In:
PLOS ONE, Public Library of Science (PLoS), Vol. 17, No. 10 ( 2022-10-12), p. e0274846-
Abstract:
To determine levels of objectively measured physical activity (PA) and the proportion of adults with multimorbidity that adheres to PA guidelines. Methods All studies, where PA was measured at baseline using an activity monitor in an adult (≥18 years) multimorbid (≥80% of the population had ≥2 chronic conditions) population. A systematic literature search was performed in Medline, EMBASE, CINAHL, CENTRAL, ClinicalTrials.gov, opengrey.eu and google.com from inception up until 18 th of January 2022. Risk of bias was assessed with a modified version of the Quality Assessment Tool for Quantitative Studies. A random-effects meta-analyses was performed to estimate daily minutes of sedentary behavior (SB), light PA (LPA), moderate PA (MPA), moderate to vigorous PA (MVPA) and steps. Proportions adhering to PA guidelines was narratively synthesized. Certainty of evidence was determined using The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Results Fifteen studies (2,172 participants) were included. The most frequent combination of conditions were type 2 diabetes and hypertension (six studies). Participants spent a daily average of 500.5 (95% CI: 407.1 to 593.9) minutes in SB, 325.6 (95% CI: 246.4 to 404.7 minutes in LPA and 32.7 (95% CI: 20.2 to 45.3) minutes in MVPA. The mean daily number of steps was 5,145 (95% CI: 4264 to 6026) for people in free-living conditions. The proportion adhering to PA guidelines ranged widely (7.4% to 43%). All studies were rated as at high risk of bias and the certainty of evidence was very low. Conclusions PA levels and adherence varied from low to above guideline recommended levels for adults with chronic conditions, depending on PA intensity. The very low certainty of evidence calls for high quality studies focusing on detailed descriptions of PA behavior in people with multimorbidity. PROSPERO registration number CRD42020172456.
Type of Medium:
Online Resource
ISSN:
1932-6203
DOI:
10.1371/journal.pone.0274846
DOI:
10.1371/journal.pone.0274846.g001
DOI:
10.1371/journal.pone.0274846.g002
DOI:
10.1371/journal.pone.0274846.g003
DOI:
10.1371/journal.pone.0274846.g004
DOI:
10.1371/journal.pone.0274846.g005
DOI:
10.1371/journal.pone.0274846.t001
DOI:
10.1371/journal.pone.0274846.t002
DOI:
10.1371/journal.pone.0274846.t003
DOI:
10.1371/journal.pone.0274846.t004
DOI:
10.1371/journal.pone.0274846.s001
DOI:
10.1371/journal.pone.0274846.s002
DOI:
10.1371/journal.pone.0274846.s003
DOI:
10.1371/journal.pone.0274846.s004
DOI:
10.1371/journal.pone.0274846.s005
DOI:
10.1371/journal.pone.0274846.s006
DOI:
10.1371/journal.pone.0274846.s007
DOI:
10.1371/journal.pone.0274846.s008
DOI:
10.1371/journal.pone.0274846.s009
DOI:
10.1371/journal.pone.0274846.s010
DOI:
10.1371/journal.pone.0274846.s011
DOI:
10.1371/journal.pone.0274846.s012
DOI:
10.1371/journal.pone.0274846.s013
DOI:
10.1371/journal.pone.0274846.r001
DOI:
10.1371/journal.pone.0274846.r002
DOI:
10.1371/journal.pone.0274846.r003
DOI:
10.1371/journal.pone.0274846.r004
Language:
English
Publisher:
Public Library of Science (PLoS)
Publication Date:
2022
detail.hit.zdb_id:
2267670-3
Bookmarklink