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Bodepudi S, Hinds M, Northam K, Reilly-Harrington NA, Stanford FC. Barriers to Care for Pediatric Patients with Obesity. Life (Basel) 2024; 14:884. [PMID: 39063637 PMCID: PMC11277597 DOI: 10.3390/life14070884] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2024] [Revised: 06/21/2024] [Accepted: 07/10/2024] [Indexed: 07/28/2024] Open
Abstract
This review article emphasizes the challenges pediatric patients face during obesity treatment. Prior research has been compartmentalized, acknowledging that stigma, the ability to implement lifestyle changes, social health determinants, and healthcare accessibility are considerable impediments for obese children. These issues emerge at various levels, including the individual or family, the community and school, and even national policy. This suggests the need for a more comprehensive, team-based approach to tackle pediatric obesity. Understanding these barriers is the first step toward creating effective strategies and solutions to overcome these challenges.
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Affiliation(s)
- Sreevidya Bodepudi
- MGH Weight Center, Massachusetts General Hospital, Boston, MA 02114, USA; (K.N.); (N.A.R.-H.)
- Harvard Medical School, Boston, MA 02115, USA
| | | | - Kayla Northam
- MGH Weight Center, Massachusetts General Hospital, Boston, MA 02114, USA; (K.N.); (N.A.R.-H.)
| | - Noreen A. Reilly-Harrington
- MGH Weight Center, Massachusetts General Hospital, Boston, MA 02114, USA; (K.N.); (N.A.R.-H.)
- Harvard Medical School, Boston, MA 02115, USA
| | - Fatima Cody Stanford
- Harvard Medical School, Boston, MA 02115, USA
- MGH Weight Center, Massachusetts General Hospital, Department of Medicine-Division of Endocrinology-Neuroendocrine, Department of Pediatrics-Division of Endocrinology, Nutrition Obesity Research Center at Harvard (NORCH), Boston, MA 02114, USA
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AlMarzooqi MA, Alsukait RF, Aljuraiban GS, Alothman SA, AlAhmed R, Rakic S, Herbst CH, Al-Hazzaa HM, Alqahtani SA. Comprehensive assessment of physical activity policies and initiatives in Saudi Arabia 2016-2022. Front Public Health 2023; 11:1236287. [PMID: 37614443 PMCID: PMC10443594 DOI: 10.3389/fpubh.2023.1236287] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Accepted: 07/03/2023] [Indexed: 08/25/2023] Open
Abstract
Objective This study aimed to review health-enhancing physical activity (HEPA) policies and initiatives introduced in Saudi Arabia (SA) since 2016 and identify the gaps in their design and implementation. Methods A combination of methods was used, including semi-structured interviews with key informants from relevant entities (such as those from the ministries of health, education, sports, tourism, and other regulatory bodies) and a review of policy/initiative documents provided by them. Stakeholder mapping led by local experts and snowball sampling supported the identification of key informants. Three existing frameworks-the World Health Organization's HEPA Policy Audit Tool, the Global Observatory for Physical Activity (PA) Policy Inventory, and the European Monitoring Framework for PA Indicators-were used to develop data collection instruments. Results The review identified 44 policies/initiatives from different sectors. The Saudi Sports for All Federation is the leader in PA promotion and community sports development. However, there is a lack of multisectoral agenda and governance structures for PA promotion. The overlap between initiatives by different key informants results in duplication of efforts, including initiatives to promote PA among the general public led by competitive professional sports and community-based sports. Conclusion The study findings indicate that several policies/initiatives have been implemented in SA since 2016. However, there is a need to focus on the challenges or barriers that affect the sustainability of policies/initiatives. A system-based approach can help build on sectoral synergies, thereby accelerating progress in engaging the Saudi population with PA.
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Affiliation(s)
- Mezna A. AlMarzooqi
- Leaders Development Institute, Ministry of Sport, Riyadh, Saudi Arabia
- Department of Community Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Reem F. Alsukait
- Department of Community Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
- World Bank Group, Washington, DC, United States
| | - Ghadeer S. Aljuraiban
- Department of Community Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
- World Bank Group, Washington, DC, United States
| | - Shaima A. Alothman
- Lifestyle and Health Research Center, Health Sciences Research Center, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Reem AlAhmed
- Liver Transplant Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | | | | | - Hazzaa M. Al-Hazzaa
- Lifestyle and Health Research Center, Health Sciences Research Center, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Saleh A. Alqahtani
- Liver Transplant Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
- Division of Gastroenterology and Hepatology, Johns Hopkins University, Baltimore, MD, United States
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3
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Liușnea CȘ. Relationship between Fitness and Healthy Lifestyle. BALNEO AND PRM RESEARCH JOURNAL 2022. [DOI: 10.12680/balneo.2022.521] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
Background: In our study we will refer to the benefits of practicing appropriate fitness exercises that can contribute to maintaining or returning to a closer weight, to achieving an ade-quate physical condition reflected in self-confidence and to adopting a healthy lifestyle.; (2) Methods:.Our theoretical study is based on the analysis of perspectives offered by specialists in fields complementary to physical education, in order to understand not only from a medical but also a social perspective, the importance of fitness in the lives of young people. (3) Results: We believe that the physical exercises that make up the fitness set have beneficial effects on the hu-man body, from the point of view: morphogenetic, physiological, educational, prophylactic and curative. (4) Conclusions: In this context, we believe that it is necessary to reconsider the benefits of fitness - a good remedy against sedentarism and aging, being able to delay, diminish or com-pletely prevent the mechanisms associated with these processes (arterial diseases, diabetes, high cholesterol, etc.). Fitness is part of a healthy lifestyle
Keywords: Fitness, Health Lifestyle, Physical exercises
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de Fátima Guimarães R, Gilbert JA, Drapeau V, Mathieu ME. Healthier Lifestyle for Girls Who Accumulate More Years in the FitSpirit School-Based Intervention. Am J Lifestyle Med 2022; 16:633-640. [PMID: 36072691 DOI: 10.1177/1559827620964764] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The main aim was to verify in a group of adolescent girls undergoing a school-based intervention if the number of years of participation in the intervention is related to healthy lifestyle habits, body weight status, and perceived health. Cross-sectional analysis of the FitSpirit data was performed. Body mass index, lifestyle variables, and perceived health were collected through an online questionnaire. Chi-square test, Fisher's test, and ANOVA were performed. Mean age of the 272 girls was 14.7 ± 1.5 years. Higher percentage of girls with 3 or more years of participation met the recommendations for physical activity (PA) and sleep duration (P < .05). Girls who participated ≥3 years showed higher levels of moderate-to-vigorous PA than girls with 1 and 2 years of participation (P < .01). No differences were found between the number of years of participation and body mass index, screen time, fruit/vegetable consumption, or perceived health. A healthier body weight status and following recommendations for healthier habits (PA, screen time, sleep, fruit/vegetable consumption) were related to better perceived health (P < .05). Girls with more years in FitSpirit had healthier lifestyle habits (PA and sleep) compared to those with fewer years. A healthier body weight status and meeting healthy lifestyle recommendations were related to better perceived health.
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Affiliation(s)
- Roseane de Fátima Guimarães
- École de kinésiologie et des sciences de l'activité physique de la Faculté de médecine, Université de Montréal, Montreal, Quebec, Canada
| | - Jo-Anne Gilbert
- École de kinésiologie et des sciences de l'activité physique de la Faculté de médecine, Université de Montréal, Montreal, Quebec, Canada
| | - Vicky Drapeau
- Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Quebec City, Quebec, Canada.,Institut sur la nutrition et les aliments fonctionnels, Université de Laval, Quebec, Canada
| | - Marie-Eve Mathieu
- École de kinésiologie et des sciences de l'activité physique de la Faculté de médecine, Université de Montréal, Montreal, Quebec, Canada
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Al-Hazzaa HM, Alothman SA, Alghannam AF, Almasud AA. Anthropometric Measurements, Sociodemographics, and Lifestyle Behaviors among Saudi Adolescents Living in Riyadh Relative to Sex and Activity Energy Expenditure: Findings from the Arab Teens Lifestyle Study 2 (ATLS-2). Nutrients 2021; 14:nu14010110. [PMID: 35010983 PMCID: PMC8746972 DOI: 10.3390/nu14010110] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2021] [Revised: 12/17/2021] [Accepted: 12/22/2021] [Indexed: 12/30/2022] Open
Abstract
The aim of the study was to examine the anthropometric measurements, sociodemographics, and lifestyle behaviors among Saudi adolescents relative to sex and physical activity (PA). A random cross-sectional survey conducted on Saudi adolescents from secondary schools in Riyadh, using a multistage stratified cluster sampling technique. Measurements included demographics, weight, height, waist circumference, PA, sedentary behaviors (SB), sleep duration, and dietary habits using a validated questionnaire. A total of 1262 adolescents (16.4 ± 0.95 years; 52.4% males) were studied. Overweight/obesity was more than 40%. Physical inactivity among adolescents was 53%, which indicates some improvement over the past years, especially among females. More than 80% of adolescents had over three hours/day of screen time, with no significant sex differences. Insufficient sleep was highly prevalent with gender differences. A large proportion of the participants did not consume daily breakfast (65.7%), vegetables (73.2%), fruits (84.2%), or milk/dairy products (62.4%), whereas significant proportions of the adolescents consumed sugar-sweetened drinks, fast food, French fries/potato chips, cake/donuts, and chocolates/candy on at least three days or more per week. It was concluded that non-daily intake of breakfast and vegetables was significantly associated with lower PA. The updated information can aid in effectively planning and implementing promotional programs toward improving the lifestyle behaviors of Saudi adolescent.
