Physical Activity Preferences Research Articles

Individual physical activity preferences of adolescents in the Czech Republic and Poland: a 14-year comparative study reflecting the gender trends and prospective responses to global lifestyle challenges

BackgroundThe global decline in physical activity (PA) among the youth has been exacerbated by the pandemic’s impact on their lifestyles. Addressing these adverse effects post-pandemic by supporting preferred physical activities among young individuals is crucial. The aim of the study is to investigate and compare the long-term trends in PA preferences among individuals in Poland and the Czech Republic, exploring the impact of global lifestyle challenges over the past 14 years, including the pandemic, on PA behaviors and choices.MethodsThe study design is cross-sectional and data gathering was in the period between 2007 and 2020, this research encompassed 19,235 participants aged 15 to 26. PA preferences were gauged using the Questionnaire on Physical Activity Preferences, while actual PA levels were measured through the International Physical Activity Questionnaire-Long Form. Crossing table, Kruskal-Wallis ANOVA, binary logistic regression and effect size coefficients were conducted.ResultsAmong the participants, individual physical activities were favoured by 24% of Czech and 25% of Polish boys, and 23% of Czech and 25% of Polish girls. A positive correlation was found between the preference for running and higher levels of recreational, vigorous, and overall weekly PA. Additionally, an increased preference for running was associated with a higher likelihood of meeting weekly PA recommendations for both girls (OR = 1.82, CI = 1.62–2.04, p < 0.001) and boys (OR = 1.61, CI = 1.44–1.82, p < 0.001) in both countries.ConclusionsOver a 14-year period, swimming, cycling, and running emerged as the most preferred PA across both Czech and Polish youth, with a notable increase in running, especially among Czech boys. Polish boys and girls also showed a growing preference for running, while Polish girls demonstrated a notable increase in badminton and ice-skating. The preference for running was associated with a higher likelihood of meeting PA recommendations, especially among Polish boys and Czech girls. Notably, activities like running, swimming, and cycling exhibited resilience to both pandemic-related restrictions and broader global lifestyle challenges, underscoring the importance of long-term monitoring of PA preferences for effective health promotion.

Codesigning a Home-Based Exercise Program With and for People With Visual Impairments: A Needs Assessment.

This needs-assessment study evaluated the physical activity levels, needs, preferences, and requirements for exercise among individuals with visual impairments, aiming to establish evidence for the codesign of a subsequent home-based exercise program. The questionnaire, comprising 35 questions, was developed by a research team of disability and adapted physical activity experts. It was implemented for the online survey, collecting data from 145 adults with severe low vision and blindness between January 15 and January 29, 2024. Descriptive statistical analysis and content analysis were employed. Seventy-five participants (62.5%) were classified as overweight or obese, and only 15 participants reported engaging in the recommended levels of physical activity. Regarding the requirements for future home-based exercise programs, seven themes were identified: accessibility, nonvisual learning support, safety management, personalization, motivation, education, and technology. The results emphasized the urgent need for adapted home-based exercise programs that align with individuals' specific health conditions and abilities.

Breast Cancer Survivors' Diet and Physical Activity Preferences and Barriers: How COVID-19 Changed the Intervention Landscape.

Existing studies on breast cancer survivors (BCS) have primarily focused on individual aspects of either diet or exercise preferences and barriers. Our study aims to examine BCS' perceptions toward diet and exercise combined. Given the transformative impact of COVID-19, there is a crucial need for insights in the post-pandemic era to address the distinct challenges faced by BCS in maintaining their health and well-being. This exploratory study aims to understand BCS' preferences for and barriers to diet and exercise to inform future intervention development. A cross-sectional survey was administered to adults diagnosed with ductal carcinoma in situ or stage I-IV breast cancer (BC) from 2019 to 2021 regarding interest, preferences, and barriers to participating in diet and exercise interventions. Descriptive analysis compared pre-COVID-19 (pre-C) and during-COVID-19 pandemic (during-C) subsets. There were 224 participants. Over half expressed interest in a BC research study related to diet and exercise. Most preferred receiving consultations in-person with relevant specialists, education or counseling in one-on-one sections, and information from written materials, in-person, or via technology. Barriers were fatigue, family, and work. One hundred and thirty participants completed the survey pre-C, and 94 during-C. Compared with pre-C, during-C participants preferred visual communication tools for information on nutrition and exercise over in-person methods (P < 0.05). In most categories, the percentage of barriers noted during-C was greater than pre-C. Participants indicated preference for dual-modal diet and exercise interventions. The pandemic impacted participation preferences and barriers, with shifts toward favoring visual communication tools over in-person services and increasing psychosocial and COVID-related barriers. Hybrid care, combining in-person with technology-based delivery, shows promise in enhancing flexibility and accessibility in nutrition and exercise interventions amid the pandemic.

