Global Physical Activity Questionnaire Research Articles

Correlation between physical activity and burnout amongst allied healthcare professionals in eThekwini, South Africa.

Allied healthcare professionals face the intricate challenge of preventing burnout, which is marked by emotional exhaustion, depersonalisation and diminished personal accomplishment. Physical activity is proposed as a mitigating strategy that promises to reduce and effectively address burnout among allied healthcare professional. The study aimed to determine the correlation between personal accomplishment and burnout among allied healthcare professionals. A quantitative, non-experimental, cross-sectional, correlational design following the TREND statement amongst 82 allied healthcare professionals was conducted using the Maslach Burnout Inventory and the Global Physical Activity Questionnaire. Burnout was assessed using its three diagnostic characteristics: emotional exhaustion, depersonalisation and personal accomplishment. Participants (45.1%) experienced a low degree of emotional exhaustion, but overall, for the entire group emotional exhaustion was moderate (M = 20.51; standard deviation = 10.5), similar to depersonalisation (M = 6.46; standard deviation ±4.90), with 46.3% of the participants experiencing a low degree of depersonalisation. In the personal accomplishment category, 22% experienced a low degree of personal accomplishment; overall, for the entire group, personal accomplishment was low (M = 33.35; standard deviation = 7.58). Most participants (65.9%) engaged in moderate-intensity physical activities. The number of days performing moderate-intensity physical activity at work significantly increases the odds of allied healthcare professional experiencing low levels of emotional exhaustion, depersonalisation and personal accomplishment by 1.92, 2.33 and 2.09, respectively (p < 0.05). Engaging in moderate-intensity physical activities increases the likelihood of allied healthcare professionals experiencing low emotional exhaustion, depersonalisation and personal accomplishment degrees. It underscores the importance of implementing physical activity programmes to improve healthcare and alleviate the effect of burnout in allied healthcare professional.

Influence of living settings on physical activity levels and volition in exercise in male and female university students.

This study explored the influence of living settings on physical activity (PA) levels and volition in exercise and their correlation, considering sex differences. Five hundred and sixty-six university students (261 rural and 305 urban) from Calabria region (Italy) attending universities courses filled an online survey where Global Physical Activity Questionnaire and Volition in Exercise Questionnaire were administered. Rural females (RF) showed lower PA levels and self-confidence than rural males (RM) (p<0.01). Postponing training and unrelated thoughts were higher in RF than RM (p<0.01 and p<0.05 respectively). PA levels, self-confidence and coping with failure were lower in urban females (UF) than urban males (UM) (p<0.01), Postponing training and unrelated thoughts were higher in UF than UM (p<0.01 and p<0.05). In RF and UF, PA levels positively correlated with self-confidence (Rho = 0.397) and coping with failure (Rho = 0.330), whereas negatively correlated with postponing training (Rho = -0.487) and unrelated thoughts (Rho = -0.283). In RM and UM, PA levels positively correlated with self-confidence (Rho = 0.270) and coping with failure (Rho = 0.258), whereas it negatively correlated with postponing training (Rho = -0.285). PA levels positively correlated with reasons (Rho = 0.260) only in UM. We showed for the first time the relationship between PA and volition factors considering the living setting in university students. Sex differences were observed in some volition facilitators and PA levels independently by the living context.

Association between various physical activity domains and overall cancer risk, National Health and Nutrition Examination Survey (NHANES) 2007-2018.

There are very few studies concurrently evaluating the association between multiple physical activity (PA) domains and cancer prevalence. Therefore, this study aims to fill this gap by investigating the link between multiple PA subdomains [occupational PA (OPA), transportation-related PA (TPA), leisure-time PA (LTPA), and total PA] and the likelihood of cancer. The data from National Health and Nutrition Examination Survey (NHANES) 2007-2008, 2009-2010, 2011-2012, 2013-2014, 2015-2016, and 2017-2018 were used in this study. Cancers are the primary outcome variable of interest in this study. PA was self- or proxy-reported using the Global Physical Activity Questionnaire (GPAQ). Multivariable logistic regression models were used, adjusted for covariates. The trend analysis revealed that the prevalence of cancer statistically decreased with the increase in total PA amount. The participants achieving twice the minimum recommended PA guidelines (≥300 minutes) for total PA were 32% [0.68 (0.54, 0.86)] less likely to have cancer. However, significant associations between three PA subdomains (OPA, TPA, and LTPA) and cancers were not found in this study. There is no significant association between any of these three single PA subdomains and cancer prevalence other than total PA. Therefore, this study recommends clinical practice should prioritize promoting comprehensive PA that integrates OPA, TPA, and LTPA to achieve at least 150 minutes per week (i.e. per seven days) initially and progressing towards 300 minutes for optimal cancer prevention.

