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López Fernández J, López-Valenciano A, Mayo X, Horton E, Clavel I, Liguori G, Jiménez A. Comparative analysis of reported physical activity from leisure centres' members versus the general population in Spain. BMJ Open 2021; 11:e043963. [PMID: 34187813 PMCID: PMC8245461 DOI: 10.1136/bmjopen-2020-043963] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/21/2020] [Accepted: 06/04/2021] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVES (1) To describe the physical activity (PA) levels of the members of a Spanish leisure centre operator according to age and gender; (2) to describe the differences in the three PA levels between the members of a Spanish leisure centre operator and the general Spanish population considering the PA Eurobarometer data according to their gender and age and (3) to explore the intensity origin of the PA either in Spanish members of leisure centres or the Spanish population considering their gender. DESIGN Descriptive epidemiology study. PARTICIPANTS Data from 16 Spanish leisure centres (n=3627) and from the 2017 Eurobarometer 472 for Spain (n=1002) were used for this research. PRIMARY AND SECONDARY OUTCOMES MEASURES The PA levels were analysed with the International Physical Activity Questionnaire short version, and respondents were grouped into physical inactivity (PIA), moderate-PA and high-PA. Moreover, gender (men or women) and age (18-29 years; 30-44 years; 45-59 years; 60-69 years; ≥70 years) were considered. Total metabolic equivalent (MET)-min/week, as well as total MET-min/week for walking intensity, moderate intensity and vigorous intensity were recorded. RESULTS Leisure centres showed a lower prevalence of PIA and a higher prevalence of high-PA than the general population (p<0.05). Women displayed a higher prevalence of PIA and lower prevalence of high-PA than men (p<0.05). The prevalence of PIA increases with age while the prevalence of high-PA decreases. CONCLUSION Leisure centres engage most of their members in regular PA, including women and older adults, and these members also perform a higher number of MET in vigorous PA, than the general population.
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Affiliation(s)
- Jorge López Fernández
- Centre for Sport, Exercise and Life Sciences, Coventry University, Coventry, UK
- GO fit LAB, Ingesport-GO fit, Alcobendas, Spain
| | - Alejandro López-Valenciano
- Observatory of Healthy & Active Living of Spain Active Foundation, Centre for Sport Studies, King Juan Carlos University, Madrid, Spain
| | - Xián Mayo
- Observatory of Healthy & Active Living of Spain Active Foundation, Centre for Sport Studies, King Juan Carlos University, Madrid, Spain
| | - Elizabeth Horton
- Centre for Sport, Exercise and Life Sciences, Coventry University, Coventry, UK
| | - Ivan Clavel
- Faculty of Sports Sciences and Physical Education, Department of Physical Education and Sports, University of A Coruña, A Coruna, Galicia, Spain
| | - Gary Liguori
- College of Health Sciences, University of Rhode Island, Kingston, Rhode Island, USA
| | - Alfonso Jiménez
- GO fit LAB, Ingesport-GO fit, Alcobendas, Spain
- Observatory of Healthy & Active Living of Spain Active Foundation, Centre for Sport Studies, King Juan Carlos University, Madrid, Spain
- Advanced Wellbeing Research Centre, College of Health, Sheffield Hallam University College of Health Wellbeing and Life Sciences, Sheffield, UK
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Measured resting metabolic rate, respiratory quotient, and body composition in patients with narcolepsy: a preliminary report of a case-control study. Sci Rep 2020; 10:11024. [PMID: 32620831 PMCID: PMC7335078 DOI: 10.1038/s41598-020-67978-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2020] [Accepted: 05/26/2020] [Indexed: 11/09/2022] Open
Abstract
This case–control study compared the body composition, resting metabolic rate (RMR), and respiratory quotient (RQ) of narcolepsy patients with those of body mass index (BMI)- gender and age-matched controls. This study included 14 male patients with narcolepsy and 14 matched controls. The narcolepsy patients were subdivided into two subgroups (n = 7/each): those with cataplexy (NT1) and those without cataplexy (NT2). Anthropometric measurements, bioelectric impedance analysis, and indirect calorimetry were used in addition to the calculation of common body-composition indices (conicity index, abdominal volume index, and body adiposity index). Our results showed no significant difference in fat percentage, fat mass, fat-free mass, and TBW among NT1, NT2, and controls (p > 0.05). Compared to matched controls, there was a reduction of muscle mass in both NT1 and NT2 subgroups. The RMR was similar in all groups, while patients in the NT1/NT2 subgroups had a lower RQ, used more fat and fewer carbohydrates during the fasting period. These findings give an insight into the distinctive state of altered metabolism in patients with narcolepsy, especially the resting metabolic rate, which was not altered in NT1 vs. NT2 compared to the controls when matched for BMI, age, and gender.
