Levels Of Leisure-time Physical Activity Research Articles

Association between neighborhood health behaviors and body mass index in Northern Norway: evidence from the Tromsø Study.

The prevalence of overweight and obesity has risen rapidly worldwide, and the ongoing obesity pandemic is one of the most severe public health concerns in modern society. The average body mass index (BMI) of people living in Northern Norway has also steadily increased since the late 1970s. This study aimed to understand how individuals' health behavior is associated with the general health behavior of the people in their neighborhood. Using the population-based Tromsø Study, we examined the life course association between average leisure time physical activity at the neighborhood level and the BMI of individuals living in the same neighborhood. We used a longitudinal dataset following 25,604 individuals living in 33 neighborhoods and performed a linear mixed-effects analysis. The results showed that participants living in neighborhoods whose residents were more physically active during their leisure time, were likely to have a significantly lower BMI (-0.9 kg/m², 95% CI -1.5 to -0.4). Also, individuals living in neighborhoods whose residents were doing mainly manual work, had significantly higher BMIs (0.7 kg/m², 95% CI 0.4-1.0). Our results showed a strong association between the average leisure time physical activity level of neighborhood residents and the higher BMI levels of residents of the same neighborhood.

Sport and physical activity participation in the workplace: the role of employees' self-perception

PurposeDespite preventive efforts from some companies to offer some sport and physical activity (SPA) to their employees, French participation rates remain very low, which limit impacts in terms of health and economic benefits. The aim of this study was to better understand the factors influencing SPA participation in the workplace.Design/methodology/approachA cross-sectional study was conducted based on an electronic questionnaire survey disseminated to 24 companies based in France that offered SPA to their employees. An independent sample t-test was conducted to explore the differences between the most common facilitating and constraining factors, in relation to “being a sporty person” self-perception, leisure-time physical activity (LTPA) level and demographic information. Predictors of SPA in the workplace were determined using a binomial logistic regression.FindingsA total of 1,318 employees completed the survey, of which 60% were women, mostly highly educated and white collar. “Being a sporty person,” self-perception has been a predictor of SPA participation in the workplace.Practical implicationsMore multicomponent work-based interventions, including incidental physical activity, might be necessary to increase participation and overcome time constraint.Originality/valueAlthough SPA participation in the workplace is considered to promote numerous positive organizational and individual consequences, this is the first study to assess the associations between facilitating and constraining factors of SPA participation in the workplace setting and physical self-perception.

Socioeconomic and Gender Inequalities in Leisure-Time Physical Activity and Access to Public Policies in Brazil From 2013 to 2019.

This study aims to describe changes in gender and wealth inequalities in leisure-time physical activity (PA) of Brazilians during a 6-year interval. It also aims to evaluate inequalities regarding PA public programs awareness, participation, and access to public spaces for PA. Data from 2 population-based surveys conducted in 2013 and 2019 were used. Leisure-time PA prevalence was assessed considering those reporting ≥150minutes per week. The authors evaluated gender inequalities calculating differences and ratios, and wealth inequalities using the slope index of inequality and the concentration index- assessing changes over time. National levels of leisure-time PA increased from 2013 to 2019, and an increase in inequalities was observed; women and the poorest groups still presented lower prevalence. A decline in socioeconomic inequalities was observed from 2013 to 2019 regarding the availability of public spaces and awareness about public programs. However, outcomes remained more common among the richest group. Inequalities did not vary for participation in public programs. Although leisure-time PA increased from 2013 to 2019 at a national level, there were no improvements in gender inequalities, and wealth inequalities worsened over time. Indicators of public strategies for PA increased for the population, but inequalities remain.

