Benefits Of Physical Activity Research Articles

Association between physical activity changes and risk of incident ischemic stroke following cancer diagnosis: A nationwide retrospective cohort study.

Physical inactivity is prevalent after cancer treatment, which could increase ischemic stroke risk in cancer survivors. This study investigated the association between physical activity change from pre- to post-diagnosis and ischemic stroke risk among cancer survivors. Using data from the Korean National Health Insurance Service database, 269,943 cancer survivors (mean [SD] age, 56.3 [12.1] years; 45.7% male) with no history of cardiovascular disease were evaluated based on changes in physical activity from pre- to post-diagnosis. Using the Fine-Gray model, subdistribution hazard ratios (sHRs) and 95% confidence intervals (CIs) for ischemic stroke risk were calculated, considering death as a competing risk. After cancer diagnosis, 62.0% remained inactive, 10.1% remained active, 16.6% became active, and 11.4% became inactive. During a mean (SD) follow-up of 4.1 (2.0) years, being active both pre- and post-diagnosis was associated with a 15% decreased risk of ischemic stroke (sHR, 0.85; 95% CI, 0.75-0.96), compared with those who remained inactive. Cancer survivors who became active and inactive post-diagnosis showed a 16% and 11% lower ischemic stroke risk (sHR, 0.84; 95% CI, 0.75-0.93; sHR, 0.89; 95% CI, 0.79-0.99), respectively, than those who remained inactive. Analysis by the primary cancer site did not substantially differ from the main findings. Physical activity is associated with reduced ischemic stroke risk among cancer survivors. The potential benefits of physical activity are not limited to individuals who were physically active before cancer diagnosis, thus preventive strategies against ischemic stroke should emphasize physical activity throughout the cancer journey.

Intensity-specific physical activity measured by accelerometer and the risk of mortality among individuals with cardiometabolic diseases: A prospective study from the UK Biobank

BackgroundWhile the health benefits of physical activity for general population are well-recognized, the prospective associations of physical activity volume and intensity with mortality among cardiometabolic disease individuals remain unclear. ObjectiveThe objective of this study was to investigate the associations of accelerometer-measured intensity-specific physical activity with mortality risk among population with cardiometabolic disease. DesignProspective cohort study. SettingParticipants were recruited from the United Kingdom (UK) across 22 assessment centers from 2006 to 2010. ParticipantsA total of 9524 participants from the UK Biobank (median: 67.00 years, interquartile range: 61.00–70.00 years) were included in final study. MethodsAccelerometer-measured total volume, moderate-to-vigorous and light intensity physical activity collecting from 2013 to 2015 were quantified using a machine learning model. Multivariable restricted cubic splines and Cox proportional hazard models with hazard ratios (HRs) and 95 % confidence intervals (CIs) were employed to examine the associations of interests. ResultsDuring the follow-up period (median: 6.87 years; interquartile range: 6.32–7.39 years), there were 659 (6.92 %) death events with 218 (2.29 %) cardiovascular disease-related deaths and 441 (4.63 %) non-cardiovascular disease-related deaths separately. In the fully adjusted models, compared with participants in the lowest quartiles of total volume, moderate-to-vigorous and light physical activities, the adjusted HRs (95 % CIs) of all-cause mortality for those in the highest quartiles were 0.40 (0.31, 0.52), 0.48 (0.37, 0.61), and 0.56 (0.44, 0.71) while those for cardiovascular diseases-related mortality were 0.35 (0.22, 0.55), 0.52 (0.35, 0.78) and 0.59 (0.39, 0.88), and for non-cardiovascular diseases-related mortality, they were 0.42 (0.30, 0.59), 0.40 (0.29, 0.54) and 0.54 (0.40, 0.73), separately. The optimal moderate-to-vigorous-intensity physical activity level for cardiovascular diseases-related mortality reduction was found to be in the third quartile (17.75–35.33 min/day). Furthermore, the observed inverse associations were mainly non-linear. ConclusionsPromoting physical activity, regardless of intensity, is essential for individuals with cardiometabolic disease to reduce mortality risk. For both all-cause and cardiovascular disease-related and non-cardiovascular disease-related mortality, the observed decrease in risk seems to level off at a moderate level. The current findings deriving from precise device-based physical activity data provide inference for secondary prevention of cardiometabolic disease.

