The Effectiveness of Interventions to Reduce Sedentary Time in Different Target Groups and Settings in Germany: Systematic Review, Meta-Analysis and Recommendations on Interventions

Nida Mugler (), Hansjörg Baurecht, Kevin Lam, Michael Leitzmann and Carmen Jochem
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Nida Mugler: Department of Epidemiology and Preventive Medicine, University of Regensburg, 93053 Regensburg, Germany
Hansjörg Baurecht: Department of Epidemiology and Preventive Medicine, University of Regensburg, 93053 Regensburg, Germany
Kevin Lam: Department of Epidemiology and Preventive Medicine, University of Regensburg, 93053 Regensburg, Germany
Michael Leitzmann: Department of Epidemiology and Preventive Medicine, University of Regensburg, 93053 Regensburg, Germany
Carmen Jochem: Department of Epidemiology and Preventive Medicine, University of Regensburg, 93053 Regensburg, Germany

IJERPH, 2022, vol. 19, issue 16, 1-21

Abstract: Background: Sedentary behavior is an important risk factor for several chronic diseases and is associated with an increased risk of mortality. We assessed the effectiveness of interventions to reduce sedentary time in Germany and provide recommendations on interventions to reduce sedentary time in children and adults. Methods: We comprehensively searched PubMed, Web of Science and the German Clinical Trials Register up to April 2022 for intervention studies targeting sedentary behavior in Germany. We performed a systematic review and qualitative synthesis of the interventions and a meta-analysis in children. Results: We included 15 studies comprising data from 4588 participants. The results of included primary studies in adults and children showed inconsistent evidence regarding change in sedentary time, with a majority of studies reporting non-significant intervention effects. The meta-analysis in children showed an increase in sedentary time for children in the control and intervention groups. Conclusion: We found inconsistent evidence regarding the effectiveness of interventions to reduce time spent sedentary and our meta-analysis showed an increase in sedentary time in children. For children, we recommend physical and social environment interventions with an active involvement of families. For adults, we recommend physical environment interventions, such as height-adjustable desks at work.

Keywords: sedentary behavior; interventions; Germany; systematic review; meta-analysis (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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