Psychological determinants of physical activity across the life course: A "DEterminants of DIet and Physical ACtivity" (DEDIPAC) umbrella systematic literature review

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Abstract

Low levels of physical activity (PA) are reported to contribute to the occurrence of non-communicable diseases over the life course. Although psychological factors have been identified as an important category concerning PA behavior, knowledge on psychological determinants of PA is still inconclusive. Therefore, the aim of this umbrella systematic literature review (SLR) was to summarize and synthesize the scientific evidence on psychological determinants of PA behavior across the life course. A systematic online search was conducted on MEDLINE, ISI Web of Science, Scopus, and SPORTDiscus databases. The search was limited to studies published in English from January 2004 to April 2016. SLRs and meta-analyses (MAs) of observational studies investigating the association of psychological variables and PA were considered eligible. Extracted data were evaluated based on importance of determinants, strength of evidence, and methodological quality. The full protocol is available from PROSPERO (Record ID: CRD42015010616). Twenty reviews (14 SLRs and 6 MAs), mostly of moderate methodological quality, were found eligible. Convincing evidence was found for self-efficacy (positive association with PA) in children and adolescents, and stress (negative association with PA) regardless of age. Most of the evidence revealing an association between psychological determinants and PA is probable and limited, mainly due to differences in the definition of PA and of psychological determinants across reviews. Thus, scholars are urged to reach a consensus on clear definitions of relevant psychological determinants of PA, subsuming cultural biases and allowing the possibility to obtain clear interpretations and generalizability of findings. Finally, most psychological determinants should be considered within a larger framework of other multi-level determinants that may interact or mediate some of the effects.

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Most cited references 30

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Executive functions (EFs) make possible mentally playing with ideas; taking the time to think before acting; meeting novel, unanticipated challenges; resisting temptations; and staying focused. Core EFs are inhibition [response inhibition (self-control—resisting temptations and resisting acting impulsively) and interference control (selective attention and cognitive inhibition)], working memory, and cognitive flexibility (including creatively thinking “outside the box,” seeing anything from different perspectives, and quickly and flexibly adapting to changed circumstances). The developmental progression and representative measures of each are discussed. Controversies are addressed (e.g., the relation between EFs and fluid intelligence, self-regulation, executive attention, and effortful control, and the relation between working memory and inhibition and attention). The importance of social, emotional, and physical health for cognitive health is discussed because stress, lack of sleep, loneliness, or lack of exercise each impair EFs. That EFs are trainable and can be improved with practice is addressed, including diverse methods tried thus far.

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Author and article information

Contributors

Cristina Cortis:

ORCID: http://orcid.org/0000-0001-9643-5532

Role: ConceptualizationRole: Data curationRole: Formal analysisRole: InvestigationRole: MethodologyRole: SupervisionRole: ValidationRole: VisualizationRole: Writing – original draftRole: Writing – review & editing

Anna Puggina: Role: ConceptualizationRole: Data curationRole: Formal analysisRole: InvestigationRole: MethodologyRole: SupervisionRole: ValidationRole: VisualizationRole: Writing – original draftRole: Writing – review & editing

Caterina Pesce: Role: ConceptualizationRole: Data curationRole: Formal analysisRole: InvestigationRole: SupervisionRole: Writing – original draftRole: Writing – review & editing

Katina Aleksovska: Role: Data curationRole: InvestigationRole: Writing – review & editing

Christoph Buck: Role: Data curationRole: Funding acquisitionRole: InvestigationRole: Writing – review & editing

Con Burns: Role: Data curationRole: InvestigationRole: Writing – review & editing

Greet Cardon: Role: Data curationRole: Funding acquisitionRole: InvestigationRole: Writing – review & editing

Angela Carlin: Role: Data curationRole: InvestigationRole: Writing – review & editing

Chantal Simon: Role: Data curationRole: Funding acquisitionRole: InvestigationRole: Writing – review & editing

Donatella Ciarapica: Role: Data curationRole: InvestigationRole: Writing – review & editing

Giancarlo Condello: Role: Data curationRole: Formal analysisRole: InvestigationRole: ValidationRole: VisualizationRole: Writing – original draftRole: Writing – review & editing

Tara Coppinger: Role: Data curationRole: InvestigationRole: Writing – review & editing

Sara D’Haese: Role: Data curationRole: InvestigationRole: Writing – review & editing

Marieke De Craemer: Role: Data curationRole: InvestigationRole: Writing – review & editing

Andrea Di Blasio: Role: Data curationRole: InvestigationRole: Writing – review & editing

Sylvia Hansen: Role: Data curationRole: InvestigationRole: Writing – review & editing

Licia Iacoviello: Role: Data curationRole: InvestigationRole: Writing – review & editing

Johann Issartel: Role: Data curationRole: InvestigationRole: Writing – review & editing

Pascal Izzicupo: Role: Data curationRole: InvestigationRole: Writing – review & editing

Lina Jaeschke: Role: Data curationRole: InvestigationRole: Writing – review & editing

Martina Kanning: Role: Data curationRole: InvestigationRole: Writing – review & editing

Aileen Kennedy: Role: Data curationRole: InvestigationRole: Writing – review & editing

Fiona Chun Man Ling: Role: Data curationRole: InvestigationRole: Writing – review & editing

Agnes Luzak: Role: Data curationRole: InvestigationRole: Writing – review & editing

Giorgio Napolitano: Role: Data curationRole: Funding acquisitionRole: InvestigationRole: Writing – review & editing

Julie-Anne Nazare: Role: Data curationRole: InvestigationRole: Writing – review & editing

