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Koh YS, Asharani PV, Devi F, Roystonn K, Wang P, Vaingankar JA, Abdin E, Sum CF, Lee ES, Müller-Riemenschneider F, Chong SA, Subramaniam M. A cross-sectional study on the perceived barriers to physical activity and their associations with domain-specific physical activity and sedentary behaviour. BMC Public Health 2022; 22:1051. [PMID: 35614402 PMCID: PMC9132675 DOI: 10.1186/s12889-022-13431-2] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2022] [Accepted: 05/13/2022] [Indexed: 11/10/2022] Open
Abstract
Background Physical inactivity and sedentary behaviour have detrimental consequences to the individual and the economy. Our study examined the prevalence of perceived barriers to physical activity in Singapore’s adult population and their associations with physical activity and sedentary behaviour. Methods This cross-sectional analysis utilised data from a nationwide survey in Singapore. Participants (n = 2867) were recruited from February 2019 to March 2020. The independent variables were internal (e.g. fatigue, age) and external (e.g. weather, cost) perceived barriers to physical activity. The outcomes were domain-specific physical activity (work, transport and leisure) and sedentary behaviour, all of which were assessed using the Global Physical Activity Questionnaire. The associations were examined using zero-inflated negative binomial regressions for physical activity and linear regression for sedentary behaviour. Results The median (Interquartile range) for work-related, transport-related and leisure-related physical activity were 0 (0 – 1440), 600 (160 – 1120) and 360 (0 – 1080) MET (metabolic equivalent)-minutes per week. The median sedentary behaviour (IQR) was 360 (240 – 540) minutes per day. The top three barriers were lack of time (65.3%), fatigue (64.7%) and pollution (56.1%). After adjustment, the level of transport-related physical activity was lower for respondents who cited lacking pavement or parks as a barrier, but higher for those who indicated cost and safety concerns. Respondents who reported pollution as a barrier were more likely to engage in transport-related physical activity. The level of leisure-related physical activity was lower for respondents indicating weather, lack of time and age as barriers, but higher for those reporting safety concerns. The odds of engaging in leisure-related physical activity was lower for those citing age, cost and fatigue as barriers, but higher for those indicating the weather. Sedentary behaviour was positively associated with work and limited accessibility to exercise facilities, but negatively with safety concerns. Conclusion Individuals can be motivated to overcome internal barriers (fatigue, lack of time, cost and age) through social support and emphasis on exercise benefits. External barriers (weather and lack of pavements or parks) can be reduced by raising awareness of existing infrastructure. Sedentary behaviour can be improved by implementing workplace measures, such as reducing the time spent sitting. Supplementary information The online version contains supplementary material available at 10.1186/s12889-022-13431-2.
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Affiliation(s)
- Yen Sin Koh
- Research Division, Institute of Mental Health, Singapore, Singapore.