Association Between Leisure-Time Physical Activity and All-Cause Mortality Among Stroke Survivors: Findings From National Health and Nutrition Examination Survey.

Stroke is the second leading cause of death and the third leading cause of disability globally. But little is known about the optimal level of physical activity for stroke survivors. Therefore, we aimed to analyze the dose-response relationship between leisure-time physical activity (LTPA) and all-cause mortality in stroke survivors. One-thousand six hundred and sixty-four stroke survivors form from the 1999 to 2018 National Health and Nutrition Examination Surveys were classified into 6 groups: 0, 1 to 149, 150 to 299, 300 to 599, 600 to 899, and ≥900minutes per week (based on the Global Physical Activity Questionnaire). Cox proportional hazards regression models with different adjustments of covariates were used to investigate the association between LTPA and all-cause mortality. Except for stroke survivors with LTPA levels ranging from 600 to 899minutes per week (P = .055), there was a significant difference in survival rates among stroke survivors with different levels of LTPA compared with those without LTPA. Stroke survivors engaging in LTPA levels exceeding 900minutes per week exhibited the greatest benefit compared with stroke survivors who did not engage in LTPA (hazard ratio = 0.225; 95% confidence interval, 0.122-0.414). Our research findings add to the expanding evidence base that highlights the favorable connection between LTPA and decreased risk of all-cause mortality among individuals who have survived a stroke. Our study emphasizes the significance of incorporating physical activity interventions into the poststroke care regimen and underscores the potential advantages of personalized activity guidance.

Association between lifestyle factors and hypertension control in Indonesian primary healthcare settings: A cross-sectional study.

A healthy lifestyle influences hypertension control. However, studies investigating the effects of lifestyle on hypertension remain elusive. This study aimed to analyse the association between lifestyle factors and hypertension control among patients with hypertension. This cross-sectional exploratory study was conducted from June to December 2022 among 265 patients with hypertension from the Pusat Kesehatan Masyarakat. The status of hypertension control was assessed by checking the serial blood pressure. The physical activity (PA) level, sleep quality, stress level and eating pattern were measured using the Global Physical Activity Questionnaire; Pittsburgh Sleep Quality Index; Depression Anxiety Stress Scale-21; and 24-Hour Food Recall Questionnaire, Adolescent Food Habits Checklist and Emotional Eating Scale, respectively. Stepwise binary logistic regression and a generalised linear model were used for the statistical analysis. Approximately 72.2% of the participants had uncontrolled hypertension. The majority showed a low PA level (46%), normal stress level (94.7%), good sleep quality (80%), low caloric intake (95.5%), neutral food habit (55.5%) and low emotional eating (93.2%). Sex (P=0.030), age (P=0.018), PA level (P=0.011), sleep quality (P=0.032) and stress level (P=0.030) significantly influenced hypertension control. Specifically, moderate (odds ratio [OR]=5.868, 95% confidence interval [CI]=3.024-11.798, P=0.000) and vigorous PA levels (OR=2.188, 95% CI=1.026-4.678, P=0.042) were significantly associated with hypertension control. Moderate and vigorous PA levels are lifestyle factors that may play a role in controlling hypertension.