Diabetic pregnancy: adherence and benefits of regular physical activity on blood sugar control in diabetic pregnant women

Diabetic pregnancy: adherence and benefits of regular physical activity on blood sugar control in diabetic pregnant women

Physical activity should be the primary intervention for individuals living with chronic pain A position paper from the European Pain Federation (EFIC) 'On the Move' Task Force.

There is clear evidence demonstrating the benefits of physical activity (PA) on pain and overall health, however, PA is challenging for many individuals living with chronic pain. Even non-exercise specialists can (cost) effectively promote PA, but many health professionals report a number of barriers in providing guidance on PA, suggesting that it is not consistently promoted. This expert position paper summarizes the evidence and provides five recommendations for health professionals to assess, advise and support individuals living with any chronic pain condition with a long life expectancy in adopting and sustaining physically active lifestyles. This position paper was prepared by the 'On The Move' Task Force of the European Pain Federation EFIC. Final recommendations were endorsed by the European Pain Forum, Pain Alliance Europe and the Executive Board of EFIC. We recommend that all health professionals (1) Take a history of the persons' PA levels, and put PA on the agenda, (2) Advise that PA is important and safe for individuals living with chronic pain, (3) Deliver a brief PA intervention and support individuals living with chronic pain in becoming physically active, (4) Discuss acceptable levels of PA-related soreness and pain and (5) Provide ongoing support in staying physically active. Physical activity is safe and offers several advantages, including general health benefits, low risk of side effects, low cost and not requiring access to healthcare. Adoption of these recommendations can improve the quality of care and life of individuals living with chronic pain and reduce their overall health risks.

KIJANI App to Promote Physical Activity in Children and Adolescents: Protocol for a Mixed Method Evaluation.

The prevalence of physical inactivity among children and adolescents is alarmingly high despite the well-documented and comprehensive benefits of regular physical activity (PA). Therefore, PA promotion should start early in childhood and adolescence. Although reducing recreational screen time in children and adolescents is an urgent concern, digital approaches have the potential to make activity promotion attractive and age appropriate for the target group. KIJANI is a mobile app approach to promote PA in children and adolescents via gamification and augmented reality. This study protocol aims to describe the KIJANI intervention in detail, as well as the evaluation approach. KIJANI is based on the concept that virtual coins can be earned through PA, for example, in the form of a collected step count. With these coins, in turn, blocks can be bought, which can be used to create virtual buildings and integrate them into the player's real-world environment via augmented reality. PA of users is detected via accelerometers integrated into the smartphones. KIJANI can be played at predefined play locations that were comprehensively identified as safe, child-friendly, and attractive for PA by the target group in a partner project. The evaluation process will be divided into 2 different stages. The phase-I evaluation will be a mixed methods approach with one-on-one semistructured interviews and questionnaires to evaluate the user experience and receive feedback from the target group. After the implementation of results and feedback from the target group, the phase-II evaluation will proceed in the form of a 2-arm randomized controlled trial, in which the effectiveness of KIJANI will be assessed via objectively measured PA as well as questionnaires. The study received ethical approval from the ethical board of the Technical University of Munich. Participants for the phase-I evaluation are currently being recruited. The study will help to determine the efficacy, applicability, and user experience of a gamified activity promotion application in children and adolescents. Overall, digital health approaches provide easy and wide reachability at low cost and are age appropriate and attractive for the target group of adolescents. Strategies have to be developed to apply digital health approaches in the best possible way for activity promotion. DERR1-10.2196/55156.

