Health-enhancing Physical Activity Research Articles

Pedagogical approaches to health-related physical education (PE) in the context of digitalisation – a scoping review

ABSTRACT Introduction There are varied consequences of digital transformation processes within the fitness and health-related living environments of adolescents (e.g. increased physical activity through wearables, body dissatisfaction through social media) which could potentially provide fruitful health-related learning experiences within different pedagogical approaches to health in PE (e.g. biomedical vs. alternative, Mong and Standal, 2019, “Didactics of Health in Physical Education – a Review of Literature.” Physical Education and Sport Pedagogy 24 (5): 506–518. https://doi.org/10.1080/17408989.2019.1631270). However, concerns have been raised that the integration of digital media into health-related PE could reinforce biomedical approaches to health and lead, for example, to a focus on increasing fitness through technology. This one-sided focus would not be in line with the demands for a comprehensive health education. This paper aims to map the current trend of pedagogical approaches to health-related PE in the context of digitalisation and to identify typical learning goals against this background. Methods We conducted a scoping review based on the framework of Tricco et al. (2018, “PRISMA Extension for Scoping Reviews: Checklist and Explanation.” Annals of Internal Medicine 169 (7): 467–473. https://doi.org/10.7326/M18-0850). We searched nine databases using a search term covering three topic areas: digitalisation, health, and physical education. Considering the publication years from 2013 to 2023, we selected papers in a three-step process (title-, abstract-, and full-text-screening). In total, we included 103 empirical and theoretical papers in the analysis using qualitative content analysis (Kuckartz, 2019, “Qualitative Text Analysis: A Systematic Approach.” In Compendium for Early Career Researchers in Mathematics Education, edited by G. Kaiser and N. Presmeg, 181–197. Cham: Springer). To map the pedagogical approach to health, we applied the following main deductive categories: conceptualisation of health, paradigmatic approach to health and envisaged learning goals. To analyse learning goals with regard to digitalisation, we used the distinction between learning with and about digital media as a focus of analysis. Results The scoping review shows that most of the papers discussed a broad conceptualisation of health for PE by addressing biopsychosocial aspects of health. Many of the implications for health- and digitalisation-associated learning goals related to pre-reflective and functional-reflective learning goals in the area of learning with digital media. They mainly focused, from a pathogenic viewpoint, on how digital media can increase health-enhancing physical activity, affective determinants of health behaviour and health-related knowledge. Parts of these learning goals have already been empirically investigated. Only a few papers proposed critical-reflective learning goals in the area of learning about digital media, aiming at a socio-emancipatory engagement with digital media, health and society. No empirical study within the scoping review investigated the effectiveness of such critical health- and digitalisation-related PE. Discussion and conclusion In light of the results, it is important that future genuine pedagogical research about health- and digitalisation-related PE increasingly focuses on the development and empirical evaluation of theoretically sound concepts for PE that are in line with the educational demands of comprehensive – thus also critical and salutogenic – health and digital education.

German translation and linguistic validation of the modified short questionnaire to assess health-enhancing physical activity (mSQUASH) for patients with axial spondyloarthritis (axSpA)

Patients with axial spondyloarthritis (axSpA) often experience chronic pain and inflammation, resulting in physical impairments, reduced mobility and decreased physical activity. The modified short questionnaire to assess health-enhancing physical activity (mSQUASH) was developed to assess daily physical activity in patients with axSpA. To translate, cross-culturally adapt and linguistically validate the original mSQUASH into German for patients with axSpA. The original mSQUASH was translated from Dutch into German using amultistep process (Beaton method) with forward-backward translations into German by bilingual Dutch-German lay people and experts. Any remaining discrepancies were resolved by ascientific committee, resulting in aprefinal German version. Field testing with cognitive debriefing interviews with patients with axSpA from diverse backgrounds led to afinal German version. Minor discrepancies, primarily related to formalities, semantic errors and syntax were found during translations. These were addressed, resulting in slight wording modifications. The prefinal German version was validated through cognitive debriefing by 10patients with axSpA, confirming its linguistic validity and equivalence to the Dutch version. Overall, this study confirmed the final German mSQUASH as acomprehensive measurement instrument for daily physical activity. It can now be used as apatient-reported outcome by German patients with axSpA. This can enable cross-linguistic comparisons and expanding its utility across language barriers.

