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Abstract
More and more people are living into the 90s or becoming centenarians. But, the gift of increased ‘age span’ seldom equates with an improved ‘health-span’. Governments across the world are expressing concern about the epidemic of chronic disease, and have responded by initiating policies that make prevention, reduction and treatment of chronic disease, a public health priority. But understanding, how to age long and well, with the avoidance of chronic disease and later life complex disease morbidity is challenging. While inherited genes have an undoubted role to play in the chance of maintaining good health or conversely a predilection to developing disease and chronic ill health, there is increasing evidence that behavioural and environmental life-style choices may contribute up to 50% of the variability of human lifespan. Physical exercise is readily available to everyone, and is a simple cheap and effective form of life-style intervention. Exercise appears to help maintain good health and to reduce the risk of developing chronic disease and ill health. Evidence suggests that physical activity improves well-being across many health domains through out life, continues to offer important health benefits in older age groups and tracks with a ‘healthy ageing’ profile. Although many of the molecular pathways remain to be fully identified, here we discuss how physical activity and exercise is understood to produce changes in the human epigenome, which have the potential to enhance cognitive and psychological health, improve muscular fitness, and lead to better ageing with improved quality of life in older age.
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Hadgraft N, Owen N. Sedentary Behavior and Health: Broadening the Knowledge Base and Strengthening the Science. RESEARCH QUARTERLY FOR EXERCISE AND SPORT 2017; 88:123-129. [PMID: 28388362 DOI: 10.1080/02701367.2017.1305257] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
We provide an overview of a recently published, edited book in a rapidly emerging field of research, policy, and practice for physical activity: Sedentary Behavior and Health. In this commentary, we highlight the broad perspectives provided in the 27 chapters of Sedentary Behavior and Health and suggest a research strategy to move the field forward-not only with scientific rigor, but also with breadth of scholarship. The book's chapters provide an overview of the background to and contexts for sedentary behavior and health. They then highlight the importance of understanding health consequences and underlying mechanisms; introduce key measurement technology and analytic strategies; consider sedentary behavior in subpopulations; describe conceptual models and theories to guide sedentary behavior interventions; and explain what is known about interventions in different settings. Considering the breadth of perspectives brought to bear on the field and the plethora of opportunities for research, policy, and practice, we suggest 3 elements of an interdisciplinary research strategy drawing upon the primary knowledge bases of physical activity and health: through the experimental methods of exercise science, through the observational tools of epidemiology, and through the conceptual approaches and methods of behavioral science. A better understanding of the health consequences of sedentary behavior and how they may be influenced can be encompassed by 3 key questions: What changes are needed to most effectively influence sedentary behaviors? What elements of sedentary behavior should be changed to improve health outcomes? What are the feasibility of and the benefits from changing sedentary behavior?
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Affiliation(s)
| | - Neville Owen
- a Baker Heart and Diabetes Institute
- b Monash University
- c Swinburne University of Technology
- d The University of Queensland
- e The University of Melbourne
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Biddle SJH, García Bengoechea E, Pedisic Z, Bennie J, Vergeer I, Wiesner G. Screen Time, Other Sedentary Behaviours, and Obesity Risk in Adults: A Review of Reviews. Curr Obes Rep 2017; 6:134-147. [PMID: 28421472 DOI: 10.1007/s13679-017-0256-9] [Citation(s) in RCA: 114] [Impact Index Per Article: 16.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
PURPOSE OF REVIEW The aim of this paper is to assess the association between sedentary behaviours, including screen time, and risk of obesity in adults. A review of 10 systematic reviews was undertaken. RECENT FINDINGS Available evidence is generally not supportive of associations between sedentary behaviour and obesity in adults. Most studies that found significant associations indicated mostly small effect sizes. Somewhat more consistent associations were shown for screen time (mainly TV viewing), among older adults, and for pre-adult sedentary behaviour to increase the risk of obesity in adulthood. Some evidence also exists for breaks in sedentary time to be associated with a more favourable BMI, and for use of a car to be associated with greater risk of obesity. There is limited evidence for an association between sedentary behaviour in adulthood and obesity and any association that exists does not seem to be causal. Future research is required investigating potentially positive effects for frequent breaks from sitting, less car use, and an uncoupling of TV viewing and dietary intake.