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Vasankari V, Halonen J, Husu P, Vähä-Ypyä H, Tokola K, Suni J, Sievänen H, Anttila V, Airaksinen J, Vasankari T, Hartikainen J. Personalised eHealth intervention to increase physical activity and reduce sedentary behaviour in rehabilitation after cardiac operations: study protocol for the PACO randomised controlled trial (NCT03470246). BMJ Open Sport Exerc Med 2019; 5:e000539. [PMID: 31354960 PMCID: PMC6615853 DOI: 10.1136/bmjsem-2019-000539] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/10/2019] [Indexed: 12/15/2022] Open
Abstract
Introduction Personalized intervention to increase physical Activity and reduce sedentary behaviour in rehabilitation after Cardiac Operations (PACO) is a smartphone-based and accelerometer-based eHealth intervention to increase physical activity (PA) and reduce sedentary behaviour (SB) among patients recovering from cardiac surgery. Design Prospective randomised controlled trial. Methods and analysis The present protocol describes a randomised controlled clinical trial to be conducted in the Heart Centres of Kuopio and Turku university hospitals. The trial comprises 540 patients scheduled for elective coronary artery bypass grafting, aortic valve replacement or mitral valve repair. The patients will be randomised into two groups. The control group will receive standard postsurgical rehabilitation guidance. The eHealth intervention group will be given the same guidance together with personalised PA guidance during 90 days after discharge. These patients will receive personalised daily goals to increase PA and reduce SB via the ExSedapplication. Triaxial accelerometers will be exploited to record patients' daily accumulated PA and SB, and transmit them to the application. Using the accelerometer data, the application will provide online guidance to the patients and feedback of accomplishing their activity goals. The data will also be transmitted to the cloud, where a physiotherapist can monitor individual activity profiles and customise the subsequent PA and SB goals online. The postoperative improvement in patients' step count, PA, exercise capacity, quality of sleep, laboratory markers, transthoracic echocardiography (TTE) parameters and quality of life, and reduction in SB and incidence of major cardiac events are investigated as outcomes. Conclusions The PACO intervention aims to build a personalised eHealth tool for the online tutoring of cardiac surgery patients. Trial registration number NCT03470246.
