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WHO Guidelines on Physical Activity and Sedentary Behaviour. Geneva: World Health Organization; 2020.

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WHO Guidelines on Physical Activity and Sedentary Behaviour.

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REFERENCES

1.
World Health Organization. Global recommendations on physical activity for health. Geneva: World Health Organization; 2010. [PubMed: 26180873]
2.
Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT, et al. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet. 2012;380(9838):219–29. [PMC free article: PMC3645500] [PubMed: 22818936]
3.
McTiernan A, Friedenreich CM, Katzmarzyk PT, Powell KE, Macko R, Buchner D, et al. Physical activity in cancer prevention and survival: a systematic review. Med Sci Sports Exerc. 2019;51(6):1252–61. [PMC free article: PMC6527123] [PubMed: 31095082]
4.
Schuch FB, Vancampfort D, Richards J, Rosenbaum S, Ward PB, Stubbs B. Exercise as a treatment for depression: A meta-analysis adjusting for publication bias. J Psychiatr Res. 2016;77:42–51. [PubMed: 26978184]
5.
Livingston G, Sommerlad A, Orgeta V, Costafreda SG, Huntley J, Ames D, et al. Dementia prevention, intervention, and care. Lancet. 2017;390(10113):2673–734. [PubMed: 28735855]
6.
Das P, Horton R. Rethinking our approach to physical activity. Lancet. 2012;380(9838):189–90. [PubMed: 22818931]
7.
Tremblay MS, Aubert S, Barnes JD, Saunders TJ, Carson V, Latimer-Cheung AE, et al. Sedentary Behavior Research Network (SBRN) – Terminology consensus project process and outcome. Int J Behav Nutr Phys Act. 2017;14(1):75. [PMC free article: PMC5466781] [PubMed: 28599680]
8.
Ekelund U, Brown WJ, Steene-Johannessen J, Fagerland MW, Owen N, Powell KE, et al. Do the associations of sedentary behaviour with cardiovascular disease mortality and cancer mortality differ by physical activity level? A systematic review and harmonised meta-analysis of data from 850 060 participants. Br J Sports Med. 2019;53:886–94. [PubMed: 29991570]
9.
Ekelund U, Steene-Johannessen J, Brown WJ, Fagerland MW, Owen N, Powell KE, et al. Does physical activity attenuate, or even eliminate, the detrimental association of sitting time with mortality? A harmonised meta-analysis of data from more than 1 million men and women. Lancet. 2016;388:1302–10. [PubMed: 27475271]
10.
Keadle SK, Conroy DE, Buman MP, Dunstan DW, Matthews CE. Targeting reductions in sitting time to increase physical activity and improve health. Med Sci Sports Exerc. 2017;49:1572–82. [PMC free article: PMC5511092] [PubMed: 28272267]
11.
Strain T, Brage S, Sharp SJ, Richards J, Tainio M, Ding D, et al. Use of the prevented fraction for the population to determine deaths averted by existing prevalence of physical activity: a descriptive study. Lancet Glob Health. 2020;8(7):e920–e30. [PMC free article: PMC7303949] [PubMed: 32562648]
12.
Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants. Lancet Glob Health. 2018;6(10):e1077–e86. [PubMed: 30193830]
13.
Guthold R, Stevens GA, Riley LM, Bull FC. Global trends in insufficient physical activity among adolescents: a pooled analysis of 298 population-based surveys with 1.6 million participants. Lancet Child Adolesc Health. 2020;4(1):23–35. [PMC free article: PMC6919336] [PubMed: 31761562]
14.
World Health Organization. Global action plan on physical activity 2018–2030: more active people for a healthier world. Geneva: World Health Organization; 2018.
15.
World Health Organization. Guidelines on physical activity, sedentary behaviour and sleep for children under 5 years of age. Geneva: World Health Organization; 2019. [PubMed: 31091057]
16.
Commission on Ending Childhood Obesity. Report of the Commission on Ending Childhood Obesity. Geneva: World Health Organization; 2016.
17.
World Health Organization. Implementation tools: package of essential noncommunicable (PEN) disease interventions for primary health care in low-resource settings. Geneva: World Health Organization; 2013.
18.
World Health Organization. Risk reduction of cognitive decline and dementia: WHO guidelines. Geneva: World Health Organization; 2019. [PubMed: 31219687]
19.
World Health Organization. Integrated care for older people: guidelines on community-level interventions to manage declines in intrinsic capacity. Geneva: World Health Organization; 2017. [PubMed: 29608259]
20.
World Health Organization. WHO recommendations on antenatal care for a positive pregnancy experience. Geneva: World Health Organization; 2016. [PubMed: 28079998]
21.
World Health Organization. WHO Handbook for guideline development – 2nd ed. Geneva: World Health Organization; 2014.
