Physical Activity Recall Research Articles

"Playing with Little Behaviors"; Physical Activity Promotion by Gamified Education in Young Boys.

Background:Physical activity is affecting every aspect of our life. A sedentary lifestyle can be the risk factor for noncommunicable diseases (NCD) or premature death all over the world. Several studies demonstrate that school-based physical activity promotion is an important solution to make healthy behaviors, especially in children and adolescents. In this vein, the current research evaluates a model for physical activity, which is promoted through a game among high school students.Methods:In this study, 47 high school's 10th-grade boys from Tehran were requited. The game scenario included the suggestion of some behaviors which can increase daily physical activity by each student, like or dislike each behavior by other students, counting likes, selecting the most-liked behaviors, and rewarding their proposers. After a week, the behavioral recall was assessed and compared with a control group who had been heard these behaviors in the class without gamification.Results:The participants in the game could recall physical activity behaviors significantly more than peers in the control group.Conclusions:The findings show gamification could significantly improve the effectiveness of education for normal behaviors in physical activity.

A mixed methods study of physical activity and quality of life in adolescents with Turner syndrome.

Women with Turner syndrome (TS) have a high morbidity from both medical and psychological conditions with a negative impact on quality of life (QoL). Physical activity is a modifiable behavior shown to reduce risk for these chronic medical and mental health conditions and enhance QoL in other populations. Limited research suggests that adolescents and women with TS are less likely to engage in or enjoy physical activity than peers. This mixed methods study aimed to document physical activity levels in a sample of youth with TS and explore how factors unique to TS contribute to and are affected by physical activity. A cross-sectional sample of 21 girls (12-21 years) with TS and their parents (n = 21) completed standardized questionnaires to quantify habitual physical activity (3-day physical activity recall) and QoL (PROMIS) and participated in individual interviews focused on their experience with physical activity. Quantitative and qualitative results were synthesized using a phenomenological mixed methods approach. Results indicate that our sample engaged in less physical activity than peers and only 19% met recommendations for 1 hr per day of moderate-to-vigorous physical activity. Parents reported significant problems with peer relationships and psychological stress, and peer relationships scores correlated with physical activity. Reported barriers to physical activity included physical and psychosocial complications related to TS as well as unique developmental considerations specific to adolescence. Quantitative and qualitative results supported that structured fitness options embedded into routines enhanced activity levels. Results were compiled into specific recommendations for clinical care and areas of future research.

Positive reinforcement by general practitioners is associated with greater physical activity in adults with type 2 diabetes

ObjectiveIn a sample of adults with type 2 diabetes mellitus (T2DM), the aim of this study was to examine whether self-reported physical activity level is associated with recall of specific...

Food Habits and Physical Activity in Relation to the Nutritional Status of Adolescents in Urban and Rural Senior High Schools in Bogor

The aim of this study was to know the food habits and physical activity in relation to the nutritional status of adolescents in urban and rural Senior high Schools in Bogor. The design of the research was a cross-sectional study, the number of subjects was 70 students from urban and rural. The data collection was carried out by using questionnaires, food recall 2x24 hour, physical activity recall 1x24 hour and anthropometry measurements. The results indicated that about 40% of urban adolescents were getting pocket money between Rp.20, 000-29,990 while 37.10% of rural adolescents were getting pocket money below Rp.10, 000 which shows the urban adolescents were getting more allowances than rural adolescents. Around 80.0% of total the urban adolescents have normal nutritional status while 57.1% of rural adolescents have normal nutritional status and 31.4% of rural adolescents were thin whereas 5.7% of urban adolescents were thin. The majority of the study participants have breakfast before leaving for school, also the majority of urban adolescents have more snack than rural adolescents. Generally, rural adolescents were physically active while most of the urban adolescents were physically inactive.

Effects of a novel bites, steps and eating rate-focused weight loss randomised controlled trial intervention on body weight and eating behaviours.