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Affiliation(s)
- Stuart J H Biddle
- Institute of Sport, Exercise and Active Living, Victoria University, Footscray Park, Melbourne, VIC, 8001, Australia.
- Institute for Resilient Regions, University of Southern Queensland, Sinnathamby Boulevard, Springfield Central, QLD, 4300, Australia.
| | - Enrique García Bengoechea
- Institute of Sport, Exercise and Active Living, Victoria University, Footscray Park, Melbourne, VIC, 8001, Australia
- McGill University, Montreal, Canada
| | - Zeljko Pedisic
- Institute of Sport, Exercise and Active Living, Victoria University, Footscray Park, Melbourne, VIC, 8001, Australia
| | - Jason Bennie
- Institute of Sport, Exercise and Active Living, Victoria University, Footscray Park, Melbourne, VIC, 8001, Australia
- Institute for Resilient Regions, University of Southern Queensland, Sinnathamby Boulevard, Springfield Central, QLD, 4300, Australia
| | - Ineke Vergeer
- Institute of Sport, Exercise and Active Living, Victoria University, Footscray Park, Melbourne, VIC, 8001, Australia
- Institute for Resilient Regions, University of Southern Queensland, Sinnathamby Boulevard, Springfield Central, QLD, 4300, Australia
| | - Glen Wiesner
- Institute of Sport, Exercise and Active Living, Victoria University, Footscray Park, Melbourne, VIC, 8001, Australia
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254
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Barrett EM, Darker CD, Hussey J. The sedentary profile of primary care patients. J Public Health (Oxf) 2017; 39:347-352. [PMID: 27160861 DOI: 10.1093/pubmed/fdw048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background Primary care is one of the key environments in which to target public health and sedentary behaviours are increasing being linked to several adverse health outcomes. The aim of this study was to determine the prevalence and correlates of sedentary behaviour in an adult primary care population. Methods The International Physical Activity Questionnaire was used to collect data on the weekday sitting of participants. Stratified random sampling based on urban/rural location and deprivation was used to identify three primary care centres from which the sample was drawn. Results Data were collected from 885 participants (96.7% response rate) of whom 64% (n = 565) were female and 36% (n = 320) were male. The mean age was 42 (SD 14.2). Overall 48% (n = 418) of participants sat for >4 h daily with a median sitting time of 240 min (IQR 150-480). Attendance at the urban non-deprived primary care centre (B = 0.237, P < 0.001), male gender (B = 0.284, P < 0.001), overweight/obesity (B = 0.081, P = 0.048) and having a disability or injury limiting physical activity (B = 0.093, P = 0.028) were associated with higher sitting times. Conclusion This study established the factors that influence sedentary behaviours in the primary care population which can help inform the development and targeting of promotional strategies.
