Daily Physical Activity Levels Research Articles

Fizička aktivnost i kvalitet sna kod bolesnika lečenih hroničnim hemodijalizama

Introduction/Aim: Hemodialysis patients are often sedentary and experience a high prevalence of sleep disorders. In this study, we aimed to assess the level of physical activity and quality of sleep among patients on maintenance hemodialysis and assess the relationship between these issues. Material and Methods: Seventy-one hemodialysis patients filled in the International Physical Activity Questionnaire (IPAQ) and the Pittsburgh Sleep Quality Index (PSQI) to assess their level of physical activity and their quality of sleep, respectively. Basic demographic, clinical and treatment-related characteristics were obtained from an electronic medical data system, as well as the results of standard laboratory analyses. The results were analyzed with Student t-test, Pearson chi-square test, linear by linear association, and Spearman correlation. Results: Nearly half of the patients (46.5%) were poor sleepers with an overall PSQI of 5.7 ± 4.4. Older age was significantly associated with worse sleep quality (p=0.019). Patients reported low, moderate or vigorous levels of daily physical activity in 42.3%, 50.7% and 7% of cases, respectively. No statistically significant associations were noted between demographic characteristics, dialysis vintage, comorbidities and the level of physical activity. Distribution of good and poor sleepers was almost identical among patients with low and moderate physical activity (47% vs 53% and 50% vs 50% respectively), whereas patients with vigorous activity were mostly good sleepers (20% vs 80%), but the difference was not statistically significant (p=0.591). Conclusion: We observed no statistically significant association between the level of physical activity and quality of sleep in this cohort. Further research with a larger sample might additionally elucidate this issue.

Correlation between daily physical activity and physical fitness level of first-year female students of the faculty of literature, university of education: Thai Nguyen University

Correlation between daily physical activity and physical fitness level of first-year female students of the faculty of literature, university of education: Thai Nguyen University

Influence of daily physical activity on fine motor skills of adults around a Fitts task.

Achieving our daily tasks depends on the speed-accuracy conflict. Physical activity plays a role in the development of our motor skills. However, the relationship between physical activity level (PAL) and fine motor skills remains largely unexplored.

Relationship of Body Composition with Height and Weight in Attendants of Cancer Patients

Objective: To discern the relationship of height and weight with body composition in healthy attendants of cancer patients. Study Design: Cross-sectional study. Place and Duration of Study: Combined Military Hospital, Rawalpindi Pakistan, from Oct to Dec 2022. Methodology: A total of 226 healthy adults aged 19-47 years having similar daily physical activity levels were included. The body composition of study participants was evaluated using a bioelectric impedance analysis (BIA) machine. The weight of all participants was recorded with the help of a weighing machine. The participants' height was measured using a Harpenden Stadiometer and recorded. Results: Our study showed that weight had a significant positive correlation with body fat mass (rs value=0.83), skeletal muscle mass (rs value=0.763), total body water (rs value=0.704), fat-free mass (rs value=0.75) and per cent body fat (rs value 0.716). On the other hand, height had a negative but non-significant association with fat mass (rs value= 0.025) and a negative significant association with per cent body fat (rs value=-0.16). Height had a positive and significant association with fat-free mass (rs value=0.553), total body water (rs value=0.501) and skeletal muscle mass (rs value=0.505). Conclusion: Weight, if used alone, is not a good indicator of obesity or emaciation, and height has a negative association with fat mass.

Рухова активність дітей з особливими освітніми потребами у процесі змішаного навчання: стан та тенденції