Eating rate (ER), comprising the amount of food consumed per unit of time, is associated with obesity and energy intake (EI). The present study tested whether adding a self-monitoring wearable device to a multifaceted 8-week weight loss intervention increased weight loss. In addition, the device's effect on secondary change outcomes in EI, ER and estimated energy expenditure was explored. Tertiary outcomes included examining eating behaviours measured by the Weight-Related Eating Questionnaire (WREQ). Seventy-two adults who were overweight or obese [mean (SD) age, 37.7(15.3)years; body mass index, 31.3(3.2)kg m-2 ] were randomised into two groups: intervention workbook plus device (WD) or intervention workbook only (WO). Three 24-h dietary recalls were obtained before weeks 0 and 8. Participants were weighed, consumed a test meal and completed 7-day Physical Activity Recall and WREQ at weeks 0 and 8. There was no significant difference between WD and WO groups with respect to weight change [-0.46 (1.11) vs. 0.26 (0.82) kg, respectively], ER, EI, energy expenditure or WREQ scores, although there were significant changes over time, and within-group changes on all of these variables. At week 8, participants were dichotomised into weight loss or weight stable/gainers groups. A significant time by group change was seen in susceptibility to external cues scores, with significant time effects for susceptibility and restraint. An intervention focused on reducing ER, energy density and increasing steps was effective for weight loss, although the wearable device provided no additional benefit. Participants with higher susceptibility to external eating may be more responsive to this intervention.

Physical Activity and Dietary Habit With Nutritional Status Teenage Girls in SMPN 16 Makassar

The growth of teenage girls optimally depends on the intake with good quality and quantity. Nutrition status is a state determined by the degree of physical demand for energy and nutrients derived from food and also depends on physical activity performed. The purpose of this study is to determine the relationship between physical activity and diet with nutritional status of young women in SMPN 16 Makassar. The method of research is a cross sectional study design with analytic approach. The subject is a student of class VIII counted 84 people. Nutritional status is obtained by weighing and body weight which is then calculated using z-score. The dietary habit is obtained through the Food Frequency Quesionary (FFQ) which is then processed by summing the score of each foodstuff and then compared with the average score of the total score of all subjects. Physical activity is obtained through recall of physical activity processed by using physical activity level formula. The data is presented by graphical and narratives form. The results showed that there was a significant correlation between physical activity and nutritional status of the subjects, indicated by subjects with normal nutritional status of 29 people (34.5%) and 14 people (16.7%) with mild physical activity. Teenagers with normal nutritional status and thin in general medium activity. This study also shows that there is a significant relationship between dietary habit with nutritional status of the subjects, indicated by subjects who have normal nutritional status and low diet is low as many as 22 people (26.2%). Teachers and parents should educate subjects to improve their physical activity, such as doing sport at home and school, and directing them to consume healthy and nutritious food as recommended by their youth.

The Reproduction Health Behavior of High School Teenagers in Semarang, Indonesia

Background: It is recorded in Semarang that nearly 50% of the teenagers have conducted premarital sexual intercourse at the age 10-15 years. One of the efforts to prevent it is by reproduction health education at school to improve the teenagers’ knowledge and health behavior. Objective: The research objective is to find out the relation of school role in health education with reproduction health behavior on high school teenagers in Semarang. Methods: The research was conducted in 2017, which is a correlation description research with a quantitative approach. The population is all high school students in Semarang, i.e. 6620 students, the sample taking technique is by purposive sampling with 178 respondents. Questionnaire instruments were used to collect data on the role of schools and adolescent reproductive health behaviors. The questionnaire was tested for validity and reliability first. In addition, additional instruments such as APARQ are used, which are standard questionnaires for measuring physical activity and standard recall, so validity and reliability tests are not needed. Data was analysed using univariate, bivariate and multivariate with SPSS. Results: There was a significant role of school in the teenager’s reproduction health behavior (p-value 0.023), there was no significant effect of the dating status on the teenager reproduction health behavior with (p-value 0.693), there was a significant effect of teenager knowledge to teenager reproduction health behavior (p-value 0.012) and there was no significant relation between teenage physical activity and teenager reproduction health behavior in Semarang (p-value 0.370). Conclusion: The role of the school is directly related through knowledge to the reproduction health behavior where the policy and activity have the highest effect on knowledge. Moreover, age, dating status, and physical activity do not directly relate to the reproduction health behavior of high school teenagers in Semarang. Besides, result demonstrate that school has a high role in teenager knowledge compared to other variables in this research.