Factors influencing lifestyle behaviors related to physical activity and smoking habits among Saudi adults attending Wazarat Health Center in Riyadh, Saudi Arabia

Objective: This study aimed to investigate the factors influencing lifestyle behaviors, such as physical activity and smoking, among adults who attended the Wazarat Health Center (WHC) under Prince Sultan Military Medical City (PSMMC) in Riyadh, Saudi Arabia. Methods: This was a cross-sectional observational survey-based study. The questionnaire included sociodemographic data, smoking status, and physical activity assessment using the Global Physical Activity Questionnaire (GPAQ). It also screened for anxiety and depression using a four-item patient health questionnaire (PHQ-4). Results: The study included 372 adults, with a mean (SD) age of 37.21 (10.9) years. The majority (69.6%) met the WHO recommendations for physical activity. About one-third (33.5%) were smokers, and 43% reported moderate symptoms of anxiety and depression. Males were significantly more likely to meet physical activity recommendations (p-value=0.004) and smoke (p-value=

Effect of COVID-19 Pandemic on Physical Activity and Screen Time of School Children: A Cross-sectional Study from Chandigarh

Background The nationwide lockdown imposed due to the COVID-19 pandemic disrupted daily routines, especially for children. Being at home and attending virtual classes unintentionally precipitated an increase in both academic and nonacademic screen time and probably led to decreased physical activity in children. However, there is lack of evidence related to the physical activity and screen time of school-age children during the COVID-19 pandemic. So this study aimed to investigate the effect of the COVID-19 pandemic and lockdown on physical activity and screen time of children. Methods An online survey was used to recruit parents of school-age children through convenience sampling. Parents were asked to compare their child’s physical activity and screen time in the previous week with those in the pre-lockdown and lockdown periods. The global physical activity questionnaire was used to assess physical activity, and a screen time questionnaire was developed and validated. Data collection was done from September 2020 to December 2020. Results Data of 104 children were collected from parents’ reports. The average age of parents was 39.1 + 4.8 years for mothers and 40.8 + 6.9 years for fathers. Results revealed a decrease in physical activity from 564.95 min/week before the lockdown to 146.05 min/week during the lockdown, with the absolute decrease of 448.9 min/week. Total screen time increased from 2.42 h/day before the lockdown to 7.41 h/day during the lockdown. Conclusion Necessary steps to mitigate the effect of COVID-19 pandemic unintentionally affected children in terms of decreased physical activity and increased screen time.

Assessment of stress and physical activity in male medical students

Background: Transition to university, academic performance pressure, lack of sleep, personal relationships, and poor coping skills are the common sources of stress for undergraduate students. The health of students can be negatively impacted by high-energy, high-salt diets, irregular diets, and insufficient physical activity (PA), which can result in overweight and obesity. Aims and Objectives: To find out the relationship between PA and stress among medical students. Materials and Methods: The study was conducted on 60 male undergraduate students in the age group 18–21 years of 1st professional MBBS. After taking a detailed history body mass index (kg/m2) was calculated. Then subjects were asked to fill out the perceived stress scale and global PA questionnaire to assess their stress and PA status. Results: In the present study there is a statistically significant relationship between the stress score and the PA. This shows that those students who were leading a more active daily or weekly schedule were exhibiting lower scores on the stress scale tool employed. Conclusion: The study revealed a highly significant (P &lt; 0.001) correlation between the stress level and PA status of the students.

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.

Factors Affecting Physical Activity Levels among the Korean Elderly with Osteoarthritis: Focusing on Gender Differences

Background: This study was conducted to provide basic data to explore strategies for promoting physical activity differentiated according to the gender of the elderly with osteoarthritis.Methods: This study was conducted using data from the Korea National Health and Nutrition Examination Survey (2014-2021). Those aged 65 or older and diagnosed with osteoarthritis were included, and a total of 2,915 people were analyzed (male=553 and female=2,362). The level of ph guidelines presented by the World Health Organization. Less than 600 metabolic equivalent of tasks (METs)-minutes/week or no physical activity was classified as light-intensity physical activity, and if METs-min/week was 600 or more, it was classified as moderate-to-vigorous physical activity. The data analyzed using Rao-Scott chi-square and multiple logistic regression ysical activity was calculated according to the Global Physical Activity Questionnaire analysisanalyses to account for the complex sampling design.Results: In the elderly male with osteoarthritis, the level of physical activity was low in the case of high age, no spouse, low education level, and poor subjective health condition. In the elderly women, age, residential area, and subjective health status were found to be significant influencing factors.Conclusions: Differences in influencing factors by gender should be considered in the physical activity improvement intervention program for older adults with osteoarthritis. Furthermore, intervention studies must examine the effects of gender-specific programs on physical activity of older adults with osteoarthritis.

