Adequacy Of Physical Activity Research Articles

Quick, Effective Screening Tasks Identify Children With Medical Conditions or Disabilities Needing Physical Literacy Support.

This study evaluated screening tasks able to identify children with medical conditions or disabilities who may benefit from physical literacy. Children completed ≤20 screening tasks during their clinic visit and then the Canadian Assessment of Physical Literacy (2nd edition) at a separate visit. Total Canadian Assessment of Physical Literacy scores <30th percentile were categorized as potentially needing physical literacy support. Receiver operator characteristic curves identified assessment cut points with 80% sensitivity and 40% specificity relative to total physical literacy scores. 223 children (97 girls; 10.1 [2.6]y) participated. Physical activity adequacy, predilection, and physical competence achieved ≥80% sensitivity and ≥40% specificity in both data sets. Adequacy ≤ 6.5 had 86% to 100% sensitivity and 48% to 49% specificity. Daily screen time >4.9hours combined with Adequacy ≤6.15 had 88% to 10% sensitivity and 53% to 56% specificity. Activity adequacy, alone or with screen time, most effectively identified children likely to benefit from physical literacy support. Adequacy and screen time questionnaires are suitable for clinical use. Similar results regardless of diagnosis suggest physical competence deficits are not primary determinants of active lifestyles. Research to enhance screening specificity is required.

Raising Awareness Towards Underdiagnosed Renal Hypouricemia: A Case Report

Renal hypouricemia (RHUC) is an autosomal recessive disease caused by the dysfunction of uric acid (UA) transporters in the proximal tubule causing increased fractional excretion of uric acid (FEUA). It is associated with mutations of SLC22A12 that codifies for URAT1, involved in RHUC type 1, or SLC2A9 which codifies for GLUT9 and is involved in RHUC type 2. We present the case of a man diagnosed with RHUC type 2 following hospitalization for acute kidney injury (AKI). A 43-year-old was hospitalized due to AKI after a 20 km walk at an outdoor temperature of 30°C. On the objective examination, he was dehydrated. Blood tests presented severe azotemia (creatininemia 16.43 mg/dL, uremia 254 mg/dL), UA 3.6 mg/dL, fosfatemia 6 mg/dL, Na 138 mEq/L, K 4.2 mEq/L, Cl 102 mEq/l, arterial gasometry with pH 7.35, pCO2 36 mmHg, HCO3 20 mmol/L, lactates 1.4 mmol/L. Urine test with proteinuria and unremarkable sediment. His kidneys had foci of microlithiasis. He started vigorous fluid therapy and sustained improvement in renal function was seen, with no need for renal function replacement therapy. The subsequent evaluation showed hypouricemia &lt;1.5 mg/dL and FEUA of 32.5% (normal range 5.5%-8.5%). The molecular study identified the variant c.1221del p.(His407Glnfs*8) in the SLC2A9 gene in homozygosis, which established the diagnosis of RHUC type 2. This case highlights the importance of recognizing hereditary RHUC to prevent its manifestations, including exercise-induced AKI, nephrolithiasis, nephrocalcinosis, and more rarely, progression to stage 5 CKD. Its diagnosis should be considered in individuals with serum UA &lt;2 mg/dL and elevated FEUA. Additionally, it should be confirmed by the identification of mutations in homozygous or compound heterozygous in SLC22A12 or SCL2A9. Treatment includes xanthine oxidoreductase inhibitors and adequacy of physical activity. The use of uricosuric antihypertensive drugs whose mechanism of action involves blocking the URAT1 transporter should be avoided.

Relationship of Physical Activity and Blood Pressure: Data Analysis of the Integrated Non-Communicable Diseases Development Post (Posbindu PTM) Jenggawah Public Health Center in Jember Regency at 2020

Physical activity is one of the factors that can affect the incidence of hypertension. Individuals who lack physical activity will be at risk for hypertension. Therefore, this study aimed to identify the relationship between physical activity and blood pressure participants in non-communicable diseases of integrated development post (Posbindu PTM) Jenggawah Public Health Center, Jember. The retrospective case-control study design was used to analyze secondary data of Posbindu PTM registered from September to November 2020 among 126 participants. Characteristics of participants (age, gender, education, marital and occupational status), physical activity, and blood pressure were measured based on the health chart (KMS) of Posbindu PTM. Among 126 participants in Posbindu PTM identified 58% of having adequate activity and 60% of normal blood pressure. Meanwhile, there was a relationship between physical activity and the blood pressure of Posbindu PTM (χ2=5.795; p-value=0.016). Furthermore, Posbindu PTM participants who had enough physical activity were 0.4 times maintaining the blood pressure (OR: 0.411; 95% CI = 0.198-0.853). Physical activity is correlated with blood pressure among participants in Posbindu PTM. Therefore, the adequacy of physical activity should be improved to maintain blood pressure and prevent the risk of hypertension.

