High Risk For Physical Inactivity Research Articles

229 Evaluation of the Global Matrix of Para Report Cards on Physical Activity of Children and Adolescents with Disabilities

Abstract Purpose Physical activity provides a wide range of health benefits for children and adolescents with disabilities (CAWD). However, despite CAWD being at higher risk of physical inactivity, there is a lack of surveillance systems that capture physical activity data of CAWD. To address this gap, the Global Matrix of Para Report Cards on physical activity of CAWD was set up with 14 participating countries/jurisdictions (Ng et al., 2023) based on the methodology of the Active Healthy Kids Global Alliance’s Global Matrix 4.0 (Aubert et al., 2023). This study aims to evaluate the process, outcome, and impact of the Global Matrix of Para Report Cards. Methods The evaluation was informed by the Global Matrix 3.0 evaluation process (Aubert et al., 2020). Process, outcome, and impact indicators were informed by online surveys, reports/publications, and website analytics of the special issue published in Adapted Physical Activity Quarterly. Results Two online surveys have been completed by 64-71% of targeted respondents. Moderate-to-high satisfaction rates were reported for the development of and participation in the Global Matrix initiative and open-ended comments reported issues (e.g., data availability, inconsistency in definitions) and positive feedback (e.g., networking/collaboration, visibility). The participating Report Card teams assigned and contributed a total of 139 physical activity grades—overall physical activity, organised sport, active play, active transport, physical fitness, sedentary behaviour, family and peers, schools, community and environment, government—to the Global Matrix of which 45% were incomplete. Twelve Report Card teams published a short Para Report Card article for their country. As of February 2024, >47,000 views have been recorded for the special issue comprising the Global Matrix and country Para Report Card articles. Conclusions This evaluation highlights the need for more discussion on the definitions of disability and benchmarks of physical activity indicators to improve the grading process and more support in accessing and synthesising data related to CAWD. These are important steps to support inclusion and representation of CAWD in (inter)national surveillance of physical activity and health.

Burden of non-communicable diseases and behavioural risk factors in Mexico: Trends and gender observational analysis.

There is scarce gender-disaggregated evidence on the burden of disease (BD) worldwide and this is particularly prominent in low- and middle-income countries. The objective of this study is to compare the BD caused by non-communicable diseases (NCDs) and related risk factors by gender in Mexican adults. We retrieved disability-adjusted life years (DALYs) estimates for diabetes, cancers and neoplasms, chronic cardiovascular diseases (CVDs), chronic respiratory diseases (CRDs), and chronic kidney disease (CKD) from the Global Burden of Disease (GBD) Study from 1990-2019. Age-standardized death rates were calculated using official mortality microdata from 2000 to 2020. Then, we analysed national health surveys to depict tobacco and alcohol use and physical inactivity from 2000-2018. Women-to-men DALYs and mortality rates and prevalence ratios (WMR) were calculated as a measure of gender gap. Regarding DALYs, WMR was >1 for diabetes, cancers, and CKD in 1990, indicating a higher burden in women. WMR decreased over time in all NCDs, except for CRDs, which increased to 0.78. However, WMR was <1 for all in 2019. The mortality-WMR was >1 for diabetes and cardiovascular diseases in 2000 and <1 for the rest of the conditions. The WMR decreased in all cases, except for CRDs, which was <1 in 2020. The WMR for tobacco and alcohol use remained under 1. For physical inactivity, it was >1 and increasing. The gender gap has changed for selected NCDs in favour of women, except for CRDs. Women face a lower BD and are less affected by tobacco and alcohol use but face a higher risk of physical inactivity. Policymakers should consider a gendered approach for designing effective policies to reduce the burden of NCDs and health inequities.

Association between long working hours and physical inactivity in middle-aged and older adults: a Korean longitudinal study (2006–2020)

BackgroundWe investigated associations for long working hours in relation to physical inactivity and high-level physical activity among middle-aged and older adults.MethodsOur study included 5402 participants and 21 595 observations from...

Feasibility of a Modified Otago Exercise Program for Older Adults With Cognitive Vulnerability.