| | - P V Asharani
- Research Division, Institute of Mental Health, Singapore, Singapore
| | - Fiona Devi
- Research Division, Institute of Mental Health, Singapore, Singapore
| | | | - Peizhi Wang
- Research Division, Institute of Mental Health, Singapore, Singapore
| | | | - Edimansyah Abdin
- Research Division, Institute of Mental Health, Singapore, Singapore
| | - Chee Fang Sum
- Admiralty Medical Centre, Khoo Teck Puat Hospital, Singapore, Singapore
| | - Eng Sing Lee
- Clinical Research Unit, National Healthcare Group Polyclinics, Singapore, Singapore.,Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore
| | - Falk Müller-Riemenschneider
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.,Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Siow Ann Chong
- Research Division, Institute of Mental Health, Singapore, Singapore
| | - Mythily Subramaniam
- Research Division, Institute of Mental Health, Singapore, Singapore.,Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore
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The Determinants of Walking Behavior before and during COVID-19 in Middle-East and North Africa: Evidence from Tabriz, Iran. SUSTAINABILITY 2022. [DOI: 10.3390/su14073923] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
To support the global strategy to raise public health through walking among adults, we added the evidence on predictors of walking behavior in the Middle East and North Africa (MENA) region by emphasizing the mediator—COVID-19. During the COVID-19 outbreak, public restrictions to encompass the spread of the disease have disrupted normal daily lifestyles, including physical activity and sedentary behavior. It was proposed that tremendous changes have occurred on predictors of physical activity in general and walking behavior in particular for three types of walking, including commute, non-commute, and social walking compared to pre-COVID-19 time. This study aimed to identify the determinants of the walking types mentioned above, including subjective and objective variables before COVID-19, and compare them during the COVID-19 period in a sample from Iran, which has not yet been addressed in previous research. Adults (N = 603) finalized an online survey between June 5 and July 15, 2021. This group reported their individual/socioeconomic locations (e.g., home/work) and perception features before and during COVID-19. The paper developed six Binary Logistic (BL) regression models, with two models for each walking type (commute, non-commute, and social walking). For commute trips before COVID-19, the findings showed that factors including BMI, residential duration, p. (perceived) neighborhood type, p. distance to public transport stations and job/university places, p. sidewalks quality, p. facilities attractiveness, p. existence of shortcut routes, commute distance, building density and distance to public transport were correlated with commute walking. At the same time, such associations were not observed for BMI, p. distance to public transport and job/university places, p. facilities attractiveness, building density, and distance to public transport during COVID-19. The variables include age, possession of a driving license, number of family members, p. neighborhood type, p. distance to grocery, restaurant, parking, and mall, p. existence of sidewalks, land-use mix, and distance to public transport indicated correlations with non-commute before COVID-19. However, p. distance to groceries and malls and the p. existence of sidewalks did not correlate with non-commute walking during COVID-19. Ultimately for social walking, age and income variables, and the considerable proportions of subjective variables (e.g., p. distance to services/land-uses, security, etc.), health status and building density were correlated with social walking before COVID-19. Nevertheless, most of the mentioned variables did not explicitly correlate with social walking during COVID-19. As for the implication of our study, apparently, special actions will be needed by urban authorities to encourage adults to enhance their walkability levels by fully considering both objective and subjective indicators and walking types, which will result in healthier lifestyles.
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A qualitative exploration of the mechanisms, pathways and public health outcomes of a city centre 20mph speed limit intervention: The case of Belfast, United Kingdom. Health Place 2021; 70:102627. [PMID: 34298311 DOI: 10.1016/j.healthplace.2021.102627] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Revised: 06/08/2021] [Accepted: 07/08/2021] [Indexed: 11/23/2022]
Abstract
Twenty miles per hour (mph) speed limits can impact the health of the public (e.g., road safety, active travel). However, a better understanding of how individuals experience 20mph limits is required, to ensure interventions are cognisant of perceptions and potential un/intended outcomes. Focus groups (n = 9, 60 participants) to explore the Belfast 20mph intervention highlighted divergent perspectives and experiences including: 12 mechanisms (e.g., limited awareness), 15 pathways (e.g., reduced driving speed→improved liveability) and 10 public health outcomes (e.g., increased cyclist safety). Future interventions should consider un/intended outcomes and implement strategies to enhance effectiveness and mitigate harms (e.g., through training, enforcement).
