Behavior Change Techniques Improve Adherence to Physical Activity Recommendations for Adults with Metabolic Syndrome: A Systematic Review
Casey L Peiris,1 Amy Gallagher,2 Nicholas F Taylor,1,3 Sionnadh McLean2 1School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia; 2Department of Allied Health Professions, Sheffield Hallam University, Sheffield, UK; 3Allied Health Clinical Research Offi...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2023-03-01
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| Series: | Patient Preference and Adherence |
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| Online Access: | https://www.dovepress.com/behavior-change-techniques-improve-adherence-to-physical-activity-reco-peer-reviewed-fulltext-article-PPA |
| _version_ | 1797870951112638464 |
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| author | Peiris CL Gallagher A Taylor NF McLean S |
| author_facet | Peiris CL Gallagher A Taylor NF McLean S |
| author_sort | Peiris CL |
| collection | DOAJ |
| description | Casey L Peiris,1 Amy Gallagher,2 Nicholas F Taylor,1,3 Sionnadh McLean2 1School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia; 2Department of Allied Health Professions, Sheffield Hallam University, Sheffield, UK; 3Allied Health Clinical Research Office, Eastern Health, Box Hill, Victoria, AustraliaCorrespondence: Sionnadh McLean, Collegiate Campus, Sheffield Hallam University, L108, 36 Collegiate Crescent, Sheffield, S10 2BP, UK, Tel +447342 092 340, Email S.McLean@shu.ac.ukBackground: Exercise and physical activity interventions improve short-term outcomes for people with metabolic syndrome, but long-term improvements are reliant on sustained adherence to lifestyle change for effective management of the syndrome. Effective ways of improving adherence to physical activity and exercise recommendations in this population are unknown. This systematic review aims to determine which interventions enhance adherence to physical activity and/or exercise recommendations for people with metabolic syndrome.Methods: Electronic databases MEDLINE, PubMed, CINAHL, SPORTdiscuss and ProQuest were searched to July 2022. Risk of bias was assessed using the Cochrane risk of bias tool and overall certainty of evidence assessed using the Grading of Recommendation Assessment, Development and Evaluation approach.Results: Four randomized controlled trials with 428 participants (mean age 49– 61 years) were included. There was very low certainty evidence from two trials that goal setting interventions may improve adherence to physical activity recommendations over three to six months. There was low certainty evidence from two trials that self-monitoring and feedback interventions increased adherence to physical activity interventions over 12 months for people with metabolic syndrome.Conclusion: Clinicians and researchers may consider using behavior change strategies such as goal setting, monitoring and feedback in interventions for people with metabolic syndrome to increase adherence to physical activity and exercise recommendations over 3 to 12 months, but high-quality evidence is lacking.Keywords: metabolic syndrome, adherence, long-term condition, behavior change, physical activity, exercise |
| first_indexed | 2024-04-10T00:35:26Z |
| format | Article |
| id | doaj.art-981ac57d3b4b4591b0224ed965489d63 |
| institution | Directory Open Access Journal |
| issn | 1177-889X |
| language | English |
| last_indexed | 2024-04-10T00:35:26Z |
| publishDate | 2023-03-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Patient Preference and Adherence |
| spelling | doaj.art-981ac57d3b4b4591b0224ed965489d632023-03-14T18:21:58ZengDove Medical PressPatient Preference and Adherence1177-889X2023-03-01Volume 1768969782291Behavior Change Techniques Improve Adherence to Physical Activity Recommendations for Adults with Metabolic Syndrome: A Systematic ReviewPeiris CLGallagher ATaylor NFMcLean SCasey L Peiris,1 Amy Gallagher,2 Nicholas F Taylor,1,3 Sionnadh McLean2 1School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia; 2Department of Allied Health Professions, Sheffield Hallam University, Sheffield, UK; 3Allied Health Clinical Research Office, Eastern Health, Box Hill, Victoria, AustraliaCorrespondence: Sionnadh McLean, Collegiate Campus, Sheffield Hallam University, L108, 36 Collegiate Crescent, Sheffield, S10 2BP, UK, Tel +447342 092 340, Email S.McLean@shu.ac.ukBackground: Exercise and physical activity interventions improve short-term outcomes for people with metabolic syndrome, but long-term improvements are reliant on sustained adherence to lifestyle change for effective management of the syndrome. Effective ways of improving adherence to physical activity and exercise recommendations in this population are unknown. This systematic review aims to determine which interventions enhance adherence to physical activity and/or exercise recommendations for people with metabolic syndrome.Methods: Electronic databases MEDLINE, PubMed, CINAHL, SPORTdiscuss and ProQuest were searched to July 2022. Risk of bias was assessed using the Cochrane risk of bias tool and overall certainty of evidence assessed using the Grading of Recommendation Assessment, Development and Evaluation approach.Results: Four randomized controlled trials with 428 participants (mean age 49– 61 years) were included. There was very low certainty evidence from two trials that goal setting interventions may improve adherence to physical activity recommendations over three to six months. There was low certainty evidence from two trials that self-monitoring and feedback interventions increased adherence to physical activity interventions over 12 months for people with metabolic syndrome.Conclusion: Clinicians and researchers may consider using behavior change strategies such as goal setting, monitoring and feedback in interventions for people with metabolic syndrome to increase adherence to physical activity and exercise recommendations over 3 to 12 months, but high-quality evidence is lacking.Keywords: metabolic syndrome, adherence, long-term condition, behavior change, physical activity, exercisehttps://www.dovepress.com/behavior-change-techniques-improve-adherence-to-physical-activity-reco-peer-reviewed-fulltext-article-PPAmetabolic syndromeadherencelong-term conditionbehavior changephysical activityexercise |
| spellingShingle | Peiris CL Gallagher A Taylor NF McLean S Behavior Change Techniques Improve Adherence to Physical Activity Recommendations for Adults with Metabolic Syndrome: A Systematic Review Patient Preference and Adherence metabolic syndrome adherence long-term condition behavior change physical activity exercise |
| title | Behavior Change Techniques Improve Adherence to Physical Activity Recommendations for Adults with Metabolic Syndrome: A Systematic Review |
| title_full | Behavior Change Techniques Improve Adherence to Physical Activity Recommendations for Adults with Metabolic Syndrome: A Systematic Review |
| title_fullStr | Behavior Change Techniques Improve Adherence to Physical Activity Recommendations for Adults with Metabolic Syndrome: A Systematic Review |
| title_full_unstemmed | Behavior Change Techniques Improve Adherence to Physical Activity Recommendations for Adults with Metabolic Syndrome: A Systematic Review |
| title_short | Behavior Change Techniques Improve Adherence to Physical Activity Recommendations for Adults with Metabolic Syndrome: A Systematic Review |
| title_sort | behavior change techniques improve adherence to physical activity recommendations for adults with metabolic syndrome a systematic review |
| topic | metabolic syndrome adherence long-term condition behavior change physical activity exercise |
| url | https://www.dovepress.com/behavior-change-techniques-improve-adherence-to-physical-activity-reco-peer-reviewed-fulltext-article-PPA |
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