Leisure-time physical activity and risk of incident cardiovascular disease in Chinese retired adults

The optimum amounts and types of leisure-time physical activity (LTPA) for cardiovascular disease (CVD) prevention among Chinese retired adults are unclear. The prospective study enrolled 26,584 participants (mean age [SD]: 63.3 [8.4]) without baseline disease from the Dongfeng-Tongji cohort in 2013. Cox-proportional hazard models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs). During a mean 5.0 (1.5) years of follow-up, 5704 incident CVD cases were documented. Compared with less than 7.5 metabolic equivalent of task-hours per week (MET-hours/week) of LTPA, participating LTPA for 22.5–37.5 MET-hours/week, which was equivalent to 3 to 5 times the world health organization (WHO) recommended minimum, was associated with a 18% (95% CI 9 to 25%) lower CVD risk; however, no significant additional benefit was gained when exceeding 37.5 MET-hours/week. Each log10 increment of MET-hours/week in square dancing and cycling was associated with 11% (95% CI 2 to 20%) and 32% (95% CI 21 to 41%), respectively, lower risk of incident CVD. In Chinese retired adults, higher LTPA levels were associated with lower CVD risk, with a benefit threshold at 3 to 5 times the recommended physical activity minimum. Encouraging participation in square dancing and cycling might gain favourable cardiovascular benefits.

Influence of Neighborhood Characteristics on Physical Activity, Health, and Quality of Life of Older Adults: A Path Analysis.

Background: As life expectancy and health expenditure consumed by older people increase, maintaining a better health and quality of life for older adults has become an important social issue. Research indicates that physical activity may help address this challenge. Moreover, it is believed that improved quality of life and health benefits from physical activity can be achieved through interventions in the neighborhood environments. However, existing knowledge has often been based on bivariate relationships between these factors, and few studies have formally examined the extent to which any association between neighborhood environments, health, and quality of life may be mediated by the level of physical activity. This paper aims to investigate the direct and indirect influence of neighborhood characteristics on the health and quality of life of older adults, taking into account physical activity behavior and socio-demographic characteristics in a more comprehensive framework.Methods: Data were collected using a survey among 363 older adults aged 60 years and over in China. A path analysis was used that derives all direct and indirect relationships between the variables.Results: Leisure-time physical activity levels played a mediating role in the relation between social capital and health as well as quality of life. Moreover, the study confirmed direct relationships between neighborhood characteristics such as neighborhood aesthetics and traffic safety and health as well as quality of life. However, the effect of neighborhood characteristics on health and quality of life through transport-related physical activity levels was not found.Conclusions: Leisure-time physical activity instead of transport-related physical activity should be considered a priority when developing interventions aiming to promote healthy aging. Additionally, neighborhood characteristics are important in promoting healthy aging, even though they have no or less impacts on older adults' health and quality of life through physical activity.

Abstract 11894: Leisure-Time Physical Activity in Late-Life is Associated With Risk of Heart Failure With Preserved and Reduced Ejection Fraction - The Atherosclerosis Risk in Communities Study

Introduction: Leisure-time physical activity (LTPA) is associated with lower heart failure (HF) risk. However, reported associations with incident HF with preserved (HFpEF) and reduced ejection fraction (HFrEF) differ and whether these associations persist into-late life is unclear. Methods: We evaluated 5017 participants in the Atherosclerosis Risk in Communities study who attended visit 5 (2011-2013) and did not have prior HF or significant valvular heart disease. LTPA was assessed by the Baecke questionnaire, summarized in metabolic equivalent (MET)-minutes/week, and related to incident HFpEF (EF ≥ 50%) and HFrEF (EF < 50%) using multivariable Cox regression and restricted cubic splines. All models were adjusted for age, sex, race, center, and smoking status. Results: The mean age was 75.5 ± 5.0 years, 41% were male, 21% Black, and median LTPA was 624 [IQR 0-1270] MET-min/wk. Over a median follow-up of 7.2 years, 435 participants developed HF (208 HFpEF, 166 HFrEF, 61 unknown EF). Compared to those with low LTPA levels (1 st tertile; <139 MET-min/wk), higher levels of LTPA (3 rd tertile; >1053 MET-min/wk) were significantly associated with lower HF risk (HR 0.48 [95% CI 0.37-0.62]) after adjusting for age, sex, race, center, and smoking status. The 2 nd and 3 rd tertile remained associated with lower HFpEF risk (2 nd tertile: HR 0.69 [0.50-0.96]; 3 rd tertile: 0.43 [0.29-0.62]), and lower HFrEF risk (2 nd tertlle: HR 0.55 [0.37-0.81]; 3 rd tertile: 0.57 [0.39-0.85]) in the adjusted model. Restricted cubic splines demonstrated a graded response between higher levels of LTPA and incident HFpEF and HFrEF (Figure). With further adjustment for HF risk factors that may be considered mediators, the association of higher LTPA with lower risk of HFpEF was preserved while the association with HFrEF risk was attenuated. Conclusions: In older adults, higher levels of LTPA are associated with a lower risk of both incident HFpEF and HFrEF.

