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O'Donovan G, Petermann-Rocha F, Ferrari G, Lee IM, Hamer M, Stamatakis E, Sarmiento OL, Ibáñez A, Lopez-Jaramillo P. Associations of the 'weekend warrior' physical activity pattern with all-cause, cardiovascular disease and cancer mortality: the Mexico City Prospective Study. Br J Sports Med 2024; 58:359-365. [PMID: 38302280 DOI: 10.1136/bjsports-2023-107612] [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] [Accepted: 01/21/2024] [Indexed: 02/03/2024]
Abstract
OBJECTIVES The objective was to investigate the benefits of the 'weekend warrior' physical activity pattern in Latin America, where many people take part in high levels of non-exercise physical activity. METHODS Participants in the Mexico City Prospective Study were surveyed from 1998 to 2004 and resurveyed from 2015 to 2019. Those who exercised up to once or twice per week were termed weekend warriors. Those who exercised more often were termed regularly active. Analyses were adjusted for potential confounders. RESULTS The main analysis included 26 006 deaths in 154 882 adults (67% female) aged 52±13 years followed for 18±4 years (mean±SD). Compared with those who reported no exercise, the HR (95% CI) was 0.88 (0.83 to 0.93) in the weekend warriors and 0.88 (0.84 to 0.91) in the regularly active. Similar results were observed for cardiovascular disease and cancer mortality, but associations were weaker. Stratified analyses showed that substantial reductions in all-cause mortality risk only occurred when the duration of exercise sessions was at least 30-60 min. The repeated-measures analysis included 843 deaths in 10 023 adults followed for 20±2 years. Compared with being inactive or becoming inactive, the HR was 0.86 (95% CI 0.65 to 1.12) when being a weekend warrior or becoming a weekend warrior and 0.85 (95% CI 0.70 to 1.03) when being regularly active or becoming regularly active. CONCLUSIONS This is the first prospective study to investigate the benefits of the weekend warrior physical activity pattern in Latin America. The results suggest that even busy adults could benefit from taking part in one or two sessions of exercise per week.
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Affiliation(s)
- Gary O'Donovan
- Facultad de Medicina, Universidad de los Andes, Bogotá, Colombia
- Latin American Brain Health Institute (BrainLat), Universidad Adolfo Ibáñez, Santiago, Chile
- Instituto Masira, Universidad de Santander (UDES), Bucaramanga, Colombia
| | - Fanny Petermann-Rocha
- Centro de Investigación Biomédica, Facultad de Medicina, Universidad Diego Portales, Santiago, Chile
- School of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK
| | - Gerson Ferrari
- Escuela de Ciencias de la Actividad Física, el Deporte y la Salud, Universidad de Santiago de Chile (USACH), Santiago, Chile
- Faculty of Health Sciences, Universidad Autónoma de Chile, Santiago, Chile
| | - I-Min Lee
- Harvard Medical School, Boston, MA, USA
- Brigham and Women's Hospital, Boston, MA, USA
| | - Mark Hamer
- Institute Sport Exercise Health, Division Surgery Interventional Science, University College London, London, UK
| | - Emmanuel Stamatakis
- Charles Perkins Centre, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
| | - Olga L Sarmiento
- Facultad de Medicina, Universidad de los Andes, Bogotá, Colombia
| | - Agustín Ibáñez
- Latin American Brain Health Institute (BrainLat), Universidad Adolfo Ibáñez, Santiago, Chile
- Global Brain Health Institute (GBHI), Trinity College Dublin, Dublin, Ireland
- Cognitive Neuroscience Center (CNC) and CONICET, Universidad de San Andrés, Buenos Aires, Argentina
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Kreiml V, Sauter A, Abu-Omar K, Eickmann S, Herrmann-Johns A. "That's like therapy"-A qualitative study on socially disadvantaged women's views on the effects of a community-based participatory research project on their health and health behavior. Front Public Health 2024; 12:1339556. [PMID: 38304180 PMCID: PMC10830699 DOI: 10.3389/fpubh.2024.1339556] [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: 11/16/2023] [Accepted: 01/08/2024] [Indexed: 02/03/2024] Open
Abstract
Background Regular physical activity has positive effects on both physical and mental health. Nevertheless, socially disadvantaged women are often insufficiently physically active. Through needs-based physical activity offers, community-based participatory research (CBPR) projects have the potential to reach these women and increase the effectiveness of physical activity interventions by supporting women's empowerment, health, and health behaviors. This study aimed to examine socially disadvantaged women's views on the effects of long-term participation in Bewegung als Investition in Gesundheit (BIG, i.e., movement as an investment in health), a long-standing German CBPR project, on their health and health behavior. Methods Semi-structured qualitative interviews were conducted with 30 participating women at five BIG sites across Germany between April and August 2022. The interviews were recorded, transcribed verbatim, and analyzed using framework analysis. Results Women reported that participation in BIG classes contributed to their physical, mental, and social health. For many women, the positive effects on their mental and social wellbeing were most important. In addition to increased fitness and improved physical endurance, many participating women were able to expand their social networks, thus receiving further social support, and improve their self-esteem, self-confidence, and self-efficacy. Furthermore, participation in BIG physical activity classes positively influenced the health awareness of many women helping them to improve their activity level and diet over time. Conclusion Our results suggest that CBPR projects, such as the BIG project, can increase physical activity among socially disadvantaged groups and contribute to their overall health and wellbeing. CBPR projects could thus be considered a key element of health promotion for this target group. Future interventional research is required to confirm and further explore the effects of CBPR interventions and to examine whether the effects can be replicated in other settings.
