Daily Activity Behavior Research Articles

Analysis of an Infectious Disease Vaccination Prediction System Based on the MF-Conv LSTM Model

Infectious diseases can seriously threaten people's life safety and have a serious impact on social stability. Therefore, it should improve society’s stability under infectious diseases and ensure the safety of people's lives. A personnel flow feature extraction model based on Multi-Feature Convolutional Long Short-Term Memory (MF-Conv LSTM) is designed based on the characteristics of human daily activity behavior. This can optimize the accuracy of transmission simulation prediction for infectious disease vaccination. When using multi-feature ensemble analysis to extract human daily activity features as input for infectious disease simulation and prediction models, the learner's prediction score for the recurrent infectious diseases reached 0.8705. When using multi-feature ensemble analysis, the predicted scores did not exceed 0.85. The designed infectious disease vaccine transmission prediction model can accurately simulate the infectious behavior of infectious diseases. This provides direction for developing strategies to disrupt the infectious diseases’ spread. This reduces the infectious diseases’ harm to people's personal safety and improves social stability during the spread of large-scale infectious diseases.

Role of Satisfaction with Life, Sex and Body Mass Index in Physical Literacy of Spanish Children.

Physical activity (PL) is essential to achieve good health, prevent cardiovascular diseases, obesity and overweight, as well as to achieve a better quality of life. Therefore, PL could become the tool to increase the practice of physical activity among young people, thus increasing life satisfaction (LS) given its positive relationship with physical activity. A single-measure cross-sectional correlational study was carried out, involving 135 children aged 8-12 years from Extremadura. They were administered the SWLS questionnaire and the Canadian assessment of physical literacy (CAPL-2). Significantly higher levels of PL (p = 0.010) were found in normal-weight children compared to overweight and obese children, due to the physical competence domain score (p < 0.001). PL was directly related to SWLS (p < 0.001), but inversely related to BMI (p = 0.018). The daily physical activity behaviour domain was explained by SWLS (p < 0.001) and sex (p < 0.001). Physical competence was described by SWLS (p < 0.001) and BMI (p = 0.045). Finally, the motivation and confidence domain were only significantly associated with SWLS (p < 0.001). It was concluded that boys and girls of normal weight achieved higher levels of PL and LS than those with overweight and obesity, establishing a negative relationship of PL with BMI and positive with LS.

First report on daily activity and feeding behavior of Javan hawk-eagle (Nisaetus bartelsi) in the protected forest of Kondang Merak Beach, Malang, Indonesia

Abstract. Ilmi AR, Luthfi M, Elfidasari D, Hidayat YS, Prawiradilaga DM. 2023. First report on daily activity and feeding behavior of Javan hawk-eagle (Nisaetus bartelsi) in the protected forest of Kondang Merak Beach, Malang, Indonesia. Biodiversitas 24: 6770-6779. The Javan Hawk-Eagle (JHE) (Nisaetus bartelsi) is an endemic bird of prey (raptor) on Java Island that is increasingly threatened due to land conversion, habitat destruction, and illegal hunting. These factors have led to its classification as a critically endangered species. There is a need to monitor one of the natural conservation areas in the southern region of East Java, namely the protected forest of Kondang Merak Beach, which serves as a habitat for Javan hawk-eagle to preserve the existence of this species. Therefore, this research aimed to understand and identify the daily activity and feeding behavior of Javan hawk-eagle in the protected forest of Kondang Merak Beach, Malang, East Java. The implication of this research is to provide ecological data for further research and disseminate information to the community to support conservation efforts of Javan hawk-eagle species in the protected forest of Kondang Merak Beach area. The methods used included field surveys, observation of daily activity and feeding behavior, collection of daily temperature data, habitat assessment, disturbance assessment, and interviews. Based on the observation of daily activity, the percentage of perching behavior was 71%, while flying behavior was 29%. The peak flying activity occurred between 9:00 and 12:00. Environmental factors such as temperature, rainfall, and human activities influenced daily activity in the conversation area. The observation of feeding behavior showed that the highest frequency belonged to the category of 23 occurrences, where the peak occurred between 14:00 and 17:00. Furthermore, the activity was affected by nesting seasons and the presence of other raptor species besides Javan hawk-eagle.

