Interventions for promoting physical activity among European teenagers: a systematic review
Open accessAbstract
BACKGROUND: Although physical activity is considered to yield substantial health benefits, the level of physical activity among European teenagers is not sufficient. Adolescence is characterized by a decline in physical activity level. Many studies investigated the effectiveness of interventions promoting physical activity among young people, but none dealt with the available evidence specific for Europe. This review was conducted to summarize the effectiveness of interventions to promote physical activity among European teenagers. METHODS: A systematic review was conducted to identify European intervention studies published in the scientific literature since 1995. Four databases were searched, reference lists were scanned and the publication lists of the authors of the retrieved articles were checked. The ANGELO framework was used to categorise the included studies by setting and by intervention components. RESULTS: The literature search identified 20 relevant studies. Fifteen interventions were delivered through the school setting, of which three included a family component and another three a family and community component. One intervention was conducted within a community setting, three were delivered in primary care and one was delivered through the internet. Ten interventions included only an individual component, whereas the other ten used a multi-component approach. None of the interventions included only an environmental component.Main findings of the review were: (1) school-based interventions generally lead to short term improvements in physical activity levels; (2) improvements in physical activity levels by school-based interventions were limited to school related physical activity with no conclusive transfer to leisure time physical activity; (3) including parents appeared to enhance school-based interventions; (4) the support of peers and the influence of direct environmental changes increased the physical activity level of secondary school children; (5) the assumption that a multi-component approach should produce synergistic results can not be confirmed; (6) when interventions aimed to affect more than one health behaviour the intervention appeared to be less effective in favour of physical activity. CONCLUSION: Overall, the current European literature supports the short-term effectiveness of school-based physical activity promotion programmes. The available evidence for the effectiveness in other settings is rather limited and underscores the need for further research.
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Multi-component interventions do not seem to produce synergistic results.
“While multi-component interventions are more effective than single-component interventions (14, 70) they do not seem to produce synergistic results (63, 71).”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [71]
Numerous reviews reported positive effects when involving parents in school-based interventions.
“Numerous reviews reported positive effects when involving parents (63, 66, 71, 74, 84, 85) and families (14, 65, 70) in school-based interventions.”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [71]
Changing the school environment has an influence on physical activity in school children.
“Changing the school environment also has an influence on PA in school children and is recommended in numerous reviews (63, 66, 69, 71, 73, 74).”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [71]
Interventions addressing more than one health behaviour are less effective.
“The evidence shows that interventions addressing more than one health behaviour are less effective (63, 71).”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [71]
Peer support can increase physical activity levels in school children.
“The involvement of pupils is another relevant factor (69), as peer support can increase PA levels in school children (63, 71).”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [71]
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- Authors
- De Meester, F., van Lenthe, F. J., Spittaels, H., Lien, N., & De Bourdeaudhuij, I.
- Affiliations
- Ghent University (BE)
- University of Oslo (NO)
- ORCID
- Lien, Nanna
- Venue
- International Journal of Behavioral Nutrition and Physical Activity
- Published
- 2009-12
- Volume
- 6
- Issue
- 1
- Pages
- 82-82
- ISSN
- 1479-5868 (ISSN-L)
- PMC
- PMC2795736
- OpenAlex
- W2068236685
- Cited by
- 112
- References
- 57
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 2 · 2023: 5 · 2021: 3 · 2020: 12 · 2019: 5 · 2018: 5 · 2017: 7 · 2016: 13 · 2015: 13 · 2014: 8 · 2013: 10 · 2012: 12
- FWCI
- 0.91
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- International Journal of Behavioral Nutrition and Physical Activity (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (publishedVersion, other-oa)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion, other-oa)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion, other-oa)
- RePub (Erasmus University Rotterdam) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- RePub (Erasmus University Rotterdam) (submittedVersion)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
- Funders
- European Commission
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- physical activity promotion, adolescents, school-based intervention, family involvement, peer support, environmental change, multicomponent intervention, leisure-time physical activity, primary care, online intervention, intervention effectiveness, European adolescents
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