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Freire YA, Rosa-Souza FJ, Cabral LLP, Browne RAV, Farias Júnior JC, Waters DL, Mielke GI, Costa EC. Association of 'Tortoise' and 'Hare' movement behavior patterns with cardiometabolic health, body composition, and functional fitness in older adults. Geriatr Nurs 2024; 57:96-102. [PMID: 38608486 DOI: 10.1016/j.gerinurse.2024.04.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2023] [Revised: 03/12/2024] [Accepted: 04/03/2024] [Indexed: 04/14/2024]
Abstract
We investigated the association of movement behavior patterns with cardiometabolic health, body composition, and functional fitness in older adults. A total of 242 older adults participated of this cross-sectional study. Sedentary time, light physical activity (LPA) and moderate-vigorous physical activity (MVPA), steps/day, and step cadence were assessed by accelerometry. The movement behavior patterns were derived by principal component analysis. Cardiometabolic health was defined by a metabolic syndrome score (cMetS). Body composition was determined by appendicular lean mass/body mass index (ALM/BMI). Functional fitness was assessed by a composite z-score from the Senior Fitness Test battery. Two patterns were identified: 'Tortoise' (low sedentary time, high LPA and steps/day) and 'Hare' (high MVPA, steps/day, and step cadence). 'Tortoise' and 'Hare' were associated with better cMetS. 'Hare' was positively associated with ALM/BMI and Functional Fitness. While 'Tortoise' and 'Hare' were associated with better cMetS, only 'Hare' was associated with better ALM/BMI and functional fitness.
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Affiliation(s)
- Yuri A Freire
- ExCE Research Group, Department of Physical Education, Federal University of Rio Grande do Norte, Natal, RN, Brazil; Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal, RN, Brazil
| | - Francisco José Rosa-Souza
- ExCE Research Group, Department of Physical Education, Federal University of Rio Grande do Norte, Natal, RN, Brazil; Graduate Program in Physical Education, Federal University of Rio Grande do Norte, Natal, RN, Brazil
| | - Ludmila L P Cabral
- ExCE Research Group, Department of Physical Education, Federal University of Rio Grande do Norte, Natal, RN, Brazil; Graduate Program in Physical Education, Federal University of Rio Grande do Norte, Natal, RN, Brazil
| | - Rodrigo A V Browne
- ExCE Research Group, Department of Physical Education, Federal University of Rio Grande do Norte, Natal, RN, Brazil; Graduate Program in Physical Education, Federal University of Rio Grande do Norte, Natal, RN, Brazil
| | - José C Farias Júnior
- Department of Physical Education, Federal University of Paraíba, João Pessoa, PB, Brazil
| | - Debra L Waters
- Department of Medicine and School of Physiotherapy, University of Otago, Dunedin, New Zealand; Department of General Internal Medicine/Geriatrics, University of New Mexico, Albuquerque, NM, USA
| | - Gregore I Mielke
- School of Public Health, The University of Queensland, Brisbane, QLD, Australia
| | - Eduardo C Costa
- ExCE Research Group, Department of Physical Education, Federal University of Rio Grande do Norte, Natal, RN, Brazil; Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal, RN, Brazil; Graduate Program in Physical Education, Federal University of Rio Grande do Norte, Natal, RN, Brazil.
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Bonnet CT, Cheval B. Sitting vs. standing: an urgent need to rebalance our world. Health Psychol Rev 2023; 17:673-694. [PMID: 36412920 DOI: 10.1080/17437199.2022.2150673] [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: 01/06/2021] [Accepted: 11/17/2022] [Indexed: 11/23/2022]
Abstract
During their activities of daily living, humans run, walk, stand, sit and lie down. Recent changes in our environment have favored sedentary behavior over more physically active behavior to such a degree that our health is in danger. Here, we sought to address the problem of excessive time spent seated from various theoretical viewpoints, including postural control, human factors engineering, human history and health psychology. If nothing is done now, the high prevalence of sitting will continue to increase. We make a case for the standing position by demonstrating that spending more time upright can mitigate the physiological and psychological problems associated with excessive sitting without lowering task performance and productivity. The psychological literature even highlights potential benefits of performing certain tasks in the standing position. We propose a number of recommendations on spending more time (but not too much) in the standing position and on more active, nonambulatory behaviors. There is a need to inform people about (i) harmful consequences of excessive sitting and (ii) benefits of spending more time performing active, nonambulatory behaviors. One clear benefit is to reduce detrimental health consequences of excessive sitting and to provide potential additional benefits in terms of productivity and performance.