Development of Character Education in the PAUD Curriculum through Getting Used to Simplified Kromo Javanese at the SELASIH Banyuwangi Kindergarten

This research aims to determine the character cultivation program for early childhood through familiarization with simple Javanese Kromo language for early childhood at Selasih Kindergarten, Grajagan Village, District. Purwoharjo, Banyuwangi Regency. In practice, this habituation program is carried out on a scheduled or incidental basis every day. In this research, the method used is a qualitative method through general steps, namely problem identification, planning, implementation, reporting and follow-up. Overall, the results of this research show that the simple Javanese Kromo language familiarization program at the SELASIH Purwoharjo Banyuwangi Kindergarten can form students' attitudes of character and love of the homeland through the introduction and habituation of local culture, one of which is simple Javanese language culture for PAUD children. The character that is formed is language, polite attitudes and behavior towards friends, teachers and parents as well as love for one's culture. In its implementation, support from teachers, teaching programs, and parents is the key to success in implementing this habituation activity program. Because PAUD children are great imitators, PAUD teachers must be models who are able to teach character values regarding language and polite and polite behavior in daily learning activities.

Portrait of Islamic Economic Literacy on Students of Department Sharia Economics IAIN Kerinci

This study aims to investigate the level of Islalmic Economic Literacy (IEL) among students of the Department of Sharia Economics (DSE) Institut Agama Islam Negeri Kerinci (IAIN Kerinci). Investigation IEL levels in terms knowledge, understanding, and ability to apply attitudes (actions) from Islamic economics material that has been stuDSEd into everyday life. The research data comes from primary data collected using the Miles and Huberman model as a qualitative data analysis tool. This study shows that the level of IEL among students DSE IAIN Kerinci is in the pretty good category. This is evidenced by the fact that there are still many students who lack knowledge and understanding of Islamic economics material. Even though academic achievement or Grade Point Average (GPA) is above 3.50. It was even found that a higher GPA still lacks knowledge and understanding compared to a low GPA. Even though knowledge and understanding are still very minimal, the ability to apply attitudes (behavior) in daily economic activities has been applied in accordance with Islamic economics. This study can be the target of related parties to focus their full attention on increasing IEL in students DSE IAIN Kerinci. This study can also contribute to the reading of Islamic economics literature and the study of IEL, and at the same time, it opens up the door for further research.

Validity of the German Version of Daily Activity Behaviours Questionnaire Among Older Adults.

Time spent in physical activity, sedentary behavior, and sleep collectively impact health of older adults. There is a need for valid self-reported methods for the assessment of movement behaviors across the entire 24-hr day. The aim of this study was to explore the validity of the German version of Daily Activity Behaviours Questionnaire (DABQ), the "Schlaf- und Aktivitätsfragebogen (SAF)," among older adults. Participants were asked to wear activity monitor (activPAL) for a period of 8days and to complete the German version of DABQ. Seventy-seven participants (45 females; 68 ± 5years of age) completed the protocol. Spearman's correlation coefficients between DABQ and activPAL estimates for time spent in sleep, sedentary behavior, light physical activity, and moderate to vigorous physical activity were .69, .35, .24, and .52, respectively. The German version of the DABQ showed satisfactory validity to be used in epidemiological research and population surveillance among older adults.

Hubungan Cyberloafing Behavior Dengan Organizational Commitment Pada Pegawai Di Puskesmas

Health centers are one of the important service aspects for the community. All employees who work at the health center must always be ready to provide the best service starting from doctors, nurses, administrative staff, pharmacists, and cleaning services. Cyberloafing behavior is categorized as disciplinary behavior, the division of employee concentration between work and cyberloafing behavior has an impact on piling up work, low work productivity, poor work quality, can interfere with the smooth work process and slow public services so that it will have a negative impact on the image of the organization. In the process, good organizational commitment is needed so that a puskesmas goal of serving patients maximally can be achieved by reducing deviant behaviors that exist in organizations such as cyberloafing behavior. This research is a quantitative study using a cross sectional study design. With the dependent variable being organizational commitment while the independent variable is cyberloafing behavior. The research was conducted in June 2023 at one of the health centers in Padang City. The population and sample of this study were all employees totaling 49 people using a questionnaire instrument. Data were analyzed univariately by looking at the frequency distribution table and bivariate analysis using the ChiSquare test.Based on the results of the research conducted, almost half of the respondents did cyberloafing behavior and more than half of the respondents had employee commitment. The statistical test results obtained p = 0.023, meaning that there is a significant relationship between cyberloafing behavior and organizational commitment It is recommended that the Puskesmas begin to socialize the impact of cyberloafing behavior in daily employee work activities.