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Dębiec-Bąk A, Skrzek A, Podbielska H, Golubnitschaja O, Stefańska M. Superficial temperature distribution patterns before and after physical activity in school children are indicative for personalized exercise coaching and disease prevention. EPMA J 2021; 12:435-447. [PMID: 34950250 PMCID: PMC8648907 DOI: 10.1007/s13167-021-00262-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2021] [Accepted: 10/27/2021] [Indexed: 12/15/2022]
Abstract
Background Thermoregulation is highly individual and predictive for potentially cascading pathologies. Altered and deficient thermoregulation is considered an important diagnostic indicator which can be of great clinical utility for specialized screening programs and individualized prediction and prevention of severe pathologies triggered early in life. Working hypothesis Individual thermoregulation can be objectively assessed by thermovision camera before and after exercises in school children stratified by age and gender that may be of great clinical utility for personalized training early in life in the framework of 3P medicine. Study design In this study, 60 female and male primary school children were exposed to physical exercises in the form of 45-min general fitness training. The subjects under examination were stratified by age: group 1 (7-year-olds), group 2 (9-year-olds), and group 3 (12-year-olds). Superficial body temperature patterns were measured by means of thermovision camera before and immediately after exercises, as well as after the 15-min recovery time. Temperature patterns were analyzed in 12 areas of the body front and back, covering trunk and upper and lower limbs. Results The obtained results revealed an individual and age-depended difference in response of the body to exercises. The first measurement prior to exercise (measurement 1) revealed no statistically significant differences in the mean surface temperature of all analyzed areas between 7- and 9-year-old children. Further, 7- and 9-year-old children did not differ significantly in the mean temperature recorded in the trunk compared to the 12-year-old children. However, in 12-year-old children, statistically significant higher values of the mean temperature of the upper and lower limbs, were observed compared to the group of 7-year-olds and significantly higher values of the mean temperature of the lower limbs compared to the group of 9-year-olds. Immediately after exercises (measurement 2), a statistically significant decrease in the temperature was noted in all groups and in all areas of the body. The greatest temperature change was observed in 12-year-olds, while the least one was measured in the youngest subjects. The statistically significant relation between the average trunk temperature of 7-year-old and 12-year-old children was observed: lower values of the mean temperature of the front and back of the trunk were noted in the group of 12-year-old children compared to the group of 7-year-olds. A significantly lower average temperature of the back of the trunk compared to the youngest group was also recorded in 9-year-old children. The study performed after the 15-min recovery time (measurement 3) showed an increase in the average temperature of all analyzed areas. In all subjects, the mean temperature recorded in measurement 3 did not differ significantly from the initial ones (measurement 1, prior to exercises). Only the mean temperature of the trunk back of 12-year-old children was significantly lower after the rest period compared to the initial examination. In all groups, the temperatures after exercises followed by a 15-min recovery returned to the initial ones, except of the trunk backs of 12-year-old children, where the temperature was lower than before exercises. Conclusions and expert recommendations in the framework of 3PM Thermovision analysis is an effective tool to assess individual thermoregulation and to stratify school children for personalized exercise coaching. Body exercise-based disease prevention early in life is effective when tailored to the person: multi-parametric guidance for prescribing exercises individually is needed. Contextually, proposed individualized training approach should be adapted to the age-dependent particularities and individual thermoregulation.
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Affiliation(s)
- Agnieszka Dębiec-Bąk
- Department of Physiotherapy in Motor Organ Dysfunctions, Faculty of Physiotherapy, Wroclaw University of Health and Sport Sciences, al. Paderewskiego 35, 51-612 Wrocław, Poland
| | - Anna Skrzek
- Department of Physiotherapy in Motor Organ Dysfunctions, Faculty of Physiotherapy, Wroclaw University of Health and Sport Sciences, al. Paderewskiego 35, 51-612 Wrocław, Poland
| | - Halina Podbielska
- Department of Biomedical Engineering, Faculty of Fundamental Problems of Technology, Wrocław University of Science and Technology, Wybrzeże Wyspiańskiego 27, 50-370 Wrocław, Poland
| | - Olga Golubnitschaja
- Predictive, Preventive and Personalised (3P) Medicine, Department of Radiation Oncology, University Hospital Bonn, Rheinische Friedrich-Wilhelms-Universität Bonn, 53127 Bonn, Germany
| | - Małgorzata Stefańska
- Department of Physiotherapy in Motor Organ Dysfunctions, Faculty of Physiotherapy, Wroclaw University of Health and Sport Sciences, al. Paderewskiego 35, 51-612 Wrocław, Poland
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Dorner TE, Lackinger C, Haider S, Stein KV. Lifestyle Parameters in Patients with Diabetes Mellitus and in the General Adult Population-Trends over Five Years: Results of the Austrian National Health Interview Series. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18189910. [PMID: 34574833 PMCID: PMC8467903 DOI: 10.3390/ijerph18189910] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Revised: 09/14/2021] [Accepted: 09/16/2021] [Indexed: 12/26/2022]
Abstract
Background: Not smoking, performing >150 min of aerobic physical activity (PA) and muscle strengthening exercises/week, and consuming >5 portions of fruit and vegetables/day are lifestyle recommendations for both the general population and people with diabetes mellitus (DM). Methods: A total of 15,771 and 15,461 persons from the Austrian Health Interview Surveys 2014 and 2019, respectively, including 4.9% and 6.0% of people with DM, were analysed in terms of their smoking, PA, and nutritional behaviours. Logistic regression models were performed for the lifestyle factors, adjusted for socio-demographic and health-related factors. Adjusted interactions between the survey year and DM on the lifestyle factors were computed. Results: The proportions of smokers were 23.9% and 20.2%, of people complying with the PA recommendations were 24.9% and 21.4%, and with fruit and vegetables recommendations were 7.1% and 5.5%, respectively, with significantly lower proportions of smokers and persons complying with the PA recommendations among people with DM. The fully adjusted odds ratios (95% confidence interval) for people with DM were 1.09 (0.94–1.26), 1.44 (1.23–1.69), and 0.90 (0.71–1.13) for smoking, not complying with PA recommendations, and not complying with fruit and vegetables recommendations, respectively. The proportion of people complying with PA recommendations decreased to a greater extent (p < 0.001) in people with DM (16.5% to 8.3%) compared to people without DM (25.3% to 22.3%). Conclusion: Diabetogenic lifestyle behaviours increased in the general Austrian population in recent years, which was especially true for people with DM regarding PA.
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Affiliation(s)
- Thomas Ernst Dorner
- Social Insurance Fund for Public Service, Railway and Mining Industries, 1080 Vienna, Austria; (T.E.D.); (C.L.)
- Karl-Landsteiner Institute for Health Promotion Research, 3454 Sitzenberg-Reidling, Austria
| | - Christian Lackinger
- Social Insurance Fund for Public Service, Railway and Mining Industries, 1080 Vienna, Austria; (T.E.D.); (C.L.)
- Karl-Landsteiner Institute for Health Promotion Research, 3454 Sitzenberg-Reidling, Austria
| | - Sandra Haider
- Department of Social and Preventive Medicine, Center for Public Health, Medical University of Vienna, 1090 Vienna, Austria;
| | - Katharina Viktoria Stein
- Social Insurance Fund for Public Service, Railway and Mining Industries, 1080 Vienna, Austria; (T.E.D.); (C.L.)
