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Research article
Sedentary Behaviour Among General Practitioners: A Systematic Review
Richard S. Mayne
Queen's University Belfast Centre for Public Health
Corresponding Author
ORCiD: https://orcid.org/0000-0002-9843-678X
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at BMC Family Practice.
Background
Sedentary behaviour is when someone is awake, in a sitting, lying or reclining posture and is an independent risk factor for multiple causes of morbidity and mortality. A dose-response relationship has been demonstrated, whereby increasing sedentary time corresponds with increasing mortality rate. This study aimed to identify current levels of sedentary behaviour among General Practitioners (GPs), by examining and synthesising how sedentary behaviour has been measured in the primary care literature.
Methods
A systematic review was conducted to identify studies relating to levels of sedentary behaviour among GPs. Searches were performed using Medline®, Embase®, PscycINFO, Web of Science and the Cochrane Library, from inception of databases until January 2020, with a subsequent search of grey literature. Articles were assessed for quality and bias, with extraction of relevant data.
Results
The search criteria returned 1707 studies. 34 full texts were reviewed and 2 studies included in the final review. Both were cross-sectional surveys using self-reported estimation of sedentary time within the International Physical Activity Questionnaire (IPAQ). Keohane et al. examined GP trainees and GP trainers in Ireland. 60% reported spending in excess of 7 hours sitting each day, 24% between 4 and 7 hours, and 16% less than or equal to 4 hours. Suija et al. examined female GPs in Estonia. The mean reported daily sitting time was 6 hours and 36 minutes, with 56% sitting for over 6 hours per day. Both studies were of satisfactory methodological quality but had a high risk of bias.
Conclusion
There is a paucity of research examining current levels of sedentary behaviour among GPs. Objective data is needed to determine GPs’ current levels of sedentary behaviour, particularly in light of the increase in remote consulting as a result of the COVID-19 pandemic.
Keywords
General practice, primary care, sedentary behaviour, systematic review, physical activity
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- AdditionalFile1NewcastleOttawaScale.docx
Additional file 1: Critical appraisal tool for cross-sectional studies. Modified from the Newcastle-Ottawa Quality Assessment Scale for Cohort Studies.
- PRISMA2009checklist.doc
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On 02 Nov, 2020
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Reviewer #2 agreed
On 23 Sep, 2020
Review #1 received
Received 17 Sep, 2020
Reviewer #1 agreed
On 31 Aug, 2020
Editor assigned
On 07 Jul, 2020
Reviewers invited
Invitations sent on 07 Jul, 2020
Submission checks complete
On 02 Jul, 2020
Editor invited
On 02 Jul, 2020
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Subject Areas
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This preprint is under consideration at BMC Family Practice. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Sedentary Behaviour Among General Practitioners: A Systematic Review
Richard S. Mayne
Queen's University Belfast Centre for Public Health
Corresponding Author
ORCiD: https://orcid.org/0000-0002-9843-678X
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
Version 3
Posted 29 Dec, 2020
Version (no preprint)
Posted 02 Dec, 2020
Editor assigned
On 02 Dec, 2020
Submission checks complete
On 02 Dec, 2020
Editor invited
On 02 Dec, 2020
This version was not preprinted
No comments provided
Editorial decision: Minor revision
On 29 Nov, 2020
Review #1 received
Received 24 Nov, 2020
Reviewer #2 agreed
On 03 Nov, 2020
Review #2 received
Received 03 Nov, 2020
Reviewers invited
Invitations sent on 02 Nov, 2020
Reviewer #1 agreed
On 02 Nov, 2020
Editor assigned
On 01 Nov, 2020
Submission checks complete
On 01 Nov, 2020
Editor invited
On 01 Nov, 2020
No comments provided
Editorial decision: Major revision
On 08 Oct, 2020
Review #2 received
Received 07 Oct, 2020
Reviewer #2 agreed
On 23 Sep, 2020
Review #1 received
Received 17 Sep, 2020
Reviewer #1 agreed
On 31 Aug, 2020
Editor assigned
On 07 Jul, 2020
Reviewers invited
Invitations sent on 07 Jul, 2020
Submission checks complete
On 02 Jul, 2020
Editor invited
On 02 Jul, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
General Practice
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at BMC Family Practice.
Background
Sedentary behaviour is when someone is awake, in a sitting, lying or reclining posture and is an independent risk factor for multiple causes of morbidity and mortality. A dose-response relationship has been demonstrated, whereby increasing sedentary time corresponds with increasing mortality rate. This study aimed to identify current levels of sedentary behaviour among General Practitioners (GPs), by examining and synthesising how sedentary behaviour has been measured in the primary care literature.
Methods
A systematic review was conducted to identify studies relating to levels of sedentary behaviour among GPs. Searches were performed using Medline®, Embase®, PscycINFO, Web of Science and the Cochrane Library, from inception of databases until January 2020, with a subsequent search of grey literature. Articles were assessed for quality and bias, with extraction of relevant data.
Results
The search criteria returned 1707 studies. 34 full texts were reviewed and 2 studies included in the final review. Both were cross-sectional surveys using self-reported estimation of sedentary time within the International Physical Activity Questionnaire (IPAQ). Keohane et al. examined GP trainees and GP trainers in Ireland. 60% reported spending in excess of 7 hours sitting each day, 24% between 4 and 7 hours, and 16% less than or equal to 4 hours. Suija et al. examined female GPs in Estonia. The mean reported daily sitting time was 6 hours and 36 minutes, with 56% sitting for over 6 hours per day. Both studies were of satisfactory methodological quality but had a high risk of bias.
Conclusion
There is a paucity of research examining current levels of sedentary behaviour among GPs. Objective data is needed to determine GPs’ current levels of sedentary behaviour, particularly in light of the increase in remote consulting as a result of the COVID-19 pandemic.
Figure 1
Figure 2