Going concern SMEs in Covid-19 pandemic era

This article objectives to explore a new insight related to a way of SMEs in Indonesia to survive during pandemic Covid-19, location at Depok city, in West Java Province. As we knowed, there are so many business entity impacted in this situation of Covid-19 pandemic, where the business entity should agreed to tight health protocol related to maintain the health of community. The consequencies of pandemic condition to community should have a new daily activity behavior in the new normal era and could handle the business from home and stay at home, reduced mobility and wear mask during out door activity. Fortunately, era 4.0 and society 5.0 famous with digitalization transformation in the various aspects in the society behavior. The digitalization transformations provide an opportunity to business entity going concern by doing virtual business and promoting their products through online tools to borderless country. This article try to answer the questions through qualitative method and descriptive analysis approach to explore and confirmed those answering. Indepth interview to some key informants such as SMEs actor, customer or SMEs products and also the regulator body. The study revealed the collaboration among SMEs actor to produce and market their product through digitalization be a the best way and a key of success to survive in the era covid-19 pandemic. Collaboration tends to achieved economic efficiency in running business.

Activity behaviors and relative changes in activity patterns recorded by precision technology were associated with diarrhea status in individually housed calves

The objective of this case-control study was to quantify if there was an association of daily activity behaviors and relative changes in activity patterns (lying time, lying bouts, step count, activity index) with diarrhea status in preweaned dairy calves. Individually housed calves sourced from auction were health scored daily for signs of diarrhea (fecal consistency loose or watery for 2 consecutive d) for the 28 d after arrival. Calves with diarrhea were pair matched to healthy controls (n = 13 matched by arrival date, arrival weight, and diagnosis d to diarrheic calves). Mixed linear regression models were used to evaluate the association of diarrhea status, and the diarrhea status by day interaction with activity behaviors (d -3 to d 4) and relative changes in activity patterns (d -3 to d 4) relative to diagnosis of a diarrhea bout. The serum Brix % at arrival and daily THI from the calf barn were explored as quantitative covariates, with d as a repeated measure. The baseline for relative changes in activity patterns was set at 100% on d 0. Diarrheic calves were less active; they averaged less steps (119.1 ± 18.81 steps/d) than healthy calves (227.4 ± 18.81 steps/d, LSM ± SEM). Diarrheic calves also averaged lower activity indices (827.34 ± 93.092 daily index) than healthy calves (1396.32 ± 93.092 daily index). There was also a diarrhea status by day interaction for lying time on d -3, with diarrheic calves spending more time lying (20.80 ± 0.300 h/d) than healthy calves (19.25 ± 0.300 h/d). For relative changes in activity patterns, there was a diarrhea status by day interaction on d -2, where diarrheic calves had greater relative changes in step counts (diarrhea 634.85 ± 87.581% vs. healthy 216.51 ± 87.581%) and activity index (diarrhea 316.83 ± 35.692% vs. healthy 150.68 ± 35.692%). Lying bouts were not associated with diarrhea status. These results show that diarrheic calves were more lethargic, and they had relative changes in activity patterns -2 d before clinical signs of diarrhea. Future research should explore the potential of an activity alert which positively indicates an individually housed calf at-risk for a diarrhea bout using deviations from relative changes in individual calf activity patterns.

Perilaku Perokok Terhadap Kesadaran Kesehatan Lingkungan Dalam Perspektif Fatwa Mui

