Czwikla-et-al_2021_Equity-specific effects of interventions.pdf 885,15KB
1000 Titel
  • Equity-specific effects of interventions to promote physical activity among middle-aged and older adults: results from applying a novel equity-specific re-analysis strategy
1000 Autor/in
  1. Czwikla, Gesa |
  2. Boen, Filip |
  3. Cook, Derek G. |
  4. de Jong, Johan |
  5. Harris, Tess |
  6. Hilz, Lisa K. |
  7. Iliffe, Steve |
  8. Lechner, Lilian |
  9. Morris, Richard W. |
  10. Muellmann, Saskia |
  11. Peels, Denise A. |
  12. Pischke, Claudia R. |
  13. Schüz, Benjamin |
  14. Stevens, Martin |
  15. Telkmann, Klaus |
  16. van Lenthe, Frank J. |
  17. Vanderlinden, Julie |
  18. Bolte, Gabriele |
1000 Erscheinungsjahr 2021
1000 LeibnizOpen
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2021-05-17
1000 Erschienen in
1000 Quellenangabe
  • 18:65
1000 FRL-Sammlung
1000 Copyrightjahr
  • 2021
1000 Lizenz
1000 Verlagsversion
  • |
  • |
1000 Ergänzendes Material
  • |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • BACKGROUND: Reducing inequalities in physical activity (PA) and PA-associated health outcomes is a priority for public health. Interventions to promote PA may reduce inequalities, but may also unintentionally increase them. Thus, there is a need to analyze equity-specific intervention effects. However, the potential for analyzing equity-specific effects of PA interventions has not yet been sufficiently exploited. The aim of this study was to set out a novel equity-specific re-analysis strategy tried out in an international interdisciplinary collaboration. METHODS: The re-analysis strategy comprised harmonizing choice and definition of outcomes, exposures, socio-demographic indicators, and statistical analysis strategies across studies, as well as synthesizing results. It was applied in a collaboration of a convenience sample of eight European PA intervention studies in adults aged ≥45 years. Weekly minutes of moderate-to-vigorous PA was harmonized as outcome. Any versus no intervention was harmonized as exposure. Gender, education, income, area deprivation, and marital status were harmonized as socio-demographic indicators. Interactions between the intervention and socio-demographic indicators on moderate-to-vigorous PA were analyzed using multivariable linear regression and random-effects meta-analysis. RESULTS: The collaborative experience shows that the novel re-analysis strategy can be applied to investigate equity-specific effects of existing PA interventions. Across our convenience sample of studies, no consistent pattern of equity-specific intervention effects was found. Pooled estimates suggested that intervention effects did not differ by gender, education, income, area deprivation, and marital status. CONCLUSIONS: To exploit the potential for equity-specific effect analysis, we encourage future studies to apply the strategy to representative samples of existing study data. Ensuring sufficient representation of ‘hard to reach’ groups such as the most disadvantaged in study samples is of particular importance. This will help to extend the limited evidence required for the design and prioritization of future interventions that are most likely to reduce health inequalities.
1000 Sacherschließung
lokal Intervention
lokal Older adults
lokal Intervention-generated inequalities
lokal Physical activity
lokal Re-analysis
lokal Social inequalities
lokal Equity impact assessment
lokal Middle-aged adults
1000 Fächerklassifikation (DDC)
1000 Liste der Beteiligten
1000 Label
1000 Förderer
  1. Bundesministerium für Bildung und Forschung |
1000 Fördernummer
  1. 01EL1822B
1000 Förderprogramm
  1. -
1000 Dateien
1000 Förderung
  1. 1000 joinedFunding-child
    1000 Förderer Bundesministerium für Bildung und Forschung |
    1000 Förderprogramm -
    1000 Fördernummer 01EL1822B
1000 Objektart article
1000 Beschrieben durch
1000 @id frl:6429517.rdf
1000 Erstellt am 2021-09-28T11:04:41.156+0200
1000 Erstellt von 266
1000 beschreibt frl:6429517
1000 Bearbeitet von 317
1000 Zuletzt bearbeitet Wed Sep 29 09:18:15 CEST 2021
1000 Objekt bearb. Wed Sep 29 08:55:56 CEST 2021
1000 Vgl. frl:6429517
1000 Oai Id
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