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Background: Knowing what facilitates and hinders physical activity behaviour across domains (leisure, travel, work or education, and household) is central for the development of actions for more active lifestyles. Thus, the aim of this systematic review of reviews was to summarize the evidence on barriers and facilitators of domain-specific physical activity.Methods: We included systematic reviews with or without meta-analysis that investigated the association between modifiable barriers and facilitators and levels of domain-specific physical activity. Reviews published until September 2020 were retrieved from PubMed, ISI Web of Science, Scopus, Regional Library of Medicine (BIREME), and PsycNET, and from the reference list of selected articles. Each review was screened by two independent reviewers for eligibility. Data extracted from selected papers included methodological aspects (number of primary studies, study designs, and age groups); physical activity domains and barriers and facilitators investigated; and direction of association. For each pair of barrier/facilitator and domain-specific physical activity, we recorded the number of positive, negative, and null associations reported across reviews. Quality assessment of each systematic review was performed using the AMSTAR-2 tool.Results: Forty-four systematic reviews were selected. The evidence base was largest for leisure-time followed by travel-related physical activity. A very small number of reviews included physical activity in work, educational and domestic settings. Across all physical activity domains, factors related to the built environment were more abundant in the reviews than intra and interpersonal factors. Very consistent positive associations were observed between a range of intrapersonal factors and leisure-time physical activity, as well as moderately consistent evidence of positive association for general social support and support from family members. Evidence of moderate consistency was found for the positive association between transport-related physical activity and positive beliefs about consequences, walkability, and existence of facilities that support active travel. Evidence on barriers and facilitators for physical activity at work, educational, and domestic settings was limited in volume and consistency.Conclusions: Efforts and resources are required to diversify and strength the evidence base on barriers and facilitators of domain-specific physical activity, as it is still limited and biased towards the leisure domain and built environment factors.Trial Registration: PROSPERO CRD42020209710. [ABSTRACT FROM AUTHOR]

Objective: To analyze the reliability, validity and internal consistency of the physical activity social support (SSS) and self-efficacy (SES) scales among adolescents aged 10-14 years. Methods: The reliability study included 171 adolescents (mean age=12.3±1.0 years, 59.6% female) and validity and consistency study with 1,107 (mean age=12.0±1.0 years, 52.7% female). The SSS had 15 items and the SES eight items. Reliability was determined by Spearman's correlation analysis (rho) and validity and internal consistency by factor analysis (exploratory -- EFA and confirmatory -- CFA) and the composite reliability (CR), respectively. Results: The reliability of SSS (father: rho=0.80; p<0.001 | mother: rho=0.76; p<0.001 | friends: rho=0.75; p<0.001) and SES (rho=0.72; p<0.001) were considered high. In the EFA, three factors were identified for the SSS (father, mother and friends -- five items each) and one factor for SES (five items), confirmed in the CFA. Quality parameters of adjustment in the final models were satisfactory for SSS (chi-square=240.5 [p<0.001]; root mean square residual -- RMR=0.05; root mean square error of approximation -- RMSEA=0.04 [90%CI 0.04-0.05]; goodness of fit index -- GFI=0.97; adjusted goodness of fit index -- AGFI=0.96 and comparative fit index -- CFI=0.97) and SES (chi-square=5.4 [p=0.07]; RMR=0.01; RMSEA=0.04 [90%CI 0.00-0.08]; GFI=0.99; AGFI=0.99 and CFI=0.97). Internal consistency was considered satisfactory for SSS (CR: father=0.79, mother=0.77, friends=0.78) and low for SES (CR=0.38). Conclusions: The scales showed satisfactory levels of reliability and of construct validity. However, only the SSS showed adequate levels of internal consistency. [ABSTRACT FROM AUTHOR]