Levels and types of physical activity in Russia according to the ESSE-RF study: is there a trace of the COVID-19 pandemic?

Aim. To study levels and types of physical activity, as well as its individual socio-demographic and seasonal determinants in the Russian population according to the Epidemiology of Cardiovascular Diseases and their Risk Factors in Regions of Russian Federation (ESSE-RF) study.Material and methods. Data from the ESSE-RF2 (2017) and ESSERF3 (2020-2022) was used. The sample included 28731 men and women aged 35-74 from 15 regions. The level of physical activity was assessed using the Global physical activity questionnaire (GPAQ). The following socio-economic and demographic characteristics were taken as covariates: sex, age, place of residence (urban and rural), level of education, marital status, work characteristics, income level, season of the year. Statistical analysis was performed using SPSS version 22 (IBM Corp. USA).Results. The study showed that 27,4% of the sample have insufficient physical activity. Among the low physical activity category, there are more women than men (28,12 vs 26,7%, p&lt;0,001); among men, high physical activity was more often identified (24,1 vs 18,3%, p&lt;0,001). Compared to the urban population, rural residents have higher physical activity rates (23,9 vs 20,3%, p&lt;0,001). The proportion of people with high physical activity is also higher among people with higher income levels (p&lt;0,001). General physical activity in men is higher compared to women, due to work and recreational activity, but transport-related physical activity is significantly higher in women. From 2017 to 20202022, the population level of physical activity decreased.Conclusion. This study provides the most complete description of Russian patterns of physical activity and shows the areas of necessary intervention for the development of measures and programs aimed at increasing physical activity of Russian population.

Joint associations of sleep duration and physical activity with cognitive impairment among rural elderly over 65 years old: a cross-sectional study.

During the long preclinical phase of dementia, accelerated cognitive impairment is regarded as a cardinal marker. Thus, the identification of risk factors for cognitive impairment is of great significance for dementia prevention. This study aims to examine the joint associations of sleep duration and physical activity with cognitive impairment among rural elderly over 65 years old, and provide suggestions for improving the cognitive function in rural elderly over 65 years old. A cross-sectional study was conducted in rural Nanjing by recruiting 1147 individuals aged above 65 years. Cognitive function was assessed using the brief community screening instrument for dementia. Physical activity was assessed using the Global Physical Activity Questionnaire. Data were analyzed by multivariate logistic regression models, and a significant difference was set at P < 0.05. Compared with participants with proper sleep duration and sufficient physical activity, participants with short sleep duration and insufficient physical activity (odds ratio (OR): 1.820; 95% CI: 1.265 ~ 2.618), long sleep duration and sufficient physical activity (OR: 2.428; 95% CI: 1.137 ~ 5.183) showed an increased likelihood of cognitive impairment. Inappropriate sleep duration combined with insufficient physical activity was associated with a significantly higher likelihood of cognitive impairment in rural elderly over 65 years old.

The association between different types of physical activity and smoking behavior

BackgroundSmoking is harmful, which has become a major public health burden. Physical activity may be related to smoking. Physical activity is one of the current methods for smoking control and smoking cessation. Different types of physical activity may have different effect on smoking behavior.ObjectiveThe purpose of this study was to identify the direction and extent of the impact of different types of physical activity above moderate intensity (including work physical activity, recreational physical activity, commuter physical activity and sedentary behavior) on smoking behavior.Materials and methodsIn this study, a total of 2,015 individuals (1,233 males and 782 females, mean age 54.02±17.31 years) was selected from the representative population aged 20 and above in the National Health and Nutrition Survey of the United States from 2017 to 2018. Physical activity was assessed using the Global Physical Activity Questionnaire (GPAQ) ; the tobacco use questionnaire (SMQ) was used to determine whether the sample had smoking behavior at this stage. Binary Logistic regression analysis was performed with various physical activities as independent variables and smoking behavior as dependent variables. All data were analyzed through Statistical Product and Service Solutions (SPSS) 26.0.ResultsAfter adjusted for all confounding variables, physical activity at work was close to significantly associated with smoking behavior (P=0.053), odds ratio (OR) =1.135 (95%Cl: 0.999-1.289). Recreational physical activity was significantly associated with smoking behavior (P < 0.001), OR=0.729 (95%Cl: 0.639-0.832). Commuting physical activity was significantly associated with smoking behavior (P < 0.001), OR=1.214 (95%Cl:1.048-1.405). Sedentary behavior was significantly associated with smoking behavior (P < 0.001), OR=1.363 (95%Cl: 1.154-1.611).ConclusionsGiven that different types of physical activity have different associations with smoking behavior. Therefore, when physical activity is used as a tobacco control measurement, it is necessary to pay attention to the type and environment of physical activity. Recreational physical activities should be appropriately increased, sedentary behavior should be reduced, and smoking prohibit environment should be expanded as far as possible to achieve better clinical intervention effects.