22.
Poitras VJ, Gray CE, Borghese MM, Carson V, Chaput JP, Janssen I, et al. Systematic review of the relationships between objectively measured physical activity and health indicators in school-aged children and youth. Applied Physiol Nutr Metab. 2016;41(6 Suppl 3): S197–239. [PubMed: 27306431]
23.
Tremblay MS, Carson V, Chaput JP, Connor Gorber S, Dinh T, Duggan M, et al. Canadian 24-hour movement guidelines for children and youth: an integration of physical activity, sedentary behaviour, and sleep. Applied Physiol Nutr Metab. 2016;41(6 Suppl 3):S311–27. [PubMed: 27306437]
24.
Carson V, Hunter S, Kuzik N, Gray CE, Poitras VJ, Chaput JP, et al. Systematic review of sedentary behaviour and health indicators in school-aged children and youth: an update. Applied Physiol Nutr Metab. 2016;41(6 Suppl 3):S240–65. [PubMed: 27306432]
25.
Okely AD, Ghersi D, Loughran SP, Cliff DP, Shilton T, Jones RA, et al. Australian 24-hour movement guidelines for children (5–12 years) and young people (13–17 years): An integration of physical activity, sedentary behaviour, and sleep – Research Report. Australian Government, Department of Health; 2019. Available at: https://www1​.health.gov​.au/internet/main/publishing​.nsf/Content/ti-5-17years (accessed 18 October 2020).
26.
Australian Government, The Department of Health. Australian 24-Hour movement guidelines for children (5–12 years) and young people (13–17 years): an integration of physical activity, sedentary behavior, and sleep. Available at: https://www​.health.gov​.au/internet/main/publishing​.nsf/Content/ti-5-17years, accessed 18 October 2020.
27.
Mottola MF, Davenport MH, Ruchat SM, Davies GA, Poitras VJ, Gray CE, et al. 2019 Canadian guideline for physical activity throughout pregnancy. Br J Sports Med. 2018;52(21):1339–46. [PubMed: 30337460]
28.
Davenport MH, Kathol AJ, Mottola MF, Skow RJ, Meah VL, Poitras VJ, et al. Prenatal exercise is not associated with fetal mortality: a systematic review and meta-analysis. Br J Sports Med. 2019;53(2):108–15. [PubMed: 30337346]
29.
Davenport MH, McCurdy AP, Mottola MF, Skow RJ, Meah VL, Poitras VJ, et al. Impact of prenatal exercise on both prenatal and postnatal anxiety and depressive symptoms: a systematic review and meta-analysis. Br J Sports Med. 2018;52(21):1376–85. [PubMed: 30337464]
30.
Davenport MH, Meah VL, Ruchat SM, Davies GA, Skow RJ, Barrowman N, et al. Impact of prenatal exercise on neonatal and childhood outcomes: a systematic review and meta-analysis. Br J Sports Med. 2018;52(21):1386–96. [PubMed: 30337465]
31.
Davenport MH, Ruchat SM, Poitras VJ, Jaramillo Garcia A, Gray CE, Barrowman N, et al. Prenatal exercise for the prevention of gestational diabetes mellitus and hypertensive disorders of pregnancy: a systematic review and meta-analysis. Br J Sports Med. 2018;52(21):1367–75. [PubMed: 30337463]
32.
Davenport MH, Ruchat SM, Sobierajski F, Poitras VJ, Gray CE, Yoo C, et al. Impact of prenatal exercise on maternal harms, labour and delivery outcomes: a systematic review and meta-analysis. Br J Sports Med. 2019;53(2):99–107. [PubMed: 30337349]
33.
Davenport MH, Yoo C, Mottola MF, Poitras VJ, Jaramillo Garcia A, Gray CE, et al. Effects of prenatal exercise on incidence of congenital anomalies and hyperthermia: a systematic review and meta-analysis. Br J Sports Med. 2019;53(2):116–23. [PubMed: 30337347]
34.
Ruchat SM, Mottola MF, Skow RJ, Nagpal TS, Meah VL, James M, et al. Effectiveness of exercise interventions in the prevention of excessive gestational weight gain and postpartum weight retention: a systematic review and meta-analysis. Br J Sports Med. 2018;52(21):1347–56. [PubMed: 30337461]
35.
Physical Activity Guidelines Advisory Committee. 2018 Physical Activity Guidelines Advisory Committee Scientific Report. Washington, DC: US Department of Health and Human Services; 2018.
36.
U.S. Department of Health and Human Services. Physical Activity Guidelines for Americans. 2nd edition ed. Washington, DC: U.S. Department of Health and Human Services; 2018.
37.
US Department of Agriculture (USDA). Nutrition evidence library—about. https://www​.fns.usda​.gov/nutrition-evidence-library-about Accessed: 02 Nov 2020.: USDA website.