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Affiliation(s)
- E M Barrett
- School of Medicine, Trinity College Dublin, St James's Hospital, Dublin 8, Ireland
| | - C D Darker
- Department of Public Health and Primary Care, Trinity College Dublin, Tallaght Hospital, Dublin 24, Ireland
| | - J Hussey
- Department of Public Health and Primary Care, Trinity College Dublin, Tallaght Hospital, Dublin 24, Ireland
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255
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Turi BC, Monteiro HL, Lemes ÍR, Codogno JS, Lynch KR, Asahi Mesquita CA, Fernandes RA. TV viewing time is associated with increased all-cause mortality in Brazilian adults independent of physical activity. Scand J Med Sci Sports 2017; 28:596-603. [DOI: 10.1111/sms.12882] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/17/2017] [Indexed: 01/07/2023]
Affiliation(s)
- B. C. Turi
- Department of Physical Education; Institute of Biosciences; São Paulo State University (UNESP); Rio Claro Brazil
| | - H. L. Monteiro
- Department of Physical Education; Faculty of Sciences; São Paulo State University (UNESP); Bauru Brazil
| | - Í. R. Lemes
- Department of Physiotherapy; Faculty of Sciences and Technology; São Paulo State University (UNESP); Presidente Prudente Brazil
| | - J. S. Codogno
- Department of Physical Education; Faculty of Sciences and Technology; São Paulo State University (UNESP); Presidente Prudente Brazil
| | - K. R. Lynch
- Department of Physical Education; Institute of Biosciences; São Paulo State University (UNESP); Rio Claro Brazil
| | - C. A. Asahi Mesquita
- Department of Physical Education; Institute of Biosciences; São Paulo State University (UNESP); Rio Claro Brazil
| | - R. A. Fernandes
- Department of Physical Education; Faculty of Sciences and Technology; São Paulo State University (UNESP); Presidente Prudente Brazil
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256
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Aittasalo M, Livson M, Lusa S, Romo A, Vähä-Ypyä H, Tokola K, Sievänen H, Mänttäri A, Vasankari T. Moving to business - changes in physical activity and sedentary behavior after multilevel intervention in small and medium-size workplaces. BMC Public Health 2017; 17:319. [PMID: 28415993 PMCID: PMC5392953 DOI: 10.1186/s12889-017-4229-4] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2016] [Accepted: 04/05/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Regular physical activity (PA) promotes and excessive sedentary behavior (SB) deteriorates health. Yet the Finnish working-aged population spends most of the day sitting. A 1-year Moving To Business (MTB) -intervention supported small and medium-size workplaces to combat sedentariness. This paper reports the changes in employees' PA and SB from before MTB (baseline) to 1 year after baseline (follow-up). METHODS Twelve workplaces with a total of 396 employees participated. Each workplace nominated a team to promote PA and reduce SB at organizational, working unit and employee level. The teams were mentored regionally through meetings, workshop and tools. Changes in PA and SB were assessed with a questionnaire and an accelerometer. Wald Confidence Interval (Cl) for a difference of proportions with matched pairs was used in the questionnaire data (%-points with 95% CI) and linear mixed model in the accelerometer data (minutes and % of wear-time with 95% CI). RESULTS The mean age of the respondents to the questionnaire (N = 296; 75%) was 42.6 (SD 10.9), 64% were women, 95% had some education after high school, 74% worked in the day shift, 71% did sedentary work and 51% were overweight. The mean number of actions implemented in the workplaces was 6.8 and the multilevel approach was fully applied in 6 workplaces. Based on the questionnaire the time spent in SB decreased from baseline to follow-up 16% (95% CI -29 to -3) in total and 22% (-41 to -3) at work. The accelerometer showed daily increases of 33.7 min (15.3 to 52.1) and 6.8% (3.1 to 10.4) in total PA, 30.9 min (15.3 to 46.5) and 6.1% (2.9 to 9.2) in light PA and 673 (209 to 1139) more steps at work. Daily SB at work decreased 44.9 min (-68.0 to -21.8) and 7.6% (-11.9 to -3.2). Daily leisure PA declined 11.0 min (-24.9 to 2.9) and 3.2% (-6.2 to -0.2). Number of levels or actions had no effect on changes. CONCLUSIONS Employees' PA increased and SB reduced at work during the intervention. At the same time leisure PA decreased slightly. Workplaces can achieve meaningful changes in employees' PA and SB if assisted systematically. Controlled studies are needed to confirm the present findings. TRIAL REGISTRATION NCT01999205 , registration date 11/01/2013.