Leisure-time physical activity and incidence of objectively assessed hearing loss: The Niigata Wellness Study.

Previous cohort study reported that high physical activity was associated with a low risk of self-reported hearing loss in women. However, no studies have examined the association between physical activity and the development of hearing loss as measured using an objective assessment of hearing loss in men and women. Here, we used cohort data to examine the association between leisure-time physical activity and incidence of objectively assessed hearing loss in men and women. Participants included 27537Japanese adults aged 20-80years without hearing loss, who completed a self-administered physical activity questionnaire between April 2001 and March 2002. The participants were followed up for the development of hearing loss as measured by audiometry between April 2002 and March 2008. During follow-up, 3691 participants developed hearing loss. Compared with the none physical activity group, multivariable adjusted hazard ratios (HRs) for developing hearing loss were 0.93 (95% confidence interval (CI), 0.86-1.01) and 0.87 (0.81-0.95) for the medium (<525MET-min/week) and high (≥525MET-min/week) physical activity groups, respectively (p for trend=0.001). The magnitude of risk reduction was slightly greater in vigorous-intensity activity than in moderate-intensity activity (p for interaction=0.01). Analysis by sound frequency showed that the amount of physical activity was inversely associated with high frequency hearing loss development (p for trend <0.001), but not with low frequency hearing loss development (p for trend=0.19). Higher level of leisure-time physical activity was associated with lower incidence of hearing loss, particularly for vigorous-intensity activities and high sound frequencies.

Longitudinal associations between parental and offspring's leisure-time physical activity: The Young Finns Study.

The longitudinal influence of parental leisure-time physical activity (LTPA) on their offspring's LTPA is poorly understood. This study examined the longitudinal associations between parental LTPA and offspring's LTPA at two-time intervals. Child (offspring) participants (N=3596) were enrolled from the Cardiovascular Risk in Young Finns Study in 1980. Their LTPA was self-rated through nine phases from baseline to 2018 and categorized by year into youth (1980-1986) and adult (1992-2018) LTPA. Parental LTPA was assessed with a single self-reported question at three phases from 1980 to 1986. Latent growth curve modeling stratified by gender was fitted to estimate the potential pathways between parental LTPA and offspring's youth and adult LTPA. Higher initial levels of paternal and maternal LTPA were independently associated with greater initial levels of youth and adult LTPA of offspring in both genders, respectively, except maternal LTPA, which did not associate with male offspring's adult LTPA. The initial levels of paternal LTPA were directly related to changes in male offspring's youth LTPA after adjusting for age, residential place, paternal education and occupation, having siblings, and offspring's body mass index. Our study demonstrates that the initial levels of parental LTPA are directly linked to the initial levels of offspring's LTPA during youth and adulthood, while changes in parental LTPA are unrelated to changes in offspring's youth and adult LTPA for either gender over time. These results imply that higher initial levels of LTPA in parents may serve as a predictor of offspring's LTPA across life stages.

