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Rogers AE, Schenkelberg MA, Stoepker P, Westmark D, Srivastava D, Dzewaltowski DA. Indicators of community physical activity resources and opportunities and variation by community sociodemographic characteristics: A scoping review. Prev Med Rep 2024; 40:102656. [PMID: 38435416 PMCID: PMC10904198 DOI: 10.1016/j.pmedr.2024.102656] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2023] [Revised: 02/09/2024] [Accepted: 02/11/2024] [Indexed: 03/05/2024] Open
Abstract
Objective This scoping review synthesizes studies examining community-level variability in physical activity resource (assets) and opportunity (organized group physical activity services) availability by community sociodemographic characteristics to describe methodologies for measuring resources/opportunities, indicators characterizing availability, and associations between community-level sociodemographic characteristics and availability. Methods A systematic search was conducted in MEDLINE, CINAHL, PsycINFO, and Scopus for literature through 2022. Eligible studies quantitatively examined measures of physical activity resource/opportunity availability by community-level racial, ethnic, and/or socioeconomic characteristics within geospatially defined communities. Extracted data included: community geospatial definitions, sociodemographic characteristics assessed, methodologies for measuring and indicators of community physical activity resource/opportunity availability, and study findings. Results Among the 46 included studies, community geospatial units were defined by 28 different community boundaries (e.g., town), and 13% of studies were conducted in rural areas. Nearly all (98%) studies measured community-level socioeconomic status, and 45% of studies measured race/ethnicity. A total of 41 indicators of physical activity resource/opportunity availability were identified. Most studies (91%) assessed built environment resources (e.g., parks), while 8.7% of studies assessed opportunities (e.g., programs). Of 141 associations/differences between community sociodemographic characteristics and resource/opportunity availability, 29.8% indicated greater availability in communities of higher socioeconomic status or lower prevalence of minority populations. The remaining findings were in the opposite direction (9.2%), non-significant (36.9%), or mixed (24.1%). Conclusions Variability in physical activity resources/opportunities by community sociodemographic characteristics was not consistently evident. However, the indicators synthesized may be useful for informing population health improvement efforts by illuminating the physical and social conditions impacting population physical activity outcomes.
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Affiliation(s)
- Ann E. Rogers
- Department of Health Promotion, College of Public Health, University of Nebraska Medical Center, 984365 Nebraska Medical Center, Omaha, NE 68198-4365, USA
| | - Michaela A. Schenkelberg
- School of Health and Kinesiology, College of Education, Health, and Human Sciences, University of Nebraska at Omaha, 6001 Dodge Street, Omaha, NE 68182, USA
| | - Peter Stoepker
- Department of Kinesiology, College of Health and Human Sciences, Kansas State University, 920 Denison Avenue, Manhattan, KS 66506, USA
| | - Danielle Westmark
- Leon S. McGoogan Health Sciences Library, University of Nebraska Medical Center, 986705 Nebraska Medical Center, Omaha, NE 68198-6705, USA
| | - Deepa Srivastava
- Department of Child, Youth and Family Studies, College of Education and Human Sciences, University of Nebraska-Lincoln, 840 N 14 Street, Lincoln, NE 68588-0236, USA
| | - David A. Dzewaltowski
- Department of Health Promotion, College of Public Health, University of Nebraska Medical Center, 984365 Nebraska Medical Center, Omaha, NE 68198-4365, USA
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Aznar S, Jimenez-Zazo F, Romero-Blanco C, Gómez SF, Homs C, Wärnberg J, Medrano M, Gusi N, Gonzalez-Gross M, Marín-Cascales E, González-Valeiro MÁ, Serra-Majem L, Terrados N, Tur JA, Segu M, Lassale C, Colom-Fernández A, Labayen I, Sánchez-Gómez J, Alcaraz PE, Sevilla-Sanchez M, Zapico AG, Herrera-Ramos E, Pulgar S, Bibilonii MDM, Sistac C, Schröder H, Molina-García J. Walkability and socio-economic status in relation to walking, playing and sports practice in a representative Spanish sample of youth: The PASOS study. PLoS One 2024; 19:e0296816. [PMID: 38489321 PMCID: PMC10942037 DOI: 10.1371/journal.pone.0296816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2022] [Accepted: 12/19/2023] [Indexed: 03/17/2024] Open
Abstract
PURPOSE Physical activity (PA) provides multiple health-related benefits in children and adolescents, however, at present, the majority of young people are insufficiently physically active. The aim of this study was to evaluate if neighborhood walkability and/or socio-economic status (SES) could affect the practice of walking, play outdoors and sports practice in a representative sample of Spanish children and adolescents. METHODS A sample of 4092 youth (aged 8-16 years old) from 245 primary and secondary schools in 121 localities from each of the 17 Spanish autonomous communities participated in the study. Walk Score was used to evaluate walkability of the neighborhood and household income was used as an indicator of SES. A 7-item self-reported validated questionnaire, was used to assess PA levels, and in a subsample of 10% of the participants, randomly selected from the entire sample, PA was objectively measured by accelerometers. RESULTS Youth from more walkable areas reported more minutes walking per day compared with those from less walkable neighborhoods (51.4 vs 48.8 minutes, respectively). The lowest average minutes spent in playing outdoors was found among participants from low-SES and low-walkable neighborhoods. Neighborhood SES influenced on the participation in team sports during the weekend, being this participation higher in high SES neighborhoods. CONCLUSION Providing high walkable environments seems a good strategy to promote PA regardless SES levels. It seems that improving the walkability is a key component to partially overcome the SES inequalities, especially in urban areas with low SES. High-SES environments can offer better sports facilities and more organized physical activities than low-SES ones.
