQ) with objective measurement (activPAL). Physiol Meas. 2014;35(11):2319–28.PubMedCrossRef Chastin SF, Culhane B, Dall PM. Comparison of self-reported measure of sitting time (IPAQ) with objective measurement (activPAL). Physiol Meas. 2014;35(11):2319–28.PubMedCrossRef
39.
go back to reference Kurtze N, Rangul V, Hustvedt B-E. Reliability and validity of the international physical activity questionnaire in the Nord-Trøndelag health study (HUNT) population of men. BMC Med Res Methodol. 2008;8(1):63.PubMedPubMedCentralCrossRef Kurtze N, Rangul V, Hustvedt B-E. Reliability and validity of the international physical activity questionnaire in the Nord-Trøndelag health study (HUNT) population of men. BMC Med Res Methodol. 2008;8(1):63.PubMedPubMedCentralCrossRef
40.
go back to reference Jonsdottir IH, Borjesson M, Ahlborg G. Healthcare workers’ participation in a healthy-lifestyle-promotion project in western Sweden. BMC Public Health. 2011;11:448. Jonsdottir IH, Borjesson M, Ahlborg G. Healthcare workers’ participation in a healthy-lifestyle-promotion project in western Sweden. BMC Public Health. 2011;11:448.
41.
go back to reference Keohane DM, McGillivary NA, Daly B. Physical activity levels and perceived barriers to exercise participation in Irish general practitioners and general practice trainees. Ir Med J. 2018;111(2):690.PubMed Keohane DM, McGillivary NA, Daly B. Physical activity levels and perceived barriers to exercise participation in Irish general practitioners and general practice trainees. Ir Med J. 2018;111(2):690.PubMed
42.
go back to reference Craig C, Marshall A, Sjöström M, Bauman A, Booth M, Ainsworth B, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381–95.PubMedCrossRef Craig C, Marshall A, Sjöström M, Bauman A, Booth M, Ainsworth B, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381–95.PubMedCrossRef
43.
go back to reference Hagstromer M, Oja P, Sjostrom M. The international physical activity questionnaire (IPAQ): a study of concurrent and construct validity. Public Health Nutr. 2006;9(6):755–62.PubMedCrossRef Hagstromer M, Oja P, Sjostrom M. The international physical activity questionnaire (IPAQ): a study of concurrent and construct validity. Public Health Nutr. 2006;9(6):755–62.PubMedCrossRef
44.
go back to reference Suija K, Pechter U, Maaroos J, Kalda R, Ratsep A, Oona M, et al. Physical activity of Estonian family doctors and their counselling for a healthy lifestyle: a cross-sectional study. BMC Fam Pract. 2010;11:48.PubMedPubMedCentralCrossRef Suija K, Pechter U, Maaroos J, Kalda R, Ratsep A, Oona M, et al. Physical activity of Estonian family doctors and their counselling for a healthy lifestyle: a cross-sectional study. BMC Fam Pract. 2010;11:48.PubMedPubMedCentralCrossRef
45.
go back to reference Guo W, Key TJ, Reeves GK. Accelerometer compared with questionnaire measures of physical activity in relation to body size and composition: a large cross-sectional analysis of UK biobank. BMJ Open. 2019;9(1):e024206.PubMedPubMedCentralCrossRef Guo W, Key TJ, Reeves GK. Accelerometer compared with questionnaire measures of physical activity in relation to body size and composition: a large cross-sectional analysis of UK biobank. BMJ Open. 2019;9(1):e024206.PubMedPubMedCentralCrossRef
46.
go back to reference Dall P, Coulter E, Fitzsimons C, Skelton D, Chastin S. TAxonomy of self-reported sedentary behaviour tools (TASST) framework for development, comparison and evaluation of self-report tools: content analysis and systematic review. BMJ Open. 2017;7(4):e013844.PubMedPubMedCentralCrossRef Dall P, Coulter E, Fitzsimons C, Skelton D, Chastin S. TAxonomy of self-reported sedentary behaviour tools (TASST) framework for development, comparison and evaluation of self-report tools: content analysis and systematic review. BMJ Open. 2017;7(4):e013844.PubMedPubMedCentralCrossRef
47.
go back to reference Prince S, Leblanc A, Colley R, Saunders T. Measurement of sedentary behaviour in population health surveys: a review and recommendations. PeerJ. 2017;5:e4130.PubMedPubMedCentralCrossRef Prince S, Leblanc A, Colley R, Saunders T. Measurement of sedentary behaviour in population health surveys: a review and recommendations. PeerJ. 2017;5:e4130.PubMedPubMedCentralCrossRef
48.
go back to reference Rosenberg DE, Bull FC, Marshall AL, Sallis JF, Bauman AE. Assessment of sedentary behavior with the international physical activity questionnaire. J Phys Act Health. 2008;5(s1):S30–44.PubMedCrossRef Rosenberg DE, Bull FC, Marshall AL, Sallis JF, Bauman AE. Assessment of sedentary behavior with the international physical activity questionnaire. J Phys Act Health. 2008;5(s1):S30–44.PubMedCrossRef
49.
