Economic Analysis of Physical Activity Interventions

Wu, Shinyi; Cohen, Deborah A.; Shi, Yuyan; Pearson, Marjorie L.

doi:10.1016/j.amepre.2010.10.029

Cited by 147 publications

(199 citation statements)

References 33 publications

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“…Seven dichotomous questions (1 = yes, 0 = no) were used to assess individual study quality, adapted from Wu et al [33]. The studies were given a score between 0 (lowest quality) and 7 (highest quality) based on a sum calculated for the following: (1) a control group was used, (2) statistically nonsignificant differences existed between baseline characteristics of control and treatment groups, (3) a high-SFA run-in period was used, where all participants were fed the same diet before randomization, (4) measurement tools for data collection were clearly explained in the methods section, (5) all potential confounders were controlled for, (6) study procedures were well defined, and (7) bias was adequately controlled.…”

Section: Methodsmentioning

confidence: 99%

Clinical Outcomes of Dietary Replacement of Saturated Fatty Acids with Unsaturated Fat Sources in Adults with Overweight and Obesity: A Systematic Review and Meta-Analysis of Randomized Control Trials

Hannon¹,

Thompson²,

An³

et al. 2017

Ann Nutr Metab

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Background: Obesity and dyslipidemia are frequently treated with dietary interventions before pharmacotherapy is given. Diets high in unsaturated fat have proven advantageous to disease treatment. Aims: The purpose of this systematic review and meta-analysis was to assess the evidence of the effect of saturated fatty acids (SFA) replacement with unsaturated fatty acids (UFA) in metabolically healthy adults with overweight and obesity on markers of dyslipidemia and body composition. Methods: Keyword search was performed in PubMed, CINAHL, and Cochrane Library for randomized controlled trials (RCTs) evaluating the effects of fatty acid substitution in adults with overweight and obesity. Meta-analysis was performed on interventions assessing lipoprotein levels and body composition. Publication bias was assessed by funnel plot inspection, Begg's, and Egger's test. Results: Eight RCTs enrolling 663 participants were included in the review, with intervention durations between 4 and 28 weeks. Although nonsignificant (p = 0.06), meta-analysis found UFA replacement to reduce total cholesterol concentrations by 10.68 mg/dL (95%CI -21.90 to 0.53). Reductions in low-density lipoprotein cholesterol and triglycerides were statistically nonsignificant. Conclusions: Due to null results and a small number of studies included, there is no strong evidence that replacement of SFA with UFA may benefit lipid profiles in this population.

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Section: Methodsmentioning

confidence: 99%

Clinical Outcomes of Dietary Replacement of Saturated Fatty Acids with Unsaturated Fat Sources in Adults with Overweight and Obesity: A Systematic Review and Meta-Analysis of Randomized Control Trials

Hannon¹,

Thompson²,

An³

et al. 2017

Ann Nutr Metab

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“…The best results have come from comprehensive and intensive programmes involving individualised exercise prescriptions, counselling, and educational materials, with follow-up sessions and booster strategies [4]. However, initial increases in physical activity and fitness were not sustained long-term in these studies, and comprehensive intervention programmes have proved the least cost-effective from the public health perspective [5,6]. Notably in the UK, community-based physical activity interventions have been identified as representing a worthwhile investment in terms of healthcare savings [7].…”

Section: Introductionmentioning

confidence: 99%

Facilitating Participation in Health-Enhancing Physical Activity: A Qualitative Study of parkrun

2014

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Purpose: Public health guidelines emphasise the value of vigorous intensity physical activity, but participation levels are low. This study was aimed at identifying factors contributing to initial and sustained engagement in parkrun in the United Kingdom, to inform the design of community-based interventions promoting health-enhancing physical activity.Methods: Semi-structured interviews were conducted by telephone with 48 adult participants of parkrun, a national network of weekly, free, volunteer-led, timed 5km runs in public spaces. The framework approach was used for thematic analysis of transcripts.Results: Two overarching themes emerged: freedom and reciprocity. Freedom referred to the accessibility and inclusivity of events, both of which contributed to initial attendance and sustained involvement. Reciprocity related to the dual opportunity for personal gain and for helping others. Anticipation of fitness and health benefits were important for initial motivation. However, additional aspects motivating continued involvement included

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“…Furthermore, the effects of the stair use campaign were augmented by the use of multicomponent interventions (i.e., stairwell messages + posters). Stair use campaigns using point-of-choice prompts are more cost-effective than other interventions used to increase physical activity 18) . In the follow-up questionnaire survey, 96% of the respondents reported that they "noticed the message banners every day", while 10% of the respondents reported that their "use of the stairs increased due to the message banners".…”

Section: Discussionmentioning

confidence: 99%

Maintenance of the Rate of Stair Use over a Long‐term Period Using a Stair Climbing Campaign

Nomura

Katayama

Kashiwa

et al. 2014

Journal of Occupational Health

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Maintenance of the Rate of Stair Use over a Long‐term Period Using a Stair Climbing Campaign: Takuo NOMURA, et al. Department of Rehabilitation Sciences, Kansai University of Welfare Sciences— Objective This study was a long‐term survey of a stair climbing campaign that made use of point‐of‐choice prompts aimed at achieving exemplary behavior in citizens. Methods The campaign began in September 2007 at the Kochi Prefectural Office. We monitored office workers who climbed the stairs or used the elevator in the prefectural office building, excluding weekends, from August 2007 through February 2009. Prompts were placed on the stair risers. A total of 59 days were monitored during the observation period. A questionnaire was distributed to 250 workers to examine the influence of the prompts following completion of the observation period. Results A total of 16,583 observations of the choice of workers to use the elevators or stairs were made during the observation period. The mean number of stair users was 281.0 ± 66.0 per day. Stair use increased significantly from 31.5 to 58.1% among women and from 26.3 to 62.4% among men during months 1−3 of the campaign. Stair use was maintained in more than 51% of women and 60% of men during the entire campaign period. The following response (valid records: 81) was given by 10% of the respondents regarding the use of stairs: “my use of stairs increased due to the message banners”. Conclusions The stair climbing campaign was effective for increasing stair use and was maintained over a longterm period. However, most office workers thought that their increased stair use was not due to prompts placed on risers; therefore, the reason for the increased stair use remains unclear.

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Economic Analysis of Physical Activity Interventions

Abstract: Background-Numerous interventions have been shown to increase physical activity, but have not been ranked by effectiveness or cost.

Cited by 147 publications

References 33 publications

Clinical Outcomes of Dietary Replacement of Saturated Fatty Acids with Unsaturated Fat Sources in Adults with Overweight and Obesity: A Systematic Review and Meta-Analysis of Randomized Control Trials

Clinical Outcomes of Dietary Replacement of Saturated Fatty Acids with Unsaturated Fat Sources in Adults with Overweight and Obesity: A Systematic Review and Meta-Analysis of Randomized Control Trials

Facilitating Participation in Health-Enhancing Physical Activity: A Qualitative Study of parkrun

Maintenance of the Rate of Stair Use over a Long‐term Period Using a Stair Climbing Campaign

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