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Gabrys L, Schaller A, Peters S, Barzel A, Berrisch-Rahmel S, Dreinhöfer KE, Eckert K, Göhner W, Geidl W, Krupp S, Lange M, Nebel R, Pfeifer K, Reusch A, Schmidt-Ohlemann M, Sewerin P, Steindorf K, Ströhle A, Sudeck G, Wäsche H, Wolf S, Wollesen B, Thiel C. [DNVF Memorandum: Objectives and Methods of Physical Activity-Related Health Services Research]. DAS GESUNDHEITSWESEN 2024. [PMID: 39047784 DOI: 10.1055/a-2340-1669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/27/2024]
Abstract
The DNVF Memorandum: Objectives and Methods of Physical Activity-Related Health Services Research summarizes, for the first time, the highly interdisciplinary and interprofessional field of physical activity-based health care in the German healthcare system. In addition to providing a conceptual framework and definition of key measures and concepts in physical activity-related health care research, existing research gaps and needs are identified, and methods for advancing this relatively young field of research are described. A particular focus of this study is the relevant outcome parameters and their standardized assessment using established and valid measurement tools. The memorandum aims to establish a general understanding of the complex subject of promoting physical activity and sports therapy in the context of healthcare, to give an impulse to new research initiatives, and to integrate the currently available strong evidence on the effectiveness of physical activity and exercise into healthcare.
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Affiliation(s)
- Lars Gabrys
- ESAB Fachhochschule für Sport und Management Potsdam, Gesundheitssport und Prävention, Potsdam, Germany
| | - Andrea Schaller
- Universität der Bundeswehr München, Institut für Sportwissenschaft, Arbeitsbereich Gesundheit, Betriebliche Gesundheitsförderung und Prävention, München, Germany
| | - Stefan Peters
- Deutscher Verband für Gesundheitssport und Sporttherapie e. V., Deutscher Verband für Gesundheitssport und Sporttherapie e. V., Hürth-Efferen, Germany
- Universität der Bundeswehr, Institut für Sportwissenschaft, Arbeitsbereich Gesundheit, Betriebliche Gesundheitsförderung und Prävention, München, Germany
| | - Anne Barzel
- Universitätsklinikum Ulm, Institut für Allgemeinmedizin, Ulm, Germany
| | - Susanne Berrisch-Rahmel
- Projektgruppe PG 05 Prävention der Deutschen Gesellschaft für Kardiologie, Herz- und Kreislaufforschung e.V., Sprecherin der AG Sport und Prävention des Bundesverband niedergelassener Kardiologen e.V., Düsseldorf, Germany
| | - Karsten E Dreinhöfer
- Medical Park AG, Orthopädie und Unfallchirurgie, Charité Universitätsmedizin Berlin, Berlin, Germany
| | - Katharina Eckert
- IST-Hochschule für Management GmbH, Gesundheitsmanagement & Public Health, Düsseldorf, Germany
| | - Wiebke Göhner
- Katholische Hochschule Freiburg, Bereich Gesundheitspsychologie, Freiburg, Germany
| | - Wolfgang Geidl
- Friedrich-Alexander-Universität Erlangen-Nürnberg, Institut für Sportwissenschaft und Sport, Lehrstuhl Bewegung und Gesundheit, Erlangen, Germany
| | - Sonja Krupp
- Forschungsgruppe Geriatrie Lübeck, Krankenhaus Rotes Kreuz Lübeck - Geriatriezentrum, Lübeck, Germany
| | - Martin Lange
- IST-Hochschule für Management GmbH, Fachbereich Fitness & Gesundheit, Düsseldorf, Germany
| | - Roland Nebel
- Deutsche Gesellschaft zur Prävention und Rehabilitation von Herz-Kreislauferkrankungen e.V. (DGPR), Klinik Roderbirken der Deutschen Rentenversicherung Rheinland, Leichlingen, Germany
| | - Klaus Pfeifer
- Friedrich-Alexander-Universität Erlangen-Nürnberg, Institut für Sportwissenschaft und Sport, Lehrstuhl Bewegung und Gesundheit, Erlangen, Germany
| | - Andrea Reusch
- Zentrum Patientenschulung und Gesundheitsförderung, (ZePG e.V.), Würzburg, Germany