Ensuring the proper level of motor activity in conditions of mixed education of children with special educational problems has become especially relevant in terms of their health care. The purpose of the article is to identify the advantages and disadvantages of mixed learning in ensuring the appropriate level of motor activity for children with special educational problems. Material and methods. At the theoretical level, general scientific methods were used: theoretical analysis, systematization, comparison of different views on the investigated problem, generalization of data from scientific and methodological, and special literature. At the empirical level, the method of a descriptive inclusive survey implemented in an online format was used. The results. It was found that before the introduction of the quarantine, the level of motor activity of children with special educational problems, which reached 90 % of the norm, was ensured during classes by inclusive physical education. During the quarantine, a significant deterioration in the motor activity of children with special educational problems was investigated. At this stage, an increase in the level of motor activity in extracurricular time has been established based on the recommendations received in classes on inclusive physical education in the conditions of mixed education, which was introduced in connection with martial law. These results are conclusions from the answers of 87.7 % of respondents, who at the same time noted that the level of daily physical activity did not decrease in the conditions of mixed training (100 % of respondents). 89.2 % of respondents noticed an improvement in general well-being based on increased forms of motor activity. Conclusions. The advantages and disadvantages of the organization of mixed education in ensuring the appropriate level of motor activity of children with special educational problems are revealed. Among the advantages, the following are highlighted: providing effective feedback, promoting the implementation of a differentiated individual approach, the ability to motivate to carry out independent motor activity, a positive effect on the emotional sphere, and expanding the opportunities for children with special educational problems to receive information. As for the shortcomings, the most important are the shortcomings of a technical nature, Internet failures, and the low level of methodical materials that would contribute to increasing the share of independent motor activity of children with special educational problems, lack of communication and interaction with classmates.

Wearable Activity Trackers That Motivate Women to Increase Physical Activity: Mixed Methods Study.

Physical inactivity is a significant public health concern, particularly among women in the United States. Wearable activity trackers (WATs) have been proposed as a potential solution to increase awareness of and engagement in physical activity (PA). However, to be effective, WATs must include features and designs that encourage daily use. This study aims to explore the features and designs of WATs that appeal to women and determine whether devices with these attributes are effective motivators for women to be physically active. A mixed methods study guided by the self-determination theory was conducted among 15 women. Participants trialed 3 WATs with influence in their respective accessory domains: Apple Watch for the wrist; Oura Ring for the finger; and Bellabeat Leaf Urban for multiple sites (it can be worn as a bracelet, necklace, or clip). Participants documented their daily PA levels and rated their satisfaction with each device's comfort, features, and motivational effect. Focus groups were also conducted to gather additional feedback and experiences within the a priori areas of comfort, features, and motivation. Behavioral Regulation in Exercise Questionnaire-2 scores indicated that most participants (14/15, 93%) were motivated at baseline (amotivation score: mean 0.13, SD 0.45), but on average, participants did not meet the national minimum PA guidelines according to the self-reported Physical Activity Vital Sign questionnaire (moderate to vigorous PA score: mean 144, SD 97.5 min/wk). Mean WAT wear time was 16.9 (SD 4.4) hours, 19.4 (SD 5.3) hours, and 20.4 (SD 4.7) hours for Apple Watch, Bellabeat Leaf Urban, and Oura Ring, respectively. During focus groups, participants reinforced their quantitative ratings and rankings of the WATs based on personal experiences. Participants shared a variety of both activity-related and non-activity-related features that they look for in a motivating device. When considering what the ideal WAT would be for a woman, participants suggested features of (1) comfort, (2) extended battery life, (3) durability, (4) immediate PA feedback, (5) intuitive PA sensing, and (6) programmability. This study is the first to specifically address women's experiences with and preferences for different types of WATs. Those who work with women should realize how they view WATs and the role they play in motivation to be active.

AI and semantic ontology for personalized activity eCoaching in healthy lifestyle recommendations: a meta-heuristic approach

