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Unger A, Schwarzenlander A, Wilke J. Policies and opportunities for physical activity engagement in Austrian schools: a census survey. PeerJ 2024; 12:e17794. [PMID: 39157767 PMCID: PMC11328834 DOI: 10.7717/peerj.17794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2024] [Accepted: 07/01/2024] [Indexed: 08/20/2024] Open
Abstract
Background Compelling evidence suggests that schools' infrastructure and policy represent potential predictors of health and physical activity (PA) in children and adolescents. However, the translation of these findings into practice has not been examined. This study investigated the activity friendliness of Austrian schools. Methods Using a census sampling method, principals of Austrian schools (n = 342) were invited to participate in an online survey assessing 1) the availability of PA facilities (e.g. playgrounds, sports courts, swimming halls) and 2) applied PA policies (e.g. cooperation with sports clubs and involvement in PA projects). Results A total of 130 principals answered the survey which corresponds to a minimal response rate of 38%. While most schools (87.4%, n = 111) had a gymnastic hall, only one third (37%, n = 47) had access to a swimming hall. On average, the schools had 4.2 ± 2 PA facilities with significant variation between school types (i.e., high schools: 5 ± 2 vs. primary schools: 3.5 ± 2, p < 0.05). The most common facilities were meadow areas (89%, n = 113), sports fields (71.7%, n = 91), and playgrounds (64.6%, n = 82). Almost half of the schools were part of a PA project (e.g. "active break", 45%, n = 56) and offered extracurricular PA programs and courses (54%, n = 67), but only one in five (22%, n = 27) regularly conducted fitness tests. PA policies varied between school types (p < 0.05) but almost all principals (94%, n = 117) would welcome a stronger promotion of activity friendliness at their school. Conclusion Schools are mostly activity-friendly regarding infrastructure although the limited possibilities for swimming lessons seem worrisome. PA promotion through projects, extracurricular PA offerings and fitness tests may be expanded.
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Affiliation(s)
- Alexandra Unger
- Department of Sport Science, University of Klagenfurt, Klagenfurt, Carinthia, Austria
- Department of Secondary Level, University of Teacher Education, Klagenfurt, Carinthia, Austria
| | | | - Jan Wilke
- Department of Sport Science, University of Klagenfurt, Klagenfurt, Carinthia, Austria
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Stage A, Amholt TT, Schipperijn J. Individual and day-to-day differences in domain-specific physical activity of 10- to 11-year-old children in Denmark-Measured using GPS and accelerometry. Scand J Med Sci Sports 2024; 34:e14631. [PMID: 38629460 DOI: 10.1111/sms.14631] [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: 09/18/2023] [Revised: 04/01/2024] [Accepted: 04/04/2024] [Indexed: 04/19/2024]
Abstract
OBJECTIVE Physical activity (PA) and the achievement of 60 min of moderate-to-physical-activity daily is declining in school-aged-children, and effective strategies to increase PA is needed. We aimed to examine the individual and day-to-day distribution of PA on schooldays among children aged 10-11 in 4 domains-school, home, transport, and other. METHODS Data were collected from August to September 2020 using accelerometer and GPS data to measure daily PA-levels and to locate in which domain PA occurs. Daily PA-levels were assessed in each domain, and analyses of the individual and day-to-day differences in PA-levels were calculated. RESULTS The school domain contributed the most to children's daily MVPA with 47% of average MVPA, followed by the home domain with 26% of daily average MVPA, the other domain with 19% of daily average MVPA and the transport domain with 8% of daily average MVPA. Our results showed individual differences in where PA occurs, day-to-day differences in total MVPA and day-to-day differences in the MVPA-levels across domains. CONCLUSIONS The school domain contributed the most to children's MVPA-levels followed by the domains of home, other, and transport. Our study indicated that PA-levels and the distribution of PA across domains differ from day-to-day. Future interventions should target more than one domain to accommodate these individual- and day-to-day differences in the goal of increasing PA-levels and to reduce the decline in PA seen from childhood to adolescence.