Physical activity with person-centered guidance supported by a digital platform or with telephone follow-up for persons with chronic widespread pain: Health economic considerations along a randomized controlled trial.

The aim was to investigate the resource use and costs associated with the co-creation of a physical activity plan for persons with chronic widespread pain (CWP) followed by support through a digital platform, compared to telephone follow-up. In this 12-month cost comparison study following up results after a randomized controlled trial, individuals with CWP, aged 20-65 years, were recruited at primary healthcare units in Western Sweden. All participants developed a person-centered health-enhancing physical activity plan together with a physiotherapist. Participants were then randomized to either an intervention group (n = 69) who had a follow-up visit after 2 weeks and was thereafter supported through a digital platform, or an active control group (n = 70) that was followed up through one phone call after a month. Costs to the health system were salary costs for the time recorded by physiotherapists when delivering the interventions. The reported time per person (2.8 h during the 12 months) corresponded to costs of SEK 958 (range: 746-1,517) for the initial visits and follow-up (both study groups), and an additional 2.5 h (corresponding to a mean SEK 833; range: 636-1,257) for the time spent in the digital platform to support the intervention group. After co-creation of a physical activity plan, it was more costly to support persons through a digital platform, compared to telephone follow-up.

Men’s matters—a health-enhancing physical activity intervention for men 50+

Men’s matters—a health-enhancing physical activity intervention for men 50+

Physical Activity Levels, Correlates, and All-Cause Mortality Risk in People Living With Different Health Conditions.

To better understand physical activity behavior and its health benefits in people living with health conditions, we studied people with and without 20 different self-reported health conditions with regard to (1) their physical activity levels, (2) factors correlated with these physical activity levels, and (3) the association between physical activity and all-cause mortality. We used a subsample (n = 88,659) of the Lifelines cohort study from the Netherlands. For people living with and without 20 different self-reported health conditions, we studied the aforementioned factors in relation to physical activity. Physical activity was assessed with the Short Questionnaire to Assess Health-Enhancing Physical Activity Questionnaire, and mortality data were obtained from the Dutch death register. People with a reported health condition were less likely to meet physical activity guidelines than people without a reported health condition (odds ratios ranging from 0.55 to 0.89). Higher body mass index and sitting time, and lower self-rated health, physical functioning, and education levels were associated with lower odds of meeting physical activity guidelines across most health conditions. Finally, we found a protective association between physical activity and all-cause mortality in both people living with and without different health conditions. People living with different health conditions are generally less physically active compared with people living without a health condition. Both people living with and without self-reported health conditions share a number of key factors associated with physical activity levels. We also observed the expected protective association between physical activity and all-cause mortality.

Validation of the SQUASH physical activity questionnaire using accelerometry: The NEO study

ObjectiveTo investigate the construct validity of the SQUASH (Short QUestionnaire to ASsess Health-enhancing physical activity). DesignThis is a cross-sectional analysis using baseline measurements from middle-aged participants in the Netherlands Epidemiology of Obesity (NEO) study. The SQUASH consists of questions on eleven physical activities investigating days per week, average duration per day and intensity, leading to a summed score in Metabolic Equivalent of Task hours (MET h) per week. To assess convergent validity, a Spearman's rank correlation between SQUASH and ActiHeart was calculated. To assess extreme group validity, three groups expected to differ in SQUASH total physical activity outcome were compared. For discriminative validity, a Spearman's rank correlation between SQUASH physical activity and participant height was investigated. ResultsSQUASH data were available for 6550 participants (mean age 56 years, 44% men, mean BMI 26.3, 15% with knee OA, 13% with hand OA). Median physical activity (interquartile range) was 118 (76; 154) MET h/week according to SQUASH and 75 (58; 99) according to ActiHeart. Convergent validity was weak (rho ​= ​0.20). For all three extreme group comparisons, a statistically significant difference was present. Discriminative validity was present (rho ​= ​0.01). Compared with the reference quintile, those with a discrepancy SQUASH ​> ​ActiHeart and SQUASH ​< ​ActiHeart were relatively younger and more often male. ConclusionsThe construct validity of the SQUASH seems sub-optimal. Physical activity reported by the SQUASH was generally higher than reported by ActiHeart. Whether the differences between SQUASH and ActiHeart are e.g. due to different underlying domains, limitations to our study, or reflect true differences needs further investigation.

