Process description and evaluation of Canadian Physical Activity Guidelines development

Healthy Active Living and Obesity Research Group (HALO), Children's Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON, K1H 8L1 Canada. .
International Journal of Behavioral Nutrition and Physical Activity (Impact Factor: 4.11). 05/2010; 7(1):42. DOI: 10.1186/1479-5868-7-42
Source: PubMed


This paper describes the process used to arrive at recommended physical activity guidelines for Canadian school-aged children and youth (5-17 years), adults (18-64 years) and older adults (>/=65 years).
The Canadian Society for Exercise Physiology (CSEP) Physical Activity Measurement and Guidelines (PAMG) Steering Committee used the Appraisal of Guidelines for Research Evaluation (AGREE II) Instrument to inform the guideline development process. Fourteen background papers and five systematic reviews were completed. Systematic review authors appraised and synthesized the data, and proposed specific recommendations at an international consensus conference of invited experts and key stakeholders. Independently, an international panel of experts interpreted the evidence from the systematic reviews and developed recommendations following attendance at the Consensus Conference.
Using the AGREE II instrument as a guide, specific foci for each of the guidelines were defined and systematic review methodology was used to synthesize the evidence base. The expert panel, CSEP PAMG Steering Committee and methodological consultants reviewed the systematic reviews and Consensus Statement. The expert panel achieved consensus on the level of evidence informing the physical activity guidelines and developed a separate document outlining key recommendations, interpretation of the evidence and justification of each recommendation.
The CSEP and Public Health Agency of Canada followed a rigorous process to examine the evidence informing potential revisions to existing physical activity guidelines for Canadians. It is believed that this is the first physical activity guideline development process in the world to be guided and assessed by AGREE II and AMSTAR instruments.

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Available from: Andrea Tricco, Sep 09, 2014
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    • "이러한 과학적 근거자료에 따라, 세계 각국 정부의 주요보건정책 중 하나는 국가의 미래를 책임질 아동청소년의 신체활동 활성화이다. 예를 들어, 미국, 영국, 캐나다, 호주 등의 국가에서는 이러한 과학적 근거자료들을 바탕으로 신체활동이 건강에 미치는 영향에 대한 체계적 문헌고찰을 진행한 후, 신체활동가이드라인을 개발·배포한 바 있으며, 이는 지속적인 평가와 수정과정을 통하여 실생활에 적용되고 있다 (Australian Government Department of Health, 2014; Cavill et al., 2001; Sallis, Patrick and Long, 1994; Tremblay et al., 2010; U. S. "
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    ABSTRACT: The benefits of physical activity (PA) on physical and psychological health among children and adolescents are well established. Thus, promotion of physical activity is part of public health strategy in most Western countries. One of the mandates of the Korean government is to strengthen cultural and individual capacity among young people. Though some efforts (e.g., educational reform) have taken place to promote girls’ participation in PA in a school setting to achieve the mandate, the overall level of PA among girls is still insufficient. This study systematically reviewed evidence (N=47) of the correlates of PA among Korean girls aged 5-19 years using an ecological model of PA (EMPA) (Spence and Lee, 2003) as an organizing theoretical framework. Results were categorized into five levels and reviewed respectively: 1) individual factors (n=36), 2) micro-system (n=19), 3) meso-system (n=21), 4) exo-system (n=2), and 5) macro system (n=15). Self-esteem, physical self-concept, enjoyment of PA, negative perceptions on PA, body weight at the individual level; lack of facilities and proper equipments in schools, and peer relations in the micro-system; physical education (PE) curriculum (i.e., contents, evaluation, co-ed/single gender) and PE teachers (teaching style, feedback) in the meso-system, lack of time due to education and gender inequality in PE class in the macro-system appear to be the most consistent correlates of PA among Korean girls. Traditional gender roles under the influence of Confucianism and gender inequality in PE class appear to play roles in preventing girls from being physically active. It is expected that the results will provide important information to policy makers and researchers in developing effective interventions and public health strategies to promote PA among Korean girls. More theory-driven research is needed to identify correlates and determinants of a broader range of PA (e.g., habitual physical activity, active transport, organized sports) among Korean girls.
    Full-text · Article · Dec 2015
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    • "The consensus was that there already were limited resources for the release of the new CPAG let alone for constantly updating materials promoting the guidelines. The CPAG are slated for review and update every three to five years [10]. This would be optimal timing for updating the messaging recommendations as well; likely new clarification messages would be necessary at minimum. "
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    ABSTRACT: Background Few validated guidelines exist for developing messages in health promotion practice. In clinical practice, the Appraisal of Guidelines, Research, and Evaluation II (AGREE II) Instrument is the international gold standard for guideline assessment, development, and reporting. In a case study format, this paper describes the application of the AGREE II principles to guide the development of health promotion guidelines for constructing messages to supplement the new Canadian Physical Activity Guidelines (CPAG) released in 2011. Methods The AGREE II items were modified to suit the objectives of developing messages that (1) clarify key components of the new CPAG and (2) motivate Canadians to meet the CPAG. The adapted AGREE II Instrument was used as a systematic guide for the recommendation development process. Over a two-day meeting, five workgroups (one for each CPAG – child, youth, adult, older adult – and one overarching group) of five to six experts (including behavior change, messaging, and exercise physiology researchers, key stakeholders, and end users) reviewed and discussed evidence for creating and targeting messages to supplement the new CPAG. Recommendations were summarized and reviewed by workgroup experts. The recommendations were pilot tested among end users and then finalized by the workgroup. Results The AGREE II was a useful tool in guiding the development of evidence-based specific recommendations for constructing and disseminating messages that supplement and increase awareness of the new CPAG (child, youth, adults, and older adults). The process also led to the development of sample messages and provision of a rationale alongside the recommendations. Conclusions To our knowledge, these are the first set of evidence-informed recommendations for constructing and disseminating messages supplementing physical activity guidelines. This project also represents the first application of international standards for guideline development (i.e., AGREE II) to the creation of practical recommendations specifically aimed to inform health promotion and public health practice. The messaging recommendations have the potential to increase the public health impact of evidence-based guidelines.
    Full-text · Article · May 2013 · BMC Public Health
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    • "Unpublished). As such, the following inclusion criteria were employed to screen all participants for eligibility: a) female aged between 25 and 55, b) mother with one child aged 18 or younger still living in the home, c) physically active (i.e., meeting the Canadian PA Guidelines of a minimum of 150 minutes of moderate to vigorous PA per week (Tremblay et al. 2010), d) working full-time outside of the home (minimum of 30 hours/week), e) currently free from any underlying medical or mental health condition that would influence physical activity levels or impair mood. "

    Full-text · Article · Jan 2013
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