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Affiliation(s)
- Anna Stage
- Department of Nutrition, Exercise and Sports, Copenhagen University, Copenhagen, Denmark
- Center for Clinical Research and Prevention, Copenhagen University Hospital, Frederiksberg, Denmark
| | - Thea Toft Amholt
- Center for Clinical Research and Prevention, Copenhagen University Hospital, Frederiksberg, Denmark
| | - Jasper Schipperijn
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
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3
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Caetano IT, Fermino RC, Falcão RDO, Amorim PRDS. Built environment and physical activity in adolescents: Use of the kernel density estimation and the walkability index. PLoS One 2024; 19:e0299628. [PMID: 38502653 PMCID: PMC10950253 DOI: 10.1371/journal.pone.0299628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Accepted: 02/13/2024] [Indexed: 03/21/2024] Open
Abstract
The availability of places for physical activity (PA) and the walkability of the neighborhood can impact the level of PA of adolescents. However, studies of this nature are still limited in Latin America. This study had two objectives: 1- using kernel density estimative, it investigated whether individuals living near PA places that are more intensely distributed than dispersed are more likely to be sufficiently active; 2-checked whether adolescents who live in neighborhoods with better walkability have a greater chance of being sufficiently active. Were evaluated 292 adolescents and PA was measured by accelerometry. Were measured five environmental variables for composing the walkability index. 98 PA points (places) were identified and destinations within these areas were geocoded and kernel density estimates (KDE) of places intensity were created using kernels (radius) of 400m (meters), 800, 1200 and 1600m. Using Logistic Regression, the association between the intensity of PA places (classified into quartiles Q1(smallest)-Q4(largest)) and the probability of being "Sufficient PA"; and the association between walkability (quartiles Q1(least)-Q4(highest)) and the probability of being "PA Sufficient " were estimated (p≤0.05). There were associations only for the intensities of places with the largest radius. Among adolescents who lived in places with higher intensity compared with lower intensity places: 1200m (Q3, OR 2.18 95% CI 1.12-4.22; Q4, OR 2.77 95% CI 1.41-5.43) and 1600m (Q3, OR 3.68 95%CI 1.86-7.30; Q4, OR 3.69 95%CI 1.86-7.30) were more likely to be "Sufficient PA". There were also associations for walkability, where those living in places with better walkability (Q4, OR 2.58 95% CI 1.33-5.02) had greater chances of being "Sufficient PA" compared to Q1. In conclusion, living in places with bigger densities and better walkability increases adolescent's chances of being "Sufficient PA".
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Affiliation(s)
- Isabella Toledo Caetano
- Department of Physical Education, Federal University of Viçosa, Viçosa, Minas Gerais, Brazil
| | - Rogério César Fermino
- Postgraduate Program of Physical Education, Federal University of Technology Paraná, Curitiba, Paraná, Brazil
- Postgraduate Program of Physical Education, Federal University of Paraná, Curitiba, Paraná, Brazil
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4
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Woodforde J, Gomersall S, Timperio A, Mavoa S, Perales F, Salmon J, Stylianou M. Before-school physical activity patterns among adolescents using accelerometer and GPS data. Health Place 2024; 86:103222. [PMID: 38458126 DOI: 10.1016/j.healthplace.2024.103222] [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: 11/27/2023] [Revised: 02/26/2024] [Accepted: 02/27/2024] [Indexed: 03/10/2024]
Abstract
Most adolescents do not meet physical activity (PA) guidelines. The before-school segment has been identified as one promising opportunity for intervention; however, there is a need for contextual understanding of PA in this segment. This study aimed to examine: a) adolescents' PA levels across various locations before school (6:00am - school start), b) contributions of before-school PA to daily PA and PA guidelines, and c) correlates of location-specific before-school PA. A cross-sectional analysis was conducted using adolescents' (n = 148, mean age 14.7) accelerometer and GPS data. Adolescents averaged 9.7 min in before-school moderate-to-vigorous PA (MVPA), representing substantial contributions to daily activity. Most MVPA occurred away from home and school. Significant correlates included segment duration, age, socio-economic status, and PA self-efficacy. Future work should consider these patterns and correlates to support adolescents' PA through targeted interventions.
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Affiliation(s)
- James Woodforde
- School of Human Movement and Nutrition Sciences, The University of Queensland, St Lucia, Queensland, 4072, Australia.