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Affiliation(s)
- Cédrick T Bonnet
- Univ. Lille, CNRS, UMR 9193 - SCALab - Sciences Cognitives et Sciences Affectives, F-59000 Lille, France
| | - Boris Cheval
- Swiss Center for Affective Sciences, University of Geneva, Geneva, Switzerland
- Laboratory for the Study of Emotion Elicitation and Expression (E3Lab), Department of Psychology, University of Geneva, Geneva, Switzerland
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Lee EY, Khan A, Uddin R, Lim E, George L. Six-year trends and intersectional correlates of meeting 24-Hour Movement Guidelines among South Korean adolescents: Korea Youth Risk Behavior Surveys, 2013-2018. JOURNAL OF SPORT AND HEALTH SCIENCE 2023; 12:255-265. [PMID: 33188965 PMCID: PMC10105012 DOI: 10.1016/j.jshs.2020.11.001] [Citation(s) in RCA: 9] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/25/2020] [Revised: 08/05/2020] [Accepted: 09/03/2020] [Indexed: 06/01/2023]
Abstract
BACKGROUND Grounded in intersectionality theory, this study examined the 6-year prevalence trend and correlates in meeting Canada's 24-Hour Movement Guidelines (Guidelines hereafter) in a nationally representative adolescent samples of South Korea (officially the Republic of Korea). METHODS Self-reported, annually repeated cross-sectional data collected between 2013 and 2018 were used (n = 372,433, 12-17 years old, 47.9% females). Adolescents were categorized as meeting or not meeting different sets of physical activity, screen time (ST), and sleep recommendations within the Guidelines, separately for weekdays and weekend days. Intersectional correlates included sex and social class (i.e., family economic status, parental education level, and academic performance). Multiple logistic regression analyses were performed. RESULTS Overall, the proportion of adolescents meeting physical activity, ST, and sleep recommendations were 5.3%, 60.3%, and 10.2% on weekdays and 5.3%, 28.2%, and 46.4% on weekend days, respectively. Between 2013 and 2018, no substantial changes were observed for meeting the physical activity or sleep recommendation, while meeting the ST recommendation was markedly lower in 2018. The proportion of meeting all 3 recommendations were 0.5% for weekdays and 0.8% for weekend days. Overall, compared to female adolescents, male adolescents were consistently associated with more favorable patterns of meeting different sets of recommendations, regardless of social class. Among females only, social class appeared to be not important or even detrimental in meeting different sets of recommendations. Being male, compounded with social class, was associated with meeting the ST recommendation. CONCLUSION Less than 1% of Korean adolescents met the overall Guidelines. Intersectionality-based analysis and intervention may be important in promoting healthy active lifestyles among South Korean adolescents.
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Affiliation(s)
- Eun Young Lee
- School of Kinesiology and Health Studies, Queen's University, Kingston, ON K7L3N6, Canada; Department of Gender Studies, Queen's University, Kingston, ON K7L3N6, Canada.
| | - Asaduzzaman Khan
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD 4072, Australia; Active Healthy Kids Bangladesh (AHKBD), Dhaka 1206, Bangladesh
| | - Riaz Uddin
- Active Healthy Kids Bangladesh (AHKBD), Dhaka 1206, Bangladesh; Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, VIC 3220, Australia
| | - Eva Lim
- Faculty of Health Sciences, Queen's University, Kingston, ON K7L3N6, Canada
| | - Lauren George
- School of Kinesiology and Health Studies, Queen's University, Kingston, ON K7L3N6, Canada
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O’Brien MW, Daley WS, Schwartz BD, Shivgulam ME, Wu Y, Kimmerly DS, Frayne RJ. Characterization of Detailed Sedentary Postures Using a Tri-Monitor ActivPAL Configuration in Free-Living Conditions. SENSORS (BASEL, SWITZERLAND) 2023; 23:587. [PMID: 36679384 PMCID: PMC9866492 DOI: 10.3390/s23020587] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Revised: 12/10/2022] [Accepted: 01/03/2023] [Indexed: 06/17/2023]
Abstract
Objective monitors such as the activPAL characterize time when the thigh is horizontal as sedentary time. However, there are physiological differences between lying, bent-legged sitting, and straight-legged sitting. We introduce a three-monitor configuration to assess detailed sedentary postures and demonstrate its use in characterizing such positions in free-living conditions. We explored time spent in each sedentary posture between prolonged (>1 h) versus non-prolonged (<1 h) sedentary bouts. In total, 35 healthy adults (16♀, 24 ± 3 years; 24 h/day for 6.8 ± 1.0 days) wore an activPAL accelerometer on their thigh, torso, and shin. Hip and knee joint flexion angle estimates were determined during sedentary bouts using the dot-product method between the torso−thigh and thigh−shin, respectively. Compared to lying (69 ± 60 min/day) or straight-legged sitting (113 ± 100 min/day), most time was spent in bent-legged sitting (439 ± 101 min/day, p < 0.001). Most of the bent-legged sitting time was accumulated in non-prolonged bouts (328 ± 83 vs. 112 ± 63 min/day, p < 0.001). In contrast, similar time was spent in straight-legged sitting and lying between prolonged/non-prolonged bouts (both, p > 0.26). We document that a considerable amount of waking time is accumulated in lying or straight-legged sitting. This methodological approach equips researchers with a means of characterizing detailed sedentary postures in uncontrolled conditions and may help answer novel research questions on sedentariness.