A look into the cancer continuum for the development of a physical activity intervention: qualitative investigation of the physical activity experiences and preferences of female cancer survivors.

Clinical guidelines recommend cancer survivors (i.e., people with a cancer diagnosis) engage in regular physical activity (PA) during and post treatment, yet most do not. Additionally, PA promotion for cancer survivors has primarily focused on post treatment, calling for an understanding of PA promotion during treatment. This study explores the PA experiences and preferences of both in-treatment and post-treatment breast and gynecologic cancer survivors (BGCS) to inform the design of a PA intervention. Semi-structured interviews were conducted with postmenopausal women aged ≥ 50years, diagnosed with breast or gynecological cancer (stages 1-3), who were undergoing, or recently completed (12 to 24months) chemotherapy and/or primary treatment. Interviews were audio-recorded and transcribed verbatim. Thematic analysis was used to explore themes. Participants (N = 26; Mage: 63.9years) had a breast (92.3%) and gynecologic (7.7%) cancer diagnosis and 46.2% (n = 12) were in treatment whereas 53.8% (n = 14) were post treatment. BGCS experienced several side effects of cancer treatment and both groups felt PA was an important goal. In-treatment BGCS focused on managing side effects (e.g., fatigue) and recognized energy fluctuated around treatments, making those periods less ideal for PA. In-treatment BGCS strongly endorsed a flexible, at-home intervention. Post-treatment BGCS emphasized recovery and relapse prevention, also favoring at-home, flexible interventions but showing greater interest towards support groups to aid with their recovery journey. Preferred activities included walking, dancing, and muscle-strengthening. Findings highlight the unique challenges postmenopausal BGCS face in participating in PA, especially in-treatment, emphasizing the importance of a tailored PA intervention.

A Multi-Modal Approach for A Healthier Weight and More Active Lifestyle

Abstract Background Obesity and overweight has been increasing globally and in the UK over the last few years, bringing along a wide array of challenges in health and wellbeing. Not only do they take a heavy toll on those affected, but obesity and overweight-related ill-health is costing the UK National Health Service £6.1 with projected costs to run up to £9.7 billion in 2050. This project aimed to apply artificial intelligence to identify the predictive indicators for obesity and co-create an intervention with public health practitioners and stakeholders. Methods Using health and wellbeing public health population data from the 2015, 2018 and 2022 from a city in the East Midlands, we applied artificial intelligence that uses machine learning techniques to discover insights, find hidden patterns and discover relationships in the data about engaging in physical activity and a healthy diet. The data on dietary choices and physical activity preferences were further analysed using advanced machine learning techniques. Results The outcomes from our machine learning process revealed patterns of physical activity engagement and diet from specific locations, along with a range of demographic variables that influence individuals’ patterns of physical ability and dietary practices. These findings, which will be presented in detail, have been integrated into a comprehensive city map. This map not only showcases opportunities for engaging in a healthy lifestyle but also aids in prioritising interventions in areas of greatest need. Conclusions The AI technology we employed allowed us to parameterise and generalise our findings with the possibility of scaling up the machine learning approach to other similar datasets. The findings facilitated the development of bespoke training for public health officers working with underserved communities, further demonstrating the impact of applying AI to inform the design of public health interventions. Key messages • Applying Artificial Intelligence to public health data has the potential to inform the development of effective interventions and increase precision. • Using AI in public health data can generate new insights into population health and well-being and inform public health policy.