Cognitive vulnerability, that is, clinically significant symptoms of dementia, depression, or delirium, puts older adults at high risk for physical inactivity and falls. Programs addressing activity and falls are needed. The purpose was to determine feasibility of an in-home, modified, Otago Exercise Program (OEP) for those with cognitive vulnerability, based on acceptability (retention and adherence), safety (pain intensity and falls), and potential positive effects (change in short physical performance battery (SPPB)). This secondary analysis of a randomized controlled trial included 80 participants who received the OEP; 64 completed it, 48% had depression, 22% had dementia, and 30% had a combination dementia/depression/delirium. Adherence to home exercise was low to moderate; pain was stable over 16weeks; 31% of participants reported falls unrelated to OEP. SPPB increased from 6.95 to 7.74 (p < .01); age by time and diagnosis by time interactions were not significant. The modified OEP shows promising feasibility for older adults with cognitive vulnerability.

Abstract TP200: Factors Associated With Physical Activity And Sedentary Behavior Among Community-dwelling Stroke Survivors

Background and Aims: Although insufficient physical activity (PA) and sedentary behavior (SB) are established independent risk factors for stroke, stroke survivors may ultimately be at a higher risk of physical inactivity. Thus, we investigated the factors associated with PA and SB in stroke survivors in a community setting. Methods: A cross-sectional study was performed using representative data from the Korea National Health and Nutrition Surveys from 2016 to 2020. We compared the level of moderate to vigorous aerobic PA, resistance exercise, and sedentary time between stroke survivors and controls. Then we performed a multivariate analysis to investigate the factors associated with physical inactivity and long sedentary time. The recommended level of aerobic PA was at least 150 min of moderate-intensity activity or at least 75 min of vigorous-intensity activity or an equivalent combination of moderate and vigorous-intensity activity throughout the week. The sufficient level of resistance exercise was defined as ≥2 days/week. Long sedentary time was defined as spending ≥8 h/day on SB. Results: Physical inactivity was significantly more prevalent among stroke survivors. The older age (odds ratio [OR]=5.448, p=0.001), and living in rural areas (OR=1.911, p=0.020) were associated with low levels of aerobic PA. Female sex (OR=0.427, p=0.007) was associated with a low degree of resistance exercise. Finally, Living without economic activity (OR=2.224, p=0.001), subjective unhealthy (OR=1.458, p=0.027), a single life (OR=1.611, p=0.049), and old age (OR=1.231, p=0.046) were independent predictors of long sedentary time. Conclusions: Based on these results, further research and policy studies are needed to increase the physical activity of stroke survivors.

Nudging digital physical activity breaks for home studying of university students-A randomized controlled trial during the COVID-19 pandemic with daily activity measures.

University students are of particular public health interest because they are at high risk for physical inactivity and sedentary behaviors. In conjunction with the COVID-19 pandemic, sedentariness and physical inactivity were reinforced, as the pandemic led to an increase in home studying. Physical activity (PA) breaks have been identified as promoting factors for university students' physical and mental health. Therefore, the present study explored an approach to nudge students to take PA breaks at home while studying. The purpose was to test the effectiveness of digital nudging for PA breaks for 10 days using a randomized intervention design during the COVID-19 pandemic. It included an intervention group who received daily digital motivational prompts for PA break videos and a minimal intervention control group who got low-level access to PA break videos via a one-time link sent to the media library. Using a sample of university students in the southwest of Germany (n = 57), two-level binary logistic regression models were calculated to predict daily participation in PA breaks during the intervention period depending on the nudging intervention, as well as previous participation in PA breaks, the general PA level of the subjects before the intervention, the time spent on PA and on home studying in a day, the kind of day during the intervention (weekday vs. weekend), and the students' age. Results revealed that the digital nudging intervention did not show any significant effect on the likelihood to participate in PA breaks on a given day (0.69 ≤ β ≤ 0.75, p > 0.3). Instead, an individual-level effect revealed that the longer a student studied at home over the course of a day, the more likely he or she was to take a PA break (1.07 ≤ β ≤ 1.11, p < 0.001). Current findings show that individual characteristics such as daily time spent on home studying, which can change over the course of the intervention phase, are relevant considerations within nudging intervention in university setting. This provides initial insights especially for digital PA breaks for students during home studying.