38.
Shea BJ, Reeves BC, Wells G, Thuku M, Hamel C, Moran J, et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ. 2017;358:j4008. [PMC free article: PMC5833365] [PubMed: 28935701]
39.
Wells G, Shea B, O’Connell D, Peterson J, Welch V, Losos M, et al. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. Available at: http://www​.ohri.ca/programs​/clinical_epidemiology/oxford.asp, accessed 18 October 2020.
40.
Cillekens B, Lang M, van Mechelen W, Verhagen E, Huysmans M, van der Beek A, et al. How does occupational physical activity influence health? An umbrella review of 23 health outcomes across 158 observational studies. Br J Sports Med. 2020:54(24):1479–86. [PubMed: 33239353]
41.
Lang M, Cillekens B, Verhagen E, van Mechelen W, Coenen P. Leisure time physical activity and its adverse effects on injury risk and osteoarthritis in adults: an umbrella review summarizing 14 systematic reviews. J Phys Act Health, submitted.
42.
Sherrington C, Fairhall NJ, Wallbank GK, Tiedemann A, Michaleff ZA, Howard K, et al. Exercise for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2019;1:CD012424. [PMC free article: PMC6360922] [PubMed: 30703272]
43.
Wijndaele K, Westgate K, Stephens SK, Blair SN, Bull FC, Chastin SF, et al. Utilization and harmonization of adult accelerometry data: review and expert consensus. Med Sci Sports Exerc. 2015;47(10):2129–39. [PMC free article: PMC4731236] [PubMed: 25785929]
44.
Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ. 2008;336(7650):924–6. [PMC free article: PMC2335261] [PubMed: 18436948]
45.
Balshem H, Helfand M, Schunemann HJ, Oxman AD, Kunz R, Brozek J, et al. GRADE guidelines: 3. Rating the quality of evidence. J Clin Epidemiol. 2011/01/07 ed2011. p.401–6.
46.
Pozuelo-Carrascosa DP, Cavero-Redondo I, Herraiz-Adillo A, Diez-Fernandez A, Sanchez-Lopez M, Martinez-Vizcaino V. School-based exercise programs and cardiometabolic risk factors: A meta-analysis. Pediatrics. 2018/10/20 ed2018.
47.
Eddolls WTB, McNarry MA, Stratton G, Winn CON, Mackintosh KA. High-intensity interval training interventions in children and adolescents: A systematic review. Sports Med. 2017/06/24 ed2017. p.2363–74. [PMC free article: PMC5633633] [PubMed: 28643209]
48.
Bea JW, Blew RM, Howe C, Hetherington-Rauth M, Going SB. Resistance training effects on metabolic function among youth: A systematic review. Pediatr Exerc Sci. 2017/01/05 ed2017. p.297–315. [PMC free article: PMC6240908] [PubMed: 28050919]
49.
Collins H, Fawkner S, Booth JN, Duncan A. The effect of resistance training interventions on weight status in youth: a meta-analysis. Sports Medicine – Open. 2018/08/22 ed2018. p.41. [PMC free article: PMC6102165] [PubMed: 30128805]
50.
Martin R, Murtagh EM. Effect of active lessons on physical activity, academic, and health outcomes: A systematic review. Res Q Exerc Sport. 2017;88(2):149–68. [PubMed: 28328311]
51.
Miguel-Berges ML, Reilly JJ, Moreno Aznar LA, Jimenez-Pavon D. Associations between pedometer-determined physical activity and adiposity in children and adolescents: Systematic review. Clin J Sport Med. 2017/07/14 ed2018. p. 64–75. [PubMed: 28704256]
52.
Xue Y, Yang Y, Huang T. Effects of chronic exercise interventions on executive function among children and adolescents: a systematic review with meta-analysis. Br J Sports Med. 2019/02/10 ed2019. [PubMed: 30737201]
53.
Janssen I, Leblanc AG. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act. 2010;7:40. [PMC free article: PMC2885312] [PubMed: 20459784]
54.
Cao M, Quan M, Zhuang J. Effect of high-intensity interval training versus moderate-intensity continuous training on cardiorespiratory fitness in children and adolescents: a meta-analysis. Int J Environ Res Public Health. 2019/05/06 ed2019. [PMC free article: PMC6539300] [PubMed: 31052205]
55.
Biddle SJ, Garcia Bengoechea E, Wiesner G. Sedentary behaviour and adiposity in youth: a systematic review of reviews and analysis of causality. Int J Behav Nutr Phys Act. 2017;14(1):43. [PMC free article: PMC5371200] [PubMed: 28351363]
56.
Fang K, Mu M, Liu K, He Y. Screen time and childhood overweight/obesity: a systematic review and meta-analysis. Child Care Health Dev. 2019/07/05 ed2019. p.744–53. [PubMed: 31270831]
57.