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Affiliation(s)
- Myles W. O’Brien
- School of Physiotherapy (Faculty of Health) & Division of Geriatric Medicine (Faculty of Medicine), Dalhousie University, Halifax, NS B3H 4R2, Canada
- Geriatric Medicine Research, Dalhousie University & Nova Scotia Health, Halifax, NS B3H 4R2, Canada
| | - W. Seth Daley
- Division of Kinesiology, School of Health and Human Performance, Faculty of Health, Dalhousie University, Halifax, NS B3H 4R2, Canada
| | - Beverly D. Schwartz
- Division of Kinesiology, School of Health and Human Performance, Faculty of Health, Dalhousie University, Halifax, NS B3H 4R2, Canada
| | - Madeline E. Shivgulam
- Division of Kinesiology, School of Health and Human Performance, Faculty of Health, Dalhousie University, Halifax, NS B3H 4R2, Canada
| | - Yanlin Wu
- Division of Kinesiology, School of Health and Human Performance, Faculty of Health, Dalhousie University, Halifax, NS B3H 4R2, Canada
| | - Derek S. Kimmerly
- Division of Kinesiology, School of Health and Human Performance, Faculty of Health, Dalhousie University, Halifax, NS B3H 4R2, Canada
| | - Ryan J. Frayne
- Division of Kinesiology, School of Health and Human Performance, Faculty of Health, Dalhousie University, Halifax, NS B3H 4R2, Canada
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Luo L, Cao Y, Hu Y, Wen S, Tang K, Ding L, Song N. The Associations between Meeting 24-Hour Movement Guidelines (24-HMG) and Self-Rated Physical and Mental Health in Older Adults-Cross Sectional Evidence from China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:13407. [PMID: 36293984 PMCID: PMC9603641 DOI: 10.3390/ijerph192013407] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/18/2022] [Revised: 10/11/2022] [Accepted: 10/12/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND This study determined the prevalence of older adults (aged 60-80 years) meeting the Canadian 24-HMG alone and in combination, and their association with the self-rated physical health and mental health of older adults. METHODS Participants were drawn from 4134 older adults aged 60-80 years (age, 67.37 ± 0.08 years; 46.87% male) from the China Health and Nutrition Survey (CHNS) 2015 database. Mental health and physical health scores were obtained based on self-rated mental health questionnaires and physical health of older adults. The criteria for meeting the 24-HMG were: physical activity time ≥ 150 min/week, sedentary time ≤ 480 min/day, screen time ≤ 180 min/day, sleep time 7-9 h (60-64 years) and sleep time 7-8 h (65 years and above). Logistic regression models were used to examine the association between meeting the 24-HMG guidelines number and category and older adults' self-rated mental and physical health. RESULTS The proportion of older people meeting three of the 24-HMG guidelines was 1.16%, the proportion meeting two guidelines was 38.19% and the proportion meeting one guideline was 49.14%. The number of people meeting 24-HMG was closely related to the self-rated physical health and mental health of older people. The category meeting 24-HMG was closely related to the self-rated physical health and mental health of older people. CONCLUSIONS Meeting more guidelines in the 24-HMG was strongly associated with older people's self-rated mental health and physical health. However, only a small proportion of older people met all the recommendations, highlighting the need to promote and support adherence to these movement behaviours.
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Affiliation(s)
- Lin Luo
- College of Physical Education, Guizhou Normal University, Guiyang 550001, China
- Basic Education Research Center, Southwest University, Chongqing 400715, China
| | - Yunxia Cao
- College of Physical Education, Guizhou Normal University, Guiyang 550001, China
| | - Yulong Hu
- College of Physical Education, Guizhou Normal University, Guiyang 550001, China
| | - Shaojing Wen
- College of Physical Education, Guizhou Normal University, Guiyang 550001, China
| | - Kaiqi Tang
- College of Physical Education, Guizhou Normal University, Guiyang 550001, China
| | - Lina Ding
- College of Physical Education, Guizhou Normal University, Guiyang 550001, China
| | - Naiqing Song
- Basic Education Research Center, Southwest University, Chongqing 400715, China
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Office workers' perspectives on physical activity and sedentary behaviour: a qualitative study. BMC Public Health 2022; 22:621. [PMID: 35354447 PMCID: PMC8966601 DOI: 10.1186/s12889-022-13024-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2021] [Accepted: 03/15/2022] [Indexed: 01/02/2023] Open
Abstract
Background Office workers spend a significant part of their workday sitting. Interventions that aim to reduce sedentary behaviour and increase physical activity might be more effective if greater attention is paid to individual perspectives that influence behavioural choices, including beliefs and values. This study aimed to gain insight into office workers' perspectives on physical activity and sedentary behaviour. Methods Sixteen Dutch office workers (50% female) from different professions participated in semi-structured face-to-face interviews in March 2019. To facilitate the interviews, participants received a sensitizing booklet one week before the interview. The booklet aimed to trigger them to reflect on their physical activity and sedentary behaviour and on their values in life. All interviews were audiotaped, transcribed verbatim and coded following codebook thematic analysis. Results Six themes were identified: 1) beliefs about health effects are specific regarding physical activity, but superficial regarding sedentary behaviour; 2) in addition to ‘health’ as a value, other values are also given priority; 3) motivations to engage in physical activity mainly stem from prioritizing the value ‘health’, reflected by a desire to both achieve positive short/mid-term outcomes and to prevent long-term negative outcomes; 4) attitudes towards physical inactivity and sedentary behaviour are diverse and depend on individual values and previous experiences; 5) perceived barriers depend on internal and external factors; 6) supporting factors are related to support and information in the social and physical environment. Conclusions The great value that office workers attach to health is reflected in their motivations and attitudes regarding physical activity. Increasing office workers' knowledge of the health risks of prolonged sitting may therefore increase their motivation to sit less. Although ‘health’ is considered important, other values, including social and work-related values, are sometimes prioritized. We conclude that interventions that aim to reduce sedentary behaviour and increase physical activity among office workers could be improved by informing about health effects of sedentary behaviour and short/mid-term benefits of physical activity, including mental health benefits. Moreover, interventions could frame physical activity as congruent with values and support value-congruent choices. Finally, the work environment could support physical activity and interruption of sedentary behaviour. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-022-13024-z.