| | - Sjaan Gomersall
- Centre for Health and Wellbeing Research Innovation, School of Human Movement and Nutrition Sciences, The University of Queensland, St Lucia, Queensland, 4072, Australia; School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Queensland, 4072, Australia
| | - Anna Timperio
- Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, Victoria, 3216, Australia
| | - Suzanne Mavoa
- Melbourne School of Population and Global Health, The University of Melbourne, Parkville, 3010, Australia
| | - Francisco Perales
- School of Social Science, The University of Queensland, St Lucia, Queensland, 4072, Australia
| | - Jo Salmon
- Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, Victoria, 3216, Australia
| | - Michalis Stylianou
- School of Human Movement and Nutrition Sciences, The University of Queensland, St Lucia, Queensland, 4072, Australia
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5
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Guerra J, Jhon J, Lanza K, Castro G, Barengo NC. The availability between recreational facilities and physical activity of US adolescents. Prev Med Rep 2024; 38:102592. [PMID: 38283963 PMCID: PMC10820262 DOI: 10.1016/j.pmedr.2024.102592] [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: 04/21/2023] [Revised: 01/02/2024] [Accepted: 01/03/2024] [Indexed: 01/30/2024] Open
Abstract
Determining the locations where adolescents tend to accumulate greater amounts of physical activity may assist policymakers to address the built environment design and promote PA. This study evaluated the association between the availability of recreational facilities and average minutes of moderate to vigorous physical activity (MVPA) per day of US adolescents in 2017 (n = 1,437). Data for this cross-sectional study were obtained from the 2017 Family Life, Activity, Sun, Health, and Eating study, an internet-based study collecting information on diet and PA of parent and adolescent dyads. Adolescents aged 12-17 from the US were included. Predicted daily minutes of MVPA were calculated. The exposure variables of interest were the availability of school recreational facilities, indoor recreational facilities, playing fields, bike/hiking/walking trails or paths or public parks. Participants were excluded if no information was provided for MVPA or availability of recreational facilities. Unadjusted and adjusted linear regression analysis was used to calculate mean daily minutes of MVPA and their corresponding 95 % confidence intervals. In fully adjusted models, we found statistically significant associations between the type of recreational facility and differences in daily minutes of MVPA for school (p-value < 0.001) and public parks p-value < 0.001), but not for the other recreational facilities. The average daily minutes of MVPA differed by 4.4 min (95 % CI 2.6, 6.2) if participants had school recreational facilities, respectively. School recreational facilities are important for engaging adolescents in PA objectives. Features within school recreational facilities should be studied to further investigate contributions to increased PA levels.
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Affiliation(s)
- Jamee Guerra
- Facultad de Ciencias de la Salud, Universidad Privada del Norte, Lima, Perú
- Department of Medical Education, Herbert Wertheim College of Medicine, Florida International University, Miami, FL, USA
| | - Johnatan Jhon
- Department of Medical Education, Herbert Wertheim College of Medicine, Florida International University, Miami, FL, USA
| | - Kevin Lanza
- University of Texas Health Science Center at Houston School of Public Health, Austin, TX, USA
| | - Grettel Castro
- Department of Medical Education, Herbert Wertheim College of Medicine, Florida International University, Miami, FL, USA
| | - Noël C. Barengo
- Department of Medical Education, Herbert Wertheim College of Medicine, Florida International University, Miami, FL, USA
- Escuela Superior de Medicina, Universidad Nacional de Mar del Plata, Mar del Plata, Argentina
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6
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Woodforde J, Perales F, Salmon J, Gomersall S, Stylianou M. Before-school physical activity levels and sociodemographic correlates among Australian adolescents: A cross-sectional study. J Sports Sci 2024; 42:237-246. [PMID: 38445635 DOI: 10.1080/02640414.2024.2326353] [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: 06/17/2023] [Accepted: 02/25/2024] [Indexed: 03/07/2024]
Abstract
Understanding adolescents' physical activity levels and underpinning contextual factors is crucial for health promotion. This cross-sectional study, using 24-hour time use diaries and sociodemographic variables from the Longitudinal Study of Australian Children, addressed gaps in understanding of physical activity in the before-school segment (the time between waking up and commencing classes). The study examined a) adolescents' time spent in before-school physical activity, focusing on location and shared presence, and b) sociodemographic correlates of before-school physical activity. Completed diaries by 12-13 year-olds (n = 3,201) revealed that adolescents reported an average of 10.8 minutes of daily before-school physical activity (average segment length: 114 min), mostly classified as active transport (5.7 min). Most before-school physical activity occurred in a location other than home or school (6.1 min) and with peers (6.1 min). Notably, 51% of boys and 60% of girls did not report any before-school physical activity. Through two-part regression, we found that boys, adolescents from single-parent households, and those with longer before-school segments are more likely to report before-school physical activity compared to their counterparts. Before-school initiatives should promote active transport and diverse opportunities in other settings. Research into barriers and facilitators may inform more inclusive and effective promotion strategies, including school-based initiatives.
