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Mendoza-Muñoz M, Castillo-Paredes A, Muñoz-Bermejo L, Pérez-Gómez J, Adsuar JC, Brazo-Sayavera J, Pastor-Cisneros R. A regional Report Card on physical activity in children and adolescents: The case of Extremadura (Spain) in the Global Matrix 4.0. J Exerc Sci Fit 2024; 22:23-30. [PMID: 38021205 PMCID: PMC10679889 DOI: 10.1016/j.jesf.2023.10.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Revised: 10/26/2023] [Accepted: 10/30/2023] [Indexed: 12/01/2023] Open
Abstract
Background/objective This study presents the first Report Card from Extremadura (Spain), concerning the 4th edition of Global Matrix (GM), which aimed to provide an assessment of Physical Activity (PA) in children and adolescents based on 10 common indicators defined by GM. Methods This Report Card was developed by 34 experts from 8 public institutions and 5 research groups from Extremadura and audited by the Active Healthy Kids Global Alliance (AHKGA). All documents, up to July 2021, were analyzed to grade the 10 indicators according to the benchmarks set out by the AHKGA (scale ranging from A to F). Results Information was reported in 8 of the 10 indicators, only Active Play and Active Transportation were not reported due to a lack of local information. The other 8 indicators were graded as follows: Overall Physical Activity: F; Organized Sport and Physical Activity: D+, Sedentary Behavior: D, Physical Fitness: C+, Family and Peers: A, School: C+, Community and Environment: B, and Government: C-. In addition, some of the indicators were evaluated according to gender; boys scored higher than girls in Overall Physical Activity (D-vs. F); Organized Sport and Physical Activity (C vs. D) and Physical Fitness (C- vs. D+). Conclusion The first Report Card from Extremadura in the GM initiative revealed low compliance with international guidelines on PA and sedentary behavior. Despite high grades for sources of influence, the implemented actions have not been effective yet, and there is no information on Active Play and Active Transportation. These results will allow regional authorities to act at a more local level, as Extremadura's administrative framework allows public administrations and political institutions to act in terms of legislative and budgetary powers among others, which is important for resource allocation.
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Affiliation(s)
- María Mendoza-Muñoz
- Research Group on Physical and Health Literacy and Health-Related Quality of Life (PHYQOL), Faculty of Sport Sciences, University of Extremadura, 10003, Caceres, Spain
- Departamento de Desporto e Saúde, Escola de Saúde e Desenvolvimento Humano, Universidade de Évora, Largo dos Colegiais 2, 7000-645, Évora, Portugal
| | - Antonio Castillo-Paredes
- Grupo Investigación en Actividad Física y Salud Escolar, Escuela de Pedagogía en Educación Física (AFySE), Facultad de Educación, Universidad de Las Américas, Santiago, 8370040, Chile
| | - Laura Muñoz-Bermejo
- Social Impact and Innovation in Health (InHEALTH), University Centre of Mérida, University of Extremadura, 06800Merida, Spain
| | - Jorge Pérez-Gómez
- Health, Economy, Motricity and Education (HEME) Research Group, Faculty of Sport Sciences, University of Extremadura, 10003, Cáceres, Spain
| | - José C. Adsuar
- Promoting a Healthy Society Research Group (PheSo), Faculty of Sport Sciences, University of Extremadura, 10003, Caceres, Spain
| | - Javier Brazo-Sayavera
- Department of Sports and Computer Science, Universidad Pablo de Olavide, 41013, Seville, Spain
| | - Raquel Pastor-Cisneros
- Promoting a Healthy Society Research Group (PheSo), Faculty of Sport Sciences, University of Extremadura, 10003, Caceres, Spain
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Yan L, Liu L, Wang F, Hu X. Construction and validation of safe care theory for older inpatients from the perspective of socio-ecological model: a study protocol. BMJ Open 2023; 13:e072770. [PMID: 37852758 PMCID: PMC10603482 DOI: 10.1136/bmjopen-2023-072770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/15/2023] [Accepted: 09/07/2023] [Indexed: 10/20/2023] Open
Abstract