Longitudinal Analysis of Sweet Taste Preference Through Genetic and Phenotypic Data Integration.

Understanding the genetic basis of sweet taste preference is crucial for potential implications in diet-related health outcomes, such as obesity. This study identified genes and single nucleotide polymorphisms (SNPs) associated with sweet taste preferences over time. Data from the American Nurses' Health Study (NHS1) and Health Professionals Follow-up Study (HPFS) cohorts were analyzed. Using tools like PLINK and METAL for genetic associations and FUMA for functional annotation, the study identified eight SNPs associated with sweet taste preferences. Notably, rs80115239 and rs12878143 were identified as key determinants of the highest and lowest associations with sweet taste preferences, respectively. Individuals with the rs80115239 (AA) genotype displayed a higher preference for sweet tastes, including chocolate and cake, but a lower preference for physical activity, fruits, and vegetables, particularly in females from the NHS1 cohort, linking this genotype to a higher obesity risk. Conversely, those with the rs12878143 (CC) genotype preferred fruits, vegetables, coffee, and tea, with a lower preference for sweetened beverages, but the correlation with obesity risk was less clear due to inconsistent data. In conclusion, these findings highlight the genetic influences on sweet taste preference and their potential role in personalized dietary recommendations and obesity management strategies.

Discrete Choice Experiment in Evaluating Preferences for Physical Activity: A Mixed-Methods Study of Attributes and Their Levels

Discrete Choice Experiment in Evaluating Preferences for Physical Activity: A Mixed-Methods Study of Attributes and Their Levels

Comparative Study of Physical Activity, Leisure Preferences, and Sedentary Behavior among Portuguese, Italian, and Spanish University Students.

The objective of this study is to describe and compare the levels of physical activity, preferences for leisure-time physical activity, and the frequency of non-sedentary behaviors of Portuguese, Italian, and Spanish students attending higher education. A total of 1354 students (21.2 ± 2.9 years) participated in the study, with data collected through an online questionnaire for 6 months. The highest levels of sedentary behavior are found among Spanish students, followed by the Portuguese, and lastly the Italians. In relation to physical activity levels, Spanish students perform more low and moderate physical activity, while Italian students perform more vigorous activities and naturally have a lower level of sedentary behavior. However, it is worth highlighting that students from all three countries reach the minimum levels of physical activity recommended by the WHO.

Reassessing urban park accessibility: an improved two-step floating catchment area method based on the physical activity services perspective

Urban parks, as important carrier of outdoor physical activity, can effectively reduce the incidence of chronic diseases and promote public health. The accessibility of parks directly affects residents’ levels of physical activity. However, current accessibility assessments do not consider physical activity needs into account and are unable to adapt to the current developmental needs of a healthy China. We propose a framework for evaluating park accessibility oriented towards a physical activity service perspective. First, we introduced a park attractiveness index based on physical activity preferences. The index encompasses not only objective park features but also subjective environmental perception features, which are evaluated using deep-learning techniques. Furthermore, the size of the park catchment area was correlated with the park attractiveness index, and the likelihood of park selection based on people's physical activity preferences was computed. Fuzhou City's Gulou District was selected for this case study. The results show the following: (1) Our proposed evaluation model can identify more underserved neighborhoods in scenarios geared toward physical activity requirements than traditional approaches. (2) The distribution of parks in the Gulou District was not sufficiently balanced, with the accessibility value at the 90th percentile only slightly higher than the average value of 6.35. There was obvious spatial differentiation, with a pattern of high values in the central area and low values in the surrounding areas. (3) Approximately 12.70 % of the population is located within service-blind zones and the overall level of accessibility is poor. This study offers novel ideas and approaches for optimizing the spatial layout of urban parks within a health-oriented framework. This aids planners and policymakers in enhancing the spatial layout of parks and ensuring equitable access to urban parks that foster physical activity.

