Socio-cultural determinants of physical activity across the life course: a ‘Determinants of Diet and Physical Activity’ (DEDIPAC) umbrella systematic literature review

Jaeschke, Lina; Steinbrecher, Astrid; Luzak, Agnes; Puggina, Anna; Aleksovska, Katina; Buck, Christoph; Burns, Con; Cardon, Greet; Carlin, Angela; Chantal, Simon; Ciarapica, Donatella; Condello, Giancarlo; Coppinger, Tara; Cortis, Cristina; De Craemer, Marieke; D’Haese, Sara; Di Blasio, Andrea; Hansen, Sylvia; Iacoviello, Licia; Issartel, Johann; Izzicupo, Pascal; Kanning, Martina; Kennedy, Aileen; Ling, Fiona Chun Man; Napolitano, Giorgio; Nazare, Julie-Anne; Perchoux, Camille; Polito, Angela; Ricciardi, Walter; Sannella, Alessandra; Schlicht, Wolfgang; Sohun, Rhoda; MacDonncha, Ciaran; Boccia, Stefania; Capranica, Laura; Schulz, Holger; Pischon, Tobias

doi:10.1186/s12966-017-0627-3

International Journal of Behavioral Nutrition and Physical Activity

Table 3 Summary of the results on the importance of potential determinants and the strength of the evidence

From: Socio-cultural determinants of physical activity across the life course: a ‘Determinants of Diet and Physical Activity’ (DEDIPAC) umbrella systematic literature review

	Children (age range or mean age < 12 years)	Adolescents (age range or mean age ≥ 12 to ≤18 years)	Children and adolescents (age range or mean age ≤ 18 years)	Adults (age range or mean age > 18 years)
potential determinant	evidence for an association with PA
MICRO-ENVIRONMENT
A Home/Household
1. Family composition
- Marital status (living with partner, yes vs. no)	-. Pe [31, 32, 35, 48]	-, Ls [35]	0, Ls [36, 45]	0, Lnc [33] [41]
- Having siblings (number or yes vs. no)	0, Lnc [31, 32]
- Having dogs (yes vs. no)	-, Lnc [32, 35]
- Number of children in household (high vs. low; yes vs. no)	- -, Lnc [35]	- -, Lnc [35]		[41, 44]
- Family demands (yes vs. no)				[28, 41, 44]
2. Significant others’ health status (impaired vs. not impaired)
- Parental BMI/waist circumference	-, Ls [31, 32]
- Maternal depression	++, Ls^a [40]
3. Supportive behaviour from significant others (yes vs. no)
- Encouragement from significant others	0, Ls [31,32,33, 35, 37, 38, 40, 46, 48]	0, Lnc [31, 33, 35, 43, 48]	+, Pe^b [29, 36, 39, 42, 50]	0, Lnc [49] [28, 41, 44]
- Having a companion for PA (yes vs. no)	0, Lnc [31,32,33]	-, Ls [33, 47]	+, Pe^b [29, 39, 50]	0, Lnc [49]
- Parental modeling	-, Pe [31, 32]		++, Lnc^b [42]
- Parental watching (presence, observation)	-, Lnc [33, 46]		0, Lnc [29, 50]
4. Social norms (yes vs. no)
- Awareness of PA	0, Ls [31,32,33, 35, 40]	0, Lnc [31, 33, 35]	- -, Lnc [29, 50]
- Physician advices				[44]
- Parental concern about the environment	++, Lnc^a [40]
- Familial interaction and social influences	0, Lnc [32, 37, 46]	0, Ls [48]
5. Significant others’ PA (high vs. low)	0, Lnc [31,32,33, 35, 37, 38, 40, 46,47,48]	0, Lnc [31, 33, 35, 47, 48]	0, Ls [36, 39, 50]	[44]
6. Participation in organized sports (yes vs. no)	0, Ls [31, 32, 35, 37, 46]			[44]
7. Involvement of social contact (yes vs. no)	++, Lnc^b [32, 37]	- -, Ls [31]		0, Lnc [49] [41]
B Educational Institutions
1. Supportive behaviour at school (yes vs. no)
- Encouragement at school	- -, Lnc [35]	0, Ls [35]
- Teacher management (organization of activities)	- -, Lnc [43]
- Teacher watching (presence, observation)	0, Lnc [43, 46]
2. Teacher specific educational level (yes vs. no)	++, Lnc^b [35]
3. PA level at school (teacher PA, high vs. low)	- -, Lnc [35]	-, Lnc [35]
C Neighbourhood
1. Seeing people exercise (yes vs. no)		- -, Lnc [35]		0, Lnc [30, 49] [41]
2. Society composition (young society, yes vs. no)	++, Lnc^b [32]	- -, Lnc [35]
3. Social inclusion and acculturation (yes vs. no)	0, Lnc [32, 35]	0, Ls [35]
4. Neighbourhood satisfaction (yes vs. no)	++, Lnc^b [35]	- -, Lnc [35]		-, Lnc [49]
MACRO-ENVIRONMENT
D City/Municipality/Region/Country
1. Cultural climate				[28, 44]
2. Religion				[28, 41]

BMI Body Mass Index, PA Physical Activity, Ce Convincing evidence, Pe Probable evidence, Ls Limited, suggestive evidence, Lnc Limited, non-conclusive evidence
^aNegative association
^bPositive association
Italics: qualitative studies eligible results are not included in this grading of the evidence
Bold: determinants with probable evidence discussed in manuscript

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ISSN: 1479-5868

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