Definitions of determinants of physical activity behaviour: process and outcome of consensus from the DE-PASS expert group
Jazyk angličtina Země Velká Británie, Anglie Médium electronic
Typ dokumentu časopisecké články
PubMed
40102955
PubMed Central
PMC11921651
DOI
10.1186/s12966-025-01728-5
PII: 10.1186/s12966-025-01728-5
Knihovny.cz E-zdroje
- Klíčová slova
- Active lifestyle, Consensus, Delphi method, Health, Movement behaviour, Settings,
- MeSH
- cvičení * MeSH
- delfská metoda MeSH
- konsensus * MeSH
- lidé MeSH
- terminologie jako téma * MeSH
- zdravé chování * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
BACKGROUND: Despite extensive research on physical activity behaviour (PAB), consensus is lacking on related terms and definitions, thereby hindering the ability to compare findings between studies and to develop reliable assessment tools. This study therefore aimed to establish consensus on the definitions of key PAB determinants. METHODS: First, an international expert steering committee was established, comprising members of the European Cooperation in Science and Technology (COST) action "DEterminants of Physical ActivitieS in Settings" (DE-PASS). Recently published review-level studies were used to identify key determinants of PAB. Two independent reviewers systematically reviewed the literature to catalogue the range of definitions used for key determinants of PAB (steps 1-2). A two-round modified Delphi survey was conducted online from February to September 2023, to determine the optimal definition for each determinant. In round 1, experts selected the most suitable definition for each of the 41 initially identified determinants. In round 2, experts ranked the appropriateness of the definition selected from round 1 on a 5-point Likert scale. Consensus was defined a priori as ≥ 75% agreement on the definition (i.e., ratings of ≥ 4 points). A professional English language expert ensured concise, coherent wording and high-quality editing of the definitions (steps 3-6). RESULTS: Eighty-five experts in PAB research participated in round 1, and sixty-nine experts in round 2. Consensus of definitions was achieved for 39 of the 41 determinants (88.4%-98.6% agreement). The consensus threshold was not achieved for two determinants: genetic profile and regulation (69.6%) and backyard access/size (73.9%). CONCLUSIONS: The findings of this study offer a consensus-based set of definitions for 39 key determinants of PAB. These definitions can be used homogenously in academic research on physical activity.
Department of Health Promotion and Rehabilitation Lithuanian Sports University Kaunas Lithuania
Department of Movement Human and Health Sciences University of Rome Foro Italico Rome Italy
Department of Sports and Computer Science Universidad Pablo de Olavide Seville Spain
Laboratory for Integrative and Translational Research in Population Health Porto Portugal
Levinsky Wingate Academic College Wingate Campus Netanya Israel
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Morales JS, Alberquilla del Río E, Valenzuela PL, Martínez-de-Quel Ó. Physical activity and cognitive performance in early childhood: A systematic review and meta-analysis of randomized controlled trials. Sports Medicine. 2024;54:1835–50. PubMed
Bermejo-Cantarero A, Sánchez-López M, Álvarez-Bueno C, Redondo-Tébar A, García-Hermoso A, Martínez-Vizcaino V. Are physical activity interventions effective in improving health-related quality of life in children and adolescents? A systematic review and meta-analysis. Sports Health. 2023;16:877–85. PubMed PMC
Paluch AE, Bajpai S, Ballin M, Bassett DR, Buford TW, Carnethon MR, et al. Prospective association of daily steps with cardiovascular disease: A harmonized meta-analysis. Circulation. 2023;147:122–31. PubMed PMC
De Craemer M, Chastin S, Ahrens W, Bernaards C, Brug J, Buck C, et al. Data on determinants are needed to curb the sedentary epidemic in Europe. Lessons learnt from the DEDIPAC European knowledge hub. Int J Environ Res Public Health. 2018;15:1406. PubMed PMC
Reilly JJ, Barnes J, Gonzalez S, Huang WY, Manyanga T, Tanaka C, et al. Recent secular trends in child and adolescent physical activity and sedentary behavior internationally: Analyses of Active Healthy Kids Global Alliance Global Matrices 1.0 to 4.0. J Phys Act Health. 2022;19:729–36. PubMed
Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: A pooled analysis of 358 population-based surveys with 1·9 million participants. Lancet Glob Health. 2018;6:e1077–86. PubMed
