A comparison of the effectiveness of physical activity and sedentary behaviour interventions in reducing sedentary time in adults: a systematic review and meta‐analysis of controlled trials
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Summary: The objective of this study was to systematically review the literature and compare the effectiveness of controlled interventions with a focus on physical activity ( PA ) and/or sedentary behaviours ( SB s) for reducing sedentary time in adults. Six electronic databases were searched to identify all studies that examined the effects of interventions that targeted PA and/or SB s and that reported on changes in SB s (sedentary, sitting or television time). A qualitative synthesis was performed for all studies, and meta‐analyses conducted among studies with mean differences (min/d) of sedentary time. PROSPERO : CRD 42014006535. Sixty‐five controlled studies met inclusion criteria; 33 were used in the meta‐analyses. Interventions with a focus on PA or that included a PA and SB component produced less consistent findings and generally resulted in modest reductions in sedentary time ( PA : standardized mean differences [ SMD ] = −0.22 [95% confidence interval { CI }: −0.35, −0.10], PA + SB : SMD = −0.37 [95% CI : −0.69, −0.05]). Moderate quality evidence from the randomized controlled trial meta‐analysis coupled with the qualitative synthesis provides consistent evidence that large and clinically meaningful reductions in sedentary time can be expected from interventions with a focus on reducing SB s ( SMD = −1.28 [95% CI : −1.68, −0.87] ). There is evidence to support the need for interventions to include a component focused on reducing SB s in order to generate clinically meaningful reductions in sedentary time.
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Although a reduction of sitting time is often observed in interventions targeting physical activity promotion, interventions that specifically target sedentary behaviors are more effective.
“Although a reduction of sitting time is often observed in interventions targeting physical activity promotion, interventions that specifically target sedentary behaviors are more effective [100-102].”
From Consumer-based wearable activity trackers increase physical activity participation: systematic review and meta-analysis (2019) · cites this paper as [100]
Only programs designed to change sedentary behavior achieve the best results in reducing sitting time.
“only the ones that are designed to change sedentary behavior achieve the best results in reducing sitting time”
From A Community-Based Physical Activity Counselling Program for People With Knee Osteoarthritis: Feasibility and Preliminary Efficacy of the Track-OA Study (2017) · cites this paper as [47]
Several recent systematic reviews have raised similar issues.
“Similar issues have been raised by several recent systematic reviews on interventions to change activity behavior [47-49].”
From A Community-Based Physical Activity Counselling Program for People With Knee Osteoarthritis: Feasibility and Preliminary Efficacy of the Track-OA Study (2017) · cites this paper as [47]
Programs targeting physical activity or combined activity and sedentary behavior are effective at improving physical activity participation.
“although programs targeting physical activity or combined activity and sedentary behavior are effective at improving physical activity participation”
From A Community-Based Physical Activity Counselling Program for People With Knee Osteoarthritis: Feasibility and Preliminary Efficacy of the Track-OA Study (2017) · cites this paper as [47]
A behavioral counseling targeting both MVPA and SED-time, such as in IDES_2, is more effective in promoting a sustained behavior change than interventions focusing only on PA.
“Taken together, these findings indicate that a behavioral counseling targeting both MVPA and SED-time, such as in the IDES_2, is more effective in promoting a sustained behavior change than interventions focusing only on PA (19)”
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Brief Counseling and Exercise Referral Scheme: A Pragmatic Trial in Mexico
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- Authors
- Prince, S. A., Saunders, T. J., Gresty, K., & Reid, R. D.
- Affiliations
- Ottawa Heart Institute (CA)
- University of Prince Edward Island (CA)
- University of Ottawa (CA)
- Corresponding author
- Prince, S. A.
- Venue
- Obesity Reviews
- Publisher
- Wiley
- Published
- 2014-08-11
- Volume
- 15
- Issue
- 11
- Pages
- 905-919
- ISSN
- 1467-7881 (ISSN-L)
- 1467-789X
- PMC
- PMC4233995
- OpenAlex
- W1925358788
- Cited by
- 382
- References
- 93
- Citations by year
- 2026: 18 · 2025: 25 · 2024: 17 · 2023: 16 · 2022: 30 · 2021: 39 · 2020: 50 · 2019: 31 · 2018: 48 · 2017: 47 · 2016: 35 · 2015: 22 · 2014: 3
- FWCI
- 4.17
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Obesity Reviews (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research (Fellowship)
- Heart and Stroke Foundation of Canada (Fellowship)
- University of Ottawa Heart Institute - Gordon E. Allen post-doctoral fellowship
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Context-Aware Activity Recognition Systems
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- sedentary behavior, physical activity interventions, sedentary time reduction, sitting time, television viewing, adults, intervention effectiveness
- MeSH terms
- Adult, Humans, Health Knowledge, Attitudes, Practice, Obesity, Patient Compliance, Exercise, Randomized Controlled Trials as Topic, Evidence-Based Practice, Sedentary Behavior
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.
Statistics and arithmetic are recomputed, not judged.
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