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Affiliation(s)
- Susana Aznar
- PAFS Research Group, Department of Physical Activity and Sports Sciences, Faculty of Sports Sciences, University of Castilla-La Mancha, Toledo, Spain
- CIBER of Frailty and Healthy Aging (CIBERFES), Madrid, Spain
| | - Fabio Jimenez-Zazo
- PAFS Research Group, Department of Physical Activity and Sports Sciences, Faculty of Sports Sciences, University of Castilla-La Mancha, Toledo, Spain
| | - Cristina Romero-Blanco
- PAFS Research Group, Department of Nursery, Physiotherapy and Occupational Therapy, University of Castilla-La Mancha, Ciudad Real, Spain
| | - Santiago F. Gómez
- Gasol Foundation, Sant Boi de Llobregat, Barcelona, Spain
- GREpS, Health Education Research Group, Nursing and Physiotherapy Department, University of Lleida, Lleida, Spain
- Ciber Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Spain
- Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain
- Cardiovascular Risk and Nutrition Research Group, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain
| | - Clara Homs
- Gasol Foundation, Sant Boi de Llobregat, Barcelona, Spain
- GRoW, Global Research on Wellbeing, Blanquerna School of Life Sciences, University Ramon Llull, Barcelona, Spain
| | - Julia Wärnberg
- EpiPHAAN Research Group, School of Health Sciences, University of Málaga–Instituto de Investigación Biomédica en Málaga (IBIMA), Málaga, Spain
- Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBERobn), Institute of Health Carlos III, Madrid, Spain
| | - Maria Medrano
- ELIKOS Group, Institute for Innovation & Sustainable Development in Food Chain (IS-FOOD), Public University of Navarra, Navarra, Spain
| | - Narcís Gusi
- Physical Activity and Quality of Life Research Group (AFYCAV), Faculty of Sport Sciences, University of Extremadura, Cáceres, Spain
| | - Marcela Gonzalez-Gross
- Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBERobn), Institute of Health Carlos III, Madrid, Spain
- ImFINE Research Group, Department of Health and Human Performance, Universidad Politécnica de Madrid, Madrid, Spain
| | - Elena Marín-Cascales
- Research Center for High Performance Sport, Catholic University of Murcia, Murcia, Spain
- Faculty of Sport Sciences, UCAM, Catholic University of Murcia, Murcia, Spain
| | | | - Lluis Serra-Majem
- Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBERobn), Institute of Health Carlos III, Madrid, Spain
- Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, Las Palmas, Spain
- Preventive Medicine Service, Centro Hospitalario Universitario Insular Materno Infantil (CHUIMI), Canarian Health Service, Las Palmas, Spain
| | - Nicolás Terrados
- Regional Unit of Sports Medicine, Municipal Sports Foundation of Avilés, Asturias, Spain
| | - Josep A. Tur
- Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBERobn), Institute of Health Carlos III, Madrid, Spain
- Research Group of Community Nutrition & Oxidative Stress, University of the Balearic Islands-IUNICS & Health Research Institute of the Balearic Islands (IDISBA), Palma de Mallorca, Spain
| | | | - Camille Lassale
- Ciber Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Spain
| | - Antoni Colom-Fernández
- EpiPHAAN Research Group, School of Health Sciences, University of Málaga–Instituto de Investigación Biomédica en Málaga (IBIMA), Málaga, Spain
- Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBERobn), Institute of Health Carlos III, Madrid, Spain
| | - Idoia Labayen
- ELIKOS Group, Institute for Innovation & Sustainable Development in Food Chain (IS-FOOD), Public University of Navarra, Navarra, Spain
| | - Jesús Sánchez-Gómez
- Physical Activity and Quality of Life Research Group (AFYCAV), Faculty of Sport Sciences, University of Extremadura, Cáceres, Spain
| | - Pedro Emilio Alcaraz
- Research Center for High Performance Sport, Catholic University of Murcia, Murcia, Spain
- Faculty of Sport Sciences, UCAM, Catholic University of Murcia, Murcia, Spain
| | - Marta Sevilla-Sanchez
- Faculty of Sports Sciences and Physical Education, University of A Coruña, A Coruña, Spain
| | - Augusto G. Zapico
- ImFINE Research Group, Department of Health and Human Performance, Universidad Politécnica de Madrid, Madrid, Spain
- Department of Language, Arts and Physical Education, Universidad Complutense de Madrid, Madrid, Spain
| | - Estefanía Herrera-Ramos
- Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, Las Palmas, Spain
| | - Susana Pulgar
- Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, Las Palmas, Spain
| | - Maria del Mar Bibilonii
- Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBERobn), Institute of Health Carlos III, Madrid, Spain
- Research Group of Community Nutrition & Oxidative Stress, University of the Balearic Islands-IUNICS & Health Research Institute of the Balearic Islands (IDISBA), Palma de Mallorca, Spain
| | | | - Helmut Schröder
- Ciber Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Spain
- Cardiovascular Risk and Nutrition Research Group, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain
| | - Javier Molina-García
- AFIPS Research Group, Department of Teaching of Physical Education, Arts and Music, University of Valencia, Valencia, Spain
- Epidemiology and Environmental Health Joint Research Unit, FISABIO-Universitat Jaume I-Universitat de València, València, Spain
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Cereijo L, Gullón P, Del Cura I, Valadés D, Bilal U, Franco M, Badland H. Exercise facility availability and incidence of type 2 diabetes and complications in Spain: A population-based retrospective cohort 2015-2018. Health Place 2023; 81:103027. [PMID: 37087897 DOI: 10.1016/j.healthplace.2023.103027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Revised: 04/03/2023] [Accepted: 04/04/2023] [Indexed: 04/25/2023]
Abstract
BACKGROUND To study the association between exercise facility availability and type 2 diabetes incidence and its complications, and to explore effect modification by socioeconomic status (SES) and sex in the Madrid adult population. METHODS A multilevel longitudinal design, based on a population-based retrospective cohort including 1,214,281 residents of Madrid (Spain) aged 40-75 years from 2015 to 2018. Outcomes were type 2 diabetes incidence and macrovascular (cardiac ischemia and/or stroke) and microvascular (chronic kidney disease, retinopathy, and/or peripheral vascular disease) complications in those with diabetes at baseline. Exercise facility availability was defined as the count of exercise facilities in a 1000 m street network buffer around each participant's residence. Poisson regression models with robust standard errors were used to estimate the risk ratios (RR). Interactions were explored with SES tertiles and by sex. RESULTS Residents living in areas with lower exercise facility availability showed higher risk of type 2 diabetes (RRtertile3vs1 = 1.25, CI95% 1.21-1.30) as well as macrovascular (RRTertile3vs1 = 1.09 CI95% 1.00-1.19), and microvascular (RRTertile3vs1 = 1.10 CI95% 1.01-1.19) complications. Associations were strongest in low SES areas for type 2 diabetes (RRtertile3vs1-LOW-SES = 1.22, CI95% 1.12-1.32; RRtertile3vs1-HIGH-SES = 0.91, CI95% 0.85-0.98) and microvascular complications (RRtertile3vs1-LOW-SES = 1.12, CI95% 0,94-1,33; RRtertile3vs1-HIGH-SES = 0.88, CI95% 0.73-1.05). CONCLUSIONS Living in areas with lower availability of exercise facilities was associated with a greater risk of type 2 diabetes and its complications. Increasing exercise opportunities, particularly in low SES areas, could help reduce the social gradient of diabetes and its complications.