Physical activity levels and brain structure in middle-aged and older adults: a bidirectional longitudinal population-based study

Physical activity has been suggested as modifiable factor that might contribute to improving cognitive and brain function during aging. However, previous studies were mainly of cross-sectional design and did not consider effects of time or potential reverse causality. We aimed to investigate the bidirectional associations of physical activity with brain structure in middle-aged and older adults. Overall, 4365 participants (64.01 ± 10.82 years; 56% women) from the Rotterdam Study had physical activity and brain structure assessed on at least one of 2 timepoints (‘baseline’: 2006–2012 or ‘follow-up’: 2012-2017, median duration between visits: 5 years). Physical activity was assessed through the LASA Physical Activity Questionnaire. T1-weighted MRI and diffusion tensor imaging were used to quantify brain volumes and white matter microstructure, respectively. Cross-lagged panel models were performed to estimate bidirectional associations, and linear mixed-effects models to investigate the consistency of findings. Larger total brain volume (β = 0.067, 95%-confidence interval 0.035;0.099, pFDR = 0.001), gray matter volume (β = 0.063, 0.031;0.096, pFDR = 0.002), and white matter volume (β = 0.051, 0.020;0.083, pFDR = 0.013) at baseline were associated with higher levels of sports at follow-up. Lower global mean diffusivity at baseline was associated with higher levels of walking at follow-up (β = -0.074, -0.111;-0.037, pFDR = 0.001). No associations were found between physical activity levels at baseline and brain metrics at follow-up. In conclusion, larger brain volumes and white matter microstructure at baseline were associated with individuals remaining more physically active at follow-up. Overall, this study identified older adults with potentially advanced brain aging status as being at higher risk of physical inactivity over time, and therefore as potential target group for prevention and novel intervention strategies.

Determinants of physical activity among 6856 individuals with diabetes: a nationwide cross-sectional study

IntroductionThe aims of this cross-sectional study were to (1) describe habitual physical activity and adherence to WHO recommendations, and (2) investigate the association of comorbidity, obesity, stress, and health-related quality...

Physical Activity Levels of a Multi-Ethnic Population of Young Men Living in Saudi Arabia and Factors Associated With Physical Inactivity.

ObjectiveRegular physical activity is essential for lifelong optimal health. Contrarily, physical inactivity is linked with risk for many chronic diseases. This study was conducted to evaluate the physical activity levels and factors associated with physical inactivity among a multi-ethnic population of young men living in Saudi Arabia.MethodsThis is a cross-sectional study involving 3,600 young men (20–35 years) living in Riyadh, Saudi Arabia. Sociodemographic and physical activity data were collected from subjects by face-to-face interviews. Physical activity characteristics were evaluated by using the Global Physical Activity Questionnaire. Weight and height were measured following standardized methods, then body mass index was calculated.ResultsPhysical inactivity was reported among 24.9% of study subjects. The lowest and highest rates of physical inactivity were reported among subjects from the Philippines (14.0%) and Saudi Arabia (41.5%), respectively. There is a high variation in daily minutes spent on physical activities related to work, transport, recreation, vigorous and moderate-intensity physical activities and sedentary behaviors among study participants based on their nationalities. Nationality, increasing age, longer residency period in Saudi Arabia, living within a family household, having a high education level, earning a high monthly income, and increasing body mass index were significantly associated with a higher risk of physical inactivity among the study participants.ConclusionPhysical inactivity prevalence is relatively high among a multi-ethnic population of young men living in Saudi Arabia. The findings confirmed notable disparities in the physical activity characteristics among participants from different countries living in Saudi Arabia.

