Evidence-based intervention in physical activity: lessons from around the world
Open accessAbstract
Promotion of physical activity is a priority for health agencies. We searched for reviews of physical activity interventions, published between 2000 and 2011, and identified effective, promising, or emerging interventions from around the world. The informational approaches of community-wide and mass media campaigns, and short physical activity messages targeting key community sites are recommended. Behavioural and social approaches are effective, introducing social support for physical activity within communities and worksites, and school-based strategies that encompass physical education, classroom activities, after-school sports, and active transport. Recommended environmental and policy approaches include creation and improvement of access to places for physical activity with informational outreach activities, community-scale and street-scale urban design and land use, active transport policy and practices, and community-wide policies and planning. Thus, many approaches lead to acceptable increases in physical activity among people of various ages, and from different social groups, countries, and communities.
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School-based programs, including physical education and school sport, have been recommended as important components of a multi-sector, multi-system approach to physical activity promotion.
“School-based programs, including physical education (PE) and school sport have been recommended as important components of a multi-sector, multi-system approach to physical activity promotion [9–11].”
There is some evidence that intervention strategies based at the school, home/family or community/neighbourhood level can increase physical activity in children and adolescents.
“There is some evidence that intervention strategies based at the school, home/family or community/neighbourhood level can increase physical activity in children and adolescents.115–120”
From Physical activity and health in Chinese children and adolescents: expert consensus statement (2020) (2020) · cites this paper as [116]
Increasing the number of physical education lessons is a key strategy to promote physical activity in school children.
“Firstly, evidence shows that increasing the number of PE lessons is a key strategy to promote PA in school children (15, 72–74).”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [15]
Improving the quality of physical education lessons can be effective in promoting physical activity.
“Secondly, improving the quality of PE lessons can be effective (15, 75).”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [15]
Activity breaks are an effective strategy to promote physical activity in the school setting.
“Activity breaks—the integration of short bouts of PA into organisational routine—is another effective strategy to promote PA in the school setting (15, 70, 79), and has demonstrated “modest but consistent benefits” (79).”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [15]
Several reviews provide evidence for the integration of more physical activity into the school curriculum.
“Furthermore, several reviews provide evidence for the integration of (more) PA into the curriculum (15, 66, 69, 74, 77, 78).”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [15]
Teacher training and capacity building are effective strategies to promote physical activity in school children.
“Third, and strongly connected to higher quality PE lessons, reviews specified teacher training and capacity building as effective strategies to promote PA in school children (15, 66, 69, 74–76).”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [15]
After-school programs focused on physical activity and/or sports are effective.
“After-school programs focused on PA and/or sports are also effective (15, 70, 80, 81).”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [15]
The provision of equipment for games and playgrounds has proved effective for increasing physical activity.
“In particular, the provision of equipment for games and playgrounds (15, 67, 82) has proved effective.”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [15]
Promoting active transport to school is an effective strategy to promote physical activity among children and adolescents.
“Promoting active transport to school is another effective strategy to promote PA among children and adolescents (15, 69, 73, 86, 87).”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [15]
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Efeitos da ginástica laboral em servidores da reitoria da UFSC
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Prevention Research Centers: contributions to updating the public health workforce through training.
Franks, A. L., Brownson, R. C., Bryant, C. A., Brown, K. M., Hooker, S. P., Pluto, D. M., Shepard, D., Pate, R. R., Baker, E. A., Gillespie, K. N., et al. (2005) · PubMed Central · Cited by 33 · see citing works
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Self-citationCoalitions and networks: facilitating global physical activity promotion
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Physical Activity and Public Health: Training Courses for Researchers and Practitioners
Brown, D. R. (2001) · Public Health Reports · doi:10.1093/phr/116.3.197 · Cited by 21 · see citing works
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Physical Activity and Public Health: Training courses for researchers and practitioners
Brown, D. R., Pate, R. R., Pratt, M., et al. (2001) · Public Health Reports · doi:10.1016/s0033-3549(04)50034-1 · Cited by 19 · see citing works
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Flagged first, then by citations
Research works printed but not linked: 2
- [1]WHO Global recommendations on physical activity for health 2010 World Health Organization Geneva 26180873
- [93]Heath GW The role of the public health sector in promoting physical activity: national, state, and local applications J Phys Act Health 2009 6 suppl 2 S159 67 20120125
Cited by
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Correlates of physical activity: why are some people physically active and others not?