‘He wants to play football but not available here … ’ Parent perspectives of Aboriginal and Torres Strait Islander child physical activity and sport participation

ABSTRACT Aboriginal and Torres Strait Islander children have higher physical activity participation levels than non-Aboriginal children. However, this trend reverses in adulthood. Data came from the Longitudinal Study of Indigenous Children (LSIC) at age 8–13 years. Using conventional content analysis, interviews with primary caregivers of Aboriginal and Torres Strait Islander children were analyzed to understand current sports and physical activity participation, what children would like to do, and associated barriers. Sport (individual and team) and play were identified as important; with football and water sports most frequently mentioned as activities that children enjoy. Dancing was frequently mentioned as an activity that children enjoy and would like to participate in … These findings identify preferences for physical activity and sports participation, including activities that have cultural significance for Aboriginal and Torres Strait Islander peoples in addition to exercise. These activities can act as mediums for family, kinship, community and cultural connection.

Intergenerational care and rural childhood obesity in the digital era: Based on screen exposure perspective

BackgroundRural Chinese children are experiencing increasing obesity rates, yet studies often neglect the impact of IT and screen media growth on obesity risks in the context of intergenerational care, leading to incomplete strategies for the digital era. MethodsBy comprehensively utilizing the data on rural children aged 6–17 from the China Family Panel Studies (CFPS) and the China Health and Nutrition Survey (CHNS), this study aims to test the logical chain and specific mechanisms regarding “intergenerational care - screen exposure - rural childhood obesity”. We employ the Propensity Score Matching (PSM) and Generalized Propensity Score Matching (GPSM) methods to respectively address the self-selection biases associated with inter-generational care and children's screen exposure behaviors. Results1) Intergenerational care significantly increases screen exposure among rural children. 2) Gender bias increases the risk of screen exposure for rural boys under intergenerational care. 3) Children with higher screen exposure levels are more affected by intergenerational care, which further undermines parental supervision. 4) Children's screen exposure leads to increased sedentary time and higher probability of purchasing unhealthy foods, thereby exacerbating obesity. This process is facilitated by enhancing preferences for snacks, fast food, and beverages, and weakening preferences for physical activity. 5) GPSM analysis indicates that children's screen exposure has an inverted “U"-shaped impact on unhealthy dietary preferences and a “U"-shaped impact on activity preferences. It results in a nonlinear positive impact of screen exposure on obesity. This study reveals a positive association between screen exposure and obesity, offering new insights into how intergenerational care in the digital era may elevate obesity prevalence through excessive screen time for rural children.

Organised and non-organised activities contribute to overall physical activity levels in adolescents and young adults with Down syndrome: a cross-sectional study.

Participation in organised and non-organised physical activities among adolescents and young adults with Down syndrome is underexplored. This study aimed to examine differences between organised and non-organised physical activities among adolescents and young adults with Down syndrome. Forty participants with Down syndrome (27 woman; mean age 21.4±4.9years) were recruited. Data on physical activity participation were collected by self- or proxy-reported questionnaires about attendance, involvement and type of physical activity. Adolescents and young adults with Down syndrome participated in more organised than non-organised activities (P<0.05), more often (P<0.05), but there was no difference in the total time spent participating in these activities overall. Participants spent more time in vigorous physical activity during organised activities (P<0.05) and spent more time in light physical activity during non-organised physical activities (P<0.05). Dancing (organised activity) and walking (non-organised activity) were the most reported activities. Participation in both organised and non-organised physical activities is important to increase overall physical activity levels of adolescents and young adults with Down syndrome. Future research exploring physical activity preferences may help guide the planning and adaption of community programmes for this group.

