Cited by 720Physical Activity and HealthUrban Transport and AccessibilityPublic Health Policies and Education

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Scaling up physical activity interventions worldwide: stepping up to larger and smarter approaches to get people moving

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Reis, Rodrigo S, Salvo, Deborah, Ogilvie, David, Lambert, Estelle V, Goenka, Shifalika, Brownson, Ross C·2016·The Lancet

DOI 10.1016/s0140-6736(16)30728-0PMC PMC5193005

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Abstract

The global pandemic of physical inactivity requires a multisectoral, multidisciplinary public-health response. Scaling up interventions that are capable of increasing levels of physical activity in populations across the varying cultural, geographic, social, and economic contexts worldwide is challenging, but feasible. In this paper, we review the factors that could help to achieve this. We use a mixed-methods approach to comprehensively examine these factors, drawing on the best available evidence from both evidence-to-practice and practice-to-evidence methods. Policies to support active living across society are needed, particularly outside the health-care sector, as demonstrated by some of the successful examples of scale up identified in this paper. Researchers, research funders, and practitioners and policymakers in culture, education, health, leisure, planning, and transport, and civil society as a whole, all have a role. We should embrace the challenge of taking action to a higher level, aligning physical activity and health objectives with broader social, environmental, and sustainable development goals.

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Additional file 7 of Adding team-based financial incentives to the Carrot Rewards physical activity app increases daily step count on a population scale: a 24-week matched case control study
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Additional file 1 of Scale-up of the Physical Activity 4 Everyone (PA4E1) intervention in secondary schools: 12-month implementation outcomes from a cluster randomized controlled trial
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Additional file 3 of Outcome domains measured in randomized controlled trials of physical activity for older adults: a rapid review
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Additional file 2 of How effective are physical activity interventions when they are scaled-up: a systematic review
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Additional file 5 of How effective are physical activity interventions when they are scaled-up: a systematic review
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Additional file 1 of The effectiveness of multi-component interventions targeting physical activity or sedentary behaviour amongst office workers: a three-arm cluster randomised controlled trial
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Additional file 1 of From trials to communities: implementation and scale-up of health behaviour interventions
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Additional file 1 of Promoting physical activity through supervised vs motivational behavior change interventions in breast cancer survivors on aromatase inhibitors (PAC-WOMAN): protocol for a 3-arm pragmatic randomized controlled trial
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Additional file 1 of Systems approaches to scaling up: a systematic review and narrative synthesis of evidence for physical activity and other behavioural non-communicable disease risk factors
Koorts, H., Ma, J., Swain, C. T. V., Rutter, H., Salmon, J., & Bolton, D. K. (2024) · Figshare · doi:10.6084/m9.figshare.25459588
Additional file 3 of How effective are physical activity interventions when they are scaled-up: a systematic review
Lane, C., McCrabb, S., Nathan, N., Naylor, P.-J., Bauman, A. E., Milat, A., Lum, M., Sutherland, R., Byaruhanga, J., & Wolfenden, L. (2021) · Figshare · doi:10.6084/m9.figshare.13632608
Additional file 4 of How effective are physical activity interventions when they are scaled-up: a systematic review
Lane, C., McCrabb, S., Nathan, N., Naylor, P.-J., Bauman, A. E., Milat, A., Lum, M., Sutherland, R., Byaruhanga, J., & Wolfenden, L. (2021) · Figshare · doi:10.6084/m9.figshare.13632611
Additional file 2 of A narrative review of economic constructs in commonly used implementation and scale-up theories, frameworks and models
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Additional file 1 of Effect of educational intervention on risk factors of cardiovascular diseases among school teachers: a quasi-experimental study in a suburb of Kolkata, West Bengal, India
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Additional file 4 of Outcome domains measured in randomized controlled trials of physical activity for older adults: a rapid review