Effects of physical activity and depressive symptoms on cognitive function in older adults: National Health and Nutrition Examination Survey.

Population aging is a growing phenomenon, with cognitive impairment becoming a prevalent issue among the elderly. This study aimed to investigate the impact of physical activity and depressive symptoms on cognitive function in older adults using a nationally representative data set of U.S. older adults aged ≥ 60years. The study comprised 2713 participants aged ≥ 60 from the National Health and Nutrition Examination Survey 2011-2014. Participants were classified into two groups: Cognitive impairment and No-Cognitive impairment, determined by the results of the Digit Symbol Substitution Test (DSST). Physical activity (PA) was assessed using the Global Physical Activity questionnaire (GPAQ), while depressive symptoms were evaluated using the Patient Health Questionnaire (PHQ-9). Logistic regression analysis examined the relationship between physical activity, depressive symptoms and cognitive function. Multifactorial logistic regression analysis showed that high levels of physical activity were found to be significantly associated with a lower risk of cognitive impairment compared to low levels of physical activity [OR = 0.789, 95% CI:0.632 ~ 0.986, P = 0.037]. On the other hand, the presence of major depressive symptoms was significantly associated with a higher risk of cognitive impairment compared to the absence of depressive symptoms [OR = 3.482, 95% CI: 2.278 ~ 5.324, P < 0.001]. Participants in the recreational physical activity group exhibited higher Cognitive scores (P < 0.001), indicating better cognitive functioning. High levels of Physical activity were independently associated with a lower incident cognitive impairment. Additionally, the severity of depression was positively correlated with an increased risk of cognitive impairment.

Is Problematic Physical Activity (PPA) a Uni- or Multi-Dimensional Concept? A Bifactor Analysis of the Exercise Dependence Scale-Revised (EDS-R).

The study of exercise dependence, or as we prefer, problematic physical activity (PPA), faces both theoretical and methodological challenges. Different factorial solutions were obtained for the widely used Exercise Dependence Scale-Revised (EDS-R), leading us to question both its latent underlying construct and the interpretation of its factor solutions. Through confirmatory factor analysis (CFA) and the use of a bifactor model (BCFA), we assessed the dimensionality of a French version of the EDS-R. We recruited 745 students from Paris Nanterre University, but we removed 88 responses (16.8%) to retain only those who (a) engaged in a moderate to high levels of physical activity, according to the Global Physical Activity Questionnaire (GPAQ; N = 494; 9.5%), and (b) completed the EDS-R. We used a final sample of 435 students (58.4% of the total population) for a factorial analysis of the EDS-R. We conducted a three-step CFA in Mplus, producing three models: (a) unidimensional, (b) second-order, and (c) bi-factor (BCFA). The results of the BCFA indicated that most EDS-R items were better indicators of a general factor than their respective group factors, except for the second factor measuring a withdrawal construct. These results add to an ongoing debate in the field of behavioral addiction as to how to better conceptualize and measure exercise dependence or PPA. Withdrawal appears to have a special position in this debate, since our BCFA suggested that it is the only specific sub-dimension of the EDS-R scale.

Physical activity levels among undergraduate students at the College of Applied Medical Sciences, King Saud University, Riyadh: A prevalence study.