SOCIO-DEMOGRAPHIC AND PSYCHOLOGICAL DETERMINANTS OF LEISURE TIME PHYSICAL ACTIVITY AMONG ADOLESCENTS IN NIGERIA

&lt;p&gt;Despite the numerous benefits associated with leisure time physical activity (LTPA), it is quite worrisome that the habit of regularly engaging in LTPA is rare among Nigerians, especially among adolescents who are found in myriads of sedentary lifestyle behaviour as a result of technological and economical advancement. The present study examined socio-demographic and psychological determinants of LTPA among adolescents in Nigeria. A cross-sectional study was conducted and multistage sampling technique was employed to recruit 1200 adolescents (Male =59.7%; Female =40.3%; Age: 10-19years) from twelve secondary schools in Southwest States, Nigeria. Physical Activity Self-Efficacy for Adolescent (PASE), The Physical Activity and Leisure Motivation Scale (PALMS), Activity Questionnaire for Adults and Adolescents (AQuAA) and Self-developed Socio-demographic Questionnaire were used to collect the data. Data were analyzed using statistics of frequency count, percentages &amp;amp; Multiple Regression. The result of the study showed that socio-demographic (F(8,1191) = 4.980; p&amp;lt; .05; R2 = .28) accounting for 28% of its variance and psychological factors (F (2,1197) =31014.342, p&amp;lt; .05; R2 = .99) accounting for 99% of its variance) were significant. Based on the findings, adolescents in Southwest states in Nigeria do not meet the World Health Organization recommendations on physical activity. Both socio-demographic and psychological factors significantly determined LTPA and these factors could be taken into account in the development of interventions to increase LTPA levels throughout the life course among adolescents in Nigeria. &lt;/p&gt;&lt;p&gt; &lt;/p&gt;&lt;p&gt;&lt;strong&gt; Article visualizations:&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;&lt;img src="/-counters-/edu_01/0852/a.php" alt="Hit counter" /&gt;&lt;/p&gt;

Vigorous regular leisure-time physical activity is associated with a clinically important improvement in back pain \u2013 a secondary analysis of randomized controlled trials

BackgroundNeck and back pain are musculoskeletal conditions with serious individual and societal consequences. Current evidence about the prognostic value for neck and back pain is limited and conflicting. This prospective cohort study aimed to assess the association between leisure-time physical activity (LPA) and improvement of neck and/or back pain in a working population receiving manual therapy or general care in one of two randomized controlled trials (RCTs).MethodsAnalyses of data from two RCTs evaluating the effect of manual therapies for neck and/or back pain was conducted. Participants (n = 1 464) answered questionnaires about frequency and effort level of LPA at baseline. LPA on moderate or vigorous levels was compared to no or low/irregular moderate and vigorous levels. Pain intensity was assessed with numerical scales at baseline and 3-, 6-, and 12-month follow-up. The outcome was minimal clinically important improvement in pain intensity, defined as ≥2 points improvement in mean pain intensity at follow-up. Crude- and adjusted risk ratios (RR) with 95% confidence intervals (CI) were calculated with Poisson regression analysis and stratified by pain location.ResultsParticipants with neck and/or back pain performing vigorous LPA showed a minimal clinically important improvement after 12 months compared to the control group; RR 1.35 (95% CI; 1.06-1.73). No effect was observed at 3 or 6 months. Moderate LPA did not improve pain intensity in any follow-up. Stratified analyses revealed that the effect of vigorous LPA at 12 months in back pain was RR 1.83 (95% CI; 1.26-2.66) and neck pain RR 1.06 (95% CI; 0.75-1.49).ConclusionsPersons with neck and/or back pain receiving manual therapy or general evidence-based care have greater chance of improvement after 12 months if they prior to treatment frequently practice vigorous LPA. When analyzed separately, the effect was only present for back pain.Trial registrationRegistration in Current Controlled Trials (ISRCTN), Stockholm Manual Intervention Trial (MINT), ISRCTN92249294 BJORN-trial, ISRCTN56954776

Do overweight/obesity and low levels of leisure-time vigorous physical activity moderate the effect of occupational physical activity on self-rated health of construction workers?