Mackey, D. C., Ekegren, C. L., Baldwin, C. E., Young, P. J., Gray, S. M., Ciok, A., & Wong, A. (2024) · Figshare · doi:10.6084/m9.figshare.26577563
Additional file 4 of Scale-up of the Physical Activity 4 Everyone (PA4E1) intervention in secondary schools: 12-month implementation outcomes from a cluster randomized controlled trial
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Additional file 6 of Prioritizing a research agenda on built environments and physical activity: a twin panel Delphi consensus process with researchers and knowledge users
Prince, S. A., Lang, J. J., de Groh, M., Badland, H. M., Barnett, A. H., Littlejohns, L. B., Brandon, N. C., Butler, G., Casu, G., Cerin, E., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26651043
Additional file 3 of Adding team-based financial incentives to the Carrot Rewards physical activity app increases daily step count on a population scale: a 24-week matched case control study
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Additional file 7 of Prioritizing a research agenda on built environments and physical activity: a twin panel Delphi consensus process with researchers and knowledge users
Prince, S. A., Lang, J. J., de Groh, M., Badland, H. M., Barnett, A. H., Littlejohns, L. B., Brandon, N. C., Butler, G., Casu, G., Cerin, E., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26651046
Additional file 2 of Outcome domains measured in randomized controlled trials of physical activity for older adults: a rapid review
Mackey, D. C., Ekegren, C. L., Baldwin, C. E., Young, P. J., Gray, S. M., Ciok, A., & Wong, A. (2024) · Figshare · doi:10.6084/m9.figshare.26577557
Additional file 3 of From trials to communities: implementation and scale-up of health behaviour interventions
McCrabb, S., Hall, A., McKay, H. A., Gonzalez, S., Milat, A., Bauman, A. E., Sutherland, R., & Wolfenden, L. (2024) · Figshare · doi:10.6084/m9.figshare.26607646
Additional file 1 of Behaviour change interventions to improve physical activity in adults: a systematic review of economic evaluations
Barrett, S., Begg, S. J., Lawrence, J., Barrett, G., Nitschke, J., O’Halloran, P., Breckon, J. D., Pinheiro, M. D. B., Sherrington, C., Doran, C. M., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26231176
Additional file 2 of Systems approaches to scaling up: a systematic review and narrative synthesis of evidence for physical activity and other behavioural non-communicable disease risk factors
Koorts, H., Ma, J., Swain, C. T. V., Rutter, H., Salmon, J., & Bolton, D. K. (2024) · Figshare · doi:10.6084/m9.figshare.25459690
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Authors: Reis, R. S., Salvo, D., Ogilvie, D., Lambert, E. V., Goenka, S., & Brownson, R. C.
Affiliations: Washington University in St. Louis (US)
Instituto Nacional de Salud Pública (MX)
University of Cambridge (GB)
University of Cape Town (ZA)
Public Health Foundation of India (IN)
Corresponding author: Reis, Rodrigo S
ORCID: Reis, Rodrigo S
Salvo, Deborah
Ogilvie, David
Lambert, Estelle V
Goenka, Shifalika
Brownson, Ross C
Venue: The Lancet
Publisher: Elsevier BV
Published: 2016-09
Volume: 388
Issue: 10051
Pages: 1337-1348
ISSN: 0099-5355 (ISSN-L)
0140-6736
DOI: 10.1016/s0140-6736(16)30728-0
PMC: PMC5193005
OpenAlex: W2482857905
Cited by: 719
References: 80
Citations by year: 2026: 36 · 2025: 49 · 2024: 66 · 2023: 69 · 2022: 76 · 2021: 98 · 2020: 102 · 2019: 70 · 2018: 77 · 2017: 58 · 2016: 18
FWCI: 8.67
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: The Lancet (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Apollo (University of Cambridge) (acceptedVersion, cc-by-nc-nd)
Apollo
Funders: Wellcome Trust (087636/Z/08/Z)
National Institutes of Health (KL2TR000450, UL1TR000448)
Medical Research Council (MC_UU_12015/6, MR/K023187/1)
Economic and Social Research Council (ES/G007462/1)
National Cancer Institute (R01CA124404, P30CA091842)
National Institute of Diabetes and Digestive and Kidney Diseases (R01DK101593, P30DK092950)
National Center for Research Resources (UL1RR024992)
National Center for Advancing Translational Sciences
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
Social Sciences › Transportation › Urban Transport and Accessibility
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Public Health Policies and Education
Keywords: physical activity interventions, scale-up, physical inactivity, active lifestyle, multisectoral approach, public health policy, Sustainable Development Goals, global health
MeSH terms: Humans, Motor Activity

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Scaling up physical activity interventions worldwide: stepping up to larger and smarter approaches to get people moving

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