Physical inactivity and sedentary behavior pose significant health concerns, particularly among young adults like college students. However, little research exists on the attitudes towards physical activity among Saudi Arabian healthcare students. This study aimed to assess the prevalence of physical activity and determine the reason for being physically inactive among students and interns across all programs in the College of Applied Medical Sciences (CAMS) at King Saud University (KSU), Riyadh, Saudi Arabia. A cross-sectional online survey was conducted between March and May 2023. CAMS students aged 18 and above, fluent in Arabic or English, and willing to participate were included. The Global Physical Activity Questionnaire (GPAQ) was used to measure physical activity. Descriptive statistics were used for data analysis. Out of 433 respondents, 377 met the inclusion criteria (response rate: 89.3%). Physical activity prevalence was 54.60%, with walking being the most common activity (42.70%). Lack of time was the primary reason for inactivity (51.40%). On average, students engaged in 1.5 hours/day of vigorous-intensity activities and 1.3 hours/day of vigorous-intensity sports and fitness activities at work. Sedentary behavior, characterized by continuous sitting, averaged 5.37 hours per day. Approximately half of CAMS students are physically active, while 20% rely solely on short walks due to time constraints, limited activity hours, or sedentary habits. A lack of time was cited as the primary reason for inactivity by most students. Future research should focus on strategies to enhance physical activity among healthcare students. In addition, academicians and policymakers should propose time-efficient initiatives that accommodate the demanding and busy schedules of healthcare students.

Relationship between Physical Activity, Handgrip Strength, Depressive Symptoms, and Cognitive Impairment in Korean older adults

AbstractBackgroundPhysical activity, muscle strength, depressive symptoms, and cognitive function are intertwined in later life. This study aimed to investigate the association physical activity (PA), relative handgrip strength (RHGS), depressive symptoms, and cognitive impairment in Korean older adults.MethodThis study consisting of 512 community‐dwelling Korean older adults (417 female, 95 male) aged 65 years and older (74.8±5.4 years) in S‐city, Gyeonggi‐do. PA and handgrip strength were assessed with the Global Physical Activity Questionnaire and using a dynamometer (GRIP‐D; Takei Ltd, Niigata, Japan). Depressive symptoms were evaluated using the Korean form of the Center for Epidemiologic Studies Depression (CES‐D) Scale. Cognitive impairment was assessed with the Mini‐Mental State Examination for Dementia Screening (MMSE‐DS) of Korean version. The PROCESS V3.4 macro for SPSS based on the bootstrap method was used to determine the mediating effects of PA and RHGS on the relationship between depressive symptoms and cognitive impairment.ResultMultiple logistic regression showed that insufficient PA was associated with high odds of a cognitive impairment ((OR = 2.972, 95%CI = 1.749‐5.052, p = .002) compared with sufficient PA (OR = 1). Weak RHGS (OR = 3.540, 95%CI = 2.156‐5.814, p&lt;.001) was associated with high odds of the cognitive impairment compared with normal RHGS (OR = 1). Depressive symptoms (OR = 2.676, 95%CI = 1.594‐4.492, p&lt;.001) were associated with higher odds of the cognitive impairment compared with normal depression status (OR = 1). Particularly, depressive symptoms were found to have both direct and indirect effects on cognitive impairment. As predicted, PA and RHGS partially mediated the relationship between depressive symptoms and cognitive impairment (PA: B = –0.017, 95%CI = –0.028 ‐ –0.009, p&lt;.001; RHGS: B = –0.005, 95%CI = –0.007 ‐ –0.003, p&lt;.001). In addition, serial mediation analysis indicates that the association between depressive symptoms and cognitive impairment was partially mediated by PA and RHGS in a sequential manner (B = –0.004, 95%CI = –0.006 ‐ –0.002, p&lt;.001).ConclusionAccording to the results of the serial multiple mediation model, the elderly should be encouraged to continue their physical activity in daily life, which not only improves and maintaining muscular strength but also reduces the negative impact of depressive symptoms on cognitive impairment.

