Some evidence of benefit in face-to-face interventions for promoting physical activity

Clinical question: 
How effective are face-to-face interventions for promoting physical activity in community-dwelling adults?
Bottom line: 
Compared with placebo, minimal or no interventions, face-to-face interventions successfully supported adults' attempts to become active and fitter (eg, with personal counselling and advice, feedback and offering choices of exercise, and supervision). Outcomes (self-reported physical activity, cardiovascular fitness) were improved if the intervention comprised a specified type of physical activity and was supervised by a non-health professional using a combination of group and individual approaches. New physical activity could be maintained for up to at least 1 year and did not increase the risk of falls or exercise-related injuries.
Caveat: 
Owing to the clinical and statistical heterogeneity of the studies, only limited conclusions could be drawn about the effectiveness of individual components of the interventions. The long-term impact, cost effectiveness and rates of adverse events for these interventions were not established because the majority of studies stopped after 12 months.
Context: 
Participating in insufficient amounts of physical activity leads to an increased risk of a number of chronic diseases, and physical and mental health problems. Regular physical activity should be a goal for all adults and can provide social, emotional and physical health benefits. The majority of adults are not active at recommended levels.
Review CD#: 
CD010392
PEARLS No: 
416
Date: 
January, 2014
Authored by: 
Brian R McAvoy