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Sehn AP, Brand C, Silveira JFDC, Marshall R, Pollo Renner JD, Reuter CP. Integrated role of lifestyle habits in cardiometabolic risk factors according to sex in adolescents. Ann Hum Biol 2022; 49:18-26. [PMID: 35254182 DOI: 10.1080/03014460.2022.2049873] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
Background: A healthy lifestyle should be adopted by young people to maintain cardiometabolic health. Aim: To verify the prevalence and the integrated role of lifestyle habits in cardiometabolic risk factors according to sex in adolescents. Subjects and methods: Cross-sectional study developed with 1,502 adolescents, aged 10 to 17 years. Lifestyle habits included physical activity, screen time and sleep duration evaluated through a questionnaire. Cardiometabolic risk score (CMRS) was calculated by summing z-scores, divided by six. For statistical analyses, multivariable binary and multinomial logistic regression models were used. Results: 80.7% of the boys classified with adverse CMRS presented physical inactivity, compared to normal CMRS. In girls, 42.6% showed inadequate sleep compared to normal CMRS. Boys classified as inactive showed higher odds for obesity, as well as altered triglycerides, and systolic blood pressure, risk for cardiorespiratory fitness (CRF), high waist circumference, and CMRS, compared to the active. A prolonged screen time increased the odds for altered glucose and decreased the odds for altered triglycerides. In girls, inadequate sleep duration presented higher odds for overweight, obesity, risk for CRF, and high CMRS, compared to adequate sleep. Conclusions: Physical activity for boys and sleep duration for girls are important to maintain healthy metabolic health among youth.
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Affiliation(s)
- Ana Paula Sehn
- Graduate Program in Health Promotion. University of Santa Cruz do Sul (UNISC). Santa Cruz do Sul, RS, Brasil
| | - Caroline Brand
- Graduate Program in Health Promotion. University of Santa Cruz do Sul (UNISC). Santa Cruz do Sul, RS, Brasil
| | | | | | - Jane Dagmar Pollo Renner
- Graduate Program in Health Promotion. Life Sciences Department. University of Santa Cruz do Sul (UNISC). Santa Cruz do Sul, RS, Brazil
| | - Cézane Priscila Reuter
- Graduate Program in Health Promotion. Health Sciences Department. University of Santa Cruz do Sul (UNISC). Santa Cruz do Sul, RS, Brazil
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Health Issues Due to the Global Prevalence of Sedentariness and Recommendations towards Achieving a Healthier Behaviour. Healthcare (Basel) 2021; 9:healthcare9080995. [PMID: 34442132 PMCID: PMC8394200 DOI: 10.3390/healthcare9080995] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Revised: 07/29/2021] [Accepted: 07/30/2021] [Indexed: 12/03/2022] Open
Abstract
Sedentariness has progressed in recent years. Here, we summarize the high prevalence of objectively measured sedentariness and the list of health problems associated with sedentariness. According to the literature, a minimum sedentary time of 8 h/d may avoid the harmful effects of sedentariness. Our review of the literature shows that many countries worldwide exceed this threshold. The coronavirus disease 2019 pandemic has increased the proportion of time spent seated in chairs and/or other types of furniture. Furthermore, prolonged sedentariness will continue to increase because it is assumed that people, at least those in desk jobs, perform their work better when sitting than when standing. Many practical solutions should be implemented to help people reduce their sedentary time. People need to be aware that prolonged sedentariness causes health problems. They need to measure the amount of time spent being sedentary to self-guide their behaviour. They should adopt a new lifestyle to avoid prolonged sedentariness and prolonged standing. In addition, we point out that they should frequently change their posture to avoid fatigue and health issues. For global public health, there is an urgent need to adopt an intermediate healthy/healthier behaviour between too much time spent in the sitting and standing positions.
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Shaikh A, Mohapatra S, Chandrasekaran B. "Occupational sitting kills; but who cares?": Quantitative analysis of barriers and facilitators of sedentary behavior in Indian white-collar workers. ARCHIVES OF ENVIRONMENTAL & OCCUPATIONAL HEALTH 2020; 77:96-108. [PMID: 33305687 DOI: 10.1080/19338244.2020.1853018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
The knowledge, attitude and practices of employees and employers toward reducing sedentary behavior (SB) and improving physical activity (PA) at Indian workplaces remain unclear. A bespoke questionnaire assessing barriers and facilitators of occupational SB and PA practices as informed by the theoretical framework and behavioral change wheel model was adapted. Two hundred and three white-collar workers (both employees and managers) from eight corporate sectors were inquired about the SB, and PA practices at workplaces. The dichotomous variables of barriers and facilitators were analyzed by nonparametric tests. Excessive sitters had good knowledge (>75%), good attitude (>85%) but poor workplace SB and PA practice (>90%). Workplace SB, or PA practices differed between employers and employees. Low practice of workplace PA or SB interventions may be due to lack of workplace policies for SB interventions.
