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Srinivasa Gopalan S, Mann C, Rhodes RE. Impact of symptoms, experiences, and perceptions of the menstrual cycle on recreational physical activity of cyclically menstruating individuals: A systematic review. Prev Med 2024; 184:107980. [PMID: 38704099 DOI: 10.1016/j.ypmed.2024.107980] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/22/2024] [Revised: 04/13/2024] [Accepted: 04/30/2024] [Indexed: 05/06/2024]
Abstract
OBJECTIVE The menstrual cycle often presents barriers to participation in daily life activities, including physical activity (PA), which is a cornerstone of health and well-being. The purpose of this systematic review was to explore and summarize the impact of symptoms, experiences, and perceptions of the menstrual cycle on recreational PA (RPA), including sports, exercise and active recreation, in the general population. METHODS Six databases were searched for studies that investigated the impact of the menstrual cycle on PA among individuals who were cyclically menstruating, healthy, and not involved in professional sports training. RESULTS The search yielded 3025 studies that were screened for relevance and eligibility, resulting in 25 eligible studies, which were found to be of moderate-to-high quality following a quality and risk-of-bias assessment. Thematic synthesis of qualitative and quantitative data from the selected studies, constituting 16,557 adults and 3715 adolescents, identified the impact of menstrual symptoms on the physical and psychological capability to participate in RPA, social opportunity barriers to RPA (e.g., social pressure due to the sociocultural taboo against menstruation), as well reflective (knowledge) and automatic (habit) motivation on RPA behaviours. CONCLUSION The variability in menstrual symptoms and corresponding experiences suggested the need for an individualized approach to RPA promotion. Furthermore, this review highlighted the need to address the sociocultural taboo against menstruation, as well as improve the provision of knowledge and resources related to the menstrual cycle and RPA, in order to promote and facilitate RPA for cyclically menstruating individuals throughout the menstrual cycle.
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Affiliation(s)
- Sharan Srinivasa Gopalan
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada.
| | - Caitlin Mann
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada
| | - Ryan E Rhodes
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada
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Ortega-Benavent N, Menescardi C, Romero-Martínez J, Barnett LM, Estevan I. Perceived physical literacy in children and early adolescents: Two valid and reliable versions of the PL-C Quest. PSYCHOLOGY OF SPORT AND EXERCISE 2024; 74:102694. [PMID: 38944402 DOI: 10.1016/j.psychsport.2024.102694] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/23/2024] [Revised: 04/26/2024] [Accepted: 06/26/2024] [Indexed: 07/01/2024]
Abstract
Perceived physical literacy contributes to the understanding of individuals' physical activity (PA) engagement. It is important a scale is validated in the population of interest. Also, the type of administration may affect reliability and validity. So, the aim of this study was twofold: 1) to examine evidence of validity and reliability of the Spanish version of the Physical Literacy for Children Questionnaire (PL-C Quest) in a cohort of children and adolescents and 2) to assess two versions of administering the scale. The study was conducted in two stages, depending on the administration format of the PL-C Quest (double-dichotomous, and four-point response style) in a cohort of 2004 (n1 = 916; n2 = 1088) students. In both administration forms, evidence of validity (relation with other variables, i.e., concurrent and predictive, and structural validity), invariance (between boys and girls) and reliability (test-retest and internal consistency) were examined. There was evidence of validity for both administration types, with adequate reliability and good to excellent test-retest reliability for both administration forms. Both methods of administration for the PL-C Quest can capture perceived physical literacy in Spanish 8- to 14-year-old children and early adolescents.
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Affiliation(s)
- Nuria Ortega-Benavent
- AFIPS research group, University of Valencia, Avenida dels Tarongers, 4, 46022, Valencia, Spain; Department of Teaching of Physical Education, Arts and Music. University of Valencia, Avenida dels Tarongers, 4, 46022, Valencia, Spain.
| | - Cristina Menescardi
- AFIPS research group, University of Valencia, Avenida dels Tarongers, 4, 46022, Valencia, Spain; Department of Teaching of Physical Education, Arts and Music. University of Valencia, Avenida dels Tarongers, 4, 46022, Valencia, Spain.
| | - Jorge Romero-Martínez
- AFIPS research group, University of Valencia, Avenida dels Tarongers, 4, 46022, Valencia, Spain; Department of Teaching of Physical Education, Arts and Music. University of Valencia, Avenida dels Tarongers, 4, 46022, Valencia, Spain.
| | - Lisa M Barnett
- Institute for Physical Activity and Nutrition, School of Health and Social Development, Deakin University, Locked Bag 20000, Geelong, VIC, 3220, Australia.
| | - Isaac Estevan
- AFIPS research group, University of Valencia, Avenida dels Tarongers, 4, 46022, Valencia, Spain; Department of Teaching of Physical Education, Arts and Music. University of Valencia, Avenida dels Tarongers, 4, 46022, Valencia, Spain.
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3
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Białkowski A, Soszyński P, Stencel D, Religioni U. Consequences of Insufficient Physical Activity: A Comparative Analysis of Poland and Europe. Med Sci Monit 2024; 30:e942552. [PMID: 38532539 PMCID: PMC10983816 DOI: 10.12659/msm.942552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2023] [Accepted: 01/02/2024] [Indexed: 03/28/2024] Open
Abstract
Physical activity remains one of the most important factors affecting the well-being, health, and quality of life of individuals and entire populations. Unfortunately, the level of physical activity in many social groups is still insufficient according to the recommendations of the World Health Organization (WHO) and other international and national scientific societies. This paper presents the most important aspects related to the impact of physical activity on health, including lifestyle diseases, such as cardiovascular diseases, diabetes or obesity, mental health, and sleep, and overall mortality. We aimed to determine the level of physical activity in the Polish population compared with that of other European countries and in connection with guidelines and recommendations developed by various scientific societies. The most frequently reported obstacles to physical activity were also identified, and possible ways to solve these problems were discussed. Brief reference was also made to the recent COVID-19 pandemic, which had a significant impact on physical activity. We concluded that the current situation is not optimal, both in terms of implementing recommendations and guidelines for physical activity among people who are healthy and who have disease and identifying and overcoming existing barriers and limitations. We aimed to review recent trends in physical activity in Poland and the rest of Europe and discusses the potential impact of lack of physical activity on health.
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Affiliation(s)
- Artur Białkowski
- School of Public Health, Center of Postgraduate Medical Education, Warsaw,
Poland
- Medicover Sp. z o.o., Warsaw,
Poland
| | | | - Dariusz Stencel
- Kazimiera Milanowska College of Education and Therapy, Poznań,
Poland
| | - Urszula Religioni
- School of Public Health, Center of Postgraduate Medical Education, Warsaw,
Poland
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Adams EK, Murray K, Trost SG, Christian H. Longitudinal effects of dog ownership, dog acquisition, and dog loss on children's movement behaviours: findings from the PLAYCE cohort study. Int J Behav Nutr Phys Act 2024; 21:7. [PMID: 38287372 PMCID: PMC10826268 DOI: 10.1186/s12966-023-01544-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2023] [Accepted: 11/30/2023] [Indexed: 01/31/2024] Open
Abstract
INTRODUCTION Regular physical activity is important for children's physical and mental health, yet many children do not achieve recommended amounts of physical activity. Dog ownership has been associated with increased physical activity in children, however, there have been no longitudinal studies examining this relationship. This study used data from the Play Spaces and Environments for Children's Physical Activity (PLAYCE) cohort study to examine the longitudinal effects of dog ownership status on children's movement behaviours. METHODS Change in dog ownership from preschool (wave 1, age 2-5) to fulltime school (wave 2, age 5-7) was used as a natural experiment with four distinct dog ownership groups: continuing non-dog owners (n = 307), continuing dog owners (n = 204), dog acquired (n = 58), and dog loss (n = 31; total n = 600). Daily movement behaviours, including physical activity, sedentary time, sleep, and screen time, were measured using accelerometry and parent-report surveys. Differences between groups over time and by sex were tested using linear mixed effects regression models. RESULTS Girls who acquired a dog increased their light intensity activities and games by 52.0 min/day (95%CI 7.9, 96.0) and girls who lost a dog decreased their light intensity activities and games by 62.1 min/day (95%CI -119.3, -4.9) compared to no change among non-dog owners. Girls and boys who acquired a dog increased their unstructured physical activity by 6.8 (95%CI 3.2, 10.3) and 7.1 (95%CI 3.9, 10.3) occasions/week, compared to no changes among non-dog owners. Girls and boys who lost a dog reduced their unstructured physical activity by 10.2 (95%CI -15.0, -5.3) and 7.7 (95%CI -12.0, -3.5) occasions/week. Girls who lost a dog decreased their total physical activity by 46.3 min/day (95%CI -107.5, 14.8) compared to no change among non-dog owners. Continuing dog ownership was typically not associated with movement behaviours. Dog ownership group was not associated with changes in sleep and had mixed associations with screen time. CONCLUSION The positive influence of dog ownership on children's physical activity begins in early childhood and differs by child sex. Further research should examine the specific contributions dog-facilitated physical activity makes to children's overall physical activity, including the intensity and duration of dog walking and play.
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Affiliation(s)
- Emma K Adams
- Telethon Kids Institute, University of Western Australia, 35 Stirling Hwy, Perth, Western Australia, 6009, Australia.
- School of Population and Global Health, University of Western Australia, 35 Stirling Hwy, Perth, Western Australia, 6009, Australia.
| | - Kevin Murray
- School of Population and Global Health, University of Western Australia, 35 Stirling Hwy, Perth, Western Australia, 6009, Australia
| | - Stewart G Trost
- School of Human Movement and Nutrition Sciences, University of Queensland, Brisbane, Queensland, 4072, Australia
| | - Hayley Christian
- Telethon Kids Institute, University of Western Australia, 35 Stirling Hwy, Perth, Western Australia, 6009, Australia
- School of Population and Global Health, University of Western Australia, 35 Stirling Hwy, Perth, Western Australia, 6009, Australia
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Messing S, Tcymbal A, Abu-Omar K, Gelius P. Research- vs. government-driven physical activity policy monitoring: a systematic review across different levels of government. Health Res Policy Syst 2023; 21:124. [PMID: 38012659 PMCID: PMC10680174 DOI: 10.1186/s12961-023-01068-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Accepted: 11/01/2023] [Indexed: 11/29/2023] Open
Abstract
BACKGROUND Even though the importance of physical activity policy monitoring has increased in the last decade, there is a lack of understanding what different approaches exist and which methodology they employ. In order to address this research gap, this review attempts to map existing approaches of physical activity policy monitoring and to analyse methodological aspects, especially with regards to the roles of governments and researchers. METHODS A systematic search was conducted in five scientific databases (PubMed, Scopus, SportDiscus, Psycinfo, Web of Knowledge) in July 2021, and the identified records were screened independently by two reviewers. Records were included if they (a) focused on the monitoring of public policies to promote PA, (b) allowed to compare policies across time, across nations/regions or across policy sectors, and (c) were written in English, German or Russian. During full text analysis, information on methodological aspects was extracted and studies were categorized based on the level of government involvement. RESULTS The search yielded in a total of 112 studies. 86 of these studies (76.8%) followed a research-driven approach (little or no government involvement) while only two studies (1.8%) were based on a government-driven approach (led by governments). The remaining 24 studies (21.4%) were based on a co-production approach (strong collaboration between researchers and governments). All in all, 18 different tools for physical activity policy monitoring were identified; key examples are the Report Cards on Physical Activity for Children and Youth (research-driven approach), the HEPA Monitoring Framework (government-driven approach) and the HEPA Policy Audit Tool (co-production approach). CONCLUSIONS The level of government involvement in policy monitoring differs significantly, and research-driven, government-driven and co-production approaches can be distinguished. These approaches have different strengths and weaknesses, and can be linked to distinct theories of change and models on research-policy relations. Increasing awareness on the implications of these approaches is key to improve the understanding and further development of physical activity policy monitoring.