- Karl-Landsteiner Institute for Health Promotion Research, 3454 Sitzenberg-Reidling, Austria
- Correspondence:
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D'Agostino EM, Armstrong SC, Alexander EP, Østbye T, Neshteruk CD, Skinner AC. Predictors and Patterns of Physical Activity From Transportation Among United States Youth, 2007-2016. J Adolesc Health 2021; 69:263-271. [PMID: 33958267 DOI: 10.1016/j.jadohealth.2021.03.028] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/27/2020] [Revised: 03/17/2021] [Accepted: 03/31/2021] [Indexed: 12/27/2022]
Abstract
PURPOSE Physical activity is strongly associated with health benefits in youth, although wide disparities in physical activity persist across sex, race/ethnicity, and income. Active transportation is an important source of youth physical activity. We aimed to describe active transportation patterns for United States adolescents and young adults ages 12-25 years across sociodemographic and weight status characteristics. METHODS Cross-sectional secondary data analyses were based on self-reported transportation-related physical activity using the National Health and Nutrition Examination Survey, 2007-2016. RESULTS Of the sample (n = 8,680; population represented, N = 57,768,628), 4,300 (49.5%) were adolescents (12-17 y), and 4,380 (50.4%) were young adults (18-25 y). Male adolescents were more likely to participate in any (risk ratio [RR] = 1.3; 95% confidence interval [CI], 1.16-1.40) and daily (RR = 1.3; 95% CI, 1.06-1.63) active transportation than females. Black (RR = 1.1; 95% CI, 1.01-1.31) and Hispanic (RR = 1.2; 95% CI, 1.05-1.31) adolescents were more likely to engage in any active transportation than whites. Young adult males were more likely to participate in any (RR = 1.3; 95% CI, 1.20-1.50) and daily (RR = 1.3; 95% CI, 1.08-1.55) active transportation than females. Young adults with a lower family income, and both adolescents and young adults with a lower household education, were more likely to engage in any and daily active transportation. We also observed an inverse relationship between weight class and active transportation participation. CONCLUSION Active transportation was higher in males, minority, and lower income youth. Our study findings provide evidence for physical activity interventions, suggesting active transportation is a feasible target for low-income and minority youth to reduce physical activity disparities and support optimal health.
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Affiliation(s)
- Emily M D'Agostino
- Department of Family Medicine and Community Health, Duke University School of Medicine, Durham, North Carolina; Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina.
| | - Sarah C Armstrong
- Department of Family Medicine and Community Health, Duke University School of Medicine, Durham, North Carolina; Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina; Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina; Duke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina
| | - Emily P Alexander
- Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina
| | - Truls Østbye
- Department of Family Medicine and Community Health, Duke University School of Medicine, Durham, North Carolina; Duke Global Health Institute, Duke University School of Medicine, Durham, North Carolina
| | - Cody D Neshteruk
- Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina
| | - Asheley C Skinner
- Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina; Duke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina
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Woods CB, Volf K, Kelly L, Casey B, Gelius P, Messing S, Forberger S, Lakerveld J, Zukowska J, Bengoechea EG. The evidence for the impact of policy on physical activity outcomes within the school setting: A systematic review. JOURNAL OF SPORT AND HEALTH SCIENCE 2021; 10:263-276. [PMID: 33482424 PMCID: PMC8167338 DOI: 10.1016/j.jshs.2021.01.006] [Citation(s) in RCA: 36] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Revised: 10/24/2020] [Accepted: 11/13/2020] [Indexed: 05/06/2023]
Abstract
BACKGROUND Despite the well-established health benefits of physical activity (PA) for young people (aged 4-19 years), most do not meet PA guidelines. Policies that support PA in schools may be promising, but their impact on PA behavior is poorly understood. The aim of this systematic review was to ascertain the level and type of evidence reported in the international scientific literature for policies within the school setting that contribute directly or indirectly to increasing PA. METHODS This systematic review is compliant with Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines. Six databases were searched using key concepts of policy, school, evaluation, and PA. Following title and abstract screening of 2323 studies, 25 progressed to data synthesis. Methodological quality was assessed using standardized tools, and the strength of the evidence of policy impact was described based on pre-determined codes: positive, negative, inconclusive, or untested statistically. RESULTS Evidence emerged for 9 policy areas that had a direct or indirect effect on PA within the school setting. These were whole school PA policy, physical education, sport/extracurricular PA, classroom-based PA, active breaks/recess, physical environment, shared use agreements, active school transport, and surveillance. The bulk of the evidence was significantly positive (54%), 27% was inconclusive, 9% was significantly negative, and 11% was untested (due to rounding, some numbers add to 99% or 101%). Frequency of evidence was highest in the primary setting (41%), 34% in the secondary setting, and 24% in primary/secondary combined school settings. By policy area, frequency of evidence was highest for sport/extracurricular PA (35%), 17% for physical education, and 12% for whole school PA policy, with evidence for shared use agreements between schools and local communities rarely reported (2%). Comparing relative strength of evidence, the evidence for shared use agreements, though sparse, was 100% positive, while 60% of the evidence for whole school PA policy, 59% of the evidence for sport/extracurricular PA, 57% of the evidence for physical education, 50% of the evidence for PA in classroom, and 50% of the evidence for active breaks/recess were positive. CONCLUSION The current evidence base supports the effectiveness of PA policy actions within the school setting but cautions against a "one-size-fits-all" approach and emphasizes the need to examine policy implementation to maximize translation into practice. Greater clarity regarding terminology, measurement, and methods for evaluation of policy interventions is needed.
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Affiliation(s)
- Catherine B Woods
- Department of Physical Education and Sport Sciences, Health Research Institute, University of Limerick, Limerick V94 T9PX, Ireland.
| | - Kevin Volf
- Department of Physical Education and Sport Sciences, Health Research Institute, University of Limerick, Limerick V94 T9PX, Ireland
| | - Liam Kelly
- Department of Physical Education and Sport Sciences, Health Research Institute, University of Limerick, Limerick V94 T9PX, Ireland
| | - Bláthín Casey
- Department of Physical Education and Sport Sciences, Health Research Institute, University of Limerick, Limerick V94 T9PX, Ireland
| | - Peter Gelius
- Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen 91058, Germany
| | - Sven Messing
- Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen 91058, Germany
| | - Sarah Forberger
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen 28359, Germany
| | - Jeroen Lakerveld
- Department of Epidemiology and Data Science, Amsterdam Public Health Research institute, Amsterdam UMC, VU University Amsterdam, Amsterdam 1081 HV, the Netherlands; Upstream Team, Amsterdam UMC, VU University Amsterdam, Amsterdam 1081 HV, the Netherlands
| | - Joanna Zukowska
- Faculty of Civil and Environmental Engineering, Gdańsk University of Technology, Gdańsk 80-213, Poland
| | - Enrique García Bengoechea
- Department of Physical Education and Sport Sciences, Health Research Institute, University of Limerick, Limerick V94 T9PX, Ireland
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Critical Evaluation of the Case for Pausing California's School-based Fitness Testing. HEALTH BEHAVIOR AND POLICY REVIEW 2021; 8:168-183. [PMID: 34017882 DOI: 10.14485/hbpr.8.2.7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
Objective We undertook a literature review to evaluate the evidence for an association among school-based fitness testing and bullying, weight-based teasing (WBT), and/or gender discrimination. Methods We searched the peer-reviewed literature using PubMed, ERIC and GOOGLE Scholar to identify articles related to school-based physical fitness testing (K-12) on the one hand and bullying, WBT, and/or gender discrimination on the other. Results We identified 12 studies on the impact of school-based physical fitness testing (PFT) on bullying and WBT. These studies do not support the assertion that PFT places students at elevated risk for bullying and/or WBT as compared to other school settings. There is a dearth of studies investigating an association between PFT and gender discrimination. Conclusions The concerns about PFT as a widespread cause of bullying and WBT are not supported by the evidence. It is likely that school climate is a stronger determinant overall of these negative student interactions and that more rigorous teacher training would ameliorate student concerns about fitness testing. Nevertheless, more rigorous research is warranted to determine with confidence that PFT does not elevate students' risks for bullying and WBT and to examine the risks for students with non-binary gender.
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Frömel K, Vašíčková J, Skalik K, Svozil Z, Groffik D, Mitáš J. Physical Activity Recommendations in the Context of New Calls for Change in Physical Education. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18031177. [PMID: 33525744 PMCID: PMC7908578 DOI: 10.3390/ijerph18031177] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/13/2020] [Revised: 01/24/2021] [Accepted: 01/26/2021] [Indexed: 11/24/2022]
Abstract
The current social, health, and educational changes in society require an adequate response in school-based physical activity (PA), including physical education (PE) lessons. The objective of this study was to identify the real average step counts of Czech and Polish adolescents during PE lessons, and propose recommendations for improving PE programs. This research was carried out in 143 Czech and 99 Polish schools. In the research, a total of 4911 adolescents aged 12–18 years were analyzed as part of teaching practice and 1827 in the context of habitual school practice. Steps were monitored using pedometers. The average step count per PE lesson was 2390 in Czech and Polish boys, while girls achieved 1851 steps. In both countries, boys were subject to greater physical strain in PE lessons compared to girls, both in teaching practice (F(4088,3) = 154.49, p < 0.001, ηp2 = 0.102) and school practice (F(1552,3) = 70.66, p < 0.001, ηp2 = 0.103). Therefore, the priority in PE lessons is to increase the amount of PA for girls, achieve the objectives of PE during PA, and use wearables to improve awareness of PA and improve physical literacy, as well as to support hybrid and online PE as a complement to traditional PE.
