Incidental Physical Activity Research Articles

Combined effects of very short "all out" efforts during sprint and resistance training on physical and physiological adaptations after 2 weeks of training.

The aim of this study was to compare the combined effects of resistance and sprint training, with very short efforts (5s), on aerobic and anaerobic performances, and cardiometabolic health-related parameters in young healthy adults. Thirty young physically active individuals were randomly allocated into four groups: resistance training (RTG), sprint interval training (SITG), concurrent training (CTG), and control (CONG). Participants trained 3 days/week for 2 weeks in the high-intensity interventions that consisted of 6-12 "all out" efforts of 5s separated by 24s of recovery, totalizing ~ 13min per session, with 48-72h of recovery between sessions. Body composition, vertical jump, lower body strength, aerobic and anaerobic performances, heart rate variability (HRV), and redox status were evaluated before and after training. Total work (TW), rating of perceived exertion (CR-10 RPE) and mean HR (HRmean) were monitored during sessions. Incidental physical activity (PA), dietary intake and perceived stress were also controlled. Maximum oxygen consumption (VO2max) significantly increased in SITG and CTG (P < 0.05). Lower body strength improved in RTG and CTG (P < 0.05), while countermovement jump (CMJ) was improved in RTG (P = 0.04) only. Redox status improved after all interventions (P < 0.05). No differences were found in TW, PA, dietary intake, and psychological stress between groups (P > 0.05). RT and SIT protocols with very short "all out" efforts, either performed in isolation, or combined, demonstrated improvement in several physical fitness- and health-related parameters. However, CT was the most efficient exercise intervention with improvement observed in the majority of the parameters.

The effectiveness of incidental physical activity interventions compared to other interventions in the management of people with low back pain: A systematic review and meta-analysis of randomised controlled trials

ObjectivesTo investigate the effectiveness of incidental (non-structured) physical activity interventions for the management of people with low back pain (LBP). DesignSystematic review and meta-analyses of randomised controlled trials. SettingEligible published trials from the earliest date available to November 2017. ParticipantsPeople with non-specific LBP aged 18 years or over. Outcome measuresPain, disability and physical activity-related outcomes. ResultsThree trials were included (including a total of 422 participants). The quality of trials, assessed by PEDro scale, was high (7 out of 10). For pain, the pooled results did not show any significant effects between the incidental physical activity intervention and other interventions at any time point. For disability, incidental physical activity was not statistically more effective than other interventions at short-term; however, the pooled results favoured incidental physical activity at intermediate-term (weighted mean difference (WMD) = -6.05, 95%CI: -10.39 to −1.71) and long-term (WMD = −6.40 95%CI: -11.68 to −1.12) follow-ups among participants with chronic LBP. The overall quality of evidence was rated “moderate-quality” based on the GRADE system. ConclusionsThe incidental physical activity intervention provided improvement in disability in intermediate- and long-term for people with chronic LBP, although this improvement was small and may not be clinically significant.

Designing activity-based workspaces: satisfaction, productivity and physical activity

ABSTRACT Activity-based working (ABW) provides office workers with a variety of indoor workspaces purposively designed to accommodate different tasks. Despite an increased use of ABW, studies focusing on its impact and the resultant office design are yet to follow suit. This paper addresses this knowledge gap by providing empirical evidence from studies conducted before and after relocation from contemporary open-plan offices to ABW spaces. Results from post-occupancy evaluation (POE) surveys (n = 896 responses), spot measurements of indoor environmental quality (IEQ) and step-count monitoring (one case study; n = 20 participants) before and after relocation are reported. A total of 10 workspaces participated (six combi and four ABW) in this study. Design features were documented and analyzed. While there were limited differences in the measured IEQ conditions between office layouts investigated here, ABW workspaces yielded significantly higher satisfaction results on key IEQ dimensions, perceived productivity and health. Office layout was also found as a significant (or nearly significant) predictor of occupants’ lightly active and sedentary time but did not affect occupants’ daily step counts and distance they travelled. These results highlight the significance and impact of office layout and human-centred approach to design on occupants’ satisfaction, perceived productivity and incidental physical activity opportunities.