The prevalence of physical activity among informal carers: a systematic review of international literature

Previous research has found physical activity levels among carers are low, and that carers are at greater risk of physical inactivity than their non-carer counterparts. Alternatively, research also suggests providing care may be associated with higher levels of physical activity than the general population, due to physically active care duties. Overall, there is a need to better understand the physical activity levels of carers to develop appropriate interventions and policies to promote health and well-being among carers. To systematically review studies reporting the prevalence of physical activity among carers. PubMed, SPORTDiscus, PsycINFO, and CINAHL, OpenGrey, Google and Google Scholar were searched for eligible articles. A total of 77 observational studies and 20 interventional studies were included. In low quality studies which examined adherence to physical activity guidelines, 16–84% of carers self-reported not meeting PA guidelines, whilst medium–high quality studies found 29.9 to < 99% of carers self-reported not meeting physical activity guidelines. However, it is not clear if carers are at higher risk of physical inactivity than non-carers. Studies which compared the physical activity levels of carers to non-carers reported conflicting results, and the association between hours of carers time, burden or strain, and physical activity was not consistent across studies. Further research with validated measures of different physical activity domains (leisure time, daily physical activity, caregiving duties), mental and physical health, is needed to better understand the physical activity behaviours of carers, and the associated health outcomes.

Physical Activity and Sedentary Behaviors among Chinese Children: Recent Trends and Correlates

ObjectiveThis study was aimed at examining the trends and correlates of physical activity (PA) and sedentary behaviors among Chinese children. MethodsA total of 4,341 subjects (6,936 observations) aged 6–17 years who participated in the China Health and Nutrition Survey (2004–2015) were included. Of the subjects, 41% participated in the survey twice or more. Random-effects ordinal regression models and repeated-measures mixed-effects models were used to examine the PA trends. Quantile regression models were applied to examine the factors influencing PA and sedentary behaviors. ResultsFrom 2004 to 2015, the prevalence of physical inactivity among Chinese children aged 6–17 years increased by 5.5% [odds ratio (OR), 1.51; 95% confidence interval (CI), 1.19–1.90; P < 0.001]. The PA volume declined by 5.8 metabolic equivalent of task-hr/week (P < 0.001), and the time spent in sedentary behaviors increased by 1.8 hr/week (P < 0.001). Age, ethnicity, and region showed significant effects on the PA volume across the quartiles (P < 0.001). Across the quartiles, sedentary time was significantly higher in the children residing in urban areas (P < 0.001) or areas with high urbanization levels (P ≤ 0.005) than in their counterparts. ConclusionsA declining PA trend among Chinese children aged 6–17 years was observed from 2004 to 2015, and certain subgroups and geographical areas are at higher risk of physical inactivity.

Physical activity among children with down syndrome: maternal perception

ABSTRACT Purpose Studies have shown that children with Down syndrome (DS) are at high risk for physical inactivity and obesity. This study aimed to explore mother’s perceptions of the physical activity levels, needs, benefits, facilitators, and barriers in their children with DS. Methods For this descriptive qualitative study, 17 participants were recruited through centres for children with DS in the Kingdom of Saudi Arabia. Semi-structured interviews were conducted with mothers who were able speak Arabic or English and have a child with a confirmed diagnosis of Trisomy 21 (DS) between ages three and 17 years. Thematic analysis was used to analyse the study data. Results Data analysis revealed the following themes regarding children with DS: 1) their physical functioning level; 2) daily physical activity at home; 3) physical activity at school; 4) physical activity benefits; 5) physical activity facilitators; and 6) physical activities barriers. Conclusion Findings from this study can help health professionals gain insight on the physical activity facilitators and barriers for children with DS in order to design tailored intervention programmes to improve the support and the engagement of children with DS into regular physical activities.

Prevalence and factors associated with physical inactivity among older adults in Malaysia: A cross-sectional study.