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Affiliation(s)
- Alfiya Shaikh
- ELMS Sports Foundation, Reliance Foundation, West Godavari, Andhra Pradesh, India
| | - Sidhiprada Mohapatra
- Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Baskaran Chandrasekaran
- Department of Exercise and Sports Sciences, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India
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Tremblay MS, Ross R. How should we move for health? The case for the 24-hour movement paradigm. CMAJ 2020; 192:E1728-E1729. [PMID: 33288508 DOI: 10.1503/cmaj.202345] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023] Open
Affiliation(s)
- Mark S Tremblay
- CHEO Research Institute, and Department of Pediatrics (Tremblay), Faculty of Medicine, University of Ottawa, Ottawa, Ont.; School of Kinesiology and Health Studies, Faculty of Arts and Sciences, and School of Medicine, Division of Endocrinology and Metabolism (Ross), Queen's University, Kingston, Ont.
| | - Robert Ross
- CHEO Research Institute, and Department of Pediatrics (Tremblay), Faculty of Medicine, University of Ottawa, Ottawa, Ont.; School of Kinesiology and Health Studies, Faculty of Arts and Sciences, and School of Medicine, Division of Endocrinology and Metabolism (Ross), Queen's University, Kingston, Ont
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Hänggi JM, Spinnler S, Christodoulides E, Gramespacher E, Taube W, Doherty A. Sedentary Behavior in Children by Wearable Cameras: Development of an Annotation Protocol. Am J Prev Med 2020; 59:880-886. [PMID: 33160796 DOI: 10.1016/j.amepre.2020.06.033] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/20/2020] [Revised: 06/16/2020] [Accepted: 06/25/2020] [Indexed: 12/20/2022]
Abstract
INTRODUCTION There is increasing evidence that not all types of sedentary behavior have the same harmful effects on children's health. Hence, there has been a growing interest in the use of wearable cameras. The aim of this study is to develop a protocol to categorize children's wearable camera data into sedentary behavior components. METHODS Wearable camera data were collected in 3 different samples of children in 2014. A development sample (3 children aged 4-8 years) was used to design the annotation protocol. A training sample (4 children aged 10 years) was used to train 3 different coders. The independent reliability sample (14 children aged 9-11 years) was used for independent coding of wearable camera images and to estimate inter-rater agreement. Data were analyzed in 2018. Cohen's κ was calculated for every rater pair on a per-participant basis. Means and SDs were then calculated across per-participant κ scores. RESULTS A total of 41,651 images from 14 participants were considered for analysis. Inter-rater agreement over all raters over all the sedentary behavior components was almost perfect (mean κ=0.85, 95% CI=0.83, 0.87). Inter-rater reliability for screen-based sedentary behavior (mean κ=0.72, 95% CI=0.62, 0.82) and nonscreen sedentary behavior (κ=0.69, 95% CI=0.65, 0.72) showed substantial agreement. Inter-rater reliability for location (κ=0.91, 95% CI=0.88, 0.93) showed almost perfect agreement. CONCLUSIONS A reliable annotation protocol to categorize wearable camera data of children into sedentary behavior components was developed. Once applied to larger samples in children, this protocol can ultimately help to better understand the potential harms of screen time and sedentary behavior in children.
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Affiliation(s)
- Johanna M Hänggi
- School of Education, University of Applied Sciences Northwestern Switzerland, Brugg, Switzerland; Movement and Sports Science, Department of Neurosciences and Movement Sciences, University of Fribourg, Fribourg, Switzerland.
| | - Simon Spinnler
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
| | - Efstathios Christodoulides
- Sport and Exercise Science, School of Science, University of Central Lancashire (UCLan) Cyprus, Larnaca, Cyprus
| | - Elke Gramespacher
- School of Education, University of Applied Sciences Northwestern Switzerland, Brugg, Switzerland
| | - Wolfgang Taube
- Movement and Sports Science, Department of Neurosciences and Movement Sciences, University of Fribourg, Fribourg, Switzerland
| | - Aiden Doherty
- Big Data Institute, Li Ka Shing Centre for Health Information and Discovery, University of Oxford, Oxford, United Kingdom; National Institute of Health Research Oxford Biomedical Research Centre, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Oxford, United Kingdom
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Tremblay MS, Rollo S, Saunders TJ. Sedentary Behavior Research Network members support new Canadian 24-Hour Movement Guideline recommendations. JOURNAL OF SPORT AND HEALTH SCIENCE 2020; 9:479-481. [PMID: 33071162 PMCID: PMC7749241 DOI: 10.1016/j.jshs.2020.09.012] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/03/2020] [Accepted: 07/12/2020] [Indexed: 05/02/2023]
Affiliation(s)
- Mark S Tremblay
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, K1H 8L1, Canada; Department of Pediatrics, Faculty of Medicine, University of Ottawa, Ottawa, ON, K1H 8M5, Canada; Department of Health Sciences, Carleton University, Ottawa, ON, K1S 5B6, Canada.