English

BACKGROUND Obesity is one of the serious public health challenges of the 21st century. Studies in urban India showed that overweight / obesity among adolescents varied from 10.45 % to 21 %. Obesity / overweight is a major risk factor for no communicable disease and some cancers. We wanted to determine the prevalence of obesity and related lifestyle behaviour among the adolescent students. METHODS A descriptive study was carried out among adolescent students in an urban area of West Bengal. BMI was assessed according to WHO growth reference for school children (5 - 19 years). Food frequency data and pattern of physical activity was recorded based on GSHS. Adequacy of physical activity was assessed based on set WHO criteria. Data was collected with a self-administered structured schedule. Anthropometric measurements and record review were done. RESULTS 3.5 % were obese. 12.6 % were overweight, 75.3 % were of normal weight, 8.6 % were thin. Daily consumption of vegetables, milk and fruits were 58.1 %, 31.1 % and 9.3 % respectively. Consumption of carbonated soft drink and fast food was low. All consumed iodised salt and 18.2 % consumed extra salt. 23.9 % of the students performed the recommended physical activity. 46 % student used computer, 53.2 % used mobile. Most watched TV. Overweight / obesity was significantly related to type of family, vegetable consumption and history of chronic diseases in the family. CONCLUSIONS About 16.1 % of the students were overweight / obese. Physical activity and dietary pattern were not satisfactory. A substantial number of students used computer, mobile and watched TV. Thus, promotion for intake of healthy diet, adequate physical activity, and regular health check-up is recommended. KEYWORDS Adolescent Students, Lifestyle, Obesity, Urban

A strategy to promote population-wide life satisfaction while advancing equity.

To develop a strategy to promote life satisfaction with equity for a diverse insured population. Cross-sectional survey and claims analysis. We conduct an ongoing survey of a stratified random sample of adult plan members. Among other questions, the survey asks about adequacy of physical activity, healthy eating, abstinence from tobacco, limited alcohol consumption, adequate sleep, and whether the respondent takes time to think about the good things that happen to them (hereafter referred to as "healthy thinking"). We assessed the association of demographic characteristics and the 6 behaviors with life satisfaction. We found that although all 6 behaviors were positively associated with life satisfaction, healthy thinking was the behavior associated with the greatest difference in life satisfaction between individuals who did and those who did not practice the behavior. We also found that although members insured through Medicaid or who had a psychosocial diagnosis tended to report significantly lower levels of life satisfaction, two-thirds of the opportunity to improve life satisfaction across the member population was among individuals with neither of these attributes. The most effective strategy to promote both overall life satisfaction and equity will address social determinants for members with unmet social needs, provide the behavioral and mental health services that benefit members with these needs, and promote healthy lifestyles with an emphasis on healthy thinking for the entire population.

Effects of Physical Activity Adequacy Mindsets on Health and Wellbeing

Effects of Physical Activity Adequacy Mindsets on Health and Wellbeing

A cross-sectional study exploring the relationship between age, gender, and physical measures with adequacy in and predilection for physical activity