Frequency of regular walking among Croatian adults.

The aim of this study was to determine the share of Croatian adults who walk 210 min or more a week and to explore the relationship between regular walking and demographic factors, health-related behaviours, and chronic non-communicable diseases/conditions. To this end, we used the EHIS-PAQ questionnaire and collected self-reported data on minutes spent walking during a typical week from a total of 3,496 respondents. The data were additionally analysed by gender, age, education, residence (urban/rural), counties and regions, smoking, other types of physical activity, and diseases/chronic conditions. The results show that, overall, 40.9 % of the adult Croatian population walks 210 or more minutes a week, with the largest share found among those from the Lika-Senj County (76.8 %), those who spend 300 min or more weekly on health-enhancing (non-work-related) aerobic physical activity (57.6 %), those who reported having diabetes (49.3 %), and those aged 65-74 years (44.7 %). Despite its limitations, our study gives a valuable insight into the frequency and factors determining healthy walking habits in a representative sample of Croatian adults and provides grounds for further research.

National Project "Gymnastics game", a Playful-physical-emotional Pathway in Kindergarten and Primary School

International bodies recommend the daily practice of physical activity from developmental age, emphasizing the priority of enhancing levels of motor-sport activity (Who, 2015; 2020). In this sense, physical and sports education in the school setting represents an educational opportunity to increase awareness of the importance of Health Enhancing Physical Activity. The aim of this contribution is to present the national project "Gymnastics Game" promoted by the Ministry of Education, University and Research (MIUR) and The Italian Gymnastics Federation with the purposes of: facilitating a lifestyle-oriented healthy, cognitive and relational approach from kindergarten onward; preventing deviant behaviour; and developing both useful problem-solving skills facing with a creative approach and adaptable and transferable skills to everyday life. The pilot project, implemented in all regions of Italy's national territory, involved No. 40 schools, a total of 222 classes, 4500 pupils attending sections 3-4-5 years of kindergarten and the first and second classes of primary school (6-7 years old), with an additional 285 classes that only received the educational kit without being able to participate in the pilot project. The initiative involved the active participation of curricular and support teachers of the affected classes, 40 FGI specialists and families. The pathways guidelines have started a nationwide comparison aimed at developing research and educational-methodological innovation in physical and sport science, improving over the years, participation in motor and sports activities and opposing the early abandonment.

A systematic evaluation of physical activity and diet policies in Scotland: results from the 2021 Active Healthy Kids Report Card.

Policymaking regarding physical activity (PA) and diet plays an important role in childhood health promotion. This study provides a detailed examination of Scottish government and policy for child and adolescent PA and diet and discusses strengths and areas for improvement. Scottish policy documents (n=18 [PA]; n=10 [diet])-published in 2011-20-were reviewed for grading using an adapted version of the Health-Enhancing Physical Activity Policy Audit Tool Version 2. There is clear evidence of leadership and commitment to improving PA and diet and tackling obesity in children and adolescents. The allocation of funds and resources for policy implementation has increased substantially over the past decade. Progress through early key stages of public policymaking-policy agenda and formation-has improved. However, there is limited information on later key stages, including policy monitoring and evaluation. Childhood PA and diet are a clear priority in Scotland, and PA and diet policies clearly support the desire to achieve other goals, including reducing inequalities and increasing active travel in Scotland. Nonetheless, future policies should be further strengthened through clear(er) plans of implementation, and monitoring and evaluation to support their societal impact.