The Relationship Between Physical Activity and Cardiorespiratory Fitness Among People Living With Human Immunodeficiency Virus Throughout the Life Span.

People living with human immunodeficiency virus (PLHIV) are at an increased risk for developing cardiovascular disease (CVD). Physical activity and cardiorespiratory fitness in PLHIV are poorly understood. The aims of this study were to describe physical activity and cardiorespiratory fitness by sex and age and to examine the association between physical activity and cardiorespiratory fitness in PLHIV, controlling for covariates. Seven hundred two PLHIV participated in a cross-sectional study and completed validated measures of self-reported physical activity (7-day Physical Activity Recall) and cardiorespiratory fitness (6-minute walk test). Participants were recruited from 7 diverse sites in the United States and Thailand, and data were analyzed using descriptive statistics and multiple regression to examine the relationship between physical activity and cardiorespiratory fitness. On average, participants self-reported engaging in 115 minutes of, mostly light (75%), physical activity. Men reported twice the amount of physical activity as women (155 vs 73 minutes, P = .01). Participants' ability to achieve their predicted 6-minute walk test distances was similar between men (68%) and women (69%) (P > .01). For women, vigorous physical activity was associated with a 6.6% increase in cardiorespiratory fitness and being temporarily unemployed was associated with an 18% decline in cardiorespiratory fitness. Cardiorespiratory fitness increased with age (P < .01). Weekly physical activity of people living with human immunodeficiency virus averaged 85 minutes of mostly light activity, well below the recommended 150 minutes of moderate activity. Vigorous physical activity was associated with improved cardiorespiratory fitness in women, but not men. Although PLHIV would benefit from interventions to increase physical activity, our data suggest a need to develop sex-specific physical activity strategies.

Use of previous-day recalls of physical activity and sedentary behavior in epidemiologic studies: results from four instruments

BackgroundThe last few years have seen renewed interest in use-of-time recalls in epidemiological studies, driven by a focus on the 24-h day [including sleep, sitting, and light physical activity (LPA)] rather than just moderate-vigorous physical activity (MVPA). This paper describes four different computerised use-of-time instruments (ACT24, PAR, MARCA and cpar24) and presents population time-use data from a collective sample of 8286 adults from different population studies conducted in Australia/New Zealand, Germany and the United States.MethodsThe instruments were developed independently but showed a number of similarities: they were self-administered through the web or used computer-assisted telephone interviews; all captured energy expenditure using variants of the Ainsworth Compendium; each had been validated against criterion measures; and they used a domain structure whereby activities were aggregated under categories such as Personal Care and Work.ResultsEstimates of physical activity level (average daily rate of energy expenditure in METs) ranged from 1.53 to 1.78 in the four studies, strikingly similar to population estimates derived from doubly labelled water. There was broad agreement in the amount of time spent in sleep (7.2–8.6 h), MVPA (1.6–3.1 h), personal care (1.6–2.4 h), and transportation (1.1–1.8 h). There were consistent sex differences, with women spending 28–81% more time on chores, 8–40% more time in LPA, and 3–39% less time in MVPA than men.ConclusionsAlthough there were many similarities between instruments, differences in operationalizing definitions of sedentary behaviour and LPA resulted in substantive differences in the amounts of time reported in sedentary and physically active behaviours. Future research should focus on deriving a core set of basic activities and associated energy expenditure estimates, an agreed classificatory hierarchy for the major behavioural and activity domains, and systems to capture relevant social and environmental contexts.