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Affiliation(s)
- Sven Messing
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
| | - Antonina Tcymbal
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Karim Abu-Omar
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Peter Gelius
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
- Institute of Sport Sciences, Université de Lausanne, Lausanne, Switzerland
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Jayasinghe S, Hills AP. Strategies to Improve Physical Activity and Nutrition Behaviours in Children and Adolescents: A Review. Nutrients 2023; 15:3370. [PMID: 37571307 PMCID: PMC10420868 DOI: 10.3390/nu15153370] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Revised: 07/26/2023] [Accepted: 07/27/2023] [Indexed: 08/13/2023] Open
Abstract
Despite widespread acknowledgement of the multifarious health benefits of physical activity (PA), including prevention and control of obesity, an overwhelming majority of children and adolescents are not sufficiently active to realise such benefits. Concurrently, young people are significantly impacted by the rapid global rise of sedentarism, and suboptimal dietary patterns during key phases of development. Regrettably, the cumulative effects of unhealthy behaviours during the growing years predisposes young people to the early stages of several chronic conditions, including obesity. Clear and consistent approaches are urgently needed to improve eating and activity behaviours of children and adolescents. Based on existing evidence of "best bets" to prevent and control obesity and its comorbidities, we present a set of non-negotiable strategies as a 'road map' to achieving prevention and improving the health of children and adolescents.
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Affiliation(s)
| | - Andrew P. Hills
- College of Health and Medicine, University of Tasmania, Hobart, TAS 7005, Australia;
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Hanna L, Burns C, O’Neill C, Coughlan E. A Systematic Review of the Implementation and Effectiveness of 'The Daily Mile' on Markers of Children's Health. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6203. [PMID: 37444051 PMCID: PMC10340552 DOI: 10.3390/ijerph20136203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Revised: 06/02/2023] [Accepted: 06/20/2023] [Indexed: 07/15/2023]
Abstract
Currently, a high percentage of children globally fail to meet the World Health Organisation's (WHO) recommended daily physical activity (PA) guidelines. The Daily Mile (TDM) is a school-based PA initiative, designed to improve primary school children's PA behaviour. The purpose of this review was to evaluate the extant TDM implementation process and identify its impact on health-related metrics. Three databases were used to search for articles from the time TDM originated in 2012 until February 2022. The identification and screening process of articles for their ability to meet this review's eligibility criteria were facilitated by use of PRISMA and Rayyan. Sixteen articles from the initial search (n = 202) were deemed eligible for inclusion. An analysis of these articles identified five common outcome categories that permeated throughout the research articles: (1) cardiorespiratory fitness (CRF); (2) anthropometry and body composition; (3) PA; (4) cognition; and (5) process evaluation. Results presented from the included articles suggests TDM positively impacts markers of a variety of health-related metrics, namely CRF and PA. However, implementation barriers including TDM's repetitive nature, time constraints associated with competing curriculum demands and inadequate facilities regularly necessitate the adaptation and development of the original TDM format by schools and teachers.
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Affiliation(s)
- Luke Hanna
- Department of Sport, Leisure and Childhood Studies, Munster Technological University, Bishopstown, T12 P928 Cork, Ireland; (C.B.); (C.O.); (E.C.)
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Jarnig G, Kerbl R, Jaunig J, van Poppel MNM. Effects of a daily physical activity intervention on the health-related fitness status of primary school children: A cluster randomized controlled trial. J Sports Sci 2023; 41:1073-1082. [PMID: 37733413 DOI: 10.1080/02640414.2023.2259210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2023] [Accepted: 08/20/2023] [Indexed: 09/22/2023]
Abstract
An important barrier for a nationwide implementation of a daily physical activity (PA) at primary schools is the lack of spatial and human resources. Therefore, we developed a PA intervention that can be implemented without additional spatial resources or changes in school curricula. In the intervention group, children received a daily PA unit consisting of physical education lessons and simultaneous academic content over a 9-month period. The control group received conventional (physical education) classes. Body weight, height, waist circumference and health-related fitness parameters were measured. Of 412 children (9.7 ± 0.5 years) included, 228 participated in the intervention group. In regression analysis adjusted for baseline, gender, school location, sports club membership (total only) with standardized outcome variables, the intervention group showed a reduction in waist-to-height ratio (B = 0.30, p < 0.001) and an increase in several fitness parameters (cardiorespiratory endurance: B = 0.20, p = 0.037; lower body muscle strength: B = 0.11, p = 0.041; lower body muscle endurance: B = 0.12, p = 0.027; flexibility: B = 0.19, p = 0.019) compared to the control group. Intervention effects for cardiorespiratory endurance and flexibility were more pronounced in the group of children without sports club membership. Thus, especially children with no sport club membership seem to benefit from daily PA in school (Trial registration: DRKS00025515).
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Affiliation(s)
- Gerald Jarnig
- Institute of Human Movement Science, Sport and Health, University of Graz, Graz, Austria
| | - Reinhold Kerbl
- Department of Pediatrics and Adolescent Medicine, LKH Hochsteiermark, Leoben, Austria
| | - Johannes Jaunig
- Institute of Human Movement Science, Sport and Health, University of Graz, Graz, Austria
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Pedišić Ž, Strika M, Matolić T, Sorić M, Šalaj S, Dujić I, Rakovac M, Radičević B, Podnar H, Greblo Jurakić Z, Jerković M, Radašević H, Čvrljak J, Petračić T, Musić Milanović S, Lang Morović M, Krtalić S, Milić M, Papić A, Momčinović N, Mišigoj-Duraković M, Heimer S, Jurakić D. Physical Activity of Children and Adolescents in Croatia: A Global Matrix 4.0 Systematic Review of Its Prevalence and Associated Personal, Social, Environmental, and Policy Factors. J Phys Act Health 2023; 20:487-499. [PMID: 37076241 DOI: 10.1123/jpah.2022-0500] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2022] [Revised: 01/25/2023] [Accepted: 02/15/2023] [Indexed: 04/21/2023]
Abstract
BACKGROUND The previous review of physical activity (PA) among Croatian children and adolescents was conducted a decade ago. Therefore, the aim of this study was to summarize recent evidence on PA of Croatian children and adolescents and associated personal, social, environmental, and policy factors. METHODS Eighteen experts reviewed the available evidence and provided ratings (from the lowest grade "F" to the highest grade "A+") for the 10 Global Matrix indicators. A systematic search with 100 keywords was conducted in Hrčak, PubMed/MEDLINE, Scopus, SPORTDiscus, and Web of Science for documents published from January 01, 2012, to April 15, 2022. We also conducted internet searches and secondary analyses of data (relative frequencies) from 6 studies. RESULTS After assessing 7562 references, we included 90 publications in the review and 18 studies (83.3% of medium-to-good quality) in evidence synthesis. We found a high prevalence of insufficient PA (especially among girls) and excessive screen time (especially among boys). PA participation of children and adolescents in Croatia has declined over time. The following grades were assigned to the indicators for Croatia: B- for overall PA, C- for organized sport and PA, C for active play, C- for active transportation, D+ for sedentary behavior, inconclusive for physical fitness, D+ for family and peers, B- for school, B- for community and environment, and D+ for government. CONCLUSIONS Coordinated actions are needed across sectors to improve PA promotion, with a focus on increasing PA among girls, reducing sedentary screen time among boys, improving parental support for PA, and further development of national PA policies.
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Affiliation(s)
- Željko Pedišić
- Institute for Health and Sport, Victoria University, Melbourne, VIC,Australia
| | - Melanija Strika
- Faculty of Kinesiology, University of Zagreb, Zagreb,Croatia
| | - Tena Matolić
- Faculty of Kinesiology, University of Zagreb, Zagreb,Croatia
| | - Maroje Sorić
- Faculty of Kinesiology, University of Zagreb, Zagreb,Croatia
| | - Sanja Šalaj
- Faculty of Kinesiology, University of Zagreb, Zagreb,Croatia
| | - Ivan Dujić
- Croatian School Sport Federation, Zagreb,Croatia
| | - Marija Rakovac
- Faculty of Kinesiology, University of Zagreb, Zagreb,Croatia
- Croatian Sports Medicine Society, Croatian Medical Association, Zagreb,Croatia
| | | | - Hrvoje Podnar
- Faculty of Kinesiology, University of Zagreb, Zagreb,Croatia
| | | | | | - Hrvoje Radašević
- Andrija Štampar Teaching Institute of Public Health, Zagreb,Croatia
| | - Jelena Čvrljak
- Andrija Štampar Teaching Institute of Public Health, Zagreb,Croatia
| | - Tin Petračić
- Algebra University College, Zagreb,Croatia
- Primary School "Mladost,"Lekenik,Croatia
| | - Sanja Musić Milanović
- Croatian Institute of Public Health, Zagreb,Croatia
- School of Medicine, University of Zagreb, Zagreb,Croatia
| | | | | | - Mirjana Milić
- Faculty of Kinesiology, University of Split, Split,Croatia
| | - Alma Papić
- Croatian Olympic Committee, Zagreb,Croatia
| | | | | | - Stjepan Heimer
- Faculty of Kinesiology, University of Zagreb, Zagreb,Croatia
- Croatian Sports Medicine Society, Croatian Medical Association, Zagreb,Croatia
| | - Danijel Jurakić
- Faculty of Kinesiology, University of Zagreb, Zagreb,Croatia
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Chen S, Hong J, Milton K, Klepac B, Ma J, Pedisic Z. Analysis of national physical activity and sedentary behaviour policies in China. BMC Public Health 2023; 23:1024. [PMID: 37254122 PMCID: PMC10230767 DOI: 10.1186/s12889-023-15865-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Accepted: 05/10/2023] [Indexed: 06/01/2023] Open
Abstract
PURPOSE The aims of this study were to advance knowledge on physical activity (PA) and sedentary behaviour (SB) policies in China and to highlight related gaps and opportunities in the Chinese policy landscape. METHODS Literature and web-based searches were performed to identify national PA and SB policies in China. We assessed which of the 17 elements of the Health-Enhancing Physical Activity Policy Audit Tool (HEPA PAT, version 2) are included in each of the policy documents and whether and how they address the 'cornerstones' of PA and SB policy: PA and SB guidelines, targets, surveillance and monitoring, and public education programmes. RESULTS We found 60 national PA and SB policies, of which 54 focused on PA only and 6 focused on both PA and SB. There was a rapid increase in the number of policies issued between 2002 and 2021. In totality, the policies include all 17 key elements for a successful national policy approach to PA promotion according to the HEPA PAT. The policies reflect engagement from a range of sectors and encompass PA targets, recommendations for PA and SB, mandates and recommendations for school-related PA, plans for public education on PA, and plans for surveillance and monitoring of PA and SB. CONCLUSION Our findings demonstrate that there has been increasing focus on PA and SB policies in China, which reflects efforts by policymakers to address the health burden of insufficient PA and excessive SB. More emphasis may be placed on SB in Chinese policy, particularly in terms of setting specific targets for population SB. Policymakers and other relevant public health stakeholders in China could also consider developing or adopting the 24-hour movement guidelines, in accordance with recent trends in several other countries. Collaboration and involvement of different sectors in the development and implementation of Chinese PA and SB policies should continue to be facilitated as part of a whole-of-system approach to health promotion.