P1101 Patient-reported physical activity of IBD patients is of concern when weighed with the international physical activity questionnaire regardless of disease activity and IBD phenotype: barriers and facilitators emerged from the extended "BE-FIT-IBD" cross-sectional study

Abstract Background As the World Health Organization recommends, regular physical activity (PA) determines quality of life. The qualitative/quantitative characteristics of ideal PA to be suggested for inflammatory bowel diseases (IBD) nor the relationship with disease activity are not yet well defined. This study aimed to weigh PA levels and barriers/facilitators to PA in a cross-sectional group of patients with IBD. Methods Consecutive Italian non-severe IBD patients (assessed with partial Mayo score for and Harvey-Bradshaw index) received an anonymous online questionnaire to assess PA levels using the International Physical Activity Questionnaire (IPAQ), disease activity as Patient-Reported Outcomes 2 (PRO-2), and finally habits, beliefs, and barriers in conducting regular PA. Clinical, anthropometric, and demographic data were also collected. PA was processed as continuous units of resting metabolic rate in minutes/week (Met min/wk). Three PA groups were identified: inactive (&amp;lt; 700 Met min/wk), sufficiently active (700-2500 Met min/wk) and Health Enhancing PA (i.e., HEPA active, &amp;gt; 2500 Met min/wk) patients. Results The 219 patients enrolled exhibited overall PA levels of 834.5 Met min/wk, with a large proportion (94, 42.9%) classified as inactive. Only a minority (9, 4.1%) resulted as health-enhancing PA. Patients with a non-dyslipidaemia metabolic profile (p &amp;lt; 0.0001) or on biologics therapy (p=0.022) showed better IPAQ scores in moderate activities. PRO-2 correlated negatively with IPAQ intense activities scores (τ= -0.156, p=0.038) in ulcerative colitis patients. PRO-2 did not show notable sensitivity/specificity in predicting IPAQ inactivity (AUC &amp;lt; 0.6). IPAQ showed no notable differences when related to disease activity categories according to PRO-2 (p &amp;gt; 0.05). Physically active patients were more willing to discuss their PA with their IBDologists. Several barriers (e.g., diagnosis of IBD and fear of flare-ups after PA) are firmly rooted in physically inactive patients. Evacuation urgency (rectal syndrome) is the IBD-related barrier most physically inactive patients reported. Some fears about PA were worse felt in the absence of a stable partner (i.e., fear of worsening or recurrence of IBD, p &amp;lt; 0.05). Conclusion Many Italian IBD patients show a worrying rate of physical inactivity, depriving themselves of the multidimensional benefits that regular PA can bring. There is a need for IBDologists to act by removing barriers to PA and engaging in a regular discussion on the importance of PA with IBD patients. IPAQ has shown good feasibility and patient acceptance in this setting.

Physical Activity-Induced Modification of the Association of Long-Term Air Pollution Exposure with the Risk of Depression in Older Adults.

Evidence suggests that long-term air pollution exposures may induce depression; however, the influence of physical activity on this effect is unclear. We investigated modification of the associations between air pollution exposures and depression by the intensity of physical activity. This cross-sectional study included 1454 Korean adults. Depression was defined as a Geriatric Depression Scale score ≥8. Concentrations of particulate matter (PM10 and PM2.5: diameter ≤10 µm and ≤2.5 µm, respectively) and nitrogen dioxide (NO2) level at each participant's residential address were estimated. Based on metabolic equivalents, physical activity intensity was categorized as inactive, minimally active, or health-enhancing physical activity (HEPA). Each 1-part per billion (ppb) NO2 concentration increase was significantly associated with a 6% [95% confidence interval (CI), 4%-8%] increase in depression risk. In older adults (≥65 years), a 1-ppb NO2 increase was associated (95% CI) with a 4% (1%-7%), 9% (5%-13%), and 21% (9%-33%) increase in depression risk in the inactive, minimally active, and HEPA groups, respectively. Compared with the inactive group, the minimally active (p=0.039) and HEPA groups (p=0.004) had higher NO2 exposure-associated depression risk. Associations of PM10 and PM2.5 with depression did not significantly differ by the intensity of physical activity. We suggest that older adults who vigorously exercise outdoors may be susceptible to air pollution-related depression.

Higher levels of physical activity are associated with less evasive coping, better physical function and quality of life in patients with axial spondyloarthritis.