Motivational and implicit processes contribute to incidental physical activity.

Physical activity can prevent health risks and even a slight increase in physical activity benefits health. This study investigated potential contributing factors to incidental physical activity. A two-part correlational study examined whether motivational properties (autonomous and controlled motivation) in interaction with implicit processes (implicit attitudes, attentional, and approach-avoid biases) contribute to incidental physical activity. Participants (N=103) recorded a 7-day step count to measure incidental physical activity. Implicit attitudes, attentional, and approach-avoid biases were measured using the SC-IAT, dot probe, and manikin tasks, respectively. Autonomous and controlled motivation were measured using the Perceived Locus of Causality Questionnaire. Implicit attitudes and autonomous and controlled motivation were independently associated with incidental physical activity. Both autonomous and controlled motivation (when controlling for the other motivation-type) in interaction with approach bias contributed to incidental physical activity levels; motivation was positively associated with step count in participants with high avoid bias scores. Motivation did not interact with attentional bias to contribute to levels of incidental physical activity when controlling for motivation-type. Findings showed that elements from self-determination theory and dual process models relate to incidental physical activity behaviour. Specifically, autonomous motivation and certain implicit processes contributed to incidental physical activity engagement. This study provides an important first step towards understanding the psychological mechanisms that contribute to incidental physical activity. Statement of contribution What is already known on this subject? Motivation and implicit processes individually contribute to incidental physical activity behaviour. Autonomous motivation, rather than controlled motivation, primarily contributes to physical activity behaviour. What does this study add? Motivational and implicit processes together contribute to predicting levels of incidental physical activity. Both autonomous and controlled motivation contribute to levels of incidental physical activity. Certain implicit processes also play a role in incidental physical activity engagement.

Towards co-designing active ageing strategies: A qualitative study to develop a meaningful physical activity typology for later life.

BackgroundPhysical activity levels decline in later life despite the known benefits for physical, cognitive and mental health. Older people find it difficult to meet activity targets; therefore, more realistic and meaningful strategies are needed. We aimed to develop a typology of older people's motivations and lifelong habits of being active as a starting point to co‐designing active ageing strategies in a workshop.MethodsWe conducted semi‐structured interviews with 27 participants aged 65‐80 in Norfolk, UK, and participant observation with 17 of them. At a workshop with 13 study participants and 6 government and civil society representatives, we invited reflections on preliminary findings.ResultsThree types were developed. “Exercisers” had engaged in sport and exercise throughout their life but experienced physical ill health and limitations as barriers. “Out‐and‐about‐ers” pursued social engagement and a variety of interests but experienced biographical disruption through retirement and loss of companions that limited social activities in later life. A final type characterized people who preferred “sedentary/solitary” activities. A workshop elicited suggestions for new strategies relating to these types that addressed people's specific motivations. An example was to combine social engagement and physical activity in “dog‐parent”‐walking schemes to link people through shared responsibility for a dog.ConclusionsWe suggest that these potential strategies map more closely onto the everyday life‐worlds in which public health might seek to intervene than common physical activity interventions. Most notably, this means a more differentiated understanding of barriers, and acknowledging that intellectual, social or solitary pursuits can include incidental physical activity.

High levels of incidental physical activity are positively associated with cognition and EEG activity in aging.

High levels of physical activity seem to positively influence health and cognition across the lifespan. Several studies have found that aerobic exercise enhances cognition and likely prevents cognitive decline in the elderly. Nevertheless, the association of incidental physical activity (IPA) with health and cognition during aging has not been studied. Thus, the aim of this study was to evaluate the association of IPA level with cognitive functions and resting electroencephalogram (EEG) in healthy old participants. Participants (n = 97) with normal scores on psychometric and neuropsychological tests and normal values in blood analyses were included. A cluster analysis based on the scores of the Yale Physical Activity Scale (YPAS) allowed the formation of two groups: active, with high levels of IPA, and passive, with low levels of IPA. Eyes-closed resting EEG was recorded from the participants; the fast Fourier transform was used offline to calculate absolute power (AP), relative power (RP), and mean frequency (MF) measures. There were no differences in socioeconomic status, cognitive reserve, general cognitive status, or lipid and TSH profiles between the groups. The results of cognitive tests revealed significant differences in the performance variables of the WAIS scores (p = .015), with advantages for the active group. The resting EEG exhibited significantly slower activity involving the frontal, central, and temporal regions in the passive group (p < .05). Specifically, higher delta RP (F7, T3), lower delta MF (F4, C4, T4, T6, Fz, Cz), higher theta AP (C4), higher theta RP (F4, C4, T3, Fz), lower alpha AP (F3, F7, T3), lower alpha RP (F7), and lower total MF (F3, F7, T3, T5, Fz) were found. Altogether, these results suggest that IPA induces a neuroprotective effect, which is reflected both in behavioral and electrophysiological variables during aging.