Guthold R, Stevens GA, Riley LM, Bull FC. Global trends in insufficient physical activity among adolescents: A pooled analysis of 298 population-based surveys with 1·6 million participants. Lancet Child Adolesc Health. 2020;4:23–35. PubMed PMC
van Sluijs EMF, Ekelund U, Crochemore-Silva I, Guthold R, Ha A, Lubans D, et al. Physical activity behaviours in adolescence: Current evidence and opportunities for intervention. Lancet. 2021;398:429–42. PubMed PMC
Lakerveld J, van der Ploeg HP, Kroeze W, Ahrens W, Allais O, Andersen LF, et al. Towards the integration and development of a cross-European research network and infrastructure: The DEterminants of DIet and Physical ACtivity (DEDIPAC) knowledge hub. Int J Behav Nutr Phys Act. 2014;11:143. PubMed PMC
Bauman AE, Reis RS, Sallis JF, Wells JC, Loos RJ, Martin BW. Correlates of physical activity: why are some people physically active and others not? Lancet. 2012;380:258–71. PubMed
Khudair M, Marcuzzi A, Ng K, Tempest GD, Bartoš F, Peric R, et al. DE-PASS Best Evidence Statement (BESt): Modifiable determinants of physical activity and sedentary behaviour in children and adolescents aged 5–19 years-a protocol for systematic review and meta-analysis. BMJ Open. 2022;12: e059202. PubMed PMC
Aleksovska K, Puggina A, Giraldi L, Buck C, Burns C, Cardon G, et al. Biological determinants of physical activity across the life course: A “determinants of diet and physical activity” (DEDIPAC) umbrella systematic literature review. Sports Med Open. 2019;5:2. PubMed PMC
Carlin A, Perchoux C, Puggina A, Aleksovska K, Buck C, Burns C, et al. A life course examination of the physical environmental determinants of physical activity behaviour: A “Determinants of Diet and Physical Activity” (DEDIPAC) umbrella systematic literature review. PLoS ONE. 2017;12: e0182083. PubMed PMC
Cortis C, Puggina A, Pesce C, Aleksovska K, Buck C, Burns C, et al. Psychological determinants of physical activity across the life course: A “DEterminants of DIet and Physical ACtivity” (DEDIPAC) umbrella systematic literature review. PLoS ONE. 2017;12: e0182709. PubMed PMC
Condello G, Puggina A, Aleksovska K, Buck C, Burns C, Cardon G, et al. Behavioral determinants of physical activity across the life course: A “DEterminants of DIet and Physical ACtivity” (DEDIPAC) umbrella systematic literature review. Int J Behav Nutr Phys Act. 2017;14:58. PubMed PMC
Jaeschke L, Steinbrecher A, Luzak A, Puggina A, Aleksovska K, Buck C, et al. Socio-cultural determinants of physical activity across the life course: A “Determinants of Diet and Physical Activity” (DEDIPAC) umbrella systematic literature review. Int J Behav Nutr Phys Act. 2017;14:173. PubMed PMC
Puggina A, Aleksovska K, Buck C, Burns C, Cardon G, Carlin A, et al. Policy determinants of physical activity across the life course: A “DEDIPAC” umbrella systematic literature review. Eur J Public Health. 2018;28:105–18. PubMed PMC
O’Donoghue G, Kennedy A, Puggina A, Aleksovska K, Buck C, Burns C, et al. Socio-economic determinants of physical activity across the life course: A “DEterminants of DIet and Physical ACtivity” (DEDIPAC) umbrella literature review. PLoS ONE. 2018;13: e0190737. PubMed PMC
Brug J, van der Ploeg HP, Loyen A, Ahrens W, Allais O, Andersen LF, et al. Determinants of diet and physical activity (DEDIPAC): A summary of findings. Int J Behav Nutr Phys Act. 2017;14:150. PubMed PMC
Curtner-Smith ME. Mechanisms by which family processes contribute to school-age boys’ bullying. Child Study J. 2000;30:169.
Tibbs T, Haire-Joshu D, Schechtman KB, Brownson RC, Nanney MS, Houston C, et al. The relationship between parental modeling, eating patterns, and dietary intake among African-American parents. J Am Diet Assoc. 2001;101:535–41. PubMed
Trost SG, Loprinzi PD. Parental influences on physical activity behavior in children and adolescents: A brief review. Am J Lifestyle Med. 2011;5:171–81.
Tremblay MS, Gray C, Babcock S, Barnes J, Bradstreet CC, Carr D, et al. Position statement on active outdoor play. Int J Environ Res Public Health. 2015;12:6475–505. PubMed PMC
Niederberger M, Spranger J. Delphi technique in health sciences: A map. Front Public Health. 2020;8:457. PubMed PMC
Cruz J, Netz Y, Dygryn J, Brazo-Sayavera J, Gebremariam M, Ribeiro J, et al. Consensus statement on consistent terminology regarding determinants of physical activity behaviours. 2023. Available from: https://osf.io/wtcnu/. Cited 2023 Dec 9.