One of the public health problems is smoking behavior that occurs in various circles of society in Indonesia, including among students or high school students, therefore it is necessary to conduct counseling to provide awareness of the dangers of smoking to health. The purpose of this community service activity is so that students understand efforts to anticipate the catastrophe of smoking on health, also able to disseminate it to the family environment, learning environment and community. The stages of the community service method are carried out with Preparation, Implementation and Evaluation activities. Furthermore, the acquisition of service activities is conveyed descriptively and narratively. The results of the service activities showed that the measurement results before the counseling activities of the participants gave an understanding value of 80.88% from 130 participants. There are 15 question points, the most wrong answer responses to questions related to the catastrophe of smoking, smoking behavior in daily association and activities that are beneficial to support physical health. After the presentation of the material, measurements were made with the same questionnaire before counseling with the aim of knowing the transformation of students' knowledge after getting advice and counseling. The measurement results gave a value of 95.50% from 130 participants. There was an increase in knowledge by 14.62%. It is recommended that the school conduct further guidance in the field of public health on an ongoing basis so that students can be trained to become facilitators or health agents both at school and in their place of residence and also increase the role of school health efforts (UKS) in following up on various health problems that can be handled including smoking at school and according to an Islamic perspective, Smoking law is widespread in today's society, namely makruh. This then motivates smokers to justify their actions assuming acceptance of religion is that in Islam cigarette consumption does not occur including something illegal. As most of you probably know Indonesians follow Islam, which also means the majority of smokers are Muslims. In addition, it was later announced that smoking laws were haram (Purnawan et al. 2022).

Caregivers' Perspectives on the Impact of Cannabidiol (CBD) Treatment for Dravet and Lennox-Gastaut Syndromes: A Multinational Qualitative Study.

To increase understanding of the impact of cannabidiol (CBD) on outcomes beyond seizure control among individuals with Dravet syndrome or Lennox-Gastaut syndrome. Qualitative interviews were conducted with caregivers of individuals with Dravet syndrome or Lennox-Gastaut syndrome treated with plant-derived, highly purified CBD medicine (Epidiolex in the USA; Epidyolex in Europe; 100 mg/mL oral solution). Symptoms and impacts of Dravet syndrome and Lennox-Gastaut syndrome on individuals were explored, as were the effects of CBD. Data were analyzed using thematic analysis. Twenty-one caregivers of individuals with Dravet syndrome (n = 14) and Lennox-Gastaut syndrome (n = 7) aged 4-22 years participated. Health-related quality of life improvements associated with CBD included cognitive function, communication, behavior, mobility, and participation in daily activities. Seizure frequency reduction was commonly reported (n = 12), resulting in caregivers having greater freedom and family life being less disrupted. Adverse events were reported by 10 caregivers. In addition to reduced seizure frequency, CBD may have a wide range of beneficial effects beyond seizure control that warrant further investigation.

Impact of ambient air pollution on physical activity and sedentary behavior in children

BackgroundExposure to air pollution has become a serious environmental issue affecting children’s health and health-related behavior in China. Previous studies have focused on the associations between air pollution and physical activity among adults; however, few have examined the relationship between air pollution and health-related behavior among children, which are particularly susceptible population subgroups. The present study aims to examine the impact of air pollution on daily physical activity (PA) and sedentary behavior (SB) among children in China.MethodsPA and SB data were collected by actiGraph accelerometers for eight consecutive days. PA and SB data from 206 children were matched to daily air pollution obtained from the Ministry of Environmental Protection of the People’s Republic of China, including the average daily air quality index (AQI), PM2.5 (µg/m³), and PM10 (µg/m³). Associations were estimated using linear individual fixed-effect regressions.ResultsA 10-unit increase in daily AQI was associated with a reduction in daily PA by 5.94 (95% confidence interval [CI] = -8.79, -3.08) minutes of moderate to vigorous physical activity (MVPA) and 229.82 (95% CI = -345.35, -114.28) walking steps and an increase in daily SB by 15.77 (95% CI = 9.01, 22.53) minutes. A 10 µg/m³ increase in air pollution concentration in daily PM2.5 was associated with a reduction in daily PA by 7.51 (95% CI = -11.04, -3.97) minutes of MVPA, 295.69 (95% CI = -438.46, -152.92) walking steps and an increase in daily SB by 21.12 (95% CI = 12.77, 29.47) minutes. A 10 µg/m³ increase in air pollution concentration in daily PM10 was associated with a reduction in daily PA by 13.18 (95% confidence interval [CI] = -15.98, -10.37) minutes of MVPA, 518.34 (95% CI = -631.77, -404.91) walking steps and an increase in daily SB by 19.87 (95% CI = 13.10, 26.64) minutes.ConclusionAir pollution may discourage physical activity and increase sedentary behavior among children. Policy interventions are needed to reduce air pollution and develop strategies to decrease risks to children’s health.