And She's Buying a Stairway to Health: Signs and Participant Factors Influencing Stair Ascent at a Public Airport.

Several studies have demonstrated that point-of-choice prompts modestly increase stair use (i.e., incidental physical activity) in many public places, but evidence of effectiveness in airport settings is weak. Furthermore, evaluating the effects of past physical activity on stair use and on point-of-choice prompts to increase stair use is lacking. The purpose of this study was to evaluate the influence of sign prompts and participant factors including past physical activity on stair ascent in an airport setting. We used a quasi-experimental design, systematically introducing and removing sign prompts daily across 22days at the San Diego International Airport. Intercept interviewers recruited stair and escalator ascenders (N=1091; 33.0% interview refusal rate) of the only stairs/escalators providing access to Terminal 1 from the parking lot. A 13-item questionnaire about demographics, physical activity, health behavior, and contextual factors provided data not available in nearly all other stair use studies. We examined the effects of signs and self-reported covariates using multivariable logistic regression analyses, and tested whether physical activity and other covariates modified the intervention effect. Adjusting for all significant covariates, prompts increased the odds of stair use (odds ratio 3.67; p<.001). Past participation in vigorous physical activity increased the odds of stair use by 1.62 (p=0.001). None of the covariates moderated the intervention effect. In conclusion, vigorous physical activity and correlates of physical activity were related to stair use in expected directions, but did not modify the effect of the intervention. This indicates that the effects of point-of-choice prompts are independent of past physical activity, making them effective interventions for active adults and the higher risk population of inactive adults. Signs can prompt stair use in an airport setting and might be employed at most public stairs to increase rates of incidental physical activity and contribute to overall improvements in population health.

Relationships between self perceptions and physical activity behaviour, fear of falling, and physical function among older adults

BackgroundThere has been a lack of research examining the relationship among self-perceptions, behaviour, cognitions and functioning in older adults. This study, therefore, examined the relationship between global and physical self-perceptions, physical activity behaviour, and fear of falling taking into considerations objective measures of physical functioning in community dwelling older adults.Methods/designSixty-six participants between 60 and 90 years old (71.9 ± 6.6 years; 47 females; 19 males) completed questionnaires assessing physical and global self-description (PSDQ), planned and incidental physical activity behaviour (IPEQ), and falls efficacy (Short FES-I) as well as tests measuring physical functioning. Backwards multiple linear regression modelling was used to assess possible relationships among variables.ResultsFindings showed that physical self-perceptions (activity, coordination, endurance, flexibility) were associated with self-reported planned and incidental PA whereas sit-to-stand was the only objectively measured physical functioning variable associated with planned PA. Similarly, more falls, global self-esteem, general physical and domain specific physical self-perceptions (flexibility and strength) as well as knee strength were associated with fear of falling. There were also associations between some of the objectively measured physical functioning variables and self-perceptions of the physical self, providing some predictive validity for the PDSQ.ConclusionsThe findings of this study come to corroborate that the belief system of older adults ideally need to be taken into consideration when designing interventions that aim to enhance PA behaviour or reduce fear of falling. Coupling that with goal-setting, life coaching and behaviour change strategies would also be beneficial to address engagement and adherence to such interventions.Trial registrationThis trial was retrospectively registered with the Australian New Zealand Clinical Trials Registry - Registry No. ACTRN12614000700639 on the Jul 03rd 2014.