Marker C, Gnambs T, Appel M. Exploring the myth of the chubby gamer: a meta-analysis on sedentary video gaming and body mass. Soc Sci Med. 2019/07/03 ed2019. p.112325. [PubMed: 31262505]
58.
Hoare E, Milton K, Foster C, Allender S. The associations between sedentary behaviour and mental health among adolescents: a systematic review. Int J Behav Nutr Phys Act. 2016;13(1):108. [PMC free article: PMC5055671] [PubMed: 27717387]
59.
Suchert V, Hanewinkel R, Isensee B. Sedentary behavior and indicators of mental health in school-aged children and adolescents: a systematic review. Prev Med. 2015;76:48–57. [PubMed: 25895839]
60.
Stanczykiewicz B, Banik A, Knoll N, Keller J, Hohl DH, Rosinczuk J, et al. Sedentary behaviors and anxiety among children, adolescents and adults: a systematic review and meta-analysis. BMC Public Health. 2019/05/02 ed2019. p.459. [PMC free article: PMC6492316] [PubMed: 31039760]
61.
Belmon LS, van Stralen MM, Busch V, Harmsen IA, Chinapaw MJM. What are the determinants of children’s sleep behavior? A systematic review of longitudinal studies. Sleep Med Rev. 2018/12/12 ed2019. p.60–70. [PubMed: 30529431]
62.
Cliff DP, Hesketh KD, Vella SA, Hinkley T, Tsiros MD, Ridgers ND, et al. Objectively measured sedentary behaviour and health and development in children and adolescents: systematic review and meta-analysis. Obes Rev. 2016;17(4):330–44. [PubMed: 26914664]
63.
Ekelund U, Luan J, Sherar LB, Esliger DW, Griew P, Cooper A, et al. Moderate to vigorous physical activity and sedentary time and cardiometabolic risk factors in children and adolescents. [Erratum appears in JAMA. 2012 May 9;307(18):1915 Note: Sardinha L [corrected to Sardinha, L B]; Anderssen, SA [corrected to Anderson, LB]]. JAMA. 2012;307(7):704–12. [PMC free article: PMC3793121] [PubMed: 22337681]
64.
Skrede T, Steene-Johannessen J, Anderssen SA, Resaland GK, Ekelund U. The prospective association between objectively measured sedentary time, moderate-to-vigorous physical activity and cardiometabolic risk factors in youth: a systematic review and meta-analysis. Obes Rev. 2018/10/03 ed2019. p.55–74. [PubMed: 30270500]
65.
Ekelund U, Tarp J, Steene-Johannessen J, Hansen BH, Jefferis B, Fagerland MW, et al. Dose-response associations between accelerometry measured physical activity and sedentary time and all cause mortality: systematic review and harmonised meta-analysis. BMJ. 2019;366:l4570. [PMC free article: PMC6699591] [PubMed: 31434697]
66.
Blond K, Brinklov CF, Ried-Larsen M, Crippa A, Grontved A. Association of high amounts of physical activity with mortality risk: a systematic review and meta-analysis. Br J Sports Med. 2019. [PubMed: 31406017]
67.
Boyer WR, Churilla JR, Ehrlich SF, Crouter SE, Hornbuckle LM, Fitzhugh EC. Protective role of physical activity on type 2 diabetes: analysis of effect modification by race-ethnicity. J Diabetes. 2018;10(2):166–78. [PMC free article: PMC5701882] [PubMed: 28544478]
68.
Baumeister SE, Leitzmann MF, Linseisen J, Schlesinger S. Physical activity and the risk of liver cancer: a systematic review and meta-analysis of prospective studies and a bias analysis. J Natl Cancer Inst. 2019;111(11):1142–51. [PMC free article: PMC6855940] [PubMed: 31168582]
69.
Andreato LV, Esteves JV, Coimbra DR, Moraes AJP, de Carvalho T. The influence of high-intensity interval training on anthropometric variables of adults with overweight or obesity: a systematic review and network meta-analysis. Obes Rev. 2019;20(1):142–55. [PubMed: 30450794]
70.
Sultana RN, Sabag A, Keating SE, Johnson NA. The effect of low-volume high-intensity interval training on body composition and cardiorespiratory fitness: a systematic review and meta-analysis. Sports Med. 2019;49(11):1687–721. [PubMed: 31401727]
71.
Schuch FB, Stubbs B, Meyer J, Heissel A, Zech P, Vancampfort D, et al. Physical activity protects from incident anxiety: A meta-analysis of prospective cohort studies. Depress Anxiety. 2019;36(9):846–58. [PubMed: 31209958]
72.