Implementation characteristics that may promote sustainability of a rural physical activity initiative: examination of Play Streets through the lens of community implementers

BackgroundPlay Streets, which are community-based environmental initiatives where public spaces/streets are temporarily closed to create safe, low-cost physical activity opportunities, have demonstrated feasibility and physical activity benefit in rural US areas. Yet, information is needed to identify implementation characteristics that may promote sustainability. This study examined rural Play Streets implementation characteristics that could impact sustainability from local partners’ perspectives.MethodsSixteen Play Streets implementation team members in rural Maryland, North Carolina, Oklahoma, and Texas, USA, participated in interviews. Semi-structured in-person individual and group interviews were conducted in the fall of 2018 (after Play Streets implementation in 2017 and 2018), recorded, and transcribed verbatim. Transcripts were analyzed using iterative, content analyses. Coding frameworks were based on the Public Health Program Capacity for Sustainability Framework, and emergent themes were also identified.ResultsInterviewees’ perceived characteristics for facilitating Play Streets implementation aligned with the Public Health Program Capacity for Sustainability Framework: funding stability, political support, partnerships, organizational capacity, program adaption, and communication. Interviewees also noted the importance of cultural alignment/support and the reciprocal impact of community connectedness/engagement.ConclusionsFuture research should examine the reciprocal role of public health impacts, as both outcomes and factors which may influence sustainability.

Abstract PO4-11-09: Feasibility of physical activity behaviour change for women living with metastatic breast cancer, a randomised controlled trial

Abstract Background Physical activity benefits women living with metastatic breast cancer by improving outcomes such as physical function, health-related quality of life and fatigue. These findings have been reported within well-resourced trials that involve exercise equipment and supervision. Home or community-based settings, however, may be preferable and more accessible. This trial evaluated the feasibility of a remotely delivered behaviour change intervention for increasing physical activity for women living with metastatic breast cancer, and evaluated the program’s efficacy. Methods A 12-week randomised controlled trial was conducted in which 20 women living with metastatic breast cancer were recruited from a metropolitan outpatient cancer clinic. Inclusion criteria were over 18 years old, English speaking, ambulatory, and not regularly active at time of recruitment. Participants were randomised 1:1 to an intervention or attention control group. Both groups received a recommendation for 150 minutes of physical activity, a wrist-worn activity monitor, a physical activity diary, and nine phone or video call sessions (six weekly, three fortnightly). The intervention group received individualised behaviour change advice on topics such as physical activity benefits, motivation, barriers and social support; the attention control group received a recurring symptom questionnaire and no behavioural advice. Feasibility outcomes included recruitment, dropout and session adherence rates, and acceptability of methods was evaluated with an interview at trial completion. Baseline and 12-week outcomes included: i) physical activity minutes measured with a 5-day Actigraph wear, ii) 6-minute walk distance, iii) 30-second sit-to-stands, iv) questionnaires for self-reported physical activity, health-related quality of life, fatigue, behavioural factors (stage of change, self-efficacy, decisional balance, processes of change, social support), and patient-specific function. Questionnaires were measured again at 18 weeks. Results Recruitment, baseline measures and within-trial sessions are completed; 12 and 18-week measures will conclude late August. Thirty-two women were approached to enrol the target sample of 20, with exclusion reasons being disinterest (n=5), health problems (n=4), loss of contact (n=2) and already physically active (n=1). Median age was 62 years (IQR: 60-69), and median time since metastatic diagnosis was 4 years (IQR: 1-5). Twelve women had bone metastases, and ten had a musculoskeletal comorbidity. Session delivery through video or phone calls were equally preferred (n=10 each). Participants completed 84% of the sessions, with reasons for missed sessions consisting of forgetting (55%), feeling unwell (24%), IT problems (7%), holiday (7%), and work commitments (7%). Median session duration for the intervention group was 23 minutes (IQR: 20-28), and control group was 17 minutes (IQR: 14-21). The preferred type of physical activity was predominantly walking, and no adverse events were reported. Four women dropped out after loss of contact. Compared to age-matched normative values, baseline outcomes varied: actigraphy-measured physical activity was low (median: 68 minutes/day, IQR: 45-88), self-reported physical activity was high (median: 289 MET-minutes/day, IQR: 52-728), 6-minute walk distance was equal (median: 529m, IQR: 416-579), 30-second sit-to-stands were low (median: 11, IQR: 8-14), health-related quality of life was high (median: 80, IQR: 70-100), and fatigue was equal (median: 30, IQR 20-40). Conclusions Women living with metastatic breast cancer were generally receptive of the trial, and recruitment, dropout and session adherence rates were positive. The women who dropped out were more physically active, physically functional and/or rated higher on the questionnaires, indicating that the trial may be more suited to those with limited physical activity experience. Citation Format: Mark Liu, Sharon Kilbreath, Elizabeth Dylke, Jasmine Yee, Jane Beith. Feasibility of physical activity behaviour change for women living with metastatic breast cancer, a randomised controlled trial [abstract]. In: Proceedings of the 2023 San Antonio Breast Cancer Symposium; 2023 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2024;84(9 Suppl):Abstract nr PO4-11-09.