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Affiliation(s)
- Luis Cereijo
- Universidad de Alcalá, Facultad de Medicina y Ciencias de la Salud, Departamento de Cirugía, Ciencias Médicas y Sociales, Grupo de investigación en epidemiología y salud pública, Alcalá de Henares, Madrid, Spain; Universidad de Alcalá, Facultad de Medicina y Ciencias de la Salud, Departamento de Ciencias Biomédicas, Grupo de investigación en gestión y entrenamiento deportivo, Alcalá de Henares, Madrid, Spain; Centre for Urban Research, RMIT University, Melbourne, Australia.
| | - Pedro Gullón
- Universidad de Alcalá, Facultad de Medicina y Ciencias de la Salud, Departamento de Cirugía, Ciencias Médicas y Sociales, Grupo de investigación en epidemiología y salud pública, Alcalá de Henares, Madrid, Spain; Centre for Urban Research, RMIT University, Melbourne, Australia.
| | - Isabel Del Cura
- Unidad de investigación de atención primaria, Gerencia de Atención Primaria, Madrid, Spain; Departamento de especialidades médicas y salud pública, University Rey Juan Carlos, Madrid, Spain; Red de Investigación en Servicios de Salud y Enfermedades Crónicas (REDISSEC) & Red de la Red de Investigación en Cronicidad, Atención Primaria y Promoción de la Salud (RICAPPs) ISCIII, Madrid, Spain; Instituto de Investigación Sanitaria Gregorio Marañon. IiSGM, Madrid, Spain.
| | - David Valadés
- Universidad de Alcalá, Facultad de Medicina y Ciencias de la Salud, Departamento de Ciencias Biomédicas, Grupo de investigación en gestión y entrenamiento deportivo, Alcalá de Henares, Madrid, Spain.
| | - Usama Bilal
- Urban Health Collaborative, Drexel Dornsife School of Public Health, Philadelphia, PA, USA; Department of Epidemiology and Biostatistics, Drexel Dornsife School of Public Health, Philadelphia, PA, USA.
| | - Manuel Franco
- Universidad de Alcalá, Facultad de Medicina y Ciencias de la Salud, Departamento de Cirugía, Ciencias Médicas y Sociales, Grupo de investigación en epidemiología y salud pública, Alcalá de Henares, Madrid, Spain; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
| | - Hannah Badland
- Centre for Urban Research, RMIT University, Melbourne, Australia.
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Homs C, Berruezo P, Arcarons A, Wärnberg J, Osés M, González-Gross M, Gusi N, Aznar S, Marín-Cascales E, González-Valeiro MÁ, Serra-Majem L, Terrados N, Tur JA, Segú M, Fitó M, Benavente-Marín JC, Labayen I, Zapico AG, Sánchez-Gómez J, Jiménez-Zazo F, Alcaraz PE, Sevilla-Sanchez M, Herrera-Ramos E, Pulgar-Muñoz S, Bouzas C, Milà R, Schröder H, Gómez SF. Independent and Joined Association between Socioeconomic Indicators and Pediatric Obesity in Spain: The PASOS Study. Nutrients 2023; 15:nu15081987. [PMID: 37111206 PMCID: PMC10143028 DOI: 10.3390/nu15081987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Revised: 04/14/2023] [Accepted: 04/18/2023] [Indexed: 04/29/2023] Open
Abstract
Childhood obesity is a public health problem worldwide. An important determinant of child and adolescent obesity is socioeconomic status (SES). However, the magnitude of the impact of different SES indicators on pediatric obesity on the Spanish population scale is unclear. The aim of this study was to assess the association between three SES indicators and obesity in a nationwide, representative sample of Spanish children and adolescents. A total of 2791 boys and girls aged 8 to 16 years old were included. Their weight, height, and waist circumference were measured. SES was assessed using two parent/legal guardian self-reported indicators (educational level -University/non-University- and labor market status -Employed/Unemployed-). As a third SES indicator, the annual mean income per person was obtained from the census section where the participating schools were located (≥12.731€/<12.731€). The prevalence of obesity, severe obesity, and abdominal obesity was 11.5%, 1.4%, and 22.3%, respectively. Logistic regression models showed an inverse association of both education and labor market status with obesity, severe obesity, and abdominal obesity (all p < 0.001). Income was also inversely associated with obesity (p < 0.01) and abdominal obesity (p < 0.001). Finally, the highest composite SES category (University/Employed/≥12.731€ n = 517) showed a robust and inverse association with obesity (OR = 0.28; 95% CI: 0.16-0.48), severe obesity (OR = 0.20; 95% CI: 0.05-0.81), and abdominal obesity (OR = 0.36; 95% CI: 0.23-0.54) in comparison with the lowest composite SES category (Less than University/Unemployed/<12.731€; n = 164). No significant interaction between composite SES categories and age and gender was found. SES is strongly associated with pediatric obesity in Spain.
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Affiliation(s)
- Clara Homs
- Gasol Foundation Europe, 08830 Sant Boi de Llobregat, Spain
- Global Research on Wellbeing (GroW), Faculty of Health Sciences, Blanquerna Ramon Llull University, 08025 Barcelona, Spain
| | - Paula Berruezo
- Gasol Foundation Europe, 08830 Sant Boi de Llobregat, Spain
| | - Albert Arcarons
- Office of the High Commissioner against Child Poverty, 28079 Madrid, Spain
- Department of Sociology, National Distance Education University (UNED), 28012 Madrid, Spain
| | - Julia Wärnberg
- Physiopathology of Obesity and Nutrition Networking Biomedial Research Center (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain
- EpiPHAAN Research Group, School of Health Sciences, Instituto de Investigación Biomédica en Málaga (IBIMA), University of Málaga, 29590 Málaga, Spain
| | - Maddi Osés
- IS-FOOD-Institute for Sustainability & Food Chain Innovation, Universidad Pública de Navarra (UPNA), IDISNA, 31006 Pamplona, Spain
| | - Marcela González-Gross
- Physiopathology of Obesity and Nutrition Networking Biomedial Research Center (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain
- ImFINE Research Group, Department of Health and Human Performance, Universidad Politecnica de Madrid, 28003 Madrid, Spain
| | - Narcis Gusi
- Physical Activity and Quality of Life Research Group (AFYCAV), Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain
| | - Susana Aznar
- PAFS Research Group, Faculty of Sports Sciences, University of Castilla-La Mancha-Toledo Campus, 45071 Toledo, Spain
- Biomedical Research Networking Center on Frailty and Healthy Aging (CIBERFES), 28029 Madrid, Spain
| | - Elena Marín-Cascales
- UCAM Research Center for High Performance Sport, UCAM Universidad Católica de Murcia, 30107 Murcia, Spain
- Facultad de Deporte, UCAM Universidad Católica de Murcia, 30107 Murcia, Spain
- Strength & Conditioning Society, 30008 Murcia, Spain
| | | | - Lluis Serra-Majem
- Physiopathology of Obesity and Nutrition Networking Biomedial Research Center (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain
- Preventive Medicine Service, Canarian Health Service, Centro Hospitalario Universitario Insular Materno Infantil (CHUIMI), 35016 Las Palmas de Gran Canaria, Spain
| | - Nicolás Terrados
- Regional Unit of Sports Medicine-Municipal Sports Foundation of Avilés, 33402 Avilés, Spain
| | - Josep A Tur
- Physiopathology of Obesity and Nutrition Networking Biomedial Research Center (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain
- Research Group of Community Nutrition & Oxidative Stress, University of the Balearic Islands-IUNICS & Health Research Institute of the Balearic Islands (IDISBA), 07122 Palma de Mallorca, Spain
| | - Marta Segú
- Barça Foundation, 08028 Barcelona, Spain
| | - Montserrat Fitó
- Physiopathology of Obesity and Nutrition Networking Biomedial Research Center (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain
- Cardiovascular Risk and Nutrition Research Group (CARIN), Hospital del Mar Medical Research Institute (IMIM), 08003 Barcelona, Spain
| | - Juan Carlos Benavente-Marín
- Physiopathology of Obesity and Nutrition Networking Biomedial Research Center (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain
- EpiPHAAN Research Group, School of Health Sciences, Instituto de Investigación Biomédica en Málaga (IBIMA), University of Málaga, 29590 Málaga, Spain
| | - Idoia Labayen
- Physiopathology of Obesity and Nutrition Networking Biomedial Research Center (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain
- IS-FOOD-Institute for Sustainability & Food Chain Innovation, Universidad Pública de Navarra (UPNA), IDISNA, 31006 Pamplona, Spain
| | - Augusto G Zapico
- ImFINE Research Group, Department of Health and Human Performance, Universidad Politecnica de Madrid, 28003 Madrid, Spain
- Department of Language, Arts and Physical Education, Universidad Complutense de Madrid, 28040 Madrid, Spain
| | - Jesús Sánchez-Gómez
- Physical Activity and Quality of Life Research Group (AFYCAV), Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain
| | - Fabio Jiménez-Zazo
- PAFS Research Group, Faculty of Sports Sciences, University of Castilla-La Mancha-Toledo Campus, 45071 Toledo, Spain
| | - Pedro E Alcaraz
- UCAM Research Center for High Performance Sport, UCAM Universidad Católica de Murcia, 30107 Murcia, Spain
- Facultad de Deporte, UCAM Universidad Católica de Murcia, 30107 Murcia, Spain
- Strength & Conditioning Society, 30008 Murcia, Spain
| | - Marta Sevilla-Sanchez
- Faculty of Sports Sciences and Physical Education, Universida de da Coruña, 15001 A Coruña, Spain
| | - Estefanía Herrera-Ramos
- Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, 35016 Las Palmas de Gran Canaria, Spain
| | - Susana Pulgar-Muñoz
- Health Research Institute of the Principality of Asturias (ISPA), 33011 Oviedo, Spain
| | - Cristina Bouzas
- Physiopathology of Obesity and Nutrition Networking Biomedial Research Center (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain
- Research Group of Community Nutrition & Oxidative Stress, University of the Balearic Islands-IUNICS & Health Research Institute of the Balearic Islands (IDISBA), 07122 Palma de Mallorca, Spain
| | - Raimon Milà
- Global Research on Wellbeing (GroW), Faculty of Health Sciences, Blanquerna Ramon Llull University, 08025 Barcelona, Spain
| | - Helmut Schröder
- Cardiovascular Risk and Nutrition Research Group (CARIN), Hospital del Mar Medical Research Institute (IMIM), 08003 Barcelona, Spain
- CIBER Epidemiology and Public Health (CIBERESP), Carlos III Health Institute, 28029 Madrid, Spain
| | - Santiago F Gómez
- Gasol Foundation Europe, 08830 Sant Boi de Llobregat, Spain
- Cardiovascular Risk and Nutrition Research Group (CARIN), Hospital del Mar Medical Research Institute (IMIM), 08003 Barcelona, Spain
- CIBER Epidemiology and Public Health (CIBERESP), Carlos III Health Institute, 28029 Madrid, Spain
- Nursing and Physiotherapy Department, University of Lleida, 25198 Lleida, Spain
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Mensah Bonsu I, Myezwa H, Brandt C, Ajidahun AT, Moses MO, Asamoah B. An exploratory study on excess weight gain: Experiences of Postmenopausal Women in Ghana. PLoS One 2023; 18:e0278935. [PMID: 36638076 PMCID: PMC9838829 DOI: 10.1371/journal.pone.0278935] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2022] [Accepted: 11/23/2022] [Indexed: 01/14/2023] Open
Abstract
INTRODUCTION Excess weight gain is a problem with a significant impact on health and quality of life as well as the consequent economic burden on human populations. While society advocates preference for excess weight gain, limited evidence exists concerning postmenopausal women's experiences in Ghana. AIM The current study explored the experiences regarding excess weight (overweight and obesity) gain among Ghanaian postmenopausal women in Bono East (Techiman) region. METHODS This is a qualitative exploratory descriptive study where anthropometric measurements [body mass index (BMI), waist-to-height ratio (WHtR) and waist-to-hip ratio (WHR)] were determined and participants who were identified with excess weight (obesity and overweight) were recruited to participate in a focus group discussion (FGD). Four focus group discussions were held and 24 postmenopausal women (>45 years) in Techiman took part. Discussions were audio-recorded and transcribed for thematic analysis. RESULTS From the qualitative analysis of the FGD, three major themes emerged from the study namely, (i) perception of body weight, (ii) measures to reduce body weight, and (iii) support to adhere to the weight management program. Sub-themes revealed that weight gained was viewed as the presence of diseases and admired by society as a culturally accepted body image. Diet-related changes, a combination of diet modification and physical activity, and weight management supplements emerged as measures to reduce excess weight. Support to adhere to the weight program included health education, access, affordable exercise facilities, and social support. CONCLUSIONS Sociocultural norms influence the image perception and acceptance of weight gain among postmenopausal women in Ghana, but there is an acknowledgment of the perceived negative health implications of such excess weight. Measures for weight reduction and support to adhere to the weight reduction programme require attention in Ghana.
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Affiliation(s)
- Isaac Mensah Bonsu
- Department of Physiotherapy, School of Therapeutic Sciences, University of The Witwatersrand, Johannesburg, South Africa
- * E-mail:
| | - Hellen Myezwa
- Department of Physiotherapy, School of Therapeutic Sciences, University of The Witwatersrand, Johannesburg, South Africa
| | - Corlia Brandt
- Department of Physiotherapy, School of Therapeutic Sciences, University of The Witwatersrand, Johannesburg, South Africa
| | - Adedayo Tunde Ajidahun
- Department of Physiotherapy, School of Therapeutic Sciences, University of The Witwatersrand, Johannesburg, South Africa
| | - Monday Omoniyi Moses
- Faculty of Allied Health Sciences, Department of Physiotherapy and Sports Science, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Benjamin Asamoah
- Faculty of Allied Health Sciences, Department of Physiotherapy and Sports Science, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
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6
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Xu R, Yue W, Wei F, Yang G, Chen Y, Pan K. Inequality of public facilities between urban and rural areas and its driving factors in ten cities of China. Sci Rep 2022; 12:13244. [PMID: 35918427 PMCID: PMC9344805 DOI: 10.1038/s41598-022-17569-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Accepted: 07/27/2022] [Indexed: 11/09/2022] Open
Abstract
Urban development continues to face the dilemma of spatial inequality of public facilities, particularly educational and medical facilities. Identifying inequalities in various types of public facilities and their driving mechanisms is crucial in reducing social inequality. However, information on this topic is limited. This study took 10 typical cities in China as cases. We used the methods of the Gini coefficient and hedonic price model as bases in evaluating the equality of nine types of education and medical facilities, focusing on the differences between urban and rural areas. Moreover, we further analyzed the driving factors of facility equality. Results showed that equality of public facilities in urban areas was significantly higher than that in rural areas. Primary schools, middle schools, and health service centers were relatively equal, and kindergartens and pharmacies were unequal only in rural areas. However, the equality of facilities with large-size or commercial attributes was not optimistic. Furthermore, there remained a significant gap among counties (or districts), which was mainly driven by population, economy, and building density in the form of logarithm and logarithmic linear models. Our research contributes to an in-depth understanding of the inequality of public facilities and further supports decision-making to improve social equality.