Schuch FB, Vancampfort D, Firth J, Rosenbaum S, Ward PB, Silva ES, et al. Physical activity and incident depression: a meta-analysis of prospective cohort studies. Am J Psychiatry. 2018;175(7):631–48. [PubMed: 29690792]
73.
Brasure M, Desai P, Davila H, Nelson VA, Calvert C, Jutkowitz E, et al. Physical activity interventions in preventing cognitive decline and alzheimer-type dementia: a systematic review. Ann Intern Med. 2018;168(1):30–8. [PubMed: 29255839]
74.
Northey JM, Cherbuin N, Pumpa KL, Smee DJ, Rattray B. Exercise interventions for cognitive function in adults older than 50: A systematic review with meta-analysis. Br J Sports Med. 2018;52(3):154–60. [PubMed: 28438770]
75.
Engeroff T, Ingmann T, Banzer W. Physical activity throughout the adult life span and domain-specific cognitive function in old age: a systematic review of cross-sectional and longitudinal data. Sports Med. 2018;48(6):1405–36. [PubMed: 29667159]
76.
Rathore A, Lom B. The effects of chronic and acute physical activity on working memory performance in healthy participants: a systematic review with meta-analysis of randomized controlled trials. Syst Rev. 2017;6(1):124. [PMC free article: PMC5493123] [PubMed: 28666470]
77.
Gordon BR, McDowell CP, Hallgren M, Meyer JD, Lyons M, Herring MP. Association of efficacy of resistance exercise training with depressive symptoms: Meta-analysis and meta-regression analysis of randomized clinical trials. JAMA Psychiatry. 2018;75(6):566–76. [PMC free article: PMC6137526] [PubMed: 29800984]
78.
Gordon BR, McDowell CP, Lyons M, Herring MP. The effects of resistance exercise training on anxiety: a meta-analysis and meta-regression analysis of randomized controlled trials. Sports Med. 2017;47(12):2521–32. [PubMed: 28819746]
79.
Perez-Lopez FR, Martinez-Dominguez SJ, Lajusticia H, Chedraui P. Effects of programmed exercise on depressive symptoms in midlife and older women: a meta-analysis of randomized controlled trials. Maturitas. 2017;106:38–47. [PubMed: 29150165]
80.
Moore SC, Patel AV, Matthews CE, Berrington de Gonzalez A, Park Y, Katki HA, et al. Leisure time physical activity of moderate to vigorous intensity and mortality: a large pooled cohort analysis. PLoS Med. 2012;9(11):e1001335. [PMC free article: PMC3491006] [PubMed: 23139642]
81.
Arem H, Moore SC, Patel A, Hartge P, Berrington de Gonzalez A, Visvanathan K, et al. Leisure time physical activity and mortality: a detailed pooled analysis of the dose-response relationship. JAMA Intern Med. 2015;175(6):959–67. [PMC free article: PMC4451435] [PubMed: 25844730]
82.
Jakicic JM, Kraus WE, Powell KE, Campbell WW, Janz KF, Troiano RP, et al. Association between bout duration of physical activity and health: Systematic review. Med Sci Sports Exerc. 2019;51(6):1213–9. [PMC free article: PMC6527142] [PubMed: 31095078]
83.
Saint-Maurice PF, Troiano RP, Matthews CE, Kraus WE. Moderate-to-vigorous physical activity and all-cause mortality: do bouts matter? J Am Heart Assoc. 2018;7(6). [PMC free article: PMC5907548] [PubMed: 29567764]
84.
Stamatakis E, Lee IM, Bennie J, Freeston J, Hamer M, O’Donovan G, et al. Does strength-promoting exercise confer unique health benefits? A pooled analysis of data on 11 population cohorts with all-cause, cancer, and cardiovascular mortality endpoints. Am J Epidemiol. 2018;187(5):1102–12. [PubMed: 29099919]
85.
Dinu M, Pagliai G, Macchi C, Sofi F. Active commuting and multiple health outcomes: A systematic review and meta-analysis. Sports Med. 2019;49(3):437–52. [PubMed: 30446905]
86.
Martinez-Dominguez SJ, Lajusticia H, Chedraui P, Perez-Lopez FR. The effect of programmed exercise over anxiety symptoms in midlife and older women: a meta-analysis of randomized controlled trials. Climacteric. 2018;21(2):123–31. [PubMed: 29309207]
87.
Patterson R, McNamara E, Tainio M, de Sa TH, Smith AD, Sharp SJ, et al. Sedentary behaviour and risk of all-cause, cardiovascular and cancer mortality, and incident type 2 diabetes: a systematic review and dose response meta-analysis. Eur J Epidemiol. 2018;33(9):811–29. [PMC free article: PMC6133005] [PubMed: 29589226]
88.