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Affiliation(s)
- Sitong Chen
- Institute for Health and Sport, Victoria University, Melbourne, 3011, Australia.
| | - Jintao Hong
- Shanghai Research Institute of Sports Science (Shanghai Anti-Doping Agency), Shanghai, 200030, China
| | - Karen Milton
- Norwich Medical School, Faculty of Medicine and Health Sciences, University of East Anglia, Norwich, NR4 7TJ, UK
| | - Bojana Klepac
- Mitchell Institute for Education and Health Policy, Victoria University, Melbourne, 3000, Australia
| | - Jiani Ma
- Centre for Sport, Exercise and Life Sciences, Coventry University, Coventry, CV1 5FB, UK
- School of Health and Social Development, Deakin University, Geelong, 3220, Australia
- Institute for Physical Activity and Nutrition, Deakin University, Geelong, 3220, Australia
| | - Zeljko Pedisic
- Institute for Health and Sport, Victoria University, Melbourne, 3011, Australia
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COVID-19 induced changes in physical activity patterns, screen time and sleep among Swedish adolescents - a cohort study. BMC Public Health 2023; 23:380. [PMID: 36823595 PMCID: PMC9947443 DOI: 10.1186/s12889-023-15282-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2022] [Accepted: 02/15/2023] [Indexed: 02/25/2023] Open
Abstract
BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic had a huge impact on daily life, even in countries such as Sweden where the restrictions were relatively mild. This paper assesses the effects of the COVID-19 pandemic restrictions on physical activity (PA) patterns, screen time, and sleep among Swedish adolescents. The exposures explored include gender, parental education, anthropometrics, and cardiovascular fitness (CVF). METHODS Cohort data were collected from September 26th to December 6th, 2019, and from April 12th to June 9th, 2021. Participants were 13-14 years-old (7th graders) at baseline with 585 participating at both baseline and follow-up. At both baseline and follow-up PA and sedentary time were measured with accelerometers, and sleep and screen time with questionnaires. The exposure variables (gender, parental education, anthropometrics and CVF) were collected at baseline. Multilevel linear regression analyses were performed. RESULTS Moderate-to-vigorous-physical activity (MVPA) remained unchanged while light physical activity (LiPA) decreased and sedentary time increased. Sleep duration decreased and screen time increased. Girls, adolescents with overweight/obesity (BMI and percent body fat), and those with lower CVF at baseline had less favourable changes in PA patterns, sleep and screen time. CONCLUSIONS Although no significant (α = 0.05) changes were seen in MVPA, both LiPA and sedentary time as well as sleep and screen time changed in unfavourable ways. More intense activities are often organised and seem to have withstood the pandemic, while less intense activities decreased. Some groups were more vulnerable and will need directed intervention in the post-pandemic period as well as when future pandemics hit.
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Luo L, Zeng X, Cao Y, Hu Y, Wen S, Tang K, Ding L, Wang X, Song N. The Associations between Meeting 24-Hour Movement Guidelines (24-HMG) and Mental Health in Adolescents-Cross Sectional Evidence from China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:3167. [PMID: 36833861 PMCID: PMC9966615 DOI: 10.3390/ijerph20043167] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/20/2023] [Revised: 02/03/2023] [Accepted: 02/07/2023] [Indexed: 06/18/2023]
Abstract
(1) Background: This study determined the prevalence of adolescents that meet 24-HMGs alone and in combination, and their association with the risk of developing adolescent anxiety and depression. (2) Methods: Participants were drawn from 9420 K8 grade adolescents (age 14.53 ± 0.69 years; 54.78% boys) from the China Education Tracking Survey (CEPS) 2014-2015 tracking data. Data on depression and anxiety were collected from the results of the questionnaire in the CEPS for the adolescent mental health test. Compliance with the 24-HMG was defined as: physical activity time (PA) ≥ 60 min/day was defined as meeting the PA. Screen time (ST) ≤ 120 min/day was defined as meeting the ST. Adolescents aged 13 years achieved 9-11 h of sleep per night and adolescents aged 14-17 years achieved 8-10 h of sleep per night, defined as meeting sleep. Logistic regression models were used to examine the association between meeting and not meeting the recommendations and the risk of depression and anxiety in adolescents. (3) Results: Of the sample studied, 0.71% of adolescents met all three recommendations, 13.54% met two recommendations and 57.05% met one recommendation. Meeting sleep, meeting PA+ sleep, meeting ST + sleep, and meeting PA + ST + sleep were associated with a significantly lower risk of anxiety and depression in adolescents. Logistic regression results showed that differences in the effects of gender on the odds ratio (ORs) for depression and anxiety in adolescents were not significant. (4) Conclusions: This study determined the risk of developing depression and anxiety in adolescents who met the recommendations for 24-HMG alone and in combination. Overall, meeting more of the recommendations in the 24-HMGs was associated with lower anxiety and depression risk outcomes in adolescents. For boys, reducing the risk of depression and anxiety can be prioritised by meeting PA + ST + sleep, meeting ST + sleep and meeting sleep in the 24-HMGs. For girls, reducing the risk of depression and anxiety may be preferred by meeting PA + ST + sleep or meeting PA+ sleep and meeting sleep in 24-HMGs. However, only a small proportion of adolescents met all recommendations, highlighting the need to promote and support adherence to these behaviours.
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Affiliation(s)
- Lin Luo
- College of Physical Education, Guizhou Normal University, Guiyang 550001, China
- Basic Education Research Center, Southwest University, Chongqing 400715, China
| | - Xiaojin Zeng
- College of Physical Education, Guizhou Normal University, Guiyang 550001, China
| | - Yunxia Cao
- College of Physical Education, Guizhou Normal University, Guiyang 550001, China
| | - Yulong Hu
- College of Physical Education, Guizhou Normal University, Guiyang 550001, China
| | - Shaojing Wen
- College of Physical Education, Guizhou Normal University, Guiyang 550001, China
| | - Kaiqi Tang
- College of Physical Education, Guizhou Normal University, Guiyang 550001, China
| | - Lina Ding
- College of Physical Education, Guizhou Normal University, Guiyang 550001, China
| | - Xiangfei Wang
- Research Institute of Sports Science, Wuhan Sports University, Wuhan 430079, China
| | - Naiqing Song
- Basic Education Research Center, Southwest University, Chongqing 400715, China
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da Costa BGG, Bruner B, Raymer GH, Benson SMS, Chaput JP, McGoey T, Rickwood G, Robertson-Wilson J, Saunders TJ, Law B. Association of daily and time-segmented physical activity and sedentary behaviour with mental health of school children and adolescents from rural Northeastern Ontario, Canada. Front Psychol 2022; 13:1025444. [DOI: 10.3389/fpsyg.2022.1025444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Accepted: 09/13/2022] [Indexed: 11/13/2022] Open
Abstract
Physical activity (PA) and sedentary behaviour (SED) have been linked to the mental health of children and adolescents, yet the timing of behaviours may play a role in this relationship and clarifying this could inform interventions. We explored cross-sectional associations of PA and SED in varying time segments throughout the school day with the mental health of school-aged children and adolescents from rural Northeastern Ontario, Canada. A total of 161 students (56% female, M = 10.3 years old) wore accelerometers for 8 days (7 nights) and completed a self-report survey (parent reported for children younger than 11). Mental health was measured using the Strengths and Difficulties Questionnaire. Accelerometer-measured SED, light PA (LPA), and moderate and vigorous PA (MVPA) were estimated in the time-segments before school (06:00–08:44), school time (08:45–15:04), after school (15:05–16:59), and evenings (17:00–21:59). Associations were tested with multilevel linear regressions while adjusting for confounding factors. Students spent 72.6 min in MVPA, 209.0 min in LPA, and 621.0 min in SED per day. Daily SED was associated with less conduct problems (β = −0.27, p < 0.05). Evening LPA was inversely associated with hyperactivity (β = −1.45, p < 0.05), while SED was associated with hyperactivity and with peer problems before school (β = 1.70 and β = 1.01, respectively, p < 0.05), and during school (β = −0.83 and β = −0.57, respectively, p < 0.05). No associations were observed for MVPA, emotional symptoms, or prosocial behaviour. In conclusion, displacing SED with LPA in some specific periods of the day may benefit the mental health of students; taking this into account could strengthen interventions.
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Huang WY, Aubert S, Tremblay MS, Wong SH. Global Matrix 4.0 physical activity report cards grades for children and adolescents: A comparison among 15 Asian countries and regions. J Exerc Sci Fit 2022; 20:372-381. [PMID: 36311170 PMCID: PMC9579364 DOI: 10.1016/j.jesf.2022.10.002] [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: 07/07/2022] [Revised: 08/26/2022] [Accepted: 10/01/2022] [Indexed: 11/05/2022] Open
Abstract
Background /Objective: This paper aimed to compare the report card grades among 15 Asian jurisdictions participating in the Global Matrix 4.0, and to explore differences in regional cultural and policy factors related to physical activity behaviors. Methods All participating jurisdictions followed a harmonized process to develop a country report card. Ten required common indicators were assessed, including five behavioral indicators (Overall Physical Activity, Organized Sport and Physical Activity, Active Play, Active Transportation, Sedentary Behavior), four sources of influence indicators (Family and Peers, School, Community and Environment, and Government), and an outcome indicator (Physical Fitness). Letter grades, ranging from A+ to F or incomplete (INC), were assigned to the indicators based on the predefined benchmarks and grading rubric, and were converted to numerical scale for analyses. Results The country average scores ranged from F (Indonesia) to B- (Japan), with C+/C/C- the most prevalent grades. The mean behavioral score (D+) was lower than sources of influence score (C+). Poor grades (D or F) were observed for Overall Physical Activity among 73.3% (11/15) of the jurisdictions. Government was the indicator with the highest proportion of A or B grades (66.7%), followed by School (53.3%). Physical Fitness (n = 10) and Active Play (n = 8) were two indicators with the largest number of INC grades. Conclusions Poor grades for physical activity and sedentary behavior were generally found in Asian jurisdictions. The better, though modest, grades on the sources of influence have not been translated into favorable behaviors among children and adolescents. The findings also suggested surveillance gaps for physical fitness, active play, and organized sport participation. National-level investments and action plans are needed to ensure physical activity interventions are developed, effectively implemented, and regularly evaluated in multiple settings.
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Affiliation(s)
- Wendy Y. Huang
- Department of Sport, Physical Education and Health, Hong Kong Baptist University, Hong Kong, China
| | - Salomé Aubert
- Active Healthy Kids Global Alliance, Ottawa, ON, Canada
| | - Mark S. Tremblay
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, ON, Canada,Department of Pediatrics, University of Ottawa, Ottawa, ON, Canada
| | - Stephen H. Wong
- Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Hong Kong, China,Corresponding author.
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Ługowska K, Kolanowski W. The Impact of Physical Activity at School on Body Fat Content in School-Aged Children. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:12514. [PMID: 36231816 PMCID: PMC9564525 DOI: 10.3390/ijerph191912514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Revised: 09/21/2022] [Accepted: 09/26/2022] [Indexed: 06/16/2023]
Abstract
(1) Background: Excessive amounts of adipose tissue is a health risk. The aim of this study was to assess the impact of increased physical activity (PA) at school on body fat content in children aged 10 to 12 years over a 2-year follow-up. (2) Methods: Children born in 2007 (n = 245) in two groups, (1) standard PA and (2) increased PA at school, 4 and 10 h of physical education lessons per week, respectively. BIA measurements of body fat content were taken twice a year. Results were interpreted based on children's fat content reference curves. (3) Results: During 2 years of observation, the percentage of children with excessive fat mass (overweight and obese) increased by one-third (from 28.11% to 39.67%) in the group of standard PA, while decreased by one-third in the increased PA one (from 28.92% to 21.00%); with normal fat content increased by one-quarter in the increased PA group (from 59.86% to 76.26%) and decreased by one-tenth in the standard PA one (from 61.61% to 56.29%). (4) Conclusions: An increase in PA at school has a positive impact on children's body fat content. It is recommended to increase the number of physical education lessons at school, which has a positive effect on children's health, reducing the risk of obesity.