Sallis JF, Prochaska JJ, Taylor WC. A review of correlates of physical activity of children and adolescents. Med Sci Sports Exerc. 2000;32:963–75. PubMed
Craggs C, Corder K, Van Sluijs EMF, Griffin SJ. Determinants of change in physical activity in children and adolescents: A systematic review. Am J Prev Med. 2011;40:645–58. PubMed PMC
De Vet E, de Ridder DTD, de Wit JBF. Environmental correlates of physical activity and dietary behaviours among young people: A systematic review of reviews. Obes Rev. 2011;12:e130–42. PubMed
Kolovelonis A, Syrmpas I, Marcuzzi A, Khudair M, Ng K, Tempest GD, et al. DE-PASS best evidence statement (BESt): determinants of adolescents’ device-based physical activity and sedentary behaviour in settings: a systematic review and meta-analysis. BMC Public Health. 2024;24:1706. PubMed PMC
Diamond IR, Grant RC, Feldman BM, Pencharz PB, Ling SC, Moore AM, et al. Defining consensus: A systematic review recommends methodologic criteria for reporting of Delphi studies. J Clin Epidemiol. 2014;67:401–9. PubMed
National Center for Biotechnology Information. Life change events . MeSH database. National Library of Medicine. Available from: https://www.ncbi.nlm.nih.gov/mesh/68008016. Cited 2022 Oct 5.
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;14:1–17. PubMed PMC
American Psychological Association. Self-efficacy . APA Dictionary of Psychology. Available from: https://dictionary.apa.org/self-efficacy.Cited 2022 Oct 2.
American Psychological Association. Sleep . APA Dictionary of Psychology. Available from: https://dictionary.apa.org/sleep.Cited 2022 Oct 2.
American Psychological Association. Chronological age . APA Dictionary of Psychology. Available from: https://dictionary.apa.org/chronological-age
Di Katie Sebastiano M. Body fat. In: Gellman Marc D. and Turner JR, editor. Encyclopedia of Behavioral Medicine . New York, NY: Springer New York; 2013. p. 243–5. Available from: 10.1007/978-1-4419-1005-9_1096
American Psychological Association. Educational attainment level (1) . APA Dictionary of Psychology. Available from: https://dictionary.apa.org/educational-attainment-level. Cited 2022 Oct 2.
Barkan SE. Sociology: Understanding and changing the social world. Boston, MA: Flat World Knowledge; 2016.
Porta M, Last JM. Health status. A Dictionary of Public Health . 2nd ed. Oxford University Press; 2018. Available from: https://www.oxfordreference.com/display/https://doi.org/10.1093/acref/9780191844386.001.0001/acref-9780191844386-e-1950?rskey=cveUyY&result=1. Cited 2022 Oct 1.
Zipes DP. Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine. 11th ed. Libby P, Bonow RO, Mann DL, Tomaselli GF, editors. Philadelphia: Elsevier Health Sciences; 2018.
Lee HY, Hahm M Il, Park EC. Differential association of socio-economic status with gender- and age-defined suicidal ideation among adult and elderly individuals in South Korea. Psychiatry Res. 2013;210:323–8. PubMed
Caspersen C, Powell K, Gregory C. Physical activity, exercise, and physical fitness: Definitions and distinctions for health-related research. Public Health Rep. 1985;100:126–31. PubMed PMC
Council of Europe (Gender Equality Commission). Gender equality glossary . 2016. Available from: https://edoc.coe.int/en/gender-equality/6947-gender-equality-glossary.html
American Psychological Association. Socioeconomic status (SES) . APA Dictionary of Psychology. Available from: https://dictionary.apa.org/socioeconomic-statusCited 2022 Oct 1.
American Psychological Association. Stress . APA Dictionary of Psychology. Available from: https://dictionary.apa.org/stress . Cited 2022 Oct 2.
Kruk M, Zarychta K, Horodyska K, Boberska M, Scholz U, Radtke T, et al. From enjoyment to physical activity or from physical activity to enjoyment? Longitudinal associations in parent–child dyads. Psychol Health. 2018;33:1269–83. PubMed
American Psychological Association. Fatigue . APA Dictionary of Psychology. Available from: https://dictionary.apa.org/fatigue.Cited 2022 Oct 2.
American Psychological Association. Motivation . APA Dictionary of Psychology. Available from: https://dictionary.apa.org/motivation. Cited 2022 Oct 2.
American Psychological Association. Perceived behavioral control . APA Dictionary of Psychology. Available from: https://dictionary.apa.org/perceived-behavioral-control. Cited 2022 Oct 2.
American Psychological Association. Perceived competence . APA Dictionary of Psychology. Available from: https://dictionary.apa.org/perceived-competence. Cited 2022 Oct 2.
American Psychological Association. Self-efficacy . APA Dictionary of Psychology. Available from: https://dictionary.apa.org/self-efficacy. Cited 2024 Jul 15.