Sedentary Adult Characteristics and Exercise Benefits and Barriers: Associations in an Interactive Voice Response Study

Adults living in the Deep South suffer higher rates of cancer incidence and mortality possibly related to higher rates of physical inactivity. Hence, additional information regarding physical activity (PA) barriers and benefits is needed for targeting interventions for this at-risk population. PURPOSE: To examine baseline associations between participant characteristics and PA benefits and barriers in sedentary adults enrolled in an Interactive Voice Response (IVR)-supported study in the Deep South. METHODS: Participants (N=63) completed the 43-item Exercise Benefits and Barriers Scale (EBBS) and 7-day Physical Activity Recall (moderate-to-vigorous physical activity [MVPA]) prior to randomized allocation. RESULTS: The mean age of the sample was 43 ± 11.8 years with slightly more male (55.6%) and black or African American (58.7%) participants. On average, participants were obese (31.1 ± 6.9 kg/m2), and self-reported 40 ± 56 minutes per week of MVPA. Using Mann-Whitney test, overall barriers were significantly greater for those with annual incomes less than $50k vs. $50k or more (Median [Mdn] = 30.0 vs. 25.5, p = .025) and for those employed less than full-time vs. full-time (Mdn = 32.0 vs. 28.0, p = .034). No significant associations were indicated for benefits. For PA barrier subscales, Time Expenditure time was a less frequent barrier for African-American vs. other (Mdn = 2.0 vs. Mdn 2.3, p = .002) and obese vs. non-obese (Mdn = 1.8 vs. 2.3, p = .005). Physical Exertion was a greater barrier if not employed full-time vs. employed full-time (Mdn = 2.7 vs. 2.3, p = .001). Family Discouragement barriers were greater for unmarried vs. married (Mdn = 2.0 vs. 1.5, p = .014). Exercise Milieu barriers were more frequent for those with incomes less than $50k per year vs. $50k or more (Mdn = 2.0 vs. 1.4, p = .005). There were no significant associations between minutes of MVPA and EBBS or subscale scores. CONCLUSIONS: Our results highlight demographic differences in scores of barrier items related to time expenditure, family discouragement, physical exertion, and other exercise barriers. Further study is needed to examine how barriers in this population change over the course of an IVR-supported physical activity intervention. Supported by the NCI (R03CA1775) and NHLBI (T32HL105349) of the National Institutes of Health.

196-LB: Prenatal and Lifestyle Contributions to Child Insulin Sensitivity

Background: Early life exposures play an important role in metabolic health throughout life. We examined how prenatal exposures to maternal obesity or gestational diabetes mellitus (GDM) and low levels of physical activity and increased food intake may contribute to reductions in insulin sensitivity in childhood. Methods: Participants were 7-10 year old children who were born at Kaiser Permanente Southern California. Maternal pre-pregnancy BMI and GDM status were extracted from electronic medical records. Child weight and height were measured, and oral glucose tolerance tests were performed. Insulin sensitivity was estimated using the Matsuda insulin sensitivity index (ISI). Diet was assessed using 24-hour dietary recalls and daily energy intake (EI) was calculated. Physical activity was assessed using a 3-day physical activity recall and average min/day of moderate to vigorous physical activity (MVPA) was calculated. Linear regression was used to assess ISI associations with the exposures. Results: 92 children (52 girls; 40 boys; 55 GDM-exposed; 37 unexposed) participated. Maternal pre-pregnancy BMI ranged from 19.0-50.4 kg/m2. Mean±SD child age was 8.3±0.9 years, BMI z-score: 0.60±1.1, ISI: 10.6±5.9, EI: 1790.7±444.2 kcal, and MVPA: 118.7±93.8 min/day. Children who spent more time in MVPA had better insulin sensitivity (β=0.82; P=.02). Adjusting for maternal pre-pregnancy BMI, GDM exposure, child age, sex, and EI, did not affect this relationship (β=0.87; P&amp;lt;.01), nor did further adjusting for BMI z-score (β=0.78; P=.01). Prenatal exposure to GDM and child ISI (β=0.19, P=.28) and maternal pre-pregnancy BMI were not significantly associated with child ISI (β=-0.01, P=0.40), nor was child’s EI associated with ISI (β=0.001; P=.59). Conclusions: Time spent in MVPA was the strongest predictor of child insulin sensitivity. Our findings suggest that engaging in MVPA during childhood is beneficial for insulin sensitivity and may help ameliorate future risk for metabolic disease. Disclosure J. Alves: None. T. Chow: None. J. Zink: None. S. Luo: None. M.P. Martinez: None. A. Romero: None. A. Xiang: None. K.A. Page: None. Funding American Diabetes Association (1-14-ACE-36 to K.A.P.); National Institutes of Health (1F31MH115640-01A1)