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Affiliation(s)
- Katarzyna Ługowska
- Faculty of Medical and Health Sciences, Siedlce University, 08-110 Siedlce, Poland
| | - Wojciech Kolanowski
- Faculty of Health Sciences, Medical University of Lublin, 20-400 Lublin, Poland
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16
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Adherence to Combined Healthy Movement Behavior Guidelines among Adolescents: Effects on Cardiometabolic Health Markers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19148798. [PMID: 35886650 PMCID: PMC9319843 DOI: 10.3390/ijerph19148798] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/09/2022] [Revised: 07/12/2022] [Accepted: 07/18/2022] [Indexed: 02/04/2023]
Abstract
Background: The combined movement behavior guidelines for adolescents recommend ≥60 min of moderate to vigorous physical activity, ≤2 h of screen time, and 8–10 h of sleep. Considering that the information available on this topic in the young Latin American population is rare, this study aimed to identify the proportion of a sample of Brazilian adolescents meeting individual guidelines as well as the combination of the three healthy movement behavior guidelines. In addition, another objective of the study was to examine the effects of compliance with these guidelines on cardiometabolic health markers. Methods: This is a cross-sectional school-based study, with the participation of 306 adolescents aged 14 to 18 years. A questionnaire with structured questions was applied to collect data on physical activity, screen time, and sleep duration. Cardiometabolic health was assessed by the calculation of a continuous risk score, including twelve markers related to body fat, blood pressure, plasma lipids and lipoproteins, glycemia, and insulin. Results: Only 4.8% (4.3–5.4) of the adolescents met the three healthy movement behavior guidelines, while 9.3% (8.4–10.4) of the sample did not meet any of the guidelines. No significant difference between sexes was found in the simultaneous compliance of the three movement guidelines. Adolescents who did not meet any of the movement guidelines were twice as likely to have higher cardiometabolic risk (OR = 2.05 (1.41–3.17)) than their peers who met all three guidelines. Conclusions: Considering the high proportion of adolescents who did not meet the movement behavior guidelines and the negative effects on cardiometabolic health, it is suggested that future policies and interventions should consider an integrated and holistic approach aimed at simultaneous actions of maximizing physical activity, minimizing screen time, and ensuring sufficient sleep duration.
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Delfa-De-La-Morena JM, Bores-García D, Solera-Alfonso A, Romero-Parra N. Barriers to Physical Activity in Spanish Children and Adolescents: Sex and Educational Stage Differences. Front Psychol 2022; 13:910930. [PMID: 35726266 PMCID: PMC9206528 DOI: 10.3389/fpsyg.2022.910930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2022] [Accepted: 05/09/2022] [Indexed: 11/13/2022] Open
Abstract
According to worrisome childhood obesity and inadequate physical activity (PA) levels worldwide, especially exacerbated in adolescents girls, this work aimed to identify sex and educational stage differences in barriers to meet PA requirements and international guidelines in Spanish children and adolescents considering the entire educational pathway (primary, secondary, and college). The Short Form of the International PA Questionnaire and the Scale of Perceived Barriers were administered to primary, secondary, and college education students (13,491 boys and 13,238 girls, 9–19 yrs). Two-way ANOVA was performed to analyze barriers to PA according to sex and educational stage with physical status as covariate. Higher disliking and time barriers were reported by females (1.5 ± 1.2 and 3.2 ± 1.5 points) in comparison to males (1.2 ± 1.0 and 2.8 ± 1.4), while primary students showed lower disliking and time (1.2 ± 1.0 and 2.8 ± 1.5) and higher safety (3.1 ± 1.8) constraints in comparison to secondary (1.4 ± 1.1, 3.1 ± 1.4, and 2.8 ± 1.7) and college (1.5 ± 1.2, 3.2 ± 1.5, and 2.8 ± 1.6; p < 0.05 for all comparisons). College females showed higher disliking (1.7 ± 1.2) and time (3.5 ± 1.4) barriers than secondary females (1.5 ± 1.2 and 3.3 ± 1.4; p < 0.05). Sex and educational stage were determinant for time and dislike of PA barriers, which were rated higher by female students in comparison to their male counterparts and from primary education onwards. Altogether this, suggests promotion strategies should carefully consider girls and the step into secondary school.
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Affiliation(s)
- José Manuel Delfa-De-La-Morena
- Department of Physiotherapy, Occupational Therapy, Physical Medicine and Rehabilitation, Rey Juan Carlos University, Móstoles, Spain
| | - Daniel Bores-García
- Department of Physiotherapy, Occupational Therapy, Physical Medicine and Rehabilitation, Rey Juan Carlos University, Móstoles, Spain.,Research Group of Humanities and Qualitative Research in Health Science, Rey Juan Carlos University, Madrid, Spain
| | - Adrián Solera-Alfonso
- Department of Physiotherapy, Occupational Therapy, Physical Medicine and Rehabilitation, Rey Juan Carlos University, Móstoles, Spain
| | - Nuria Romero-Parra
- Department of Physiotherapy, Occupational Therapy, Physical Medicine and Rehabilitation, Rey Juan Carlos University, Móstoles, Spain.,LFE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sports Science, Universidad Politécnica de Madrid, Madrid, Spain
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Saunders TJ, Rollo S, Kuzik N, Demchenko I, Bélanger S, Brisson-Boivin K, Carson V, da Costa BGG, Davis M, Hornby S, Huang WY, Law B, Ponti M, Markham C, Salmon J, Tomasone JR, Van Rooij AJ, Wachira LJ, Wijndaele K, Tremblay MS. International school-related sedentary behaviour recommendations for children and youth. Int J Behav Nutr Phys Act 2022; 19:39. [PMID: 35382828 PMCID: PMC8979784 DOI: 10.1186/s12966-022-01259-3] [Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2021] [Accepted: 01/24/2022] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND Existing sedentary behaviour guidelines for children and youth target overall sedentary behaviour and recreational screen time, without any specific recommendations regarding school-related sedentary behaviours (i.e., sedentary behaviours performed during the school day, or within the influence of school). The purpose of this paper is to describe the development of international evidence-based recommendations for school-related sedentary behaviours for children and youth, led by the Sedentary Behaviour Research Network (SBRN). METHODS A panel of international experts was convened by SBRN in November 2020 to guide the development of these recommendations for children and youth aged ~ 5-18 years. The recommendations were informed by 1) age-relevant existing sedentary behaviour guidelines, 2) published research on the relationship between overall sedentary behaviour and health, 3) a de novo systematic review on the relationship between school-related sedentary behaviours and health and/or academic outcomes, and 4) a de novo environmental scan of the grey literature to identify existing recommendations for school-related sedentary behaviours. Draft recommendations were presented to the Expert Panel in June 2021. Following thorough discussion and modifications, updated recommendations were distributed for stakeholder feedback from July 9-26. Feedback was received from 148 stakeholders across 23 countries, leading to additional updates to the recommendations. Following further rounds of discussion and updates with the Expert Panel in August and September 2021, consensus was achieved on the final recommendations. RESULTS A healthy day includes breaking up extended periods of sedentary behaviour and incorporating different types of movement into homework whenever possible, while limiting sedentary homework. School-related screen time should be meaningful, mentally or physically active, and serve a specific pedagogical purpose that enhances learning. Replacing sedentary learning activities with movement-based learning activities, and replacing screen-based learning activities with non-screen-based learning activities, can further support students' health and wellbeing. DISCUSSION This paper presents the first evidence-based recommendations for school-related sedentary behaviours for children and youth. These recommendations will support the work of parents, caregivers, educators, school system administrators, policy makers, researchers and healthcare providers interested in promoting student health and academic success.
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Affiliation(s)
- Travis J Saunders
- Department of Applied Human Sciences, University of Prince Edward Island, Charlottetown, Canada.
| | - Scott Rollo
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Canada
| | - Nicholas Kuzik
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Canada
| | - Iryna Demchenko
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Canada
| | - Stacey Bélanger
- Digital Health Task Force, Canadian Paediatric Society, Ottawa, Canada
| | | | - Valerie Carson
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Canada
| | - Bruno G G da Costa
- School of Physical and Health Education, Nipissing University, North Bay, Ontario, Canada
| | - Melanie Davis
- Physical and Health Education Canada, Ottawa, Canada
| | - Susan Hornby
- Pan-Canadian Joint Consortium for School Health Secretariat, Summerside, Canada
| | - Wendy Yajun Huang
- Department of Sport, Physical Education and Health, Hong Kong Baptist University, Hong Kong, China
| | - Barbi Law
- School of Physical and Health Education, Nipissing University, North Bay, Ontario, Canada
| | - Michelle Ponti
- Digital Health Task Force, Canadian Paediatric Society, Ottawa, Canada
| | - Chris Markham
- Ontario Physical and Health Education Association, Ottawa, Canada
| | - Jo Salmon
- Institute for Physical Activity and Nutrition, Deakin University, Geelong, Australia
| | - Jennifer R Tomasone
- School of Kinesiology and Health Studies, Queen's University, Kingston, Ontario, Canada
| | | | - Lucy-Joy Wachira
- Physical Education, Exercise and Sports Science, Kenyatta University, Nairobi, Kenya
| | | | - Mark S Tremblay
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Canada
- Department of Pediatrics, University of Ottawa, Ottawa, Canada
- Department of Health Sciences, Carleton University, Ottawa, Canada
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19
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Parker K, Brown HL, Salmon J. Are There Common Correlates of Adolescents' Sport Participation and Screen Time? RESEARCH QUARTERLY FOR EXERCISE AND SPORT 2022:1-9. [PMID: 35352992 DOI: 10.1080/02701367.2021.1998305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/11/2020] [Accepted: 10/20/2021] [Indexed: 06/14/2023]
Abstract
Objective: This study aimed to identify intrapersonal, interpersonal, and environmental correlates of leisure-time participation in sports and examine whether they are also associated with screen-time among adolescents. Methods: Adolescents from eight schools in Victoria, Australia were recruited for this study. Participants (n = 400) comprised of an even distribution of boys (51%) and girls (49%) aged 12-16 years. Their engagement in leisure-time activities (including sports and screen-time) and 13 potential correlates were self-reported. Multinomial logistic regression analyses examined correlates of sports and screen-time participation categories, accounting for clustering by school and adjusting for significant sociodemographic characteristics. Results: The majority (76%) participated in leisure-time sports and exceeded screen-time recommendations (<2 h/day) on both weekdays (69%) and weekend days (85%). Greater internal motivation for sports was positively associated with sports participation and inversely associated with screen-time on weekend days, respectively. Fewer barriers, positive family and coach support and more neighborhood sporting opportunities were significantly associated with greater sports participation. Neighborhood social norms were inversely associated with sports participation. Preference for sports was associated with less weekday and weekend screen-time. Friend support for sports was inversely associated with weekday screen-time. Access to sports facilities in the local neighborhood was associated with more weekday and weekend screen-time. Conclusion: Internal motivation for sports was associated with both sports participation and less screen-time. Preference for leisure-time sports and friend support for sports were associated with less screen-time. Future research should continue to explore common correlates of multiple leisure-time behaviors to inform the development of effective intervention strategies.
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20
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Wang C, Stokes T, Vargas JT, Steele R, Wedderkopp N, Shrier I. Predicting Injury Risk Over Changes in Physical Activity in Children Using the Acute:Chronic Workload Ratio. Am J Epidemiol 2022; 191:665-673. [PMID: 34849538 DOI: 10.1093/aje/kwab280] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Revised: 11/15/2021] [Accepted: 11/22/2021] [Indexed: 11/13/2022] Open
Abstract
Limited research exists on the relationship between changes in physical activity levels and injury in children. In this study, we investigated the prognostic relationship between changes in activity, measured by the acute:chronic workload ratio (ACWR), and injury in children. We used data from the Childhood Health, Activity, and Motor Performance School Study Denmark (2008-2014), a prospective cohort study of 1,660 children aged 6-17 years. We modeled the relationship between the uncoupled 5-week ACWR and injury, defined as patient-reported musculoskeletal pain, using generalized additive mixed models. These methods accounted for repeated measures, and they improved model fit and precision compared with previous studies that used logistic models. The prognostic model predicted an injury risk of approximately 3% between decreases in activity level of up to 60% and increases of up to 30%. Predicted risk was lower when activity decreased by more than 60% (minimum of 0.5% with no recreational activity). Predicted risk was higher when activity increased by more than 30% (4.5% with a 3-fold increase in activity). Girls were at significantly higher risk of injury than boys. We observed similar patterns but lower absolute risks when we restricted the outcome to clinician-diagnosed injury. Predicted increases in injury risk with increasing activity were much lower than those of previous studies carried out in adults.