SUPPORTING PEOPLE WITH NEUROLOGICAL INJURY TO ENGAGE IN PHYSICAL ACTIVITY-FROM HOSPITAL TO HOME AND BEYOND

Accredited exercise physiologists are perfectly placed to assist people with neurological injury to reengage or explore new opportunities in physical activity. The benefits of physical activity in this population are well documented, however participation rates are low. Research shows that 75% of Australians living with a disability over the age of 15 do not meet the recommended levels of physical activity. While the need is high, the 2021-2022 ESSA workforce report found only 7% of accredited professionals are working with people living with neurological conditions. This highlights the gap between industry demand, workforce capacity and capability to deliver evidence based best practice. As clinicians with a collective experience of 30+ years, we have identified a need for greater dissemination of knowledge, experience, and practical translation of the evidence in this population. This presentation will explore the perspectives of three experienced AEP’s working from hospital to home and beyond. Each presenter will draw on their unique context and experience to describe the challenges and opportunities for AEP’s in each specific area. Sarah will provide an overview of the hospital setting and transition to community, highlighting the opportunities for early intervention and the role in supporting ongoing meaningful physical activity. Holly will discuss an exercise physiologist’s role in community rehabilitation, and our place in a multidisciplinary team. She will further explore what it looks like to move from exercise for rehabilitation mindset, into exercise for life. Emma will detail the opportunities in sports and competitions such as the Paralympics, particularly around how AEP’s can support performance goals. The team will close with provocative discussion around how AEP’s can contribute to the governments ELEVATE 2042 Strategy and we will invite AEP’s to join us on this journey.

IDENTIFYING THE CURRENT PRACTISE IN PHYSICAL ACTIVITY ADVICE GIVEN TO WOMEN FOLLOWING A MISCARRIAGE AND THEIR ATTITUDES TOWARDS PHYSICAL ACTIVITY

INTRODUCTION & AIMS Miscarriage is the most common adverse pregnancy outcome, with up to 36% of women reporting a miscarriage by 40-45 years old. While physical activity is known for its benefits on physical and mental health in various population, the evidence in women following a miscarriage is lacking. Therefore, the aim of the study is to identify current practice and advice on physical activity following a miscarriage, assess current physical activity levels and to identify women’s attitudes to physical activity following a miscarriage. Women’s willingness to participate in future studies on the benefits of physical activity following miscarriage was also examined. METHODS A cross-sectional survey consisting of 21 questions across 5 subsections including demographics, pregnancy loss experience, physical activity advice, physical activity participation and research participation was used. Participation was opened to all Australian women who had ever experienced a miscarriage. RESULTS A total of 77 surveys were complete and suitable for analysis. Most participants (82%, n=63) reported receiving no physical activity guidance following their miscarriages and said they would like physical activity advice specific to their experiences (84%, n=65). The proportion of women who do not meet the recommended physical activity guideline increase from pre-pregnancy (32%) to following a miscarriage (83%) and continues to be higher (58%) than it was pre-pregnancy. The most frequently identified barriers to physical activity was feeling mentally/emotionally unprepared (34%, n=51). Majority of participants (68%, n=52) were willing to participate in future studies on the benefits of physical activity for women post-miscarriage. CONCLUSION This study strongly supports the need for further research into appropriate physical activity guidelines for women following a miscarriage. There is a clear unmet need in this population who are being disadvantaged by the current lack of support and guidance.