The Impact of Gender on Physical Activity Preferences and Barriers in Adults With Type 1 Diabetes: A Qualitative Study

ObjectivesCurrent exercise recommendations for people with type 1 diabetes (T1D) are based on research involving primarily young, fit male participants. Recent studies have shown possible differences between male and female blood glucose response to exercise, but little is known about whether these differences are sex-related (due to physiological differences between male and female participants) or gender-related (behavioural differences between men and women). MethodsTo better understand gender-based behavioural differences surrounding physical activity (PA), we asked men and women (n=10 each) with T1D to participate in semistructured interviews. Topics discussed included motivation and barriers to exercise, diabetes management strategies, and PA preferences (type, frequency, duration of exercise, etc). Interview transcripts were coded by 2 analysts before being grouped into themes. ResultsSix themes were identified impacting participants’ PA experience: motivation, fear of hypoglycemia, time lost to T1D management, medical support for PA, the role of technology in PA accessibility, and desire for more community. Gender differences were found in motivations, medical support, and desire for more community. Women were more motivated by directional weight dissatisfaction, and men were more motivated to stay in shape. Men felt less supported by their health-care providers than women. Women more often preferred to exercise in groups, and sought more community surrounding T1D and PA. ConclusionAlthough men and women with T1D experience similar barriers around PA, there are differences in motivation, desire for community, and perceived support from medical providers.

Understanding and Involving the Perspective of Pregnant Women as Users When Designing the Framework of e-Health and Exercise Interventions during Pregnancy: Preliminary Study.

Health and exercise technology may promote a healthy lifestyle during pregnancy. The objective of this cross-sectional study was to understand and involve the perspective of pregnant women as users in the design of a framework for future e-health and exercise interventions during pregnancy. Pregnant women replied to a questionnaire aimed at understanding their physical activity patterns, needs, and preferences regarding the use of mobile applications (apps). The main results showed that one-third of the women did not practice any type of exercise during pregnancy. Women preferred to exercise in a gym, outdoors, or at home. The majority already had or were currently using a fitness app, but never used any pregnancy-specific app. Most women agreed that it was important to have a specific app for pregnancy to improve knowledge about recommendations on lifestyle, have direct contact with health and exercise professionals, have social interaction with other mothers, and have guidance on preparation for childbirth and postpartum recovery. Understanding and involving the perspective of pregnant women as users will allow researchers to improve the design of a pregnancy-specific app and future e-health and exercise interventions during pregnancy. These preliminary results will lead to the development of the "active pregnancy app" focused on the promotion of an active and healthy lifestyle during pregnancy and postpartum.

Exploring physical activity preferences and motivation in long-term cardiac prevention: An Austrian cross-sectional survey.

Cardiac rehabilitation (CR) patients often do not sustain physical activity (PA) behaviour in the long run, once they progress into a self-management stage of secondary prevention. This study aimed to explore former CR patients' PA preferences, determinants (i.e., influencing factors) and motivation for sustained PA engagement. We conducted a cross-sectional multi-centre survey using an original questionnaire based on prior qualitative interviews with cardiac patients. Five CR centres in Austria posted 500 questionnaires to former CR patients who had completed CR approximately three years prior, and 117 patients (23%) responded. Descriptive analysis was used to analyse closed-ended questions, and self-determination theory (SDT) was applied as a qualitative framework to analyse open-ended questions concerning motivation for PA engagement. Patients were generally physically active, but the majority (75.3%) did not fulfil the World Health Organisation's recommendations for aerobic PA and muscle strengthening. Most patients preferred being physically active outdoors (70%), engaging in aerobic-related (95%), individual and non-competitive exercises, with cycling (52%), walking (32%) and hiking (25%) among the most popular activities. Main determinants of PA were health, pain and motivation for 80%, 68%, 67% of patients, respectively. A subset of patients (77%) expanded on their motivations behind PA. According to SDT, most reasons (90%) were regulated by autonomous motivation (either extrinsically autonomously-regulated or intrinsic motivation) and stemmed mostly from health-related goals (e.g., fitness, general health, weight control), future quality-of-life aspirations (e.g., self-sufficiency in old age, presence for loved ones, preserving mobility) and enjoyment of PA. Patients' responses underscore the importance of promoting not only general PA, but also muscle strengthening training in CR interventions to maximise optimal health benefits. Our data further suggest that interventions which are aligned to patients' health goals and foster autonomous motivation may be particularly beneficial in increasing adherence to PA in the long-term.