BackgroundAutomated coaches (eCoach) can help people lead a healthy lifestyle (e.g., reduction of sedentary bouts) with continuous health status monitoring and personalized recommendation generation with artificial intelligence (AI). Semantic ontology can play a crucial role in knowledge representation, data integration, and information retrieval.MethodsThis study proposes a semantic ontology model to annotate the AI predictions, forecasting outcomes, and personal preferences to conceptualize a personalized recommendation generation model with a hybrid approach. This study considers a mixed activity projection method that takes individual activity insights from the univariate time-series prediction and ensemble multi-class classification approaches. We have introduced a way to improve the prediction result with a residual error minimization (REM) technique and make it meaningful in recommendation presentation with a Naïve-based interval prediction approach. We have integrated the activity prediction results in an ontology for semantic interpretation. A SPARQL query protocol and RDF Query Language (SPARQL) have generated personalized recommendations in an understandable format. Moreover, we have evaluated the performance of the time-series prediction and classification models against standard metrics on both imbalanced and balanced public PMData and private MOX2-5 activity datasets. We have used Adaptive Synthetic (ADASYN) to generate synthetic data from the minority classes to avoid bias. The activity datasets were collected from healthy adults (n = 16 for public datasets; n = 15 for private datasets). The standard ensemble algorithms have been used to investigate the possibility of classifying daily physical activity levels into the following activity classes: sedentary (0), low active (1), active (2), highly active (3), and rigorous active (4). The daily step count, low physical activity (LPA), medium physical activity (MPA), and vigorous physical activity (VPA) serve as input for the classification models. Subsequently, we re-verify the classifiers on the private MOX2-5 dataset. The performance of the ontology has been assessed with reasoning and SPARQL query execution time. Additionally, we have verified our ontology for effective recommendation generation.ResultsWe have tested several standard AI algorithms and selected the best-performing model with optimized configuration for our use case by empirical testing. We have found that the autoregression model with the REM method outperforms the autoregression model without the REM method for both datasets. Gradient Boost (GB) classifier outperforms other classifiers with a mean accuracy score of 98.00%, and 99.00% for imbalanced PMData and MOX2-5 datasets, respectively, and 98.30%, and 99.80% for balanced PMData and MOX2-5 datasets, respectively. Hermit reasoner performs better than other ontology reasoners under defined settings. Our proposed algorithm shows a direction to combine the AI prediction forecasting results in an ontology to generate personalized activity recommendations in eCoaching.ConclusionThe proposed method combining step-prediction, activity-level classification techniques, and personal preference information with semantic rules is an asset for generating personalized recommendations.

Physical Activity in Community‐Dwelling Older Persons With Mild Traumatic Brain Injury

AbstractBackgroundTo examine the association between traumatic brain injury (TBI) and physical activity in older adults.MethodWe conducted a cross‐sectional analysis of 944 older persons (mean age = 85, SD = 7.48 years; 77% female) at their last available physical activity measure from the Rush Memory and Aging Project. Physical activity was measured 24 hours per day for 7‐10 days with wrist‐worn actigraphy (Actical; Philips Respironics, Bend, OR). We analyzed two separate outcomes from actigraphy: total daily activity and intensity of daily activity. To account for positive skewness, we applied a logarithmic transformation. TBI status was assessed by self‐report. We classified the participants as 1) TBI with loss of consciousness (LOC), 2) TBI without LOC, or 3) no TBI exposure (reference group). Multiple linear regression analyses, adjusted for age, education, and sex, were used to examine TBI with LOC and TBI with no LOC as separate predictors in a single model for each actigraphy outcome.ResultA history of TBI was reported in 351 (37%) participants, of whom 89 (9%) had at least one TBI with LOC and 262 (28%) had TBIs that did not result in LOC. Individuals with TBI with LOC had less total daily physical activity, with their total daily physical activity being about 19% (95%CI = 3.4%, 32.5%) lower than the reference group. The intensity of daily physical activity in those with TBI with LOC was 10% (95%CI = 0.7%, 18.2%) lower than the reference group. These associations remained after controlling depression, BMI, vascular risk factors, vascular diseases, and motor ability. Those with TBI without LOC did not differ from the reference group in daily physical activity and intensity of daily physical activity. We analyzed a subset of the 944 consisting of 710 deceased individuals who had undergone pathologic examination from postmortem brain tissue. Even after accounting for brain pathologies of Alzheimer’s disease, Lewy bodies, and cerebral infarcts, TBI with LOC remained associated with daily physical activity (p = 0.002).ConclusionOur result suggests that people with a history TBI with LOC may be associated with lower daily physical activity levels independent of the accumulation of diverse brain pathologies.

Relevance of the anterior cingulate cortex volume and personality in motivated physical activity behaviors

Some recent theories about the origins and maintenance of regular physical activity focus on the rewards of the properties of practicing this activity. Animal and human studies have demonstrated that mesolimbic dopamine plays a crucial role in the involvement in voluntary physical activity. Here, we test this possible role in a sample of 66 right-handed healthy young adults by studying the influence of personality and the volume of reward-related brain areas on individual differences in voluntary physical activity, objectively measured by accelerometer and subjectively self-reported by questionnaire. Our results show that a smaller volume of the right anterior cingulate cortex and lower scores on reward sensitivity contributed to explaining low levels of daily physical activity. Moreover, the volume of the right anterior cingulate cortex correlates positively with self-reported total physical activity. Results are discussed by highlighting the need to use objective measures of daily physical activity, as well as the important role of the anterior cingulate cortex and personality in promoting effortful and invigorating actions to obtain rewards.