Aerobic Fitness and Adherence to Guideline-Recommended Minimum Physical Activity Among Ambulatory Patients With Type 2 Diabetes Mellitus

Lifestyle intervention remains the cornerstone of management of type 2 diabetes mellitus (T2DM). However, adherence to physical activity (PA) recommendations and the impact of that adherence on cardiorespiratory fitness in this population have been poorly described. We sought to investigate adherence to PA recommendations and its association with cardiorespiratory fitness in a population of patients with T2DM. A cross-sectional analysis of baseline data from a randomized clinical trial (NCT00424762) was performed. A total of 150 individuals with medically treated T2DM and atherosclerotic cardiovascular disease (ASCVD) or risk factors for ASCVD were recruited from outpatient clinics at a single academic medical center. All individuals underwent a graded maximal exercise treadmill test to exhaustion with breath-by-breath gas exchange analysis to determine VO2peak. PA was estimated using a structured 7-Day Physical Activity Recall interview. Participants had a mean ± SD age of 54.9 ± 9.0 years; 41% were women, 40% were black, and 21% were Hispanic. The mean HbA1c was 7.7 ± 1.8% and the mean BMI, 34.5 ± 7.2 kg/m2. A total of 72% had hypertension, 73% had hyperlipidemia, and 35% had prevalent ASCVD. The mean ± SD reported daily PA was 34.3 ± 4 kcal/kg, only 7% above a sedentary state; 47% of the cohort failed to achieve the minimum recommended PA. Mean ± SD VO2peak was 27.4 ± 6.5 mL/kg fat-free mass/min (18.8 ± 5.0 mL/kg/min). On average, patients with T2DM who have or are at risk for ASCVD report low levels of PA and have low measured cardiopulmonary fitness. This underscores the importance of continued efforts to close this therapeutic gap.

Examining changes in respiratory exchange ratio within an 8-week weight loss intervention.

Maintaining weight loss is difficult, partly as a result of accompanying reductions in fat oxidation. The present study examined fat oxidation [reflected by respiratory exchange ratio (RER)] within an 8-week, self-led weight loss intervention. Changes in RER, body fat (BF%) and estimated energy expenditure (EE) were examined. Twenty-two adults [13 females, nine males; mean (SD) age 34.6(16.5)years; body mass index 32.0(4.3)kg m-2 ] received a self-directed workbook; twelve were also randomised to receive a self-monitoring wrist-worn device. At weeks 0 and 8, RER (indirect calorimetry), BF% (BodPod) and estimated EE [7-day physical activity recall (PAR-EE) were collected. Participants were pooled and paired t-tests were used to examine changes over time. Correlations explored associations among variables. Participants were then dichotomised into weight loss group (WL) or weight stable/gainers group (WSG) and eating behaviours [Intuitive Eating Scale (IES-2)] were examined by 2×2 repeated measures multivariate analysis of covariance. There were no significant changes in RER, body fat percentage and PAR-EE. A significant negative association was found between week 8 PAR-EE and week 8 RER, as well as between BF% change and RER change. There was a significant time by WL versus WSG group effect of IES-2 scores, with the WL group self-reporting significantly increased scores in Eating for Physical Reasons rather than Emotional Reasons (EPR) subscale. Increased physical activity after an 8-week weight loss intervention was associated with a higher fasting fat oxidation. Participants who increased EPR scores were more successful in weight loss than those without a change in this subscale.

Executive Function Impairments in Adolescents With Obesity and Obstructive Sleep Apnea Syndrome.