To evaluate daily physical activity (PA) in relation to psychosocial factors, such as anxiety, depression and different types of coping strategies, as well as patient- and disease-related factors in patients with axial spondyloarthritis (axSpA). Consecutive outpatients from the Groningen Leeuwarden AxSpA (GLAS) cohort completed the modified Short Questionnaire to assess health-enhancing PA (mSQUASH), Hospital Anxiety and Depression Scale (HADS) and Coping with Rheumatic Stressors (CORS) questionnaires, as well as standardized patient- and disease-related assessments. Univariable and multivariable linear regression analyses and comparison of lowest and highest PA tertiles were performed to explore associations between the HADS, CORS, patient- and disease-related factors and PA. In total, 84 axSpA patients were included; 60% male, mean age 49 (SD ±14) years, median symptom duration 20 (25th-75th percentiles: 12-31) years, mean ASDAS 2.1 (±1.0). Higher PA levels were significantly associated with better scores on patient-reported disease activity (BASDAI), physical function (BASFI) and quality of life (ASQoL). Furthermore, higher levels of PA were associated with less impact of axSpA on wellbeing and lower HADS depression scores. In the multivariable linear regression model, less use of the coping strategy 'decreasing activities' (β: -376.4; p 0.003) and lower BMI (β:-235.5; p: 0.030) were independently associated with higher level of PA. Comparison of patients from the lowest and highest PA tertiles showed results similar to those found in the regression analyses. In this cohort of axSpA patients, higher levels of daily PA were associated with better patient-reported outcomes and lower depression scores. Additionally, the passive coping strategy "decreasing activities" and lifestyle factor BMI were independently associated with PA. Besides anti-inflammatory treatment, coping strategies and lifestyle should be taken into account in the management of individual axSpA patients. Incorporating these aspects into patient education could increase patient awareness and self-efficacy. In the future, longitudinal studies are needed to better understand the complex relationship between patient-, disease- and psychosocial factors associated with daily PA.

Essential Motor Skills and Evidence-Based Activities for Enhancing Child Motor Skill Development During Out-of-School Time Programming: An Expert Consensus Study

Background: Locomotor and object control skills are considered essential skills for children to learn due to their potential impact in aiding in future health-enhancing physical activity. Evidence indicates that out-of-school time programs (OST) can provide meaningful movement opportunities for children. It has been found that leaders of OST programs are not equipped with the proper training to improve children’s motor skills. The purpose of this study was to gather expert consensus on the essential motor skills that should be practiced and evidence-based activities that should be integrated during OST programming. Methods: A three-round Delphi method was used to establish expert consensus on essential motor skills that children (5–10 years of age) should practice and evidence-based activities that should be integrated during OST programming to enhance child motor skill development. Results: Seven experts completed three rounds, and consensus was established (&gt;70% agreement). Five essential motor skills were identified: overhand throwing, kicking, catching, jumping, and striking. Six evidence-based activities were agreed upon: team sport play, racket sports, swimming, resistance training, jogging/walking, and game-based approaches. Conclusion: Results from this study provide specific motor skills and evidence-based activities that program leaders could integrate during OST programming to enhance child motor skill development.

Diet and physical activity as risk-reducing factors for hidradenitis suppurativa.

