Evidence map›Paper›PMID 36444111›Full record

SynthesisEuropean journal of public health2022

The Physical Activity Environment Policy Index for monitoring government policies and actions to improve physical activity.

Catherine B Woods, Liam Kelly, Kevin Volf, Peter Gelius, Sven Messing, Sarah Forberger, Jeroen Lakerveld, Nicolette R den Braver, Joanna Zukowska, Enrique García Bengoechea

Abstract readSystematic Review
In one paragraph

Synthesis in European journal of public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. The impact of public policy on socioeconomic equity in physical activity: a systematic review.The international journal of behavioral nutrition and physical activity · 2026
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  10. External Stakeholder Engagement With State Government Physical Activity Strategies: A Qualitative Exploration.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026
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  14. 'It's about collaboration': a whole-systems approach to understanding and promoting movement in Suffolk.The international journal of behavioral nutrition and physical activity · 2025
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  15. Taking a partnership approach to embed physical activity in local policy and practice: a Bradford District case study.The international journal of behavioral nutrition and physical activity · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Catherine B WoodsDepartment of Physical Education and Sport Sciences, Physical Activity for Health Research Cluster, Health Research Institute, University of Limerick, Limerick, Ireland.
Liam KellyDepartment of Physical Education and Sport Sciences, Physical Activity for Health Research Cluster, Health Research Institute, University of Limerick, Limerick, Ireland.
Kevin VolfDepartment of Physical Education and Sport Sciences, Physical Activity for Health Research Cluster, Health Research Institute, University of Limerick, Limerick, Ireland.
Peter GeliusDepartment of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Sven MessingDepartment of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Sarah ForbergerLeibniz Institute for Prevention Research and Epidemiology-BIPS, Bremen, Germany.
Jeroen LakerveldDepartment of Epidemiology and Data Science, Amsterdam UMC, VU University Amsterdam, Amsterdam Public Health Research institute, Amsterdam, The Netherlands.
Nicolette R den BraverDepartment of Epidemiology and Data Science, Amsterdam UMC, VU University Amsterdam, Amsterdam Public Health Research institute, Amsterdam, The Netherlands.
Joanna ZukowskaFaculty of Civil and Environmental Engineering, Gdansk University of Technology, Gdansk, Poland.
Enrique García BengoecheaDepartment of Physical Education and Sport Sciences, Physical Activity for Health Research Cluster, Health Research Institute, University of Limerick, Limerick, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA multifaceted response, including government action, is essential to improve population levels of physical activity (PA). This article describes the development process of the 'Physical Activity Environment Policy Index' (PA-EPI) monitoring framework, a tool to assess government policies and actions for creating a healthy PA environment.

methodsAn iterative process was undertaken. This involved a review of policy documents from authoritative organizations, a PA policy audit of four European countries, and a systematic review of scientific literature. This was followed by an online consultation with academic experts (N = 101; 20 countries, 72% response rate), and policymakers (N = 40, 4 EU countries). During this process, consensus workshops were conducted, where quantitative and qualitative data, alongside theoretical and pragmatic considerations, were used to inform PA-EPI development.

resultsThe PA-EPI is conceptualized as a two-component 'policy' and 'infrastructure support' framework. The two-components comprise eight policy and seven infrastructure support domains. The policy domains are education, transport, urban design, healthcare, public education (including mass media), sport-for-all, workplaces and community. The infrastructure support domains are leadership, governance, monitoring and intelligence, funding and resources, platforms for interaction, workforce development and health-in-all-policies. Forty-five 'good practice statements' or indicators of ideal good practice within each domain conclude the PA-EPI. A potential eight-step process for conducting the PA-EPI is described.

conclusionsOnce pre-tested and piloted in several countries of various sizes and income levels, the PA-EPI good practice statements will evolve into benchmarks established by governments at the forefront of creating and implementing policies to address inactivity.

Indexed as

GovernmentPolicyEnvironmentExerciseHumansSedentary Behavior

Identifiers

PMID36444111
PMCPMC9706113

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.