Validity and reliability of the daily activity behaviours questionnaire (DABQ) for the assessment of 24-h movement behaviours among adolescents

Measurement of the time spent in sleep, sedentary behaviour, and physical activity across the full 24-h day (i.e. 24-h movement behaviours) is essential for time-use research among adolescents. However, self-reported questionnaires for the assessment of 24-h movement behaviours are scarce. The aim of this study was to examine the validity and reliability of recently developed Daily Activity Behaviours Questionnaire (DABQ) for the assessment of time spent in sleep, sedentary behaviour, light physical activity, and moderate-to-vigorous physical activity among adolescents. A convenience sample of 59 high-school students (34 female, age range: 15–18 years) was recruited. Participants were asked to complete a web-based DABQ at two occasions (two-weeks apart) to examine test-retest reliability of the DABQ, and to wear activPAL accelerometer to examine convergent validity of the DABQ. The test-retest reliability correlation coefficients (ICC) for the durations of sleep, sedentary behaviour, light physical activity, and moderate-to-vigorous physical activity were 0.49, 0.64, 0.51, and 0.66, respectively. Convergent validity correlation coefficients (Spearman’s ρ) were 0.51, 0.38, 0.25, and 0.53, respectively. Our findings are comparable with the reliability and validity of most existing sleep, sedentary behaviour, or physical activity questionnaires among adolescents. However, DABQ is one of the first validated questionnaires that resonates with the emerging 24-h movement paradigm. The observed reliability and validity are indicating satisfactory measurement properties of the DABQ to be used in time-use research among adolescents.

Association of daily and time-segmented physical activity and sedentary behaviour with mental health of school children and adolescents from rural Northeastern Ontario, Canada.

Physical activity (PA) and sedentary behaviour (SED) have been linked to the mental health of children and adolescents, yet the timing of behaviours may play a role in this relationship and clarifying this could inform interventions. We explored cross-sectional associations of PA and SED in varying time segments throughout the school day with the mental health of school-aged children and adolescents from rural Northeastern Ontario, Canada. A total of 161 students (56% female, M = 10.3 years old) wore accelerometers for 8 days (7 nights) and completed a self-report survey (parent reported for children younger than 11). Mental health was measured using the Strengths and Difficulties Questionnaire. Accelerometer-measured SED, light PA (LPA), and moderate and vigorous PA (MVPA) were estimated in the time-segments before school (06:00-08:44), school time (08:45-15:04), after school (15:05-16:59), and evenings (17:00-21:59). Associations were tested with multilevel linear regressions while adjusting for confounding factors. Students spent 72.6 min in MVPA, 209.0 min in LPA, and 621.0 min in SED per day. Daily SED was associated with less conduct problems (β = -0.27, p < 0.05). Evening LPA was inversely associated with hyperactivity (β = -1.45, p < 0.05), while SED was associated with hyperactivity and with peer problems before school (β = 1.70 and β = 1.01, respectively, p < 0.05), and during school (β = -0.83 and β = -0.57, respectively, p < 0.05). No associations were observed for MVPA, emotional symptoms, or prosocial behaviour. In conclusion, displacing SED with LPA in some specific periods of the day may benefit the mental health of students; taking this into account could strengthen interventions.

40 The Impact of Sire EBV for Growth and Feed Intake on Pig Activity Level Using Nuutrack

Abstract Feed cost accounts for two-thirds of the total cost in producing pork. The principle in reducing feed costs, without sacrificing pork output, is improving feed efficiency. To date, the two traits commonly associated with improving feed efficiency are growth and feed intake; however the impact they have on maintenance levels is unclear. Therefore, the objective of this study was to determine activity and behavior patterns of progeny using NUtrack from sires with different EBV combinations for growth and feed intake. A total of 175 pigs from four different sire groups (DNA Genetics Line 600; High Growth/High Feed Intake, HGHI; High Growth/Low Feed Intake, HGLI; Low Growth/High Feed Intake, LGHI; and Low Growth/Low Feed Intake, LGLI) were utilized at the UNL ENREC swine farm. Finisher pens were blocked by sire group and sex. Finisher exit weights were collected after 85 days, along with loin-eye area (LEA) and backfat (BF). NUtrack algorithms allowed for individual identification of pigs in a group housing setting to track daily activity behaviors including distance traveled (DIST) and time lying (LIE). Estimated marginal means were processed through RStudio. HIHG pigs traveled less DIST than those sired by LILG, HILG, and LIHG (P &amp;lt; 0.05; 929 vs. 1,066, 990, and 984m, respectively). The HIHG pigs had greater LIE time than LIHG and LILG pigs (P &amp;lt; 0.05; 1,119 vs. 1,188 and 1,175min, respectively). LILG pigs had greater LEA compared with HIHG, HILG, and LIHG sired pigs (P &amp;lt; 0.05; 52.85 vs. 49.39, 49.97, and 51.05cm2, respectively). The LILG pigs had less BF compared with HIHG, HILG, and LIHG sired pigs (P &amp;lt; 0.05; 1.42 vs. 1.48, 1.46, and 1.50cm, respectively). These results suggest that pigs from boars with high EBVs for growth travel less, spend more time lying and yield a fatter carcass.

