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Systematic Reviews
Published in: Systematic Reviews 1/2016

Open Access 01-12-2016 | Protocol

Equity impact of interventions to promote physical activity in older adults: protocol for a systematic review

Authors: Gesa Lehne, Gabriele Bolte

Published in: Systematic Reviews | Issue 1/2016

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Abstract

Background

Public health strategies to promote physical activity among older adults are increasingly being implemented. However, it is not known whether these interventions are equally effective among all social groups of the older adult population. The objectives of the proposed systematic review are to (1) describe the extent to which effects on social inequalities are considered in studies evaluating the effectiveness of interventions to promote physical activity among older adults, (2) describe the methods used for measuring these effects, and (3) assess the implications of the equity related findings for health promotion research and practice.

Methods/design

MEDLINE, PsycINFO, CINAHL, CENTRAL, Physical Education Index, Social Science Citation Index, ASSIA, Sociological Abstracts, and IBSS databases as well as the German language journal Prävention und Gesundheitsförderung will be searched to identify experimental or observational quantitative studies evaluating the effects of interventions on self-reported or objectively measured physical activity among the general population of older adults (≥50 years). English or German language peer-reviewed journal articles published since 2005 will be included. Data on whether and how several social factors are considered for both the description of baseline characteristics of participants and for measuring intervention effectiveness will be extracted. The quality of studies will be assessed using the Effective Public Health Practice Project Quality Assessment Tool for Quantitative Studies. Results will be presented in a narrative synthesis. If feasible, harvest plots will be used to synthesize evidence about how intervention effects vary between different social groups.

Discussion

This systematic review will provide evidence on what is known about the effects of interventions on social inequalities in physical activity among older adults, which is a prerequisite for the prioritization of those interventions most likely to be effective across all social groups of this target population. Therefore, the results of this review will be of major interest to researchers, policy makers, and practitioners in the area of physical activity promotion for older adults.