| | - Scott Rollo
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, K1H 8L1, Canada; Department of Pediatrics, Faculty of Medicine, University of Ottawa, Ottawa, ON, K1H 8M5, Canada
| | - Travis J Saunders
- Department of Applied Human Sciences, University of Prince Edward Island, Charlottetown, PEI, C1A 4P3, Canada
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Brenda Biaani LG, Palència L, Puig-Ribera A, Bartoll X, Pérez K. Does adult recreational screen-time sedentary behavior have an effect on self-perceived health? PUBLIC HEALTH IN PRACTICE 2020; 1:100055. [PMID: 36101690 PMCID: PMC9461326 DOI: 10.1016/j.puhip.2020.100055] [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: 06/25/2020] [Revised: 10/28/2020] [Accepted: 11/03/2020] [Indexed: 11/20/2022] Open
Abstract
Objectives Sedentary behavior is a risk factor for comorbidities independently of physical activity. Some studies have reported screen time as an unhealthier form of sedentary behavior. This study assessed the association between recreational screen-time behavior and self-perceived health. Study design This is a cross-sectional study. Methods As part of the Salut als Carrers Project, in 2018 a survey was conducted in a representative sample (n = 795) of residents aged ≥ 18 years living in the borough of Horta, in Barcelona. The survey assessed self-perceived health, recreational screen-time behavior on working and non-working days (Marshall questionnaire), leisure time physical activity (International Physical Activity Questionnaire [IPAQ] long form), socioeconomic status, and age. We analyzed associations between self-perceived health and recreational screen-time sedentary behavior, with adjustment of robust Poisson models for social class, age, and leisure physical activity. All analyses were stratified by gender. Results A total of 82.7% of men and 82.5% of women reported sedentary behavior during recreational screen time of ≥3 h/day on working days, and 63.9% of men and 65.8% of women on non-working days. Spending ≥3 h/day sitting in front of a screen for leisure was associated with poor self-perceived health only on working days for men [PR = 1.87 (1.13-3.09)] but not for women [PR = 1.32 (0.82-2.11)] regardless of leisure physical activity, age, and social class. Conclusions In adults, sedentary behavior during recreational screen time on working days is adversely associated with perceived ill health in men, irrespective of leisure time physical activity. Public health interventions could benefit from promoting a reduction in leisure screen sitting time after working hours.
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Affiliation(s)
| | - Laia Palència
- Agència de Salut Pública de Barcelona (ASPB), Barcelona, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
- Institut d’Investigació Biomédica (IIB Sant Pau), Barcelona, Spain
| | - Anna Puig-Ribera
- Sport and Physical Activity Research Group and Centre for Health and Social Care Research, Department of Physical Activity and Sports Sciences, University of Vic, Central University of Catalonia, Vic, Barcelona, Spain
| | - Xavier Bartoll
- Agència de Salut Pública de Barcelona (ASPB), Barcelona, Spain
- Institut d’Investigació Biomédica (IIB Sant Pau), Barcelona, Spain
| | - Katherine Pérez
- Agència de Salut Pública de Barcelona (ASPB), Barcelona, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
- Institut d’Investigació Biomédica (IIB Sant Pau), Barcelona, Spain
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14
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Ross R, Chaput JP, Giangregorio LM, Janssen I, Saunders TJ, Kho ME, Poitras VJ, Tomasone JR, El-Kotob R, McLaughlin EC, Duggan M, Carrier J, Carson V, Chastin SF, Latimer-Cheung AE, Chulak-Bozzer T, Faulkner G, Flood SM, Gazendam MK, Healy GN, Katzmarzyk PT, Kennedy W, Lane KN, Lorbergs A, Maclaren K, Marr S, Powell KE, Rhodes RE, Ross-White A, Welsh F, Willumsen J, Tremblay MS. Canadian 24-Hour Movement Guidelines for Adults aged 18–64 years and Adults aged 65 years or older: an integration of physical activity, sedentary behaviour, and sleep. Appl Physiol Nutr Metab 2020; 45:S57-S102. [DOI: 10.1139/apnm-2020-0467] [Citation(s) in RCA: 168] [Impact Index Per Article: 42.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
The Canadian Society for Exercise Physiology assembled a Consensus Panel representing national organizations, content experts, methodologists, stakeholders, and end-users and followed an established guideline development procedure to create the Canadian 24-Hour Movement Guidelines for Adults aged 18–64 years and Adults aged 65 years or older: An Integration of Physical Activity, Sedentary Behaviour, and Sleep. These guidelines underscore the importance of movement behaviours across the whole 24-h day. The development process followed the strategy outlined in the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument. A large body of evidence was used to inform the guidelines including 2 de novo systematic reviews and 4 overviews of reviews examining the relationships among movement behaviours (physical activity, sedentary behaviour, sleep, and all behaviours together) and several health outcomes. Draft guideline recommendations were discussed at a 4-day in-person Consensus Panel meeting. Feedback from stakeholders was obtained by survey (n = 877) and the draft guidelines were revised accordingly. The final guidelines provide evidence-based recommendations for a healthy day (24-h), comprising a combination of sleep, sedentary behaviours, and light-intensity and moderate-to-vigorous-intensity physical activity. Dissemination and implementation efforts with corresponding evaluation plans are in place to help ensure that guideline awareness and use are optimized.Novelty First ever 24-Hour Movement Guidelines for Adults aged 18–64 years and Adults aged 65 years or older with consideration of a balanced approach to physical activity, sedentary behaviour, and sleep Finalizes the suite of 24-Hour Movement Guidelines for Canadians across the lifespan
