1
|
Ross R, Janssen I, Tremblay MS. Public health importance of light intensity physical activity. JOURNAL OF SPORT AND HEALTH SCIENCE 2024; 13:674-675. [PMID: 38307207 DOI: 10.1016/j.jshs.2024.01.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/11/2024] [Accepted: 01/20/2024] [Indexed: 02/04/2024]
Affiliation(s)
- Robert Ross
- School of Kinesiology and Health Studies, Queen's University, Kingston, ON K7L 3N6, Canada; School of Medicine, Division of Endocrinology and Metabolism, Queen's University, Kingston, ON K7L 3N6, Canada.
| | - Ian Janssen
- School of Kinesiology and Health Studies, Queen's University, Kingston, ON K7L 3N6, Canada
| | - 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, University of Ottawa, Ottawa, ON K1H 8L1, Canada
| |
Collapse
|
2
|
Husu P, Vähä-Ypyä H, Tokola K, Sievänen H, Rocha P, Vasankari T. Reliability and Validity of Self-Reported Questionnaires Assessing Physical Activity and Sedentary Behavior in Finland. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:686. [PMID: 38928933 PMCID: PMC11203568 DOI: 10.3390/ijerph21060686] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/21/2024] [Revised: 05/24/2024] [Accepted: 05/25/2024] [Indexed: 06/28/2024]
Abstract
Reliable and valid data on physical activity (PA) and sedentary behavior (SB) are needed for implementing evidence-based interventions and policies. Monitoring of these behaviors is based on PA questionnaires (PAQs) and device-based measurements, but their comparability is challenging. The present study aimed to investigate the test-retest reliability and concurrent validity of Finnish versions of the widely used PAQs (IPAQ-SF, EHIS-PAQ, GPAQ, Eurobarometer) and to compare their data with accelerometer data. This study is based on the Finnish data of the European Union Physical Activity and Sport Monitoring project (EUPASMOS). Participants (n = 62 adults, 62% women) answered the PAQs twice, one week apart, and wore an accelerometer for these seven consecutive days. Intraclass correlations, Spearman's rank correlations, t-tests, and Cohen's kappa with bootstrap confidence intervals were used to analyze the data. The PAQs had typically moderate-to-good test-retest reliability (ICC 0.22-0.78), GPAQ, EHIS-PAQ, and Eurobarometer showing the highest reliability. The PAQs correlated with each other when assessing sitting and vigorous PA (R = 0.70-0.97) and had a fair-to-substantial agreement when analyzing adherence to the PA recommendations (74-97%, Cohen's kappa 0.25-0.73). All the PAQs had a poor criterion validity against the accelerometry data. The Finnish versions of the PAQs are moderately reliable and valid for assessing PA, adherence to PA recommendations and sitting among adult participants. However, the poor criterion validity against accelerometer data indicates that PAQs assess different aspects of PA constructs compared to accelerometry.
Collapse
Affiliation(s)
- Pauliina Husu
- The UKK Institute for Health Promotion Research, Kaupinpuistonkatu 1, FI-33500 Tampere, Finland; (P.H.); (H.V.-Y.); (K.T.); (H.S.)
| | - Henri Vähä-Ypyä
- The UKK Institute for Health Promotion Research, Kaupinpuistonkatu 1, FI-33500 Tampere, Finland; (P.H.); (H.V.-Y.); (K.T.); (H.S.)
| | - Kari Tokola
- The UKK Institute for Health Promotion Research, Kaupinpuistonkatu 1, FI-33500 Tampere, Finland; (P.H.); (H.V.-Y.); (K.T.); (H.S.)
| | - Harri Sievänen
- The UKK Institute for Health Promotion Research, Kaupinpuistonkatu 1, FI-33500 Tampere, Finland; (P.H.); (H.V.-Y.); (K.T.); (H.S.)
| | - Paulo Rocha
- Portuguese Institute for Sport and Youth, 1250-190 Lisbon, Portugal;
| | - Tommi Vasankari
- The UKK Institute for Health Promotion Research, Kaupinpuistonkatu 1, FI-33500 Tampere, Finland; (P.H.); (H.V.-Y.); (K.T.); (H.S.)