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Affiliation(s)
- Verena Kreiml
- Department of Epidemiology and Preventive Medicine, Medical Sociology, University of Regensburg, Regensburg, Germany
| | - Alexandra Sauter
- Department of Epidemiology and Preventive Medicine, Medical Sociology, University of Regensburg, Regensburg, Germany
| | - Karim Abu-Omar
- Department of Sport Science and Sport, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany
| | - Sascha Eickmann
- Department of Epidemiology and Preventive Medicine, Medical Sociology, University of Regensburg, Regensburg, Germany
| | - Anne Herrmann-Johns
- Department of Epidemiology and Preventive Medicine, Medical Sociology, University of Regensburg, Regensburg, Germany
- School of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia
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Proaño GV, Rodriguez Moreno LM, Arciniegas MJ, Sifre-Acosta N, Espinal C, Chowdhury R, Hernández Flórez LJ, Palacios C. Effectiveness, barriers, and facilitators of overweight and obesity prevention strategies in Latin America; a scoping review and qualitative study in Colombia. LANCET REGIONAL HEALTH. AMERICAS 2024; 29:100656. [PMID: 38250673 PMCID: PMC10797189 DOI: 10.1016/j.lana.2023.100656] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/27/2023] [Revised: 12/01/2023] [Accepted: 12/12/2023] [Indexed: 01/23/2024]
Abstract
Background This project aimed to synthesize the quantitative/qualitative evidence on the effectiveness of overweight/obesity prevention strategies implemented in Colombia and their barriers and facilitators. Methods A scoping review was conducted by searching PubMed, SciELO, Scopus, and the grey literature (2012–2023). In-depth interviews were also conducted among key stakeholders on their perception of these strategies’ effectiveness, barriers, and facilitators. Findings 26 records were included; four studies found positive changes in weight/body mass index, five found positive changes in physical activity, two found positive changes in food intake, and four found positive changes in healthy lifestyle knowledge, perception, attitudes, and habits. The main barrier reported was the obesogenic environment, and the facilitators were program flexibility and community engagement. Eighteen interviews were conducted (one interview per strategy); the main barriers reported were political, lack of evaluation access, economic situation, and lack of articulation; the main facilitators were incorporating the strategy into policies, articulation with stakeholders, and strong oversight. Interpretation Moderate evidence indicates that these strategies positively impact outcomes related to overweight/obesity in Colombia, but more long-term studies are needed for overweight/obesity reduction. Lack of (1) evaluation and resources (barriers), (2) incorporation into policies (facilitators), and (3) strong stakeholder coordination (facilitators) was identified. Funding Global Health Consortium , Department of Global Health , 10.13039/100007681 FIU .