PurposeTo investigate the combined effects of occupational physical activity (OPA) and either overweight/obesity or low levels of leisure-time vigorous physical activity (LTVPA) on self-rated health.MethodsA longitudinal study was performed among 29,987 construction workers with complete data on 2 Workers’ Health Surveillance Programs during 2010–2018. Self-reported OPA involved strenuous work postures and manual material handling. Low level of LTVPA was defined as self-reported vigorous activity for less than three times per week lasting at least 20 min per session. Overweight and obesity were based on Body Mass Index (BMI) (25.0 ≤ BMI < 30.0 kg/m2 and BMI ≥ 30.0 kg/m2, respectively) using measured body height and weight. Self-rated health was measured using a single item question. Logistic regression analysis was used to investigate the associations between the separate risk factors at baseline and self-rated health at follow-up. The combined effects of demanding OPA and either overweight/obesity or low level of LTVPA on self-rated health were analyzed using the relative excess risk due to interaction (RERI).ResultsMean follow-up duration was 31.7 (SD = 14.9) months. Construction workers with strenuous work postures (OR 1.35 95% CI 1.25–1.46), manual material handling (OR 1.29 95% CI 1.19–1.40), obesity (OR 1.31 95% CI 1.17–1.47) and low LTVPA (OR 1.13 95% CI 1.01–1.25) were more likely to report poor self-rated health at follow-up. No statistically significant interaction effects were found for OPA and obesity or low LTVPA.ConclusionsOPA, obesity and low level of LTVPA were separate risk factors for poor self-rated health, but did not appear to have a synergistic effect.

BAILAMOS With mHealth Technology! Improving Physical Activity and Well-Being in Middle-Aged and Older Latinxs: A Pre-Post Feasibility Study.

Older Latinxs engage in lower levels of leisure-time physical activity (PA) compared with non-Latinx Whites. Latin dance is a culturally relevant type of leisure-time PA that may engage older Latinx populations, particularly when coupled with mobile health technologies (mHealth). This single group pre-post feasibility study described the PA and health outcomes of middle-aged and older Latinxs participating in BAILA TECH-an intervention that combines the BAILAMOS Latin dance program with mHealth (Fitbit Charge 2, Fitbit app, and motivational text messages). Participants (n = 20, Mage = 67 ± 7.1, female n = 15, 75%) were enrolled in the 16-week BAILA TECH intervention held twice a week. Participants received a Fitbit Charge 2 to assess PA at baseline, during the intervention, and postintervention. An mHealth platform (iCardia) collected Fitbit data and staff delivered weekly motivational and informational text messages. Participants completed questionnaires about PA, sedentary behavior, cardiorespiratory fitness, social support, quality of life, and cognitive function at baseline and postintervention. Paired t tests evaluated change in pre-post measures. There was a significant increase in device-assessed moderate-to-vigorous PA (d = 0.69), self-reported light-leisure (d = 1.91) and moderate-to-vigorous PA (d = 1.05), moderate-to-vigorous leisure PA (d = 1.55), predicted cardiorespiratory fitness (d = 1.10), and PA social support (d = 0.81 [family]; d = 0.95 [friends]) from baseline to postintervention. Although nonsignificant, there was a small effect on physical health-related quality of life (d = 0.32) and executive function (d = 0.29). These data describe an increase in PA levels and health-related outcomes of middle-aged and older Latinxs from participation in an mHealth-infused Latin dance intervention. An adequately powered trial is necessary to establish efficacy.

Ozone Exposure, Outdoor Physical Activity, and Incident Type 2 Diabetes in the SALSA Cohort of Older Mexican Americans.