- Faculty of Medicine and Health Technology, Military Medicine, Tampere University, Kalevantie 4, FI-33014 Tampere, Finland
| |
Collapse
|
3
|
Burger JW, Mafuze B, Brooker J, Patricios JS. Championing mental health: sport and exercise psychiatry for low- and middle-income countries using a model from South Africa. Br J Sports Med 2024; 58:519-521. [PMID: 38599682 DOI: 10.1136/bjsports-2024-108248] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/04/2024] [Indexed: 04/12/2024]
Affiliation(s)
- James W Burger
- Division of Neuropsychiatry, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, Western Cape, South Africa
- HIV Mental Health Research Group, Neuroscience Institute, University of Cape Town, Cape Town, South Africa
| | - Bonginkosi Mafuze
- Department of Psychiatry, School of Clinical Medicine, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa
| | - Janine Brooker
- Department of Psychiatry, School of Clinical Medicine, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa
- Alan J Flisher Centre for Public Mental Health, Cape Town, South Africa
| | - Jon S Patricios
- Wits Sport and Health (WiSH), School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| |
Collapse
|
4
|
Vähä-Ypyä H, Husu P, Sievänen H, Vasankari T. Measurement of Sedentary Behavior-The Outcomes of the Angle for Posture Estimation (APE) Method. SENSORS (BASEL, SWITZERLAND) 2024; 24:2241. [PMID: 38610452 PMCID: PMC11014150 DOI: 10.3390/s24072241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/30/2024] [Revised: 03/28/2024] [Accepted: 03/29/2024] [Indexed: 04/14/2024]
Abstract
Hip-worn accelerometers are commonly used to assess habitual physical activity, but their accuracy in precisely measuring sedentary behavior (SB) is generally considered low. The angle for postural estimation (APE) method has shown promising accuracy in SB measurement. This method relies on the constant nature of Earth's gravity and the assumption that walking posture is typically upright. This study investigated how cardiorespiratory fitness (CRF) and body mass index (BMI) are related to APE output. A total of 3475 participants with adequate accelerometer wear time were categorized into three groups according to CRF or BMI. Participants in low CRF and high BMI groups spent more time in reclining and lying postures (APE ≥ 30°) and less time in sitting and standing postures (APE < 30°) than the other groups. Furthermore, the strongest partial Spearman correlation with CRF (r = 0.284) and BMI (r = -0.320) was observed for APE values typical for standing. The findings underscore the utility of the APE method in studying associations between SB and health outcomes. Importantly, this study emphasizes the necessity of reserving the term "sedentary behavior" for studies wherein the classification of SB is based on both intensity and posture.
Collapse
Affiliation(s)
- Henri Vähä-Ypyä
- The UKK Institute for Health Promotion Research, 33500 Tampere, Finland; (P.H.); (H.S.); (T.V.)
| | - Pauliina Husu
- The UKK Institute for Health Promotion Research, 33500 Tampere, Finland; (P.H.); (H.S.); (T.V.)
| | - Harri Sievänen
- The UKK Institute for Health Promotion Research, 33500 Tampere, Finland; (P.H.); (H.S.); (T.V.)
| | - Tommi Vasankari
- The UKK Institute for Health Promotion Research, 33500 Tampere, Finland; (P.H.); (H.S.); (T.V.)