Adolescents with obesity and obstructive sleep apnea syndrome (OSAS) are at high risk of poor physical and cognitive health consequences. The purpose of this study was to explore executive function (EF) in adolescents with obesity and OSAS, describe physical activity and sleep duration, and explore the relationships between EF and physical activity and sleep duration. Participants comprised 20 adolescents (ages 11-17 years) with obesity (body mass index [BMI] ≥ 95th percentile) and OSAS (apnea-hypopnea index [AHI] ≥ 1.5 events/hr) participated in this observational pilot study with a prospective 1-week measurement protocol. Outcome measures included EF by the Behavior Rating Inventory of Executive Function-2, physical activity by Previous Day Physical Activity Recall, and sleep by Consensus Sleep Diary and actigraphy. Adolescents with obesity and OSAS had significantly worse EF by self- and parent-report than the normative sample (p ≤ .003), 45% had impaired EF and up to 30% had clinically significant impairments. Participants spent approximately 14.3 hr/day in light-intensity activity, and 33% did not engage in moderate-to-vigorous-intensity activity for at least 60 min on any days of data collection. Adolescents had insufficient sleep duration, averaging 6.9 hr/night. No significant relationships were identified between physical activity or sleep duration and EF. Providers should have a heightened awareness for EF impairments in obese adolescents with OSAS and consider how EF deficits may affect uptake and adherence to complex lifestyle and/or medical interventions among these patients.

Validity of One-Day Physical Activity Recall for Estimating Total Energy Expenditure in Elderly Residents at Long-Term Care Facilities: CLinical EValuation of Energy Requirements Study (CLEVER Study).

Malnutrition is a severe problem among elderly residents living in long-term care facilities. A simple and accurate estimation for total daily energy expenditure (TEE) is required in order to provide them with an adequate amount of food. The purpose of this study was to validate a physical activity assessment tool for estimating TEE among elderly residents. The data of 58 subjects aged 69-99 y were analyzed in this study. The one-day physical activity recall was filled out by facility staff for a typical day. TEE was measured by the doubly labeled water (DLW) method (TEEDLW), and predicted by one-day physical activity recall using the basal metabolic rate (pTEEBMR) and body weight (pTEEBW). The TEEDLW, pTEEBMR and pTEEBW were 1,129±196 kcal/d, 1,186±251 kcal/d and 1,326±236 kcal/d, respectively. In a regression model, body weight, movement means and sex explained 39.0% of the variance in the difference between pTEEBMR and TEEDLW (p<0.05). Percentage of fat mass, body weight, and Barthel Index except mobility explained 47.3% of the variance in the difference between pTEEBW and TEEDLW (p<0.05). The current results suggested that pTEEBW is not recommended to estimate TEE because the error depends on body size, and pTEEBMR was significantly correlated with TEEDLW but also included systematic errors in elderly residents. In order to improve the accuracy of the present assessment to estimate TEE, it is necessary to establish a new equation of basal metabolic rate for elderly residents and consider sex and movement means to estimate TEE.

Does habitual endurance exercise protect endothelial function against acute exposure to oscillatory shear stress?

Introduction: Acute exposure to increases in oscillatory shear stress (increased retrograde shear stress and decreased mean shear stress) reduces flow-mediated dilation (FMD). This impairment may be mediated via increased oxidative stress. Habitual endurance exercise training results in increased antioxidant protection. However, it is currently unknown whether these adaptations protect against oscillatory shear stress-induced impairments in FMD.&#x0D; Purpose and Hypothesis: The purpose of this study is to determine whether lower limb endurance-trained athletes have protection against oscillatory shear stress-induced impairments in FMD compared to sedentary individuals. It is hypothesized that athletes will have a preserved FMD after an acute oscillatory shear stress intervention, compared to their sedentary counterparts.&#x0D; Methods: Healthy, young adult volunteers (18-29 years old) will be screened for physical activity (PA) through a physical activity recall questionnaire. 12 sedentary individuals (&lt;3h of structured PA/week) and 12 lower limb endurance athletes will be recruited to participate. All participants will complete a VO2 peak test to objectively measure cardiorespiratory fitness. Participants will visit the laboratory twice in the same week for vascular testing. Both 90-minute visits will begin with 45 minutes of supine rest, followed by a brachial artery FMD test before and after 30 minutes of either imposed oscillatory shear stress (forearm cuff inflated to 70 mmHg) or a 30 min rest period (control). &#x0D; Significance: This will be the first study to investigate whether endurance-trained athletes are resistant to oscillatory shear-stress induced impairments in endothelial function. This will provide insight into mechanism contributing to the vasoprotective effects of habitual endurance exercise.