Physical Activity, Sedentary Behavior, And Symptom Reporting In Inactive Breast And Endometrial Cancer Survivors Using Ecological Momentary Assessment

PURPOSE: To examine the relationship between daily symptom burden, physical activity, and sedentary behavior among breast and endometrial cancer survivors. METHODS: Survivors (N=74, Mage= 56.3±9.6 years; MBMI= 30.8±7.9 kg/m2) wore an ActiGraph accelerometer to assess daily activity (sedentary behavior (SB), light intensity physical activity (LPA), and moderate-to-vigorous physical activity (MVPA)) and completed ecological momentary assessment prompts 4x/day to assess symptoms (fatigue, pain, mood, anxiety, depression, physical function) for seven consecutive days as part of baseline assessments for a physical activity promotion intervention. Symptom ratings were on a 5-point scale. Separate mixed models assessed the between-person and within-person associations of current daily symptoms with minutes of SB, LPA, and MVPA that same day, controlling for relevant covariates (age, BMI, treatment, wear time). RESULTS: Survivors averaged 516±96 minutes of SB, 271±90 minutes of LPA, and 17±10 minutes of MVPA per day. There were no significant between or within-person associations between daily symptoms and daily LPA or MVPA. There were significant between-person associations for fatigue (β=27.5±8.9 minutes, p=0.002), pain (β=20.6±7.4 minutes, p=0.006), mood (β=28.9±9.5 minutes, p=0.002), and physical function (β=19.9±9.1 minutes, p=0.03) on SB such that those with higher symptom burden spent more time spent sedentary. There were a significant within-person associations for anxiety (β=31.8±14.4 minutes, p=0.028) and depression (β=54.5±21.7 minutes, p=0.013) and SB such that when participants reported higher anxiety or depression than their average on a given day, they spent more time sedentary that day. CONCLUSIONS: Inactive breast and endometrial cancer survivors that reported higher symptom burden spent more time sedentary. Additionally, results indicated a significant temporal, day-level association between anxiety and depression and time spent sedentary but there was no association between any symptoms and time spent in LPA or MVPA. Future interventions targeting changing sedentary time in this population should consider overall fatigue, pain, mood, and physical functioning in their programming, in addition to daily changes in depression and anxiety symptoms.

Employing Immersive Technologies To Develop Fitness-Related Outcomes In Children And Youth: A Scoping Review

Technologies that immerse users in virtual and augmented realities are becoming more common in physical activity and sport settings. Immersive technologies may be an effective tool for developing fitness-related outcomes in children and youth. Purpose: To compile peer-reviewed empirical articles and report on the effectiveness of immersive technologies in developing fitness-related outcomes in children and youth. Methods: Education resources information centre (ERIC), SPORTDiscus, and Child Development & Adolescent Studies databases were searched using keywords for immersive technologies (i.e., augmented reality, virtual reality) and the outcomes of interest (i.e., skill- and health-related components of fitness, physical activity, exercise). Pertinent information from the relevant articles (e.g., study design, findings) was charted and emerging themes were summarized. Results: The database search yielded 19 relevant articles. 15 reported positive effects of immersive technologies on fitness-related outcomes and four articles reported no effect. Charting of these articles revealed considerable variability in the technologies considered to be immersive. Many of the articles used low- or non-immersive technologies such as Xbox Kinect and Nintendo Wii as interventions. Charting also revealed frequent use of immersive technologies in developing skill-related components of fitness in children and youth with motor and cognitive impairments. Articles that studied non-impaired children and youth most often evaluated the effectiveness of immersive technologies in improving daily physical activity behaviours. Charting further revealed a paucity of, and considerable need for research on whether immersive technologies are effective in developing skill-related components of fitness in non-impaired children. Conclusions: Immersive technologies can be effective in developing fitness-related outcomes in children and youth; however, more research is required to evaluate the effectiveness of high and full immersion technologies in developing skill-related components of fitness in non-impaired children and youth.