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Affiliation(s)
- Karel Frömel
- Faculty of Physical Culture, Palacký University Olomouc, Tr. Miru 115, 77111 Olomouc, Czech Republic; (K.F.); (J.V.); (Z.S.)
- Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education, Mikolowska 72A, 40-065 Katowice, Poland; (K.S.); (D.G.)
| | - Jana Vašíčková
- Faculty of Physical Culture, Palacký University Olomouc, Tr. Miru 115, 77111 Olomouc, Czech Republic; (K.F.); (J.V.); (Z.S.)
| | - Krzysztof Skalik
- Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education, Mikolowska 72A, 40-065 Katowice, Poland; (K.S.); (D.G.)
| | - Zbyněk Svozil
- Faculty of Physical Culture, Palacký University Olomouc, Tr. Miru 115, 77111 Olomouc, Czech Republic; (K.F.); (J.V.); (Z.S.)
| | - Dorota Groffik
- Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education, Mikolowska 72A, 40-065 Katowice, Poland; (K.S.); (D.G.)
| | - Josef Mitáš
- Faculty of Physical Culture, Palacký University Olomouc, Tr. Miru 115, 77111 Olomouc, Czech Republic; (K.F.); (J.V.); (Z.S.)
- Correspondence: ; Tel.: +420-58-563-6745
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An Update on Physical Activity Research among Children in Hong Kong: A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17228521. [PMID: 33212968 PMCID: PMC7698465 DOI: 10.3390/ijerph17228521] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/19/2020] [Revised: 11/15/2020] [Accepted: 11/16/2020] [Indexed: 11/17/2022]
Abstract
Similar to their Western counterparts, children in Hong Kong generally fail to reach the recommended levels of physical activity (PA). As an ultra-dense metropolis, Hong Kong is different from most Western cities. It is therefore important to update and appraise previous PA research in order to inform future PA promotion for Hong Kong children. Using a scoping review, the current study aimed to evaluate PA research among preschool and school-aged children in Hong Kong aged 3-12 years old who are at a critical development stage. Literature was searched from four English databases: Medline via EBSCOhost, SPORTDiscus, ERIC and PsycINFO via ProQuest; and three Chinese databases: CNKI, CQVIP and WAN-FANG. PA research among Hong Kong children published from 1 January 1997 to the searching date, 31 March 2020 was included. A total of 63 studies were identified, with the majority of studies focused on school-aged children as compared to preschoolers, adopted a cross-sectional design, using self-reported PA measures, and with small to medium sample sizes. We classified eligible studies into five main categories: (a) Health benefits of PA (k = 12). Consistent evidence on the health benefits of skeletal and cardiovascular capacity, quality of life, cognitive function, and sleep quality was revealed. However, inconsistent evidence was found on the benefits of weight-related indicators and academic performance. (b) Patterns of PA (k = 12). There is a general pattern of low levels of PA among Hong Kong children, in particular girls and children with special educational needs. (c) Measures of PA and related constructs (k = 11). The Chinese versions of self-reported measures of PA, PA-related social environment, and PA-related psychological constructs showed acceptable reliabilities and validities. (d) Correlates of PA (k = 18). The correlates of PA include physical environment, social environment, physical factors, psychological factors, and multiple correlates, which is in line with the social-ecological model. (e) Interventions for promoting PA (k = 10). PA interventions among Hong Kong children were conducted for healthy children, children with special educational needs, and children with cancer. Overall, there is a growing volume of PA research among children in Hong Kong in the recent decade. Yet, there is a lack of high-quality research for measuring, understanding, and promoting PA among Hong Kong children. It is highly recommended that future PA research among children should pay more attention on the preschoolers, adopting robust research design (e.g., randomized controlled trials), recruiting large and representative sample, and collecting device-assessed data.
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Frömel K, Groffik D, Mitáš J, Madarasová Gecková A, Csányi T. Physical Activity Recommendations for Segments of School Days in Adolescents: Support for Health Behavior in Secondary Schools. Front Public Health 2020; 8:527442. [PMID: 33194940 PMCID: PMC7661935 DOI: 10.3389/fpubh.2020.527442] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2020] [Accepted: 10/01/2020] [Indexed: 01/28/2023] Open
Abstract
School physical activity (PA) is an indispensable part of daily PA, the foundation for developing lifelong PA and fitness, and an easy way to gain physical and health literacy. School PA is equally important for understanding the continuity of physical and mental health, even in broader psychosocial aspects. Regarding long-term outcomes, significant attention has been paid to the determination of daily and weekly recommendations for adolescent PA. However, comprehensive approaches suggesting recommendations for PA in segments of the school day are rare. This study aimed to (a) provide a rationale for PA recommendations in segments of school days and incorporate it into generally accepted PA recommendations, and (b) promote radical changes in the educational process toward a healthy school lifestyle through PA recommendations in segments of school days. The results of research conducted in 98 secondary schools in the Czech Republic and 104 secondary schools in Poland from 2009 to 2017 were used in this study. In total, 3,860 boys and 5,237 girls from the Czech Republic and 3,052 boys and 3,329 girls from Poland, all aged 15-19, participated. We recommended at least 2,000 steps (or 10 min of moderate-to-vigorous PA) for the before school segment and at least 6,000 steps (or 30 min of moderate-to-vigorous PA) for the after-school segment. For the time spent at school, we further recommended at least 500 steps/h (alternatively, at least 3,000 steps/school time), 20 min of moderate-to-vigorous PA (≥3METs or 60% HRmax), and at least one HRsubmax/max response to significant stress during PA to mitigate educational stress and high levels of sedentary behavior in schools. PA should account for at least 25% of school time, even on days with no scheduled physical education lessons. We propose using PA recommendations in segments of school days to achieve positive changes in the educational process and school lifestyle. Acceptance of PA recommendations in segments of school days theories on physical education could help refine and concretize demands for changes in PA and lifestyle in secondary schools. In practice, it could support the creation of innovative and comprehensive school PA programs. Future research should focus on obtaining evidence in support for adolescent PA by applying PA recommendations in segments of school days.
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Affiliation(s)
- Karel Frömel
- Faculty of Physical Culture, Palacký University, Olomouc, Czechia.,Institute of Sport Science, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland
| | - Dorota Groffik
- Institute of Sport Science, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland
| | - Josef Mitáš
- Faculty of Physical Culture, Palacký University, Olomouc, Czechia
| | | | - Tamás Csányi
- Department of Physical Education, Faculty of Primary and Pre-School Education, ELTE Eötvös Loránd University, Budapest, Hungary.,Health Enhancing Physical Activity Department, Hungarian School Sport Federation, Budapest, Hungary
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Jeong HC, Lee EJ, Youn HS, So WY. Development and Implementation of a "Music Beeps" Program to Promote Physical Fitness in Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E6148. [PMID: 32847040 PMCID: PMC7503806 DOI: 10.3390/ijerph17176148] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/27/2020] [Revised: 08/18/2020] [Accepted: 08/21/2020] [Indexed: 01/19/2023]
Abstract
This study aimed to develop a physical education fitness program for adolescents to counteract the declining physical activity levels caused by the COVID-19 pandemic, as well as to investigate the program's effect. This mixed-methods study developed and implemented a five-component "Music Beeps" (MB) program to promote adolescents' physical fitness. A total of 240 students from two high schools in South Korea-divided into experimental and control groups-participated in 32 sessions over 16 weeks. The changes in students' fitness were analyzed, and the educational effects were examined via inductive analysis of the observation logs and group and in-depth interviews. The results demonstrated that, whereas the comparison group demonstrated no statistically significant changes in power, muscular strength and endurance, or cardiopulmonary endurance, the experimental group showed changes in all these variables, along with changes in flexibility. Further, the MB program had significant educational effects. First, students reported that musical cues enhanced their fitness motivation and sense of responsibility. Second, record-keeping and active participation contributed to self-led fitness management. Third, activity in a small space with few pieces of equipment led to the positive perception that the program was efficient and enabled regular exercise regardless of climate conditions.
