The SOS-framework (Systems of Sedentary behaviours): an international transdisciplinary consensus framework for the study of determinants, research priorities and policy on sedentary behaviour across the life course: a DEDIPAC-study

被引:107
作者
Chastin, Sebastien F. M. [1 ]
De Craemer, Marieke [2 ]
Lien, Nanna [3 ]
Bernaards, Claire [4 ]
Buck, Christoph [5 ]
Oppert, Jean-Michel [6 ]
Nazare, Julie-Anne [7 ]
Lakerveld, Jeroen [8 ,9 ]
O'Donoghue, Grainne [10 ]
Holdsworth, Michelle [11 ]
Owen, Neville [12 ]
Brug, Johannes [8 ,9 ]
Cardon, Greet
机构
[1] Glasgow Caledonian Univ, Sch Hlth & Life Sci, Inst Appl Hlth Res, Glasgow G4 0BA, Lanark, Scotland
[2] Univ Ghent, Dept Movement & Sports Sci, Ghent, Belgium
[3] Univ Oslo, Dept Nutr, Oslo, Norway
[4] TNO, Leiden, Netherlands
[5] Leibniz Inst Prevent Res & Epidemiol, BIPS, Bremen, Germany
[6] Univ Paris 06, Pitie Salpetriere Hosp, AP HP, Inst Cardiometab & Nutr ICAN,Dept Nutr, Paris, France
[7] Univ Lyon 1, CARMEN, Inserm U1060, Inra U1235, Lyon, France
[8] Vrije Univ Amsterdam Med Ctr, Dept Epidemiol & Biostat, Amsterdam, Netherlands
[9] Vrije Univ Amsterdam Med Ctr, EMGO Inst Hlth & Care Res, Amsterdam, Netherlands
[10] Dublin City Univ, Ctr Prevent Med, Sch Hlth & Human Performance, Dublin, Ireland
[11] Univ Sheffield, Sch Hlth & Related Res ScHARR, Publ Hlth Sect, Sheffield, S Yorkshire, England
[12] Baker IDI, Melbourne, Vic, Australia
基金
英国医学研究理事会; 比利时弗兰德研究基金会;
关键词
Sitting; Sedentary behaviour; Determinants; Youth; Adults; Older adults; Ageing; Life-course; System-based approach; Environment; Concept mapping; Policy; Europe; Public health; PHYSICAL-ACTIVITY; PUBLIC-HEALTH; OLDER-ADULTS; CARDIOVASCULAR-DISEASE; TIME; ASSOCIATION; METHODOLOGY; MORTALITY; DYNAMICS; THINKING;
D O I
10.1186/s12966-016-0409-3
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Background: Ecological models are currently the most used approaches to classify and conceptualise determinants of sedentary behaviour, but these approaches are limited in their ability to capture the complexity of and interplay between determinants. The aim of the project described here was to develop a transdisciplinary dynamic framework, grounded in a system-based approach, for research on determinants of sedentary behaviour across the life span and intervention and policy planning and evaluation. Methods: A comprehensive concept mapping approach was used to develop the Systems Of Sedentary behaviours (SOS) framework, involving four main phases: (1) preparation, (2) generation of statements, (3) structuring (sorting and ranking), and (4) analysis and interpretation. The first two phases were undertaken between December 2013 and February 2015 by the DEDIPAC KH team (DEterminants of DIet and Physical Activity Knowledge Hub). The last two phases were completed during a two-day consensus meeting in June 2015. Results: During the first phase, 550 factors regarding sedentary behaviour were listed across three age groups (i.e., youths, adults and older adults), which were reduced to a final list of 190 life course factors in phase 2 used during the consensus meeting. In total, 69 international delegates, seven invited experts and one concept mapping consultant attended the consensus meeting. The final framework obtained during that meeting consisted of six clusters of determinants: Physical Health and Wellbeing (71 % consensus), Social and Cultural Context (59 % consensus), Built and Natural Environment (65 % consensus), Psychology and Behaviour (80 % consensus), Politics and Economics (78 % consensus), and Institutional and Home Settings (78 % consensus). Conducting studies on Institutional Settings was ranked as the first research priority. The view that this framework captures a system-based map of determinants of sedentary behaviour was expressed by 89 % of the participants. Conclusion: Through an international transdisciplinary consensus process, the SOS framework was developed for the determinants of sedentary behaviour through the life course. Investigating the influence of Institutional and Home Settings was deemed to be the most important area of research to focus on at present and potentially the most modifiable. The SOS framework can be used as an important tool to prioritise future research and to develop policies to reduce sedentary time.
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