%0 Journal Article
%T Systematic review of incidental physical activity community interventions
%J Preventive medicine
%D 2014
%A Reynolds, Rebecca
%A McKenzie, Stephen
%A Allender, Steven
%A Brown, Kirsty
%A Foulkes, Chad
%V 67
%N 
%P 46-64
%X BACKGROUND: Increasing incidental physical activity (IPA) such as active transport has substantial public health potential. <br><br>OBJECTIVE: This systematic review describes community-based and community-wide IPA interventions and assesses their effectiveness. <br><br>METHOD: Data sources (Medline, Embase, PsycINFO and CINAHL) were searched along with the reference lists of identified systematic reviews and included articles. Eligibility criteria; 4+ weeks in duration; 20+ participants; community-based or community-wide; stated aim to increase IPA. <br><br>RESULTS: Forty three studies were identified from 42 original articles; more than half (60%) aimed to increase stair use compared to escalator and/or lift use; a quarter (23%) aimed to increase active transport; and, 16% to increase playground energy expenditure. More than two-thirds of studies reported a significant increase in IPA. Accurate comparisons between studies were not possible due to substantial heterogeneity in study design. Critical appraisal of studies revealed that the level of bias was moderate-high in most of the studies (77%). <br><br>CONCLUSION: Due to the heterogeneity and bias of included studies, only limited conclusions can be drawn about the effectiveness of IPA interventions. However, this systematic review provides a timely summary of current evidence that can be used to inform decision-makers in designing IPA interventions in the community.<p /><p>Language: en</p>
%G en
%I Elsevier Publishing
%@ 0091-7435
%U http://dx.doi.org/10.1016/j.ypmed.2014.06.023