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Affiliation(s)
- Hyun-Chul Jeong
- Department of Physical Education, Jeonbuk National University High School, Jeollabuk-do 54869, Korea;
| | - Eui-Jae Lee
- Department of Physical Education, Baek Seok High School, Goyang-si 10416, Korea;
| | - Hyun-Su Youn
- Department of Physical Education, College of Education, Won Kwang University, Iksan-si 54538, Korea
| | - Wi-Young So
- Sports and Health Care Major, College of Humanities and Arts, Korea National University of Transportation, Chungju-si 27469, Korea
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Frömel K, Jakubec L, Groffik D, ChmelÍk F, Svozil Z, Šafář M. Physical Activity of Secondary School Adolescents at Risk of Depressive Symptoms. THE JOURNAL OF SCHOOL HEALTH 2020; 90:641-650. [PMID: 32557650 PMCID: PMC7496224 DOI: 10.1111/josh.12911] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/26/2019] [Revised: 01/23/2020] [Accepted: 01/24/2020] [Indexed: 05/14/2023]
Abstract
BACKGROUND The aim of the study is to analyze the associations between depressive symptoms (DS), well-being and different types of physical activity (PA) in adolescents. METHODS Overall, 368 girls and 228 boys aged 15-19 years were involved in the research. To explore the composition of weekly PA, we used the IPAQ-Long questionnaire, and a pedometer was used to monitor weekly PA. The prevalence of DS was diagnosed by the Bern Subjective Well-Being Questionnaire and the WHO-5 Well-Being Index. RESULTS The girls and boys who reported the most DS and the lowest level of well-being had significantly less weekly recreational PA. The girls who reported the fewest DS had a 2.12 times greater odds of meeting the 11,000 steps/day recommendation than did the girls with the most DS, whereas we did not detect statistically significant differences in rates of meeting the recommendation in the boys with distinct levels of DS. CONCLUSIONS The study confirms the stronger negative associations between DS and PA, especially among girls. The greatest opportunities for behavioral change in adolescents at the highest risk of DS are in the promotion of recreational PA.
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Affiliation(s)
- Karel Frömel
- Faculty of Physical Culture, Palacký University Olomouctřída Míru 117, Olomouc 771 11Czech Republic
| | - Lukáš Jakubec
- Faculty of Physical Culture, Palacký University Olomouctřída Míru 117, Olomouc 771 11Czech Republic
| | - Dorota Groffik
- Institute of Sport ScienceThe Jerzy Kukuczka Academy of Physical Education in KatowiceMikolowska 72a, Katowice 40‐065Poland
| | - František ChmelÍk
- Faculty of Physical Culture, Palacký University Olomouctřída Míru 117, Olomouc 771 11Czech Republic
| | - Zbyněk Svozil
- Faculty of Physical Culture, Palacký University Olomouctřída Míru 117, Olomouc 771 11Czech Republic
| | - Michal Šafář
- Faculty of Physical Culture, Palacký University Olomouctřída Míru 117, Olomouc 771 11Czech Republic
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Rock CL, Thomson C, Gansler T, Gapstur SM, McCullough ML, Patel AV, Andrews KS, Bandera EV, Spees CK, Robien K, Hartman S, Sullivan K, Grant BL, Hamilton KK, Kushi LH, Caan BJ, Kibbe D, Black JD, Wiedt TL, McMahon C, Sloan K, Doyle C. American Cancer Society guideline for diet and physical activity for cancer prevention. CA Cancer J Clin 2020; 70:245-271. [PMID: 32515498 DOI: 10.3322/caac.21591] [Citation(s) in RCA: 306] [Impact Index Per Article: 76.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/30/2019] [Revised: 10/21/2019] [Accepted: 10/21/2019] [Indexed: 12/14/2022] Open
Abstract
The American Cancer Society (ACS) publishes the Diet and Physical Activity Guideline to serve as a foundation for its communication, policy, and community strategies and, ultimately, to affect dietary and physical activity patterns among Americans. This guideline is developed by a national panel of experts in cancer research, prevention, epidemiology, public health, and policy, and reflects the most current scientific evidence related to dietary and activity patterns and cancer risk. The ACS guideline focuses on recommendations for individual choices regarding diet and physical activity patterns, but those choices occur within a community context that either facilitates or creates barriers to healthy behaviors. Therefore, this committee presents recommendations for community action to accompany the 4 recommendations for individual choices to reduce cancer risk. These recommendations for community action recognize that a supportive social and physical environment is indispensable if individuals at all levels of society are to have genuine opportunities to choose healthy behaviors. This 2020 ACS guideline is consistent with guidelines from the American Heart Association and the American Diabetes Association for the prevention of coronary heart disease and diabetes as well as for general health promotion, as defined by the 2015 to 2020 Dietary Guidelines for Americans and the 2018 Physical Activity Guidelines for Americans.
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Affiliation(s)
- Cheryl L Rock
- Department of Family Medicine and Public Health, School of Medicine, University of California at San Diego, San Diego, California
| | - Cynthia Thomson
- Health Promotion Sciences, Mel & Enid Zuckerman College of Public Health Distinguished Outreach Faculty, University of Arizona, Tucson, Arizona
| | - Ted Gansler
- Intramural Research, American Cancer Society, Atlanta, Georgia
| | - Susan M Gapstur
- Behavioral and Epidemiology Research Group, American Cancer Society, Atlanta, Georgia
| | - Marjorie L McCullough
- Behavioral and Epidemiology Research Group, American Cancer Society, Atlanta, Georgia
| | - Alpa V Patel
- Behavioral and Epidemiology Research Group, American Cancer Society, Atlanta, Georgia
| | | | - Elisa V Bandera
- Cancer Epidemiology and Health Outcomes, Rutgers Cancer Institute of New Jersey, Robert Wood Johnson Medical School, New Brunswick, New Jersey
| | - Colleen K Spees
- Division of Medical Dietetics and Health Sciences, School of Health and Rehabilitation Sciences, Comprehensive Cancer Center and James Solove Research Institute, The Ohio State University College of Medicine, Columbus, Ohio
| | - Kimberly Robien
- Department of Exercise and Nutrition Sciences, Department of Epidemiology, Milken Institute School of Public Health, George Washington University, Washington, DC
| | - Sheri Hartman
- Department of Family Medicine and Public Health, University of San Diego Moores Cancer Center, La Jolla, California
| | | | - Barbara L Grant
- Saint Alohonsus Regional Medical Center Cancer Care Center, Boise, Idaho
| | - Kathryn K Hamilton
- Carol G. Simon Cancer Center, Morristown Memorial Hospital, Morristown, New Jersey
| | - Lawrence H Kushi
- Division of Research, Kaiser Permanente Northern California, Oakland, California
| | - Bette J Caan
- Division of Research, Kaiser Permanente Northern California, Oakland, California
| | - Debra Kibbe
- Georgia Health Policy Center, Andrew Young School of Policy Studies, Georgia State University, Atlanta, Georgia
| | - Jessica Donze Black
- Community Health, American Heart Association/American Stroke Association, Washington, DC
| | - Tracy L Wiedt
- Cancer Control, American Cancer Society, Atlanta, Georgia
| | - Catherine McMahon
- Strategy and Operations, American Cancer Society Cancer Action Network, Washington, DC
| | - Kirsten Sloan
- Strategy and Operations, American Cancer Society Cancer Action Network, Washington, DC
| | - Colleen Doyle
- Cancer Control, American Cancer Society, Atlanta, Georgia
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Secular Trends in the Achievement of Physical Activity Guidelines: Indicator of Sustainability of Healthy Lifestyle in Czech Adolescents. SUSTAINABILITY 2020. [DOI: 10.3390/su12125183] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
(1) Background: The increasing socio-economic and educational demands on adolescents should be reflected in their lifestyles accordingly. The aim of the study was therefore to identify the trends in the achievement of physical activity (PA) guidelines by Czech adolescents through objective and subjective PA monitoring. (2) Methods: The research was carried out between 2010 and 2017 and involved 49 secondary schools, 2 higher vocational schools, and 8 universities in the Czech Republic. In total, the projects involved 1129 girls and 779 boys. PA monitoring was performed by Yamax SW-700 pedometers and IPAQ-long questionnaires. (3) Results: The results according to the average number of steps/day confirm a decrease in the amount of PA in boys and girls and in the achievement of the recommended 11,000 steps/day. However, the estimates of meeting the recommended weekly PA expressed as MET-min/week based on the IPAQ-long questionnaire are not so convincing about the decrease. (4) Conclusions: The combination of objective monitoring of weekly PA using wearables and subjective estimates of weekly PA using a questionnaire regarding the ease of application, appears to be a sufficient indicator of the status of and trend in PA and thus the sustainability of a healthy lifestyle in youths.