Determinants and Factors of Physical Activity After Oncology Treatments (DEFACTO) in Metropolitan France: Protocol of a Mixed Methods Study and Intervention.

While the scientific community widely recognizes the benefits of physical activity (PA) in oncology supportive care, cancer survivors who have undergone chemo- or radio-immunotherapy treatments struggle to meet PA recommendations. This underscores the importance of identifying factors influencing active lifestyle adoption and maintenance and proposing a multilevel model (micro-, meso-, and macrolevel) to better understand facilitators and barriers. Currently, no socioecological model explains an active lifestyle in the posttreatment phase of breast, colorectal, prostate, and lung cancers. The objective is to identify factors influencing an active lifestyle in cancer survivorship and assess the feasibility of an individualized program targeting an active lifestyle. The objectives will be addressed in 3 stages. Stage 1 aims to elucidate factors associated with the active lifestyle of cancer survivors. Stage 2 involves developing an explanatory model based on previously identified factors to create a tailored health education program for an active lifestyle after oncology treatments. Stage 3 aims to evaluate the feasibility and potential effects of this personalized health education program after its national implementation. First, the exploration of factors influencing PA (stage 1) will be based on a mixed methods approach, using an explanatory sequential design and multilevel analysis. The quantitative phase involves completing a questionnaire from a socioecological perspective. Subsequently, a subset of respondents will engage in semistructured interviews to aid in interpreting the quantitative results. This phase aims to construct a model of the factors influencing an active lifestyle and develop an individualized 12-week program based on our earlier findings (stage 2). In stage 3, we will implement our multicenter, multimodal program for 150 physically inactive and sedentary cancer survivors across metropolitan France. Program feasibility will be evaluated. Measured PA level by connected device and multidimensional variables such as declared PA and sedentary behaviors, PA readiness, motivation, PA preferences, PA knowledge and skills, and barriers and facilitators will be assessed before and during the program and 52 weeks afterward. The institutional review board approved the mixed methods study (phase 1) in April 2020, and the intervention (phase 3) was approved in March 2022. Recruitment and data collection commenced in April 2022, with intervention implementation concluded in May 2023. Data collection and full analysis are expected to be finalized by July 2024. The Determinants and Factors of Physical Activity After Oncology Treatments (DEFACTO) study seeks to enhance our understanding, within our socioecological model, of factors influencing an active lifestyle among cancer survivors and to assess whether a tailored intervention based on this model can support an active lifestyle. ClinicalTrials.gov NCT05354882; https://www.clinicaltrials.gov/study/NCT05354882. DERR1-10.2196/52274.

HEALTHY LIFESTYLES PROGRAM IN AN OUTPATIENT SETTING (HELPOUT)

INTRODUCTION AND AIMS Substance use disorder is a major public health concern and is associated with elevated rates of physical illnesses. It is known that exercise is safe in a substance use population, with engagement in exercise being reported to increase periods of abstinence, metabolic health, and physical capacity. There is little evidence exploring the willingness and capacity of a substance use patient to perform exercise. This study explores the physical activity habits and preferences of substance use patients, their capacity to perform exercise and the impact of acute exercise on psychological outcomes. METHODS Participants accessing opioid maintenance therapy were recruited from drug and alcohol clinics in metropolitan Sydney. 98 participants completed questionnaires assessing recent exercise and diet, quality of life, and anthropometry. Of these, 22 participants also completed fitness testing with changes in mood assessed acutely. RESULTS 46% of participants reported planned physical activity however only 32% met ACSM guidelines. Higher levels of perceived physical health and quality of life had a notable positive association with volume of planned exercise completed. 95% of the cohort were interested in participating in an exercise program, with a lack of motivation and having an injury being the primary barriers to participation. 19.6% reported levels of extreme pain compared to 6.4% of the Australian population. Exercise capacity varied, with average performance in upper body endurance and hand grip strength assessments, but poor capacity in lower limb strength, balance and functional capacity. An acute bout of exercise lead to an increase in positive affect (p&amp;lt;0.001) and a decrease in negative affect (p=0.011). CONCLUSIONS Exercise therapy has the potential to offer numerous benefits to patients seeking treatment for opioid use disorder, with planned physical activity correlation with improved physical and mental health outcomes. Clinical support from exercise physiologists is needed to assist in overcoming barriers to exercise and managing comorbid medical conditions.