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Affiliation(s)
- James Woodforde
- School of Human Movement and Nutrition Sciences, The University of Queensland, St Lucia, Queensland, Australia
| | - Francisco Perales
- School of Social Science, The University of Queensland, St Lucia, Queensland, Australia
| | - Jo Salmon
- Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, Victoria, Australia
| | - Sjaan Gomersall
- School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Queensland, Australia
- Centre for Health and Wellbeing Research Innovation, School of Human Movement and Nutrition Sciences, The University of Queensland, Queensland, Australia
| | - Michalis Stylianou
- School of Human Movement and Nutrition Sciences, The University of Queensland, St Lucia, Queensland, Australia
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Reis LN, Reuter CP, Burns RD, Martins CMDL, Mota J, Gaya ACA, Silveira JFDC, Gaya AR. Effects of a physical education intervention on children's physical activity and fitness: the PROFIT pilot study. BMC Pediatr 2024; 24:78. [PMID: 38267928 PMCID: PMC10807217 DOI: 10.1186/s12887-024-04544-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/06/2023] [Accepted: 01/08/2024] [Indexed: 01/26/2024] Open
Abstract
BACKGROUND Physical education classes are widely accepted as one of the most effective settings for promoting physical activity and health and have often been used to implement physical activity interventions. The aim of this pilot study was to test a physical education intervention program on physical activity levels and physical fitness in a sample of school-age children. METHODS Participants were a convenience sample of 50 children (34 experimental group and 16 in the comparative group) aged between 6 and 11 years old (Mean = 8.28 years). A 21-week intervention was implemented, consisting of high-intensity and physical fitness-focused exercises, in addition to a once-a-month extra class nutritional education. The following variables were evaluated before and post-intervention: physical fitness, sedentary behavior (SB), light physical activity (LPA), moderate physical activity (MVA), and vigorous physical activity (VPA). Propensity score analyses calculated the average treatment effect on the treated (ATET) within a quasi-experimental framework. RESULTS Physical fitness variables showed improvements after the intervention, specifically for agility (ATET = -0.67 s; p < 0.001), cardiorespiratory fitness (ATET = 89.27 m; p = 0.045), lower limbs power (ATET = 4.47 centimeters; p = 0.025), and speed (ATET = -1.06 s; p < 0.001). For physical activity and SB levels, there were no improvements after intervention implementation. CONCLUSION The intervention program showed preliminary effectiveness to improve physical fitness of children, but not SB nor physical activity.
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Affiliation(s)
- Luiza Naujorks Reis
- Graduate Program in Human Movement Sciences, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
| | - Cézane Priscila Reuter
- Graduate Program in Health Promotion, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil
| | - Ryan Donald Burns
- Department of Health, Kinesiology, and Recreation, University of Utah, Salt Lake City, UT, USA
| | - Clarice Maria de Lucena Martins
- Research Centre of Physical Activity, Health and Leisure, Laboratory for Integrative and Translational Research in Population Health (ITR), University of Porto, Porto, Portugal
| | - Jorge Mota
- Research Centre of Physical Activity, Health and Leisure, Laboratory for Integrative and Translational Research in Population Health (ITR), University of Porto, Porto, Portugal
| | - Adroaldo Cezar Araujo Gaya
- Graduate Program in Human Movement Sciences, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
| | | | - Anelise Reis Gaya
- Graduate Program in Human Movement Sciences, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
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Campos-Garzón P, Sevil-Serrano J, García-Hermoso A, Chillón P, Barranco-Ruiz Y. Contribution of active commuting to and from school to device-measured physical activity levels in young people: A systematic review and meta-analysis. Scand J Med Sci Sports 2023; 33:2110-2124. [PMID: 37497601 DOI: 10.1111/sms.14450] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2023] [Revised: 06/19/2023] [Accepted: 07/10/2023] [Indexed: 07/28/2023]
Abstract
OBJECTIVE To analyze the contribution of active commuting to and from school (ACS) to device-measured light physical activity (LPA) and moderate-to-vigorous physical activity (MVPA) levels in young people aged 6 to 18 years old, as well as, in both trip directions (i.e., home-school, school-home). METHODS This systematic review was conducted according to the PRISMA statement, and five different databases were used for the systematic search (PubMed, Web of Science, SPORTdiscuss, Cochrane Library, and National Transportation Library) using PECO strategy. RESULTS A total of 14 studies met all the eligibility criteria, which compile 7127 participants. The overall ACS weighted LPA was 19.55 min (95% CI: 3.84-35.26; I2 = 99.9%, p < 0.001) and 68.74 min (95% CI: 6.09-131.39; z = 2.15, p = 0.030) during the home-school and school-home trips, respectively. For MVPA, the overall ACS weighted MVPA was 8.98 min (95% CI: 5.33-12.62; I2 = 99.95%, p < 0.001) during the home-school trip and 20.07 min (95% CI: 13.62-26.53; I2 = 99.62%, p < 0.001) during the school-home trip. CONCLUSION ACS may contribute about 48% of the PA recommendations in young people on school days if both trip directions are actively performed. Therefore, future studies aimed at increasing daily PA levels in young population should focus on promoting students' ACS. PROSPERO registration number: CRD42020162004A.