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Andrade A, Correia CK, Coimbra DR. The Psychological Effects of Exergames for Children and Adolescents with Obesity: A Systematic Review and Meta-Analysis. CYBERPSYCHOLOGY BEHAVIOR AND SOCIAL NETWORKING 2020; 22:724-735. [PMID: 31697604 DOI: 10.1089/cyber.2019.0341] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
The systematic review and meta-analysis were conducted to analyze the psychological effects of exergames for children and adolescents with overweight or obesity. In August 2018, the electronic databases searched were PubMed, Scopus, Web of Science, SPORTDiscus, Science Direct, CINAHL, and PsycINFO. The eligibility criteria were defined according to the population, intervention, comparison, outcome, and study design. In relation to the population, only studies with children or adolescents with overweight or obesity and without any other comorbidities were analyzed. Only publications in English were considered. Nine studies were selected. The comparisons identified were in relation to weight, type of activity, and play style versus control and preintervention. The magnitude of effect size suggests that the practice of exergaming has a small effect on psychological outcomes. Furthermore, cooperative games produced greater attraction to the game (g = 4.71, 95% confidence interval [CI] = 3.23-6.19) and greater intrinsic motivation (g = 5.29; 95% CI = 3.68-6.90). It was verified that self-esteem (standard mean difference [SMD] = 0.37; 95% CI = 0.09-0.66), and self-efficacy (SMD = 0.42; 95% CI = 0.06-0.79) improved after playing an exergame. This systematic review and meta-analysis suggest that exergames may be effective in improving psychological aspects of children and adolescents with overweight or obesity. Given the limited number of studies, it is essential to increase scientific research in this area.
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Affiliation(s)
- Alexandro Andrade
- Laboratory of Psychology of Sport and Exercise, Department of Physical Education, Center of Health Sciences and Sports, Santa Catarina State University, Florianópolis, Brazil
| | - Clara Knierim Correia
- Laboratory of Psychology of Sport and Exercise, Department of Physical Education, Center of Health Sciences and Sports, Santa Catarina State University, Florianópolis, Brazil
| | - Danilo Reis Coimbra
- Laboratory of Psychology of Sport and Exercise, Department of Physical Education, Center of Health Sciences and Sports, Santa Catarina State University, Florianópolis, Brazil
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Huang JH, Hipp JA, Marquet O, Alberico C, Fry D, Mazak E, Lovasi GS, Robinson WR, Floyd MF. Neighborhood characteristics associated with park use and park-based physical activity among children in low-income diverse neighborhoods in New York City. Prev Med 2020; 131:105948. [PMID: 31836479 DOI: 10.1016/j.ypmed.2019.105948] [Citation(s) in RCA: 35] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/27/2019] [Revised: 11/22/2019] [Accepted: 11/30/2019] [Indexed: 01/01/2023]
Abstract
Urban parks provide spaces and facilities for children's physical activity (PA) and can be a free resource in low-income communities. This study examined whether neighborhood characteristics were associated with children's park use and park-based moderate-to-vigorous PA (MVPA) in low-income diverse communities and how associations differed between ethnic groups. Data on park visits and MVPA came from 16,402 children 5-10-years old directly observed using the System for Observing Play and Recreation in Communities in 20 parks in low-income neighborhoods with majority Latino or Asian populations in New York City. Neighborhood characteristics included land use mix (LUM), street audits, crime rates, and an area deprivation index. We employed Poisson and negative binomial models to estimate effects of neighborhood-level variables on the number of children observed in parks and engaging in MVPA, overall and by ethnicity. Results for Asian, Latino, and African American children indicated that higher levels of LUM and pedestrian-friendly streets were associated with greater numbers of children in parks and higher MVPA across all three groups. For Asian and Latino children only, quality of environment was positively associated with MVPA, whereas level of deprivation and crime rates in the surrounding neighborhood were negatively associated with children's park-based MVPA. In contrast, a park's access to public transportation was negatively associated with number of all children observed and engaging in MVPA. Study findings suggest that park-based MVPA interventions can be informed by understanding how neighborhood characteristics facilitate and constrain park use and park-based MVPA.
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Affiliation(s)
- Jing-Huei Huang
- Department of Parks, Recreation, and Tourism Management, NC State University, NC, USA; Center for Geospatial Analytics, NC State University, Raleigh, NC, USA
| | - J Aaron Hipp
- Department of Parks, Recreation, and Tourism Management, NC State University, NC, USA; Center for Geospatial Analytics, NC State University, Raleigh, NC, USA.
| | - Oriol Marquet
- Department of Parks, Recreation, and Tourism Management, NC State University, NC, USA; Center for Geospatial Analytics, NC State University, Raleigh, NC, USA; Department of Geography, Universitat Autònoma de Barcelona, Spain
| | - Claudia Alberico
- Department of Parks, Recreation, and Tourism Management, NC State University, NC, USA; Center for Geospatial Analytics, NC State University, Raleigh, NC, USA
| | - Dustin Fry
- Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA
| | - Elizabeth Mazak
- Department of Parks, Recreation, and Tourism Management, NC State University, NC, USA; Center for Geospatial Analytics, NC State University, Raleigh, NC, USA
| | - Gina S Lovasi
- Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA
| | - Whitney R Robinson
- Gillings School of Global Public Health, University of North Carolina, Chapel Hill, USA
| | - Myron F Floyd
- Department of Parks, Recreation, and Tourism Management, NC State University, NC, USA
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Hackney AC. Hypogonadism in Exercising Males: Dysfunction or Adaptive-Regulatory Adjustment? Front Endocrinol (Lausanne) 2020; 11:11. [PMID: 32082255 PMCID: PMC7005256 DOI: 10.3389/fendo.2020.00011] [Citation(s) in RCA: 44] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/19/2019] [Accepted: 01/08/2020] [Indexed: 12/12/2022] Open
Abstract
For decades researchers have reported men who engaged in intensive exercise training can develop low resting testosterone levels, alterations in their hypothalamic-pituitary-gonadal (HPG) axis, and display hypogonadism. Recently there is renewed interest in this topic since the International Olympic Committee (IOC) Medical Commission coined the term "Relative Energy Deficiency in Sports" (RED-S) as clinical terminology to address both the female-male occurrences of reproductive system health disruptions associated with exercise. This IOC Commission action attempted to move beyond the sex-specific terminology of the "Female Athlete Triad" (Triad) and heighten awareness/realization that some athletic men do have reproductive related physiologic disturbances such as lowered sex hormone levels, HPG regulatory axis alterations, and low bone mineral density similar to Triad women. There are elements in the development and symptomology of exercise-related male hypogonadism that mirror closely that of women experiencing the Triad/RED-S, but evidence also exists that dissimilarities exist between the sexes on this issue. Our research group postulates that the inconsistency and differences in the male findings in relation to women with Triad/RED-S are not just due to sex dimorphism, but that there are varying forms of exercise-related reproductive disruptions existing in athletic men resulting in them displaying a relative hypogonadism condition. Specifically, such conditions in men may derive acutely and be associated with low energy availability (Triad/RED-S) or excessive training load (overtraining) and appear transient in nature, and resolve with appropriate clinical interventions. However, manifestations of a more chronic based hypogonadism that persists on a more permanent basis (years) exist and is termed the "Exercise Hypogonadal Male Condition." This article presents an up-to-date overview of the various types of acute and chronic relative hypogonadism found in athletic, exercising men and proposes mechanistic models of how these various forms of exercise relative hypogonadism develop.
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Affiliation(s)
- Anthony C. Hackney
- Department of Exercise and Sport Science, Department of Nutrition, Gilling's School of Global Public Health, University of North Carolina, Chapel Hill, NC, United States
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21
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Lee K, Lee K. Relationship of Friend/Parent Exercise Participation Levels and Adolescents' Exercise Intention/Behavior as Moderated by Action Control. Percept Mot Skills 2020; 127:347-366. [PMID: 31959077 DOI: 10.1177/0031512519900058] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This study investigated the role of action control in the relationship between friend and parent exercise participation levels with adolescents’ exercise intention and behavior, based on the theory of planned behavior. Data were collected from 740 Korean adolescents through questionnaires that assessed the exercise participation level of these participants’ parents and friends, and the adolescent participants’ personal exercise intention, exercise behavior, action control, and exercise constraints. The results showed that the exercise participation level of friends, but not of parents, mediated the adolescents’ exercise behavior through their exercise intention. This relationship was magnified by higher levels of the adolescents’ action control.