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Affiliation(s)
- Ronghua Xu
- Department of Land Management, Zhejiang University, Zijingang Campus, 866 Yuhangtang Road, Hangzhou, 310058, Zhejiang, People's Republic of China
| | - Wenze Yue
- Department of Land Management, Zhejiang University, Zijingang Campus, 866 Yuhangtang Road, Hangzhou, 310058, Zhejiang, People's Republic of China.
| | - Feiyang Wei
- School of Design and Environment, National University of Singapore, Singapore, 117566, Singapore
| | - Guofu Yang
- Artistic Design & Creation School, Zhejiang University City College, Hangzhou, 310015, People's Republic of China
| | - Yi Chen
- College of Life Sciences, Zhejiang University, Hangzhou, 310058, People's Republic of China
| | - Kaixuan Pan
- Institute of Environmental Science, Leiden University, Einsteinweg 2, 2333 CC, Leiden, The Netherlands
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Gu X, Keller J, Zhang T, Dempsey DR, Roberts H, Jeans KA, Stevens W, Borchard J, VanPelt J, Tulchin-Francis K. Disparity in Built Environment and Its Impacts on Youths' Physical Activity Behaviors During COVID-19 Pandemic Restrictions. J Racial Ethn Health Disparities 2022:10.1007/s40615-022-01341-3. [PMID: 35699898 PMCID: PMC9196147 DOI: 10.1007/s40615-022-01341-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Revised: 05/25/2022] [Accepted: 05/31/2022] [Indexed: 12/23/2022]
Abstract
Objectives Guided by the social ecological model, this study aimed to examine the relations of built environments (i.e., walking/cycling infrastructure, recreation facilities, neighborhood safety/crime), youth’s transition abilities, and changes of youth’s physical activity (PA) and play behaviors due to COVID-19-based restrictions. Ethnic and socioeconomic status (SES) disparities were also examined on studies variables during the COVID-19 restrictions. Method A cross-sectional research design was used to assess an anonymous online survey completed by US parents/guardians. The final sample had 1324 children and adolescents (Meanage = 9.75; SD = 3.95; 51.3% girls), and 35.5% the families were of upper socioeconomic class (income > $150,000). Parents reported the perceived built environment and neighborhood safety, child’s PA and play behaviors during COVID-19 pandemic shelter-in-place restrictions. Results Youths who had access to safe built environment were more active and played more outdoor/indoor (p < .01). It was found playing behavior in yard and neighborhood were significantly increased, but community-based play behavior was significantly reduced during COVID-19 restrictions. The SEM analysis (χ2/df = 236.04/54; CFI = .966) supported indirect and direct effects of neighborhood safety on PA changes during COVID-19 restrictions, and the youth’s ability to respond to COVID-19 restrictions served as a full mediator. Low-SES and Hispanic minority youth reported significantly less safety to walking or playing in their neighborhoods than their middle-/high-SES non-Hispanic peers (p < .001). Regardless of ethnicity, the magnitude of the reduction of MVPA was significantly higher among low-SES groups than that of the high- and middle-SES groups (p < .001). Conclusions These findings demonstrate a need to tailor programs and policies to help high-risk groups (e.g., low SES) stay active, healthy, and resilient during and after the COVID-19 pandemic.
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Affiliation(s)
- Xiangli Gu
- University of Texas at Arlington, 500 W. Nedderman Dr, Arlington, TX, 76019, USA.
| | - Jean Keller
- University of North Texas, 1155 Union Cir, Denton, TX, 76203, USA
| | - Tao Zhang
- University of North Texas, 1155 Union Cir, Denton, TX, 76203, USA
| | - Dana R Dempsey
- Scottish Rite for Children, 2222 Welborn St, Dallas, TX, 75219, USA
| | - Heather Roberts
- Texas Womens University, 304 Administration Dr, Denton, TX, 76204, USA
| | - Kelly A Jeans
- Scottish Rite for Children, 2222 Welborn St, Dallas, TX, 75219, USA
| | - Wilshaw Stevens
- Scottish Rite for Children, 2222 Welborn St, Dallas, TX, 75219, USA
| | - Justine Borchard
- Scottish Rite for Children, 2222 Welborn St, Dallas, TX, 75219, USA
| | - Jonathan VanPelt
- Scottish Rite for Children, 2222 Welborn St, Dallas, TX, 75219, USA
| | - Kirsten Tulchin-Francis
- Nationwide Children's Hospital, Department of Orthopedic Surgery, 700 Children's Drive A2700 T2E, Columbus, OH, 43205, USA
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Post EG, Rivera MJ, Doss D, Eberman LE. Parent decision-making regarding youth sport participation during the COVID-19 pandemic. J Community Health 2022; 47:687-696. [PMID: 35579728 PMCID: PMC9112262 DOI: 10.1007/s10900-022-01078-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/18/2021] [Indexed: 11/02/2022]
Abstract
PURPOSE To describe youth sport participation behaviors during the COVID-19 pandemic as reported by parents of youth sport athletes, to examine the association of family demographics with the likelihood of children resuming sports, and to qualitatively report the factors influencing parental decision-making regarding youth sport participation during the COVID-19 pandemic. METHODS A national sample of parents of youth athletes from across the United States (n=236, age: 39.2±8.1 years, 57.2% female) were recruited to complete an online questionnaire by Qualtrics Online Samples (Qualtrics, Provo, UT) using a combination of actively managed, double-opt-in market research panels. The questionnaire focused on changes in child sport participation and family finances as a result of COVID-19 and included both close-ended and open-ended questions. RESULTS Most parents (63.1%) reported the time their children spent participating in organized youth sports had decreased because of the COVID-19 pandemic. Three-quarters of parents (75.5%) reported that it was likely that their children would fully resume participating in organized youth sports within the next year. Parents whose financial situation was worsened by COVID-19 were less likely to report that their children would resume sports in the upcoming year. Three domains related to parental decision-making emerged from the open-ended responses: safety, fear, and normalcy. CONCLUSIONS Understanding the factors influencing changes in youth sport participation during the pandemic can allow systems to implement strategies for safe participation in youth sport and physical activity among children. Encouraging participation in outdoor sports with appropriate safety precautions such as masking, social distancing, and hygiene may reduce fear of participation among parents.