Fiber Intake, Physical Activity, and Blood Sugar Levels in Type 2 DM Patients at Puskesmas I Denpasar Timur

Background: Diabetes Mellitus (DM) is a chronic disease that occurs when the pancreas is unable to produce insulin or when the body cannot use properly produced insulin. Normal blood sugar levels are below 200 mg/dl. The purpose of this study is to find out the correlation of fiber intake and physical activity with blood sugar levels in patients with type 2 diabetes mellitus at Public Health Center (Puskesmas) of Denpasar Timur I.&#x0D; Method: This type of study is observational using cross sectional design. This study was conducted in December 2022. The number of samples in this study was 50 people. Fiber intake data are collected using the SQ-FFQ form, physical activity data are collected using the GPAQ (Global Physical Activity Questionnaire), blood sugar levels by blood strip using a glucometer. &#x0D; Result: The data was processed with statistical analysis of Spearman Rank correlations. The results showed that 58% had sufficient fiber intake, 16% had high-category physical activity, and 42% had blood sugar levels &lt;200 mg/dl. The results showed there was a relationship between fiber intake and blood sugar levels (p&lt;0.05) and also a significant relationship of physical activity with blood sugar levels (p&lt;0.05).&#x0D; Conclusion: The final result is there was a relationship between fiber intake and blood sugar levels and also a significant relationship of physical activity with blood sugar levels.

Exploring physical function and physical activity in axial spondyloarthritis: Beyond clinical remission or low disease activity.

To investigate the crucial roles of physical function (PF) and physical activity (PA) in axial spondyloarthritis (axSpA) patients, as well as their correlation with disease activity (DA), and to explore the influence of general characteristics among them. We enrolled axSpA patients from Xijing Hospital, spanning March 2022 to August 2022. Spearman rank correlation coefficients were used to assess correlations between PA (measured by the Global Physical Activity Questionnaire [GPAQ]), PF (measured by the Assessment of Spondyloarthritis international Society Health Index [ASAS-HI], the Short Form 36-Item Health Survey [SF-36], and the Bath Ankylosing Spondylitis Functional Index [BASFI]), DA, and their influencing factors. A Mann-Whitney U-test and Kruskal-Wallis H-test were used to compare variables between different patients grouped by sex, human leukocyte antigen B27 (HLA-B27), hip involvement, and intensity of PA and DA. Three hundred fifty-five axSpA patients were included. We observed a moderate to strong correlation between DA and PF in axSpA patients. PA was weakly correlated with DA or PF. DA varied significantly at different PA levels, and patients with low PA levels had poorer PF. Active patients had worse PF, less transport-related PA, and a higher rate of hip involvement with a worse Harris Hip Score (HHS). We identified a close relationship between DA, PF, and PA in axSpA patients. Further, gender, HLA-B27, and hip involvement affected the clinical manifestation of axSpA patients. These findings demonstrate that clinical remission of axSpA patients requires a comprehensive assessment rather than a single remission of DA.

Relationship between Living Environments and Recreational Moderate-to-vigorous Physical Activity Engagement in the Older Korean Population

Objectives: This study aimed to explore the relationship between living environments, such as regions, towns and dwelling types, and recreational moderate-to-vigorous physical activity (RMVPA) engagement in the older Korean population.Methods: A total of 7,594 male and female subjects aged ≥ 60 years were included. To evaluate living environments, participants’ regions, towns and dwelling types were each sorted into two conditions: (1) special regions (i.e., South Korea’s capital city and six metropolitan regions, the largest cities in each province) and (2) other regions; (1) dongs (urbanized areas) and (2) eups and myeons (rural areas); and (1) apartments and (2) houses. RMVPA was assessed using the short form of the Global Physical Activity Questionnaire and separated into tertiles.Results: The percentages of the lowest tertiles of RMVPA in other regions, eups and myeons, and houses were higher than those in one special and six metropolitan regions, dongs and apartments. However, the percentages of middle and highest tertiles showed the opposite results (&lt;i&gt;p&lt;/i&gt;&lt; 0.001 for all). Subjects living in special regions, dongs and apartments were 1.56, 1.94, 1.42, 1.66, 1.78, and 1.24 times more likely to be in the middle RMVPA tertile in male and female subjects, respectively, relative to those in other regions, eups and myeons, and houses (&lt;i&gt;p&lt;/i&gt;&lt; 0.01 for all). Those living in special regions, dongs and apartments were 1.80, 2.57, 1.52, 1.85, 2.23, and 1.21 times more likely to be in the highest RMVPA tertile in male and female subjects, respectively, relative to those in other regions, eups and myeons, and houses (&lt;i&gt;p&lt;/i&gt;&lt; 0.05 for all).Conclusions: Living in an apartment in a large, urbanized city may be positively related to higher RMVPA engagement in the older Korean population, regardless of sex.