Systematic review registration

This protocol has been registered with the PROSPERO international prospective register of systematic reviews (PROSPERO 2015 CRD42015025066).
Appendix
Available only for authorised users
Literature
1.
King AC, King DK. Physical activity for an aging population. Public Health Rev. 2010;32:401–26.
2.
Bull FC, Armstrong TP, Dixon T, Ham S, Neiman A, Pratt M. Physical inactivity. In: Ezzati M, Lopez AD, Rodgers A, Murray CJL, editors. Comparative quantification of health risks: global and regional burden of disease attributable to selected major risk factors. Geneva: World Health Organization; 2004. p. 729–881.
3.
4.
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.PubMedCentralCrossRefPubMed
5.
Byberg L, Melhus H, Gedeborg R, Sundström J, Ahlbom A, Zethelius B, et al. Total mortality after changes in leisure time physical activity in 50 year old men: 35 year follow-up of population based cohort. BMJ. 2009;338:b688.PubMedCentralCrossRefPubMed
6.
Hamer M, Lavoie KL, Bacon SL. Taking up physical activity in later life and healthy ageing: the English longitudinal study of ageing. Br J Sports Med. 2014;48(3):239–43.PubMedCentralCrossRefPubMed
7.
Holme I, Anderssen SA. Increases in physical activity is as important as smoking cessation for reduction in total mortality in elderly men: 12 years of follow-up of the Oslo II study. Br J Sports Med. 2015;49:743–8.CrossRefPubMed
8.
TNS Opinion & Social. Special Eurobarometer 412: Sport and physical activity. Conducted by TNS Opinion & Social at the request of the Directorate-General for Education and Culture. Survey co-ordinated by the Directorate-General for Communication (DG COMM “Strategy, Corporate Communication Actions and Eurobarometer” Unit). Brussels: TNS Opinion & Social; 2014.
9.
Smith L, Gardner B, Fisher A, Hamer M. Patterns and correlates of physical activity behaviour over 10 years in older adults: prospective analyses from the English Longitudinal Study of Ageing. BMJ Open. 2015;5, e007423.PubMedCentralCrossRefPubMed
10.
van Stralen MM, De Vries H, Mudde AN, Bolman C, Lechner L. Determinants of initiation and maintenance of physical activity among older adults: a literature review. Health Psychol Rev. 2009;3(2):147–207.CrossRef
11.
World Health Organization (WHO. Physical activity promotion in socially disadvantaged groups: principles for action. PHAN Work Package 4 Final Report. Copenhagen: WHO Regional Office for Europe; 2013.
12.
Beenackers MA, Kamphuis CBM, Giskes K, Brug J, Kunst AE, Burdorf A, et al. Socioeconomic inequalities in occupational, leisure-time, and transport related physical activity among European adults: a systematic review. Int J Behav Nutr Phys Act. 2012;9:116.PubMedCentralCrossRefPubMed
13.
Gidlow C, Johnston LH, Crone D, Ellis N, James D. A systematic review of the relationship between socio-economic position and physical activity. Health Educ J. 2006;65(4):338–67.CrossRef
14.
Hunter RF, Boeri M, Tully MA, Donnelly P, Kee F. Addressing inequalities in physical activity participation: implications for public health policy and practice. Prev Med. 2015;72:64–9.CrossRefPubMed
15.
O’Neill J, Tabish H, Welch V, Petticrew M, Pottie K, Clarke M, et al. Applying an equity lens to interventions: using PROGRESS ensures consideration of socially stratifying factors to illuminate inequities in health. J Clin Epidemiol. 2014;67(1):56–64.CrossRefPubMed
16.
Evans T, Brown H. Road traffic crashes: operationalizing equity in the context of health sector reform. Inj Control Saf Promot. 2003;10(1–2):11–2.CrossRefPubMed
17.
Oliver S, Kavanagh J, Caird J, Lorenc T, Oliver K, Harden A, et al. Health promotion, inequalities and young people’s health: a systematic review of research. London: EPPI-Centre, Social Science Research Unit, Institute of Education, University of London; 2008.
18.
Hillsdon M, Lawlor DA, Ebrahim S, Morris JN. Physical activity in older women: associations with area deprivation and with socioeconomic position over the life course: observations in the British Women’s Heart and Health Study. J Epidemiol Community Health. 2008;62(4):344–50.CrossRefPubMed
19.
Koeneman MA, Verheijden MW, Chinapaw MJM, Hopman-Rock M. Determinants of physical activity and exercise in healthy older adults: a systematic review. Int J Behav Nutr Phys Act. 2011;8:142.PubMedCentralCrossRefPubMed
20.
21.
Cleland CL, Tully MA, Kee F, Cupples ME. The effectiveness of physical activity interventions in socio-economically disadvantaged communities: a systematic review. Prev Med. 2012;54(6):371–80.CrossRefPubMed
22.
Frohlich KL, Potvin L. Transcending the known in public health practice: the inequality paradox: the population approach and vulnerable populations. Am J Public Health. 2008;98(2):216–21.PubMedCentralCrossRefPubMed
23.
McLaren L, McIntyre L, Kirkpatrick S. Rose’s population strategy of prevention need not increase social inequalities in health. Int J Epidemiol. 2010;39(2):372–7.CrossRefPubMed
24.