Physical inactivity in older adults is linked to increased risk of chronic diseases, disability and various poor health outcomes. As the aging population rises, the prevalence of diseases associated with aging also increases. Regular physical activity in older adults is important to improve overall health and promote healthy aging. This study aimed to determine the prevalence and factors associated with physical inactivity among older adults in Malaysia. This study was based on 3969 Malaysian older adults aged ≥60 years who completed the physical activity module in the National Health and Morbidity Survey 2018, a population-based cross-sectional survey. Physical activity was measured using the Global Physical Activity Questionnaire through a face-to-face interview. Participants were classified as physically active or inactive. Associations between physical inactivity, sociodemographic characteristics and a range of selected independent variables were examined using multivariable logistic regression. Overall, three out of 10 (29.8%) Malaysian older adults were physically inactive. Results of multivariable analysis showed that older age group (≥80 years), of Bumiputera Sarawak ethnicity, unemployed/retirees/homemakers, functional limitation, diabetes mellitus and dementia were significantly associated with a higher risk of physical inactivity. Women, with secondary education level and good social support were less likely to be physically inactive. The present study reported the status of physical inactivity among older adults in Malaysia. There is the need to design effective public health programs and interventions to promote active living and healthy aging among Malaysian older adults, particularly in those at-risk older population subgroups. Geriatr Gerontol Int 2020; 20: 49-56.

Exploring the Relationship between Green Space in a Neighbourhood and Cardiovascular Health in the Winter City of China: A Study Using a Health Survey for Harbin.

A severely cold climate has a significant impact on cardiovascular health, involving temperature, air environment, exercise and diet. Existing studies have revealed that green space, as an important health resource, may play a positive role in promoting cardiovascular health through the air environment and exercise. Studies focusing on the correlation between green space and cardiovascular health are rarely carried out in winter cities. The purpose of this paper is to take a winter city in China as an empirical case to explore the correlation between green space in a neighbourhood and cardiovascular health in a representative sample at the neighbourhood level, combining the results with Urban Residential Area Planning and Design Standards (GB50180-2018) in China and the existing research. The results showed that green space characteristics of a neighbourhood were related to cardiovascular disease and some of its risk factors. In neighbourhoods with a Green Space Ratio lower than 28%, residents had a higher risk of physical inactivity, overweight or obesity, hypertension and stroke. In neighbourhoods with a Green View Index lower than 15%, residents had a higher risk of physical inactivity, overweight/obesity, hypertension, dyslipidemia and stroke. A correlation was found between evergreen tree configuration type and the prevalence of overweight/obesity and hypertension. No correlation was found between the type of sports field and cardiovascular disease and its risk factors, except for hypertension. Residents’ cardiovascular health scores also showed significant differences among neighbourhoods with different green space characteristics. Intervention efforts may benefit from emphasising the importance of improving the Green Space Ratio and Green View Index effectively in a neighbourhood to reduce the risk of cardiovascular disease.

Strategies to Support Physical Activity for Parents and Caregivers of Young Children

Strategies to Support Physical Activity for Parents and Caregivers of Young Children

Smoking cessation intervention trial outcomes for sexual and gender minority young adults.

Sexual and gender minority (SGM) individuals are more likely to smoke than are non-SGM individuals. It is unclear whether smoking cessation interventions for young adults are effective in the SGM population. The purpose of this study was to compare smoking cessation, other health risk behaviors, and intervention usability between SGM and non-SGM young adult smokers participating in a digital smoking cessation intervention trial. Young adult smokers (N = 500; 135 SGM) were assigned to a 90-day Facebook smoking cessation intervention (treatment) or referred to Smokefree.gov (control). Intervention participants were assigned to private Facebook groups tailored to their readiness to quit smoking. Participants reported their smoking status and other health risk behaviors at baseline, 3, 6, and 12 months. Usability of the intervention (i.e., perceptions of the intervention and treatment engagement) was assessed in the intervention group at 3 months. Smoking cessation and intervention usability did not significantly differ between SGM participants and non-SGM participants. A greater proportion of SGM participants were at high risk for physical inactivity over the 12-month follow-up period (odds ratio [OR] = 1.55, p = .005). SGM and non-SGM young adult smokers did not differ in their smoking cessation rates, perceptions of, or engagement in a digital intervention. Health risk behavior patterns were mostly similar; however, the disparity in physical activity between SGM and non-SGM smokers widened over time. Tailored interventions for SGM young adult smokers could increase focus on SGM experiences that can underlie multiple health risk behaviors, such as discrimination and the normativity of smoking. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Marital Status, Partnership and Health Behaviour: Findings from the German Ageing Survey (DEAS)