Hidradenitis suppurativa (HS) is a multifactorial inflammatory skin disease that is considered to be an immune-mediated inflammatory disease (IMID). Up till now, the impact of lifestyle on (the development of) HS has not been thoroughly investigated. To investigate the effect of dietary intake and physical activity (PA) on (the development of) HS. A nested case-control study was performed within the longitudinal Lifelines Cohort Study, that took place in the Northern Netherlands, and identified 1004 adult eligible HS patients and 5000 age-matched controls. Dietary data were collected using a validated food frequency questionnaire, subsequently translated to the Lifelines Diet Score (LLDS), alternate Mediterranean Diet Score (aMED) and Dutch Dietary Guidelines score (DDG), with higher scores reflecting healthier dietary habits. PA was measured by the Short Questionnaire to Assess Health-enhancing PA score. Logistic regression analyses were performed between dietary/PA scores, and the prevalence/development and severity of HS. Compared to controls, HS patients scored lower on the LLDS [OR = 0.98; 95% CI 0.96-0.99], aMED [0.93; 0.89-0.97] and DDG [0.93; 0.88-0.97] with multivariable regression analysis. Overall, this indicates less adherence to dietary recommendations and consumption of a low-quality diet in the HS population. Lower adherence to the LLDS and DDG was also significantly associated with a higher likelihood to HS development in univariable regression analysis [0.96; 0.94-0.99 and 0.91; 0.84-0.99, respectively], and a trend of decreased adherence to the aMED [0.93; 0.85-1.02] was noted. Besides, PA levels were found significantly lower in HS patients (p ≤ 0.001). Poor diet quality and lower quantities of PA were associated with HS in the general population. Identifying dietary and PA habits of HS patients can contribute to the development of prevention strategies for HS specifically, and for IMIDs in general.

The Relationship Between Health Literacy and Physical Activity Level Among Malaysians: Using the Malaysian Healthy Lifestyle Index (MHLI) – 2022

The role of health literacy (HL) in health promotion is globally recognised, especially when addressing noncommunicable diseases (NCD). Physical activity (PA) is a renowned factor that improves health and helps to control NCD. However, the association between HL and PA level among Malaysians remains scarce. Thus, this study sought to determine the relationship between HL and PA level among Malaysians. We analysed cross-sectional data of the Malaysian Healthy Lifestyle Index Survey-2022. HL level was obtained from the 18 HL questions on the ability to evaluate and act upon the decision on practising healthy lifestyle and categorised as limited, sufficient and excellent. The PA level was measured from the adapted International Physical Activity Questionnaire-Short Form (IPAQ-SF) and categorized as active Health-Enhancing Physical Activity (HEPA), minimal active and non-active. The cultivating PA culture in daily life was assessed using 6 questions related to practicing PA. Chi-square analysis was used to explore the association between HL and PA level among Malaysians. 9,264 Malaysians aged 18 years and above participated in the MHLI survey with 53.5% female and 46.5% male. Chi-square analysis using Cramer’s V revealed that there was a significantly small to medium relationship between HL and PA level, V=0.101, p=0.001. It was found that 30.1% participants with excellent HL level and active HEPA, while 27.3% with limited HL and non-active. There was a significant correlation between HL and cultivating PA practices in daily living among Malaysians, despite the degree of correlation is weak (r=0.241). Previous studies from other countries suggested a higher level of HL is generally associated with higher PA level. However, in this study, it was found that there is a lack of translation of health information obtained into practices among Malaysians. Therefore, integrating HL in interventions to promote PA could be a useful approach.

Physically active primary care physicians consult more on physical activity and exercise for patients: A public teaching-hospital study

Physical activity and exercise (PAE) improve quality of life and reduce the effects of chronic diseases. Primary care physicians (PCPs) play an important role to encourage PAE in patients. We aim to assess PCPs' current PAE consultation practices and their enablers/barriers in daily clinical practice. We had 64 PCPs (age [35.3 ​± ​4.7] y, 47 women) that completed self-administered questionnaires on PAE consultation practices, training, and confidence levels. PCPs (n ​= ​42) also completed the International Physical Activity Questionnaire-Short Form to assess their physical activity (PA) levels. We conducted correlation, one-way analysis of variance and a linear regression to assess the associations between enablers, barriers and PA levels to PAE consultation practices. On average, PCPs consulted on PAE in 49.7% of their daily clinical appointments. Majority of PCPs (70%) strongly agreed that more PAE knowledge were needed to increase consultation practices. Top three barriers related (p ​< ​0.001) to practices were lack of PAE education (r ​= ​0.47), patients’ preference of pharmaceutical interventions (r ​= ​0.45) and lack of continuing education in PAE for PCPs (r ​= ​0.37). Physically active PCPs (health-enhancing PA levels, n ​= ​6) gave significantly more daily consultations in PAE, 73.2% ​± ​21.9%, compared to inactive PCPs (n ​= ​13), 37.4% ​± ​22.8% (p ​= ​0.013). In our regression output, PCPs who had higher PA levels consulted more on PAE daily (R2 ​= ​0.38, p ​< ​0.001) while controlling for age. Conclusion, PCPs require more knowledge on PAE and need be physically active themselves to increase PAE consultation for patients in their daily practice. Medical education should consider including more PA and exercise topics that may benefit both physicians and their patients.