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21
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Alanazi YA, Parrish A, Okely AD. Impact of the COVID-19 virus outbreak on 24-h movement behaviours among children in Saudi Arabia: A cross-sectional survey. Child Care Health Dev 2022; 48:1031-1039. [PMID: 35288957 PMCID: PMC9111763 DOI: 10.1111/cch.12999] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/01/2021] [Revised: 01/30/2022] [Accepted: 03/06/2022] [Indexed: 11/30/2022]
Abstract
BACKGROUND In March 2020, the World Health Organization (WHO) declared the coronavirus (COVID-19) outbreak as a pandemic. This led many governments to place restrictions on population movement to aid in pandemic control. These restrictions were expected to produce some type of impact on the daily lives of children and their families. The purpose of this study was to investigate the impact of COVID-19 on 24-h movement behaviours among Saudi children aged 6-12 years, during the pandemic. METHODS An online survey of Saudi parents (n = 1021) was conducted between 1 October to 11 November 2020 to gather information about the impact of the COVID-19 outbreak on children's 24-h movement behaviours, parent and child factors that may be associated with movement behaviours, and perceived changes in children's movement behaviours. RESULTS Only 3.4% of Saudi children met all components of 24-h movement guidelines. Compared with before COVID-19, children's PA levels declined, they slept more, and their use of electronic screen devices significantly increased. The perceived changes in PA and SB were more unfavourable among girls than boys. Children of older parents, mothers, and those with lower education levels and lower monthly incomes were more likely to meet 24-h movement guidelines. CONCLUSION The COVID-19 virus outbreak unfavourably affected Saudi children's movement behaviours, more specifically, girls, which should be taken into account in future research. The results provide an insight into what has changed because of the COVID-19 restrictions and could be considered as part of the response strategies in Saudi Arabia.
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Affiliation(s)
- Yazeed A. Alanazi
- Early Start and School of Health & SocietyUniversity of WollongongWollongongNSWAustralia,College of Sport Sciences and Physical ActivityKing Saud UniversityRiyadhSaudi Arabia
| | - Anne‐Maree Parrish
- Early Start and School of Health & SocietyUniversity of WollongongWollongongNSWAustralia
| | - Anthony D. Okely
- Early Start and School of Health & SocietyUniversity of WollongongWollongongNSWAustralia,Illawarra Health and Medical Research InstituteUniversity of WollongongWollongongNSWAustralia
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22
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Materová E, Pelclová J, Gába A, Frömel K. Surveillance of physical activity and sedentary behaviour in czech children and adolescents: a scoping review of the literature from the past two decades. BMC Public Health 2022; 22:363. [PMID: 35189870 PMCID: PMC8859875 DOI: 10.1186/s12889-022-12766-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2021] [Accepted: 02/09/2022] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND This study aimed to map the available evidence related to physical activity (PA) and sedentary behaviour (SB) in Czech children and adolescents and suggest future directions and improvements to strengthen the surveillance of PA and SB in the Czech Republic. METHODS The search of articles published between January 2000 and December 2020 included the Medline and Medvik databases and a manual search in eight Czech journals related to the topic. This review followed the "Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews". RESULTS Out of 350 identified articles, 79 articles met the criteria for selection and referred to 27 studies. The majority of the articles were cross-sectional (89%), approximately two-thirds of the articles (61%) examined only PA, and half of the articles (51%) employed device-based assessments. Approximately 47% of the articles reported the prevalence of physical inactivity on the basis of inconsistently defined recommendations. Approximately 14%, 23%, and 10% of the articles focused on active transportation, organized PA (including physical education or leisure-time PA), and parent-child PA, respectively. CONCLUSIONS Future studies need to focus on longitudinal design and interventions, randomly selected samples, a mix of device-based and self-reported methods, and the recognition of health-related 24-hour time use patterns. This review advocates the government-supported development of a national surveillance system that will help to reduce insufficient PA and excessive SB.
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Affiliation(s)
- Eliška Materová
- Institute of Active Lifestyle, Faculty of Physical Culture, Palacký University Olomouc, tř. Míru 117, 771 11 Olomouc, Czech Republic
| | - Jana Pelclová
- Institute of Active Lifestyle, Faculty of Physical Culture, Palacký University Olomouc, tř. Míru 117, 771 11 Olomouc, Czech Republic
| | - Aleš Gába
- Department of Natural Sciences in Kinathropology, Faculty of Physical Culture, Palacký University Olomouc, tř. Míru 117, 771 11 Olomouc, Czech Republic
| | - Karel Frömel
- Institute of Active Lifestyle, Faculty of Physical Culture, Palacký University Olomouc, tř. Míru 117, 771 11 Olomouc, Czech Republic
- Institute of Sport Sciences, the Jerzy Kukuczka Academy of Physical Education, Katowice, Poland
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Paterson DC, Ramage K, Moore SA, Riazi N, Tremblay MS, Faulkner G. Exploring the impact of COVID-19 on the movement behaviors of children and youth: A scoping review of evidence after the first year. JOURNAL OF SPORT AND HEALTH SCIENCE 2021; 10:675-689. [PMID: 34237456 PMCID: PMC8687706 DOI: 10.1016/j.jshs.2021.07.001] [Citation(s) in RCA: 99] [Impact Index Per Article: 33.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Revised: 05/14/2021] [Accepted: 06/09/2021] [Indexed: 05/19/2023]
Abstract
PURPOSE The objective of this scoping review was to summarize systematically the available literature investigating the relationships between the coronavirus disease 2019 (COVID-19) pandemic and movement behaviors (physical activity, sedentary behavior, and sleep) of school-aged children (aged 5-11 years) and youth (aged 12-17 years) in the first year of the COVID-19 outbreak. METHODS Searches for published literature were conducted across 6 databases on 2 separate search dates (November 25, 2020, and January 27, 2021). Results were screened and extracted by 2 reviewers (DCP and KR) independently, using Covidence. Basic numeric analysis and content analysis were undertaken to present thematically the findings of included studies according to the associated impact on each movement behavior. RESULTS A total of 1486 records were extracted from database searches; of those, 150 met inclusion criteria and were included for analysis. Of 150 articles, 110 were empirical studies examining physical activity (n = 77), sedentary behavior/screen time (n = 58), and sleep (n = 55). Results consistently reported declines in physical-activity time, increases in screen time and total sedentary behavior, shifts to later bed and wake times, and increases in sleep duration. The reported impacts on movement behaviors were greater for youth than for children. CONCLUSION The COVID-19 pandemic is related to changes in the quantity and nature of physical activity, sedentary behavior, and sleep among children and youth. There is an urgent need for policy makers, practitioners, and researchers to develop solutions for attenuating adverse changes in physical activity and screen time among children and youth.
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Affiliation(s)
- Derek C Paterson
- School of Kinesiology, Faculty of Education, University of British Columbia, Vancouver, British Columbia V6T 1Z4, Canada
| | - Katelynn Ramage
- School of Health and Human Performance, Dalhousie University, Halifax, Nova Scotia B3H 4R2, Canada
| | - Sarah A Moore
- School of Health and Human Performance, Dalhousie University, Halifax, Nova Scotia B3H 4R2, Canada
| | - Negin Riazi
- School of Kinesiology, Faculty of Education, University of British Columbia, Vancouver, British Columbia V6T 1Z4, Canada
| | - Mark S Tremblay
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario K1H 5B2, Canada; Department of Pediatrics, University of Ottawa, Ottawa, Ontario K1N 6N5, Canada
| | - Guy Faulkner
- School of Kinesiology, Faculty of Education, University of British Columbia, Vancouver, British Columbia V6T 1Z4, Canada.
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Assessment of Dysfunctional Movements and Asymmetries in Children and Adolescents Using the Functional Movement Screen-A Narrative Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182312501. [PMID: 34886227 PMCID: PMC8657295 DOI: 10.3390/ijerph182312501] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/07/2021] [Revised: 11/24/2021] [Accepted: 11/25/2021] [Indexed: 11/24/2022]
Abstract
The Functional Movement Screen (FMS) is a screening tool that identifies dysfunctional movements in seven test items requiring an interplay of cognitive, perceptual, proprioceptive, and motor functions that involve muscular strength/endurance, flexibility, mobility, coordination, and balance. The results of the FMS include an overall composite score, scores on the individual test items, and identification of compensatory movement patterns and left-right asymmetries on 5 bilateral test items. Although there is a plethora of literature on the use of the FMS in adults, there is a growing body of evidence indicating its use in children. The available research in children involves school children and young athletes in at least 20 different sports in over 20 countries and comparisons between pre- and post-pubescent children, and normal weight, overweight, and obese children. Studies that include measures of adiposity and physical activity levels, or report prevalence of asymmetries and dysfunctional movement patterns are not well represented in the children’s literature. The purpose of this paper is to synthesize the currently available literature in children and suggest potential uses of the FMS by coaches, physical educators, and other health/fitness professionals, appropriate interpretation of results, and future research in children.
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Fröberg A, Kjellenberg K, Lindroos AK, Nyberg G. Self-reported physical activity and sedentary behaviour amongst adolescents in Sweden vary depending on sex, age and parental education. Acta Paediatr 2021; 110:3097-3104. [PMID: 34411339 DOI: 10.1111/apa.16077] [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: 03/26/2021] [Revised: 06/09/2021] [Accepted: 08/18/2021] [Indexed: 11/29/2022]
Abstract
AIM The aim of this study was to investigate self-reported physical activity and sedentary behaviour by sex, age and parental education in a large representative sample of Swedish adolescents. METHODS This study is based on data from the national dietary survey Riksmaten Adolescents, which was conducted by the Swedish Food Agency in 2016-2017. In total, 3477 students from grade five (11-12 years), eight (14-15 years) and eleven (17-18 years) were included. A web questionnaire was used to collect information about physical activity and sedentary behaviour. RESULTS In total, 53% reported active transport to and from school, 93% that they usually participate in the physical education, 76% reported a physically active leisure time, and 66% reported that they participated in organised physical activities. In addition, 12% and 6% reported two hours or less of screen time on weekdays and weekends, respectively. Participation in physical activity was generally lower amongst girls, older adolescents and for those from families with low-parental education. CONCLUSION This study provide reference values for self-reported physical activities and sedentary behaviours amongst adolescents in Sweden. Strategies to increase physical activity and reduce screen time are needed, particularly amongst girls, older adolescents and amongst those with low-parental education.
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Affiliation(s)
- Andreas Fröberg
- Department of Food and Nutrition and Sport Science University of Gothenburg Goteborg Sweden
| | | | - Anna Karin Lindroos
- Swedish Food Agency Uppsala Sweden
- Department of Internal Medicine and Clinical Nutrition Sahlgrenska Academy University of Gothenburg Goteborg Sweden
| | - Gisela Nyberg
- The Swedish School of Sport and Health Sciences Stockholm Sweden
- Department of Global Public Health Karolinska Institutet Stockholm Sweden
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Lubans DR, Leahy AA, Mavilidi MF, Valkenborghs SR. Physical Activity, Fitness, and Executive Functions in Youth: Effects, Moderators, and Mechanisms. Curr Top Behav Neurosci 2021; 53:103-130. [PMID: 34697789 DOI: 10.1007/7854_2021_271] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Over the last decade, a growing body of research has examined the link between physical activity, fitness, and cognitive function in children and adolescents. Physical activity experimental research conducted with children and adolescents has identified selectively greater effects for tasks requiring higher order executive functions. As such, the primary aim of our chapter is to provide an overview of findings from systematic reviews and meta-analyses that have examined the effects of physical activity on measures of executive function in child and adolescent populations. We begin our chapter with definitions of key concepts associated with physical activity, fitness and cognitive function. We then provide a synthesis of systematic reviews and meta-analyses that have examined the acute and chronic effect of physical activity on EFs. Following this, we discuss the quantitative (e.g., time, intensity) and qualitative (e.g., type) characteristics of physical activity that may moderate effects. The next section focuses on the neurobiological, psychosocial and behavioral mechanisms responsible for the effect of physical activity on executive functions. We conclude by highlighting the limitations of the existing evidence base and providing recommendations for future research.
