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The Effectiveness of Interventions to Reduce Sedentary Time in Different Target Groups and Settings in Germany: Systematic Review, Meta-Analysis and Recommendations on Interventions

Author

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  • Nida Mugler

    (Department of Epidemiology and Preventive Medicine, University of Regensburg, 93053 Regensburg, Germany)

  • Hansjörg Baurecht

    (Department of Epidemiology and Preventive Medicine, University of Regensburg, 93053 Regensburg, Germany)

  • Kevin Lam

    (Department of Epidemiology and Preventive Medicine, University of Regensburg, 93053 Regensburg, Germany)

  • Michael Leitzmann

    (Department of Epidemiology and Preventive Medicine, University of Regensburg, 93053 Regensburg, Germany)

  • Carmen Jochem

    (Department of Epidemiology and Preventive Medicine, University of Regensburg, 93053 Regensburg, Germany)

Abstract

Background: Sedentary behavior is an important risk factor for several chronic diseases and is associated with an increased risk of mortality. We assessed the effectiveness of interventions to reduce sedentary time in Germany and provide recommendations on interventions to reduce sedentary time in children and adults. Methods: We comprehensively searched PubMed, Web of Science and the German Clinical Trials Register up to April 2022 for intervention studies targeting sedentary behavior in Germany. We performed a systematic review and qualitative synthesis of the interventions and a meta-analysis in children. Results: We included 15 studies comprising data from 4588 participants. The results of included primary studies in adults and children showed inconsistent evidence regarding change in sedentary time, with a majority of studies reporting non-significant intervention effects. The meta-analysis in children showed an increase in sedentary time for children in the control and intervention groups. Conclusion: We found inconsistent evidence regarding the effectiveness of interventions to reduce time spent sedentary and our meta-analysis showed an increase in sedentary time in children. For children, we recommend physical and social environment interventions with an active involvement of families. For adults, we recommend physical environment interventions, such as height-adjustable desks at work.

Suggested Citation

  • Nida Mugler & Hansjörg Baurecht & Kevin Lam & Michael Leitzmann & Carmen Jochem, 2022. "The Effectiveness of Interventions to Reduce Sedentary Time in Different Target Groups and Settings in Germany: Systematic Review, Meta-Analysis and Recommendations on Interventions," IJERPH, MDPI, vol. 19(16), pages 1-21, August.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:16:p:10178-:d:890228
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    References listed on IDEAS

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    1. Susanne Kobel & Jens Dreyhaupt & Olivia Wartha & Sarah Kettner & Belinda Hoffmann & Jürgen M. Steinacker, 2020. "Intervention Effects of the Health Promotion Programme “Join the Healthy Boat” on Objectively Assessed Sedentary Time in Primary School Children in Germany," IJERPH, MDPI, vol. 17(23), pages 1-14, December.
    2. Knaus, Michael C. & Lechner, Michael & Reimers, Anne K., 2020. "For better or worse? – The effects of physical education on child development," Labour Economics, Elsevier, vol. 67(C).
    3. Fabian Kleinke & Sabina Ulbricht & Marcus Dörr & Peter Penndorf & Wolfgang Hoffmann & Neeltje van den Berg, 2021. "A low-threshold intervention to increase physical activity and reduce physical inactivity in a group of healthy elderly people in Germany: Results of the randomized controlled MOVING study," PLOS ONE, Public Library of Science, vol. 16(9), pages 1-16, September.
    4. Terry Guirado & Camille Chambonnière & Jean-Philippe Chaput & Lore Metz & David Thivel & Martine Duclos, 2021. "Effects of Classroom Active Desks on Children and Adolescents’ Physical Activity, Sedentary Behavior, Academic Achievements and Overall Health: A Systematic Review," IJERPH, MDPI, vol. 18(6), pages 1-31, March.
    5. Nanna Notthoff & Peter Klomp & Friederike Doerwald & Susanne Scheibe, 2016. "Positive messages enhance older adults’ motivation and recognition memory for physical activity programmes," European Journal of Ageing, Springer, vol. 13(3), pages 251-257, September.
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