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Affiliation(s)
- Minna Aittasalo
- UKK Institute for Health Promotion Research, P.O. Box 30, FI-33501, Tampere, Finland.
| | - Matleena Livson
- Finnish Sports Confederation, Valo, FI-00093, Helsinki, Finland
| | - Sirpa Lusa
- Finnish Institute of Occupational Health, P.O. Box 486, FI-33101, Tampere, Finland
| | - Ahti Romo
- Lahti Regional Sports Federation, Urheilukeskus, FI-15110, Lahti, Finland
| | - Henri Vähä-Ypyä
- UKK Institute for Health Promotion Research, P.O. Box 30, FI-33501, Tampere, Finland
| | - Kari Tokola
- UKK Institute for Health Promotion Research, P.O. Box 30, FI-33501, Tampere, Finland
| | - Harri Sievänen
- UKK Institute for Health Promotion Research, P.O. Box 30, FI-33501, Tampere, Finland
| | - Ari Mänttäri
- UKK Institute for Health Promotion Research, P.O. Box 30, FI-33501, Tampere, Finland
| | - Tommi Vasankari
- UKK Institute for Health Promotion Research, P.O. Box 30, FI-33501, Tampere, Finland
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257
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Mabry RM, Morsi M, Owen N. Descriptive Epidemiology of Sitting Time in Omani Men and Women: A Known Risk Factor for Non-Communicable Diseases. Oman Med J 2017; 32:233-239. [PMID: 28584605 DOI: 10.5001/omj.2017.43] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Open
Abstract
OBJECTIVES Sedentary behaviors (too much sitting as distinct from too little exercise) are associated with increased risk of non-communicable diseases. Identifying the prevalence and sociodemographic correlates of sitting time can inform public health policy and prevention strategies. METHODS A population-based national survey was carried out among Omani adults in 2008 (n = 2 977) using the Global Physical Activity Questionnaire, which included a measure of total sitting time. Bivariate and regression analyses examined the associations of total sitting time with sociodemographic correlates (gender, age, education, work status, marital status, place of residence, and wealth). RESULTS The proportion who sat for ≥ 7 hours/day was significantly higher in older than in younger adults (men: 22.0% vs. 14.6%, p < 0.010; women: 26.9% vs. 15.2%, p < 0.001, respectively). The odds ratio (OR) for prolonged sitting was half for men who were not working compared to those who were (p < 0.050). For younger women, the OR for sitting ≥ 7 hours/day was nearly a third for educated women compared to least educated (p = 0.035). For older women, the OR for prolonged sitting was more than double for married women compared to unmarried (p < 0.001). CONCLUSIONS One in five Omani adults was identified as sitting for prolonged periods, at levels understood to have deleterious health consequences. Higher-risk groups include older adults and working men. With sitting time identified as a key behavioral risk to be targeted for the prevention of non-communicable diseases, further research is needed to understand the factors associated with domain-specific sitting time in order to guide prevention programs and broader public health approaches.
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Affiliation(s)
- Ruth M Mabry
- Office of the World Health Organization Representative, Muscat, Oman
| | - Magdi Morsi
- Department of Research and Studies, Directorate General of Planning, Ministry of Health, Muscat, Oman
| | - Neville Owen
- Swinburne University of Technology and Behavioural Epidemiology Laboratory, Baker IDI Heart and Diabetes Institute, Melbourne, Australia
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258
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Huffman S, Szafron M. Social correlates of leisure-time sedentary behaviours in Canadian adults. Prev Med Rep 2017; 5:268-274. [PMID: 28149708 PMCID: PMC5279861 DOI: 10.1016/j.pmedr.2017.01.007] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2016] [Revised: 01/08/2017] [Accepted: 01/17/2017] [Indexed: 11/10/2022] Open
Abstract
Research on the correlates of sedentary behaviour among adults is needed to design health interventions to modify this behaviour. This study explored the associations of social correlates with leisure-time sedentary behaviour of Canadian adults, and whether these associations differ between different types of sedentary behaviour. A sample of 12,021 Canadian adults was drawn from the 2012 Canadian Community Health Survey, and analyzed using binary logistic regression to model the relationships that marital status, the presence of children in the household, and social support have with overall time spent sitting, using a computer, playing video games, watching television, and reading during leisure time. Covariates included gender, age, education, income, employment status, perceived health, physical activity level, body mass index (BMI), and province or territory of residence. Extensive computer time was primarily negatively related to being in a common law relationship, and primarily positively related to being single/never married. Being single/never married was positively associated with extensive sitting time in men only. Having children under 12 in the household was protective against extensive video game and reading times. Increasing social support was negatively associated with extensive computer time in men and women, while among men increasing social support was positively associated with extensive sitting time. Computer, video game, television, and reading time have unique correlates among Canadian adults. Marital status, the presence of children in the household, and social support should be considered in future analyses of sedentary activities in adults.