Assessment of Body Mass Index, Body Composition, Physical Activity, and Dietary Preferences in University Students: A Pilot Study

(1) Background: Body composition analysis, particularly the assessment of the amount and distribution of body fat and muscle mass in young people, is of considerable clinical importance for the detection of nutritional disorders. (2) Methods: University students aged 19–25 years had their body composition measured using a bioimpedance (BIA) device InBody 370S. Furthermore, a questionnaire survey was performed using the questionnaires: factors that influence your choice of food (FCQ); food preference questionnaire for adolescents and adults (FPQ); the international physical activity questionnaire (IPAQ). (3) Results: Body mass index (BMI) values were within a normal range in 89.5% of men and 77.9% of women, while statistically significant differences between the sexes were confirmed for all body parameters (p &lt; 0.001; p = 0.025). The waist-to-hip ratio (WHR) and percentage body fat (PBF) were abnormally high in 50.4% and 44.3% of women, respectively. High values of skeletal muscle mass (SMM), protein, minerals, and bone mineral content (BMC) were identified in 36.8% of men. A total of 88 students (66.7% of men and women) had a higher level of physical activity, i.e., achieved metabolic equivalent (MET) values of more than 3000 per week. (4) Conclusions: BMI does not always have explanatory power for assessing body weight, as it does not consider the percentage distribution of fat and non-fat body mass in the total body weight. Physical activity and a varied diet have a positive effect on achieving optimal body weight and are effective in preventing nutritional disorders (such as obesity and malnutrition) and associated health problems.

How Perceptions of Aging Influence Physical Activity and Exercise in Older Age: Exploring the Behavior of People Aged 70+ Years Engaged in Fall Prevention Activities.

For older people, physical inactivity increases fall risk as well as other preventable health conditions. Despite the well-documented benefits of physical activity, uptake and adherence continue to challenge efforts aimed at increasing physical activity and reducing falls. Nested within a randomized controlled trial, this study reports on the factors influencing the physical activity behavior of people, aged between 70 and 90years, engaged in StandingTall, a home-based balance exercise program proven to reduce falls in the community. The perception of aging, physical activity in older age, and the delivery of exercise were identified as major themes, with the perception of aging an overarching theme influencing both preferences for physical activity in older age and exercise delivery. Findings demonstrate the importance of considering the role of aging, the influence aging has on physical activity and exercise behavior, and how aging influences the delivery and design of exercise programs including falls prevention activities for older people.

Supporting Physical Activity Maintenance in Older Adults Following Supervised Group Exercise: A Mixed-Methods Study Among Culturally Diverse Older Adults.

Physical activity (PA) is important for prevention of falls and chronic disease in older adults. We aimed to examine the interrelated influences upon PA in culturally diverse older adults who completed a short-term exercise program, to inform maintenance strategies, using a mixed-methods design. Eighty-two past participants from the "Stepping On"© program were surveyed examining ongoing participation, social and cognitive determinants of PA, mental and physical functioning, and fear of falls. Semi-structured interviews were undertaken with 34 respondents regarding enablers and barriers, cultural factors, and preferences for PA. Data were collected in English, Chinese, Arabic, Punjabi, or Hindi. Cultural factors minimally affected PA participation. There was low perceived availability of PA opportunities. Health difficulties not only discouraged but also motivated participation. Social connection was a facilitator and could be used to support maintenance. Older adults may benefit from assistance in accessing PA opportunities and clinical guidance about the benefits of ongoing PA.