INTRODUCTION In an ageing society, older adults are the main users of healthcare services, and Chinese healthcare systems have been struggling to meet the care demand of older adults. Due to the illness, many older inpatients cannot finish daily activities independently and require healthcare from caregivers. Evaluating the care needs of older adults and exploring the factors affecting safe care at multiple levels are conducive to providing systematic care services for older inpatients. This study aims to examine which and how factors impact safe care for older inpatients and propose a safe care theory to provide directions on improving the safe care system in the hospital. METHODS AND ANALYSIS A mixed-methods study with three interrelated research streams will be designed. (1) A safe care concept model: we will conduct a scoping review to extract the facilitators and barriers influencing the safe care of older inpatients and construct a concept model based on the socio-ecological model and the Yorkshire Contributory Factors Framework. (2) A safe care theory model: we will conduct a qualitative study with thematic analysis (aimed at older inpatients, caregivers and nurses) to define the concept connotations and propose a theory model. (3) A safe care theory: we will use the scales related to the theory model to test the concepts and statements. We will revise the theory model and derive a safe care theory based on the mixed-methods study results. This study will start in October 2023 and end in October 2025. ETHICS AND DISSEMINATION This study was approved by the ethics committee (No. 20221598). All participants will be provided with consent forms prior to data collection. The study will be disseminated via peer-reviewed manuscripts and conferences. TRIAL REGISTRATION NUMBER ChiCTR2300067421.
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Affiliation(s)
- Lupei Yan
- Innovation Center of Nursing Research and Nursing Key Laboratory of Sichuan Province, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China
| | - Li Liu
- Innovation Center of Nursing Research and Nursing Key Laboratory of Sichuan Province, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China
| | - Fang Wang
- Innovation Center of Nursing Research and Nursing Key Laboratory of Sichuan Province, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China
| | - Xiuying Hu
- Innovation Center of Nursing Research and Nursing Key Laboratory of Sichuan Province, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China
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Wongsingha N, Widyastari DA, Chokthananukoon B, Rasri N, Katewongsa P. Assessing physical activity promotion in different settings and how its associated with public participation during COVID-19 epidemic: evidence from national policy evaluation. BMC Public Health 2023; 23:1775. [PMID: 37700247 PMCID: PMC10496167 DOI: 10.1186/s12889-023-16690-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Accepted: 09/04/2023] [Indexed: 09/14/2023] Open
Abstract
BACKGROUND Various interventions, programs and policies have been implemented to improve physical activity (PA) levels worldwide. However, countries continue to face barriers and challenges in achieving their targets. To date, there is a lack of study on the evaluation of physical activity (PA) promotion and how it's associated with public participation. METHODS This study assessed PA promotion in eight different settings in terms of policy availability, policy implementation, and public participation in PA programs. Policy availability was assessed by reviewing 384 policy and strategy documents, rules, regulations, legislation, and guidelines on PA. We scored the documents by using the Comprehensive Analysis of Policy on Physical Activity (CAPPA) framework. Data to assess policy implementation and public participation were taken from the Thailand Report Card Survey 2021 (TRC2021), and the Thailand Surveillance on Physical Activity (SPA) 2021. Both surveys comprised over 5,000 nationally-representative samples from on-screen, face-to-face interviews, and an online self-administered survey. We scored the policy implementation and public participation based on respondents' response towards policy implementation and participation indicators. A grading scheme was applied to indicate how successful an investment has been made. RESULTS Public education and mass media received the highest average score in policy availability, implementation and public participation in PA program (67.9%, grade B), followed by active urban design (66.1%, grade B-) and active transport (63.7%, grade B-). Workplace, whole-of-school, and community-wide initiatives were the investments with the lowest scores, implying low availability, limited implementation, and less accessibility to public. Females were less likely to participate in active transport, active urban design, sports/recreation for all, workplace activity, and community-wide initiatives. Age and educational attainment were consistent predictors of utilization in all investments. CONCLUSIONS With varying degrees of policy availability and accessibility, public participation in PA investments is likely to be constrained by biological and socioeconomic inequality. Future investments should aim at providing generalized or tailored interventions to ensure equal access and participation for all segments of the population.