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Affiliation(s)
- Eric G Post
- Indiana State University, Terre Haute, United States.
| | | | - Darleesa Doss
- Indiana State University, Terre Haute, United States
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9
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Equity Measurement of Public Sports Space in Central Urban Areas Based on Residential Scale Data. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19053104. [PMID: 35270795 PMCID: PMC8909991 DOI: 10.3390/ijerph19053104] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Revised: 02/27/2022] [Accepted: 03/02/2022] [Indexed: 02/04/2023]
Abstract
Urban public sports facilities have captured much public attention because of their close ties to public health. However, few studies have comprehensively assessed the equity of accessibility to various types of public sports space with a fine scale. This study proposed a spatial equity measurement method based on multi-source urban data and GIS network analysis. Residential buildings were taken as the minimum research unit to investigate the equity differences of residents’ enjoyment of urban public sports space accessible by walking and public transportation. Taking Harbin, China, as an example, this study calculated and visualized the proximity of more than 12,000 residential buildings to a variety of public sports space in the central urban area. The results showed that: (1) urban centers enjoy more public sports space resources than border areas, that is, the developed area has more advantages than the emerging area; (2) according to the classification of sports space, their spatial distribution pattern and measurement results are obviously different; (3) the areas with a low walking equity degree also had a low bus equity degree. This study integrated multi-source data into the traditional spatial computing models and provided an important reference for the equitable planning of urban public sports space.
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Sun P, Lu W. Environmental inequity in hilly neighborhood using multi-source data from a health promotion view. ENVIRONMENTAL RESEARCH 2022; 204:111983. [PMID: 34506785 DOI: 10.1016/j.envres.2021.111983] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/22/2021] [Revised: 08/25/2021] [Accepted: 08/26/2021] [Indexed: 06/13/2023]
Abstract
The study focused on the justice of residents' opportunity to engage in healthy behavior under different environments is not vast, especially in a hilly dwelling environment. Therefore, this paper investigates environmental inequalities in a hilly urban environment in the context of the booming real estate market in China, comprised of health promotion-related elements, namely, built environment, physical activity facilities, street infrastructure, green spaces, and environmental perceptions. The multi-source data are used to calculate environmental attributes and the socioeconomic status of communities. We take the central districts of Dalian city as the research area and measure environmental equity across different socioeconomic residential areas using the Kruskal-Wallis one-way analysis of variance. The results reveal the spatial disparities in physical activity facilities, street greening, and positive perceptions between different communities. However, green injustice is mitigated in the hilly neighborhoods when we consider only ground-level greenness. This paper studies environmental justice by taking a health-enhancing view, and the results of this study can provide guidance on hilly urban development for government leaders and planners.
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Affiliation(s)
- Peijin Sun
- Research Section of Environment Design, School of Architecture and Fine Art, Dalian University of Technology, China.
| | - Wei Lu
- Research Section of Environment Design, School of Architecture and Fine Art, Dalian University of Technology, China
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11
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Cereijo L, Gullón P, Del Cura I, Valadés D, Bilal U, Badland H, Franco M. Exercise facilities and the prevalence of obesity and type 2 diabetes in the city of Madrid. Diabetologia 2022; 65:150-158. [PMID: 34709424 PMCID: PMC8660723 DOI: 10.1007/s00125-021-05582-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/26/2021] [Accepted: 07/21/2021] [Indexed: 12/24/2022]
Abstract
AIMS/HYPOTHESIS We aimed to study the association between the availability of exercise facilities and the likelihood of obesity and type 2 diabetes in the adult population of Madrid, Spain. METHODS We analysed the electronic medical records of all 1,270,512 residents of Madrid aged 40-75 years in 2017. Exercise facility availability was defined as the count of exercise facilities in a 1000 m street network buffer around each residential building entrance. Poisson regression with standard errors clustered at census tract level was used to assess prevalence ratios of exercise facility availability tertiles and obesity and type 2 diabetes. We also examined stratified results by tertiles of area-level socioeconomic status (SES) and sex. RESULTS People living in areas with lower availability of exercise facilities had a higher prevalence of obesity (prevalence ratio [PR] 1.22 [95% CI 1.20, 1.25]) and diabetes (PR 1.38 [95% CI 1.34, 1.43]). We observed effect modification by area-level SES (p<0.001), with stronger associations for residents living in low-SES areas and no association for residents living in high-SES areas. Associations with type 2 diabetes were stronger among women compared with men, while associations with obesity were similar by sex. CONCLUSIONS/INTERPRETATION People living in areas with low availability of exercise facilities had a higher prevalence of obesity and type 2 diabetes, and this association was strongest in low-SES areas and for women. Understanding the potential role of exercise facilities in driving inequities in obesity and type 2 diabetes prevalence may inform interventions to reduce health inequities.
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Affiliation(s)
- Luis Cereijo
- Facultad de Medicina y Ciencias de la Salud, Departamento de Cirugía, Ciencias Médicas y Sociales, Grupo de Investigación en Epidemiología y Salud Pública, Alcalá de Henares, Universidad de Alcalá, Madrid, Spain
- Facultad de Medicina y Ciencias de la Salud, Departamento de Ciencias Biomédicas, Grupo de investigación en gestión y entrenamiento deportivo, Alcalá de Henares, Universidad de Alcalá, Madrid, Spain
- Centre for Urban Research, RMIT University, Melbourne, VIC, Australia
| | - Pedro Gullón
- Facultad de Medicina y Ciencias de la Salud, Departamento de Cirugía, Ciencias Médicas y Sociales, Grupo de Investigación en Epidemiología y Salud Pública, Alcalá de Henares, Universidad de Alcalá, Madrid, Spain.
| | - Isabel Del Cura
- Gerencia de Atención Primaria, Unidad de Investigación de Atención Primaria, Madrid, Spain
- Departamento de Especialidades Médicas y Salud Pública, University Rey Juan Carlos, Madrid, Spain
- Red de Investigación en Servicios de Salud y Enfermedades Crónicas (REDISSEC) ISCIII, Madrid, Spain
| | - David Valadés
- Facultad de Medicina y Ciencias de la Salud, Departamento de Ciencias Biomédicas, Grupo de investigación en gestión y entrenamiento deportivo, Alcalá de Henares, Universidad de Alcalá, Madrid, Spain
| | - Usama Bilal
- Urban Health Collaborative, Drexel Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA
- Department of Epidemiology and Biostatistics, Drexel Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA
| | - Hannah Badland
- Centre for Urban Research, RMIT University, Melbourne, VIC, Australia
| | - Manuel Franco
- Facultad de Medicina y Ciencias de la Salud, Departamento de Cirugía, Ciencias Médicas y Sociales, Grupo de Investigación en Epidemiología y Salud Pública, Alcalá de Henares, Universidad de Alcalá, Madrid, Spain
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
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12
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Gonzalo-Encabo P, Cereijo L, Remón ÁLC, Jiménez-Beatty JE, Díaz-Benito VJ, Santacruz Lozano JA. Associations between individual and environmental determinants and physical activity levels of an active population during the Spanish lockdown. Prev Med 2021; 153:106719. [PMID: 34256066 PMCID: PMC8567744 DOI: 10.1016/j.ypmed.2021.106719] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/08/2020] [Revised: 05/15/2021] [Accepted: 07/06/2021] [Indexed: 11/25/2022]
Abstract
Restrictions during the COVID-19 pandemic are likely to decrease physical activity (PA) levels. The purpose of the study was to explore the associations between age, gender, and exercise facilities-type membership and physical activity levels during COVID-19 lockdown among users of exercise facilities from Spain. Participants were recruited among the members of 84 exercise facilities across Spain. Data was collected through an online questionnaire between 5th and 20th of April 2020 during the COVID-19 lockdown. A total of 7062 participants met inclusion criteria and responded correctly to the International Physical Activity Questionnaire. Lower levels of total PA were found in women compared with men (β = -26, 95%CI: -40 to -13), and among older adults (β = -48, 95%CI: -10 to -85) compared with younger ones. Moreover, users of private facilities showed higher levels of PA (β = 40, 95%CI: 13 to 66) than those from low-cost and public facilities (reference). Lastly, women from private facilities showed greater levels of PA (β = 63, 95%CI: 29 to 96) than low cost and public's users, an increase higher than what was found in men (β = 7, 95%CI: -38 to 52). Therefore, gender, age and the type of exercise facility's subscription had a relevant influence on PA levels during COVID-19 lockdown in an active population. These findings are useful for public health recommendations, in order to identify subpopulations of previously active people at risk of being physically inactive during and after this pandemic.