- Faculty of Medicine and Health Technology, Tampere University, 33014 Tampere, Finland
| |
Collapse
|
5
|
Huang Z, Huang R, Xu X, Fan Z, Xiong Z, Liang Q, Guo Y, Liao X, Zhuang X. Long-term physical activity time-in-target range in young adults with cardiovascular events in later life. Eur J Prev Cardiol 2024; 31:461-469. [PMID: 38123512 DOI: 10.1093/eurjpc/zwad403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/25/2023] [Revised: 11/26/2023] [Accepted: 12/06/2023] [Indexed: 12/23/2023]
Abstract
AIMS Achieving at least 150 min per week of moderate-to-vigorous physical activity (PA) is a 'Class I, A level' recommendation for the primary prevention of cardiovascular disease. However, long-term PA is a complex behaviour and varied by lifetime, which was insufficiently reflected by the current studies. This study used time-in-target range (TTR) to measure the long-term PA level during young adulthood and investigated its relationship with cardiovascular events in later life. METHODS AND RESULTS Participants in the Coronary Artery Risk Development in Young Adults study were recruited (n = 2902) and allocated into four groups by PA TTR: <25% (n = 1028), 25 to <50% (n = 444), 50 to <75% (n = 424), 75 to 100% (n = 1006). TTR was estimated with linear interpolation across the first 15 years. The primary outcome was a composite of cardiovascular events. The mean (SD) age after the exposure period was 40.3 (3.6) years. After a median follow-up for an additional 18.9 years, the participants with a TTR of at least 75% had a 40% lower risk of the primary outcome (HR: 0.60; 95%CI: 0.38 to 0.95) compared with the lowest TTR group. Each 1-SD increase in TTR was also significantly associated with a 21% decreased risk of the primary outcome (HR: 0.79; 95%CI: 0.65-0.97). CONCLUSION Increasing PA is essential in young adulthood. In young adults, maintaining long-term guidelines-recommended PA levels may help to lower the risk of cardiovascular events in later life. Maintaining the guidelines-recommended PA level for at least 75% of time across young adulthood may be preferable.
Collapse
Affiliation(s)
- Zihao Huang
- Department of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-sen University, 58 Zhongshan 2nd Road, Guangzhou 510080, People's Republic of China
| | - Rihua Huang
- Department of Cardiology, The First Affiliated Hospital, Sun Yat-sen University, 58 Zhongshan 2nd Road, Guangzhou 510080, People's Republic of China
- NHC Key Laboratory of Assisted Circulation and Vascular Diseases, Sun Yat-sen University, 74 Zhongshan 2nd Road, Guangzhou 510080, People's Republic of China
| | - Xinghao Xu
- Department of Cardiology, The First Affiliated Hospital, Sun Yat-sen University, 58 Zhongshan 2nd Road, Guangzhou 510080, People's Republic of China
- NHC Key Laboratory of Assisted Circulation and Vascular Diseases, Sun Yat-sen University, 74 Zhongshan 2nd Road, Guangzhou 510080, People's Republic of China
| | - Ziyan Fan
- Department of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-sen University, 58 Zhongshan 2nd Road, Guangzhou 510080, People's Republic of China
| | - Zhenyu Xiong
- Department of Cardiology, The First Affiliated Hospital, Sun Yat-sen University, 58 Zhongshan 2nd Road, Guangzhou 510080, People's Republic of China
- NHC Key Laboratory of Assisted Circulation and Vascular Diseases, Sun Yat-sen University, 74 Zhongshan 2nd Road, Guangzhou 510080, People's Republic of China
| | - Qi Liang
- Department of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-sen University, 58 Zhongshan 2nd Road, Guangzhou 510080, People's Republic of China
| | - Yue Guo
- Department of Cardiology, The First Affiliated Hospital, Sun Yat-sen University, 58 Zhongshan 2nd Road, Guangzhou 510080, People's Republic of China
- NHC Key Laboratory of Assisted Circulation and Vascular Diseases, Sun Yat-sen University, 74 Zhongshan 2nd Road, Guangzhou 510080, People's Republic of China
| | - Xinxue Liao
- Department of Cardiology, The First Affiliated Hospital, Sun Yat-sen University, 58 Zhongshan 2nd Road, Guangzhou 510080, People's Republic of China
- NHC Key Laboratory of Assisted Circulation and Vascular Diseases, Sun Yat-sen University, 74 Zhongshan 2nd Road, Guangzhou 510080, People's Republic of China
| | - Xiaodong Zhuang
- Department of Cardiology, The First Affiliated Hospital, Sun Yat-sen University, 58 Zhongshan 2nd Road, Guangzhou 510080, People's Republic of China
- NHC Key Laboratory of Assisted Circulation and Vascular Diseases, Sun Yat-sen University, 74 Zhongshan 2nd Road, Guangzhou 510080, People's Republic of China
| |
Collapse
|