Premorbid physical activity and prognosis after incident myocardial infarction: The atherosclerosis risk in communities study

High to moderate levels of physical activity (PA) are associated with low risk of incident cardiovascular disease. However, it is unclear whether the benefits of PA in midlife extend to cardiovascular health following myocardial infarction (MI) in later life. Among 1,111 Atherosclerosis Risk in Communities study participants with incident MI during Atherosclerosis Risk in Communities follow-up (mean age 73 [SD 9] years at MI, 54% men, 21% Black), PA on average 11.9 (SD 6.9) years prior to incident MI (premorbid PA) was evaluated as the average score of PA between visit 1 (1987-1989) and visit 3 (1993-1995) using a modified Baecke questionnaire. Total and domain-specific PA (sport, nonsport leisure, and work PA) was analyzed for associations with composite and individual outcomes of mortality, recurrent MI, and stroke after index MI using multivariable Cox models. During a median follow-up of 4.6 (IQI 1.0-10.5) years after incident MI, 823 participants (74%) developed a composite outcome. The 10-year cumulative incidence of the composite outcome was lower in the highest, as compared to the lowest tertile of premorbid total PA (56% vs. 70%, respectively). This association remained statistically significant even after adjusting for potential confounders (adjusted hazard ratio [aHR] 0.80 [0.67-0.96] for the highest vs. lowest tertile). For individual outcomes, high premorbid total PA was associated with a low risk of recurrent MI (corresponding aHR 0.64 [0.44, 0.93]). When domain-specific PA was analyzed, similar results were seen for sport and work PA. The association was strongest in the first year following MI (e.g., aHR of composite outcome 0.66 [95% CI 0.47, 0.91] for the highest vs. lowest tertile of total PA). Premorbid PA was associated positively with post-MI cardiovascular health. Our results demonstrate the additional prognostic advantages of PA beyond reducing the risk of incident MI.

PHYSICAL ACTIVITY AND SPINAL CORD INJURY: BEHAVIOUR, BARRIERS, MOTIVATIONS AND GAINS

INTRODUCTION & AIMS To attain a comprehensive understanding of physical activity (PA) behaviour in individuals with a spinal cord injury (SCI) in Australia. Investigation and analysis included volumes, guideline-adherence, barriers, motivators, and perceived benefits of PA. METHODS Methodology included quantitative and qualitative approaches. Statistical tests were used on national survey data (n=1,579) to scrutinise PA volumes and guideline-adherence. Semi-structured interviews (n=105) were used to explore barriers to PA, whilst focus groups (six groups of six people) were used to uncover motivations for, and gains of, PA. RESULTS The average PA per week was 333 (+/-318) minutes, 42% of people were sedentary, and less than half (47%) of individuals met PA-specific guidelines. Sociodemographic and injury characteristics displayed very weak capacity (2-5% variance) in predicting PA volume. Barriers pertained to cost, accessibility, pain, self-consciousness, and a perceived lack of return of investment in PA. Whilst appearance/weight management and improved health appeared initially as motivators to PA, participants reported they gained more affiliation and revitalisation through PA, and less appearance/weight management and health change than they had anticipated. Focus group analysis highlighted that the primary (and more significant) motivators and benefits of PA include independence, reclamation of identity, restitution, reduced familial burden, and mitigation of perceived hastened aging. CONCLUSION People with SCI in Australia are amongst the most sedentary in the nation, and less than half of individuals meet PA guidelines. Specific attention is needed toward females, older individuals and people injured non-traumatically. Barriers are significant and affordable and accessible services, skilful and knowledgeable clinicians, and an inclusive environment are needed to improve consumer confidence. Motivation and perceived benefits extend beyond obvious physical advantages of PA. Clinicians and scientists need to understand the psychosocial influence of PA in this sedentary population and harness this knowledge to improve participation and quality of life.

