Evidence for physical activity guidelines as a public health intervention: efficacy, effectiveness, and harm – a critical policy sciences approach

Weed, Mike

doi:10.1080/21642850.2016.1159517

Cited by 23 publications

(17 citation statements)

References 40 publications

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“…Furthermore, a recent systematic review of cohort studies which investigated participation in non-vigorous PA concluded that the largest differences in mortality rate were observed between non-active and low activity groups, suggesting that avoiding inactivity alone is the most important step [ 26 ]. Others have proposed that the established 150 min/week PA goal may be unrealistic and may discourage participation in PA in those that are inactive [ 27 ] thus a reduced goal could be one strategy to improve population engagement in PA, but this approach would need to be validated. Instead promotion of some rather than no activity seems more appropriate than revision of global recommendations.…”

Section: Discussionmentioning

confidence: 99%

Stepping volume and intensity patterns in a multi-ethnic urban Asian population

et al. 2018

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BackgroundAccelerometer measured physical activity (PA) studies particularly in non-western populations are lacking. Therefore, this study investigated stepping activity in a multi-ethnic urban Asian population.MethodsAdult participants from the Singapore Health Study 2 consented to accelerometer activity monitoring for 7-consecutive days. Mean daily step count, peak stepping intensity (i.e. cadence) over 1-min, 30-min and 60-min and time spent in each cadence band: 0 (non-movement), 1–19, 20–39, 40–59, 60–79, 80–99 and ≥ 100 steps/minute (moderate to vigorous PA) were calculated.ResultsA total of 713 participants (42% male, mean age 47.8 years) were included. Overall, the mean daily step count was 7549. Mean daily step count was significantly lower in Indians (7083 adjusted p = 0.02) but not Malays 7140 (adjusted p = 0.052) compared to Chinese (7745 steps). The proportion of Malays, Indians, and Chinese achieving < 5000 daily steps was 26%, 23% and 14%, respectively (p < 0.01). Regardless of ethnicity, approximately half of the recorded time was spent undertaking 0-steps/minute (7.9 h).ConclusionsGreater promotion of brisk walking is required in light of the low step volume and pace observed in this multi-ethnic Asian population. Ethnic differences in stepping activity were also identified which indicates a need for targeted ethnic specific health promotion interventions.

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Section: Discussionmentioning

confidence: 99%

Stepping volume and intensity patterns in a multi-ethnic urban Asian population

et al. 2018

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“…Insights from the current case study also highlight a potential need to review the current PA guidelines, to set more realistic national targets for PA which are achievable by individuals from a variety of different backgrounds and circumstances, particularly obese, sedentary individuals with poor physical and mental health (Weed, 2016). Results also highlight how making small changes to benefit overall health, particularly through engagement in light and informal PA, may lead to benefits to wellbeing as an alternative to the promotion of more intense and structured forms of PA which may also be considered unattractive and unachievable to inactive clients (Downward & Dawson, 2015).…”

Section: Lessons Learned and Reflectionsmentioning

confidence: 98%

“…However, there were still a number of constraints which prevented the client from meeting PA guidelines, in particular related to her socio-economic circumstances coupled with poor physical and mental health (Weed, 2016). Further, the presence of a physical health condition in the form of arthritis prevented the client from engaging in a number of low-cost activities such as walking and jogging.…”

Section: Lessons Learned and Reflectionsmentioning

confidence: 99%

Improving Health Behaviors and Outcomes: An Intervention to Support Engagement in Physical Activity

Houghton

Knowles

2017

Case Studies in Sport and Exercise Psychology

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4The purpose of this case study is to offer reflections on the personal experiences, 5 processes of behavioural change; and subsequent outcomes of designing and 6 implementing a collaborative exercise psychology intervention. The intervention, 7 based on Bandura's (1977) Self Efficacy Theory and using self-efficacy related 8 behaviour change techniques (Michie et al., 2015), aimed to provide families affected 9 by health inequalities with opportunities to enhance their understanding of health and 10 make positive behavioural changes. This case is based around one female client aged 11 48 years of age who took part in the project with her ten-year-old daughter. Pre-12 intervention the client was engaging in minimal levels of weekly physical activity and 13 reported poor self-rated mental well-being. Through improvements in self-efficacy, 14 achieved through opportunities on the project, the client was able to make notable 15 improvements to her physical activity levels leading to significant weight loss and 16 improvements in mental well-being. From the practitioners' perspective, reflection on 17 areas for future work within the field of exercise psychology, particularly guidance on 18 developing effective client-practitioner relationships with 'hard-to-reach' individuals 19 and groups is warranted. More consideration for the suitability of the PA guidelines for 20 individuals with poor physical and mental health is also required. 21 22 Context 23

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“…It is also too simple to conceptually divide the population into participants and non-participants, because some people participate in sport and physical activity sporadically, or at changing frequencies across the life-course (e.g. Pilgaard & Rask, 2016;Weed, 2016Weed, , 2017. Indeed, even if we consider physical activity as a comparative health promotion tool, evidence of its effectiveness remains mixed (Cavill & Bauman, 2004).…”

Section: Editorialmentioning

confidence: 99%

“…Similarly, evidence to suggest the same applies to football is highly convincing. Conversely, evidence to suggest whether promotion of sport is an effective way to promote population level health is hotly debated, and some have argued that evidence is lacking, despite the huge number of claims made about, and growing evidence for, the benefits of sport for society (Andersen et al, 2018;Weed, 2016Weed, , 2017. Put simply, the fact that an adapted form of football is likely to be good for health if one participates in it does not preclude that participation in football is likely.…”

Section: How Can Football As Medicine Be Implemented Effectively?mentioning

confidence: 99%