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      Effectiveness of interventions targeting physical activity, nutrition and healthy weight for university and college students: a systematic review and meta-analysis

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          Abstract

          To examine the effectiveness of interventions aimed at improving physical activity, diet, and/or weight-related behaviors amongst university/college students. Five online databases were searched (January 1970 to April 2014). Experimental study designs were eligible for inclusion. Data extraction was performed by one reviewer using a standardized form developed by the researchers and checked by a second reviewer. Data were described in a narrative synthesis and meta-analyses were conducted when appropriate. Study quality was also established. Forty-one studies were included; of these, 34 reported significant improvements in one of the key outcomes. Of the studies examining physical activity 18/29 yielded significant results, with meta-analysis demonstrating significant increases in moderate physical activity in intervention groups compared to control. Of the studies examining nutrition, 12/24 reported significantly improved outcomes; only 4/12 assessing weight loss outcomes found significant weight reduction. This appears to be the first systematic review of physical activity, diet and weight loss interventions targeting university and college students. Tertiary institutions are appropriate settings for implementing and evaluating lifestyle interventions, however more research is needed to improve such strategies.

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          The online version of this article (doi:10.1186/s12966-015-0203-7) contains supplementary material, which is available to authorized users.

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          Long-term health benefits of physical activity – a systematic review of longitudinal studies

          Background The treatment of noncommunicable diseases (NCD), like coronary heart disease or type 2 diabetes mellitus, causes rising costs for the health system. Physical activity is supposed to reduce the risk for these diseases. Results of cross-sectional studies showed that physical activity is associated with better health, and that physical activity could prevent the development of these diseases. The purpose of this review is to summarize existing evidence for the long-term (>5 years) relationship between physical activity and weight gain, obesity, coronary heart disease, type 2 diabetes mellitus, Alzheimer’s disease and dementia. Methods Fifteen longitudinal studies with at least 5-year follow up times and a total of 288,724 subjects (>500 participants in each study), aged between 18 and 85 years, were identified using digital databases. Only studies published in English, about healthy adults at baseline, intentional physical activity and the listed NCDs were included. Results The results of these studies show that physical activity appears to have a positive long-term influence on all selected diseases. Conclusions This review revealed a paucity of long-term studies on the relationship between physical activity and the incidence of NCD.
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            Who succeeds in maintaining weight loss? A conceptual review of factors associated with weight loss maintenance and weight regain.

            Weight loss is difficult to achieve and maintaining the weight loss is an even greater challenge. The identification of factors associated with weight loss maintenance can enhance our understanding for the behaviours and prerequisites that are crucial in sustaining a lowered body weight. In this paper we have reviewed the literature on factors associated with weight loss maintenance and weight regain. We have used a definition of weight maintenance implying intentional weight loss that has subsequently been maintained for at least 6 months. According to our review, successful weight maintenance is associated with more initial weight loss, reaching a self-determined goal weight, having a physically active lifestyle, a regular meal rhythm including breakfast and healthier eating, control of over-eating and self-monitoring of behaviours. Weight maintenance is further associated with an internal motivation to lose weight, social support, better coping strategies and ability to handle life stress, self-efficacy, autonomy, assuming responsibility in life, and overall more psychological strength and stability. Factors that may pose a risk for weight regain include a history of weight cycling, disinhibited eating, binge eating, more hunger, eating in response to negative emotions and stress, and more passive reactions to problems.
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              A social media-based physical activity intervention: a randomized controlled trial.

              Online social networks, such as Facebook™, have extensive reach, and they use technology that could enhance social support, an established determinant of physical activity. This combination of reach and functionality makes online social networks a promising intervention platform for increasing physical activity. To test the efficacy of a physical activity intervention that combined education, physical activity monitoring, and online social networking to increase social support for physical activity compared to an education-only control. RCT. Students (n=134) were randomized to two groups: education-only controls receiving access to a physical activity-focused website (n=67) and intervention participants receiving access to the same website with physical activity self-monitoring and enrollment in a Facebook group (n=67). Recruitment and data collection occurred in 2010 and 2011; data analyses were performed in 2011. Female undergraduate students at a large southeastern public university. Intervention participants were encouraged through e-mails, website instructions, and moderator communications to solicit and provide social support related to increasing physical activity through a physical activity-themed Facebook group. Participants received access to a dedicated website with educational materials and a physical activity self-monitoring tool. The primary outcome was perceived social support for physical activity; secondary outcomes included self-reported physical activity. Participants experienced increases in social support and physical activity over time but there were no differences in perceived social support or physical activity between groups over time. Facebook participants posted 259 times to the group. Two thirds (66%) of intervention participants completing a post-study survey indicated that they would recommend the program to friends. Use of an online social networking group plus self-monitoring did not produce greater perceptions of social support or physical activity as compared to education-only controls. Given their promising features and potential reach, efforts to further understand how online social networks can be used in health promotion should be pursued. This study is registered at clinicaltrials.govNCT01421758. Copyright © 2012 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
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                Author and article information

                Contributors
                Ron.plotnikoff@newcastle.edu.au
                Sarah.costigan@newcastle.edu.au
                Rebecca.williams@newcastle.edu.au
                Melinda.hutchesson@newcastle.edu.au
                Sarah.kennedy@newcastle.edu.au
                Sara.robards@newcastle.edu.au
                Jennifer.allen@newcastle.edu.au
                Clare.collins@newcaste.edu.au
                Robin.callister@newcastle.edu.au
                John.germov@newcastle.edu.au
                Journal
                Int J Behav Nutr Phys Act
                Int J Behav Nutr Phys Act
                The International Journal of Behavioral Nutrition and Physical Activity
                BioMed Central (London )
                1479-5868
                1 April 2015
                1 April 2015
                2015
                : 12
                : 45
                Affiliations
                [ ]Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Callaghan Campus, Newcastle, NSW Australia
                [ ]School of Education, Faculty of Education and Arts, University of Newcastle, Callaghan Campus, Newcastle, NSW Australia
                [ ]School of Health Sciences, Faculty of Health, University of Newcastle, Callaghan Campus, Newcastle, NSW Australia
                [ ]School of Biomedical Sciences and Pharmacy, Faculty of Health, University of Newcastle, Callaghan Campus, Newcastle, NSW Australia
                [ ]School of Humanities and Social Science, Faculty of Education and Arts, University of Newcastle, Callaghan Campus, Newcastle, NSW Australia
                Article
                203
                10.1186/s12966-015-0203-7
                4393577
                25890337
                d201e9b0-db8f-477d-9b46-a0b41a9b3dae
                © Plotnikoff et al.; licensee BioMed Central. 2015

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. 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
                : 11 August 2014
                : 10 March 2015
                Categories
                Review
                Custom metadata
                © The Author(s) 2015

                Nutrition & Dietetics
                university,college,tertiary education institutions,university students,health promotion,health behavior,healthy universities,physical activity,exercise,diet,nutrition,weight loss

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