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Affiliation(s)
- Pablo Campos-Garzón
- Department of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain
| | - Javier Sevil-Serrano
- Departamento de Didáctica de la Expresión Musical, Plástica y Corporal, Facultad de Formación del Profesorado, Universidad de Extremadura, Cáceres, Spain
| | - Antonio García-Hermoso
- Navarrabiomed, Hospital Universitario de Navarra (HUN), Universidad Pública de Navarra (UPNA), IdiSNA, Pamplona, Spain
| | - Palma Chillón
- Department of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain
| | - Yaira Barranco-Ruiz
- Department of Physical and Sports Education, Faculty of Education and Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, Melilla, Spain
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Wood SM, Alston L, Beks H, Mc Namara K, Coffee NT, Clark RA, Wong Shee A, Versace VL. Quality appraisal of spatial epidemiology and health geography research: A scoping review of systematic reviews. Health Place 2023; 83:103108. [PMID: 37651961 DOI: 10.1016/j.healthplace.2023.103108] [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: 04/24/2023] [Revised: 08/19/2023] [Accepted: 08/22/2023] [Indexed: 09/02/2023]
Abstract
A scoping review of peer-reviewed literature was conducted to understand how systematic reviews assess the methodological quality of spatial epidemiology and health geography research. Fifty-nine eligible reviews were identified and included. Variations in the use of quality appraisal tools were found. Reviews applied existing quality appraisal tools with no adaptations (n = 32; 54%), existing quality appraisal tools with adaptations (n = 9; 15%), adapted tools or methods from other reviews (n = 13; 22%), and developed new quality appraisal tools for the review (n = 5; 8%). Future research should focus on developing and validating a quality appraisal tool that evaluates the spatial methodology within studies.
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Affiliation(s)
- Sarah M Wood
- Deakin Rural Health, School of Medicine, Faculty of Health, Deakin University, Warrnambool Campus, Vic, Australia.
| | - Laura Alston
- Deakin Rural Health, School of Medicine, Faculty of Health, Deakin University, Warrnambool Campus, Vic, Australia; Research Unit, Colac Area Health, Colac, Vic, Australia
| | - Hannah Beks
- Deakin Rural Health, School of Medicine, Faculty of Health, Deakin University, Warrnambool Campus, Vic, Australia
| | - Kevin Mc Namara
- Deakin Rural Health, School of Medicine, Faculty of Health, Deakin University, Warrnambool Campus, Vic, Australia; Grampians Health, Ballarat, Vic, Australia
| | - Neil T Coffee
- Deakin Rural Health, School of Medicine, Faculty of Health, Deakin University, Warrnambool Campus, Vic, Australia; Australian Centre for Housing Research, The University of Adelaide, Adelaide, SA, Australia
| | - Robyn A Clark
- Caring Futures Institute, Flinders University, SA, Australia; Southern Adelaide Health Care Services, SA, Australia
| | - Anna Wong Shee
- Deakin Rural Health, School of Medicine, Faculty of Health, Deakin University, Warrnambool Campus, Vic, Australia; Grampians Health, Ballarat, Vic, Australia
| | - Vincent L Versace
- Deakin Rural Health, School of Medicine, Faculty of Health, Deakin University, Warrnambool Campus, Vic, Australia; Grampians Health, Ballarat, Vic, Australia
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10
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Müller C, Domokos B, Amersbach T, Hausmayer EM, Roßmann C, Wallmann-Sperlich B, Bucksch J. Development and reliability testing of an audit toolbox for the assessment of the physical activity friendliness of urban and rural environments in Germany. Front Public Health 2023; 11:1153088. [PMID: 37637797 PMCID: PMC10449332 DOI: 10.3389/fpubh.2023.1153088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2023] [Accepted: 07/24/2023] [Indexed: 08/29/2023] Open
Abstract