Six-Minute Walk as a Measure of Walking Capacity and Endurance in Patients With Pediatric-Onset Multiple Sclerosis.

Despite low levels of disability, youth with pediatric-onset multiple sclerosis (POMS) engage in less physical activity compared with peers. The contribution of walking capacity, endurance, behavior, and MS comorbidities remains relatively undefined and may provide valuable insights into the limitations toward physical activity in youth with MS. The primary objective of this study was to investigate differences in walking capacity, endurance, and real-world behaviors of daily activity between youth with POMS and controls. Youth diagnosed with MS prior to 18 years and aged 21 years or younger were recruited in addition to healthy controls. Participants completed questionnaires to quantify fatigue, depression, and physical activity levels and the timed 2- and 6-minute walk (6MW) as an assessment of walking capacity and endurance. Participants completed questionnaires to quantify fatigue, depression, and physical activity levels. Participants also completed the timed 2- and 6-minute walk (6MW) as an assessment of walking capacity and endurance and were sent home with a waist-worn accelerometer to assess real-world walking behavior. Forty-five patients with POMS and 85 control participants were enrolled. The POMS cohort had a mean age of 16.9 ± 2.7 years, with a mean disease duration of 2.8 ± 2.6 years. A greater proportion of the POMS cohort was overweight/obese compared with controls (75% vs 33%). Participants with MS walked a significantly shorter distance in 6 minutes compared with controls (1,848 feet vs 2,134 feet, p < 0.0001) and, unlike controls, were unable to accelerate to their peak speed at the end of the 6MW. Body mass index category and MS disease significantly affected 6MW performance. Using continuous accelerometry, participants with MS spent less time in moderate-to-vigorous physical activity compared with controls (20.4 vs 35.4 min/d, p = 0.0003). The POMS cohort reported significantly higher levels of depression and fatigue but self-reported similar levels of daily physical activity as controls. Youth with POMS exhibit slower 6MW performance and less daily engagement in moderate-to-vigorous physical activity, suggesting limitations in functional walking capacity, endurance, and daily activity behavior. Limitations in walking endurance and capacity are most prominent in those youth who are overweight/obese and living with MS. This study provides Class III evidence that, compared with healthy controls, patients with POMS walk shorter distances on the 6MW test, are less able to accelerate to peak speed at the end of the test, and are less physically active.

The impact of walk advice and exercise strategies on daily physical activity in patients with intermittent claudication - a randomized controlled trial