Physical Activity and Quality of Life in Patients With Type II Diabetes Mellitus

Type II diabetes, a major healthcare issue, is a common chronic disease in Taiwan that affects the quality of life of sufferers. To understand the physical activity status and the quality of life of patients with type II diabetes mellitus and to explore the related predictors of quality of life. This cross-sectional study used convenience sampling to collect relevant data between January to October 2014 from a regional teaching hospital in Taipei. One hundred patients with type II diabetes were included as participants. The seven-day physical activity recall scale and the SF-36 were used to collect data. (1) Forty-two percent of the participants had engaged in no habitual exercise during the prior seven days and had engaged primarily in mildly strenuous activities. (2) The quality of life of the participants was moderate. Patient age (r = -.231, p < .05) and education level (r =.279, p < .01) were significantly correlated with the physical component of quality of life. A significant difference was found between levels of HbA1c and the physical (t = -2.595, p < .05) and mental (t = -2.522, p < .05) components of quality of life. (3) The number of hospitalizations attributable to diabetes (r = -.256, p < .05) and diabetes with a comorbidity (t = 3.29, p =.042) were significantly associated with the physical component of quality of life. (4) Physical activity was significantly and negatively correlated with the mental component of quality of life (r = -.205, p < .05), but physical activity was not significantly correlated with the other components of quality of life (p > .05). (5) The number of hospitalizations due to diabetes was a significant predictor of quality of life, explaining 14.5% and 5.5% of the physical and mental components of quality of life, respectively. Good control of blood glucose was shown to promote quality of life in the type II diabetes mellitus patients in this study. The findings may be referenced and applied in clinical practice.

Evaluation of lifestyle of female adolescents through latent class analysis approach

BackgroundLack of regular physical activity, high sedentary behavior and presence of unbalanced alimentary practices are attitudes associated with an inadequate lifestyle among female adolescents.Objectiveto assess the lifestyle of female adolescents based on measurements of behavioral variables.MethodsCross-sectional study with 405 female adolescents between 14 and 19 years old, resident and attending public schools in Viçosa (state of Minas Gerais). Their lifestyle was analyzed by the Physical Activity Recall, number of steps, screen time (ST), cellphone time (CT), sitting time, food frequency questionnaire (FFQ), and alcohol and tobacco consumption. With multiple correspondence analysis it was possible to observe dispersion and approximation of the variables’ categories. Latent class analysis (LCA) was used for modeling the “lifestyle” variable, having been conducted in the poLCA (Polychromous Variable Latent Class Analysis) package of the R statistical software.ResultsThe mean age was 15.92 ± 1.27 years. Most of the adolescents were considered physically inactive (78%) and with low number of steps (82.57%); 41.45% reported not performing Moderate to Vigorous Physical Activities (MVPA) adequately. Sedentary behavior was found high when assessing ST (72.90%) and CT (65.31%). It was found the best fitted latent class model for the lifestyle (p-G2 = 0.055, p-χ2 = 0.066) featured three latent classes and one covariate (alcohol): Class 1, ‘Inactive and Sedentary’ (γ = 77.5%); Class 2, ‘Inactive and Non-sedentary lifestyle (γ=16.31%); and Class 3, ‘Active and sedentary’ (γ=6.19%). Female adolescents that had ‘never consumed alcohol’ were 2.26 times as likely (log OR = 0.8174; p = 0.033) to belong to class 3 (Active & Sedentary lifestyle) than to class 1 (Inactive & Sedentary lifestyle).ConclusionLatent class analysis model with five manifest variable (MVPA, number of steps, ST, sitting time and number of meals) and alcohol consumption like covariate showed itself to be an accurate and objective method in the assessment of female adolescents’ lifestyle. Female adolescents that had ‘never consumed alcohol’ were more as likely to belong to class ‘Active & Sedentary lifestyle’ than to class Inactive & Sedentary lifestyle. An inactive and sedentary lifestyle is coupled to other unhealthy behaviors during adolescence, possibly carrying over into adult life.