| | | | - Philipp Sewerin
- Ruhr-Universität Bochum, Rheumazentrum Ruhrgebiet, Bochum, Germany
| | - Karen Steindorf
- Nationales Centrum für Tumorerkrankungen (NCT) Heidelberg, DKFZ, Abteilung für Bewegung, Präventionsforschung und Krebs, Deutsches Krebsforschungszentrum (DKFZ), Heidelberg, Germany
| | - Andreas Ströhle
- Charite Universitatsmedizin Berlin, Klinik für Psychiatrie und Psychotherapie Campus Charité Mitte, Berlin, Germany
| | - Gorden Sudeck
- Eberhard Karls Universität Tübingen, Arbeitsbereich Bildungs- und Gesundheitsforschung im Sport, Institut für Sportwissenschaft, Tübingen, Germany
- Eberhard Karls Universität Tübingen, Interfakultäres Forschungsinstitut für Sport und körperliche Aktivität, Tübingen, Germany
| | - Hagen Wäsche
- Universität Koblenz-Landau Fachbereich 3 Mathematik/Naturwissenschaften, Institut für Sportwissenschaft, Koblenz, Germany
| | - Sebastian Wolf
- Eberhard Karls Universität Tübingen, Arbeitsbereich Bildungs- und Gesundheitsforschung im Sport, Institut für Sportwissenschaft, Tübingen, Germany
| | - Bettina Wollesen
- Universität Hamburg, Arbeitsbereich Bewegungs- und Trainingswissenschaft, Fakultät für Psychologie und Bewegungswissenschaft, Hamburg, Germany
| | - Christian Thiel
- Hochschule für Gesundheit Bochum, Studienbereich Physiotherapie, Department für Angewandte Gesundheitswissenschaften, Bochum, Germany
- Ruhr-Universität Bochum, und Forschungsbereich Trainingswissenschaft, Fakultät für Sportwissenschaft, Bochum, Germany
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Gottschall JS, Hastings B. A comparison of physiological intensity and psychological perceptions during three different group exercise formats. Front Sports Act Living 2023; 5:1138605. [PMID: 37065806 PMCID: PMC10102604 DOI: 10.3389/fspor.2023.1138605] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2023] [Accepted: 02/27/2023] [Indexed: 04/03/2023] Open
Abstract
IntroductionPast research highlighted that group fitness is an ideal format to meet exercise prescription guidelines. To add, a group enhances exertion, enjoyment, and satisfaction. In the last five years, streaming (live classes on screen with other participants visible) and on demand (pre-recorded classes on screen without other participants visible) formats have grown in popularity. Our goal is to compare the physiological intensity and psychological perceptions of live group, live streaming, and non-live on demand classes. We hypothesize that live classes will have the greatest cardiovascular intensity, enjoyment, and satisfaction followed by streaming and finally on demand.MethodsFifty-four adults between 18–63 years, who regularly participate in group fitness classes, recorded their heart rate with a chest transmitter during a mixed-martial arts cardiovascular class on consecutive weeks in random order. We calculated the mean, identified the max, and extracted the top 300 values (5 min) for comparison between conditions.ResultsFollowing each class, the participants completed an online survey to evaluate their rate of perceived exertion, enjoyment, and satisfaction. Confirming our hypothesis, mean class heart rate and mean heart rate for the five minutes at the highest intensity were 9% greater during the live group format compared to both live streaming and non-live on demand (all values, p < 0.01). However, there was no difference in any heart rate variables between the streaming and on demand formats. Also, rate of perceived exertion, enjoyment, and satisfaction were all significantly greater during the live session compared to the home collections (all values, p < 0.05).DiscussionStreaming and on demand group fitness formats are viable options for meeting exercise prescription guidelines. But physiological intensity and psychological perceptions were greater during the live class format.