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Affiliation(s)
- Robert Ross
- School of Kinesiology and Health Studies, Queen’s University, Kingston, ON K7L 3N6, Canada
| | - Jean-Philippe Chaput
- Healthy Active Living and Obesity Research Group, Children’s Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 8L1, Canada
| | - Lora M. Giangregorio
- Department of Kinesiology, University of Waterloo, Waterloo, ON N2L 3G1, Canada
- Schlegel-University of Waterloo Research Institute for Aging, University of Waterloo, ON N2J 0E2, Canada
| | - Ian Janssen
- School of Kinesiology and Health Studies, Queen’s University, Kingston, ON K7L 3N6, Canada
| | - Travis J. Saunders
- Department of Applied Human Sciences, University of Prince Edward Island, Charlottetown, PE C1A 4P3, Canada
| | - Michelle E. Kho
- School of Rehabilitation Sciences, McMaster University, Hamilton, ON L8S 1C7, Canada
| | | | - Jennifer R. Tomasone
- School of Kinesiology and Health Studies, Queen’s University, Kingston, ON K7L 3N6, Canada
| | - Rasha El-Kotob
- Department of Kinesiology, University of Waterloo, Waterloo, ON N2L 3G1, Canada
- KITE, Toronto Rehabilitation Institute, University Health Network, Toronto, ON M4G 3V9, Canada
| | - Emily C. McLaughlin
- Department of Kinesiology, University of Waterloo, Waterloo, ON N2L 3G1, Canada
| | - Mary Duggan
- Canadian Society for Exercise Physiology, Ottawa, ON K2A 4B1, Canada
| | - Julie Carrier
- Départment de psychologie, Université de Montréal, Montréal, QC H2V 2S9, Canada
| | - Valerie Carson
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, AB T6G 2H9, Canada
| | - Sebastien F. Chastin
- School of Health and Life Science, Glasgow Caledonian University, Glasgow, G4 0BA, Scotland
- Department of Movement and Sport Sciences, Ghent University, Belgium, Ghent
| | - Amy E. Latimer-Cheung
- School of Kinesiology and Health Studies, Queen’s University, Kingston, ON K7L 3N6, Canada
| | | | - Guy Faulkner
- School of Kinesiology, University of British Columbia, Vancouver, BC V6T 1Z1, Canada
| | - Stephanie M. Flood
- School of Kinesiology and Health Studies, Queen’s University, Kingston, ON K7L 3N6, Canada
| | | | - Genevieve N. Healy
- School of Public Health, University of Queensland, Herston, QLD 4006, Australia
| | | | | | - Kirstin N. Lane
- Canadian Society for Exercise Physiology, Ottawa, ON K2A 4B1, Canada
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC V8P 5C2, Canada
| | | | - Kaleigh Maclaren
- Canadian Society for Exercise Physiology, Ottawa, ON K2A 4B1, Canada
| | - Sharon Marr
- Department of Medicine, Division of Geriatric Medicine, McMaster University, Hamilton, ON L8S 4L8, Canada
| | | | - Ryan E. Rhodes
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC V8P 5C2, Canada
| | - Amanda Ross-White
- Queen’s University Library, Queen’s University, Kingston, ON K7L 3N6, Canada
| | - Frank Welsh
- Canadian Public Health Association, Ottawa, ON K1Z 8R9, Canada
| | - Juana Willumsen
- Department of Health Promotion, World Health Organization, Geneva 27, Switzerland
| | - Mark S. Tremblay
- Healthy Active Living and Obesity Research Group, Children’s Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 8L1, Canada
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15
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da Costa BGG, Chaput JP, Lopes MVV, Malheiros LEA, Tremblay MS, Silva KS. Prevalence and sociodemographic factors associated with meeting the 24-hour movement guidelines in a sample of Brazilian adolescents. PLoS One 2020; 15:e0239833. [PMID: 32986765 PMCID: PMC7521749 DOI: 10.1371/journal.pone.0239833] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Accepted: 09/14/2020] [Indexed: 02/06/2023] Open
Abstract
Background The present cross-sectional study aimed to determine the proportion of adolescents meeting the 24-hour movement guidelines, and investigate sociodemographic factors associated with meeting them. Methods Self-reported (average daily volume of MVPA, sleep duration, and time watching videos and playing videogames) and accelerometer-measured (MVPA and sleep duration) 24-hour movement behaviors were classified according to recommendations, and sex, age, socioeconomic status (SES), family structure, parental education, and number of people in the household were tested as correlates of meeting recommendations using multilevel logistic regressions. Results The proportion of adolescents (n = 867, mean age: 16.4 years, 50.3% girls) meeting the MVPA, ST, and sleep duration guidelines was of 25%, 28%, and 41%, respectively, for self-reported data. From accelerometer data (n = 688), 7.1% met MVPA and 31.7% met sleep duration recommendations. Adherence to all three recommendations was 3% with self-report and 0.2% with accelerometer data. Boys were more likely to meet MVPA, but not ST and sleep-duration recommendations. A positive relationship was observed between age and meeting the ST recommendation. Conclusions Adherence to the sleep duration recommendation was higher than to the screen-time and MVPA recommendations and few in this sample of Brazilian adolescents achieved the 24-hour guidelines. Efforts are needed to improve 24-hour movement behaviors.
