Developing a Complex Understanding of Physical Activity in Cardiometabolic Disease from Low-to-Middle-Income Countries—A Qualitative Systematic Review with Meta-Synthesis

Physical activity behaviour is complex, particularly in low-resource settings, while existing behavioural models of physical activity behaviour are often linear and deterministic. The objective of this review was to (i) synthesise the wide scope of factors that affect physical activity and thereby (...

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Autores principales:	Martin Heine, Marelise Badenhorst, Chanel van Zyl, Gabriela Lima de Melo Ghisi, Abraham Samuel Babu, John Buckley, Pamela Serón, Karam Turk-Adawi, Wayne Derman
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	physical activity diabetes cardiovascular disease metabolic syndrome qualitative review systems thinking Medicine R
Acceso en línea:	https://doaj.org/article/cdb00616f3e6415891d084d2fa9a433e
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spelling	oai:doaj.org-article:cdb00616f3e6415891d084d2fa9a433e2021-11-25T17:49:58ZDeveloping a Complex Understanding of Physical Activity in Cardiometabolic Disease from Low-to-Middle-Income Countries—A Qualitative Systematic Review with Meta-Synthesis10.3390/ijerph1822119771660-46011661-7827https://doaj.org/article/cdb00616f3e6415891d084d2fa9a433e2021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/11977https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Physical activity behaviour is complex, particularly in low-resource settings, while existing behavioural models of physical activity behaviour are often linear and deterministic. The objective of this review was to (i) synthesise the wide scope of factors that affect physical activity and thereby (ii) underpin the complexity of physical activity in low-resource settings through a qualitative meta-synthesis of studies conducted among patients with cardiometabolic disease living in low-to-middle income countries (LMIC). A total of 41 studies were included from 1200 unique citations (up to 15 March 2021). Using a hybrid form of content analysis, unique factors (<i>n</i> = 208) that inform physical activity were identified, and, through qualitative meta-synthesis, these codes were aggregated into categories (<i>n</i> = 61) and synthesised findings (<i>n</i> = 26). An additional five findings were added through deliberation within the review team. Collectively, the 31 synthesised findings highlight the complexity of physical activity behaviour, and the connectedness between person, social context, healthcare system, and built and natural environment. Existing behavioural and ecological models are inadequate in fully understanding physical activity participation in patients with cardiometabolic disease living in LMIC. Future research, building on complexity science and systems thinking, is needed to identify key mechanisms of action applicable to the local context.Martin HeineMarelise BadenhorstChanel van ZylGabriela Lima de Melo GhisiAbraham Samuel BabuJohn BuckleyPamela SerónKaram Turk-AdawiWayne DermanMDPI AGarticlephysical activitydiabetescardiovascular diseasemetabolic syndromequalitative reviewsystems thinkingMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11977, p 11977 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	physical activity diabetes cardiovascular disease metabolic syndrome qualitative review systems thinking Medicine R
spellingShingle	physical activity diabetes cardiovascular disease metabolic syndrome qualitative review systems thinking Medicine R Martin Heine Marelise Badenhorst Chanel van Zyl Gabriela Lima de Melo Ghisi Abraham Samuel Babu John Buckley Pamela Serón Karam Turk-Adawi Wayne Derman Developing a Complex Understanding of Physical Activity in Cardiometabolic Disease from Low-to-Middle-Income Countries—A Qualitative Systematic Review with Meta-Synthesis
description	Physical activity behaviour is complex, particularly in low-resource settings, while existing behavioural models of physical activity behaviour are often linear and deterministic. The objective of this review was to (i) synthesise the wide scope of factors that affect physical activity and thereby (ii) underpin the complexity of physical activity in low-resource settings through a qualitative meta-synthesis of studies conducted among patients with cardiometabolic disease living in low-to-middle income countries (LMIC). A total of 41 studies were included from 1200 unique citations (up to 15 March 2021). Using a hybrid form of content analysis, unique factors (<i>n</i> = 208) that inform physical activity were identified, and, through qualitative meta-synthesis, these codes were aggregated into categories (<i>n</i> = 61) and synthesised findings (<i>n</i> = 26). An additional five findings were added through deliberation within the review team. Collectively, the 31 synthesised findings highlight the complexity of physical activity behaviour, and the connectedness between person, social context, healthcare system, and built and natural environment. Existing behavioural and ecological models are inadequate in fully understanding physical activity participation in patients with cardiometabolic disease living in LMIC. Future research, building on complexity science and systems thinking, is needed to identify key mechanisms of action applicable to the local context.
format	article
author	Martin Heine Marelise Badenhorst Chanel van Zyl Gabriela Lima de Melo Ghisi Abraham Samuel Babu John Buckley Pamela Serón Karam Turk-Adawi Wayne Derman
author_facet	Martin Heine Marelise Badenhorst Chanel van Zyl Gabriela Lima de Melo Ghisi Abraham Samuel Babu John Buckley Pamela Serón Karam Turk-Adawi Wayne Derman
author_sort	Martin Heine
title	Developing a Complex Understanding of Physical Activity in Cardiometabolic Disease from Low-to-Middle-Income Countries—A Qualitative Systematic Review with Meta-Synthesis
title_short	Developing a Complex Understanding of Physical Activity in Cardiometabolic Disease from Low-to-Middle-Income Countries—A Qualitative Systematic Review with Meta-Synthesis
title_full	Developing a Complex Understanding of Physical Activity in Cardiometabolic Disease from Low-to-Middle-Income Countries—A Qualitative Systematic Review with Meta-Synthesis
title_fullStr	Developing a Complex Understanding of Physical Activity in Cardiometabolic Disease from Low-to-Middle-Income Countries—A Qualitative Systematic Review with Meta-Synthesis
title_full_unstemmed	Developing a Complex Understanding of Physical Activity in Cardiometabolic Disease from Low-to-Middle-Income Countries—A Qualitative Systematic Review with Meta-Synthesis
title_sort	developing a complex understanding of physical activity in cardiometabolic disease from low-to-middle-income countries—a qualitative systematic review with meta-synthesis
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/cdb00616f3e6415891d084d2fa9a433e
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Developing a Complex Understanding of Physical Activity in Cardiometabolic Disease from Low-to-Middle-Income Countries—A Qualitative Systematic Review with Meta-Synthesis

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