Bailey DP, Hewson DJ, Champion RB, Sayegh SM. Sitting time and risk of cardiovascular disease and diabetes: a systematic review and meta-analysis. Am J Prev Med. 2019;57(3):408–16. [PubMed: 31377090]
89.
Ahmad S, Shanmugasegaram S, Walker KL, Prince SA. Examining sedentary time as a risk factor for cardiometabolic diseases and their markers in South Asian adults: a systematic review. Int J Public Health. 2017/03/17 ed2017. p.503–15. [PubMed: 28299392]
90.
Mahmood S, MacInnis RJ, English DR, Karahalios A, Lynch BM. Domain-specific physical activity and sedentary behaviour in relation to colon and rectal cancer risk: a systematic review and meta-analysis. Int J Epidemiol. 2017;46(6):1797–813. [PubMed: 29025130]
91.
Berger FF, Leitzmann MF, Hillreiner A, Sedlmeier AM, Prokopidi-Danisch ME, Burger M, et al. Sedentary behavior and prostate cancer: a systematic review and meta-analysis of prospective cohort studies. Cancer Prev Res (Phila). 2019;12(10):675–88. [PubMed: 31362941]
92.
Chan DSM, Abar L, Cariolou M, Nanu N, Greenwood DC, Bandera EV, et al. World Cancer Research Fund International: continuous update project-systematic literature review and meta-analysis of observational cohort studies on physical activity, sedentary behavior, adiposity, and weight change and breast cancer risk. Cancer Causes Control. 2019;30(11):1183–200. [PubMed: 31471762]
93.
Wang J, Huang L, Gao Y, Wang Y, Chen S, Huang J, et al. Physically active individuals have a 23% lower risk of any colorectal neoplasia and a 27% lower risk of advanced colorectal neoplasia than their non-active counterparts: systematic review and meta-analysis of observational studies. Br J Sports Med. 2019. [PubMed: 31296585]
94.
Bueno de Souza RO, Marcon LF, Arruda ASF, Pontes Junior FL, Melo RC. Effects of mat pilates on physical functional performance of older adults: a meta-analysis of randomized controlled trials. Am J Phys Med Rehabil. 2018;97(6):414–25. [PubMed: 29283899]
95.
Sherrington C, Fairhall N, Kwok W, Wallbank G, Tiedemann A, Michaleff Z, et al. Evidence on physical activity and falls prevention for people 1 aged 65+ years: systematic review to inform the WHO guidelines on physical activity and sedentary behaviour. J Phys Act Health, In press [PMC free article: PMC7689963] [PubMed: 33239019]
96.
da Rosa Orssatto LB, de la Rocha Freitas C, Shield AJ, Silveira Pinto R, Trajano GS. Effects of resistance training concentric velocity on older adults’ functional capacity: a systematic review and meta-analysis of randomised trials. Exp Gerontol. 2019;127:110731. [PubMed: 31505227]
97.
Du MC, Ouyang YQ, Nie XF, Huang Y, Redding SR. Effects of physical exercise during pregnancy on maternal and infant outcomes in overweight and obese pregnant women: a meta-analysis. Birth. 2019;46(2):211–21. [PubMed: 30240042]
98.
Beetham KS, Giles C, Noetel M, Clifton V, Jones JC, Naughton G. The effects of vigorous intensity exercise in the third trimester of pregnancy: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2019/08/09 ed2019. p.281. [PMC free article: PMC6686535] [PubMed: 31391016]
99.
Nakamura A, van der Waerden J, Melchior M, Bolze C, El-Khoury F, Pryor L. Physical activity during pregnancy and postpartum depression: systematic review and meta-analysis. J Affect Disord. 2019;246:29–41. [PubMed: 30576955]
100.
Mijatovic-Vukas J, Capling L, Cheng S, Stamatakis E, Louie J, Cheung NW, et al. Associations of diet and physical activity with risk for gestational diabetes mellitus: a systematic review and meta-analysis. Nutrients. 2018;10(6). [PMC free article: PMC6024719] [PubMed: 29849003]
101.
Schmitz KH, Campbell AM, Stuiver MM, Pinto BM, Schwartz AL, Morris GS, et al. Exercise is medicine in oncology: engaging clinicians to help patients move through cancer. Ca-Cancer J Clin. 2019;69(6):468–84. [PMC free article: PMC7896280] [PubMed: 31617590]
102.
Colberg SR, Sigal RJ, Yardley JE, Riddell MC, Dunstan DW, Dempsey PC, et al. Physical activity/exercise and diabetes: a position statement of the American Diabetes Association. Diabetes Care. 2016;39(11):2065–79. [PMC free article: PMC6908414] [PubMed: 27926890]
103.