National Center for Biotechnology Information. Self-control . MeSH database. Available from: https://www.ncbi.nlm.nih.gov/mesh/2009825. Cited 2022 Oct 4.
French S, Giles-Corti B, I’Anson K. 2010 UWA commuting survey, volume 1: Executive Summary. Perth; 2010.
Wales M, Mårtensson F, Jansson M. “You can be outside a lot”: Independent mobility and agency among children in a suburban community in Sweden. Child Geogr. 2021;19:184–96.
American Psychological Association. Sleep . APA Dictionary of Psychology. Available from: https://dictionary.apa.org/sleep. Cted 2024 Jul 15.
National Center for Biotechnology Information. Neighborhood characteristics. MeSH database.
Doble SE, Santha JC. Occupational well-being: Rethinking occupational therapy outcomes. Can J Occup Ther. 2008;75:184–90. PubMed
Taguchi N, Xiao F, Li S. Effects of Intercultural Competence and Social Contact on Speech Act Production in a Chinese Study Abroad Context. Modern Language Journal. 2016;100:775–96.
Condello G, Ling FCM, Bianco A, Chastin S, Cardon G, Ciarapica D, et al. Using concept mapping in the development of the EU-PAD framework (EUropean-Physical Activity Determinants across the life course): A DEDIPAC-study. BMC Public Health. 2016;16:1–16. PubMed PMC
Wilson GC, Mavros Y, Tajouri L, Singh MF. The role of genetic profile in functional performance adaptations to exercise training or physical activity: A systematic review of the literature. J Aging Phys Act. 2019;27:594–616. PubMed
Maher BS. Polygenic Scores in Epidemiology: Risk Prediction, Etiology, and Clinical Utility. Curr Epidemiol Rep. 2015;2:239–44. PubMed PMC
Oakley J, Peters RL, Wake M, Grobler AC, Kerr JA, Lycett K, et al. Backyard benefits? A cross-sectional study of yard size and greenness and children’s physical activity and outdoor play. BMC Public Health. 2021;21:1–10. PubMed PMC
Armstrong GP, Maitland C, Lester L, Trost SG, Trapp G, Boruff B, et al. Associations between the home yard and preschoolers’ outdoor play and physical activity. Public Health Res Pract. 2019;29: e2911907. PubMed
Jones A, Hillsdon M, Coombes E. Greenspace access, use, and physical activity: Understanding the effects of area deprivation. Prev Med. 2009;49:500–5. PubMed PMC
Nasa P, Jain R, Juneja D. Delphi methodology in healthcare research: How to decide its appropriateness. World J Methodol. 2021;11:116. PubMed PMC
Jenkinson KA, Benson AC. Barriers to providing physical education and physical activity in Victorian state secondary schools. Aust J Teach Educ. 2010;35:1–17.
Ip P, Ho FKW, Louie LHT, Chung TWH, Cheung YF, Lee SL, et al. Childhood Obesity and Physical Activity-Friendly School Environments. J Pediatr. 2017;191:110–6. PubMed
Boyle SE, Jones GL, Walters SJ. Physical activity among adolescents and barriers to delivering physical education in Cornwall and Lancashire, UK: A qualitative study of heads of PE and heads of schools. BMC Public Health. 2008;8:1–9. PubMed PMC
Woods CB, Tannehill D, Quinlan A, Moyna N, Walsh J. The Children’s Sport Participation and Physical Activity Study (CSPPA) Research Report No1. School of Health and Human Performance . Dublin City University and The Irish Sports Council. Dublin; 2010. Available from: https://www.ucd.ie/t4cms/CCLSP_Study_Report1.pdf
Toktaş N, Köse E, Lapa TY, Kaas ET, Serdar Yücel A, Derman S. Global trends and future prospects of COVID-19 and physical activity: Bibliometric analysis. Medicine (United States). 2023;102:e35316. PubMed PMC
Tremblay MS, Kuzik N, Biddle SJH, Carson V, Chinapaw MJM, Dumuid D, et al. Digital Screen Media Use, Movement Behaviors, and Child Health. In: Christakis DA, Hale L, editors. Handbook of Children and Screens: Digital Media, Development, and Well-Being from Birth Through Adolescence . Cham: Springer Nature Switzerland; 2025. p. 63–72. Available from: 10.1007/978-3-031-69362-5_10
Vancini RL, Andrade MS, Knechtle B, Weiss K, de Lira CA. Could war among nations decrease physical activity levels? J Sports Med Phys Fitness. 2024;64:211–2. PubMed
Zisis E, Hakimi S, Lee EY. Climate change, 24-hour movement behaviors, and health: a mini umbrella review. Glob Health Res Policy. 2021;6:15. PubMed PMC