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Affiliation(s)
- Paola Gonzalo-Encabo
- Universidad de Alcalá, Facultad de Medicina y Ciencias de la Salud, Departamento de Ciencias Biomédicas, Grupo de investigación en gestión y entrenamiento deportivo, Alcalá de Henares, Madrid, España.; Universidad de Alcalá, Facultad de Medicina y Ciencias de la Salud, Departamento de Especialidades Médicas, Alcalá de Henares, Madrid, España
| | - Luis Cereijo
- Universidad de Alcalá, Facultad de Medicina y Ciencias de la Salud, Departamento de Ciencias Biomédicas, Grupo de investigación en gestión y entrenamiento deportivo, Alcalá de Henares, Madrid, España.; Universidad de Alcalá, Facultad de Medicina y Ciencias de la Salud, Departamento de Cirugía, Ciencias Médicas y Sociales, Grupo de investigación en epidemiología y salud pública, Alcalá de Henares, Madrid, España; Centre for Urban Research, RMIT University, Melbourne, Australia.
| | - Ángel Luis Clemente Remón
- Universidad de Alcalá, Facultad de Medicina y Ciencias de la Salud, Departamento de Ciencias Biomédicas, Grupo de investigación en gestión y entrenamiento deportivo, Alcalá de Henares, Madrid, España
| | - José Emilio Jiménez-Beatty
- Universidad de Alcalá, Facultad de Medicina y Ciencias de la Salud, Departamento de Ciencias Biomédicas, Grupo de investigación en gestión y entrenamiento deportivo, Alcalá de Henares, Madrid, España
| | | | - José Antonio Santacruz Lozano
- Universidad de Alcalá, Facultad de Medicina y Ciencias de la Salud, Departamento de Ciencias Biomédicas, Grupo de investigación en gestión y entrenamiento deportivo, Alcalá de Henares, Madrid, España
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Lera-Lopez F, Marco R. Physical activity disparities across Europe: clustering European regions by health-related physical activity levels. Health Promot Int 2021; 37:6389713. [PMID: 34634808 PMCID: PMC9053455 DOI: 10.1093/heapro/daab157] [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] [Indexed: 11/22/2022] Open
Abstract
In the context of stagnating global levels of physical activity (PA), this study examines the geographical segmentation of PA at the regional level (196 regions) in Europe. Cluster analysis and multinomial logistic regression are applied. Cluster analysis provides a taxonomy of four differentiated groups according to the health-related PA levels of the European regions. This taxonomy shows that there are significant regional disparities among European countries in terms of the regional PA level. The cluster profiles in terms of regional socioeconomic characteristics are described for each group, emphasizing the regional characteristics associated with PA. Regional economic variables, tertiary education and social Internet use are significant variables for characterizing the types of regions. The results emphasize the relevance of a European regional approach for reducing inter-regional PA disparities and improving health through PA in Europe. Practical implications of this research are based on regional European coordination, such as collaborative models of sport infrastructure use, co-financing of inter-regional facilities, mutual physical educational scholar programs and promotion of common inter-regional sport competitions and sporting events. Finally, formal schemes for exchanging of best regional practices to promote health-enhancing PA might increase the perception and the role of PA at the regional level in the European society.
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Affiliation(s)
- Fernando Lera-Lopez
- Department of Economics, Public University of Navarra, Campus Arrosadía s/n, 31006 Pamplona, Spain
| | - Rocio Marco
- Department of Applied Economy, Universidad Autónoma de Madrid, Ciudad universitaria de Cantoblanco, Francisco Tomás y Valiente Road, number 5, 28049 Madrid, Spain
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Influence of home/school environments on children's obesity, diet, and physical activity: the SUECO study protocol. GACETA SANITARIA 2021; 36:78-81. [PMID: 34246500 DOI: 10.1016/j.gaceta.2021.04.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Revised: 04/20/2021] [Accepted: 04/25/2021] [Indexed: 11/22/2022]
Abstract
OBJECTIVE The SUECO study examines the relationship between urban obesogenic environments and health outcomes among school-age children in the city of Madrid, Spain. We will study how features of the urban environment (related to the food- and the physical activity environment) associate with children's anthropometrics, eating habits, and physical activity levels. METHOD We describe the study protocol of this multilevel study in a representative sample of school-age children in the city of Madrid (2017; n=5,961 children ages 3-12). Main outcome variables include anthropometrics (body mass index, waist circumference, and body fat), healthy and unhealthy consumption measures, and physical activity measures. The primary explanatory variables are grouped into food environment (e.g., unhealthy food retailers' density) and physical activity environment (e.g., walkability, physical activity opportunities) variable categories. Multilevel models will be used to calculate the associations between each indicator and obesity and physical inactivity.
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15
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Bácsné-Bába É, Ráthonyi G, Pfau C, Müller A, Szabados GN, Harangi-Rákos M. Sustainability-Sport-Physical Activity. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18041455. [PMID: 33557153 PMCID: PMC7913963 DOI: 10.3390/ijerph18041455] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/17/2020] [Revised: 02/01/2021] [Accepted: 02/02/2021] [Indexed: 01/05/2023]
Abstract
The present study is a synthesizing analysis of international literature on correlations between sustainability, sport, and physical activity. The study of sustainability is considered essential in modern research; its multidisciplinary approach relies on sports science and sports economics as well. There are several aspects of sustainability that are closely associated with health and health preservation; the beneficial effect of exercise on health is also widely known. For the analysis of this complex matter, our current study relied on secondary sources, and besides exploring specialist literature, it also illustrates and analyzes related statistical data. Our results highlight the correlations between living environment and physical activity, the importance of increasing individual commitment towards sustainability and using green spaces for exercising, as well as questions on social and environmental development in relation to physical activity. The study revealed the existence of highly complex links between physical environment, physical activities, and sustainability. The results section of our study provides a brief summary on the possible ways of making people physically active. Increasing physical activity is of paramount importance for achieving the objectives formulated in relation to sustainability.