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Affiliation(s)
- Bruno G G da Costa
- Research Group in Physical Activity and Health, Universidade Federal de Santa Catarina, Florianópolis, Brazil
| | - Jean-Philippe Chaput
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada
| | - Marcus V V Lopes
- Research Group in Physical Activity and Health, Universidade Federal de Santa Catarina, Florianópolis, Brazil
| | - Luís E A Malheiros
- Research Group in Physical Activity and Health, Universidade Federal de Santa Catarina, Florianópolis, Brazil
| | - Mark S Tremblay
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada
| | - Kelly S Silva
- Research Group in Physical Activity and Health, Universidade Federal de Santa Catarina, Florianópolis, Brazil
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16
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Klepac Pogrmilovic B, Ramirez Varela A, Pratt M, Milton K, Bauman A, Biddle SJH, Pedisic Z. National physical activity and sedentary behaviour policies in 76 countries: availability, comprehensiveness, implementation, and effectiveness. Int J Behav Nutr Phys Act 2020; 17:116. [PMID: 32948193 PMCID: PMC7501705 DOI: 10.1186/s12966-020-01022-6] [Citation(s) in RCA: 46] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Accepted: 09/11/2020] [Indexed: 12/21/2022] Open
Abstract
Background Evidence on current, national physical activity (PA) and sedentary behaviour (SB) policies is limited. We, therefore, analysed availability, comprehensiveness, implementation, and effectiveness of PA and SB policies internationally. Methods In this cross-sectional study, Global Observatory for Physical Activity (GoPA!) Country Contacts from 173 countries were asked to provide data on their national PA and SB policies by completing GoPA! Policy Inventory. Data were collected for 76 countries (response rate = 44%). Results Formal written policies for PA and SB were found in 92% (95% confidence interval [CI]: 86, 98) and 62% (95% CI: 50, 75) of countries, respectively. Sixty-two percent (95% CI: 51, 73) of countries have national PA guidelines, while 40% (95% CI: 29, 52) have SB guidelines. Fifty-two (95% CI: 40, 64) and 11% (95% CI: 3, 19) of countries have quantifiable national targets for PA and SB, respectively. The most represented ministries/departments involved in the promotion of more PA and/or less SB were in the sport (reported by 99% countries; 95% CI: 96, 100), health (97%; 95% CI: 94, 100), education (94%; 95% CI: 88, 100), and recreation and leisure (85%; 95% CI: 71, 99) sectors. The median score (0–10) for the comprehensiveness of PA and SB policies was 4 (95% CI: 4, 5) and 2 (95% CI: 2, 3), respectively. For PA and SB policy implementation it was 6 (95% CI: 5, 6). For the effectiveness of PA and SB policies it was 4 (95% CI: 3, 5) and 3 (95% CI: 2, 4), respectively. PA and SB policies were generally best developed in high-income countries and countries of European and Western-Pacific regions. Conclusions Most of the included countries have PA policies, but their comprehensiveness, implementation, and effectiveness are generally low-to-moderate. SB policies are less available, comprehensive, implemented, and effective than PA policies. PA and SB policies are better developed in high-income countries, compared with low- and lower-middle-income countries, and in countries of European and Western-Pacific regions, compared with other world regions. More investment is needed in development and implementation of comprehensive and effective PA and SB policies, particularly in low- and lower-middle-income countries.
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Affiliation(s)
- Bojana Klepac Pogrmilovic
- Institute for Health and Sport, Victoria University, Ballarat Road, Footscray, Melbourne, VIC, 3001, Australia.,Mitchell Institute, Victoria University, 300 Queen Street, Melbourne, VIC, 3000, Australia
| | | | - Michael Pratt
- University of California San Diego Institute for Public Health, 9500 Gilman Drive, San Diego, USA
| | - Karen Milton
- Norwich Medical School, University of East Anglia, Norwich Research Park, Norwich, Norfolk, NR4 7TJ, UK
| | - Adrian Bauman
- Sydney School of Public Health, University of Sydney, Camperdown, Sydney, NSW, Australia
| | - Stuart J H Biddle
- Centre for Health Research, University of Southern Queensland, 37 Sinnathamby Boulevard, Springfield Central, QLD, 4300, Australia
| | - Zeljko Pedisic
- Institute for Health and Sport, Victoria University, Ballarat Road, Footscray, Melbourne, VIC, 3001, Australia.
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17
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Stamatakis E, Ding D, Hamer M, Bauman AE, Lee IM, Ekelund U. Any public health guidelines should always be developed from a consistent, clear evidence base. Br J Sports Med 2019; 53:1555-1556. [PMID: 30760456 DOI: 10.1136/bjsports-2018-100394] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/25/2019] [Indexed: 01/13/2023]
Affiliation(s)
- Emmanuel Stamatakis
- Charles Perkins Centre, University of Sydney, Sydney, New South Wales, Australia.,Prevention Research Collaboration, Sydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia
| | - Ding Ding
- Charles Perkins Centre, University of Sydney, Sydney, New South Wales, Australia.,Prevention Research Collaboration, Sydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia
| | - Mark Hamer
- Department of Epidemiology and Public Health, University College London, London, UK.,National Centre for Sport & Exercise Medicine, Loughborough University, Loughborough, UK
| | - Adrian E Bauman
- Charles Perkins Centre, University of Sydney, Sydney, New South Wales, Australia.,Prevention Research Collaboration, Sydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia
| | - I-Min Lee
- Division of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.,Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA
| | - Ulf Ekelund
- Department of Sport Medicine, Norwegian School of Sport Sciences, Oslo, Norway.,Nasjonalt Folkehelseinstitutt, Oslo, Norway
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