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Affiliation(s)
- Narakorn Wongsingha
- Thailand Physical Activity Knowledge Development Centre (TPAK), Salaya, Phutthamonthon, Nakhon Pathom, 73170 Thailand
| | - Dyah Anantalia Widyastari
- Thailand Physical Activity Knowledge Development Centre (TPAK), Salaya, Phutthamonthon, Nakhon Pathom, 73170 Thailand
- Institute for Population and Social Research, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom, 73170 Thailand
| | - Burathep Chokthananukoon
- Thailand Physical Activity Knowledge Development Centre (TPAK), Salaya, Phutthamonthon, Nakhon Pathom, 73170 Thailand
- Institute for Population and Social Research, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom, 73170 Thailand
| | - Niramon Rasri
- Thai Health Promotion Foundation, Thung Maha Mek, Sathorn, Bangkok, 10120 Thailand
| | - Piyawat Katewongsa
- Thailand Physical Activity Knowledge Development Centre (TPAK), Salaya, Phutthamonthon, Nakhon Pathom, 73170 Thailand
- Institute for Population and Social Research, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom, 73170 Thailand
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Hosokawa R, Fujimoto M, Katsura T. Parental support for physical activity and children's physical activities: a cross-sectional study. BMC Sports Sci Med Rehabil 2023; 15:90. [PMID: 37491297 PMCID: PMC10367251 DOI: 10.1186/s13102-023-00700-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Accepted: 07/06/2023] [Indexed: 07/27/2023]
Abstract
BACKGROUND Physical activity (PA) in school-aged children is imperative for physical and mental development. However, there has been reduced PA among children in recent years owing to environmental changes, resulting in declining physical strength and athletic ability. Although parents' and children's PA has been found to be correlated, the specific parental caregiving attitudes associated with children's actual levels of PA during school-age years remain unknown. Therefore, this study aimed to examine the relationship between parental support for PA and children's levels of PA. METHODS In 2017, a self-reported questionnaire survey was administered to 1,515 third-grade students (8-9 years old) and their caregivers in Nagoya, Aichi, a major metropolitan area in Japan. The main items surveyed included the attitudes of children and parents towards PA and the children's actual PA level. Multiple regression analysis was conducted with parental involvement related to PA as the explanatory variable and children's PA as the objective variable. RESULTS In total, 717 children with valid responses were included in the analysis. The mean age of the children was 9.08 ± 0.33 years; 366 (51.0%) were boys, and 351 (49.0%) were girls. For moderate-to-vigorous and vigorous PA, PA levels tended to be significantly higher in children whose parents provided logistic support such as enrolling their children in a sports club. However, for moderate PA and walking, PA levels tended to be significantly higher in children whose parents used community resources. Modeling and limiting sedentary activities were not associated with children's PA. CONCLUSIONS The results of this study suggest that direct parental assistance for PA such as logistic support encourages children to engage in moderate-to-vigorous PA; in addition, parental use of community resources may encourage children to engage in moderate and light PA such as walking. Conversely, indirect and negative involvement such as modeling and limiting sedentary activities were not associated with children's PA. Therefore, logistic support may need to be strengthened to encourage moderate-to-vigorous and vigorous PA, which is important for children's health.
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Affiliation(s)
- Rikuya Hosokawa
- Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, 53 Kawara-cho Shogo-in Sakyo-ku, Kyoto, 606-8507, Japan.