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Affiliation(s)
- Gabriela V. Proaño
- Department of Dietetics and Nutrition, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, United States
| | | | | | - Niliarys Sifre-Acosta
- Department of Dietetics and Nutrition, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, United States
| | - Carlos Espinal
- Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, United States
| | - Rajiv Chowdhury
- Department of Global Health, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, United States
| | | | - Cristina Palacios
- Department of Dietetics and Nutrition, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, United States
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Funez EIB, da Silva AT, dos Santos LP, Rodriguez-Añez CR, de Paula da Silva AA, Fermino RC. What Is the Contribution of Community Programs to the Physical Activity of Women? A Study Based on Public Open Spaces in Brazil. Behav Sci (Basel) 2023; 13:718. [PMID: 37753996 PMCID: PMC10525197 DOI: 10.3390/bs13090718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2023] [Revised: 07/30/2023] [Accepted: 08/14/2023] [Indexed: 09/28/2023] Open
Abstract
Community programs can facilitate the access of vulnerable subgroups to physical activity (PA). This study analyzed the relationship between sociodemographic characteristics, health conditions, public open spaces (POS) usage, and women's PA. The 155 participants were assiduous in taking part in PA classes in POS in São José dos Pinhais, Brazil. The accelerometer-based PA measures identified four outcomes: (1) daily light-intensity PA (LPA), (2) daily moderate-to-vigorous intensity PA (MVPA), (3) LPA in POS, and (4) MVPA in POS. Linear regression, and the Durbin-Watson and Mann-Whitney U tests were used for data analysis in STATA software. The main results showed that the weekly frequency (β: 10.9, p < 0.01) and intensity of the main activity in the POS (β: 22.4, p < 0.05) were related to daily MVPA. Economic level and length of stay in the POS were positively related to the LPA performed (p < 0.05). Weekly frequency (β: 2.4, p < 0.01), length of stay (β: 11.0, p < 0.01), and intensity of PA practiced in the POS (β: 5.9, p < 0.05) showed a positive relationship with MVPA in the POS. In conclusion, there was a positive relationship between some analyzed variables and PA of different intensities, especially the consistent relationship between weekly frequency of POS usage and MVPA. Participation in structured PA classes in a community program can contribute to an increase of 47 min of daily MVPA.
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Affiliation(s)
- Eduardo Irineu Bortoli Funez
- Research Group on Environment, Physical Activity, and Health, Postgraduate Program in Physical Education, Federal University of Technology–Paraná, Curitiba 81310-900, Brazil; (E.I.B.F.); (C.R.R.-A.)
| | - Alice Tatiane da Silva
- Postgraduate Program in Physical Education, Federal University of Paraná, Curitiba 81531-980, Brazil; (A.T.d.S.); (L.P.d.S.)
| | - Letícia Pechnicki dos Santos
- Postgraduate Program in Physical Education, Federal University of Paraná, Curitiba 81531-980, Brazil; (A.T.d.S.); (L.P.d.S.)
| | - Ciro Romelio Rodriguez-Añez
- Research Group on Environment, Physical Activity, and Health, Postgraduate Program in Physical Education, Federal University of Technology–Paraná, Curitiba 81310-900, Brazil; (E.I.B.F.); (C.R.R.-A.)
| | - Alexandre Augusto de Paula da Silva
- Postgraduate Program in Health Sciences, Research Group on Physical Activity and Quality of Life, Pontifical Catholic University of Paraná, Curitiba 80215-901, Brazil;
| | - Rogério César Fermino
- Research Group on Environment, Physical Activity, and Health, Postgraduate Program in Physical Education, Federal University of Technology–Paraná, Curitiba 81310-900, Brazil; (E.I.B.F.); (C.R.R.-A.)
- Postgraduate Program in Physical Education, Federal University of Paraná, Curitiba 81531-980, Brazil; (A.T.d.S.); (L.P.d.S.)
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Hernández ED, Cobo EA, Cahalin LP, Seron P. Impact of environmental interventions based on social programs on physical activity levels: A systematic review. Front Public Health 2023; 11:1095146. [PMID: 37033032 PMCID: PMC10078830 DOI: 10.3389/fpubh.2023.1095146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Accepted: 03/01/2023] [Indexed: 04/11/2023] Open
Abstract
Background The design of social programs at the environmental level such as in schools, parks, bicycle paths, or workspaces generates changes in the behavior of individuals and modifies lifestyles by increasing physical activity (PA) levels. Objective To determine the effectiveness of environmental interventions based on social programs by changing the population's level of PA. Methodology Natural experiment studies that involved environmental intervention programs at a social level were included. The primary outcome was PA levels with consideration of both objective and subjective measurements. An electronic search was carried out in Medline/Pubmed, SCIENCE DIRECT, WEB OF SCIENCE, and CINAHL databases up to January 2022 with two reviewers screening titles and abstracts and selecting studies for full-text reading. Two reviewers also acquired relevant data and evaluated study quality using the ROBINS I tool. A qualitative analysis was performed. Results Three thousand eight hundred and sixty-five articles were found in the 4 consulted databases. After eliminating duplication (200), two reviewers screened 3,665 titles and abstracts and excluded 3,566 that did not meet the inclusion criteria, leaving 99 articles to be read in full text. The 99 full texts were reviewed of which 24 papers met the eligibility criteria. All were natural experiments published between 2011 and 2020 and all evaluated environmental social programs revealing that social programs at the environmental level promoted PA in various populations at the community level worldwide. Conclusion The 24 reviewed studies suggest innovative proposals for social programs that seek to increase PA and promote healthy lifestyles related to public activity policies developed in the countries in which they were generated. Environmental social programs can positively impact PA levels among children and adults. Systematic review registration https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=229718, identifier: CRD42021229718.