The perception on physical activity among students

Background and Study Aim. Questionnaires are useful tools for assessing the level of physical activity in the general population due to their brevity, ease of understanding, and ease of application. The aim of our study is to subjectively assess the physical activity of participants using the self-report scale of the Godin–Shepard Leisure-Time Physical Activity Questionnaire. Material and Methods. The study involved 299 undergraduate and graduate students from Stefan cel Mare University of Suceava (Romania). In their academic activities, they typically engage in between 4 and 6 hours of practice. Additionally, many respondents participate in various physical activities, totalling another 4 to 8 hours of physical activity per week. The questionnaire consists of three questions regarding the level of physical activity (intense, moderate, low). It aims to collect data for the past 7 days for each physical activity lasting at least 15 minutes. Results. The intergroup analysis of the data showed statistical significance in the Wilcoxon rank-sum test for three out of six analyzed situations: graduate males versus graduate females, undergraduate males versus undergraduate females, and graduate males versus undergraduate males (p < 0.001). In the study, data concerning the level of physical activity among students were collected. Data analysis showed that over 80% (240 out of 299) of the respondents are moderately active or active. Statistically significant differences were observed only by study level and gender. While there was a notable difference of 10 points between males and females, it did not reach statistical significance. Conclusions. We can conclude that physical activity is an important aspect of students' daily routines. However, awareness programs are necessary to encourage them to remain physically active. These programs also promote the benefits of physical activity for physical, mental, and social well-being, as well as overall quality of life.

Effects of different physical activity programs for elderly women

There is strong evidence of the benefits of physical activity (PA) for elderly. However, there is still no consensus as to whether one modality is superior to the others. The objective of this study was to compare three different PA programs for elderly women. The study included 107 participants between 60 and 75 years old that practiced PA in three different programs, which were: Strength Training Group (STG), Aerobic Training Group (ATG) and Adapted Sports Group (ASG). To evaluate body composition, we used the Body Mass Index (BMI) and the Total Muscle Mass Index (TMSI), and for the functional tests we used the Sit-to-Stand Test (SST) and the Timed Up Go Test (TUGT). All participants of the three groups presented good physical performance, as the STG presented the best result in the SST, while in the TUGT the ASG was better. The study reinforces the need to stimulate the practice of PA for elderly, and that intrinsic motivation should be considered to offer something that is pleasurable and maintains their adherence to the program.

The perceived influence of a physical activity intervention on the intentions of parents of autistic children towards physical activities

BackgroundAutistic children can derive numerous benefits from engaging in physical activity (PA), necessitating parental support for active participation. However, parents often lack the foundational knowledge to effectively facilitate PA for their children. Despite the significance of this issue, limited research has explored the outcomes of parent-mediated PA interventions for autistic children. ObjectiveThe purpose of this study was to examine the attitudes and intentions of parents to include their autistic children in PA after participating in a 12-week PA intervention. MethodsEmploying the Theory of Planned Behavior as a framework, we conducted a descriptive-qualitative investigation. Fifteen parents participated in semi-structured interviews, with the data transcribed and analyzed using thematic line-by-line analysis. ResultsThree themes emerged, elucidating how parents fostered PA opportunities for their autistic children were constructed: (a) Awareness and reinforcement of PA benefits, (b) Keep the momentum going, and (c) From intentions to behaviors. ConclusionsThe study findings indicate a positive impact on parental attitudes and intentions toward engaging in PA with their autistic children after participating in the intervention. his study highlights the significance of parent-mediated interventions in fostering PA for autistic children and suggests avenues for future research and interventions.

Physical Activity in Older Adults: What Every Internist Needs to Know

The Physical Activity Guidelines for Americans (Guidelines) advises older adults to be as active as possible. Yet, despite the many benefits of physical activity, less than 15% of people ages 65 years and older meet the Guidelines. To address this, the U.S. Department of Health and Human Services developed a Midcourse Report focused on the strategies and settings that can help increase physical activity levels among older adults. Internists are well positioned to encourage older adults to be more physically active. Health care providers can leverage this position to talk about the importance of regular physical activity; assess physical activity levels; share information and resources about how to safely get started; and provide counseling, guidance, and/or referrals to additional providers or programs for further support. This article provides an overview of the recently released Physical Activity Guidelines for Americans Midcourse Report: Implementation Strategies for Older Adult and highlights the role of internists and other health care providers to encourage and support their patients to be more physically active.