Background:Type 2 diabetes is a leading contributor to the global burden of morbidity and mortality. Ozone () exposure has previously been linked to diabetes.Objective:We studied the impact of exposure on incident diabetes risk in elderly Mexican Americans and investigated whether outdoor physical activity modifies the association.Methods:We selected 1,090 Mexican American participants from the Sacramento Area Latino Study on Aging conducted from 1998 to 2007. Ambient exposure levels were modeled with a land-use regression built with saturation monitoring data collected at 49 sites across the Sacramento metropolitan area. Using Cox proportional hazard models, we estimated the risk of developing incident diabetes based on average exposure modeled for 5-y prior to incident diabetes diagnosis or last follow-up. Further, we estimated outdoor leisure-time physical activity at baseline and investigated whether higher vs. lower levels modified the association between exposure and diabetes.Results:In total, 186 incident diabetes cases were identified during 10-y follow-up. Higher levels of physical activity were negatively associated with incident diabetes [ (95% CI: 0.43, 0.95)]. The estimated HRs for incident diabetes was 1.13 (95% CI: 1.00, 1.28) per 10-ppb increment of 5-y average exposure; also, this association was stronger among those physically active outdoors [ (95% CI: 1.21, 1.90)], and close to null for those reporting lower levels of outdoor activity [ (95% CI: 0.90, 1.20), ].Conclusions:Our findings suggest that ambient exposure contributes to the development of type 2 diabetes, particularly among those with higher levels of leisure-time outdoor physical activity. Policies and strategies are needed to reduce exposure to guarantee that the health benefits of physical activity are not diminished by higher levels of pollution in susceptible populations such as older Hispanics. https://doi.org/10.1289/EHP8620

Physical Activity Among Preadolescents Modifies the Long-Term Association Between Sedentary Time Spent Using Digital Media and the Increased Risk of Being Overweight.

This study aimed to examine whether sedentary digital media use in preadolescence increases the risk of being overweight 3 years later, and whether this association differs based on preadolescents' leisure-time physical activity (LTPA) levels. The authors conducted a 3-year follow-up study among 4661 participants with a mean (SD) age of 11 (1)years at baseline and 14 (1)years at follow-up. A web-based questionnaire assessed sedentary digital media use and LTPA. The authors categorized baseline LTPA duration into 3 levels: 0 to 5 (low), 6 to 8 (moderate), and ≥9 (high) hours per week. In addition, the authors categorized adolescents as normal weight or overweight/obese at follow-up. Greater amounts of sedentary digital media use at baseline associated with an increased risk of being overweight 3 years later even after adjusting for confounders. This only held for preadolescents with low baseline LTPA (OR = 1.14; 95% confidence interval, 1.05-1.24), but not among those with moderate (OR = 1.02; 0.91-1.15) or high (OR = 0.96; 0.85-1.08) LTPA. Preadolescent LTPA modified the long-term association between sedentary digital media use and being overweight; specifically, 6hours per week or more of LTPA mitigated the increased risk of being overweight associated with higher amounts of digital media use.

Trends in Self-Reported Sitting Time by Physical Activity Levels Among US Adults, NHANES 2007/2008-2017/2018.

High levels of sedentary behavior and physical inactivity increase the risk of premature mortality and several chronic diseases. Monitoring national trends and correlates of sedentary behavior and physical inactivity can help identify patterns of risk in the population over time. The authors used self-reported data from the National Health and Nutrition Examination Surveys (2007/2008-2017/2018) to estimate trends in US adults' mean daily sitting time, overall, and stratified by levels of leisure-time and multidomain physical activity, and in the joint prevalence of high sitting time (>8h/d) and physical inactivity. Trends were tested using orthogonal polynomial contrasts. Overall, mean daily sitting time increased by 19 minutes from 2007/2008 (332min/d) to 2017/2018 (351min/d) (Plinear < .05; Pquadratic < .05). The highest point estimate occurred in 2013/2014 (426min/d), with a decreasing trend observed after this point (Plinear < .05). Similar trends were observed across physical activity levels and domains, with one exception: an overall linear increase was not observed among sufficiently active adults. The mean daily sitting time was lowest among highly active adults compared with less active adults when using the multidomain physical activity measure. Sitting time among adults increased over the study period but decreased in recent years.