Changing trajectory of daily physical activity levels among at-risk adolescents: influences of motivational mechanisms

BackgroundGuided by Self-Determination Theory (SDT), the purpose of this study was to determine changes in the 16-week moderate-to-vigorous physical activity (MVPA) trajectory of underserved adolescents who participated in the Connect through PLAY afterschool program intervention and the effects of changes in participating adolescents’ intrinsic and autonomous extrinsic motivations on their MVPA trajectory over the 16-week intervention.MethodsA subsample of 113 adolescents (56.64% female; 61.06% African American; average age = 11.29) provided complete data throughout the 16-week intervention were examined. Adolescents’ objective daily MVPA was measured using 7- day accelerometer data. Changes in adolescents’ intrinsic motivation and autonomous extrinsic motivation were assessed using subscales from the Intrinsic Motivation Inventory [1] and the Treatment Self-Regulation Questionnaire [2] respectively. A hierarchical linear model was built and tested to address the research aims.ResultsThe results of hierarchical linear models showed that, on average, youth daily MVPA increased 6.36 minutes in each 8-week period. Intrinsic motivation change, but not autonomous extrinsic motivation, was a positive and significant level-2 predictor of daily MVPA changes.ConclusionThe findings provide significant evidence suggesting a benefit of integrating SDT-based approaches and further suggest that nurturing intrinsic motivation can be an effective approach to supporting youth daily MVPA in under-resourced afterschool programs.Trial registrationConnect Through PLAY: A Staff-based Physical Activity Intervention for Middle School Youth (Connect). https://clinicaltrials.gov/ct2/show/NCT03732144. Registered November 6th, 2018.

Associations between body composition and cardiovascular disease risk in pre- and postmenopausal women

BackgroundMenopause transition is a critical phase of women’s life since body composition and cardiovascular risk factors begin to change during this period. This study investigated the associations between body composition and cardiovascular disease risk (CVDR) in pre (PrMW) and postmenopausal women (PMW).MethodsA community-based cross-sectional study involving 184 PrMW and 166 PMW, selected randomly from Bope-Poddala area in Galle, Sri Lanka was carried out. Total-body fat mass (TBFM, kg), total body skeletal muscle mass (TBSMM, kg), total body bone mineral density (TBBMD, g/cm2) and total body bone mineral content (TBBMC, g) were measured with total body DXA scanner and they were taken as indices of body composition. CVDR was evaluated using Framingham risk score (FRS%) and individual CVDR factors, such as systolic blood pressure (SBP, mmHg), diastolic blood pressure (DBP, mmHg), fasting blood sugar (FBS, mg/dl), total cholesterol, (TC, mg/dl), tryglycerides (TG, mg/dl), high-density lipoprotein (HDL, mg/dl) and low-density lipoprotein (LDL, mg/dl). Correlations between indices of body composition and CVDR factors were assessed with adjusted partial correlation (adjusted for socio-demographic and gynecologic status, age, daily calorie consumption and physical activity level).ResultsMean(SD) age of PrMW and PMW were 42.4(6.0) and 55.8(3.8) years respectively. TBFM correlated with SBP and DBP (r range; 0.15 to 0.21) and TBSMM correlated with SBP, DBP and HDL (r range; − 0.24 to 0.17) only in PrMW (p < 0.05). TBBMD correlated only with FBS in PMW (r; − 0.21, p = 0.01). TBBMC did not show correlations with CVDR factors (p > 0.05). Body composition indices did not show correlations with total CVDR estimated by FRS and in both groups of women (p > 0.05).ConclusionsBoth SBP and DBP are associated with FM and SMM in different ways among PrMW. This association, however, was not seen among PMW. FBS is associated with BMD only in PMW.