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Affiliation(s)
- Ville Vasankari
- Heart Center, Kuopio University Hospital, Kuopio, Finland.,Department of Medicine, University of Eastern Finland, Kuopio, Finland
| | - Jari Halonen
- Heart Center, Kuopio University Hospital, Kuopio, Finland.,Department of Medicine, University of Eastern Finland, Kuopio, Finland
| | - Pauliina Husu
- UKK Institute for Health Promotion Research, Tampere, Finland
| | - Henri Vähä-Ypyä
- UKK Institute for Health Promotion Research, Tampere, Finland
| | - Kari Tokola
- UKK Institute for Health Promotion Research, Tampere, Finland
| | - Jaana Suni
- UKK Institute for Health Promotion Research, Tampere, Finland
| | - Harri Sievänen
- UKK Institute for Health Promotion Research, Tampere, Finland
| | - Vesa Anttila
- Heart Center, Turku University Hospital, Turku, Finland
| | | | - Tommi Vasankari
- UKK Institute for Health Promotion Research, Tampere, Finland
| | - Juha Hartikainen
- Heart Center, Kuopio University Hospital, Kuopio, Finland.,Department of Medicine, University of Eastern Finland, Kuopio, Finland
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Vasankari V, Husu P, Vähä-Ypyä H, Suni JH, Tokola K, Borodulin K, Wennman H, Halonen J, Hartikainen J, Sievänen H, Vasankari T. Subjects with cardiovascular disease or high disease risk are more sedentary and less active than their healthy peers. BMJ Open Sport Exerc Med 2018; 4:e000363. [PMID: 29765701 PMCID: PMC5950643 DOI: 10.1136/bmjsem-2018-000363] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/13/2018] [Indexed: 01/10/2023] Open
Abstract
Objectives We investigated differences in objectively measured sedentary behaviour (SB) and physical activity (PA) levels in subjects with cardiovascular disease (CVD) diagnosis or high CVD risk compared with healthy controls. Methods The present study includes a subsample (n=1398, Health 2011 Study) of participants, who attended health examinations and wore a triaxial accelerometer (≥4 days). Patients with CVD were identified and CVD risk was calculated for others using Framingham Risk Score (FRS). Participants were categorised into groups: FRS<10%; FRS=10%–30%; FRS>30%/CVD. Raw acceleration data were analysed with mean amplitude deviation (MAD) and angle for posture estimation (APE). MAD corresponding to intensity of PA was converted to metabolic equivalents (MET) and categorised to light (1.5–2.9 METs) and moderate to vigorous PA (MVPA≥3.0 METs). APE recognises SB and standing. Results Daily accumulated time of >30 s MVPA bouts was higher in FRS<10% group (46 min) than in FRS>30%/CVD group (29 min) (p<0.001). FRS>30%/CVD group were more sedentary, their mean daily number of >10 min SB bouts (13.2) was higher than in FRS <10% group (11.5) (p=0.002). Conclusion Number and accumulated times of SB and PA bouts differed between the CVD risk groups. Causative research is required to assess the importance of SB and PA in prevention and rehabilitation of CVDs.
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Affiliation(s)
- Ville Vasankari
- The UKK Institute for Health Promotion Research, Tampere, Finland.,Heart Center, Kuopio University Hospital (KUH), Kuopio, Finland.,The University of Eastern Finland (UEF), Kuopio, Finland
| | - Pauliina Husu
- The UKK Institute for Health Promotion Research, Tampere, Finland
| | - Henri Vähä-Ypyä
- The UKK Institute for Health Promotion Research, Tampere, Finland
| | | | - Kari Tokola
- The UKK Institute for Health Promotion Research, Tampere, Finland
| | - Katja Borodulin
- The National Institute of Health and Welfare (THL), Helsinki, Finland
| | - Heini Wennman
- The National Institute of Health and Welfare (THL), Helsinki, Finland
| | - Jari Halonen
- Heart Center, Kuopio University Hospital (KUH), Kuopio, Finland.,The University of Eastern Finland (UEF), Kuopio, Finland
| | - Juha Hartikainen
- Heart Center, Kuopio University Hospital (KUH), Kuopio, Finland.,The University of Eastern Finland (UEF), Kuopio, Finland
| | - Harri Sievänen
- The UKK Institute for Health Promotion Research, Tampere, Finland
| | - Tommi Vasankari
- The UKK Institute for Health Promotion Research, Tampere, Finland