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Affiliation(s)
- Edgar D. Hernández
- Facultad de Medicina, Human Movement Department, Universidad Nacional de Colombia, Bogotá, Colombia
- *Correspondence: Edgar D. Hernández
| | - Elisa A. Cobo
- Facultad de Ciencias de la Salud, Universidad de Boyacá, Tunja, Colombia
| | - Lawrence P. Cahalin
- Department of Physical Therapy, University of Miami, Coral Gables, FL, United States
| | - Pamela Seron
- Facultad de Medicina, Universidad de La Frontera, Temuco, Chile
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Hernandez ED, Guzman CA, Seron P. Interventions based on environmental determinants for nutritional and physical activity behaviours in Colombia: a scoping review. BMJ Open 2022; 12:e060085. [PMID: 36123059 PMCID: PMC9486334 DOI: 10.1136/bmjopen-2021-060085] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Accepted: 08/30/2022] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVE To identify, systematically, the interventions based on environmental determinants to improve the nutritional and physical activity (PA) habits available in Colombia. DESIGN A scoping review was performed according to the guidelines of the Joanna Briggs Institute. STUDY SELECTION All studies about intervention programmes for PA and nutritional behaviours in Colombia were included. METHODS Searches in Medline/PubMed, Embase, Cochrane, Scielo and Lilacs, using MeSH, Decs and Emtree terms, were performed up to August 2020. Additionally, a manual search was made in specialised national journals. An internet documentary search of the official websites on policies and programmes by departmental, district and municipal secretariats was also performed.Two reviewers independently screened titles and abstracts. Then, the full texts were reviewed to select documents to be included.Data management relevant information from selected documents and articles was extracted. A descriptive analysis was considered. RESULTS Sixty-seven documents and 70 published articles were found. The programmes were identified in 13 initiatives, 7 in the area of PA and 6 with a nutrition focus. They were on physical and social environmental modifications such as the 'muévete' ('get moving') programmes in Bogota, Quindio and Cartagena; a modification of 'ciclovía'; or bicycle path programmes as well as nutrition programmes in schools, universities and companies. CONCLUSION This scoping review identified national programmes and policies in Colombia in the area of nutrition and PA from the environmental perspective in different scenarios: from schools to workplaces and communities. The need to implement such programmes from public and private institutions is also noted, promoting the practice of PA and healthy eating in every scenario in the national territory. New research to determine the impact of these programmes is essential to get a glimpse of the effects of these programmes and the implications for public health.
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Affiliation(s)
- Edgar D Hernandez
- Facultad de Medicina, Human Movement Department, Universidad Nacional de Colombia, Bogotá, Colombia
| | - Cristian Arvey Guzman
- Facultad de Medicina, Universidad Nacional de Colombia, Bogota, Colombia
- Physical Therapy Department, Hospital Universitario Nacional de Colombia, Bogota, Colombia
| | - Pamela Seron
- Departamento de Ciencias de la Rehabilitación & CIGES, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile
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Rubio MA, Guevara-Aladino P, Urbano M, Cabas S, Mejia-Arbelaez C, Rodriguez Espinosa P, Rosas LG, King AC, Chazdon S, Sarmiento OL. Innovative participatory evaluation methodologies to assess and sustain multilevel impacts of two community-based physical activity programs for women in Colombia. BMC Public Health 2022; 22:771. [PMID: 35428285 PMCID: PMC9012256 DOI: 10.1186/s12889-022-13180-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2021] [Accepted: 03/24/2022] [Indexed: 01/18/2023] Open
Abstract
Background Community-based physical activity (PA) programs are appealing to women in Latin America and show potential for improving women’s health. This study aimed to engage healthy middle-aged women, breast cancer survivors and local stakeholders participating in two publicly funded community-based PA programs in Bogotá, Colombia (Recreovía and My Body) to assess and visually map the perceived barriers, facilitators, and outcomes to promote programs’ improvement, scaling and sustainability. Methods We used two participatory action research methods, the 1) Our Voice citizen science method to capture data and drive local change in built and social environmental facilitators and barriers that influence women’s engagement in community-based PA; and 2) Ripple Effects Mapping to visually map the intended and unintended outcomes of PA programs. We used thematic analysis to classify the results at the individual, social, and community levels. Results The stakeholders engaged in the participatory evaluation included cross-sector actors from the programs (N = 6) and program users (total N = 34) from the two programs (Recreovía N = 16; My Body N = 18). Program users were women with a mean age of 55.7 years (SD = 8.03), 65% lived in low-income neighborhoods. They identified infrastructure as the main feature affecting PA, having both positive (e.g., appropriate facilities) and negative (e.g., poorly built areas for PA) effects. Regarding program improvements, stakeholders advocated for parks’ cleaning, safety, and appropriate use. The most highlighted outcomes were the expansion and strengthening of social bonds and the engagement in collective wellbeing, which leveraged some participants’ leadership skills for PA promotion strategies in their community. The facilitated dialogue among program users and stakeholders fostered the sustainability and expansion of the community-based PA programs, even during the COVID-19 pandemic. Conclusions The implementation of both participatory methodologies provided a multidimensional understanding of the programs’ impacts and multisectoral dialogues that fostered efforts to sustain the community-based PA programs. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-022-13180-2.