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Affiliation(s)
- Jinger S. Gottschall
- Department of Integrative Physiology, University of Colorado, Boulder, United States
- Correspondence: Jinger S. Gottschall
| | - Bryce Hastings
- Health & Environmental Sciences, Auckland University of Technology, Auckland, New Zealand
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Islam MS, Lee SW, Harden SM, Lim S. Effects of vibrotactile feedback on yoga practice. Front Sports Act Living 2022; 4:1005003. [PMID: 36385776 PMCID: PMC9659721 DOI: 10.3389/fspor.2022.1005003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Accepted: 10/13/2022] [Indexed: 12/03/2022] Open
Abstract
Participating in physical exercise using remote platforms is challenging for people with vision impairment due to their lack of vision. Thus, there is a need to provide nonvisual feedback to this population to improve the performance and safety of remote exercise. In this study, the effects of different nonvisual types of feedback (verbal, vibrotactile, and combined verbal and vibrotactile) for movement correction were tested with 22 participants with normal vision to investigate the feasibility of the feedback system and pilot tested with four participants with impaired vision. The study with normal-vision participants found that nonvisual feedback successfully corrected an additional 11.2% of movements compared to the no-feedback condition. Vibrotactile feedback was the most time-efficient among other types of feedback in correcting poses. Participants with normal vision rated multimodal feedback as the most strongly preferred modality. In a pilot test, participants with impaired vision also showed a similar trend. Overall, the study found providing vibrotactile (or multimodal) feedback during physical exercise to be an effective way of improving exercise performance. Implications for future training platform development with vibrotactile or multimodal feedback for people with impaired vision are discussed.
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Affiliation(s)
- Md Shafiqul Islam
- Department of Industrial and Systems Engineering, Virginia Tech, Blacksburg, VA, United States
| | - Sang Won Lee
- Department of Computer Science, Virginia Tech, Blacksburg, VA, United States
| | - Samantha M. Harden
- Department of Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, VA, United States
| | - Sol Lim
- Department of Industrial and Systems Engineering, Virginia Tech, Blacksburg, VA, United States,*Correspondence: Sol Lim
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Choreographic Group-Based Fitness Classes Improve Cardiometabolic Health-Related Anthropometric Indices and Blood Lipids Profile in Overweight Sedentary Women. SUSTAINABILITY 2021. [DOI: 10.3390/su13020972] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Background: Choreographic group-based fitness classes are the most common type of physical activity practiced by women, being a viable and sustainable strategy to improve general health. Thus, the aim of this study was to analyze the effect of a 16-week healthy lifestyle program, based on choreographic fitness classes, on cardiometabolic health-related anthropometric indices and metabolic blood profile among overweight sedentary women. Methods: A total of 50 overweight (Body Mass Index = 27.68 ± 1.19 kg/m2) middle-aged women (39.73 ± 7.41 years) were randomly assigned to an experimental exercise group based on structured choreographic fitness classes (CFC) with the Zumba Fitness program (3 days/week; 60 min/session) (CFC = 30) or a non-exercise control group (CG = 20). The anthropometric indices (waist circumference, waist-to-height ratio, a body shape index, conicity index, abdominal volume index, and body adiposity index), blood pressure, glycemia, and blood lipid profile [triglycerides (TG), total cholesterol, Low Density Lipoprotein (LDL), High Density Lipoprotein (HDL)] were evaluated pre- and post-intervention. Results: 40 participants competed the pre/post measures. Post-intervention, the CFC group (n = 25) presented a significant improvement in all anthropometric indices as well as in TG, HDL, and LDL as compared with the CG (n = 15). Conclusion: A 16-week healthy lifestyle program based on structured choreographic fitness classes with the Zumba Fitness program (3 days/week; 60 min/session) could significantly improve cardiometabolic health-related anthropometric indices and the blood lipid profile in overweight sedentary middle-aged women.