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Affiliation(s)
| | - Angus A Leahy
- The University of Newcastle, Callaghan, NSW, Australia
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Vigorous physical activity is important in maintaining a favourable health trajectory in active children: the CHAMPS Study-DK. Sci Rep 2021; 11:19211. [PMID: 34584178 PMCID: PMC8478976 DOI: 10.1038/s41598-021-98731-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2021] [Accepted: 09/03/2021] [Indexed: 12/17/2022] Open
Abstract
Physical activity (PA) is critical to improving health factors such as weight, adiposity, and aerobic fitness. However, children who meet PA guideline recommendations demonstrate developmental differences in health-related outcomes. To investigate prospective associations between PA behaviour (overall PA and PA intensity) and trajectories of health-related factors among physically active children. This prospective study (2.5 years) included 391 children (baseline age: 8.1 ± 1.4 years; girls 36.3%) from ten public schools. All children performed 60-min or more of moderate-to-vigorous physical activity (MVPA) per day objectively measured. Trajectories of BMI, waist circumference, and aerobic fitness were constructed with a group-based multi-trajectory model. Three trajectory subgroups were identified: ‘high fitness/normal weight’ (48.4% of children), ‘moderate fitness /normal weight’ (42.5% of children), and ‘low fitness/overweight-obese’ (9.1% of children). Children performing higher overall PA, were less likely of being classified as members of the ‘Low Fitness/Overweight-Obese’ [Relative Risk Ratio (RRR and 95% CI) = 0.56 (0.37 to 0.85) compared to ‘high fitness/normal weight’ subgroup. Each additional 5% in light PA time was associated with approximately twofold [RRR 2.12 (1.24–3.61)] increased risk of being in the ‘low fitness/overweight-obese’ trajectory relative to the ‘high fitness/normal weight’ trajectory. Each additional 2% in vigorous-PA time was associated with a 42% and 85% reduced risk (relative to ‘high fitness/normal weight’) of being in the ‘moderate fitness/normal weight’ [RRR 0.58 (0.38–0.96)] and ‘low fitness/overweight-obesity’ [RRR 0.15 (0.06–0.37)] trajectory, respectively. Overall PA and additional time in vigorous-PA was associated with improved health-related outcomes, while light PA was negatively associated with health-related outcomes among children who adhere to PA guideline recommendations. Vigorous PA was the strongest predictor of the health trajectories. All PA guidelines for children should place greater emphasis on the importance of vigorous PA.
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Schröder H, Subirana I, Wärnberg J, Medrano M, González-Gross M, Gusi N, Aznar S, Alcaraz PE, González-Valeiro MA, Serra-Majem L, Terrados N, Tur JA, Segú M, Homs C, Garcia-Álvarez A, Benavente-Marín JC, Barón-López FJ, Labayen I, Zapico AG, Sánchez-Gómez J, Jiménez-Zazo F, Marín-Cascales E, Sevilla-Sanchez M, Herrera-Ramos E, Pulgar S, Del Mar Bibiloni M, Sistac-Sorigué C, Gómez SF. Validity, reliability, and calibration of the physical activity unit 7 item screener (PAU-7S) at population scale. Int J Behav Nutr Phys Act 2021; 18:98. [PMID: 34274002 PMCID: PMC8285783 DOI: 10.1186/s12966-021-01169-w] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Accepted: 07/05/2021] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Validation of self-reported tools, such as physical activity (PA) questionnaires, is crucial. The aim of this study was to determine test-retest reliability, internal consistency, and the concurrent, construct, and predictive validity of the short semi-quantitative Physical Activity Unit 7 item Screener (PAU-7S), using accelerometry as the reference measurement. The effect of linear calibration on PAU-7S validity was tested. METHODS A randomized sample of 321 healthy children aged 8-16 years (149 boys, 172 girls) from the nationwide representative PASOS study completed the PAU-7S before and after wearing an accelerometer for at least 7 consecutive days. Weight, height, and waist circumference were measured. Cronbach alpha was calculated for internal consistency. Test-retest reliability was determined by intra-class correlation (ICC). Concurrent validity was assessed by ICC and Spearman correlation coefficient between moderate to vigorous PA (MVPA) derived by the PAU-7S and by accelerometer. Concordance between both methods was analyzed by absolute agreement, weighted kappa, and Bland-Altman statistics. Multiple linear regression models were fitted for construct validity and predictive validity was determined by leave-one-out cross-validation. RESULTS The PAU-7S overestimated MVPA by 18%, compared to accelerometers (106.5 ± 77.0 vs 95.2 ± 33.2 min/day, respectively). A Cronbach alpha of 0.76 showed an acceptable internal consistency of the PAU-7S. Test-retest reliability was good (ICC 0.71 p < 0.001). Spearman correlation and ICC coefficients of MVPA derived by the PAU-7S and accelerometers increased from 0.31 to 0.62 and 0.20 to 0.62, respectively, after calibration of the PAU-7S. Between-methods concordance improved from a weighted kappa of 0.24 to 0.50 after calibration. A slight reduction in ICC, from 0.62 to 0.60, yielded good predictive validity. Multiple linear regression models showed an inverse association of MVPA with standardized body mass index (β - 0.162; p < 0.077) and waist to height ratio (β - 0.010; p < 0.014). All validity dimensions were somewhat stronger in boys compared to girls. CONCLUSION The PAU-7S shows a good test-retest reliability and acceptable internal consistency. All dimensions of validity increased from poor/fair to moderate/good after calibration. The PAU-7S is a valid instrument for measuring MVPA in children and adolescents. TRIAL REGISTRATION Trial registration number ISRCTN34251612 .
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Affiliation(s)
- Helmut Schröder
- Ciber Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain.
- Cardiovascular Risk and Nutrition Research Group, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain.
| | - Isaac Subirana
- Cardiovascular Epidemiology and Genetics Research Group, IMIM Hospital del Mar Medical Research Institute, Barcelona, Spain
- Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain
| | - Julia Wärnberg
- School of Health Sciences, Universidad de Málaga-Instituto de investigación biomédica de Málaga, Málaga, Spain
- Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain
| | - María Medrano
- ELIKOS group, Institute for Innovation & Sustainable Development in Food Chain (IS-FOOD), Instituto de Investigación Sanitaria de Navarra (IDISNA), Public University of Navarra, Navarra, Spain
| | - Marcela González-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
| | - Narcis Gusi
- Physical Activity and Quality of Life Research Group (AFYCAV), Faculty of Sport Sciences, University of Extremadura, Cáceres, Spain
| | - Susana Aznar
- PAFS Research Group, Faculty of Sports Sciences, University of Castilla-La Mancha, Toledo, Spain
- CIBER of Frailty and Healthy Aging (CIBERFES), Madrid, Spain
| | - Pedro E Alcaraz
- 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, Canarian Health Service, Centro Hospitalario Universitario Insular Materno Infantil (CHUIMI), 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, Palma de Mallorca, Spain
| | | | - Clara Homs
- Gasol Foundation, 08830, Sant Boi de Llobregat, Spain
- GRoW, Global Research on Wellbeing, Blanquerna School of Life Sciences, University Ramon Llull, Barcelona, Spain
| | | | - Juan C Benavente-Marín
- School of Health Sciences, Universidad de Málaga-Instituto de investigación biomédica de Málaga, Málaga, Spain
| | - F Javier Barón-López
- School of Health Sciences, Universidad de Málaga-Instituto de investigación biomédica de Málaga, 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), Instituto de Investigación Sanitaria de Navarra (IDISNA), Public University of Navarra, Navarra, Spain
| | - Augusto G Zapico
- ImFINE Research Group, Department of Health and Human Performance, Universidad Politécnica de Madrid, Madrid, Spain
- Department of Didactics of Language, Arts and Physical Education, Universidad Complutense de Madrid, Madrid, Spain
| | - Jesús Sánchez-Gómez
- Physical Activity and Quality of Life Research Group (AFYCAV), Faculty of Sport Sciences, University of Extremadura, Cáceres, Spain
| | - Fabio Jiménez-Zazo
- PAFS Research Group, Faculty of Sports Sciences, University of Castilla-La Mancha, Toledo, Spain
| | - Elena Marín-Cascales
- Research Center for High Performance Sport, Catholic University of Murcia, Murcia, Spain
| | - Marta Sevilla-Sanchez
- Faculty of Sports Sciences and Physical Education, University of A Coruña, A Coruña, Spain
| | - Estefanía Herrera-Ramos
- Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, Las Palmas, Spain
| | - Susana Pulgar
- Regional Unit of Sports Medicine, Municipal Sports Foundation of Avilés, Asturias, Spain
| | - María Del Mar Bibiloni
- 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, Palma de Mallorca, Spain
| | | | - Santiago F Gómez
- Gasol Foundation, 08830, Sant Boi de Llobregat, Spain.
- GREpS, Health Education Research Group, Nursing and Physiotherapy Department, University of Lleida, Lleida, Spain.
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Aubert S, Brazo-Sayavera J, González SA, Janssen I, Manyanga T, Oyeyemi AL, Picard P, Sherar LB, Turner E, Tremblay MS. Global prevalence of physical activity for children and adolescents; inconsistencies, research gaps, and recommendations: a narrative review. Int J Behav Nutr Phys Act 2021; 18:81. [PMID: 34187486 PMCID: PMC8243483 DOI: 10.1186/s12966-021-01155-2] [Citation(s) in RCA: 76] [Impact Index Per Article: 25.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Accepted: 06/09/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND One of the strategic actions identified in the Global Action Plan on Physical Activity (PA) 2018-2030 is the enhancement of data systems and capabilities at national levels to support regular population surveillance of PA. Although national and international standardized surveillance of PA among children and adolescents has increased in recent years, challenges for the global surveillance of PA persist. The aims of this paper were to: (i) review, compare, and discuss the methodological inconsistencies in children and adolescents' physical activity prevalence estimates from intercontinental physical activity surveillance initiatives; (ii) identify methodological limitations, surveillance and research gaps. METHODS Intercontinental physical activity surveillance initiatives for children and adolescents were identified by experts and through non-systematic literature searches. Prevalence of meeting PA guidelines by country, gender, and age were extracted when available. A tool was created to assess the quality of the included initiatives. Methods and PA prevalence were compared across data/studies and against the methodological/validity/translation differences. RESULTS Eight intercontinental initiatives were identified as meeting the selection criteria. Methods and PA definition inconsistencies across and within included initiatives were observed, resulting in different estimated national prevalence of PA, and initiatives contradicting each other's cross-country comparisons. Three findings were consistent across all eight initiatives: insufficient level of PA of children and adolescents across the world; lower levels of PA among girls; and attenuation of PA levels with age. Resource-limited countries, younger children, children and adolescents not attending school, with disability or chronic conditions, and from rural areas were generally under/not represented. CONCLUSIONS There are substantial inconsistencies across/within included initiatives, resulting in varying estimates of the PA situation of children and adolescents at the global, regional and national levels. The development of a new PA measurement instrument that would be globally accepted and harmonized is a global health priority to help improve the accuracy and reliability of global surveillance.