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Moran MR, Rodríguez DA, Cortinez-O'ryan A, Jaime Miranda J. Is self-reported park proximity associated with perceived social disorder? Findings from eleven cities in Latin America. LANDSCAPE AND URBAN PLANNING 2022; 219:None. [PMID: 35241864 PMCID: PMC8780619 DOI: 10.1016/j.landurbplan.2021.104320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/24/2020] [Revised: 11/23/2021] [Accepted: 11/26/2021] [Indexed: 05/04/2023]
Abstract
Parks and greenspaces can enhance personal health in various ways, including among others, through psychological restoration and improved well-being. However, under certain circumstances, parks may also have adverse effects by providing isolated and hidden spaces for non-normative and crime-related activities. This study uses a survey conducted by the Development Bank of Latin America in a cross-sectional representative sample of 7,110 respondents in eleven Latin-American cities. We examine associations between self-reported park proximity with perceived social disorder (drug use/sales, gangs, prostitution and assault and/or crime), and whether these associations are modified by neighborhood characteristics (informal neighborhoods, poor street-lighting, abandoned buildings, illegal dumping). High self-reported park proximity was associated with lower perceptions of social disorder, but these associations were no longer significant following adjustment for neighborhood characteristics. Significant interactions were observed between park proximity and neighborhood characteristics suggesting that the likelihood of perceiving social disorder increases with high park proximity in informal neighborhoods and in the presence of certain neighborhood characteristics, such as poor street-lighting, abandoned buildings, and illegal dumping in residential streets. The differential associations between reported park proximity and perceived social disorder in different living environments highlight the importance of supportive social and physical infrastructure to maximize the restorative benefits of parks in all urban areas.
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Affiliation(s)
- Mika R. Moran
- Institute for Urban and Regional Development, University of California Berkeley, Berkeley, CA 94720, USA
- Corresponding author at: Institute for Urban and Regional Development, University of California Berkeley, Berkeley, CA 94720, USA.
| | - Daniel A. Rodríguez
- Institute for Urban and Regional Development, University of California Berkeley, Berkeley, CA 94720, USA
- Department of City and Regional Planning, University of California Berkeley, Berkeley, CA 94720, USA
| | - Andrea Cortinez-O'ryan
- Departamento de Educación Física, Deportes y Recreación, Universidad de la Frontera, Temuco, Chile
| | - J. Jaime Miranda
- CRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru
- Department of Medicine, School of Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru
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Participation and Physical Activity in Recreovia of Bucaramanga, Colombia. J Phys Act Health 2021; 18:1277-1285. [PMID: 34489368 DOI: 10.1123/jpah.2021-0047] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Revised: 05/13/2021] [Accepted: 06/12/2021] [Indexed: 11/18/2022]
Abstract
BACKGROUND Open Streets initiatives have allowed for physical activity (PA) in cities worldwide. However, few studies have evaluated the use of small Open Streets in low- and middle-income countries, such as those in Latin America. Thus, this study aimed to describe participation and PA level of users in the Recreovia program in Bucaramanga, Colombia. METHODS A cross-sectional study was conducted during 5 Sundays from September to November 2017. Recreovia use was evaluated at 4 strategic points according to street accessibility (2 points) and aerobics class areas (2 points), using the System for Observing Play and Recreation in Communities. RESULTS A total of 38,577 observations were made (34,969 on streets and 3608 in aerobics class areas). Men (63%) and adults (62%), with moderate to vigorous PA (MVPA) (98%) were observed on streets. The most common PAs were biking (50%), walking/dog walking (36%), and jogging (9%). In aerobics class areas, the most common groups were female (65%) and adults (89%). Participants were engaged in moderate to vigorous PA (91%). CONCLUSION Measurement of number of participants at moderate to vigorous levels of PA was high. A difference between sexes and age in these street and aerobic class area groups was also observed.