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How Is Urban Greenness Spatially Associated with Dockless Bike Sharing Usage on Weekdays, Weekends, and Holidays? ISPRS INTERNATIONAL JOURNAL OF GEO-INFORMATION 2021. [DOI: 10.3390/ijgi10040238] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Dockless bike sharing plays an important role in residents’ daily travel, traffic congestion, and air pollution. Recently, urban greenness has been proven to be associated with bike sharing usage around metro stations using a global model. However, their spatial associations and bike sharing usage on public holidays have seldom been explored in previous studies. In this study, urban greenness was obtained objectively using eye-level greenness with street-view images by deep learning segmentation and overhead view greenness from the normalized difference vegetation index (NDVI). Geographically weighted regression (GWR) was applied to fill the research gap by exploring the spatially varying association between dockless bike sharing usage on weekdays, weekends, and holidays, and urban greenness indicators as well as other built environment factors. The results showed that eye-level greenness was positively associated with bike sharing usage on weekdays, weekends, and holidays. Overhead-view greenness was found to be negatively related to bike usage on weekends and holidays, and insignificant on weekdays. Therefore, to promote bike sharing usage and build a cycling-friendly environment, the study suggests that the relevant urban planner should pay more attention to eye-level greenness exposure along secondary roads rather than the NDVI. Most importantly, planning implications varying across the study area during different days were proposed based on GWR results. For example, the improvement of eye-level greenness might effectively promote bike usage in northeastern and southern Futian districts and western Nanshan on weekdays. It also helps promote bike usage in Futian and Luohu districts on weekends, and in southern Futian and southeastern Nanshan districts on holidays.
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Bourke M, Hilland TA, Craike M. An exploratory analysis of the interactions between social norms and the built environment on cycling for recreation and transport. BMC Public Health 2018; 18:1162. [PMID: 30290776 PMCID: PMC6173852 DOI: 10.1186/s12889-018-6075-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2018] [Accepted: 09/27/2018] [Indexed: 12/01/2022] Open
Abstract
Background There is growing evidence of the public health benefits of promoting cycling. The ways that the built environment and perceived social norms independently influence cycling participation is well established. However, whether these factors interact to influence cycling participation has not been examined. Such research is important because understanding the effect of multiple socio-ecological factors and the interactions between them is needed to guide the development of interventions and strategies to increase cycling participation. Therefore, the aim of this study is to explore the interactive effects of the built environment and perceived social norms on transport and recreational cycling. Methods Data was collected using a self-administered online questionnaire from 228 office workers in Metropolitan Melbourne, Australia. Measures used in previous research were employed to assess self-reported transport and recreation cycling in the last week, perceptions of neighbourhood built environment, perceived social norms towards cycling, and objective land-use mix, residential density and street connectivity of the suburbs in which participants lived and work. Multiple binary logistic regression analyses were conducted to explore the interactive effects of the built environment and perceived social norms on transport and recreation cycling. All interactive effects were considered significant at p < 0.10. Results There was a significant interactive effect between the workplace built environment and perceived group norm on transport cycling (p = 0.06). There were no other significant interactive effects observed between components of the built environment and perceived social norms on transport or recreational cycling. Conclusions The interactive effect found in this study provides some evidence that the workplace built environment interacts with perceived group norms to influence cycling for transport. Positive perceptions of the workplace built environment, such as showers and secure bike racks, can somewhat compensate for the negative influence of when cycling is considered less of a norm among, family, friend or colleagues. However, the findings of this study did not support that the neighbourhood built environment and perceived social norms interact to influence cycling for recreation or transport. These findings contribute to the knowledge of how multiple factors may reciprocate to influence individual’s decision to cycle. More research into the interactive effects of socio-ecological factors is warranted. Electronic supplementary material The online version of this article (10.1186/s12889-018-6075-4) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Matthew Bourke
- Institute for Health and Sport (IHES), Victoria University, PO Box 14428, Melbourne, VIC, 8001, Australia.
