Assessment of muscle-strengthening exercise adult participation in public health surveillance: A systematic review Shakespear-Druery, Jane Gavilán Carrera, Blanca Assessment Measurement Muscle-strenghtening exercise Public health surveillance This research has been supported by an Australian Government Research Training Program Scholarship and a University of Southern Queensland Research Training Program Stipend Scholarship. The authors wish to also thank Dr. Tricia Kelly for her support and guidance in the search strategy phase of this review. There is strong scientific evidence that muscle-strengthening exercise (i.e. use of weight machines, push‐ups, sit-ups) is independently associated with a reduced risk of multiple chronic diseases (e.g. diabetes, hypertension, cardiovascular disease). However, prevalence rates for meeting the muscle-strengthening exercise guideline (≥2 times/week) are significantly lower (~20%) than those reported to meet the aerobic physical activity guideline (e.g. walking, jogging, cycling) (~50%). It is therefore important to understand public health surveillance approaches to assess muscle-strengthening exercise. The aim of this review was to describe muscle-strengthening exercise assessment in public health surveillance. Informed by the PRISMA guidelines, an extensive keyword search was undertaken across 7 electronic data bases. We identified 86,672 possible articles and following screening (n = 1,140 in full-text) against specific inclusion criteria (adults aged ≥18 years, English, studies containing <1000 participants), extracted data from 156 manuscripts. Fifty-eight different survey systems were identified across 17 countries. Muscle-strengthening exercise frequency (85.3%), duration (23.7%) and intensity (1.3%) were recorded. Muscle-strengthening exercise questions varied significantly, with some (11.5%) requiring a singular ‘yes’ vs ‘no’ response, while others (7.7%) sought specific details (e.g. muscle groups targeted). Assessments of duration and intensity were inconsistent. Very few studies measured the validity (0.6%) and reliability (1.3%) of muscle-strengthening exercise questions. Discrepancy exists within the current assessment systems/surveys used to assess muscle-strengthening exercise in public health surveillance. This is likely to impede efforts to identify at risk groups and trends within physical activity surveillance, and to accurately assess associations between muscle-strengthening exercise and health-related outcomes. 2021-07-13T10:43:46Z 2021-07-13T10:43:46Z 2021 info:eu-repo/semantics/article Shakespear-Druery, J... [et al.] (2021). Assessment of muscle-strengthening exercise in public health surveillance for adults: A systematic review. Preventive Medicine, 148, 106566. doi:[10.1016/j.ypmed.2021.106566] http://hdl.handle.net/10481/69669 10.1016/j.ypmed.2021.106566 eng http://creativecommons.org/licenses/by-nc-nd/3.0/es/ info:eu-repo/semantics/openAccess Atribución-NoComercial-SinDerivadas 3.0 España Elsevier