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Affiliation(s)
- S. Huffman
- University of Saskatchewan, Room E3340, Health Sciences Building, 104 Clinic Place, Saskatoon, SK S7N 5E5, Saskatchewan, Canada
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Ruzieh M, Baugh A, Dasa O, Parker RL, Perrault JT, Renno A, Karabin BL, Grubb B. Effects of intermittent intravenous saline infusions in patients with medication—refractory postural tachycardia syndrome. J Interv Card Electrophysiol 2017; 48:255-260. [DOI: 10.1007/s10840-017-0225-y] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/31/2016] [Accepted: 01/24/2017] [Indexed: 10/20/2022]
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260
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Patterns and predictors of sitting time over ten years in a large population-based Canadian sample: Findings from the Canadian Multicentre Osteoporosis Study (CaMos). Prev Med Rep 2017; 5:289-294. [PMID: 28180056 PMCID: PMC5292755 DOI: 10.1016/j.pmedr.2017.01.015] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2016] [Accepted: 01/23/2017] [Indexed: 11/28/2022] Open
Abstract
Our objective was to describe patterns and predictors of sedentary behavior (sitting time) over 10 years among a large Canadian cohort. Data are from the Canadian Multicentre Osteoporosis Study, a prospective study of women and men randomly selected from the general population. Respondents reported socio-demographics, lifestyle behaviors and health outcomes in interviewer-administered questionnaires; weight and height were measured. Baseline data were collected between 1995 and 1997 (n = 9418; participation rate = 42%), and at 5- (n = 7648) and 10-year follow-ups (n = 5567). Total sitting time was summed across domain-specific questions at three time points and dichotomized into “low” (≤ 7 h/day) and “high” (> 7 h/day), based on recent meta-analytic evidence on time sitting and all-cause mortality. Ten-year sitting patterns were classified as “consistently high”, “consistently low”, “increased”, “decreased”, and “mixed”. Predictors of sedentary behavior patterns were explored using chi-square tests, ANOVA and logistic regression. At baseline (mean age = 62.1 years ± 13.4) average sitting was 6.9 h/day; it was 7.0 at 5- and 10-year follow-ups (p for trend = 0.12). Overall 23% reported consistently high sitting time, 22% consistently low sitting, 14% decreased sitting, 17% increased sitting with 24% mixed patterns. Consistently high sitters were more likely to be men, university educated, full-time employed, obese, and to report consistently low physical activity levels. This is one of the first population-based studies to explore patterns of sedentary behavior (multi-domain sitting) within men and women over years. Risk classification of sitting among many adults changed during follow-up. Thus, studies of sitting and health would benefit from multiple measures of sitting over time.