Numerous empirical studies have confirmed that married people have a lower risk of morbidity and mortality than unmarried people. However, there is relatively little existing research on the impact of marital status and partnerships on the health behaviour of elderly people in Europe. This study examines the association between partnership status and health-related behaviour among the German population in the second half of life (aged 40-85). We focus on four indicators of health behaviour: smoking, physical activity, body weight, and health check-ups. The data used in the analysis come from the 2008 (n=6,205) and 2014 (n=6,002) waves of the German Ageing Survey (DEAS). We applied logistic regression models with average marginal effects (AME).The results of our analysis are in line with the findings of previous studies, which indicated that being married has a protective effect on smoking and a negative effect on body weight. Crisis effects are found to be limited primarily to smoking by recently widowed people. Our study provides new empirical insights into the extent to which being married has protective effects on the use of health care, as people who are separated, divorced, or never married are found to be less likely to have regular health check-ups compared to married people. Furthermore, our results for physical activity are contrary to previous findings for younger adults, according to which being married is associated with a lower likelihood of participating in physical activities. The results of the data analyses show that at ages 40 and older, unmarried individuals, especially those who are not in a partnership, are at higher risk of physical inactivity than their married counterparts. Our findings on marital status and partnership status therefore demonstrate that being married is strongly associated with positive health behaviours. The results may be useful for designing health programmes or prevention measures.

Social and Cultural Environment Factors Influencing Physical Activity Among African-American Adolescents

PurposeAfrican-American youth are at high risk for physical inactivity. This study explored social and cultural environment facilitators of physical activity among 12- to 14-year-old African-American adolescents living in a metropolitan area in the Southeast. MethodsYouth (n = 51; 45% male) participated in brainstorming focus groups responding to the prompt, “What about your family, friends, and community, encourages you to be physically active?” In a second meeting, participants (n = 56; 37.5% male) sorted statements (n = 84) based on similarity in meaning and rated statements on relative importance. Statement groups and ratings were entered into Concept Systems software where multidimensional scaling and hierarchical cluster analysis were used to create graphical representation of ideas. Finally, researchers named clusters according to the gestalt of grouped statements. ResultsThe total sample included 28.9% of youth with household incomes ≤$30,000 (area median income = $30,701), 29% who perceived themselves as overweight, and 14.5% who reported being active for 60+ minutes everyday. Nine clusters, in rank order, emerged as follows: access/availability of physical activity resources; family and friend support; physical activity with friends; physical activity with family members; inspiration to/from others; parental reinforcement; opportunities in daily routine; pressure from social networks; and seeing consequences of activity/inactivity. Themes analyzed by gender were very similar (r = .90); however, “pressure from social networks” was more important for girls than boys (r = .10). ConclusionsClear patterns of social and cultural facilitators of physical activity are perceived by African-American adolescents. Interventions targeting this group may benefit by incorporating these themes.

Is being a boy and feeling fat a barrier for physical activity? The association between body image, gender and physical activity among adolescents.

Regular physical activity leads to physical and mental health benefits. Previous studies have shown physical activity to be associated with body image and gender. The aim of this cross-sectional study was to explore the associations of body image with physical activity of adolescents and whether gender modifies this association. We obtained data on body image and physical activity as part of the Health Behaviour in School-Aged Children study in 2010 from Slovakia (n = 8042, age 11–15 years, 49% boys, response rate: 79.5%). Adolescents answered questions about their body image and the frequency of their physical activity. Sufficient physical activity was more likely in adolescents perceiving themselves as fat (OR = 0.63, 95%CI 0.54–0.73) and in boys (OR = 2.15, 95%CI 1.92–2.42). A poor body image among girls was not associated with physical activity, whereas among boys it was associated with less physical activity. Gender seems to moderate the relationship between body image and physical activity in youths. Health promotion should be targeted in particular at boys with a negative body image, as they are at higher risk of physical inactivity.

Change in physical activity and weight in relation to retirement: the French GAZEL Cohort Study

ObjectivesTo examine the trajectories of physical activity from preretirement to postretirement and to further clarify whether the changes in physical activity are associated with changes in body weight.DesignProspective.SettingFrench national gas...