Whelton PK, Carey RM, Aronow WS, Casey DEJ, Collins KJ, Dennison Himmelfarb C, et al. 2017 ACC/AHA/ AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertens Pregnancy. 2018;71:e13–e115. [PubMed: 29133356]
104.
Professional Associations for Physical Activity. Physical activity in the prevention and treatment of disease. Swedish National Institute of Public Health; 2010.
105.
Friedenreich CM, Stone CR, Cheung WY, Hayes SC. Physical activity and mortality in cancer survivors: a systematic review and meta-analysis. JNCI Cancer Spectrum, 2019. [PMC free article: PMC7050161] [PubMed: 32337494]
106.
Costa EC, Hay JL, Kehler DS, Boreskie KF, Arora RC, Umpierre D, et al. Effects of high-intensity interval training versus moderate-intensity continuous training on blood pressure in adults with pre- to established hypertension: a systematic review and meta-analysis of randomized trials. Sports Med. 2018/06/28 ed2018. p.2127–42. [PubMed: 29949110]
107.
Liu Y, Ye W, Chen Q, Zhang Y, Kuo CH, Korivi M. Resistance exercise intensity is correlated with attenuation of HbA1c and insulin in patients with type 2 diabetes: a systematic review and meta-analysis. Int J Environ Res Public Health. 2019;16(1). [PMC free article: PMC6339182] [PubMed: 30621076]
108.
Ibeneme SC, Omeje C, Myezwa H, Ezeofor SN, Anieto EM, Irem F, et al. Effects of physical exercises on inflammatory biomarkers and cardiopulmonary function in patients living with HIV: a systematic review with meta-analysis. BMC infectious diseases. 2019;19. [PMC free article: PMC6489236] [PubMed: 31035959]
109.
Poton R, Polito M, Farinatti P. Effects of resistance training in HIV-infected patients: a meta-analysis of randomised controlled trials. J Sports Sci. 2016;35:2380–9. [PubMed: 28001474]
110.
Pedro RE, Guariglia DA, Peres SB, Moraes SM. Effects of physical training for people with HIV-associated lipodystrophy syndrome: a systematic review. J Sports Med Phys Fitness. 2017;57:685–94. [PubMed: 27763579]
111.
O’Brien KK, Tynan AM, Nixon SA, Glazier RH. Effectiveness of aerobic exercise for adults living with HIV: systematic review and meta-analysis using the Cochrane Collaboration protocol. BMC Infect Dis. 2016;16. [PMC free article: PMC4845358] [PubMed: 27112335]
112.
Heissel A, Zech P, Rapp MA, Schuch FB, Lawrence JB, Kangas M, et al. Effects of exercise on depression and anxiety in persons living with HIV: A meta-analysis. J Psychosom Res. 2019;126:109823. [PubMed: 31518734]
113.
Sluik D, Buijsse B, Muckelbauer R, Kaaks R, Teucher B, Johnsen NF, et al. Physical activity and mortality in individuals with diabetes mellitus: a prospective study and meta-analysis. Arch Intern Med. 2012;172(17):1285–95. [PubMed: 22868663]
114.
Kodama S, Tanaka S, Heianza Y, Fujihara K, Horikawa C, Shimano H, et al. Association between physical activity and risk of all-cause mortality and cardiovascular disease in patients with diabetes: a meta-analysis. Diabetes Care. 2013;36(2):471–9. [PMC free article: PMC3554302] [PubMed: 23349151]
115.
Sadarangani KP, Hamer M, Mindell JS, Coombs NA, Stamatakis E. Physical activity and risk of all-cause and cardiovascular disease mortality in diabetic adults from Great Britain: pooled analysis of 10 population-based cohorts. Diabetes Care. 2014;37(4):1016–23. [PubMed: 24652727]
116.
Qiu S, Cai X, Sun Z, Zugel M, Steinacker JM, Schumann U. Aerobic interval training and cardiometabolic health in patients with type 2 diabetes: a meta-analysis. Front Physiol. 2017;8:957. [PMC free article: PMC5703832] [PubMed: 29218018]
117.
Campbell E, Coulter EH, Paul L. High intensity interval training for people with multiple sclerosis: a systematic review. Mult Scler Relat Disord. 2018/06/25 ed2018. p.55–63. [PubMed: 29936326]
118.
Manca A, Dvir Z, Deriu F. Meta-analytic and scoping study on strength training in people with multiple sclerosis. J Strength Cond Res. 2018/09/08 ed2019. p.874–89. [PubMed: 30192317]
119.
Patterson KK, Wong JS, Prout EC, Brooks D. Dance for the rehabilitation of balance and gait in adults with neurological conditions other than Parkinson’s disease: a systematic review. Heliyon. 2018/06/05 ed2018. p.e00584. [PMC free article: PMC5968140] [PubMed: 29862347]
120.
