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. 2021 May 25;24(14):4718–4736. doi: 10.1017/S1368980021002184

Table 1.

Eligibility criteria for studies including in scoping review examining effect of nutrition and physical activity interventions in the general population

Inclusion criteria Exclusion criteria
Peer-review status Peer-reviewed and published in a juried publication in a peer-reviewed section within the publication Non-peer-reviewed articles, such as government reports, grey literature
Population  • Humans
• Adults (≥18 years old)
• Non- or recreational athletes (<10 h training/week)
 • Animal studies
• <18 years old
• Elite athletes (>10 h training/week)
 • Highly trained
 • Well-trained
 • Wrestling, soccer or other team sports
Setting Out-patient, community In-patient
Health status  • No diagnosed cardiometabolic diseases or mental health disorder
• At risk for or diagnosed with non-acute cardiometabolic disease
• Non-severe anxiety or depression
• Non-alcoholic fatty liver disease
• Osteoarthritis
• Sarcopenia
Persons with medical conditions that limit their generalisability to the general population, such as
• Acute, terminal or critical illnesses
• Dialysed or post-organ transplant
• Post-surgical patients
• Chronic diseases such as COPD or HIV/AIDS
• Spinal cord injury
• Cancer or studies targeting cancer survivors
• Heart failure, stroke
• Pregnancy, lactation, postpartum
• Morbidly obese (BMI >/= 40) or who have PCOS; bariatric surgery
• Active military
• IBD
• Severe and persistent mental illness
• Institutionalised (nursing home, hospitalised, prison)
Interventions/exposures  • Q1: Nutrition AND exercise counseling or coaching
• Q1: Must include some individual-level counseling or coaching
• Q1: Counseling or coaching must be provided by at least one of the following: Dietitian, Diet Tech, Nutritionist (if in country where this is dietitian-equivalent), Health Coach, Personal Trainer, Exercise Practitioner Otherwise Specified
• Q1: Nutrition counseling topics could include
 ○ Increased consumption of fruits, vegetables, whole grains, fat-free or low-fat dairy, and lean proteins
 ○ Limited consumption of Na, saturated fat, trans-fat, and sugar-sweetened food and beverages
 ○ Balanced diet plans such as Mediterranean, DASH, MyPlate
• Q1: Physical activity coaching could include
 ○ Aerobic activities that involve repeated use of large muscles, such as walking, cycling and swimming
 ○ Resistance training designed to improve physical strength
 ○ Reduction of sedentary behaviours
 ○ Optional or access to guided physical activity or exercise classes allowed
• Q2: Wearable technology and/or mobile application (app) to assess and intervene in nutrition AND physical activity
• Q3: Nutritional ergogenic aids including carbohydrate replacement, caffeine, branch-chained amino acids, creatine, collagen, multivitamins, n-3 fatty acids and exogenous ketones
 • Q1: Counseling or coaching for nutrition OR physical activity only
• Q1: Group level counseling or coaching only
• Q1: Counseling or coaching provided by: Physician, Nurse, Psychologist, Community Health Worker, Paraprofessional/Peer, any other provider not specified for included
• Q1: Nutrition counseling topics could not include special/controlled diets (e.g., low-carbohydrate diet)
• Q1: PA interventions excluded
 ○ Physical activity counseling solely focused on balance, flexibility or gait
 ○ Stress management interventions (e.g., meditation or yoga or tai chi-based interventions that have minimal aerobic or strength-building activities)
 ○ Counseling interventions aimed at fall prevention, cognitive functioning
• Q1 and Q2: Interventions or exposures that do not consider the combination of nutrition AND physical activity
• Q3: Dietary supplements other than those indicated. BCAA metabolites
Comparators Must have a comparison group that is a true control not receiving the intervention. Includes usual care, minimal intervention, attention control no intervention
Q3: Placebo controlled
No comparison group. Comparison group is an alternative intervention, with no true control
Q1: Comparison group includes counseling or coaching for nutrition only or physical activity only. Comparison group receives only group counseling for nutrition and physical activity
Q3: Not placebo controlled
Study design preferences Systematic reviews and evidence-based practice guidelines
Controlled clinical trials (RCT, non-RCT)
Q3: RCT only
Narrative reviews, commentary/letters to the editor, case studies
Observational studies, including cross-sectional studies, cohort studies
Q3: Non-RCT
Minimum study duration No limits No limits
Size of study groups ≥10 participants/group <10 participants/group
Study drop-out rate No limits No limits
Outcomes Q1–Q2: Diet and physical activity (behaviour), intermediate and health outcomes
Q3: Physical activity, anthropometric and body composition
Intermediate outcomes: Dietary intake, physical activity, body composition (FM, FFM, BMD), anthropometrics, glucose homoeostasis measures/pre-diabetes, BP, lipid profile, intermediate CVD measures (e.g., intima media thickening), CRP
Intermediate outcomes must be measured before and after the trial
Health outcomes: mortality, quality of life, CVD/events, type 2 diabetes, metabolic syndrome, malnutrition (overweight/obesity/underweight), anxiety disorders, depression, osteoarthritis, osteoporosis/osteopenia, joint pain
Outcomes other than those specified. Studies examining kinetics only
Q3: Outcomes other than physical activity, body composition or anthropometrics
Year range Primary studies: 2005–4 May 2020
Systematic reviews/meta-analyses: 2015 – May 4, 2020
Primary studies: Prior to 2005
Systematic reviews: Prior to 2015
Language Published in English language Not published in English language
Location Countries with developed economies Countries that are not economically developed(12)

BCAA, branched chain amino acid; BMD, bone mineral density; BP, blood pressure; COPD, chronic obstructive pulmonary disease; CRP, C-reactive protein; FFM, fat-free mass; FM, fat mass; IBD, irritable bowel disease; PCOS, polycystic ovarian syndrome; Q1, Question 1; Q2, Question 2; Q3, Question 3; RCT, randomised controlled trial.