Grainne O’Donoghue: Role: Data curationRole: InvestigationRole: Writing – review & editing

Camille Perchoux: Role: Data curationRole: InvestigationRole: Writing – review & editing

Tobias Pischon: Role: Data curationRole: Funding acquisitionRole: InvestigationRole: Writing – review & editing

Angela Polito: Role: Data curationRole: InvestigationRole: Writing – review & editing

Alessandra Sannella: Role: Data curationRole: InvestigationRole: Writing – review & editing

Holger Schulz: Role: Data curationRole: Funding acquisitionRole: InvestigationRole: Writing – review & editing

Rhoda Sohun: Role: Data curationRole: InvestigationRole: Writing – review & editing

Astrid Steinbrecher: Role: Data curationRole: InvestigationRole: Writing – review & editing

Wolfgang Schlicht: Role: Data curationRole: Funding acquisitionRole: InvestigationRole: Writing – review & editing

Walter Ricciardi: Role: Data curationRole: Funding acquisitionRole: InvestigationRole: Writing – review & editing

Loriana Castellani: Role: Data curationRole: Funding acquisitionRole: InvestigationRole: Writing – review & editing

Ciaran MacDonncha: Role: ConceptualizationRole: Data curationRole: Formal analysisRole: Funding acquisitionRole: InvestigationRole: MethodologyRole: Project administrationRole: SupervisionRole: Writing – review & editing

Laura Capranica: Role: ConceptualizationRole: Data curationRole: Formal analysisRole: Funding acquisitionRole: InvestigationRole: MethodologyRole: Project administrationRole: SupervisionRole: Writing – original draftRole: Writing – review & editing

Stefania Boccia: Role: ConceptualizationRole: Data curationRole: Formal analysisRole: InvestigationRole: MethodologyRole: Project administrationRole: Writing – review & editing

Maciej Buchowski: Role: Editor

Journal

Journal ID (nlm-ta): PLoS One

Journal ID (iso-abbrev): PLoS ONE

Journal ID (publisher-id): plos

Journal ID (pmc): plosone

Title: PLoS ONE

Publisher: Public Library of Science (San Francisco, CA USA )

ISSN (Electronic): 1932-6203

Publication date (Electronic): 17 August 2017

Publication date Collection: 2017

Volume: 12

Issue: 8

Electronic Location Identifier: e0182709

Affiliations

[1 ] Department of Human Sciences, Society, and Health, University of Cassino and Lazio Meridionale, Cassino, Italy

[2 ] Section of Hygiene—Institute of Public Health; Università Cattolica del Sacro Cuore, Rome, Italy

[3 ] Department of Movement, Human and Health Sciences, University of Rome Foro Italico, Rome, Italy

[4 ] Leibniz Institute for Prevention Research and Epidemiology, BIPS, Bremen, Germany

[5 ] Department of Sport, Leisure and Childhood Studies, Cork Institute of Technology, Cork, Munster, Ireland

[6 ] Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium

[7 ] Department of Physical Education and Sport Sciences, Health Research Institute, University of Limerick, Limerick, Ireland

[8 ] Centre de Recherche en Nutrition Humaine Rhône-Alpes, Univ-Lyon, CarMeN Laboratory, INSERM 1060, INRA 1397, Université Claude Bernard Lyon1, Lyon, France

[9 ] Council for Agricultural Research and Economics—Research Centre for Food and Nutrition, Rome, Italy

[10 ] Department of Medicine and Aging Sciences, 'G. d'Annunzio' University of Chieti-Pescara, Chieti, Italy

[11 ] Department for Sport and Exercise Sciences, Division of Exercise and Health Sciences I, University of Stuttgart, Stuttgart, Germany

[12 ] Department of Epidemiology and Prevention, IRCCS Istituto Neurologico Mediterraneo NEUROMED, Pozzilli, Italy

[13 ] Department of Medicine and Surgery, University of Insubria, Varese, Italy

[14 ] School of Health and Human Performance, Multisensory Motor Learning Lab., Dublin City University, Dublin, Ireland

[15 ] Max Delbrück Center for Molecular Medicine (MDC), Berlin, Germany

[16 ] Department of Sport Sciences, Social and Health Sciences, University of Konstanz, Konstanz, Germany

[17 ] Centre for Preventive Medicine, School of Health and Human Performance, Dublin City University, Dublin, Ireland

[18 ] Institute of Sport, Exercise & Active Living, Victoria University, Melbourne, Australia

[19 ] Department of Psychology, Faculty of Science & Technology, Bournemouth University, Bournemouth, United Kingdom

[20 ] Institute of Epidemiology I, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany

[21 ] Luxembourg Institute of Socio-Economic Research, Esch/Alzette, Luxembourg

[22 ] Charité Universitätsmedizin Berlin, Berlin, Germany

[23 ] DZHK (German Center for Cardiovascular Research), partner site Berlin, Berlin, Germany

[24 ] Italian National Institute of Health (Istituto Superiore di Sanità—ISS), Rome, Italy

[25 ] Icahn School of Medicine at Mount Sinai, New York, NY, United States of America

Vanderbilt University, UNITED STATES

Author notes

Competing Interests: The authors have declared that no competing interests exist.

* E-mail: c.cortis@ 123456unicas.it

Author information

Cristina Cortis http://orcid.org/0000-0001-9643-5532

Article

Publisher ID: PONE-D-17-11694

DOI: 10.1371/journal.pone.0182709

PMC ID: 5560721

PubMed ID: 28817676

SO-VID: 78bcdbdf-92e7-44cc-97e3-7b78cc63048d

License:

This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

History

Date received : 30 March 2017

Date accepted : 24 July 2017