go back to reference Scholes S, Bridges S, Ng Fat L, Mindell JS. Comparison of the physical activity and sedentary behaviour assessment questionnaire and the short-form international physical activity questionnaire: an analysis of health survey for England data. PLoS One. 2016;11(3):e0151647.PubMedPubMedCentralCrossRef Scholes S, Bridges S, Ng Fat L, Mindell JS. Comparison of the physical activity and sedentary behaviour assessment questionnaire and the short-form international physical activity questionnaire: an analysis of health survey for England data. PLoS One. 2016;11(3):e0151647.PubMedPubMedCentralCrossRef
50.
go back to reference Prince SA, Cardilli L, Reed JL, Saunders TJ, Kite C, Douillette K, et al. A comparison of self-reported and device measured sedentary behaviour in adults: a systematic review and meta-analysis. Int J Behav Nutr Phys Act. 2020;17(1):31.PubMedPubMedCentralCrossRef Prince SA, Cardilli L, Reed JL, Saunders TJ, Kite C, Douillette K, et al. A comparison of self-reported and device measured sedentary behaviour in adults: a systematic review and meta-analysis. Int J Behav Nutr Phys Act. 2020;17(1):31.PubMedPubMedCentralCrossRef
51.
go back to reference Joy M, McGagh D, Jones N, Liyanage H, Sherlock J, Parimalanathan V, et al. Reorganisation of primary care for older adults during COVID-19: a cross-sectional database study in the UK. Br J Gen Pract. 2020;70(697):e540–e7.PubMedPubMedCentralCrossRef Joy M, McGagh D, Jones N, Liyanage H, Sherlock J, Parimalanathan V, et al. Reorganisation of primary care for older adults during COVID-19: a cross-sectional database study in the UK. Br J Gen Pract. 2020;70(697):e540–e7.PubMedPubMedCentralCrossRef
52.
go back to reference Mayne R. Remote consulting during and post COVID-19: an opportunity to move more? InnovAiT. 2020;13(12):754–5.CrossRef Mayne R. Remote consulting during and post COVID-19: an opportunity to move more? InnovAiT. 2020;13(12):754–5.CrossRef
54.
go back to reference Edwardson CL, Yates T, Biddle SJH, Davies MJ, Dunstan DW, Esliger DW, et al. Effectiveness of the stand more AT (SMArT) work intervention: cluster randomised controlled trial. BMJ. 2018;363:k3870.PubMedPubMedCentralCrossRef Edwardson CL, Yates T, Biddle SJH, Davies MJ, Dunstan DW, Esliger DW, et al. Effectiveness of the stand more AT (SMArT) work intervention: cluster randomised controlled trial. BMJ. 2018;363:k3870.PubMedPubMedCentralCrossRef
56.
go back to reference Prince SA, Saunders TJ, Gresty K, Reid RD. A comparison of the effectiveness of physical activity and sedentary behaviour interventions in reducing sedentary time in adults: a systematic review and meta-analysis of controlled trials. Obes Rev. 2014;15(11):905–19.PubMedPubMedCentralCrossRef Prince SA, Saunders TJ, Gresty K, Reid RD. A comparison of the effectiveness of physical activity and sedentary behaviour interventions in reducing sedentary time in adults: a systematic review and meta-analysis of controlled trials. Obes Rev. 2014;15(11):905–19.PubMedPubMedCentralCrossRef
57.
go back to reference Gardner B, Smith L, Lorencatto F, Hamer M, Biddle SJ. How to reduce sitting time? A review of behaviour change strategies used in sedentary behaviour reduction interventions among adults. Health Psychol Rev. 2016;10(1):89–112.PubMedCrossRef Gardner B, Smith L, Lorencatto F, Hamer M, Biddle SJ. How to reduce sitting time? A review of behaviour change strategies used in sedentary behaviour reduction interventions among adults. Health Psychol Rev. 2016;10(1):89–112.PubMedCrossRef
58.
go back to reference Stephens SK, Eakin EG, Clark BK, Winkler EAH, Owen N, Lamontagne AD, et al. What strategies do desk-based workers choose to reduce sitting time and how well do they work? Findings from a cluster randomised controlled trial. Int J Behav Nutr Phys Act. 2018;15(1):98.PubMedPubMedCentralCrossRef Stephens SK, Eakin EG, Clark BK, Winkler EAH, Owen N, Lamontagne AD, et al. What strategies do desk-based workers choose to reduce sitting time and how well do they work? Findings from a cluster randomised controlled trial. Int J Behav Nutr Phys Act. 2018;15(1):98.PubMedPubMedCentralCrossRef
Metadata
Title
Sedentary behaviour among general practitioners: a systematic review
Authors
Richard S. Mayne
Nigel D. Hart
Neil Heron
Publication date
01-12-2021
Publisher
BioMed Central
Keyword
Care
Published in
BMC Primary Care / Issue 1/2021
Electronic ISSN: 2731-4553
DOI
https://doi.org/10.1186/s12875-020-01359-8

Other articles of this Issue 1/2021

BMC Primary Care 1/2021 Go to the issue