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Carter A, Alexander AC. A Qualitative Exploration of Womens’ Experiences Who Belong to a “Fitness Community”. AMERICAN JOURNAL OF HEALTH EDUCATION 2019. [DOI: 10.1080/19325037.2019.1687365] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Graupensperger S, Gottschall JS, Benson AJ, Eys M, Hastings B, Evans MB. Perceptions of groupness during fitness classes positively predict recalled perceptions of exertion, enjoyment, and affective valence: An intensive longitudinal investigation. ACTA ACUST UNITED AC 2019; 8:290-304. [PMID: 31548915 DOI: 10.1037/spy0000157] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Group contexts such as fitness classes are popular forms of physical activity, and studying them can uncover new ways to promote exercise adherence. Focusing on the potential for group fitness experiences to vary from class-to-class, we examined how exercisers' dynamic perceptions of groupness relate to recalled perceptions of exercise enjoyment, affective valence, and exertion. These outcome variables are in focus because they are theoretically construed to be determinants of physical activity. Using an intensive sampling methodology across a two-week period, 97 adult exercisers (M age = 42.35 years) completed surveys following each fitness class attended (695 unique responses). Using multilevel confirmatory factor analysis, we confirmed a theorized two-factor structure of groupness at both the within-and between-person levels. Multilevel modeling revealed that class-to-class fluctuations in exercisers' perceptions of groupness explained a considerable portion of variance in recalled perceptions of exertion, enjoyment, and affective valence. Specifically, during classes in which exercisers' perceptions of groupness were relatively higher, exercisers reported more recalled enjoyment, affective valence, and exertion. Focusing on how variability in groupness perceptions may influence exercise adherence, these findings demonstrate the value in fitness classes feeling like authentic groups. In studying the dynamic aspects of group evaluations, the current study makes novel advancements to group theories applied to exercise settings. Perhaps most notably, individuals' variations in their cognitive evaluations of fitness groups were closely linked to their affective responses to exercise.
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Affiliation(s)
| | | | - Alex J Benson
- University of Western Ontario Department of Psychology ,
| | - Mark Eys
- Wilfrid Laurier University Departments of Kinesiology/Physical Education and Psychology,
| | - Bryce Hastings
- Auckland University of Technology Health and Environmental Sciences
| | - M Blair Evans
- Pennsylvania State University Department of Kinesiology, (Senior Author)
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Evans MB, Graupensperger S, Benson AJ, Eys M, Hastings B, Gottschall JS. Group structure and entitativity in group fitness: considering groupness at within- and between-group levels. Psychol Health 2019; 34:715-732. [PMID: 30693798 DOI: 10.1080/08870446.2019.1566548] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
OBJECTIVE How can we distinguish between a collection of individuals exercising alongside one another from group that is exercising 'together'? This question is central to research on the extent that individuals perceive their fitness settings to entail core features of groups. To advance understanding of the nature of groupness and its implications in exercise, the current study (a) evaluated a brief measure of groupness and (b) examined the extent that groupness predicted perceptions of exertion and affect. DESIGN Participants included 633 exercisers (Mage = 33.92, SD = 11.05, 74% female) who completed surveys after group fitness classes (k = 34). MAIN OUTCOME MEASURES Groupness, affect, exertion, and group cohesion. RESULTS Exploratory structural equation modelling provided support for a two-factor solution reflecting entitativity and group structure as subdimensions of groupness. The groupness factors were differentially associated with theoretically relevant aspects of classes (e.g. synchronised movement), the individual (e.g. number of members interacted with), as well as group cohesion. Groupness also predicted perceived exertion and affect. CONCLUSION Our research provides support for a brief measure of groupness, advances theory related to how individuals perceive exercise groups, and provides evidence regarding how broader experiences during exercise may relate to exercisers' perceptions of groupness.