Are motivational signs to increase stair use a thing of the past? A multi‐building study

Issue addressed Only half of Australia's adult population is sufficiently physical active. One method thought to increase incidental physical activity at work is the use of stair-promoting interventions. Stairs are readily available and stair climbing is considered vigorous physical activity. Motivational signs have been extensively and effectively trialled to increase stair use, but are they suitable for contemporary populations? Methods Participants were occupants of three selected University of Sydney buildings using the elevators or stairs. Infrared people counters were installed to monitor stair and elevator use for 24 h/day during two baseline weeks, followed by two intervention weeks, where motivational and directional signs were placed at points of choice. Results At baseline there was a large between-building variation in the change in stair to elevator proportion, where we observed a small increase in two buildings (81-84%, odds ratio (OR): 1.16 (1.09, 1.23), and 26-27%, OR: 1.09 (1.03, 1.15)), and a decrease (30-25%, OR: 0.75 (0.72, 0.77) in the third building. Conclusions Differences in stair use among buildings could be due to building design and function. Motivational and directional signs to promote stair use showed small or nil effects. The future of interventions promoting stair use in occupational settings may need more interactive or personalised intervention methods. So what? The implications of this study are that posters to promote stair use might be a thing of the past and this should be considered in future workplace health promotion efforts to increase physical activity. More novel and interactive methods using new media are recommended.

From sedentary to active: Shifting the movement paradigm in workplaces.

Increased sedentary behavior and reduced physical activity are risk factors for morbidity and mortality. As adults spend a significant portion of their time at work where the default is to spend the majority of the day sitting, shifting workplace norms to decrease sedentary time and increase active time could have a public health impact. Workplaces offer a unique setting for multi-level interventions that can reach diverse populations. Traditional worksite wellness initiatives have produced equivocal results in terms of increasing physical activity. One reason for this may be the focus on corporate-fitness type programs and health education with little change in workplace culture. More innovative approaches combining theory-based worksite wellness components with behavioral economics approaches promoting incidental physical activity at the workplace to make activity the default may be necessary. This article discusses strategies to shift the workplace paradigm from being sedentary to more active using a range of approaches.

Associations between Incidental Physical Activity and Cardiometabolic Health in Sedentary Overweight and Obese Adults

PURPOSE: This study explored associations between the volume and intensity of objectively measured habitual incidental physical activity (IPA) and cardiometabolic (CM) risk factors in sedentary adults. METHODS: Participants included 58 (female= 52; mean ± SD age = 45.9 ± 11.8 yrs.) overweight or obese (BMI = 32.5 ± 5.7 kg/m2) office workers. IPA was determined from activPAL-based energy expenditure estimates during 7-days of monitoring and defined as bouts of light intensity (LPA) and sporadic (< 10 min) moderate intensity (MPA) bouts of physical activity. CM health risk assessment consisted of body composition, anthropometrics, vascular hemodynamics, and blood biomarkers of CM health and inflammation. Statistical analyses (p<0.05) consisted of univariate and multivariate linear regressions between total IPA, LPA and MPA with CM health risk factors. Covariates entered into multivariate models were age, gender, accelerometer wear time, BMI, and total MPA duration accumulated in bouts ≥ 10 min. RESULTS: Average accelerometer wear time was 13.5 ± 1.6 hrs/day. Participants were sedentary for 8.6 ± 1.9 hrs/day and accumulated 4.8 ± 1.7 hrs. of IPA per day, of which 4.6 ± 1.7 hrs. were spent in LPA and 10.4 ± 6.6 min in MPA. Fifty-four participants did not meet the physical activity guidelines. Univariate models revealed significant inverse associations between daily IPA and insulin ((R2 = 0.16, p < 0.01) and HDL (R2 = 0.09, p < 0.05) and a positive association with trunk to leg % fat (R2 = 0.09, p < 0.05). Multivariate models strengthened the associations detected in univariate analyses: insulin (R2 = 0.27, p < 0.01) and HDL (R2 = 0.24, p < 0.01) and trunk to leg % fat (R2 = 0.28, p < 0.01). While duration of daily sporadic MPA was not associated with these variables, total daily LPA showed similar associations in both univariate and multivariate models. Conversely, sporadic MPA duration was inversely associated with IL-6 in both univariate (R2 0.09, p < 0.05) and multivariate models (R2 0.42, p < 0.001). CONCLUSIONS: IPA duration was a significant predictor of selected CM health risk factors. Increasing sporadic MPA may attenuate inflammatory response in sedentary overweight or obese adults. Findings suggest that interventions targeting increases in IPA may improve CM health profile in sedentary overweight and obese adults.