A brief bout of moderate intensity physical activity improves preadolescent children's behavioral inhibition but does not change their energy intake.

Children in rural communities consume more energy-dense foods relative to their urban peers. Identifying effective interventions for improving energy intake patterns are needed to address these geographic disparities. The primary aim of this study was to harness the benefits of physical activity on children's executive functioning to see if these improvements lead to acute changes in eating behaviors. In a randomized crossover design, 91 preadolescent (8-10y; M age = 9.48 ± 0.85; 50.5% female; 85.7% White, 9.9% Multiracial, 9.9% Hispanic) children (86% rural) completed a 20-minute physical activity condition (moderate intensity walking) and time-matched sedentary condition (reading and/or coloring) ~ 14 days apart. Immediately following each condition, participants completed a behavioral inhibition task and then eating behaviors (total energy intake, relative energy intake, snack intake) were measured during a multi-array buffet test meal. After adjusting for period and order effects, body fat (measured via DXA), and depressive symptoms, participants experienced significant small improvements in their behavioral inhibition following the physical activity versus sedentary condition (p = 0.04, Hedge's g = 0.198). Eating behaviors did not vary by condition, nor did improvements in behavioral inhibition function as a mediator (ps > 0.09). Thus, in preadolescent children, small improvements in behavioral inhibition from physical activity do not produce acute improvements in energy intake. Additional research is needed to clarify whether the duration and/or intensity of physical activity sessions would produce different results in this age group, and whether intervention approaches and corresponding mechanisms of change vary by individual factors, like age and degree of food cue responsivity.

Incorporating physical activities in teaching practice

Although the value of physical activity for physical and mental health is well accepted, benefits for learning are less clear. Research about the incorporation of physical activity in teaching practice and the benefits teachers perceive for student learning and behaviour is sparse. In the current study, Australian teachers ( n = 222) completed an online survey. Over 70% of the participants reported using physical activity in their teaching practice. Activities included movement breaks, such as stretches and balancing games, or ones that were intended to stimulate the brain, described as ‘crossing the midline’ exercises. Some teachers integrated physical activity with academic content, such as tossing a ball while practising math facts. Among the perceived benefits of physical activity were energising students and promoting their engagement with learning. Overall, there was strong acceptance of the value of incorporating physical activity in teaching practice.

P114 Promoting physical activity using mobile health technology in people living with Rheumatoid Arthritis: MOTIVATE RA

Abstract Background/Aims People living with rheumatoid arthritis (RA) tend to be less active than the general population which may be due to RA associated musculoskeletal pain, stiffness and fatigue. The health benefits of physical activity (PA) are widely recognised in the general population and studies in RA have also highlighted improvement in RA associated symptoms. However, encouraging increased PA in people living with RA is challenging and adherence to PA is usually low. Mobile health (mHealth) technology (i.e., fitness watches and apps) may provide an effective and economical solution to promoting PA in this high-risk population. The aims of the current study were to assess whether use of mHealth technology in RA i) increases PA levels and ii) reduces RA disease activity. Methods People with RA were randomised to either the MOTIVATE (mHealth intervention) or conventional care (CC) groups. The CC group were provided with online educational materials, as provided in routine care (e.g., PA information leaflets), to increase PA whereas the MOTIVATE group were provided with a personalised, progressive walking programme delivered via mHealth technology with ongoing, individualised support throughout the 12-week intervention. All participants received a self-testing kit, via mail, at baseline (week 0) and post-intervention (12 weeks). Measures included anthropometrics, blood pressure, PA monitoring, health questionnaires and all were requested to self-report RA disease activity using RADAI-5. Change data between weeks 0 and 12 were compared between groups using One-Way ANCOVA, controlling for baseline, and reported as mean difference (95% CI). Results Of 50 participants, 25 were randomised to the MOTIVATE group (age 50±11years; BMI 29±7kg/m2; females n=23), and 25 to CC (n=25, age 50±11years; BMI 26±6 kg/m2; females n=24). An increase in moderate-to-vigorous PA was observed in the MOTIVATE group, compared to a decrease in CC [81min (1, 160) vs. -35min (-123, 53); P=0.09)]. This was accompanied by an increase in steps per day in the MOTIVATE group, and a decrease in CC [763 (-432, 1957) vs. -76 (-1267, 1115); P=0.40]. A reduction in PHQ-9 depression score was evident in the MOTIVATE group whilst CC were unchanged [-2 (-2, -3) vs. 0 (-2, 0); P=0.07]. RADAI-5 decreased in the MOTIVATE group and stayed the same in CC [-2 (-2, 0) vs. 0(-2, 0), P=0.27]. Conclusion These findings identify the potential effectiveness of an mHealth PA programme to increase PA levels in people living with RA. Use of remote PA monitoring, with support from exercise specialists, may be an effective strategy to improve engagement in exercise and PA in the RA population. Data is suggestive this could improve RA related symptoms, although we did not observe statistical significance. Disclosure D.J. Bannell: Grants/research support; Research grant from the Aintree Arthritis Trust. M. France-Ratcliffe: None. K.L. Hesketh: None. M. Cocks: None. N. Goodson: None. C. Taylor: None. T. Pecanha: None. H. Jones: None. D.A. Low: None. V.S. Sprung: None.