| | - Toni A Hilland
- School of Education, College of Design and Social Context, RMIT, PO Box 71, Melbourne, VIC, 3083, Australia
| | - Melinda Craike
- Institute for Health and Sport (IHES), Victoria University, PO Box 14428, Melbourne, VIC, 8001, Australia
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Simons D, De Bourdeaudhuij I, Clarys P, De Cocker K, de Geus B, Vandelanotte C, Van Cauwenberg J, Deforche B. Psychosocial and environmental correlates of active and passive transport behaviors in college educated and non-college educated working young adults. PLoS One 2017; 12:e0174263. [PMID: 28319165 PMCID: PMC5358853 DOI: 10.1371/journal.pone.0174263] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2016] [Accepted: 03/06/2017] [Indexed: 11/19/2022] Open
Abstract
Background This study aimed to examine potential differences in walking, cycling, public transport and passive transport (car/moped/motorcycle) to work and to other destinations between college and non-college educated working young adults. Secondly, we aimed to investigate which psychosocial and environmental factors are associated with the four transport modes and whether these associations differ between college and non-college educated working young adults. Methods In this cross-sectional study, 224 working young adults completed an online questionnaire assessing socio-demographic variables (8 items), psychosocial variables (6 items), environmental variables (10 items) and transport mode (4 types) and duration to work/other destinations. Zero-inflated negative binomial regression models were performed in R. Results A trend (p<0.10) indicated that more college educated compared to non-college educated young adults participated in cycling and public transport. However, another trend indicated that cycle time and public transport trips were longer and passive transport trips were shorter in non-college compared to college educated working young adults. In all working young adults, high self-efficacy towards active transport, and high perceived benefits and low perceived barriers towards active and public transport were related to more active and public transport. High social support/norm/modeling towards active, public and passive transport was related to more active, public and passive transport. High neighborhood walkability was related to more walking and less passive transport. Only in non-college educated working young adults, feeling safe from traffic and crime in their neighborhood was related to more active and public transport and less passive transport. Conclusions Educational levels should be taken into account when promoting healthy transport behaviors in working young adults. Among non-college educated working young adults, focus should be on increasing active and public transport participation and on increasing neighborhood safety to increase active and public transport use. Among college educated working young adults, more minutes of active transport should be encouraged.
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Affiliation(s)
- Dorien Simons
- Unit Health Promotion and Education, Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, Ghent, Belgium
- Research unit Physical Activity, Nutrition and Health, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Pleinlaan 2, Brussels, Belgium
- Research Foundation Flanders, Egmontstraat 5, Brussels, Belgium
- * E-mail:
| | - Ilse De Bourdeaudhuij
- Department of Movement and Sport Sciences, Faculty of Medicine and Health Sciences, Ghent University, Watersportlaan 2, Ghent, Belgium
| | - Peter Clarys
- Research unit Physical Activity, Nutrition and Health, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Pleinlaan 2, Brussels, Belgium
| | - Katrien De Cocker
- Research Foundation Flanders, Egmontstraat 5, Brussels, Belgium
- Department of Movement and Sport Sciences, Faculty of Medicine and Health Sciences, Ghent University, Watersportlaan 2, Ghent, Belgium
| | - Bas de Geus
- Human Physiology Research Group, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Pleinlaan 2, Brussels, Belgium
| | - Corneel Vandelanotte
- Central Queensland University, School for Health, Medical and Applied Science, Physical Activity Research Group, Rockhampton QLD, Australia
| | - Jelle Van Cauwenberg
- Unit Health Promotion and Education, Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, Ghent, Belgium
- Research Foundation Flanders, Egmontstraat 5, Brussels, Belgium
| | - Benedicte Deforche
- Unit Health Promotion and Education, Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, Ghent, Belgium
- Research unit Physical Activity, Nutrition and Health, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Pleinlaan 2, Brussels, Belgium
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Mertens L, Compernolle S, Deforche B, Mackenbach JD, Lakerveld J, Brug J, Roda C, Feuillet T, Oppert JM, Glonti K, Rutter H, Bardos H, De Bourdeaudhuij I, Van Dyck D. Built environmental correlates of cycling for transport across Europe. Health Place 2017; 44:35-42. [PMID: 28157622 DOI: 10.1016/j.healthplace.2017.01.007] [Citation(s) in RCA: 59] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/08/2016] [Revised: 01/10/2017] [Accepted: 01/15/2017] [Indexed: 10/20/2022]
Abstract
This cross-sectional study aimed to determine which objective built environmental factors, identified using a virtual neighbourhood audit, were associated with cycling for transport in adults living in five urban regions across Europe. The moderating role of age, gender, socio-economic status and country on these associations was also investigated. Overall, results showed that people living in neighbourhoods with a preponderance of speed limits below 30km/h, many bicycle lanes, with less traffic calming devices, more trees, more litter and many parked cars forming an obstacle on the road were more likely to cycle for transport than people living in areas with lower prevalence of these factors. Evidence was only found for seven out of 56 possible moderators of these associations. These results suggest that reducing speed limits for motorized vehicles and the provision of more bicycle lanes may be effective interventions to promote cycling in Europe.