S14-5 Girls Active and Change4Life Sports Club - two effective programmes to increase physical activity in schools and colleges

Abstract Purpose Girls Active aims to tackle declining participation in physical activity of girls aged 10 to 18 and its associated implications on health, wellbeing and education. Change4Life Sports Clubs are designed to address inactivity in 7 to 11 year olds and improve healthy lifestyle behaviours with exercise, food and hydration. Both projects aim to reduce physical inactivity of those children suffering the greatest challenges to achieving the recommended daily physical activity level of an average of 60 minutes of moderate to vigorous physical activity every day. Project description Both programmes were developed from evidence reviews and principles that work to engage, inspire and motivate targeted groups of children to be active. They were both developed by the children’s charity Youth Sport Trust, who have used sport and play to improve the lives of children and young people since 1995. They were co-designed with children and implemented through a national network of 450 School Games Organisers. Youth Sports Trust’s ‘content, delivery, structure’ model was used. For Girls Active we used the Active Lives Children Data from Sport England and Change4Life Sports Clubs were aligned to the Department of Health’s National Child Measurement Programme data to target where the programmes were most needed and to ensure that the right groups of children and young people were included in the interventions. Both programmes have been externally evaluated through academic partners using pre and post survey data, case studies and control elements and achieved high quality evidence scores. Both programmes have been scaled through a variety of funding streams including London 2012 Olympic Legacy, Sport England Lottery, Corporate Social Responsibility budgets and local public health funding. Girls Active has been adopted in Wales, Scotland and Northern Ireland. Conclusions We will share the evidence-based principles that have made these two approaches highly effective in addressing inactivity in primary school aged children and adolescent girls that can be applied in multiple contexts and will share resources and content that can be accessed following the session.

Using accelerometer Analysis to Assess Physical Activity and Sedentary Behavior in Syrian Adults

Background: Overweight and obesity has become a serious public health problem in the world. Changes in daily physical activity (PA) levels may help moderate the health risks of sedentary behavior (SB). The aim of the present study was to determine PA and SB by triaxial accelerometer (ActiGraph GTX3 GT3X+, ActiGraph, Pensacola, FL. 32502 USA) in Syrian adults that affected by age, marital, body mass index (BMI), education, and smoking status.Methods: We used cross-sectional baseline data from 97 participants of adults (18-60 years). Subjects wore an accelerometer for 7 consecutive days. Magnitude counts/minute was extracted to determine time in inactivity, in low-intensity, moderate, and vigorous-to-very-vigorous activity.Results: Higher age was associated with more time in all categories of PA (light, moderate vigorous MVPA with bouts, MVPA without bouts, and step per day), while higher BMI was related to less time in PA, overweight/obese subjects, on daily average, spent less, but not significantly, time standing and little more time spent in sitting than the normal weight groups. Participant comparing to non-smoking peoples tended to spent less time in PA; however, this synchronization was not considerable.Conclusion: Finally, our investigation demonstrated a positive synchronization between sedentary time and educational level. In this cohort of adults, most of men and women fulfilled the WHO recommendations. The levels of PA in 18–60-year-old adults are similar to previous data reported in adults.

Physical activity is associated with walking and balance ability but not fatigue, knee extension strength, or body composition in adults with cerebral palsy: a pilot cross-sectional study.

Common secondary impairments associated with aging in adults with cerebral palsy (CP) decrease physical functions, including walking and balance ability, and increase the sense of fatigue. This motor dysfunction results in decreased physical activity (PA) and could be associated with obesity and sarcopenia. This study examined the association of daily PA levels with fatigue, physical function, and body composition in 22 adults with CP (age, 37.4 ± 14.7 years; Gross Motor Function Classification System level, I: 6, II: 16). The level of daily PA was divided into percent of sedentary behavior, light PA, and moderate-to-vigorous PA (%MVPA) per day. These outcomes were examined for correlation with the Fatigue Severity Scale, knee extension strength, comfortable and maximum walking speed, Timed-Up-and-Go-Test (TUG), and body fat percentage and skeletal muscle mass using Spearman's rank correlation coefficient. An additional partial correlation analysis with sex and age adjustment was performed. The %MVPA correlated positively with comfortable walking speed (rs = 0.424, P = 0.049) and negatively with TUG (rs = -0.493, P = 0.020). The partial correlation revealed associations of %MVPA with maximum walking speed (r = 0.604, P = 0.022) and TUG (r = -0.604, P = 0.022). The results show that among adults with CP, increased PA is associated with improvements in mobility but not in perceived fatigue or body composition, regardless of sex and age. Maintaining and improving %MVPA and walking and balance ability in adults with CP have a positive impact on each other, and potentially on overall health management.