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261
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Compernolle S, De Cocker K, Roda C, Oppert JM, Mackenbach JD, Lakerveld J, Glonti K, Bardos H, Rutter H, Cardon G, De Bourdeaudhuij I. Physical Environmental Correlates of Domain-Specific Sedentary Behaviours across Five European Regions (the SPOTLIGHT Project). PLoS One 2016; 11:e0164812. [PMID: 27741310 PMCID: PMC5065139 DOI: 10.1371/journal.pone.0164812] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2016] [Accepted: 09/30/2016] [Indexed: 11/25/2022] Open
Abstract
Background The relation between neighbourhood environmental factors and domain-specific sedentary behaviours among adults remains unclear. This study firstly aims to examine the association of perceived and objectively measured neighbourhood safety, aesthetics, destinations and functionality with transport-related, work-related and leisure-time sedentary behaviour. Secondly, the study aims to assess whether these associations are moderated by age, gender or educational level. Methods In 60 randomly sampled neighbourhoods from 5 urban regions in Europe (Ghent and suburbs, Paris and inner suburbs, Budapest and suburbs, the Randstad, and Greater London), a virtual audit with Google Street View was performed to assess environmental characteristics. A total of 5,205 adult inhabitants of these neighbourhoods reported socio-demographic characteristics, sedentary behaviours, and neighbourhood perceptions in an online survey. Generalized linear mixed models were conducted to examine associations between physical environmental neighbourhood factors and sedentary behaviours. Interaction terms were added to test the moderating role of individual-level socio-demographic variables. Results Lower levels of leisure-time sedentary behaviour (i.e. all leisure activities except television viewing and computer use) were observed among adults who perceived greater numbers of destinations such as supermarkets, recreational facilities, or restaurants in their neighbourhood, and among adults who lived in a neighbourhood with more objectively measured aesthetic features, such as trees, water areas or public parks. Lower levels of work-related sedentary behaviour were observed among adults who perceived less aesthetic features in their neighbourhood, and among adults who lived in a neighbourhood with less objectively measured destinations. Both age, gender and educational level moderated the associations between neighbourhood environmental factors and sedentary behaviours. Conclusion Preliminary evidence was found for associations between neighbourhood environmental factors and domain-specific sedentary behaviours among adults. However, these associations varied according to objective or subjective environmental measures. More research is needed to confirm and clarify the associations.
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Affiliation(s)
- Sofie Compernolle
- Department of Movement and Sport Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
| | - Katrien De Cocker
- Department of Movement and Sport Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
- Research Foundation Flanders (FWO), Brussels, Belgium
| | - Célina Roda
- Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Université Paris 13, Centre de Recherche en Epidémiologie et Statistiques, Inserm (U1153), Inra (U1125), Cnam, COMUE Sorbonne Paris Cité, Bobigny, France
| | - Jean-Michel Oppert
- Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Université Paris 13, Centre de Recherche en Epidémiologie et Statistiques, Inserm (U1153), Inra (U1125), Cnam, COMUE Sorbonne Paris Cité, Bobigny, France
- Université Pierre et Marie Curie-Paris 6, Department of Nutrition Pitié-Salpêtrière Hospital (AP-HP), Centre for Research on Human Nutrition Ile-de-France (CRNH IdF), Institute of Cardiometabolism and Nutrition (ICAN), Paris, France
| | - Joreintje D. Mackenbach
- Department of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU Medical Center, Amsterdam, the Netherlands
| | - Jeroen Lakerveld
- Department of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU Medical Center, Amsterdam, the Netherlands
| | - Ketevan Glonti
- ECOHOST - The Centre for Health and Social Change, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Helga Bardos
- Department of Preventive Medicine, Faculty of Public Health, University of Debrecen, Debrecen, Hungary
| | - Harry Rutter
- ECOHOST - The Centre for Health and Social Change, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Greet Cardon
- Department of Movement and Sport Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
| | - Ilse De Bourdeaudhuij
- Department of Movement and Sport Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
- * E-mail:
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Yi X, Pope Z, Gao Z, Wang S, Pan F, Yan J, Liu M, Wu P, Xu J, Wang R. Associations between individual and environmental factors and habitual physical activity among older Chinese adults: A social-ecological perspective. JOURNAL OF SPORT AND HEALTH SCIENCE 2016; 5:315-321. [PMID: 30356490 PMCID: PMC6188579 DOI: 10.1016/j.jshs.2016.06.010] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/03/2016] [Revised: 06/04/2016] [Accepted: 06/14/2016] [Indexed: 05/27/2023]
Abstract
PURPOSE To examine, within a social-ecological framework, associations between multifaceted individual and environmental factors and habitual physical activity (HPA) among older Chinese adults. METHODS Through a mix of qualitative and quantitative methods, a survey instrument assessing various factors underlying 3 social-ecological dimensions of intrapersonal, interpersonal, and community and environmental resources was developed. Using a cross-sectional design, older adults (n = 1580, aged 67 ± 7 years) recruited from 10 communities in Shandong province completed the social-ecological survey of HPA. Data were analyzed using Partial Least Squares Path Modeling. RESULTS Factors related to intrapersonal (medical knowledge, motivation, physical function, sport skills, socioeconomic status, and education), interpersonal (social support, social activity, and social norms), and community and physical environmental resources (safety, capacity, availability of and access to physical activity facilities) were found to be significantly associated with older adults' participation in HPA. CONCLUSION The findings provide an initial validation of a social-ecological approach to the study of HPA in China, suggesting that strategies aimed at promoting physical activity in older adults should address multiple levels of factors that may contribute to the likelihood of older Chinese adults being physically active.