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Affiliation(s)
- Lieze Mertens
- Department of Movement and Sport Sciences, Faculty of Medicine and Health Sciences, Ghent University, Watersportlaan 2, B-9000 Ghent, Belgium
| | - Sofie Compernolle
- Department of Movement and Sport Sciences, Faculty of Medicine and Health Sciences, Ghent University, Watersportlaan 2, B-9000 Ghent, Belgium
| | - Benedicte Deforche
- Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, 4k3, B-9000 Ghent, Belgium; Department of Human Biometry and Biomechanics, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Pleinlaan 2, B-1050 Brussels, Belgium
| | - Joreintje D Mackenbach
- Department of Epidemiology and Biostatistics, the EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, the Netherlands
| | - Jeroen Lakerveld
- Department of Epidemiology and Biostatistics, the EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, the Netherlands
| | - Johannes Brug
- Department of Epidemiology and Biostatistics, the EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, the Netherlands
| | - Célina Roda
- Équipe de Recherche en Épidémiologie Nutritionnelle (EREN), Université Paris 13, Centre de Recherche en Épidémiologie et Statistiques, Inserm (U1153), Inra (U1125), Cnam, COMUE Sorbonne Paris Cité, F-93017 Bobigny, France
| | - Thierry Feuillet
- Équipe de Recherche en Épidémiologie Nutritionnelle (EREN), Université Paris 13, Centre de Recherche en Épidémiologie et Statistiques, Inserm (U1153), Inra (U1125), Cnam, COMUE Sorbonne Paris Cité, F-93017 Bobigny, France
| | - Jean-Michel Oppert
- Équipe de Recherche en Épidémiologie Nutritionnelle (EREN), Université Paris 13, Centre de Recherche en Épidémiologie et Statistiques, Inserm (U1153), Inra (U1125), Cnam, COMUE Sorbonne Paris Cité, F-93017 Bobigny, France; Université Pierre et Marie Curie-Paris 6, Department of Nutrition Pitié-Salpêtrière Hospital (AP-HP), Centre for Research on Human Nutrition Ile-de-France (CRNH IdF), Institute of Cardiometabolism and Nutrition (ICAN), Paris, France
| | - Ketevan Glonti
- ECOHOST - The Centre for Health and Social Change, London School of Hygiene and Tropical Medicine, London, UK
| | - Harry Rutter
- ECOHOST - The Centre for Health and Social Change, London School of Hygiene and Tropical Medicine, London, UK
| | - Helga Bardos
- Department of Preventive Medicine, Faculty of Public Health, University of Debrecen, Hungary
| | - Ilse De Bourdeaudhuij
- Department of Movement and Sport Sciences, Faculty of Medicine and Health Sciences, Ghent University, Watersportlaan 2, B-9000 Ghent, Belgium.
| | - Delfien Van Dyck
- Department of Movement and Sport Sciences, Faculty of Medicine and Health Sciences, Ghent University, Watersportlaan 2, B-9000 Ghent, Belgium
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Lakerveld J, Glonti K, Rutter H. Individual and contextual correlates of obesity-related behaviours and obesity: the SPOTLIGHT project. Obes Rev 2016; 17 Suppl 1:5-8. [PMID: 26879108 DOI: 10.1111/obr.12384] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/21/2015] [Accepted: 12/22/2015] [Indexed: 12/19/2022]
Affiliation(s)
- J Lakerveld
- Department of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands
| | - K Glonti
- ECOHOST - The Centre for Health and Social Change, London School of Hygiene and Tropical Medicine, London, UK
| | - H Rutter
- ECOHOST - The Centre for Health and Social Change, London School of Hygiene and Tropical Medicine, London, UK
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