Association of physical activity with total and cause-specific mortality in patients with diabetes: A nationwide population-based cohort study

AimsPhysical inactivity is a modifiable risk factor for cardiovascular disease (CVD) in patients with type 2 diabetes mellitus (T2DM); however, little is known about its association with mortality due to other causes. Herein, we investigated the association between physical activity (PA) and cause-specific mortality in patients with T2DM. MethodsWe analyzed data from the Korean National Health Insurance Service and claims database of adults with T2DM aged >20 years at baseline (n = 2,651,214). Each participant’s PA volume was measured as the metabolic equivalent of tasks (METs)-min per week, and hazard ratios of all-cause and cause-specific mortality relative to PA levels were estimated. ResultsDuring the 7.8 years of follow-up, all-cause, CVD, respiratory, cancer, and other causes of mortality were lowest in patients engaged in vigorous PA. MET-min/week was inversely associated with mortality after adjusting for covariates. The reduction in total and cause-specific mortality was greater in patients aged ≥65 years than in those aged <65 years. ConclusionsIncreasing PA may facilitate a reduction in mortality from various causes, especially among older patients with T2DM. Clinicians should encourage such patients to increase their daily PA levels to reduce their risk of mortality.

The role of TLR2 in exercise-induced immunomodulation in normal weight individuals

Toll-like receptors (TLRs) have been targeted for therapeutic drug development for several disorders, including cardiovascular diseases (CVD), and diabetes mellitus. Daily levels physical activity (PA) has been purported to influence the systemic circulation of cytokines, affecting the overall activation of TLRs and influencing the inflammatory milieu. Objective and self-reported daily PA was tracked in 69 normal-weight adults. Freedson's cut-offs categorized daily PA intensity into the 25th lowest, medium, and top percentiles. Monocytic TLR2 expression was quantified by flow cytometry in fresh whole blood. Cross-sectional associations between flow cytometry measured TLR2+ subsets and clinical biomarkers were evaluated. PA increased circulation of TLR2+ monocytes. TLR2 expression was adversely corelated with reduced diastolic blood pressure (DBP), triglyceride (TG), and matrix metallopeptidase 9 (MMP9) levels. However, regression analysis indicated that only TG levels were independently linked with TLR2+ subsets in circulation in active participants. Higher daily levels of physical activity are associated with improved cardiovascular blood markers and elevated circulatory monocytic TLR2+ subsets. These findings suggest that TLR2 may play a role in modulating CVD risk factors in individuals leading physically active lifestyles.

41-LB: Regular Physical Activity Plays a Crucial Role in Improving the Anti-inflammatory Status of Healthy Individuals by Modulating TLR2 Expression

Toll-like receptors (TLRs) are dominant components of the innate immune system and have been targeted for therapeutic drug development for several inflammatory disorders including cancer, cardiovascular diseases, and diabetes mellitus. Daily levels of physical activity (PA) and dietary intake have been purported to influence the systemic circulation of cytokines, affecting the overall activation of TLRs and influencing the inflammatory milieu. The aim of this study is to investigate the association between daily physical activity and monocytic TLR2 expression in lean individuals. Normal-weight participants (n = 69) were recruited for this study. Daily physical activity was tracked for seven days using an ActiGraph accelerometer. The intensity of PA was determined by Freedson’s cut-offs, and participants were divided according to the 25th lowest (Q1), median (Q2), and top (Q3) percentiles of their activity level. Blood pressure measurements and heart rates were taken for each individual. Moreover, blood glucose, fasting insulin, cholesterol, high-density lipoprotein (HDL), and triglycerides were determined. Surface expression of TLR2 was quantified on peripheral monocytes by flow cytometry. Our data show that individuals with higher levels of moderate-to-vigorous PA and daily step count were found to have higher levels of circulatory CD14+TLR2+ subset. The top 25th percentile groups also showed significantly lower diastolic blood pressure (DBP), triglyceride (TG), and matrix metallopeptidase 9 (MMP9) levels in their circulation. Pearson correlation analysis revealed a negative relationship between CD14+TLR2+ subset and cardiovascular risk markers. The presented results highlight a positive influence of higher daily PA on cardiovascular health, driven by the upregulation of monocytic TLR2+ subsets in circulation, suggesting that TLR2 may play a modulatory role in the regulation of inflammation and lipid metabolism. Disclosure F. Bahman: None. H. Alsaeed: None. S. Albeloushi: None. F. Almulla: None. R. Ahmad: None. F. Alrashed: None.