Effects of leisure constraints and negotiation on activity enjoyment: a forgotten part of the leisure constraints theory

ABSTRACT Although identified in the definition of leisure constraints, leisure enjoyment has been rarely studied as an outcome of constraints and constraint negotiation. The purpose of this paper is, therefore, to examine the associations among leisure constraints, constraint negotiation, and enjoyment, within the context of leisure-time physical activity (LTPA). Cross-sectional online survey data from 618 Japanese and Euro-Canadian adults were used. Regression results suggested that across different levels of LTPA, enjoyment was negatively associated with constraints and positively with constraint negotiation. Follow-up regression analyses at sub-category level identified specific types of leisure constraints and negotiation strategies particularly pertinent to enjoyment. We conclude that leisure enjoyment is a direct outcome of constraints and constraint negotiation, which supports the call to extend the leisure constraints theory beyond participation as the outcome. Moreover, we suggest that facilitating leisure enjoyment requires awareness of different types of constraints and negotiation strategies depending on activity contexts.

Association of Stress Coping Strategies and Leisure Time Physical Activity with Academic Performance in Medical Students

Background: In recent times, the incidence of stress has increased dramatically, and it is now becoming prevalent in students as well. This study aims to identify different coping strategies and leisure-time physical activity in medical students, and their association with academic performance throughout the stressful event of professional examinations using the brief Coping Orientation to Problems Experienced (COPE) inventory.Materials and Methods: It is a cross-sectional correlational study done during August 2019 to November 2019. Students enrolled in Bachelor of Medicine, Bachelor of Surgery (MBBS) studying at Rawalpindi Medical University, Pakistan participated in this research during their professional examinations. Independent sample t-tests were used to identify differences between the two academic groups (high and low achievers) by coping strategies, like approach coping and avoidant coping. The Spearman’s rho test was applied to find correlation between leisure time activity and academic status of students. High achievers were defined as those with average scores greater than 70% (and distinction, if any). Those with scores less than 70% (and supplementary exams taken if any) were classified as low achievers.Results: The majority of participants were females 259 (56.4%). Out of 459 students, 225(49%) were high achievers, while 234(51%) were low achievers. A weak negative correlation was established between sedentary/insufficiently active lifestyle (r (2) =0.114, P=0.015) and academic status. The mean scores of approach coping (mean =30.80, SD=5.32) were significantly higher for high achievers. By comparison, the mean scores of avoidant coping (mean =48.75, SD=4.92) were considerably higher for low achievers.Conclusion: A medium level of leisure-time physical activity and approach coping strategies such as active coping, emotional support, and diligent planning have considerable positive effects on performance.

Prevalence of physical activity and associated factors among pregnant women: a cross-sectional population-based study in southern Brazil

Abstract Objectives: to describe the prevalence of sufficient leisure-time physical activity (LPA) in the trimesters of pregnancy and to test its association with sociodemographic and contextual characteristics. Methods: cross-sectional study that in 2019 analyzed data from 3580 pregnant women residing in Santa Catarina, Brazil. LPA was categorized as “active” (150 minutes or more of LPA/week) and “inactive” (less than 150 minutes). Results: the prevalence for the recommended level of LPA was 15.3% (CI95%= 14.1-16.4) before pregnancy, gradually declining to 7.8% (CI95%= 7.3-8.7), 7.3% (CI95%= 6.58.2), and 5.8% (CI95%= 5.1-6.7) in the following trimesters of pregnancy. Higher level of education was associated with the four outcomes, increasing the chance of being active by 79% in the third trimester of pregnancy. In the second trimester, living in a neighborhood that stimulates physical activity increased the chance of being active by 39%. In the third trimester, having received guidance from a health professional was associated with an increase of 60% in the chance of practicing LPA. Conclusion: the prevalence of recommended LPA is low among pregnant women and living in a neighborhood favorable to outdoor practices, greater education level and receiving guidance from health professionals increased the chance of pregnant women to be active.

Relationship between physical activity, lean body mass, and bone mass in the Mexican adult population.