Physical Activity as a Means of Adaptation of People with Impaired Health

The article examines the benefits of physical activity for people with impaired health using the example of cancer patients. The features of the use of swimming and running for the rehabilitation of patients are considered. The purpose of the article is to highlight the advantages and disadvantages of the considered types of physical activity for people with impaired health. The swimming study was conducted on an experimental group formed on the basis of the NGO “Together against Cancer” (Krasnoyarsk). The author has developed training conditions, created methods for dynamic adaptation of physical activity in the form of exercises, training distances, theoretical approaches have been confirmed experimentally. The analysis of the test results was carried out and the structuring of the collected material was performed. To conduct research on the impact of running on rehabilitation processes, a theoretical analysis of scientific, psychological, pedagogical, sociological and normative literature was performed and specific examples of participants in competitions were considered. Running does not require the study of special techniques, but an initial level of physical fitness is required to enter the training process, which is excluded if the adaptive swimming technique developed by the author is used. When using it, the set of muscles involved in the training process expands, which has a greater restorative effect on the entire body. Swimming is therefore more suitable for people with poor health and is often the only acceptable form of physical activity.

Valuing the health benefits of nature-based recreational physical activity in England

Physical activity (PA) reduces the risk of several non-communicable diseases (NCDs). Natural environments support recreational PA. Using data including a representative cross-sectional survey of the English population, we estimated the annual value of nature-based PA conducted in England in 2019 in terms of avoided healthcare and societal costs of disease.Population-representative data from the Monitor of Engagement with the Natural Environment (MENE) survey (n = 47,580; representing 44,386,756) were used to estimate the weekly volume of nature-based recreational PA by adults in England in 2019. We used epidemiological dose–response data to calculate incident cases of six NCDs (ischaemic heart disease (IHD), ischaemic stroke (IS), type 2 diabetes (T2D), colon cancer (CC), breast cancer (BC) and major depressive disorder (MDD)) prevented through nature-based PA, and estimated associated savings using published costs of healthcare, informal care and productivity losses. We investigated additional savings resulting from hypothetical increases in: (a) visitor PA and (b) visitor numbers.In 2019, 22million adults > 16 years of age in England visited natural environments at least weekly. At reported volumes of nature-based PA, we estimated that 550 cases of IHD, 168 cases of IS, 1,410 cases of T2D, 41 cases of CC, 37 cases of BC and 10,552 cases of MDD were prevented, creating annual savings of £108.7million (95 % uncertainty interval: £70.3million; £150.3million).Nature-based recreational PA in England results in reduced burden of disease and considerable annual savings through prevention of priority NCDs. Strategies that increase nature-based PA could lead to further reductions in the societal burden of NCDs.