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Rubio MA, Triana C, King AC, Rosas LG, Banchoff AW, Rubiano O, Chrisinger BW, Sarmiento OL. Engaging citizen scientists to build healthy park environments in Colombia. Health Promot Int 2021; 36:223-234. [PMID: 32361761 DOI: 10.1093/heapro/daaa031] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023] Open
Abstract
Colombia's Recreovía program offers community-based free physical activity (PA) classes in parks. We evaluated built and social environmental factors influencing Recreovía local park environments, and facilitated a consensus-building and advocacy process among community members, policymakers and academic researchers aimed at improving uptake and impact of the Recreovía program. We used a mixed-methods approach, with individual and contextual PA measurements and a resident-enabled participatory approach (the Our Voice citizen science engagement model). Recreovía participants were likely to be women meeting PA recommendations, and highly satisfied with the Recreovía classes. Reported facilitators of the Recreovía included its role in enhancing social and individual well-being through PA classes. Reported barriers to usage were related to park maintenance, cleanliness and safety. The Our Voice process elicited community reflection, empowerment, advocacy and action. Our Voice facilitated the interplay among stakeholders and community members to optimize the Recreovía program as a facilitator of active living, and to make park environments more welcoming.
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Affiliation(s)
| | - Camilo Triana
- School of Medicine, Universidad de los Andes, Carrera 1 n°18ª-12 Bogotá, Colombia
| | - Abby C King
- Department of Epidemiology and Population Health, Stanford University School Medicine, Stanford, CA 94305, USA.,Stanford Prevention Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA
| | - Lisa G Rosas
- Department of Epidemiology and Population Health, Stanford University School Medicine, Stanford, CA 94305, USA.,Division of Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA
| | - Ann W Banchoff
- Stanford Prevention Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA
| | - Oscar Rubiano
- Recreovía Program Coordination, Institute of Recreation and Sports, Calle 63 n°59A-0, Bogotá, Colombia
| | - Benjamin W Chrisinger
- Department of Social Policy and Intervention, University of Oxford, Oxford, OX1 2ER, UK
| | - Olga L Sarmiento
- School of Medicine, Universidad de los Andes, Carrera 1 n°18ª-12 Bogotá, Colombia
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Derose KP, Wallace DD, Han B, Cohen DA. Effects of park-based interventions on health-related outcomes: A systematic review. Prev Med 2021; 147:106528. [PMID: 33745954 PMCID: PMC8096710 DOI: 10.1016/j.ypmed.2021.106528] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Revised: 02/10/2021] [Accepted: 03/16/2021] [Indexed: 12/26/2022]
Abstract
Increasing use of parks for physical activity has been proposed for improving population health, including mental health. Interventions that aim to increase park use and park-based physical activity include place-based interventions (e.g., park renovations) and person-based interventions (e.g., park-based walking or exercise classes). Using adapted methods from the Community Guide, a systematic review (search period through September 2019) was conducted to evaluate the effectiveness of park-based interventions among adults. The primary outcomes of interest were health-related, including physical and mental health and moderate-to-vigorous physical activity. Twenty-seven studies that met review criteria were analyzed in 2019 and 2020. Seven person-based studies included generally small samples of specific populations and interventions involved mostly exercise programming in parks; all but one had an average quality rating as "high" and all had at least one statistically significant outcome. Of the 20 place-based interventions, 7 involved only 1 or 2 parks; however, 7 involved from 9 to 78 parks. Types of interventions were predominantly park renovations; only 5 involved park-based exercise programming. Most of the renovations were associated with increased park-level use and physical activity, however among those implementing programming, park-level effects were more modest. Less than half of the place-based intervention studies had an average quality rating of "high." The study of parks as sites for physical activity interventions is nascent. Hybrid methods that combine placed-based evaluations and cohort studies could inform how to best optimize policy, programming, design and management to promote health and well-being.