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Affiliation(s)
- Salomé Aubert
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Ottawa, Ontario Canada
| | - Javier Brazo-Sayavera
- PDU EFISAL, Centro Universitario Regional Noreste, Universidad de la República, Rivera, Uruguay
- Department of Sports and Computer Science, Universidad Pablo de Olavide (UPO), ES-41013 Seville, Spain
| | - Silvia A. González
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Ottawa, Ontario Canada
| | - Ian Janssen
- School of Kinesiology and Health Studies, and Department of Public Health Sciences, Queen’s University, Kingston, Ontario Canada
| | - Taru Manyanga
- School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario Canada
| | - Adewale L. Oyeyemi
- Department of Physiotherapy, College of Medical Sciences, University of Maiduguri, Maiduguri, Nigeria
| | - Patrick Picard
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Ottawa, Ontario Canada
| | - Lauren B. Sherar
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK
| | - Evan Turner
- Centre for Global Child Health and SickKids Research Institute, The Hospital for Sick Children, Toronto, Ontario Canada
| | - Mark S. Tremblay
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Ottawa, Ontario Canada
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Nguyen TD, Guinot M, Bricout VA. Effect of Daily Physical Activity on Sleep Characteristics in Children with Autism Spectrum Disorder. Sports (Basel) 2021; 9:sports9070091. [PMID: 34202489 PMCID: PMC8309738 DOI: 10.3390/sports9070091] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2021] [Revised: 06/16/2021] [Accepted: 06/17/2021] [Indexed: 11/24/2022] Open
Abstract
Background. Sleep problems have been reported in children with autism spectrum disorder (ASD). One of the methods proposed to improve sleep characteristics is based on physical activity (PA). Objective. To assess characteristics of sleep and the effect of PA level on sleep quality in children with ASD compared to controls. Methods. Fifty boys with ASD (ASD; 10.8 ± 2.6 years) and 18 controls (CONT, 10.1 ± 2.2 years) wore an accelerometer device for five consecutive days to obtain measures of activity and sleep characteristics. Results. Some significant differences were reported between ASD and CONT groups. Wake-up time resistance was significantly higher (p < 0.05) in ASD. Total time for PA, and daily steps number were significantly lower in the ASD group (p < 0.05). Time for sedentary behavior was significantly higher (p < 0.01) in the ASD group. Using a principal component analysis and an agglomerative hierarchical analysis, we observed three clusters. Two showed the same poor-quality indices of sleep but two opposing profiles of PA, either an insufficient PA volume (cluster 1, Total time PA = 75.1 min; Daily steps: 7704) or an important PA volume (cluster 3, Total time PA = 222.1 min; Daily steps: 17,164). Cluster 2 was characterized by moderate participation in PA and children with the best sleep indices (Total time PA = 166.8 min; Daily steps: 12,718). Conclusion. The dose–response effect of exercise on sleep may indicate large individual differences but the present findings are important to prevent sedentary behaviors or to correct over-activity that could be detrimental to the sleep quality in children with ASD.
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Dos Santos GC, Loch Sbeghen I, Blanco Rambo E, Reischak-Oliveira Á, Rodrigues-Krause J. Dance classes structure for children: considerations on effective exercise time. INT J PERF ANAL SPOR 2021. [DOI: 10.1080/24748668.2021.1925009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Gabriela Cristina Dos Santos
- School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Porto Alegre/RS, Brazil
| | - Isadora Loch Sbeghen
- School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Porto Alegre/RS, Brazil
| | - Eduarda Blanco Rambo
- School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Porto Alegre/RS, Brazil
| | - Álvaro Reischak-Oliveira
- School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Porto Alegre/RS, Brazil
| | - Josianne Rodrigues-Krause
- School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Porto Alegre/RS, Brazil
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Teixeira MT, Vitorino RS, da Silva JH, Raposo LM, Aquino LAD, Ribas SA. Eating habits of children and adolescents during the COVID-19 pandemic: The impact of social isolation. J Hum Nutr Diet 2021; 34:670-678. [PMID: 33811690 PMCID: PMC8251498 DOI: 10.1111/jhn.12901] [Citation(s) in RCA: 29] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2021] [Revised: 03/18/2021] [Accepted: 03/25/2021] [Indexed: 12/17/2022]
Abstract
Background The social isolation enforced as a result of the new coronavirus (COVID‐19) pandemic may impact families’ lifestyle and eating habits. The present study aimed to assess the behaviour and dietary patterns of Brazilian children and adolescents during the social isolation imposed by the COVID‐19 pandemic. Methods The present study was conducted using an online, anonymous cross‐sectional survey with 589 children and 720 adolescents from Brazil during a nationwide social isolation policy. The Mann–Whitney U‐test or the Kruskal–Wallis with the Dunn post‐hoc method and a radar chart were used to compare the weekly consumption of each food by age group and isolation status. p < 0.05 was considered statistically significant. Analyses were conducted using R statistical software, version 4.0.2 (R Foundation for Statisitical Computing). Results We found that isolated families showed breakfast eating habits and the consumption of raw salad, vegetables, beans and soft drinks. Lower‐class isolated families and those from the Northeast region consumed fruits, juices, vegetables and beans less frequently. Compared to children, adolescents were less isolated (p = 0.016), less active (p < 0.001), exposed to longer screen time (p < 0.001), showed an inadequate sleeping pattern (p = 0.002) and were from lower‐class families (p < 0.001). Conclusions Social isolation affected the eating habits of children and adolescents. Non‐isolated families presented a lower consumption of healthy food, especially those among the lower class, from Northeast Brazil, as well as adolescents.
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Affiliation(s)
- Michelle Teixeira Teixeira
- Department of Public Health Nutrition, Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Raquel Santiago Vitorino
- Department of Quantitative Methods, Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Julia Holandino da Silva
- Department of Quantitative Methods, Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Letícia Martins Raposo
- School of Nutrition, Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Luana Azevedo de Aquino
- Department of Public Health Nutrition, Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Simone Augusta Ribas
- Department of Public Health Nutrition, Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, Brazil
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Faigenbaum AD, MacDonald JP, Stracciolini A, Rebullido TR. Making a Strong Case for Prioritizing Muscular Fitness in Youth Physical Activity Guidelines. Curr Sports Med Rep 2021; 19:530-536. [PMID: 33306516 DOI: 10.1249/jsr.0000000000000784] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Although evidence indicates that muscular fitness is foundational for ongoing participation in active play, exercise and sport, current national and international youth physical activity guidelines underplay the critical importance of strength-building activities during this developmental phase of life. In view of troubling trends in muscular fitness in today's youth, specific recommendations to address neuromuscular deficiencies are required. An understanding of the multidimensional development of youth physical inactivity and the importance of muscular fitness are needed to have the most significant impact on youth physical activity at the population level. The mounting evidence of the detrimental effects of physical inactivity on youth warrant a review of existing physical activity recommendations and guidelines. The proposed pediatric activity pyramid recognizes the shared importance of strength, skill, and aerobic activities required for the successful implementation of sustainable youth physical activity interventions.
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Affiliation(s)
- Avery D Faigenbaum
- Department of Health and Exercise Science, The College of New Jersey, Ewing, NJ
| | - James P MacDonald
- Division of Sports Medicine, Nationwide Children's Hospital, Ohio State University College of Medicine, Columbus, OH
| | - Andrea Stracciolini
- Division of Sports Medicine, Department of Orthopaedics, Boston Children's Hospital, Harvard Medical School, Boston, MA
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Ribas SA, Paravidino VB, Brandão JM, Santana da Silva LC. The Cardiovascular Health Integrated Lifestyle Diet (CHILD) Lowers LDL-Cholesterol Levels in Brazilian Dyslipidemic Pediatric Patients. J Am Coll Nutr 2021; 41:352-359. [PMID: 33683168 DOI: 10.1080/07315724.2021.1887006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
OBJECTIVE To analyze the impact of the CHILD-2 diet on the lipid profile of Brazilian children and adolescents with dyslipidemia. METHODS This is a quasi-experimental study, where 149 participants (5-17 years) with mild-to-moderate hypercholesterolemia were divided into two groups (GI: low or normal weight; n = 58 and GII: overweight; n = 91). Both groups underwent the CHILD-2 diet, characterized by 25-30% total fat and less than 7% of low-saturated fat (SF) for 6 months. Changes from baseline in the lipid profile, including Total cholesterol (TC), LDL-C, triacylglycerols and glucose concentrations, dietary and anthropometric data were examined at 3 and 6 months. Longitudinal analyses were performed using linear mixed-effects models in SAS. RESULTS Serum LDL-C concentrations reduced over time compared with baseline (Δ = -5.1 mg/dL; p < 0.01), with no difference between groups (p = 0.35). TC concentrations decreased by -2.0 mg/dL (p < 0.01); but no difference was observed between groups. We found no significant changes in body mass index/age Z scores after a dietary intervention compared with baseline in both groups (p = 0.94). CONCLUSION Despite the modest reduction, our findings confirm that children with dyslipidemia can benefit from the CHILD-2 diet combined with a healthy lifestyle.
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Affiliation(s)
- Simone Augusta Ribas
- Department of Nutrition in Public Health, School of Nutrition, Federal University of the State of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Vitor Barreto Paravidino
- Department of Epidemiology, Institute of Social Medicine, State University of Rio de Janeiro, Rio de Janeiro, Brazil.,Department of Physical Education and Sports, Naval Academy, Brazilian Navy, Rio de Janeiro, Brazil
| | - Joana Maia Brandão
- Department of Epidemiology, Institute of Social Medicine, State University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Luiz Carlos Santana da Silva
- Laboratory of Inborn Errors of Metabolism, Institute of Biological Sciences, Federal University of Pará, Pará, Brazil
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Promoting Physical Activity in Survivors of Childhood and Adolescent Cancers Takes a Society. REHABILITATION ONCOLOGY 2021. [DOI: 10.1097/01.reo.0000000000000257] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Chen P, Wang D, Shen H, Yu L, Gao Q, Mao L, Jiang F, Luo Y, Xie M, Zhang Y, Feng L, Gao F, Wang Y, Liu Y, Luo C, Nassis GP, Krustrup P, Ainsworth BE, Harmer PA, Li F. Physical activity and health in Chinese children and adolescents: expert consensus statement (2020). Br J Sports Med 2020; 54:1321-1331. [PMID: 32471813 PMCID: PMC7606574 DOI: 10.1136/bjsports-2020-102261] [Citation(s) in RCA: 62] [Impact Index Per Article: 15.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/08/2020] [Indexed: 12/28/2022]
Abstract
China is experiencing significant public health challenges related to social and demographic transitions and lifestyle transformations following unprecedented economic reforms four decades ago. Of particular public health concern is the fourfold increase in overweight and obesity rates in the nation's youth population, coupled with the low prevalence of adolescents meeting recommended levels of physical activity. Improving the overall health of China's more than 170 million children and adolescents has become a national priority. However, advancing nationwide health initiatives and physical activity promotion in this population has been hampered by the lack of a population-specific and culturally relevant consensus on recommendations for achieving these ends. To address this deficiency and inform policies to achieve Healthy China 2030 goals, a panel of Chinese experts, complemented by international professionals, developed this consensus statement. The consensus was achieved through an iterative process that began with a literature search from electronic databases; in-depth reviews, conducted by a steering committee, of the resulting articles; and panel group evaluations and discussions in the form of email correspondence, conference calls and written communications. Ultimately, the panel agreed on 10 major themes with strong scientific evidence that, in children and adolescents aged 6-17, participating in moderate to vigorous physical activities led to multiple positive health outcomes. Our consensus statement also (1) highlights major challenges in promoting physical activity, (2) identifies future research that addresses current knowledge gaps, and (3) provides recommendations for teachers, education experts, parents and policymakers for promoting physical activity among Chinese school-aged children and adolescents. This consensus statement aligns with international efforts to develop global physical activity guidelines to promote physical activity and health and prevent lifestyle-related diseases in children and adolescents. More importantly, it provides a foundation for developing culturally appropriate and effective physical activity interventions, health promotion strategies and policy initiatives to improve the health of Chinese children and adolescents.
