The factors related to a sedentary lifestyle: A meta‐analysis review

Abstract

Aims To compare factors associated with the sedentary lifestyle described in the literature with the factors listed in NANDA International. Design Systematic review with meta‐analysis of factors associated with a sedentary lifestyle in adolescents, adults and older people. Data sources An electronic search of PubMed, Scopus, CINAHL and Latin America and the Caribbean Literature on Health and Science databases conducted in May 2016. Review methods Descriptive data were extracted according to a standardized form. The odds ratios for each etiological factor associated with a sedentary lifestyle were extracted directly from the articles or calculated from the data described therein. The meta‐analysis was conducted for factors that were investigated in more than one study. Results Thirty‐five articles were included. The statistically significant factors were: lack of social support, of physical space, of time, of motivation, of sports skills and of interest in physical activity, intolerance to activity, being retired, living in a low‐income country, laziness, not having a job/studying, low socioeconomic status and level of knowledge about physical activity, female gender, living in an urban area, negative self‐perception of health, using public transportation, being in the oldest age group in the study and perceived physical disability. Conclusion The new factors associated with a sedentary lifestyle and those already included in the NANDA International classification will lead to better clinical guidance for nurses. Impact Knowledge about these factors can contribute directly to public health policies.

Clinical indicators and aetiological factors of sedentary lifestyle in patients with arterial hypertension

“…In addition, Martins et al, (2021) also identified other factors considered possibly important for the occurrence of sedentary lifestyle, such as "Education in a public institution," "Education level" and "Marital status (having a partner)," although these factors did not present significance in the meta-analysis. Considering the authors' recommendations, the present study includes these factors so that they could be tested in the target population (adult patients with arterial hypertension).…”

“…No additional factors from the literature were investigated. In contrast, other studies (Martins et al, 2015(Martins et al, , 2021 have found new aetiological factors for SL; however, such elements need to be evaluated clinically in a specific population to generate more robust clinical evidence. From this perspective, there is a need to validate the related factors of SL in individuals with arterial hypertension to obtain sufficient evidence about the strength of the relationship between these factors and the diagnosis.…”

“…Since its publication in the NANDA-I classification, SL has been submitted to validation studies that have identified new elements that can be incorporated into its structure, providing important components for the clinical reasoning process and for correct diagnostic inferences (Martins et al, 2016(Martins et al, , 2021. Other studies have identified new clinical indicators, such as "Absence of physical activity during leisure time," "Overweight" and "Low performance in instrumental activities of daily living" (Guedes et al, 2013;Guirao-Goris et al, 2016).…”

“…Recently, a systematic review with meta-analysis (Martins et al, 2021) identified 19 aetiological factors for sedentary lifestyle of which 18 were investigated in the present study. These factors are "Female gender," "Age," "Living in an urban area," "Using public transportation," "Intolerance to activity," "Retirement," "Perception of physical disability," "Negative self-perception of health," "Lack of motivation," "Laziness," "Lack of appropriate place," "Having a job/ studying," "Lack of interest in physical activities," "Lack of sports ability," "Lack of time," "Insufficient knowledge on physical activity," "Lack of social support for the practice of physical exercise" and "Low socioeconomic status."…”

“…The early identification of aetiological factors of nursing diagnoses can help nurses make individualised care plans that are consistent with the patient's needs. In addition, the organisation of elements in a taxonomic structure facilitates communication between professionals and the comparison of interventions implemented and outcomes obtained, improving the efficiency of care (Martins et al, 2021).…”