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Affiliation(s)
- Kathryn P Derose
- RAND Corporation, 1776 Main Street, Santa Monica, CA 90401, United States.
| | - Deshira D Wallace
- Carolina Population Center, University of North Carolina, Chapel Hill, United States.
| | - Bing Han
- RAND Corporation, 1776 Main Street, Santa Monica, CA 90401, United States.
| | - Deborah A Cohen
- RAND Corporation, 1776 Main Street, Santa Monica, CA 90401, United States.
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Jaramillo AM, Montes F, Sarmiento OL, Ríos AP, Rosas LG, Hunter R, Rodríguez AL, King AC. Social cohesion emerging from a community-based physical activity program: A temporal network analysis. NETWORK SCIENCE (CAMBRIDGE UNIVERSITY PRESS) 2021; 9:35-48. [PMID: 34322275 PMCID: PMC8315584 DOI: 10.1017/nws.2020.31] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Community-based physical activity programs, such as the Recreovía, are effective in promoting healthy behaviors in Latin America. To understand Recreovías' challenges and scalability, we characterized its social network longitudinally while studying its participants' social cohesion and interactions. First, we constructed the Main network of the program's Facebook profile in 2013 to determine the main stakeholders and communities of participants. Second, we studied the Temporal network growth of the Facebook profiles of three Recreovía locations from 2008 to 2016. We implemented a Time Windows in Networks algorithm to determine observation periods and a scaling model of cities' growth to measure social cohesion over time. Our results show physical activity instructors as the main stakeholders (20.84% nodes of the network). As emerging cohesion, we found: (1) incremental growth of Facebook users (43-272 nodes), friendships (55-2565 edges), clustering coefficient (0.19-0.21), and density (0.04-0.07); (2) no preferential attachment behavior; and (3) a social cohesion super-linear growth with 1.73 new friendships per joined user. Our results underscore the physical activity instructors' influence and the emergent cohesion in innovation periods as a co-benefit of the program. This analysis associates the social and healthy behavior dimensions of a program occurring in natural environments under a systemic approach.
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Affiliation(s)
- Ana María Jaramillo
- Department of Industrial Engineering, Social and Health Complexity Center, Universidad de Los Andes, Bogotá, Colombia
- Department of Computer Science, University of Exeter, Exeter, UK
| | - Felipe Montes
- Department of Industrial Engineering, Social and Health Complexity Center, Universidad de Los Andes, Bogotá, Colombia
| | | | - Ana Paola Ríos
- School of Medicine, Universidad de Los Andes, Bogotá, Colombia
- Grupo de Cuidado Cardiorrespiratorio, Universidad Manuela Beltrán, Bogotá
| | - Lisa G. Rosas
- Palo Alto Medical Foundation Research Institute, Palo Alto, CA, USA and Stanford University, Palo Alto, CA, USA
| | - Ruth Hunter
- United Kingdom Clinical Research Collaboration Centre of Excellence for Public Health/Centre for Public Health, Queen’s University Belfast, Belfast, UK
| | - Ana Lucía Rodríguez
- Department of Psychology, Health Disparities and Cultural Identities Research Lab, Florida International University, Miami, FL, USA
| | - Abby C. King
- Stanford Prevention Research Center, Department of Medicine, School of Medicine at Stanford University, 1070 Arrastradero Road, Suite 100, Palo Alto, CA, USA and Department of Health Research and Policy, School of Medicine at Stanford University, Palo Alto, CA, USA
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Geographic Distribution of the Ciclovia and Recreovia Programs by Neighborhood SES in Bogotá: How Unequal is the Geographic Access Assessed Via Distance-based Measures? J Urban Health 2021; 98:101-110. [PMID: 33236318 PMCID: PMC7873177 DOI: 10.1007/s11524-020-00496-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/27/2020] [Indexed: 10/22/2022]
Abstract
Ciclovia, also known as Open Streets initiatives in other countries, are city streets that are closed to motorized traffic and opened during certain times to residents for engaging in physical activity (PA). These initiatives are viewed by policy makers and health and community advocates as being beneficial to social, environmental, and community health. This study explores the geographic distribution of Ciclovia and Recreovia and the differences in geographic access assessed via distance-based measures, based on the socioeconomic status (SES) of the area. Results from this study show that the median distance to the Ciclovia according to SES ranges from 2930 m for SES 1 (most disadvantaged) to 482 m for SES 6 (wealthiest). The median distance to the Recreovia sites ranges from 5173 m for SES 1 to 3869 m for SES 6. This study found revealing urban inequities in the distribution of Ciclovia, whereas there was less inequalities within the Recreovia sites. This study shows that urban interventions are needed to promote recreational activity and reduce health disparities in under resourced, low SES areas.