Diet, physical activity, and health-related outcomes of endometrial cancer survivors in a behavioral lifestyle program: the Diet and Exercise in Uterine Cancer Survivors (DEUS) parallel randomized controlled pilot trial

To explore the effectiveness of a theory-based behavioral lifestyle intervention on health behaviors and quality of life in endometrial cancer survivors.' This was a secondary analysis of a randomized controlled pilot trial conducted in two UK hospitals enrolling disease-free stage I-IVA endometrial cancer survivors. Participants were allocated to an 8-week group-based healthy eating and physical activity intervention or usual care using 1:1 minimization. Participants were followed up at 8 and 24 weeks, with the 8-week assessment being blinded. Diet, physical activity, and quality of life were measured with the Alternative Healthy Eating Index 2010, Stanford 7-Day Physical Activity Recall, and the EORTC Quality of life Questionnaire Core 30, respectively. We analyzed all eligible participants using the intention-to-treat approach in complete cases, adjusting for baseline values, body mass index, and age. We enrolled 60 of the 296 potentially eligible endometrial cancer survivors (May - December 2015). Fifty-four eligible participants were randomized to the intervention (n=29) or usual care (n=31), and 49 had complete follow-up data (n=24 in the intervention and n= 25 in usual care). Intervention adherence was 77%. At 8 weeks, participants in the intervention improved their diet compared to usual care (difference in Alternative Healthy Eating Index 2010 score 7.5 (95% CI: 0.1 to 14.9), P=0.046) but not their physical activity (0.1 metabolic equivalent-h/day 95% CI: (-1.6 to 1.8), P=0.879), or global quality of life score (5.0 (95% CI: -3.4 to 13.3), P=0.236). Global quality of life improved in intervention participants at 24 weeks (difference 8.9 (95% CI: 0.9 to 16.8), P=0.029). No intervention-related adverse events were reported. The potential effectiveness of the intervention appeared promising. A future fully-powered study is needed to confirm these findings. NCT02433080.

Can Wearable Cameras be Used to Validate School-Aged Children's Lifestyle Behaviours?

Wearable cameras combined with accelerometers have been used to estimate the accuracy of children’s self-report of physical activity, health-related behaviours, and the contexts in which they occur. There were two aims to this study; the first was to validate questions regarding self-reported health and lifestyle behaviours in 9–11-year-old children using the child’s health and activity tool (CHAT), an accelerometer and a wearable camera. Second, the study sought to evaluate ethical challenges associated with taking regular photographs using a wearable camera through interviews with children and their families. Fourteen children wore an autographer and hip-worn triaxial accelerometer for the waking hours of one school and one weekend day. For both of these days, children self-reported their behaviours chronologically and sequentially using the CHAT. Data were examined using limits of agreement and percentage agreement to verify if reference methods aligned with self-reported behaviours. Six parent–child dyads participated in interviews. Seven, five, and nine items demonstrated good, acceptable, and poor validity, respectively. This demonstrates that the accuracy of children’s recall varies according to the behaviour or item being measured. This is the first study to trial the use of wearable cameras in assessing the concurrent validity of children’s physical activity and behaviour recall, as almost all other studies have used parent proxy reports alongside accelerometers. Wearable cameras carry some ethical and technical challenges, which were examined in this study. Parents and children reported that the autographer was burdensome and in a few cases invaded privacy. This study demonstrates the importance of adhering to an ethical framework.