| | - Megumi Fujimoto
- Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, 53 Kawara-cho Shogo-in Sakyo-ku, Kyoto, 606-8507, Japan
- Faculty of Nursing Science, Osaka Seikei University, Osaka, 533-0007, Japan
| | - Toshiki Katsura
- Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, 53 Kawara-cho Shogo-in Sakyo-ku, Kyoto, 606-8507, Japan
- Faculty of Nursing, Meiji University of Integrative Medicine, Kyoto, 629-0392, Japan
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Lee EY, Shih AC, Collins M, Kim YB, Nader PA, Bhawra J, Katapally TR, Tanaka C, Saonuam P, Katewongsa P, Widyastari DA, Huang WY, Wong SH, Khan A, Subedi N, Paudel S, Chang CK, Wu CL, Jeon JY, Kim YS, Loney T, Müller-Riemenschneider F, Chen B, Cagas JY, Wong JE, Shahril MR, Mahendra A, Tremblay MS. Report card grades on physical activity for children and adolescents from 18 Asian countries: Patterns, trends, gaps, and future recommendations. J Exerc Sci Fit 2023; 21:34-44. [DOI: 10.1016/j.jesf.2022.10.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Revised: 10/20/2022] [Accepted: 10/23/2022] [Indexed: 11/09/2022] Open
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Widyastari DA, Saonuam P, Pongpradit K, Wongsingha N, Choolers P, Kesaro S, Thangchan W, Pongpaopattanakul P, Phankasem K, Musor ME, Autchaworaphong P, Muensakda P, Chaiprasit K, Yousomboon C, Mansing W, Aunampai A, Nilwatta N, Iamyam W, Rasri N, Katewongsa P. Results from the Thailand 2022 report card on physical activity for children and youth. J Exerc Sci Fit 2022; 20:276-282. [PMID: 35812824 PMCID: PMC9241088 DOI: 10.1016/j.jesf.2022.06.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Revised: 06/03/2022] [Accepted: 06/05/2022] [Indexed: 11/26/2022] Open
Abstract
Background/objective The effort to create physical activity (PA) opportunities for Thai youth, prior to 2020, was making good progress. However, the unexpected advent of the Covid-19 epidemic has posed significant challenges to maintain PA level of youth. The Thailand 2022 Report Card on Physical Activity for Children and Youth presents measurements of PA-related indicators based on the Global Matrix, with additional indicators that are relevant for childhood development. Methods Several data sources were employed to develop the indicators, namely: 1) The Thailand Report Card Survey 2021; 2) School health and facility data; 3) Student health indicators from the Ministry of Public Health; and 4) Relevant resources to support the development of the policy indicator. Results Overall, only 27% of Thai children and youth met the 60-min PA daily threshold (grade D). While behavioral indicators were mostly graded ‘poor’ (between C and F), the source of influence (i.e., family) indicators showed better grades (between A and C). One-third (33%) of the youngsters suffered from moderate-to-severe level of stress/anxiety (grade B). Overweight and sleep indicators received grades of A or A-, whereas bullying and student engagement received a grade of B. The performance on the physical literacy indicator was graded C+. Conclusion With the main message “Let's Move - Boost Happiness,” the results from Thailand 2022 Report Card call for a collaborative effort involving multiple sectors to improve PA and happiness of children and youth. A more comprehensive PA promotion strategy is required to provide clear direction and guidance for schools, families, and communities in order to maintain gains and raise the overall level of youth PA in Thailand.
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An M, Chen T, Zhou Q, Ma J. Paternal and maternal support of moderate-to-vigorous physical activity in children on weekdays and weekends: a cross-sectional study. BMC Public Health 2021; 21:1776. [PMID: 34592977 PMCID: PMC8482694 DOI: 10.1186/s12889-021-11730-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2020] [Accepted: 09/03/2021] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND Most studies of associations between parental support behaviours for physical activity (PA) and children's moderate-to-vigorous physical activity (MVPA) have been conducted in developed countries, and they have focused on maternal or parental support behaviours. Children's MVPA time (i.e., weekdays vs. weekends) has not been adequately differentiated. This paper investigated the associations of paternal and maternal support behaviours for PA with the proportion of children who met the MVPA recommendations on weekdays and weekends in China. METHODS Cross-sectional data of 517 father-child dyads and 1422 mother-child dyads were analysed. The children recorded PA diaries on 7 consecutive days to assess their MVPA time. The father or mother completed a questionnaire concerning their support for children's PA. Multivariate logistic regression was used to investigate the independent effects of paternal and maternal support behaviours for PA on whether children met the MVPA recommendations for weekdays, weekends, and the whole week. RESULTS Significantly fewer children met the MVPA recommendations on weekends (37.8%) than on weekdays (62.8%). Higher paternal (odds ratio [OR] = 1.098, 95% confidence interval [CI]: 1.009-1.195) and maternal (OR = 1.076, 95% CI: 1.021-1.134) total support behaviour scores were associated with higher odds of children meeting the MVPA recommendations on weekends, after controlling for covariates. Paternal PA knowledge-sharing with the child was positively associated with children meeting the MVPA recommendations on weekends (OR = 1.319, 95% CI: 1.055-1.649); it tended to be associated with children meeting the MVPA recommendations on weekdays and throughout the week, although these associations were not statistically significant. Maternal reservation of PA time for the child was positively associated with a higher likelihood of children meeting the MVPA recommendations on weekdays (OR = 1.160, 95% CI: 1.025-1.313), weekends (OR = 1.241, 95% CI: 1.097-1.403), and throughout the week (OR = 1.214, 95% CI: 1.076-1.369). CONCLUSIONS Paternal and maternal support behaviours for PA should be enhanced on weekends to increase children's MVPA. Fathers should share PA knowledge with children and mothers should reserve PA time for children every day.