Background According to socio-ecological theories, physical activity behaviors are linked to the physical and social neighborhood environment. Reliable and contextually adapted instruments are needed to assess environmental characteristics related to physical activity. This work aims to develop an audit toolbox adapted to the German context, to urban and rural settings, for different population groups, and different types of physical activity; and to evaluate its inter-rater reliability. Methods We conducted a systematic literature search to collect existing audit tools and to identify the latest evidence of environmental factors influencing physical activity in general, as well as in German populations. The results guided the construction of a category system for the toolbox. Items were assigned to the categories based on their relevance to physical activity and to the German context as well as their comprehensibility. We piloted the toolbox in different urban and rural areas (100 street segments, 15 parks, and 21 playgrounds) and calculated inter-rater reliability by Cohen's Kappa. Results The audit toolbox comprises a basic streetscape audit with seven categories (land use and destinations, traffic safety, pedestrian infrastructure, cycling infrastructure, attractiveness, social environment, and subjective assessment), as well as supplementary tools for children and adolescents, seniors and people with impaired mobility, parks and public open spaces, playgrounds, and rural areas. 76 % of all included items had moderate, substantial, or almost perfect inter-rater reliability (κ > 0.4). Conclusions The audit toolbox is an innovative and reliable instrument for the assessment of the physical activity friendliness of urban and rural environments in Germany.
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Affiliation(s)
- Christina Müller
- Institute of Sport Science, University of Wurzburg, Wurzburg, Germany
- Department of Prevention and Health Promotion, Faculty of Natural and Sociological Sciences, Heidelberg University of Education, Heidelberg, Germany
| | - Bruno Domokos
- Institute of Sport Science, University of Wurzburg, Wurzburg, Germany
- Department of Prevention and Health Promotion, Faculty of Natural and Sociological Sciences, Heidelberg University of Education, Heidelberg, Germany
| | - Tanja Amersbach
- Institute of Sport Science, University of Wurzburg, Wurzburg, Germany
- Department of Prevention and Health Promotion, Faculty of Natural and Sociological Sciences, Heidelberg University of Education, Heidelberg, Germany
| | - Eva-Maria Hausmayer
- Institute of Sport Science, University of Wurzburg, Wurzburg, Germany
- Department of Prevention and Health Promotion, Faculty of Natural and Sociological Sciences, Heidelberg University of Education, Heidelberg, Germany
| | | | | | - Jens Bucksch
- Department of Prevention and Health Promotion, Faculty of Natural and Sociological Sciences, Heidelberg University of Education, Heidelberg, Germany
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11
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McCormack M, Pratt M, Conway TL, Cain KL, Frank LD, Saelens BE, Glanz K, Larsen BA, Bloss CS, Fox EH, Sallis JF. Availability of Recreation Facilities and Parks In Relation to Adolescent Participation in Organized Sports and Activity Programs. JOURNAL OF HEALTHY EATING AND ACTIVE LIVING 2023; 3:19-35. [PMID: 37794920 PMCID: PMC10546936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 10/06/2023]
Abstract
Most adolescents do not meet physical activity guidelines, so understanding facilitators and barriers is important. This study used surveys and geocoded location data to examine associations of availability of parks and recreation facilities with adolescent-reported participation in organized team sports and physical activity classes. The study was conducted with 928 adolescents aged 12-17 years, plus one parent/caretaker, recruited from two regions of the US. Adolescents' participation in teams and classes was positively associated with parents' perceptions of multiple available recreation environments, but not with objectively-measured availability. Having multiple nearby parks and recreation facilities may provide adolescents with more options for participating in preferred organized team sports and activity classes.