Lorenc T, Petticrew M, Welch V, Tugwell P. What types of interventions generate inequalities? Evidence from systematic reviews. J Epidemiol Community Health. 2013;67(2):190–3.CrossRefPubMed
25.
Hill S, Amos A, Clifford D, Platt S. Impact of tobacco control interventions on socioeconomic inequalities in smoking: review of the evidence. Tob Control. 2014;23:e89–97.CrossRefPubMed
26.
Beauchamp A, Backholer K, Magliano D, Peeters A. The effect of obesity prevention interventions according to socioeconomic position: a systematic review. Obes Rev. 2014;15(7):541–54.CrossRefPubMed
27.
Hillier-Brown FC, Bambra CL, Cairns JM, Kasim A, Moore HJ, Summerbell CD. A systematic review of the effectiveness of individual, community and societal-level interventions at reducing socio-economic inequalities in obesity among adults. Int J Obes. 2014;38(12):1483–90.CrossRef
28.
Hillier-Brown FC, Bambra CL, Cairns JM, Kasim A, Moore HJ, Summerbell CD. A systematic review of the effectiveness of individual, community and societal level interventions at reducing socioeconomic inequalities in obesity amongst children. BMC Public Health. 2014;14:834.PubMedCentralCrossRefPubMed
29.
McGill R, Anwar E, Orton L, Bromley H, Lloyd-Williams F, O’Flaherty M, et al. Are interventions to promote healthy eating equally effective for all? Systematic review of socioeconomic inequalities in impact. BMC Public Health. 2015;15:457.PubMedCentralCrossRefPubMed
30.
Kavanagh J, Oliver S, Lorenc T, Caird J, Tucker H, Harden A, et al. School-based cognitive-behavioural interventions: a systematic review of effects and inequalities. Health Sociol Rev. 2009;18(1):61–78.CrossRef
31.
Moore GF, Littlecott HJ, Turley R, Waters E, Murphy S. Socioeconomic gradients in the effects of universal school-based health behaviour interventions: a systematic review of intervention studies. BMC Public Health. 2015;15(1):907.PubMedCentralCrossRefPubMed
32.
Humphreys DK, Ogilvie D. Synthesising evidence for equity impacts of population-based physical activity interventions: a pilot study. Int J Behav Nutr Phys Act. 2013;10:76.PubMedCentralCrossRefPubMed
33.
Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev. 2015;4:1.PubMedCentralCrossRefPubMed
34.
Shamseer L, Moher D, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. BMJ. 2015;349:g7647.CrossRefPubMed
35.
Moher D, Liberati A, Tetzlaff J, Altmann DG, The PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097.PubMedCentralCrossRefPubMed
36.
Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gotzsche PC, Ioannidis JP, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med. 2009;6(7), e1000100.PubMedCentralCrossRefPubMed
37.
Welch V, Petticrew M, Tugwell P, Moher D, O’Neill J, Waters E, et al. PRISMA-Equity 2012 extension: reporting guidelines for systematic reviews with a focus on health equity. PLoS Med. 2012;9(10), e1001333.PubMedCentralCrossRefPubMed
38.
Welch V, Petticrew M, Petkovic J, Moher D, Waters E, White H, et al. Extending the PRISMA statement to equity-focused systematic reviews (PRISMA-E 2012): explanation and elaboration. J Clin Epidemiol. 2015. doi:10.​1016/​j.​jclinepi.​2015.​09.​001.
39.
Armstrong R, Waters E, Doyle J. Chapter 21: Reviews in health promotion and public health. In: Higgins JPT, Green S, editors. Cochrane handbook for systematic reviews of interventions version 5.1.0 (updated March 2011). The Cochrane Collaboration. 2011. www.​cochrane-handbook.​org. Accessed 11 November 2015.
40.
Petticrew M, Roberts H. Systematic reviews in the social sciences: a practical guide. Oxford: Blackwell Publishing; 2006.CrossRef
41.
Qi X, Yang M, Ren W, Jia J, Wang J, Han G, et al. Find duplicates among the PubMed, EMBASE, and Cochrane Library Databases in systematic review. PLoS One. 2013;8(8), e71838.PubMedCentralCrossRefPubMed
42.
Cohen J. A coefficient of agreement for nominal scales. Educ Psychol Meas. 1960;20(1):37–46.CrossRef
43.
44.
Armijo-Olivo S, Stiles CR, Hagen NA, Biondo PD, Cummings GG. Assessment of study quality for systematic reviews: a comparison of the Cochrane Collaboration Risk of Bias Tool and the Effective Public Health Practice Project Quality Assessment Tool: methodological research. J Eval Clin Pract. 2012;18(1):12–8.
45.
Ogilvie D, Fayter D, Petticrew M, Sowden A, Thomas S, Whitehead M, et al. The harvest plot: a method for synthesising evidence about the differential effects of interventions. BMC Med Res Methodol. 2008;8:8.PubMedCentralCrossRefPubMed
46.
Commission on Social Determinants of Health (CSDH). Closing the gap in a generation: health equity through action on the social determinants of health. Final report of the commission on social determinants of health. Geneva: World Health Organization; 2008.
Metadata
Title
Equity impact of interventions to promote physical activity in older adults: protocol for a systematic review
Authors
Gesa Lehne
Gabriele Bolte
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Systematic Reviews / Issue 1/2016
Electronic ISSN: 2046-4053
DOI
https://doi.org/10.1186/s13643-016-0194-8

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