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Affiliation(s)
- M Blair Evans
- a Department of Kinesiology , Penn State University , University Park , PA , USA
| | - Scott Graupensperger
- a Department of Kinesiology , Penn State University , University Park , PA , USA
| | - Alex J Benson
- b Department of Psychology , University of Western Ontario , London , Ontario , Canada
| | - Mark Eys
- c Department of Kinesiology and Physical Education , Wilfrid Laurier University , Waterloo , Ontario , Canada.,d Department of Psychology , Wilfrid Laurier University , Waterloo , Ontario , Canada
| | | | - Jinger S Gottschall
- a Department of Kinesiology , Penn State University , University Park , PA , USA
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Cox ER, Keating SE, Coombes JS, Burton NW. Potential Utility of Self-Report Measures of Affect to Optimise Exercise Adherence in People with Type 2 Diabetes. Curr Diabetes Rev 2019; 15:302-308. [PMID: 30117398 DOI: 10.2174/1573399814666180816165351] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/15/2017] [Revised: 07/20/2018] [Accepted: 08/10/2018] [Indexed: 11/22/2022]
Abstract
Exercise is essential for managing type 2 diabetes, however approximately only 40% of people with the condition meet guidelines. The aim of this review is to examine the evidence regarding the use self-report measures of affect to understand and predict exercise adherence. Self-reported affect has been successfully used to regulate exercise intensity, monitor training load, prevent injury, and predict future physical activity participation in otherwise healthy and some clinical populations. Specific recommendations are provided for research to explore the utility of self-report measures of affect to promote exercise adherence in people with type 2 diabetes.
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Affiliation(s)
- Emily R Cox
- School of Human Movement and Nutrition Sciences, The University of Queensland, St Lucia, Australia
| | | | - Jeff S Coombes
- School of Human Movement and Nutrition Sciences, The University of Queensland, St Lucia, Australia
| | - Nicola W Burton
- School of Human Movement and Nutrition Sciences, The University of Queensland, St Lucia, Australia
- School of Applied Psychology, Griffith University, Mt Gravatt, Australia
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Gilbert M, Chaubet P, Karelis A, Dancause KN. Perceptions of group exercise courses and instructors among Quebec adults. BMJ Open Sport Exerc Med 2017; 3:e000278. [PMID: 29259811 PMCID: PMC5728298 DOI: 10.1136/bmjsem-2017-000278] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/16/2017] [Indexed: 12/01/2022] Open
Abstract
BACKGROUND Group exercise courses are popular among adults, but dropout rates are high. Studies of relationships between participants' perceptions and their participation might highlight factors to target to improve adherence and re-enrolment. METHODS We used a mixed-methods approach to analyse perceptions of group exercise courses and instructors among 463 adults. Participants completed the Exercise Barriers and Benefits Scale, questionnaires on perceptions of the instructor and course, and non-participation. We assessed participation from weeks 2-4 and 5-10, and re-enrolment. We analysed relationships between perceptions and re-enrolment using linear regression and mediation analyses. We conducted group interviews with 11 participants. RESULTS Predictors of re-enrolment included early participation (β=0.11, P=0.029) and perceptions of the group social climate (P=0.027). Perceptions of the group mediated the relationship between early participation and re-enrolment (95% CI 0.0036 to 0.0471): early participation predicted more positive perceptions (β=2.11, P=0.003), which predicted re-enrolment (β=0.01, P=0.006). Qualitative analyses highlighted instructors' roles in promoting social exchange and integrating participants into the group. CONCLUSIONS The social climate of group exercise courses is a key factor predicting re-enrolment. Early participation predicts re-enrolment on its own, and also promotes positive perceptions of the group. Instructors can target these factors by sensitising participants to the importance of early participation, and promoting social exchange.
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Affiliation(s)
- Monique Gilbert
- Département des sciences de l'activité physique, Université du Québec à Montréal, Montreal, Canada
| | - Philippe Chaubet
- Département des sciences de l'activité physique, Université du Québec à Montréal, Montreal, Canada
| | - Antony Karelis
- Département des sciences de l'activité physique, Université du Québec à Montréal, Montreal, Canada
| | - Kelsey Needham Dancause
- Département des sciences de l'activité physique, Université du Québec à Montréal, Montreal, Canada
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