Abstract Funding Acknowledgements Type of funding sources: Public grant(s) – National budget only. Main funding source(s): The Research and Development Council for Southern Gothenburg and Bohuslän and the Healthcare Board, Region Västra Götaland, Sweden. The Swedish state under the agreement between the Swedish government and the county councils, the ALF agreement. Introduction Exercise is a first-line treatment in intermittent claudication (IC). However, as the real impact of exercise interventions on daily physical activity (PA) behaviour remains largely undetermined, it is important to include objectively measured PA as an additional endpoint in clinical trials. Purpose The aim of this study was to investigate the impact of unsupervised Nordic pole walk advice (WA) alone or in combination with hospital-based supervised exercise (SEP) or home-based structured exercise (HSEP) with 1year follow up, on daily PA in patients with IC. Methods In this pre-specified analysis from an RCT, a total of 166 patients with IC (mean age 72 (7.4), 41% women) were randomized to three IC-treatment strategies: WA, WA+SEP or WA+HSEP. All patients received Nordic poles and the advice to walk for 30 min, 3 times weekly (WA strategy). Patients allocated to HSEP, and SEP were offered to participate in an additional 6 month exercise program with muscle resistance and aerobic walking exercises. During the following 7-12 months, patients continued with the exercise program at home, with no further feedback. PA was measured through wearable accelerometer recordings for 7-days consecutive periods at baseline, 3, 6, and 12 months. Studied PA outcomes were steps/day, time spent within a stepping cadence ≥100 steps/min, time spent in upright position (standing still and stepping), number of sit to stand transitions, number of sitting bouts of &amp;gt;30 min and &amp;gt;60 min. Intergroup comparisons were performed with one-way analysis of variances ANOVA and intragroup comparisons by paired sample t-test. Results No statistically significant intergroup differences were observed in steps/day over time. HSEP and SEP numerically improved in steps/day at 3 months (HSEP: +472 steps, 95% CI: -146 to 1090; SEP: +241 steps, 95% CI: -282 to 764) but again declined at 6 and 12 months, while WA improved in steps/day at 1year (+89 steps, 95% CI: -568 to 747). At 3 months, a significant improvement were observed in favour of HSEP vs. WA in time spent within a stepping cadence ≥100 steps/min (P=.01) and at 6 months, a significant decrease in favour of SEP vs. WA in number of sitting bouts (&amp;gt;60 min; P=.01). Conclusion Compared to WA alone, receiving additional exercise strategies resulted in a trend toward increased steps/day and time spent within a stepping cadence ≥100 steps/min at 3 months. The opposite pattern occurred at 1year follow-up with a trend for WA to increase in steps/day, while the exercise strategies declined. No firm conclusions can be drawn on the impact of HSEP, SEP and WA strategies on daily PA, and future studies should focus on elaborating on factors that increase daily PA levels in patients with IC. Such studies also need to attach a high priority to develop exercise interventions that translate to more sustainable improvements in daily PA levels in this target population.

Variability of urodynamic parameters in patients with idiopathic overactive bladder before intradetrusor botulinum toxin injections

Introduction. The aim of study was to establish if the treatment of overactive bladder in women and its result reported by patients were different depending on the findings of urodynamics, performed before botulinum toxin injection. We obtained clinical data based on the necessity and importance of performing urodynamic tests up to surgical treatment with botulinum toxin A injection in detrusor muscle, at patients diagnosed with idiopathic overactive bladder and detrusor overactivity, offering a guarantee of an effective and long-lasting treatment and assure with predictive parameters for some postoperative complications. Material and methods. The research was carried out at the Department of Urology and Surgical Nephrology, during the years 2019 – 2022. After applying the inclusion and exclusion criteria, 36 women diagnosed with overactive bladder were enrolled in the prospective pilot study, aged between 18 and 70 years, refractory to drug treatment and investigated urodynamic by excluding/including the presence of detrusor overactivity and clinically using voiding diary/24h, bladder symptoms and Quality of Life questionnaires before and after botulinum toxin A injection. The primary data were analyzed and presented as a mean and standard deviation. Results. All women involved in the study were diagnosed clinically and urodynamic with overactive bladder, of which 55.5% of cases were associated with detrusor overactivity and subsequently received BTX-A injectable surgical treatment with a dose of 100U. At urodynamics, the low values of the indices obtained at cystometry were established: first sensation of bladder filling (79.8 ± 56.3 ml), first desire to void (117.8 ± 103.2 ml), strong desire to void (162 ± 125 ml) and maximal cystometric capacity (183.4 ± 139.8 ml), which correlated in 100% cases with OAB symptoms (urinary urgency, frequency and nocturia) from the OABSS validated questionnaire. The capacity of the bladder at each sensation was lower, being inversely proportional to the detrusor overactivity present in women with OAB. Based on UDS data, the diagnosis of OABi with detrusor overactivity was confirmed by establishing the presence of phasic detrusor contractions (3.9 ± 1.1), increased values of detrusor pressure (45.9 ± 23.9 cmH2O) and the presence of bladder hypocompliance (10.6 ± 11.5 ml/cmH2O), these data in 100% of cases predicted an effective BTX-A injection. Daily activity and psychosocial behavior improved after intradetrusor botulinum injections toxin was influenced by reducing daytime urination from 28% to 40% and urinary urgency from 30 to 69%. Conclusions. This study identified a number of statistically significant urodynamic variables associated with objective clinical data, which confirm the impact of severity of idiopathic overactive bladder symptoms and the subsequent effect of botulinum toxin type A injections in case of urodynamic confirmation of detrusor overactivity presence.