Why are adult women physically active? A systematic review of prospective cohort studies to identify intrapersonal, social environmental and physical environmental determinants
2016
Prince, S. A. | Reed, J. L. | Martinello, N. | Adamo, K. B. | Fodor, J. G. | Hiremath, S. | Kristjansson, E. A. | Mullen, K. A. | Nerenberg, K. A. | Tulloch, H. E. | Reid, R. D.
OBJECTIVE: This study aims to systematically review available evidence from prospective cohort studies to identify intrapersonal, social environmental and physical environmental determinants of moderate‐to‐vigorous intensity physical activity (MVPA) among working‐age women. METHODS: Six databases were searched to identify all prospective cohort studies that reported on intrapersonal (e.g. self‐efficacy and socioeconomic status [SES]), social (e.g. crime, area SES and social support) and/or physical (e.g. weather, work and recreation) environmental determinants of MVPA in working‐age (mean 18–65 years) women. A qualitative synthesis including harvest plots was completed. PROSPERO: CRD42014009750 RESULTS: Searching identified 17,387 potential articles; 97 were used in the analysis. The majority (n = 87 studies) reported on ≥1 intrapersonal determinant. Very few (n = 34) examined factors in the social or physical environments, and none looked at social policy. Positive and consistent influencers included higher self‐efficacy (n = 18/23), self‐rated health (n = 8/13) and intentions (n = 10/11) and perceived behavioural control (n = 5/7) to be physically active. Having children in the household was negatively related to MVPA (n = 9/15). CONCLUSIONS: Physical activity intervention studies should consider a woman's level of self‐efficacy and perceived behavioural control to be physically active. Additional studies are needed on the impact of children in the household, having a spouse/partner and using group goal setting. More evidence is needed to evaluate the impact of environmental factors.
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