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Affiliation(s)
- Xiangren Yi
- School of Physical Education, Shandong University, Jinan 250061, China
| | - Zachary Pope
- School of Kinesiology, University of Minnesota Twin Cities, Minneapolis, MN 55455, USA
| | - Zan Gao
- School of Kinesiology, University of Minnesota Twin Cities, Minneapolis, MN 55455, USA
| | - Shumei Wang
- School of Public School, Shandong University, Jinan 250061, China
| | - Fang Pan
- School of Medicine, Shandong University, Jinan 250061, China
| | - Jingpeng Yan
- School of Physical Education, Shandong University, Jinan 250061, China
| | - Meng Liu
- School of Public School, Shandong University, Jinan 250061, China
| | - Peipei Wu
- School of Public School, Shandong University, Jinan 250061, China
| | - Jingjing Xu
- School of Medicine, Shandong University, Jinan 250061, China
| | - Rui Wang
- School of Medicine, Shandong University, Jinan 250061, China
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The SOS-framework (Systems of Sedentary behaviours): an international transdisciplinary consensus framework for the study of determinants, research priorities and policy on sedentary behaviour across the life course: a DEDIPAC-study. Int J Behav Nutr Phys Act 2016; 13:83. [PMID: 27421750 PMCID: PMC4947275 DOI: 10.1186/s12966-016-0409-3] [Citation(s) in RCA: 90] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2016] [Accepted: 07/08/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Ecological models are currently the most used approaches to classify and conceptualise determinants of sedentary behaviour, but these approaches are limited in their ability to capture the complexity of and interplay between determinants. The aim of the project described here was to develop a transdisciplinary dynamic framework, grounded in a system-based approach, for research on determinants of sedentary behaviour across the life span and intervention and policy planning and evaluation. METHODS A comprehensive concept mapping approach was used to develop the Systems Of Sedentary behaviours (SOS) framework, involving four main phases: (1) preparation, (2) generation of statements, (3) structuring (sorting and ranking), and (4) analysis and interpretation. The first two phases were undertaken between December 2013 and February 2015 by the DEDIPAC KH team (DEterminants of DIet and Physical Activity Knowledge Hub). The last two phases were completed during a two-day consensus meeting in June 2015. RESULTS During the first phase, 550 factors regarding sedentary behaviour were listed across three age groups (i.e., youths, adults and older adults), which were reduced to a final list of 190 life course factors in phase 2 used during the consensus meeting. In total, 69 international delegates, seven invited experts and one concept mapping consultant attended the consensus meeting. The final framework obtained during that meeting consisted of six clusters of determinants: Physical Health and Wellbeing (71% consensus), Social and Cultural Context (59% consensus), Built and Natural Environment (65% consensus), Psychology and Behaviour (80% consensus), Politics and Economics (78% consensus), and Institutional and Home Settings (78% consensus). Conducting studies on Institutional Settings was ranked as the first research priority. The view that this framework captures a system-based map of determinants of sedentary behaviour was expressed by 89% of the participants. CONCLUSION Through an international transdisciplinary consensus process, the SOS framework was developed for the determinants of sedentary behaviour through the life course. Investigating the influence of Institutional and Home Settings was deemed to be the most important area of research to focus on at present and potentially the most modifiable. The SOS framework can be used as an important tool to prioritise future research and to develop policies to reduce sedentary time.
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