Little is known about the association between environmental characteristics and types of physical activity in adolescents in a Latin American context. The aim of this study was to examine the association between perceived neighborhood environmental characteristics and different types of physical activity in 2,874 adolescents from Joao Pessoa, Paraiba State, Northeastern Brazil. The types of activity measured by questionnaire (≥10 min/day) included sports, physical exercises, active commuting and recreational activities. Neighborhood characteristics were measured by a 15-item scale. Multilevel analyses showed that adolescents who reported “having places they liked to go to” (OR = 1.41; 95%CI: 1.10–1.79) and “places with opportunities to practice” (OR = 1.29; 95%CI: 1.01–1.65) were more likely to play sports. “Seeing interesting things while walking” (OR = 1.24; 95%CI: 1.01–1.53) and “Seeing other adolescents engaged in physical activity” (OR = 1.47; 95%CI: 1,05–2,06) were associated with exercises. “Seeing other adolescents engaged in physical activity” (OR = 1.47; 95%CI: 1.18–1.82), “the neighborhood is not violent” (OR = 1.29; 95%CI: 1.04–1.60) and “having places they like to go to” (OR = 1.59; 95%CI: 1.13–2.25) were positively associated and “places with opportunities to practice” (OR = 0.79; 95%CI: 0.63–0.98) inversely related to active commuting. “Seeing other adolescents engaged in physical activities” (OR = 1.31; 95%CI: 1.05–1.63) and “seeing interesting things while walking” (OR = 1.26; 95%CI: 1.02–1.56) were associated with recreational activities. Neighborhood environmental characteristics associated with the physical activity vary with the type of practices adopted by adolescents. [ABSTRACT FROM PUBLISHER]

Little is known about the influence of different types and sources of social support on physical activity in adolescents. The aim of this study was to analyse the association between physical activity and different types and sources of social support in adolescents. The sample consisted of 2,859 adolescents between 14–19 years of age in the city of João Pessoa, in Northeastern Brazil. Physical activity was measured with a questionnaire and social support from parents and friends using a 10-item scale five for each group (type of support: encouragement, joint participation, watching, inviting, positive comments and transportation). Multivariable analysis showed that the types of support provided by parents associated with physical activity in adolescents were encouragement for females (P < 0.001) and adolescents between 14–16 years of age (P = 0.003), and transportation (P = 0.014) and comments (P = 0.037) for males. The types of social support provided by friends were: joint participation in male adolescents (P < 0.001) and in these 17–19-year-olds (P < 0.001), and comments in both genders (males:P = 0.009; females:P < 0.001) and 14–16-year-olds (P < 0.001). We conclude that the type of social support associated with physical activity varies according to its source, as well as the gender and age of the adolescents. [ABSTRACT FROM AUTHOR]

The objective of this study was to examine the association between time engaged in moderate (MPA), vigorous (VPA), and moderate-to-vigorous (MVPA) physical activity (PA) and indicators of lipid profile in adolescents. This longitudinal study with a four-year follow-up, and three collection points (2014, 2015 and 2017) analyzed the data of 136 adolescents (10−13 years old; 53.7% girls), in João Pessoa, Brazil. The time in MPA, VPA and MVPA times was measured by accelerometers. The lipid profile indicators analyzed were total cholesterol (TC), low-density (LDL-C) and high-density lipoproteins cholesterol (HDL-C), triglycerides (TG), non-HDL-C, TC/HDL-C and TG/HDL-c ratios. There was an inverse association between MPA time and TC values (ß = −0.560; 95%CI: −1.116; −0.004); VPA and LDL-C (ß = −0.962; 95%CI: −1.678; −0.246) and non-HDL-C (ß = −0.955; 95%CI: −1.708; −0.201); and MVPA and TC (ß = −0.436; 95%CI: −0.816; −0.055), TG (ß = −0.415; 95%CI: −0.712; −0.118), LDL-C (ß = −0.460; 95%CI: −0.823; −0.096), non-HDL-C (ß = −0.522; 95%CI: −0.908; −0.136) and TC/HDL-C (ß = −0.472; 95%CI: −0.889; −0.055). Adolescents more engaged in PA, especially in MVPA, exhibited better levels of TC, TG, LDL-C, non-HDL-C and TC/HDL-C; and AFV exerted a greater influence on LDL-c and non-HDL-c levels. Highlights This study is one of the first observational longitudinal studies to analyze the association between different PA intensities, measured by accelerometer, and lipid profile indicators, with a 4-year follow-up and 3 collection points in adolescents from a low-to-middle income country; Adolescents engaged in PA, especially MVPA intensity, obtained better TC, TG, LDL-c, non-HDL-C and TC/HDL-C levels; VPA was more strongly associated with LDL-C and non-HDL-C levels compared to MVPA. [ABSTRACT FROM AUTHOR]