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Affiliation(s)
- Marisa McCormack
- Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, U.S.A
| | - Michael Pratt
- Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, U.S.A
| | - Terry L Conway
- Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, U.S.A
| | - Kelli L Cain
- Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, U.S.A
| | - Lawrence D Frank
- Department of Urban Studies and Planning, University of California San Diego, U.S.A
- Urban Design 4 Health, Inc., Rochester, NY U.S.A
| | - Brian E Saelens
- Departments of Pediatrics and Psychiatry and Behavioral Sciences, University of Washington, U.S.A
| | - Karen Glanz
- Department of Biostatistics and Epidemiology, University of Pennsylvania, U.S.A
| | - Britta A Larsen
- Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, U.S.A
| | - Cinnamon S Bloss
- Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, U.S.A
| | - Eric H Fox
- Urban Design 4 Health, Inc., Rochester, NY U.S.A
| | - James F Sallis
- Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, U.S.A
- Department of Biostatistics and Epidemiology, University of Pennsylvania, U.S.A
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12
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van Diepen RJ, van Erpecum CPL, Tabak D, van Zon SKR, Bültmann U, Smidt N. Neighborhood socioeconomic differences in BMI: The role of fast-food outlets and physical activity facilities. Obesity (Silver Spring) 2023; 31:506-514. [PMID: 36575140 PMCID: PMC10107820 DOI: 10.1002/oby.23617] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Revised: 09/14/2022] [Accepted: 09/18/2022] [Indexed: 12/29/2022]
Abstract
OBJECTIVE The goal of this study was to investigate the association between neighborhood socioeconomic status (NSES) and BMI and to what extent this association is moderated by availability of fast-food (FF) outlets and pay-for-use physical activity (PA) facilities. METHODS Baseline data of adults in Lifelines (N = 146,629) were linked to Statistics Netherlands and a register using geocoding to compute, respectively, NSES (i.e., low, middle, high) and the number of FF outlets and PA facilities within 1 km of the residential address. Multivariable multilevel linear regression analyses were performed to examine the association between NSES and BMI. Two-way and three-way interaction terms were tested to examine moderation by FF outlets and PA facilities. RESULTS Participants living in low NSES areas had a higher BMI than participants living in high (B [95% CI]: 0.76 [0.65 to 0.87]) or middle NSES areas (B [95% CI]: 0.40 [0.28 to 0.51]), independent of individual socioeconomic status. Although two- and three-way interactions between NSES, FF outlets, and PA facilities were significant, stratified analyses did not show consistent moderation patterns. CONCLUSIONS People living in lower NSES areas had a higher BMI, independent of their individual socioeconomic status. The study found no clear moderation of FF outlets and PA facilities. Environmental factors that may mitigate NSES differences in BMI should be the subject of future research.
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Affiliation(s)
- Rianne J van Diepen
- Faculty of Medical Sciences, University of Groningen, Groningen, The Netherlands
| | - Carel-Peter L van Erpecum
- Department of Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Demi Tabak
- Faculty of Medical Sciences, University of Groningen, Groningen, The Netherlands
| | - Sander K R van Zon
- Department of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Ute Bültmann
- Department of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Nynke Smidt
- Department of Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
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13
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Arts J, Drotos E, Singh AS, Chinapaw MJM, Altenburg TM, Gubbels JS. Correlates of Physical Activity in 0- to 5-year-olds: A Systematic Umbrella Review and Consultation of International Researchers. Sports Med 2023; 53:215-240. [PMID: 36219386 PMCID: PMC9807466 DOI: 10.1007/s40279-022-01761-5] [Citation(s) in RCA: 10] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/28/2022] [Indexed: 01/13/2023]
Abstract
BACKGROUND Many children aged 0-5 years do not meet the WHO physical activity guidelines. To develop effective, evidence-based interventions, it is necessary to understand which factors are associated with physical activity in early childhood. OBJECTIVE To summarize the current evidence on correlates of physical activity in 0- to 5-year-old children. METHODS First, a systematic umbrella review was conducted following PRISMA guidelines. PubMed, Embase, PsycINFO, and SPORTDiscus were searched up to May 2020 for systematic reviews examining the association between potential correlates and quantitatively measured physical activity in children aged 0-5.9 years. Included reviews were assessed on methodological quality, and results were categorized according to the socio-ecological model. Second, 31 international researchers of physical activity in young children participated in an expert panel to reflect on the outcomes of the umbrella review and propose directions for future research. RESULTS Twenty-one reviews were included that examined a total of 98 potential correlates. When synthesizing all reviews, 23 correlates were found with consistent evidence for an association with a physical activity outcome. For most other potential correlates there was inconsistent evidence across reviews for associations with physical activity in young children. Although there was little overlap between the correlates identified in the umbrella review and determinants suggested by the expert panel, both confirmed the importance of socio-cultural, policy, and physical environmental factors in general. CONCLUSION Multiple correlates of young children's physical activity were identified. However, various methodological challenges (e.g., measurement instruments) and the large heterogeneity (e.g., study samples, correlates, and outcome measures) hindered formulating definitive conclusions. Moreover, none of the reviews reported on the interrelatedness between correlates, which would align with more holistic understandings of behavior. Our findings indicate the urgent need for establishing a common ground in definitions, assessment methods, and analytical methods to further the field of physical activity research in this tremendously important age group. PROSPERO REGISTRATION NUMBER CRD42020184159.