7.F. Workshop: Local physical activity policy evaluation: state of the art, tools and methods and future directions

Abstract Insufficient physical activity (PA) is one of the most significant risk factors for chronic diseases and premature mortality worldwide. Public policies are recognized as upstream factors providing system change beyond individual changes. Policies have been recognised as an effective way to increase population PA levels, as they support the development of evidence-based interventions and programs in different domains, that help create a ‘healthy’ PA environment and enhanced PA opportunities. Previous studies have shown an important impact of PA promotion policies at local level (municipalities), but insufficient research and tool development has been realised on PA policies beyond national level. First, the workshop will briefly describe the scientific state of the art on local PA promotion policies evaluation, based on results from a literature review. Second, the panel will present the CAPLA-Santé, a policy evaluation tool designed by a stakeholders’ group in France, based on the Health Enhancing Physical Activity Policy Audit Tool of the World Health Organisation, to comprehensively review local PA policies. The final version of CAPLA-Santé contains 21 items divided into six sections: 1. Overview of HEPA stakeholders in the local government area, 2. Policy documents, 3. Policy contents, 4. Funding and political engagement, 5. Studies and measures relating to physical activity in the local government area, and 6. Progress achieved and future challenges. CAPLA-Santé allows the collection and in-depth analysis of local level policies to assess the progress in promoting PA and intersectoral collaboration as well as identifying successful policy levers and remaining challenges. Third, the panel will illustrate its use in 5 countries worldwide (Finland, France, Germany, Japan and Romania), summarising findings and explaining how such tools allow cross-cultural comparison. Fourth, panellists will discuss the challenges and success in using such tools and provide insights on how these tools can serve as capacity building for policy makers and to draw recommendations, as well as cross-cultural comparisons. Key messages • The workshop will provide key advise on how to monitor local physical activity policies. • The workshop will equip participants with tools to face the challenge of local physical activity policy evaluation. Speakers/Panelists Petru Sandu Cluj School of Public Health, Babes-Bolyai University in Cluj-Napoca, Cluj-Napoca, Romania Anne Vuillemin Université Côte d’Azur, Nice, France François Berdougo Société Française de Santé Publique, Laxou, France Peter Gelius FAU Erlangen-Nürnberg, Erlangen, Germany

Motivations for and interests in health-enhancing exercise of adolescent girls with different body weight

The article discusses the issue of development of motives and interests in adolescent children with different body weights (normal and underweight) when involving them in programs of physical activity based on the use of health fitness means. The aim of the study was to assess the motives and interests of adolescent girls with different body weights for participation in health-enhancing physical activities in order to increase the level of their involvement in regular physical activity classes. Methods: analysis of theoretical material, comparative analysis (comparison and comparison), sociological methods (questionnaires), and methods of mathematical statistics. The study involved 138 girls aged 12-13 years. Results. Priority types of physical activity of 12-13-year-old girls during their leisure time were: walks, dance fitness, roller skating, mental fitness, functional training, and aqua fitness. The choice of types of health-enhancing recreational physical activity did not differ significantly among normal weight and underweight adolescent girls aged 12-13 years. When choosing health-enhancing physical activities, the main objectives were: aesthetic motives (increasing physical attractiveness and body weight management), achievement of prestigious motives (desire to increase prestige, to be accepted in society), recreational motives (active leisure time, emotionally attractive organization of free time, satisfaction from activity). For most adolescent girls, health reasons (improvement of health status and functional capabilities of the body) were not a priority. The difference in answers between normal weight and underweight girls was found to be significant. Conclusion. In the rating of motives of underweight girls, the first places were occupied by aesthetic, prestigious, recreational, and personal motives, whereas in girls with a normative body weight, psychological, aesthetic, and health-recreational motives prevailed.

