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Effectiveness of interventions to promote physical activity among socioeconomically disadvantaged women: a systematic review and meta-analysis

Citation

Cleland, V and Granados, A and Crawford, D and Winzenberg, T and Ball, K, Effectiveness of interventions to promote physical activity among socioeconomically disadvantaged women: a systematic review and meta-analysis, Obesity Reviews, 14, (3) pp. 197-212. ISSN 1467-7881 (2013) [Refereed Article]

Copyright Statement

Copyright 2012 the Authors

DOI: doi:10.1111/j.1467-789X.2012.01058.x

Abstract

Physical activity is important for preventing weight gain and obesity, but women experiencing socioeconomic disadvantage are at high risk of inactivity. This study aimed to determine the effectiveness of interventions to increase physical activity among women experiencing disadvantage, and the intervention factors (i.e. physical activity measure, delivery mode, delivery channel, setting, duration, use of theory, behavioural techniques, participant age, risk of bias) associated with effectiveness. We conducted a meta-analysis of controlled trials using random-effects models and meta-regression. Seven databases were searched for trials among healthy women (18-64 years), which included a physical activity intervention, any control group, and statistical analyses of a physical activity outcome at baseline and post-intervention. Nineteen studies were included (n = 6,339). Because of substantial statistical heterogeneity (χ2  = 53.61, df = 18, P < 0.0001, I2  = 66%), an overall pooled effect is not reported. In subgroup analyses, between-group differences were evident for delivery mode, which modestly reduced heterogeneity (to 54%). Studies with a group delivery component had a standardized mean difference of 0.38 greater than either individual or community-based delivery. Programs with a group delivery mode significantly increase physical activity among women experiencing disadvantage, and group delivery should be considered an essential element of physical activity promotion programs targeting this population group.

Item Details

Item Type:Refereed Article
Keywords:behaviour, female, prevention, socioeconomic factors
Research Division:Medical and Health Sciences
Research Group:Public Health and Health Services
Research Field:Health Promotion
Objective Division:Health
Objective Group:Public Health (excl. Specific Population Health)
Objective Field:Behaviour and Health
Author:Cleland, V (Dr Verity Cleland)
Author:Winzenberg, T (Professor Tania Winzenberg)
ID Code:82404
Year Published:2013 (online first 2012)
Web of Science® Times Cited:13
Deposited By:Menzies Institute for Medical Research
Deposited On:2013-02-01
Last Modified:2017-01-18
Downloads:21 View Download Statistics

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