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Affiliation(s)
- Keunchul Lee
- Department of Physical Education, Changwon National University, South Korea
| | - Kanghun Lee
- Department of Physical Education, Changwon National University, South Korea
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Impact on Physical Fitness of the Chinese CHAMPS: A Clustered Randomized Controlled Trial. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16224412. [PMID: 31718019 PMCID: PMC6888011 DOI: 10.3390/ijerph16224412] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/12/2019] [Revised: 11/03/2019] [Accepted: 11/05/2019] [Indexed: 12/17/2022]
Abstract
BACKGROUND School physical activity (PA) policy, physical education curriculum, teacher training, knowledge of physical fitness, and parental support are among the key issues underlying the declining trend of physical fitness in children and adolescents. The Chinese CHAMPS was a multi-faceted intervention program to maximize the opportunities for moderate and vigorous physical activity (MVPA), and increase physical fitness in middle school students. The purpose of the study was to test whether the levels of modification in school physical education policy and curriculum incrementally influenced the changes in cardiorespiratory fitness and other physical fitness outcomes. METHODS This 8-month study was a clustered randomized controlled trial using a 2 × 2 factorial design. The participants were 680 7th grade students (mean age = 12.66 years) enrolled in 12 middle schools that were randomly assigned to one of four treatment conditions: school physical education intervention (SPE), afterschool program intervention (ASP), SPE+ASP, and control. Targeted behaviors of the Chinese CHAMPS were the student's sedentary behavior and MVPA. The study outcomes were assessed by a test battery of physical fitness at the baseline and posttest. Sedentary behavior and MVPA were measured in randomly selected students using observations and accelerometry. RESULTS The terms contrasting the pooled effect of SPE, ASP, and SPE+ASP vs. Control, the pooled effect of SPE and SPE+ASP vs. ASP only, and the effect of SPE+ASP vs. ASP on CRF and other physical fitness outcomes were all significant after adjusting for covariates, supporting the study hypothesis. Process evaluation demonstrated high fidelity of the intervention in the targeted students' behaviors. CONCLUSIONS Chinese CHAMPS demonstrated the impact of varying the amount of MVPA and vigorous physical activity (VPA) on the physical fitness in middle school students in support of the need to increase the opportunity for PA in schools and to introduce high-intensity exercises in school-based PA programs. Modification of school policy, quality of physical education curriculum, and teacher training were important moderators of the improvement in physical fitness. (Trial registration: ChiCTR-IOR-14005388, the Childhood Health; Activity and Motor Performance Study.).
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Li F, Mao L, Chen P. Physical activity and prevention of chronic disease in Chinese youth: A public health approach. JOURNAL OF SPORT AND HEALTH SCIENCE 2019; 8:512-515. [PMID: 31720059 PMCID: PMC6835010 DOI: 10.1016/j.jshs.2019.06.008] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/14/2019] [Revised: 06/10/2019] [Accepted: 06/11/2019] [Indexed: 05/09/2023]
Abstract
•The proportion of school-aged children and adolescents in China who engage in recommended levels of physical activity (PA), in or outside of school time, has been declining for decades.•Current PA promotion policies for Chinese schools are primarily "stand-alone" approaches and their efficacy appears limited.•Re-evaluating the problem from a comprehensive social-ecological perspective within a public health model offers greater potential for developing effective and culturally appropriate interventions to increase PA among Chinese youth.•If the goals of Healthy China 2030, including the prevention of the early onset of chronic diseases among Chinese children and adolescents, are to be met by reversing the trend of declining PA, careful consideration of this new paradigm is imperative.
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Affiliation(s)
- Fuzhong Li
- Oregon Research Institute, Eugene, OR 97403, USA
| | - Lijuan Mao
- Shanghai University of Sport, Shanghai 200438, China
| | - Peijie Chen
- Shanghai University of Sport, Shanghai 200438, China
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Jones RA, Blackburn NE, Woods C, Byrne M, van Nassau F, Tully MA. Interventions promoting active transport to school in children: A systematic review and meta-analysis. Prev Med 2019; 123:232-241. [PMID: 30904600 DOI: 10.1016/j.ypmed.2019.03.030] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/12/2018] [Revised: 02/04/2019] [Accepted: 03/16/2019] [Indexed: 11/17/2022]
Abstract
The systematic review investigated the effectiveness of active travel (AT) interventions on physical activity and fitness in primary school children. The review assessed intervention effectiveness, design, complexity, and study quality. Searches were conducted in five databases on 30/08/2018. Studies with an AT intervention compared to an inactive control, in 4 to 11 year olds, measuring AT or fitness outcomes were included. Two-stage screening identified relevant studies. Relevant data were extracted using Cochrane Extraction Form, Quality Assessment Tool for Quantitative Studies, Active Living by Design model, and intervention Complexity Assessment Tool for Systematic Reviews. Meta-analysis and Cohen's D effect size assessed effectiveness. Seventeen eligible studies were included. Effectiveness assessment found a statistically significant standardised mean difference (SMD) in AT outcomes in favour of the intervention (continuous AT - SMD 0.78 (CI 0.11-1.46); frequency AT - SMD 1.87 (CI 0.88-2.86)). Cohen's D calculation concurred with this finding. Fifteen studies had SMD favouring the intervention - two studies had SMD favouring the control. Sixteen studies received a weak quality rating - one study rated moderate. Active travel shows promise in increasing physical activity in primary school children. The review found walking school buses and educational strategies most effective for increasing relevant outcomes, although overall study quality was weak. Effect size did not associate with the complexity of an intervention, therefore supporting efforts to promote active travel through interventions may be easier to scale. Further intervention studies of greater methodological quality are necessary to confirm these findings due to the limited evidence available.
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Affiliation(s)
- Rebecca A Jones
- Centre for Public Health, Queen's University Belfast, Institute of Clinical Sciences, Block B, Royal Victoria Hospital, Belfast BT12 6BA, United Kingdom.
| | - Nicole E Blackburn
- Centre for Public Health, Queen's University Belfast, Institute of Clinical Sciences, Block B, Royal Victoria Hospital, Belfast BT12 6BA, United Kingdom.
| | | | - Molly Byrne
- Health Behaviour Change Research Group, National University of Ireland Galway, University Road, Galway, Ireland.
| | - Femke van Nassau
- Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Public and Occupational Health, Amsterdam Public Health research institute, Van der Boechorststraat 7, NL-1081 BT Amsterdam, the Netherlands.
| | - Mark A Tully
- Centre for Public Health, Queen's University Belfast, Institute of Clinical Sciences, Block B, Royal Victoria Hospital, Belfast BT12 6BA, United Kingdom; UK Clinical Research Collaboration Centre of Excellence for Public Health, Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, United Kingdom; Institute of Mental Health Sciences, School of Health Sciences, Ulster University, Shore Road, Newtownabbey, Co Antrim BT37 0QB, United Kingdom.
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25
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Mathisen FKS, Kokko S, Tynjälä J, Torsheim T, Wold B. Leisure-time physical activity and participation in organized sports: Changes from 1985 to 2014 in Finland and Norway. Scand J Med Sci Sports 2019; 29:1232-1242. [PMID: 30963637 PMCID: PMC6850294 DOI: 10.1111/sms.13431] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2018] [Revised: 03/01/2019] [Accepted: 04/02/2019] [Indexed: 11/30/2022]
Abstract
Participation in organized sports is a popular and important part of the lives of children and adolescents and is associated with improved psychological and social health, as well as an increased likelihood of meeting physical activity (PA) recommendations. Changes in modern society, including increased car ownership and use of technology and electronic media, have led to an additional focus on the importance of health‐enhancing PA among children and adolescents. The aim of this article was to study the secular changes in self‐reports of participation in organized sports clubs and leisure‐time vigorous physical activity (LVPA), and whether the relationship between participation in organized sports clubs and LVPA has changed from 1985 to 2014. Questionnaire data were collected in two cross‐sectional samples of Finnish and Norwegian 11‐, 13‐ and 15‐year‐olds in 1985/1986 (n = 7137) and 2014 (n = 9218). Overall, participation in organized sports clubs and level of LVPA appears to have changed in the same direction in the two Nordic countries. The proportion of 11‐year‐olds reporting to be participants in organized sports clubs increased from 1985/1986 to 2014. There was an overall increase in self‐reported LVPA. The association between participation in sports clubs and LVPA was stronger in 2014 than in 1985/1986. The findings indicated subgroup differences, in particular with regard to a steeper increase in LVPA and participation in sports clubs among Finnish girls. We suggest that attention should be given to the role of organized sports to better understand secular changes in PA.