BackgroundPhysical literacy is a complex construct influenced by a range of physical, behavioural, affective, and cognitive factors. Researchers are interested in relationships among these constituent factors. The purpose of this study was to investigate how age, gender, and physical competence components of physical literacy relate to a child’s adequacy in and predilection for physical activity.MethodsA sample of 8530 Canadian youth (50% girl) aged 8.0 to 12.9 years participated in the study. Participants completed the Canadian Assessment of Physical Literacy (CAPL) protocol, which assesses physical literacy in four domains: Physical Competence, Daily Behaviour, Motivation and Confidence, and Knowledge and Understanding. Stepwise multiple regression analyses were conducted to investigate the relationship between physical competence components of physical literacy (Progressive Aerobic Cardiovascular Endurance Run [PACER], Canadian Agility and Movement Skill Assessment [CAMSA], sit and reach, handgrip, plank, and body mass index) and children’s perceived adequacy and predilection toward physical activity as measured by subscales from the Children’s Self-Perceptions of Adequacy in and Predilection for Physical Activity scale (CSAPPA).ResultsThe variable most strongly associated with adequacy and predilection was the PACER shuttle run score. The PACER accounted for 10.9% of the variance in adequacy and 9.9% of the variance in predilection. Participants’ age was inversely related to adequacy (β = − 0.374) and predilection (β = − 0.621). The combination of other variables related to adequacy brought the total variance explained to 14.7%, while the model for predilection explained a total of 13.7%.ConclusionsResults indicate an association between cardiorespiratory fitness and measures of physical activity adequacy and predilection. These findings suggest that practitioners should consider the physiological and psychological makeup of the child, and ways to enhance adequacy and predilection among children with limited cardiorespiratory fitness, in order to create the best possible environment for all children to participate in physical activity.

Perceptions of barriers and facilitators in physical activity participation among women in Thiruvananthapuram City, India.

Despite the known benefits of physical activity, very few people, especially women, are found to engage in regular physical activity. This study explored the perceptions, barriers and facilitators related to physical activity among women in Thiruvananthapuram City, India. Four focus group discussions were conducted among individuals between 25 and 60 years of age, in a few areas of Thiruvananthapuram City Corporation limits in Kerala, preparatory to the design of a physical activity intervention trial. An open-ended approach was used and emergent findings were analyzed and interpreted. Women associated physical activity mostly with household activities. The majority of the women considered their activity level adequate, although they engaged in what the researchers concluded were quite low levels of activity. Commonly reported barriers were lack of time, motivation, and interest; stray dogs; narrow roads; and not being used to the culture of walking. Facilitators of activity were seeing others walking, walking in pairs, and pleasant walking routes. Walking was reported as the most feasible physical activity by women. Physical activity promotion strategies among women should address the prevailing cultural norms in the community, and involve social norming and overcoming cultural barriers. They should also target the modifiable determinants of physical activity, such as improving self-efficacy, improving knowledge on the adequacy of physical activity and its recommendations, facilitating goal-setting, and enhancing social support through peer support and group-based activities.

ELEMENTARY SCHOOL CHILDREN AFTER FONTAN PERCEIVE MORE BARRIERS TO PHYSICAL ACTIVITY THAN HEALTHY PEERS

Children after Fontan are less physically active than their healthy peers. This study evaluated adequacy, predilection, and perceived benefits and barriers for physical activity of children after Fontan compared to healthy peers. Cross-sectional comparison of 64 patients (39% female) who were 5.7±2.0 years after Fontan completion with 2985 peers (52% female) assessed at local schools. All children were 6 to 12 years of age (mean: 10.1±1.2 years). Ratio of perceived benefits to barriers for physical activity was calculated (Garcia, 1995). Physical activity adequacy and predilection were assessed with the Children’s Self-Perceived Adequacy and Predilection for Physical Activity Scale (Hay, 1992). Difference in scores (patient vs peers) was evaluated with t-tests. Linear regression evaluated factors associated with benefits relative to barriers. Children after Fontan perceive more (p<.001, 95% CI: 6.6, 11.6) barriers to physical activity than healthy peers (mean±1SD of 4.5±9.8 and 13.6±9.8, respectively). Self-perceived adequacy for physical activity was also lower (p=0.01) after Fontan (mean±1SD of 20.1±4.2 and 21.8±4.4 for patients and healthy children, respectively). There was no difference between patients and healthy peers for predilection towards physical activity (mean±1SD of 27.0±5.9 and 28.5±5.9, respectively). In a multivariable model that explained 20% of the variability in the ratio of benefits:barriers, perceived benefits relative to barriers were associated with study group (patient vs healthy), adequacy and predilection but not age or sex (see Table). Children after Fontan perceive more barriers to physical activity than healthy peers despite similar levels of perceived adequacy and predilection for physical activity. Interventions to reduce perceived barriers to physical activity may increase the daily physical activity of children after Fontan.