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Affiliation(s)
- Éva Bácsné-Bába
- Institute of Sport Management, University of Debrecen, H-4032 Debrecen, Hungary; (É.B.-B.); (C.P.); (A.M.)
| | - Gergely Ráthonyi
- Institute of Applied Informatics and Logistics, University of Debrecen, H-4032 Debrecen, Hungary
- Correspondence: ; Tel.: +36-52-508-390
| | - Christa Pfau
- Institute of Sport Management, University of Debrecen, H-4032 Debrecen, Hungary; (É.B.-B.); (C.P.); (A.M.)
| | - Anetta Müller
- Institute of Sport Management, University of Debrecen, H-4032 Debrecen, Hungary; (É.B.-B.); (C.P.); (A.M.)
| | - György Norbert Szabados
- Institute of Management and Organization Sciences, University of Debrecen, H-4032 Debrecen, Hungary;
| | - Mónika Harangi-Rákos
- Institute of Rural Development, Regional Economy and Tourism Management, University of Debrecen, H-4032 Debrecen, Hungary;
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‘The Feel of the Stones, Sounds of Cars, the Different Smells’: How Incorporating the Senses Can Help Support Equitable Health Promotion. SOCIAL SCIENCES-BASEL 2020. [DOI: 10.3390/socsci9060108] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
There has been limited consideration to the role of the senses in health promotion regardless of the prominence placed on corporeality in intervention and prevention strategies. Touch as a form of sense-making challenges the representational approaches that characterize health promotion methods to increase participation in physical activity. This paper explores recreational running practices through the sense of touch and is drawn from an in-depth qualitative research project with recreational runners in the Bulgarian capital Sofia. The project examined how recreational running was established and maintained within the city. This paper concludes that there is potential for health promotion to adopt a more open stance towards the study of sensual experiences of the built environment. Insights from approaches attentive to the senses hold promise for agendas and interventions in health promotion practice and intervention.
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Cerin E, Conway TL, Barnett A, Smith M, Veitch J, Cain KL, Salonna F, Reis RS, Molina-García J, Hinckson E, Muda WAMW, Anjana RM, van Dyck D, Oyeyemi AL, Timperio A, Christiansen LB, Mitáš J, Mota J, Moran M, Islam MZ, Mellecker RR, Sallis JF. Development and validation of the neighborhood environment walkability scale for youth across six continents. Int J Behav Nutr Phys Act 2019; 16:122. [PMID: 31796075 PMCID: PMC6892154 DOI: 10.1186/s12966-019-0890-6] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2019] [Accepted: 11/20/2019] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND The IPEN International Physical Activity and Environment Network Adolescent project was conducted using common study protocols to document the strength, shape, and generalizability of associations of perceived neighborhood environment attributes with adolescents' physical activity and overweight/obesity using data from 15 countries. Countries did not use identical versions of the Neighborhood Environment Walkability Scale for Youth (NEWS-Y) to measure perceived neighborhood environment attributes. Therefore, this study derived a measurement model for NEWS-Y items common to all IPEN Adolescent countries and developed a scoring protocol for the IPEN Adolescent version of the NEWS-Y (NEWS-Y-IPEN) that maximizes between-country comparability of responses. Additionally, this study examined between- and within-country variability, and construct validity of the NEWS-Y-IPEN subscales in relation to neighborhood-level socio-economic status and walkability. METHODS Adolescents and one of their parents (N = 5714 dyads) were recruited from neighborhoods varying in walkability and socio-economic status. To measure perceived neighborhood environment, 14 countries administered the NEWS-Y to parents and one country to adolescents. Confirmatory factor analysis was used to derive comparable country-specific measurement models of the NEWS-Y-IPEN. Country-specific standard deviations quantified within-country variability in the NEWS-Y-IPEN subscales, while linear mixed models determined the percentage of subscale variance due to between-country differences. To examine the construct validity of NEWS-Y-IPEN subscales, we estimated their associations with the categorical measures of area-level walkability and socio-economic status. RESULTS Final country-specific measurement models of the factor-analyzable NEWS-Y-IPEN items provided acceptable levels of fit to the data and shared the same factorial structure with five latent factors (Accessibility and walking facilities; Traffic safety; Pedestrian infrastructure and safety; Safety from crime; and Aesthetics). All subscales showed sufficient levels of within-country variability. Residential density had the highest level of between-country variability. Associations between NEWS-Y-IPEN subscales and area-level walkability and socio-economic status provided strong evidence of construct validity. CONCLUSIONS A robust measurement model and common scoring protocol of NEWS-Y for the IPEN Adolescent project (NEWS-Y-IPEN) were derived. The NEWS-Y-IPEN possesses good factorial and construct validity, and is able to capture between-country variability in perceived neighborhood environments. Future studies employing NEWS-Y-IPEN should use the proposed scoring protocol to facilitate cross-study comparisons and interpretation of findings.
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Affiliation(s)
- Ester Cerin
- Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia.
- School of Public Health, The University of Hong Kong, Hong Kong, China.
| | - Terry L Conway
- Department of Family Medicine and Public Health, University of California, San Diego, USA
| | - Anthony Barnett
- Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia
| | - Melody Smith
- School of Nursing, The University of Auckland, Auckland, New Zealand
| | - Jenny Veitch
- Institute for Physical Activity and Nutrition (IPAN), Deakin University, Geelong, Australia
| | - Kelli L Cain
- Department of Family Medicine and Public Health, University of California, San Diego, USA
| | - Ferdinand Salonna
- Institute of Active Lifestyle, Palacky University of Olomouc, Olomouc, Czech Republic
| | - Rodrigo S Reis
- Prevention Research Center, Brown School, Washington University in St. Louis, St Louis, USA
| | - Javier Molina-García
- Department of Teaching of Corporal Expression, University of Valencia, Valencia, Spain
| | - Erica Hinckson
- School of Sport & Recreation, Auckland University of Technology, Auckland, New Zealand
| | | | - Ranjit Mohan Anjana
- Madras Diabetes Research Foundation & Dr. Mohan's Diabetes Specialties Centre, Chennai, India
| | - Delfien van Dyck
- Department of Movement and Sport Sciences, Ghent University, Ghent, Belgium
| | - Adewale L Oyeyemi
- Department of Physiotherapy, University of Maiduguri, Maiduguri, Nigeria
| | - Anna Timperio
- Institute for Physical Activity and Nutrition (IPAN), Deakin University, Geelong, Australia
| | - Lars Breum Christiansen
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
| | - Josef Mitáš
- Institute of Active Lifestyle, Palacky University of Olomouc, Olomouc, Czech Republic
| | - Jorge Mota
- Research Centre in Physical Activity, Health and Leisure, University of Porto, Porto, Portugal
| | - Mika Moran
- Institute for Urban and Regional Development, University of California Berkeley, Berkeley, USA
- School of Public Health, University of Haifa, 3498839, Haifa, Israel
| | - Mohammed Zakiul Islam
- Department of Architecture, Bangladesh University of Engineering & Technology, Dhaka, Bangladesh
| | | | - James F Sallis
- Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia
- Department of Family Medicine and Public Health, University of California, San Diego, USA
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