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Affiliation(s)
- Frida K S Mathisen
- Department of Health Promotion and Development, University of Bergen, Bergen, Norway
| | - Sami Kokko
- Faculty of Sport and Health Sciences, Research Center for Health Promotion, University of Jyväskylä, Jyväskylä, Finland
| | - Jorma Tynjälä
- Faculty of Sport and Health Sciences, Research Center for Health Promotion, University of Jyväskylä, Jyväskylä, Finland
| | - Torbjørn Torsheim
- Department of Psychosocial Science, University of Bergen, Bergen, Norway
| | - Bente Wold
- Department of Health Promotion and Development, University of Bergen, Bergen, Norway
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Zhu Z, Tang Y, Zhuang J, Liu Y, Wu X, Cai Y, Wang L, Cao ZB, Chen P. Physical activity, screen viewing time, and overweight/obesity among Chinese children and adolescents: an update from the 2017 physical activity and fitness in China-the youth study. BMC Public Health 2019; 19:197. [PMID: 30767780 PMCID: PMC6376726 DOI: 10.1186/s12889-019-6515-9] [Citation(s) in RCA: 92] [Impact Index Per Article: 18.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2018] [Accepted: 02/06/2019] [Indexed: 01/21/2023] Open
Abstract
BACKGROUND With increases in inactive lifestyles and mounting pressure for academic excellence in Chinese younger populations, lack of physical activity and increased prevalence of obesity have become a major public health concern in China. The purpose of this study is to provide updated estimates on the prevalence of meeting moderate-vigorous physical activity (MVPA) and screen viewing time guidelines, and overweight and obesity among Chinese school-aged children and adolescents, with a secondary aim examining variations in prevalence by sex, grade groupings, and residential location. METHODS The study sample came from the 2017 Physical Activity and Fitness in China-The Youth Study, a cross-sectional and national survey of 131,859 students (aged 7 to 19 years) from 986 public schools in China. Measures of MVPA, screen viewing time, and age- and sex-specific overweight and obese body mass index were used to calculate national prevalence estimates of Chinese school-aged children and adolescents. RESULTS In 2017, 34.1% (95% confidence interval [CI], 34.09-34.11%) of children and adolescents met MVPA guidelines and 65.4% (95% CI, 65.39-65.41%) adhered to screen viewing time guidelines. The prevalence of overweight and obesity was 15.1% (95% CI, 15.09-15.11%) and 10.7% (95% CI, 10.69-10.71%), respectively. Prevalence estimates differed by sex (boys, girls), grade grouping (primary schools, junior middle schools, junior high schools), and residential location (rural, urban). CONCLUSIONS There remains a low prevalence of meeting MVPA guidelines and high prevalence of overweight and obesity in Chinese school-aged children and adolescents. Future efforts should focus on monitoring the trend of these behavioral and health risk factors to inform school policies and programs aimed at increasing physical activity and reducing and preventing obesity in younger populations in China.
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Affiliation(s)
- Zheng Zhu
- Shanghai Research Center for Physical Fitness and Health of Children and Adolescents, Shanghai University of Sport, 399 Chang Hai Road, Shanghai, 200438 China
- School of Kinesiology, Shanghai University of Sport, 399 Chang Hai Road, Shanghai, 200438 China
| | - Yan Tang
- Shanghai Research Center for Physical Fitness and Health of Children and Adolescents, Shanghai University of Sport, 399 Chang Hai Road, Shanghai, 200438 China
- School of Physical Education and Sport Training, Shanghai University of Sport, 399 Chang Hai Road, Shanghai, 200438 China
| | - Jie Zhuang
- Shanghai Research Center for Physical Fitness and Health of Children and Adolescents, Shanghai University of Sport, 399 Chang Hai Road, Shanghai, 200438 China
- School of Kinesiology, Shanghai University of Sport, 399 Chang Hai Road, Shanghai, 200438 China
| | - Yang Liu
- Shanghai Research Center for Physical Fitness and Health of Children and Adolescents, Shanghai University of Sport, 399 Chang Hai Road, Shanghai, 200438 China
- School of Physical Education and Sport Training, Shanghai University of Sport, 399 Chang Hai Road, Shanghai, 200438 China
| | - Xueping Wu
- Shanghai Research Center for Physical Fitness and Health of Children and Adolescents, Shanghai University of Sport, 399 Chang Hai Road, Shanghai, 200438 China
- School of Physical Education and Sport Training, Shanghai University of Sport, 399 Chang Hai Road, Shanghai, 200438 China
| | - Yujun Cai
- Shanghai Research Center for Physical Fitness and Health of Children and Adolescents, Shanghai University of Sport, 399 Chang Hai Road, Shanghai, 200438 China
- School of Physical Education and Sport Training, Shanghai University of Sport, 399 Chang Hai Road, Shanghai, 200438 China
| | - Lijuan Wang
- Shanghai Research Center for Physical Fitness and Health of Children and Adolescents, Shanghai University of Sport, 399 Chang Hai Road, Shanghai, 200438 China
- School of Physical Education and Sport Training, Shanghai University of Sport, 399 Chang Hai Road, Shanghai, 200438 China
| | - Zhen-Bo Cao
- Shanghai Research Center for Physical Fitness and Health of Children and Adolescents, Shanghai University of Sport, 399 Chang Hai Road, Shanghai, 200438 China
- School of Kinesiology, Shanghai University of Sport, 399 Chang Hai Road, Shanghai, 200438 China
| | - Peijie Chen
- Shanghai Research Center for Physical Fitness and Health of Children and Adolescents, Shanghai University of Sport, 399 Chang Hai Road, Shanghai, 200438 China
- School of Kinesiology, Shanghai University of Sport, 399 Chang Hai Road, Shanghai, 200438 China
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Alberga AS, Fortier M, Bean C, Freedhoff Y. Youth get a D+ grade in physical activity: How can we change public health messages to help reverse this trend? Appl Physiol Nutr Metab 2019; 44:567-570. [PMID: 30689401 DOI: 10.1139/apnm-2018-0479] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
The purpose of this paper is to critique how the promotion of physical activity (PA) is communicated and offer evidence-based alternative framings to encourage PA in youth. We argue that PA promotion messaging should not be tied to outcomes that focus on changing physical appearance, preventing or treating diseases, or sport performance or competition. From a public health perspective, we suggest that PA should instead focus on campaigns, policies, and programs that tie PA to enjoyment, wellbeing, and play.
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Affiliation(s)
- Angela S Alberga
- a Department of Health, Kinesiology and Applied Physiology, Concordia University, Montreal, QC H4B 1R6, Canada
| | - Michelle Fortier
- b School of Human Kinetics, Faculty of Health Sciences, University of Ottawa, Ottawa, ON K1N 6N5, Canada
| | - Corliss Bean
- c School of Health and Exercise Sciences, The University of British Columbia, Kelowna, BC V1V 1V7, Canada
| | - Yoni Freedhoff
- d Faculty of Medicine, University of Ottawa, Ottawa, ON K1H 8M5, Canada
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28
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Baran J, Weres A, Czenczek-Lewandowska E, Wyszyńska J, Łuszczki E, Dereń K, Sobek G, Więch P. Blood lipid profile and body composition in a pediatric population with different levels of physical activity. Lipids Health Dis 2018; 17:171. [PMID: 30045723 PMCID: PMC6060495 DOI: 10.1186/s12944-018-0817-2] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2018] [Accepted: 07/09/2018] [Indexed: 12/19/2022] Open
Abstract
Background Associations between physical activity and lipid/lipoprotein levels and body composition among pediatric populations are not completely consistent in the literature. Accordingly, the aim of this study was to analyze lipid and lipoprotein profiles and body composition among children and adolescents differentiated according to their level of physical activity. Methods The study sample consisted of 69 participants that ranged from 6 to 17 years of age. Objective measures of physical activity were obtained over 7 days with accelerometers. Total cholesterol (TC), low density lipoprotein (LDL), high density lipoprotein (HDL) and triglycerides (TG) were measured from a fasting blood sample. High-risk values for these lipids/lipoproteins were determined using age- and sex-specific thresholds. Body composition estimates were obtained using a foot-to-foot bioelectrical impedance analysis. Results Almost half (47.8%) of the participants did not meet daily moderate-to-vigorous intensity physical activity (MVPA) recommendations. This group had lower free fat mass (by 5.51%), muscle mass content (by 5.17%), and a higher risk for abnormal HDL level (OR = 4.19) and excessive body fat content (OR = 3.05). Conclusions Participants who met daily recommended MVPA were found to have more favorable HDL and body fat levels compared to those who did not meet these recommendations.
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Affiliation(s)
- Joanna Baran
- Institute of Physiotherapy, Medical Faculty, University of Rzeszów, Rzeszów, Poland
| | - Aneta Weres
- Institute of Physiotherapy, Medical Faculty, University of Rzeszów, Rzeszów, Poland
| | | | - Justyna Wyszyńska
- Institute of Physiotherapy, Medical Faculty, University of Rzeszów, Rzeszów, Poland. .,Centre for Innovative Research in Medical and Natural Sciences', Medical Faculty, University of Rzeszów, Kopisto 2a, 35-959, Rzeszów, Poland.
| | - Edyta Łuszczki
- Institute of Nursing and Health Sciences, Medical Faculty, University of Rzeszów, Rzeszów, Poland
| | - Katarzyna Dereń
- Institute of Nursing and Health Sciences, Medical Faculty, University of Rzeszów, Rzeszów, Poland
| | - Grzegorz Sobek
- Institute of Nursing and Health Sciences, Medical Faculty, University of Rzeszów, Rzeszów, Poland
| | - Paweł Więch
- Institute of Nursing and Health Sciences, Medical Faculty, University of Rzeszów, Rzeszów, Poland
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