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Affiliation(s)
- Meijing An
- Institute of Child and Adolescent Health, School of Public Health, Peking University, No. 38 Xueyuan Road, Haidian District, Beijing, 100191 China
- Department of Maternal and Child Health, School of Public Health, Peking University, No. 38 Xueyuan Road, Haidian District, Beijing, 100191 China
| | - Tianjiao Chen
- Institute of Child and Adolescent Health, School of Public Health, Peking University, No. 38 Xueyuan Road, Haidian District, Beijing, 100191 China
| | - Qianling Zhou
- Department of Maternal and Child Health, School of Public Health, Peking University, No. 38 Xueyuan Road, Haidian District, Beijing, 100191 China
| | - Jun Ma
- Institute of Child and Adolescent Health, School of Public Health, Peking University, No. 38 Xueyuan Road, Haidian District, Beijing, 100191 China
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Widyastari DA, Saonuam P, Rasri N, Pongpradit K, Katewongsa P. Prevalence and Trends of Physical Activity in Thai Children and Young People: Pooled Panel Data Analysis from Thailand's Surveillance on Physical Activity 2012-2020. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:10088. [PMID: 34639389 PMCID: PMC8508253 DOI: 10.3390/ijerph181910088] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/11/2021] [Revised: 09/19/2021] [Accepted: 09/20/2021] [Indexed: 12/26/2022]
Abstract
This study aims to describe the level and trends of physical activity (PA) in Thai children and young people and examine PA changes during transitional periods. Employing nine rounds of Thailand's Surveillance on Physical Activity (SPA) 2012-2020, this study pooled three sets of data and included children and young people aged 6-17 years in the analysis: 1595 in SPA2012-2016, 1287 in SPA2017-2019, and 853 persons in SPA2020. Face-to-face interviews were conducted in five regions, 13 provinces, and 36 villages in SPA2012-2019, whereas an online survey was administered in all provinces in SPA2020. The prevalence of sufficient moderate-to-vigorous PA (MVPA) among Thais aged 6-17 years ranged from 19.0 percent to 27.6 percent, with a significant drop during the period of COVID-19 spread in 2020. The average daily MVPA ranged from 46 to 57 min and dropped to 36 min during the pandemic. Boys were consistently more active than girls in all nine rounds of the SPA, and girls had more difficulty in maintaining or improving their PA level. A significant increase in the proportion of Thai children and young people with sufficient MVPA was observed during their transition from late primary to early secondary school grades.
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Affiliation(s)
- Dyah Anantalia Widyastari
- Institute for Population and Social Research, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom 73170, Thailand;
| | - Pairoj Saonuam
- Thai Health Promotion Foundation, Thung Maha Mek, Sathon, Bangkok 10120, Thailand; (P.S.); (N.R.)
| | - Niramon Rasri
- Thai Health Promotion Foundation, Thung Maha Mek, Sathon, Bangkok 10120, Thailand; (P.S.); (N.R.)
| | - Kornkanok Pongpradit
- Thailand Physical Activity Knowledge Development Centre (TPAK), Salaya, Phutthamonthon, Nakhon Pathom 73170, Thailand;
| | - Piyawat Katewongsa
- Institute for Population and Social Research, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom 73170, Thailand;
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