To evaluate the effect of different kinds of leisure-time physical activity (LTPA) on bone mass values and its association with lean mass (LM) in the whole body (wb) and limbs of a large sample of Mexican men and premenopausal (pre-MP) women. We conducted a cross-sectional analysis of data from the Health Workers Cohort Study. Bone mineral content (BMC, kg), bone area (cm2), and LM (kg) were measured with DXA. The LTPA level and the "sedentary" condition were determined using a validated questionnaire adapted for the Mexican population. One-way ANOVA tests evaluated the differences in weight, height, body mass index, and wb, lower limb (ll) and upper limb (ul) BMC and LM between the active (those who engaged in LTPA) and sedentary group. Relationships between BMC and LM values were analyzed. Slopes of the curves and Z scores of LTPA groups with respect to the sedentary group were compared. In men, both wb-BMC and ll-BMC were significantly higher in the groups performing basketball, football, tennis, weightlifting, and running, and all wb-LM, ll-LM, and ul-LM were higher in running, weightlifting, football, and basketball groups with respect to the sedentary group. Both the Z scores and the slopes of BMC-vs-LM relationships were higher than the controls, but only in the ll of male basketball and football players. Our findings demonstrate that some types of LTPA with relatively high/medium impact on bones, such as football, basketball, tennis, and weightlifting, improve both BMC and LM compared to sedentary individuals. Finally, this relationship is stronger for the bones found in the legs and it seems that women are less sensitive to this effect, possibly due to hormonal, dietary, and pharmacological reasons.

Abstract P158: Work-related Exertion And Standing/walking Are Associated With Leisure-time Physical Activity In Latinos

Introduction: Latinos engage in higher levels of occupational physical activity, yet lower levels of leisure-time physical activity (LTPA), than other racial/ethnic groups. Limited research has examined specific work-based activities that contribute to lower LTPA among Latinos. The purpose of our study was to examine associations between frequency of work-related exertion and standing/walking with LTPA among Latinos. Hypothesis: We hypothesized that higher frequency of work-related exertion and standing/walking would be associated with lower levels of LTPA among Latinos. Methods: We used cross-sectional 2015 National Health Interview Survey (NHIS) data on employed Latinos ≥18 years of age (n=3,305). We examined two types of work-based activities: frequency of exertion and frequency of standing/walking. Frequency of exertion was assessed based on reported frequency of engaging in repeated lifting, pulling, pushing, or bending at work. Frequency of standing/walking was assessed based on frequency with which their work involved standing or walking around. Responses to work-based activity items were on a Likert scale (0=never, 1=seldom, 2= sometimes, 3=often, 4=always). LTPA was measured based on minutes of moderate-to-vigorous LTPA aerobic physical activity per week, which were categorized into none (0 min/week), some LTPA (&gt;0 min/week of activity but less than recommendation), and meeting the LTPA guideline (≥150 min of moderate-vigorous activity or ≥75 min of vigorous activity or 150 min of moderate activity/week). Multinomial logistic regression models that accounted for the complex survey design of NHIS were used to estimate the associations between frequency of work-related exertion and standing/walking with LTPA. All models were adjusted for age, sex, education, shift work, and acculturation proxies (nativity, years living in the US). Results: In adjusted models, compared with those who reported never engaging in exertion at work, individuals reporting always exerting themselves at work were significantly less likely to meet the LTPA guideline (Odds Ratio [OR]: 0.68, 95% Confidence Interval [CI]: 0.50-0.94). In addition, compared with those that reported never standing/walking at work, only those who reported that their job seldom involved standing/walking at work were significantly less likely to meet the LTPA guideline (OR: 0.52, 95% CI: 0.30-0.92). Conclusions: In conclusion, these findings suggest that work-related physical activities may contribute to LTPA levels among Latinos, and associations vary based on the type of physical activities performed at work. Future physical activity promotion efforts among Latinos should consider the role of worksite policies to promote wellness.