Patterns of physical activity over time in older patients rehabilitating after hip fracture surgery: a preliminary observational study

BackgroundTo investigate patterns of continuously monitored physical activity in older patients rehabilitating after hip fracture surgery and the association with patient characteristics.MethodsPhysical activity of surgically treated hip fracture patients aged 70 years or older, who were rehabilitating at a skilled nursing home, was continuously monitored using a tri-axial accelerometer. The intensity of physical activity per day was calculated from the accelerometer signals to describe the daily physical activity levels of the enrolled patients. The patterns of three different aspects of physical activity were investigated: overall physical activity, overall variability, and day-to-day variability. Two experts in the geriatric rehabilitation field helped identifying unique physical activity patterns for each aspect based on visual analysis. Eighteen healthcare professionals independently classified each patient in one of the predefined patterns for each aspect. Differences between physical activity patterns and patient characteristics were assessed using a Kruskal–Wallis or Fisher’s Exact Test.ResultsPhysical activity data from 66 older patients were used in this preliminary study. A total of six unique patterns were identified for overall physical activity and overall variability, and five unique patterns for the day-to-day variability. The most common pattern found for the overall physical activity and day-to-day variability had a S-shape, which first slowly increased, then steeply increased, and subsequently flattened (n = 23, 34.8%). A N-shape pattern was found the most common pattern for overall variability, which first slowly increased, then steeply increased, then decreased and lastly increased (n = 14, 21.2%). The functionality at admission to rehabilitation, measured with the Barthel Index, and the duration of rehabilitation stay differed between the patterns of physical activity.ConclusionsMultiple patterns of physical activity among older patients during hip fracture rehabilitation were found in this preliminary study. The functionality at admission to rehabilitation and the duration of rehabilitation stay were associated with the different patterns found in this study. Results of this study highlight the importance of personalized hip fracture treatment.

Effects of major urban redesign on sedentary behavior, physical activity, active transport and health-related quality of life in adults

BackgroundThe built environment is increasingly recognized as a determinant for health and health behaviors. Existing evidence regarding the relationship between environment and health (behaviors) is varying in significance and magnitude, and more high-quality longitudinal studies are needed. The aim of this study was to evaluate the effects of a major urban redesign project on physical activity (PA), sedentary behavior (SB), active transport (AT), health-related quality of life (HRQOL), social activities (SA) and meaningfulness, at 29–39 months after opening of the reconstructed area.MethodsPA and AT were measured using accelerometers and GPS loggers. HRQOL and sociodemographic characteristics were assessed using questionnaires. In total, 241 participants provided valid data at baseline and follow-up. We distinguished three groups, based on proximity to the intervention area: maximal exposure group, minimal exposure group and no exposure group.ResultsBoth the maximal and minimal exposure groups showed significantly different trends regarding transport-based PA levels compared to the no exposure group. In the exposure groups SB decreased, while it increased in the no exposure group. Also, transport-based light intensity PA remained stable in the exposure groups, while it significantly decreased in the no exposure group. No intervention effects were found for total daily PA levels. Scores on SA and meaningfulness increased in the maximal exposure group and decreased in the minimal and no exposure group, but changes were not statistically significant.ConclusionThe results of this study emphasize the potential of the built environment in changing SB and highlights the relevance of longer-term follow-up measurements to explore the full potential of urban redesign projects.Trial registrationThis research was retrospectively registered at the Netherlands Trial Register (NL8108).

P407 Physical activity and sedentary behavior in cystic fibrosis patients before and after triple modulator therapy: a single-centre retrospective study

Regular physical activity (PA) and reduced sedentary behavior (SB) are associated with health benefits and a greater life expectancy in cystic fibrosis (CF) patients. This retrospective cohort study aimed to investigate whether tezacaftor-ivacaftor-elexacaftor had an impact on daily PA levels and SB in patients with CF.