Preventive medicine
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Preventive medicine · Jun 2024
Review Meta AnalysisBenefits and harms of structured outdoor physical activity for people with somatic or mental diseases: A systematic review and meta-analysis.
To examine the benefits and harms of structured outdoor physical activity (PA) for people living with one or more somatic or mental diseases. ⋯ Structured outdoor PA may improve HRQOL and physical function, as well as mental health outcomes. The very low certainty of evidence calls for high quality RCTs to determine benefits and harms of structured outdoor PA.
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Preventive medicine · Jun 2024
Review Meta AnalysisThe optimal exercise intervention for sleep quality in adults: A systematic review and network meta-analysis.
The impact of various exercise modalities on the improvement of sleep quality in adults remains controversial. ⋯ The review was registered with PROSPERO, registration number CRD42023434565.
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Preventive medicine · Jun 2024
Review Meta AnalysisProspective associations between systolic blood pressure, serum cholesterol, and physical activity behaviour and the development of cardiovascular disease.
To systematically appraise and summarise meta-analyses of longitudinal studies to determine the effect size, and quality and certainty of the evidence summaries for systolic blood pressure (SBP), serum cholesterol, and physical activity behaviour in developing cardiovascular disease (CVD). ⋯ There were strong associations with CVD risk at the meta-analysis level for all three exposures, with a proportionally greater number of meta-analyses and primary studies for physical activity than SBP or serum cholesterol. Given the number of meta-analyses and similar CVD risk reductions and certainty of evidence associated with physical activity behaviour, there is a strong case for its routine assessment alongside SBP and serum cholesterol in primary CVD prevention.
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Preventive medicine · Jun 2024
ReviewA systematic review of culturally adapted physical activity interventions for culturally and linguistically diverse children and adolescents.
Limited evidence shows culturally and linguistically diverse (CALD) children and adolescents are less active, compared to the general population. It is unclear, how physical activity interventions have been adapted for CALD children and adolescents to enhance engagement. This study aimed to review culturally adapted physical activity interventions targeting CALD children and adolescents. ⋯ A small number of studies found significant changes to increase physical activity levels. We found there is a lack of consistent evidence indicating that incorporating surface and/or deep structure adaptations result in significant changes in physical activity. Future research should focus on establishing higher quality methodology when developing culturally adapted interventions for CALD populations.
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Preventive medicine · Jun 2024
ReviewA narrative review of global and national physical activity and sedentary behaviour guidelines development processes - The GUidelines Standards (GUS) project.
Clinical and public health guidelines serve to direct clinical practice and policy, based on the best available evidence. The World Health Organization (WHO) and national health bodies of many countries have released physical activity and sedentary behaviour guidelines. Despite significant overlap in the body of evidence reviewed, the guidelines differ across jurisdictions. This study aimed to review the processes used to develop global and national physical activity and sedentary behaviour guidelines and examine the extent to which they conform with a recommended methodological standard for the development of guidelines. ⋯ Reaching agreement on acceptable guideline development processes, as well as the inclusion and appraisal procedures of different types of evidence, would help to strengthen and align future guidelines.