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Steele J, Fisher J, Skivington M, Dunn C, Arnold J, Tew G, Batterham AM, Nunan D, O’Driscoll JM, Mann S, Beedie C, Jobson S, Smith D, Vigotsky A, Phillips S, Estabrooks P, Winett R. A higher effort-based paradigm in physical activity and exercise for public health: making the case for a greater emphasis on resistance training. BMC Public Health 2017; 17:300. [PMID: 28381272 PMCID: PMC5382466 DOI: 10.1186/s12889-017-4209-8] [Citation(s) in RCA: 78] [Impact Index Per Article: 11.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2016] [Accepted: 03/31/2017] [Indexed: 11/10/2022] Open
Abstract
It is well known that physical activity and exercise is associated with a lower risk of a range of morbidities and all-cause mortality. Further, it appears that risk reductions are greater when physical activity and/or exercise is performed at a higher intensity of effort. Why this may be the case is perhaps explained by the accumulating evidence linking physical fitness and performance outcomes (e.g. cardiorespiratory fitness, strength, and muscle mass) also to morbidity and mortality risk. Current guidelines about the performance of moderate/vigorous physical activity using aerobic exercise modes focuses upon the accumulation of a minimum volume of physical activity and/or exercise, and have thus far produced disappointing outcomes. As such there has been increased interest in the use of higher effort physical activity and exercise as being potentially more efficacious. Though there is currently debate as to the effectiveness of public health prescription based around higher effort physical activity and exercise, most discussion around this has focused upon modes considered to be traditionally 'aerobic' (e.g. running, cycling, rowing, swimming etc.). A mode customarily performed to a relatively high intensity of effort that we believe has been overlooked is resistance training. Current guidelines do include recommendations to engage in 'muscle strengthening activities' though there has been very little emphasis upon these modes in either research or public health effort. As such the purpose of this debate article is to discuss the emerging higher effort paradigm in physical activity and exercise for public health and to make a case for why there should be a greater emphasis placed upon resistance training as a mode in this paradigm shift.
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Affiliation(s)
- James Steele
- School of Sport, Health, and Social Science, Southampton Solent University, Southampton, SO14 0YN UK
| | - James Fisher
- School of Sport, Health, and Social Science, Southampton Solent University, Southampton, SO14 0YN UK
| | - Martin Skivington
- School of Sport, Health, and Social Science, Southampton Solent University, Southampton, SO14 0YN UK
| | - Chris Dunn
- School of Sport, Health, and Social Science, Southampton Solent University, Southampton, SO14 0YN UK
| | - Josh Arnold
- School of Sport, Health, and Social Science, Southampton Solent University, Southampton, SO14 0YN UK
| | - Garry Tew
- Exercise and Health Sciences Department: Sport, Exercise and Rehabilitation, Northumbria University, Newcastle, NE1 8ST UK
| | - Alan M. Batterham
- School of Health and Social Care, Teesside University, Middleborough, TS1 3BA UK
| | - David Nunan
- Centre for Evidence-Based Medicine, Nuffield Department of Primary |Care Health Sciences, University of Oxford, Oxford, OX2 6GG UK
| | - Jamie M. O’Driscoll
- School of Human and Life Sciences, Canterbury Christ Church University, Kent, CT1 1QU UK
| | - Steven Mann
- UK Active Research Institute, UK Active, London, WC1R 4HE UK
| | - Chris Beedie
- School of Human and Life Sciences, Canterbury Christ Church University, Kent, CT1 1QU UK
- UK Active Research Institute, UK Active, London, WC1R 4HE UK
| | - Simon Jobson
- Department of Sport & Exercise, University of Winchester, Winchester, SO22 4NR UK
| | - Dave Smith
- Department of Exercise and Sport Science, Manchester Metropolitan University, Crewe, CW1 5DU UK
| | - Andrew Vigotsky
- Department of Biomedical Engineering, Northwestern University, Evanston, IL USA
| | - Stuart Phillips
- Department of Kinesiology, McMaster University, Hamilton, ON Canada
| | - Paul Estabrooks
- College of Public Health, University of Nebraska Medical Centre, Omaha, NE USA
| | - Richard Winett
- Psychology Department, Virginia Tech, Blacksburg, VA USA
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