Correlates of Heart Rate Measures with Incidental Physical Activity and Cardiorespiratory Fitness in Overweight Female Workers.

Previous studies have suggested that physical activity (PA) levels and cardiorespiratory fitness (CRF) impact on the autonomic control of heart rate (HR). However, previous studies evaluating PA levels did not discriminate between incidental PA and regular exercise. We hypothesized that incidental PA “per se” would influence cardiac autonomic indices as assessed via HR variability (HRV) and HR recovery (HRR) in non-exercisers. Thus, the objective of this study was to investigate the relationships between objective PA levels, CRF, and cardiac autonomic indices in adult, regular non-exercising female workers. After familiarization with procedures and evaluation of body composition, 21 women completed a submaximal cycling test and evaluation of HRR on four different days. Resting (2-min seated and standing) and ambulatory (4-h) HRV were also recorded. Levels of PA were assessed by accelerometry over five consecutive days (i.e., Wednesday to Sunday). Maximum oxygen consumption (VO2max) was measured as an index of CRF. As reliability was low to moderate for most HR measures, relationships between these and PA and CRF were examined using the 4-day average measures. Significant correlations were identified between post-exercise HRR in the first min with various PA indices (daily moderate PA, daily vigorous PA, and the sum of vigorous and very vigorous daily PA). Additionally, VO2max was significantly correlated to HRV but not to HRR. The current results indicated that CRF was influential in enhancing HRV while incidental or non-exercise based PA was associated with greater autonomic reactivation in adult overweight women. Therefore, both CRF and non-exercise based PA contribute significant but diverse effects on cardiac health. The use of 4-day averages instead of single measures for evaluation of autonomic control of HR may provide a better indication of regular cardiac autonomic function that remains to be refined.

Temporal self-regulation theory: a neurobiologically informed model for physical activity behavior

Dominant explanatory models for physical activity behavior are limited by the exclusion of several important components, including temporal dynamics, ecological forces, and neurobiological factors. The latter may be a critical omission, given the relevance of several aspects of cognitive function for the self-regulatory processes that are likely required for consistent implementation of physical activity behavior in everyday life. This narrative review introduces temporal self-regulation theory (TST; Hall and Fong, 2007, 2013) as a new explanatory model for physical activity behavior. Important features of the model include consideration of the default status of the physical activity behavior, as well as the disproportionate influence of temporally proximal behavioral contingencies. Most importantly, the TST model proposes positive feedback loops linking executive function (EF) and the performance of physical activity behavior. Specifically, those with relatively stronger executive control (and optimized brain structures supporting it, such as the dorsolateral prefrontal cortex (PFC)) are able to implement physical activity with more consistency than others, which in turn serves to strengthen the executive control network itself. The TST model has the potential to explain everyday variants of incidental physical activity, sport-related excellence via capacity for deliberate practice, and variability in the propensity to schedule and implement exercise routines.

Preliminary evidence of disparities in physical activity among adolescents with bipolar disorder