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Custódio IG, Lopes AADS, Kopp D, Silva ATD, de Chaves RN, Rodriguez-Añez CR, Fermino RC. Padrão de utilização de espaços públicos abertos e nível de atividade física em São José dos Pinhais, Paraná. REVISTA BRASILEIRA DE CIÊNCIAS DO ESPORTE 2021. [DOI: 10.1590/rbce.43.e011220] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO O objetivo deste estudo foi analisar a associação entre o padrão de utilização de espaços públicos abertos (EPA) e o nível de atividade física (AF) de intensidade moderada a vigorosa (AFMV) em São José dos Pinhais, Paraná. Sexo, faixa etária e AF foram identificados com o System for Observing Play and Recreation in Communities (SOPARC). A AFMV foi analisada considerando as categorias de sexo, local, dia da semana, horário e período. Foram realizadas 2.591 observações de pessoas e a proporção de AFMV foi de 35%. O sexo feminino apresentou associação positiva com a AFMV (OR: 1,57; IC95%: 1,32-1,86), enquanto a utilização dos EPA no final de semana (OR: 0,55; IC95%: 0,46-0,65) e no período da tarde apresentou associação inversa com o desfecho (OR: 0,57; IC95%: 0,48-0,67). Conclui-se que mulheres e aqueles que utilizam os locais durante a semana ou pela manhã apresentam maiores chances de praticarem AFMV.
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Affiliation(s)
| | - Adalberto Aparecido dos Santos Lopes
- Pontifícia Universidade Católica do Paraná, Brasil; Universidade Federal de Santa Catarina, Brasil; Universidade Federal de Minas Gerais, Brasil
| | - Daniele Kopp
- Pontifícia Universidade Católica do Paraná, Brasil
| | - Alice Tatiane da Silva
- Pontifícia Universidade Católica do Paraná, Brasil; Prefeitura Municipal de São José dos Pinhais, Brasil
| | | | | | - Rogério César Fermino
- Universidade Tecnológica Federal do Paraná, Brasil; Universidade Federal do Paraná, Brasil
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15
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Cortinez-O'Ryan A, Moran MR, Rios AP, Anza-Ramirez C, Slovic AD. Could severe mobility and park use restrictions during the COVID-19 pandemic aggravate health inequalities? Insights and challenges from Latin America. CAD SAUDE PUBLICA 2020; 36:e00185820. [PMID: 33027476 DOI: 10.1590/0102-311x00185820] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2020] [Accepted: 08/05/2020] [Indexed: 11/22/2022] Open
Affiliation(s)
- Andrea Cortinez-O'Ryan
- Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.,Facultad de Educación, Ciencias Sociales y Humanidades, Universidad de la Frontera, Temuco, Chile
| | - Mika Ruchama Moran
- Institute of Urban and Regional Development, University of California Berkeley, Berkeley, U.S.A
| | - Ana Paola Rios
- Unidad de Terapia Cardiorrespiratoria, Universidad Manuela Beltrán, Bogotá, Colombia
| | - Cecilia Anza-Ramirez
- CRONICAS Centro de Excelencia en Enfermedades Crónicas, Universidade Peruana Cayetano Heredia, Lima, Peru
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Evaluation of Event Physical Activity Engagement at an Open Streets Initiative Within a Texas-Mexico Border Town. J Phys Act Health 2018; 15:605-612. [PMID: 29741429 DOI: 10.1123/jpah.2017-0112] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
BACKGROUND Open streets initiatives provide an opportunity to engage in physical activity (PA) freely by temporarily closing streets to motorized traffic. METHODS Route counting estimation and event intercept surveys (n = 682) were conducted across 4 CycloBia events in Brownsville, TX, in 2015 to determine sociodemographics, PA engagement at the event, event awareness, and past CycloBia attendance. RESULTS Cycling was the most commonly observed activity along the route (73.6%) followed by walking (22.9%). Attendees self-reported a median of 120 minutes in PA with 17.3% of attendees meeting recommended weekly PA guidelines at the event. Significant predictors of meeting PA guidelines via event PA engagement were past event attendance, sex, age, and Hispanic ethnicity. CONCLUSIONS Findings suggest that CycloBia reached a large, low-income, predominantly Hispanic population and may be effective in promoting PA. Results help understand the effect of an open streets initiative on attendees living in a midsize, border city.
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