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      A systematic review of physical activity and sedentary behaviour research in the oil-producing countries of the Arabian Peninsula

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          Abstract

          Background

          The dramatic rise in Noncommunicable Diseases (NCD) in the oil-producing countries of the Arabian Peninsula is driven in part by insufficient physical activity, one of the five main contributors to health risk in the region. The aim of this paper is to review the available evidence on physical activity and sedentary behaviour for this region. Based on the findings, we prioritize an agenda for research that could inform policy initiatives with regional relevance.

          Methods

          We reviewed regional evidence on physical activity and sedentary behaviour to identify the needs for prevention and policy-related research. A literature search of peer-reviewed publications in the English language was conducted in May 2016 using PubMed, Web of Science and Google Scholar. 100 studies were identified and classified using the Behavioural Epidemiology Framework.

          Results

          Review findings demonstrate that research relevant to NCD prevention is underdeveloped in the region. A majority of the studies were epidemiological in approach with few being large-scale population-based studies using standardised measures. Correlates demonstrated expected associations with health outcomes, low levels of physical activity (particularly among young people), high levels of sedentary behaviour (particularly among men and young people) and expected associations of known correlates (e.g. gender, age, education, time, self-motivation, social support, and access). Very few studies offered recommendations for translating research findings into practice.

          Conclusions

          Further research on the determinants of physical activity and sedentary behaviour in the Arabian Peninsula using standard assessment tools is urgently needed. Priority research includes examining these behaviours across the four domains (household, work, transport and leisure). Intervention research focusing on the sectors of education, health and sports sectors is recommended. Furthermore, adapting and testing international examples to the local context would help identify culturally relevant policy and programmatic interventions for the region.

          Electronic supplementary material

          The online version of this article (doi:10.1186/s12889-016-3642-4) contains supplementary material, which is available to authorized users.

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          Most cited references134

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          Role of built environments in physical activity, obesity, and cardiovascular disease.

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            Time use and physical activity: a shift away from movement across the globe.

            Technology linked with reduced physical activity (PA) in occupational work, home/domestic work, and travel and increased sedentary activities, especially television viewing, dominates the globe. Using detailed historical data on time allocation, occupational distributions, energy expenditures data by activity, and time-varying measures of metabolic equivalents of task (MET) for activities when available, we measure historical and current MET by four major PA domains (occupation, home production, travel and active leisure) and sedentary time among adults (>18 years). Trends by domain for the United States (1965-2009), the United Kingdom (1961-2005), Brazil (2002-2007), China (1991-2009) and India (2000-2005) are presented. We also project changes in energy expenditure by domain and sedentary time (excluding sleep and personal care) to 2020 and 2030 for each of these countries. The use of previously unexplored detailed time allocation and energy expenditures and other datasets represents a useful addition to our ability to document activity and inactivity globally, but highlights the need for concerted efforts to monitor PA in a consistent manner globally, increase global PA and decrease sedentary behavior. Given the potential impact on weight gain and other cardiometabolic health risks, the differential declines in MET of activity and increases in sedentary time across the globe represent a major threat to global health. © 2012 The Authors. obesity reviews © 2012 International Association for the Study of Obesity.
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              The effect of season and weather on physical activity: a systematic review.

              This study reviewed previous studies to explore the effect of season, and consequently weather, on levels of physical activity. Thirty-seven primary studies (published 1980-2006) representing a total of 291883 participants (140482 male and 152085 female) from eight different countries are described, and the effect of season on moderate levels of physical activity is considered. Upon review of the evidence, it appears that levels of physical activity vary with seasonality, and the ensuing effect of poor or extreme weather has been identified as a barrier to participation in physical activity among various populations. Therefore, previous studies that did not recognize the effect of weather and season on physical activity may, in fact, be poor representations of this behaviour. Future physical activity interventions should consider how weather promotes or hinders such behaviour. Providing indoor opportunities during the cold and wet months may foster regular physical activity behaviours year round.
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                Author and article information

                Contributors
                rmmabry@gmail.com
                mohammad.koosari@unimelb.edu.au
                Fiona.bull@uwa.edu.au
                neville.owen@bakeridi.edu.au
                Journal
                BMC Public Health
                BMC Public Health
                BMC Public Health
                BioMed Central (London )
                1471-2458
                21 September 2016
                21 September 2016
                2016
                : 16
                : 1003
                Affiliations
                [1 ]Office of the World Health Organization Representative, PO Box 476, Al Atheiba, Postal Code 130 Oman
                [2 ]Behavioural Epidemiology Laboratory, Baker IDI Heart and Diabetes Institute, Melbourne, Australia
                [3 ]Centre for Built Environment and Health, School of Population Health, the University of Western Australia, Perth, Australia
                [4 ]Baker IDI & Heart Diabetes Institute, Swinburne University, Melbourne, Australia
                [5 ]Faculty of Sport Sciences, Waseda University, Saitama, Japan
                [6 ]Institute for Health and Ageing, Australian Catholic University, Melbourne, Australia
                [7 ]Melbourne School of Population and Global Health, the University of Melbourne, Melbourne, Australia
                Article
                3642
                10.1186/s12889-016-3642-4
                5031342
                27655373
                11b8efb4-1efa-49b7-bdd8-3f15f0f71ea5
                © The Author(s). 2016

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 20 August 2015
                : 6 September 2016
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2016

                Public health
                physical activity,sedentary behaviour,arab
                Public health
                physical activity, sedentary behaviour, arab

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