Physical activity can potentially mitigate the symptomatic burden and cardiovascular risk associated with bipolar disorder (BD). Studies have found that adults with BD are less physically active than controls. However, no previous study has examined this topic among adolescents with BD. This study compares physical activity among adolescents with BD vs. healthy controls without major psychiatric disorders, and examines characteristics associated with physical activity among adolescents with BD. Subjects were 86 adolescents with a diagnosis of BD via gold-standard psychiatric interviews, and 50 controls. The Quick Weight, Activity & Excess Screener (WAVE) was used to assess physical activity. Between-group analyses examined for differences in achieving recommended benchmarks for three types of physical activity: working out, “working in” (incidental physical activity), and screen time. Exploratory within-group analyses were based on a median split (high vs. low) of the total physical activity scores among BD adolescents. Adolescents with BD were significantly less likely to report working out regularly (6%) as compared to controls (22%; χ2 = 7.98, p = 0.005). There were no significant between-group differences in working in or screen time. BD adolescents with low levels of physical activity were less likely to have a family history of substance use disorder (p = 0.03). Adolescents with BD are less likely than their peers to achieve the recommended benchmark for regular working out. Future studies are warranted to determine what factors explain this difference, and to identify strategies for optimizing physical activity among adolescents with BD.

Incidental physical activity in Melbourne, Australia: health and economic impacts of mode of transport and suburban location.

Using the known health impacts of physical activity (PA), levels of incidental PA in Melbourne were analysed, and after determining key behavioural associations, economic modelling estimated potential long-term health and economic benefits of changes in active transport (AT) patterns. A cross-sectional survey (VISTA07-08) obtained daily travel data from 29840 individuals of all ages in Melbourne evenly spread over 364 days of the year. Correlates of adequate PA were analysed. The health and economic impact of changes in AT from postulated changes in (1) mode of transport, and (2) transport use by urban sub-region, were modelled. 15.1% of individuals had adequate incidental PA. Private vehicle users averaged 10.0min PA, public transport users 35.2min and walkers/cyclists 38.3min daily. Distance from city centre was strongly inversely correlated with adequate PA. Conservative modelling of postulated changes in AT patterns found annual savings of 34-272 deaths, 114-903 new cases of disease and 442-3511 DALYs. Lifetime savings accounted for 17300-70100 days of home-based/leisure time production, and savings of $1.5-12.2million in the health sector and $2.9-22.9million in production. Public transport users, walkers, cyclists and those living closer to the city centre were more likely to gain travel-related PA sufficient for health benefits. Both transport mode and urban location were associated with levels of travel-related PA that have significant health and financial impacts. SO WHAT?: Improving population levels of incidental PA may improve health and economic outcomes. This may require changes in urban and transport infrastructure.

Systematic review of incidental physical activity community interventions: Results and contribution to government strategy

Systematic review of incidental physical activity community interventions: Results and contribution to government strategy

Physical activity levels in three Brazilian birth cohorts as assessed with raw triaxial wrist accelerometry.

Background: Data on objectively measured physical activity are lacking in low- and middle-income countries. The aim of this study was to describe objectively measured overall physical activity and time spent in moderate-to-vigorous physical activity (MVPA) in individuals from the Pelotas (Brazil) birth cohorts, according to weight status, socioeconomic status (SES) and sex.Methods: All children born in 1982, 1993 and 2004 in hospitals in the city of Pelotas, Brazil, constitute the sampling frame; of these 99% agreed to participate. The most recent follow-ups were conducted between 2010 and 2013. In total, 8974 individuals provided valid data derived from raw triaxial wrist accelerometry. The average acceleration is presented in milli-g (1 mg = 0.001g), and time (min/d) spent in MVPA (>100 mg) is presented in 5- and 10-min bouts.Results: Mean acceleration in the 1982 (mean age 30.2 years), 1993 (mean age 18.4 years) and 2004 (mean age 6.7 years) cohorts was 35 mg, 39 mg and 60 mg, respectively. Time spent in MVPA was 26 [95% confidence interval (CI) 25; 27], 43 (95% CI 42; 44) and 45 (95% CI 43; 46) min/d in the three cohorts, respectively, using 10-min bouts. Mean MVPA was on average 42% higher when using 5-min bouts. Males were more active than females and physical activity was inversely associated with age of the cohort and SES. Normal-weight individuals were more active than underweight, overweight and obese participants.Conclusions: Overall physical activity and time spent in MVPA differed by cohort (age), sex, weight status and SES. Higher levels of activity in low SES groups may be explained by incidental physical activity.