Bauman, A. E., Reis, R. S., Sallis, J. F., Wells, J. C., Loos, R. J., & Martin, B. W. (2012) · The Lancet · doi:10.1016/s0140-6736(12)60735-1 · Cited by 4,151 · see citing works
The pandemic of physical inactivity: global action for public health
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Progress in physical activity over the Olympic quadrennium
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Self-citationPhysical activity behaviours in adolescence: Current evidence and opportunities for intervention
van Sluijs, E. M. F., Ekelund, U., Crochemore-Silva, I., Guthold, R., Ha, A., Lubans, D., Oyeyemi, A. L., Ding, D., & Katzmarzyk, P. T. (2021) · The Lancet · doi:10.1016/s0140-6736(21)01259-9 · Cited by 919 · see citing works
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Self-citationPrevalence of Sedentary Behavior in Older Adults: A Systematic Review
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“Generally, the older adult section of society is underserved in physical activity and sedentary behavior research [6].”
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Self-citationThe Exercise is Medicine Global Health Initiative: a 2014 update
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“(15), which investigates many different types of PA interventions (not only for children and adolescents), also includes findings on school-based interventions.”
BackgroundContext matters: revisiting the first step of the 'Sequence of Prevention' of sports injuries
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Physical activity and health in Chinese children and adolescents: expert consensus statement (2020)
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“Unhealthy behaviors, such as physical inactivity, sedentary lifestyle, and unhealthful eating, remain highly prevalent and pose formidable challenges worldwide [1-4].”
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Sitting Less and Moving More: Implications for Hypertension
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- Authors
- Heath, G. W., Parra, D. C., Sarmiento, O. L., Andersen, L. B., Owen, N., Goenka, S., Montes, F., & Brownson, R. C.
- Affiliations
- University of Tennessee at Chattanooga (US)
- Washington University in St. Louis (US)
- Universidad de Los Andes (CO)
- University of Southern Denmark (DK)
- Baker Heart and Diabetes Institute (AU)
- Public Health Foundation of India (IN)
- ORCID
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 2012-07
- Volume
- 380
- Issue
- 9838
- Pages
- 272-281
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- PMC
- PMC4978123
- OpenAlex
- W1966437566
- Cited by
- 1,199
- References
- 99
- Citations by year
- 2026: 35 · 2025: 66 · 2024: 76 · 2023: 82 · 2022: 76 · 2021: 109 · 2020: 94 · 2019: 113 · 2018: 88 · 2017: 102 · 2016: 101 · 2015: 84 · 2014: 97 · 2013: 67 · 2012: 8
- FWCI
- 8.81
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Lancet (publishedVersion)
- PubMed (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, other-oa)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion, cc-by-nc-nd)
- Research Bank (Australian Catholic University) (submittedVersion)
- UCL Discovery (University College London) (submittedVersion)
- NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
- Swinburne figshare (Swinburne University of Technology) (submittedVersion)
- University of Southern Denmark Research Portal (University of Southern Denmark) (submittedVersion)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion, other-oa)
- Zurich Open Repository and Archive (University of Zurich)
- Funders
- National Cancer Institute (P50CA095815)
- National Institute of Diabetes and Digestive and Kidney Diseases (P30DK092950)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Social Sciences › Transportation › Urban Transport and Accessibility
- Social Sciences › Life-span and Life-course Studies › Sports and Physical Education Studies
- Keywords
- physical activity promotion, physical activity interventions, evidence-based interventions, mass media campaigns, social support, workplace health promotion, school-based physical activity, active transport, environmental interventions, health policy
- MeSH terms
- Adolescent, Adult, Child, Health Education, Humans, Motor Activity, Physical Education and Training, Residence Characteristics, Social Environment, Social Support, Global Health, Health Behavior, Exercise, Evidence-Based Medicine, Needs Assessment
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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