Alphonsus KB, Su Y, D’Arcy C. The effect of exercise, yoga and physiotherapy on the quality of life of people with multiple sclerosis: systematic review and meta-analysis. Complement Ther Med. 2019/04/03 ed2019. p.188–95. [PubMed: 30935529]
121.
Dos Santos Delabary M, Komeroski IG, Monteiro EP, Costa RR, Haas AN. Effects of dance practice on functional mobility, motor symptoms and quality of life in people with Parkinson’s disease: a systematic review with meta-analysis. Aging Clin Exp Res. 2017/10/06 ed2018. p. 727–35. [PubMed: 28980176]
122.
Cugusi L, Manca A, Dragone D, Deriu F, Solla P, Secci C, et al. Nordic walking for the management of people with Parkinson disease: a systematic review. Pm R. 2017/07/12 ed2017. p.1157–66. [PubMed: 28694221]
123.
Stuckenschneider T, Askew CD, Meneses AL, Baake R, Weber J, Schneider S. The effect of different exercise modes on domain-specific cognitive function in patients suffering from Parkinson’s Disease: a systematic review of randomized controlled trials. J Parkinsons Dis. 2019/02/12 ed2019. p. 73–95. [PubMed: 30741688]
124.
Stubbs B, Vancampfort D, Hallgren M, Firth J, Veronese N, Solmi M, et al. EPA guidance on physical activity as a treatment for severe mental illness: a meta-review of the evidence and position statement from the European Psychiatric Association (EPA), supported by the International Organization of Physical Therapists in Mental Health (IOPTMH). Eur Psychiatry. 2018/09/28 ed2018. p.124–44. [PubMed: 30257806]
125.
Krogh J, Hjorthoj C, Speyer H, Gluud C, Nordentoft M. Exercise for patients with major depression: a systematic review with meta-analysis and trial sequential analysis. BMJ Open. 2017/09/21 ed2017. p.e014820. [PMC free article: PMC5623558] [PubMed: 28928174]
126.
Firth J, Stubbs B, Rosenbaum S, Vancampfort D, Malchow B, Schuch F, et al. Aerobic exercise improves cognitive functioning in people with schizophrenia: a systematic review and meta-analysis. Schizophr Bull. 2016/08/16 ed2017. p.546–56. [PMC free article: PMC5464163] [PubMed: 27521348]
127.
Maiano C, Hue O, Morin AJS, Lepage G, Tracey D, Moullec G. Exercise interventions to improve balance for young people with intellectual disabilities: a systematic review and meta-analysis. Dev Med Child Neurol. 2018/09/20 ed2018. p.406–18. [PubMed: 30230530]
128.
Maiano C, Hue O, Lepage G, Morin AJS, Tracey D, Moullec G. Do exercise interventions improve balance for children and adolescents with Down Syndrome? A systematic review. Phys Ther. 2019/05/16 ed2019. p.507–18. [PubMed: 31089706]
129.
Ashdown-Franks G, Firth J, Carney R, Carvalho AF, Hallgren M, Koyanagi A, et al. Exercise as medicine for mental and substance use disorders: a meta-review of the benefits for neuropsychiatric and cognitive outcomes. Sports Med. 2019/09/22 ed2019. [PubMed: 31541410]
130.
Ding D, Lawson KD, Kolbe-Alexander TL, Finkelstein EA, Katzmarzyk PT, van Mechelen W, et al. The economic burden of physical inactivity: a global analysis of major non-communicable diseases. The Lancet. 2016;388(10051):1311–24. [PubMed: 27475266]
131.
Cecchini M, Bull F. Promoting physical activity. In: McDaid D, Sassi F, Merkur S, editors. The Economic Case for Public Health Action. Copenhagen: World Health Organization (acting as the host organization for, and secretariat of, the European Observatory on Health Systems and Policies); 2015.
132.
World Health Organization, United Nations Development Program. NCD prevention and control: a guidance note for investment cases. Geneva: World Health Organization; 2019.
133.
World Health Organization. Tackling NCDs: ‘Best buys’ and other recommended interventions for prevention and control of noncommunicable diseases. Geneva: World Health Organization; 2017.
134.
DiPietro L, Al-Ansari S, Biddle S, Borodulin K, Bull F, Buman M, et al. Advancing the global physical activity agenda: recommendations for future research by the 2020 WHO Physical Activity and Sedentary Behavior Guidelines Development Group. Int J Behav Nutr Phys Act. 2020;In press. [PMC free article: PMC7690200] [PubMed: 33239105]
135.
World Health Organization. ACTIVE: a technical package for increasing physical activity. Geneva: World Health Organization; 2018.
136.
World Health Organization. Assessing national capacity for the prevention and control of noncommunicable diseases: report of the 2019 global survey. Geneva: World Health Organization; 2020.
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