Relationship between Physical Activity and Sedentary Behavior, Spinal Curvatures, Endurance and Balance of the Trunk Muscles-Extended Physical Health Analysis in Young Adults.

Physical inactivity and sedentary behavior are associated with poor well-being in young people with adverse effects extending into adulthood. To date, there are many studies investigating the relationship between physical activity (PA) and posture, but there are no data on the relationship between the type and intensity of PA and sedentary behavior, their association with thoracic and lumbar spine angles, and with endurance and balance of the trunk muscles, especially in healthy young adults aged 18-25 years. Moreover, there are no data on the relationship between PA and sedentary behavior and musculoskeletal and cardiopulmonary health, as well as quality of life (QoL) and sleep that would provide a more comprehensive picture of physical health status. Therefore, the aim of this cross-sectional study was to investigate the extent to which PA and sedentary behavior are associated with each other and with changes in spinal curvatures, endurance and balance of trunk muscles in an extended analysis of physical health status in young adults aged 18-25 years by additionally including measures of body composition, cardiorespiratory capacity, and QoL and sleep. A total of 82 students (58% female, 42% male) aged 18-25 years completed all required tests. Primary outcome measures included the following: PA and sedentary behavior calculated from the long form of International PA Questionnaire (IPAQ-LF), spinal curvatures measured by a Spinal Mouse® device, endurance and balance of the trunk muscles measured using trunk endurance tests and their ratio. Overall, 50% of students were classified as minimally active and 50% as health-enhancing PA (HEPA) active. The angles of thoracic kyphosis and lumbar lordosis showed no correlation with PA or time spent sitting. However, students with the lowest PA had significantly higher scores on the trunk extensor endurance test and trunk extensor/flexor endurance test ratio, indicating imbalanced trunk muscles. Moreover, these students spent the most their time sitting. Only PA of vigorous intensity and PA during recreation, leisure, and sports significantly correlated with QoL related to physical health. QoL related to physical and psychosocial health had significantly higher scores when students spent less time sitting. In addition, we found significantly better respiratory performance and SQ at higher PA values, i.e., PA during recreation, leisure, and sport. Our results suggest that students with low PA levels and more time spent sitting have imbalanced trunk muscles, worse respiratory function, and poorer QoL and sleep. Moreover, these findings in college students may reflect their lifestyle and suggest that more PA needs to be promoted to prevent the development of chronic diseases including musculoskeletal disorders.

Трансформація цінностей дівчаток-підлітків під впливом комплексної оздоровчої програми

The study on the impact of a health program using the means of health fitness, motivational training, and psychocorrective activities on the transformation of value orientations of underweight teenage schoolgirls is relevant. The aim of the study is to investigate the impact of a comprehensive health program on the transformation of value orientations and school anxiety of underweight adolescent girls. The study involved 69 underweight adolescent girls (among them 54 12-yearold girls and 15 13-year-old girls). Methods. To assess value orientations, the M. Rokych’s methodology was used. The Phillips test was used to assess the level and nature of school anxiety in teenage girls. The factor structure of value orientations and school anxiety of 12-13-year-old girls with body weight deficiency was studied using factor analysis. Results. Based on the factor analysis, the transformation of the girls’ instrumental values, as well as the positive dynamics of the decrease in their school anxiety indicators, were accepted as criteria for the effectiveness of the health program. The program was designed for 9 months of duration and included psychocorrective activities, motivational training, and health-enhancing recreational physical activity. After the study, the value of health increased by 2 points and was in the top three most important values, and the value of knowledge rose by 6 units in the ranking of values. Among the positive changes, it should be noted that the rating of such a value as “Sensitivity” increased by 7 points and “Intolerance to shortcomings in oneself and others” decreased by 9 points. After participation in the program, there was a decrease in school anxiety indicators (frustration of the need to achieve success, which is expressed in an unfavorable mental background that does not allow the child to achieve a high result and fear of self-expression, which is manifested in negative emotional experiences of situations related to the need t present myself to others). Conclusions. The proposed program had a positive effect on the transformation of value orientations, the reduction of school anxiety indicators of 12–13-year-old girls with a body weight deficit.