Destinations matter: The association between where older adults live and their travel behavior

The positive effect of physical activity in the prevention and treatment of many chronic diseases and age-related disabilities, such as mobility-disability, are widely accepted. Mobility is broadly defined as the ability of individuals to move themselves within community environments. These two concepts – physical activity and mobility – are closely linked and together contribute to older adults living healthy, independent lives. Neighborhood destinations may encourage mobility, as older adults typically leave their homes to travel to specific destinations. Thus, neighborhoods with a high prevalence of destinations may provide older adults an attractive opportunity to walk, instead of drive, and thereby obtain incidental physical activity. We know surprisingly little about the specific types of destinations older adults deem relevant and even less about destinations that support the mobility of older adults with low income. Accessible neighborhood destinations may be especially important to older adults with low income as they are more likely to walk as a primary travel mode. Conversely, this population may also be at increased risk of functional impairments that negatively affect their ability to walk. As a means to fill this information gap we aimed to better understand the mobility habits of older adults with low income. Thus, our specific objectives were to: (1) describe the types of destinations older adults with low income most commonly travel to in one week; and (2) determine the association between the prevalence of neighborhood destinations and the number of transportation walking trips these individuals make (average per day). We conducted a cross-sectional study of community-dwelling older adults with low income residing within Metro Vancouver, Canada. We assessed participant travel behavior (frequency, purpose, mode, destination) using seven-day travel diaries and measured the prevalence of neighborhood destinations using the Street Smart Walk Score. We also assessed participants’ sociodemographic characteristics and mobility (physical function, car access, confidence walking). We used a negative binomial model to determine the association between Street Smart Walk Score and number of transportation walking trips (average per day). Our sample was comprised of 150 participants (median age 74 years; 51 men) from who we acquired at least one day of travel diary data (range=1–7 days). Participants made three trips per day (2, 5; median P25, P75) and travelled to six different destination types per week (5, 9; median P25, P75). Destinations most relevant to older adults were grocery stores, malls, and restaurants/cafés. Each 10-point increase in Street Smart Walk Score was associated with a 20% increase in the number of transportation walking trips (average per day, incidence rate ratio=1.20, 95% CI=1.12, 1.29). Our findings provide preliminary evidence regarding destinations that may be most relevant to older adults. They also suggest that the prevalence of these neighborhood destinations may encourage walking. As we approach a new era of healthy city benchmarks, our findings guide policy makers and developers to retrofit and develop communities that support the mobility, health, and independence of older adults.

Stationary in the office: emerging themes for active buildings

This research aims to highlight the gap between management, design and health-promotion strategies in the workplace, and seeks to illustrate how the disciplines of architecture and health promotion can work together to reduce sedentary behaviour and increase opportunities for incidental physical activity within the working day. In particular, this paper argues that qualitative research with a focus on socio-cultural factors is necessary to fully understand how the spatial practices of a workplace might positively or negatively influence the sedentary behaviour of workers. This paper summarizes observational and anecdotal findings of a pilot study. The workplace was analysed using architectural movement diagramming, observational and photographic studies along with textural analysis of the anecdotal comments offered to the field officers during the process of data collection. This study shows that overlaying physical workplace design are multiple layers of spatial, managerial and cultural influences that affect workers and their reasons for movement. The lived-experience information gained from the observational studies adds to a richer understanding of the workplace as a social organization and how this might inform active workplace design.

Exercise interventions for the treatment of affective disorders - research to practice.

[Extract] Mental illness presents a growing disease burden, with worldwide prevalence estimates between 18 and 36% (1). In the USA, the prevalence of affective disorders including unipolar depression and bipolar disorder (BD) is around 20% (2, 3). While psychotropic medications remain at the front line of treatment for affective disorders, a growing body of research evidence strongly supports the role of exercise in the treatment of these affective disorders. Although remaining to be elucidated, there are a number of potential mechanisms by which exercise may be beneficial including neurobiological (4, 5) and pharmacological-like mechanisms (6). In the present paper, we shall discuss recent findings from systematic reviews and make recommendations for structured exercise, as distinct from unstructured or incidental physical activity, in the treatment of both depression and BD. This review also examines the role of exercise in the treatment of post-natal depression (PND) since this often transient but prevalent condition is rarely examined.