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Affiliation(s)
- Peijie Chen
- Shanghai University of Sport, Shanghai, China
| | - Dengfeng Wang
- Department of Physical, Health and Arts Education, Ministry of Education of People's Republic of China, Beijing, China
| | | | - Lijuan Yu
- Shanghai Municipal People's Government, Shanghai, China
| | - Qian Gao
- School of Medicine, Nanjing University, Nanjing, Jiangsu, China
| | - Lijuan Mao
- Shanghai Municipal Education Commission, Shanghai, China
| | - Fan Jiang
- Department of Developmental and Behavioral Pediatrics, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Yaojia Luo
- Shenzhen Key Laboratory of Affective and Social Neuroscience, Shenzhen University, Shenzhen, Guangdong, China
| | - Minhao Xie
- Institute of Sports Medicine, General Administration of Sport of China, Beijing, China
| | - Yong Zhang
- Tianjin Key Laboratory of Exercise Physiology and Sports Medicine, Tianjin University of Sport, Tianjin, China
| | - Lianshi Feng
- China Institute of Sport Science, Beijing, China
| | - Feng Gao
- School of Aerospace Medicine, Fourth Military Medical University, Xi'an, Shaanxi, China
| | - Yuling Wang
- Department of Rehabilitation Medicine, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
| | - Yu Liu
- Shanghai University of Sport, Shanghai, China
| | - Chunyan Luo
- Shanghai Municipal Center for Disease Control and Prevention, Shanghai, China
| | - George P Nassis
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Faculty of Health Sciences, Odense, Denmark
- School of Physical Education and Sports Training, Shanghai University of Sport, Shanghai, China
| | - Peter Krustrup
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Faculty of Health Sciences, Odense, Denmark
- School of Physical Education and Sports Training, Shanghai University of Sport, Shanghai, China
| | - Barbara E Ainsworth
- Shanghai University of Sport, Shanghai, China
- College of Health Solutions, Arizona State University, Phoenix, Arizona, USA
| | - Peter A Harmer
- Department of Exercise and Health Science, Willamette University, Salem, Oregon, USA
| | - Fuzhong Li
- Oregon Research Institute, Eugene, Oregon, USA
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da Costa BGG, Chaput JP, Lopes MVV, Malheiros LEA, Tremblay MS, Silva KS. Prevalence and sociodemographic factors associated with meeting the 24-hour movement guidelines in a sample of Brazilian adolescents. PLoS One 2020; 15:e0239833. [PMID: 32986765 PMCID: PMC7521749 DOI: 10.1371/journal.pone.0239833] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Accepted: 09/14/2020] [Indexed: 02/06/2023] Open
Abstract
Background The present cross-sectional study aimed to determine the proportion of adolescents meeting the 24-hour movement guidelines, and investigate sociodemographic factors associated with meeting them. Methods Self-reported (average daily volume of MVPA, sleep duration, and time watching videos and playing videogames) and accelerometer-measured (MVPA and sleep duration) 24-hour movement behaviors were classified according to recommendations, and sex, age, socioeconomic status (SES), family structure, parental education, and number of people in the household were tested as correlates of meeting recommendations using multilevel logistic regressions. Results The proportion of adolescents (n = 867, mean age: 16.4 years, 50.3% girls) meeting the MVPA, ST, and sleep duration guidelines was of 25%, 28%, and 41%, respectively, for self-reported data. From accelerometer data (n = 688), 7.1% met MVPA and 31.7% met sleep duration recommendations. Adherence to all three recommendations was 3% with self-report and 0.2% with accelerometer data. Boys were more likely to meet MVPA, but not ST and sleep-duration recommendations. A positive relationship was observed between age and meeting the ST recommendation. Conclusions Adherence to the sleep duration recommendation was higher than to the screen-time and MVPA recommendations and few in this sample of Brazilian adolescents achieved the 24-hour guidelines. Efforts are needed to improve 24-hour movement behaviors.
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Affiliation(s)
- Bruno G G da Costa
- Research Group in Physical Activity and Health, Universidade Federal de Santa Catarina, Florianópolis, Brazil
| | - Jean-Philippe Chaput
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada
| | - Marcus V V Lopes
- Research Group in Physical Activity and Health, Universidade Federal de Santa Catarina, Florianópolis, Brazil
| | - Luís E A Malheiros
- Research Group in Physical Activity and Health, Universidade Federal de Santa Catarina, Florianópolis, Brazil
| | - Mark S Tremblay
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada
| | - Kelly S Silva
- Research Group in Physical Activity and Health, Universidade Federal de Santa Catarina, Florianópolis, Brazil
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Parrish AM, Tremblay MS, Carson S, Veldman SLC, Cliff D, Vella S, Chong KH, Nacher M, Del Pozo Cruz B, Ellis Y, Aubert S, Spaven B, Sameeha MJ, Zhang Z, Okely AD. Correction to: Comparing and assessing physical activity guidelines for children and adolescents: a systematic literature review and analysis. Int J Behav Nutr Phys Act 2020; 17:89. [PMID: 32646438 PMCID: PMC7346394 DOI: 10.1186/s12966-020-00993-w] [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] [Indexed: 11/10/2022] Open
Abstract
An amendment to this paper has been published and can be accessed via the original article.
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Affiliation(s)
- Anne-Maree Parrish
- Faculty of Social Sciences, University of Wollongong, Wollongong, NSW, 2521, Australia. .,Early Start, University of Wollongong, Wollongong, Australia. .,Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, Australia.
| | - Mark S Tremblay
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Canada
| | - Stephanie Carson
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Canada
| | - Sanne L C Veldman
- Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam University Medical Center, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Dylan Cliff
- Faculty of Social Sciences, University of Wollongong, Wollongong, NSW, 2521, Australia.,Early Start, University of Wollongong, Wollongong, Australia.,Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, Australia
| | - Stewart Vella
- Faculty of Social Sciences, University of Wollongong, Wollongong, NSW, 2521, Australia.,Early Start, University of Wollongong, Wollongong, Australia
| | - Kar Hau Chong
- Faculty of Social Sciences, University of Wollongong, Wollongong, NSW, 2521, Australia.,Early Start, University of Wollongong, Wollongong, Australia
| | - Maria Nacher
- Early Start, University of Wollongong, Wollongong, Australia
| | - Borja Del Pozo Cruz
- Motivation and Behavior Program, Institute for Positive Psychology and Education, Faculty of Health Sciences, Australian Catholic University, Sydney, Australia
| | - Yvonne Ellis
- Faculty of Social Sciences, University of Wollongong, Wollongong, NSW, 2521, Australia
| | - Salome Aubert
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Canada
| | - Billie Spaven
- Faculty of Social Sciences, University of Wollongong, Wollongong, NSW, 2521, Australia
| | - Mohd Jamil Sameeha
- Nutritional Science Programme, Centre for Community Health, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Zhiguang Zhang
- Faculty of Social Sciences, University of Wollongong, Wollongong, NSW, 2521, Australia.,Early Start, University of Wollongong, Wollongong, Australia
| | - Anthony D Okely
- Faculty of Social Sciences, University of Wollongong, Wollongong, NSW, 2521, Australia.,Early Start, University of Wollongong, Wollongong, Australia.,Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, Australia
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Grao-Cruces A, Velázquez-Romero MJ, Rodríguez-Rodríguez F. Levels of Physical Activity during School Hours in Children and Adolescents: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E4773. [PMID: 32630760 PMCID: PMC7369785 DOI: 10.3390/ijerph17134773] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/04/2020] [Revised: 06/29/2020] [Accepted: 06/30/2020] [Indexed: 12/27/2022]
Abstract
BACKGROUND This systematic review determines the levels of physical activity (PA) during school hours in children and adolescents. METHODS Studies carried out from January 1987 to December 2019 were retrieved from four databases (Web of Science, Pubmed, Scopus and SportDiscus). The 29 selected studies were cross-sectional, long-term and case studies. RESULTS Most of them used accelerometers and showed that male and female children accumulated a mean of between 14 and 68 min of moderate-to-vigorous PA (MVPA) during school hours (3%-22% of this daily segment), and male and female adolescents accumulated a mean of between 13 and 28 min of MVPA during this daily segment (3%-8% of the school hours). Less than a quarter of children and adolescents reached the recommended 30 min of MVPA during school hours, with notable differences between sexes. CONCLUSIONS These results suggest that the levels of PA during school hours are not enough, and consequently, schools should develop strategies for helping children and adolescents reach the school PA recommendation.
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Affiliation(s)
- Alberto Grao-Cruces
- Department of Physical Education, GALENO Research Group, Faculty of Education Sciences, University of Cadiz, Puerto Real, 11519 Cadiz, Spain; (A.G.-C.); (M.J.V.-R.)
- Biomedical Research and Innovation Institute of Cadiz (INiBICA) Research Unit, Cadiz, 11510 Cadiz, Spain
| | - María J. Velázquez-Romero
- Department of Physical Education, GALENO Research Group, Faculty of Education Sciences, University of Cadiz, Puerto Real, 11519 Cadiz, Spain; (A.G.-C.); (M.J.V.-R.)
| | - Fernando Rodríguez-Rodríguez
- IRyS Research Group, School of Physical Education, Pontificia Universidad Católica de Valparaíso, Valparaíso, 2374631 Valparaiso, Chile
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Cardon G, Salmon J. Why have youth physical activity trends flatlined in the last decade? Opinion piece on "Global trends in insufficient physical activity among adolescents: a pooled analysis of 298 population-based surveys with 1.6 million participants" by Guthold et al. JOURNAL OF SPORT AND HEALTH SCIENCE 2020; 9:335-338. [PMID: 32416254 PMCID: PMC7235568 DOI: 10.1016/j.jshs.2020.04.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/22/2020] [Revised: 04/24/2020] [Accepted: 04/26/2020] [Indexed: 06/11/2023]
Abstract
• Globally, physical inactivity rates in school-going adolescents are alarming. Using realist and co-creation methodologies to better understand and develop multisectoral strategies and programs and efforts to promote effective uptake of evidence-based programs into routine practice at scale are urgently needed.
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Affiliation(s)
- Greet Cardon
- Department of Movement and Sports Sciences, Faculty of Medicine and Health Sciences, Ghent University, Watersportlaan 2, 9000, Ghent, Belgium.
| | - Jo Salmon
- Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, VIA 3220, Australia
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Mediterranean Diet and the Emotional Well-Being of Students of the Campus of Melilla (University of Granada). Nutrients 2020; 12:nu12061826. [PMID: 32575368 PMCID: PMC7353387 DOI: 10.3390/nu12061826] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2020] [Revised: 06/13/2020] [Accepted: 06/17/2020] [Indexed: 12/22/2022] Open
Abstract
A certain link exists between the consumption of particular groups of food and well-being. In this study, we analyzed in depth the relationship between strict adherence to the Mediterranean diet (MD) and emotional well-being through a descriptive, exploratory, transversal, and correlational study of students from the Campus of Melilla, University of Granada, Spain. The sample consisted of 272 individuals. Adherence to the MD was measured with the PREvención con DIetaMEDiterránea (PREDIMED) questionnaire, emotional well-being (both positive and negative affection) with the Spanish version of the Positive and Negative Affect Schedule (PANAS), the state of perceived health with the Short Form-36 (SF36), and the degree of physical activity using the International Physical Activity Questionnaire Short Form (IPAQ-SF). A strict adherence to the MD was found to be significantly related to positive emotional state (β = 0.018, p = 0.009). The perceived state of health (β = 0.192, p < 0.001), mental role (β = 0.346, p < 0.001), and physical activity (β = 0.155, p = 0.007) were found to be predictive factors of a positive emotional state. Conversely, the relationship between the adherence to the MD and a negative emotional state was not significant. Various components of the MD were found to be independently connected to well-being. The results suggest that adopting a nutritional pattern such as the MD is linked to an improvement in emotional well-being.
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Associations Between Physical Activity and Perceived School Performance of Young Adolescents in Health Behavior in School-Aged Children Countries. J Phys Act Health 2020; 17:698-708. [PMID: 32492655 DOI: 10.1123/jpah.2019-0522] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2019] [Revised: 03/13/2020] [Accepted: 04/20/2020] [Indexed: 11/18/2022]
Abstract
BACKGROUND Regular physical activity and doing well in school are important for growing adolescents. In this study, the associations between physical activity and perceived school performance (PSP) are examined together. METHODS Young adolescents from 42 countries (n = 193,949) in Europe and Canada were examined for associations between self-reported moderate to vigorous physical activity (MVPA) and PSP. Multinominal analyses were conducted with 0 to 2 days of MVPA and below average PSP as reference categories. Adjusted odds ratios and 95% confidence intervals were reported for pooled data and individual countries after controlling for family affluence scale. RESULTS Girls had better PSP than boys, yet more boys participated in daily MVPA than girls. The associations between PSP and MVPA were inverted U shaped. The strongest association for very good PSP was among young adolescents who reported 5 to 6 days MVPA (odds ratios = 2.3; 95% confidence interval, 2.1-2.4) after controlling for family affluence scale. CONCLUSIONS Young adolescents with average or better PSP took part in at least 3 days of MVPA in a week, suggesting that participating in some MVPA was positively associated with PSP. More days of MVPA in a week, especially for young adolescents with below average PSP, would be beneficial for health and school performance.
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