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Affiliation(s)
- Jelle Arts
- Department of Public and Occupational Health, Amsterdam Public Health, Amsterdam UMC, Vrije Universiteit Amsterdam, De Boelelaan 1117, Amsterdam, The Netherlands.
| | - Elizabeth Drotos
- Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands
| | - Amika S Singh
- Mulier Institute, Utrecht, The Netherlands
- Center for Physically Active Learning, Faculty of Education, Arts and Sports, Western Norway University of Applied Sciences, Sogndal, Norway
| | - Mai J M Chinapaw
- Department of Public and Occupational Health, Amsterdam Public Health, Amsterdam UMC, Vrije Universiteit Amsterdam, De Boelelaan 1117, Amsterdam, The Netherlands
| | - Teatske M Altenburg
- Department of Public and Occupational Health, Amsterdam Public Health, Amsterdam UMC, Vrije Universiteit Amsterdam, De Boelelaan 1117, Amsterdam, The Netherlands
| | - Jessica S Gubbels
- Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands
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14
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Development of a German Physical Literacy Assessment for Children in the Context of Health Promotion-An Explorative Approach. CHILDREN (BASEL, SWITZERLAND) 2022; 9:children9121908. [PMID: 36553351 PMCID: PMC9776812 DOI: 10.3390/children9121908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Revised: 11/30/2022] [Accepted: 12/01/2022] [Indexed: 12/12/2022]
Abstract
Addressing physical literacy (PL) has become increasingly relevant to counteract sedentary behaviour in children and youth. We developed an assessment tool to measure and evaluate the promotion of individual PL and its four subdomains: motivation and confidence (the affective dimension), physical competence (physical dimension), knowledge and understanding (cognitive dimension), and participation in physical activity. Within this cross-sectional study, we tested 567 children aged 6−12 years from four primary schools that differed in socioeconomic status (SES). A subsequent exploratory factor analysis conducted to examine the conformity revealed a five-factor structure. The five factors explained 39.8% of the total cumulative variance. Children with a low SES yielded lower scores in all subdomains except participation in physical activity. This effect was most pronounced in motor skills (p < 0.001, r = 0.28). Among the children with a low SES, 16.9% were overweight and 17.4% were obese, compared to 11.5% and 5.4%, respectively, for those with a high SES (p < 0.001). In conclusion, although the assessment tool was largely in line with the postulated structure, further adjustments are necessary in terms of participation and motivation. Nevertheless, this holistic view of PL, taking SES into account, should enable the focused promotion of health and health literacy.
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15
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Melguizo-Ibáñez E, González-Valero G, Puertas-Molero P, Alonso-Vargas JM. Emotional Intelligence, Physical Activity Practice and Mediterranean Diet Adherence-An Explanatory Model in Elementary Education School Students. CHILDREN 2022; 9:children9111770. [PMID: 36421219 PMCID: PMC9688524 DOI: 10.3390/children9111770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/29/2022] [Revised: 11/01/2022] [Accepted: 11/17/2022] [Indexed: 11/19/2022]
Abstract
Currently, there is a global concern with regard to the lifestyles of young people. This study aims to study the association between Mediterranean diet adherence, emotional intelligence and physical activity practice in teenagers in the last cycle of elementary education. In turn, this objective is divided into (a) developing an explanatory model of the practice of physical activity, Mediterranean diet adherence and emotional intelligence; and (b) developing a multi-group model according to the gender of the participants. A descriptive, cross-sectional, comparative study was conducted in a sample of 293 elementary school students (M = 11.45; S.D = 0.31). The instruments used were an ad hoc socio-demographic questionnaire, the Trait Meta Mood Scale-24, the KIDMED questionnaire and the Physical Activity Questionnaire for Older Children. The results show that males show a positive relationship between adherence to the Mediterranean diet and emotional intelligence and between emotional intelligence and physical activity. In contrast, in the case of females, a negative relationship was observed between emotional intelligence and physical activity. In conclusion, it can be seen that gender plays a fundamental role in adolescence, being a key factor influencing an active and healthy lifestyle.
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16
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Wessely S, Ferrari N, Friesen D, Grauduszus M, Klaudius M, Joisten C. Changes in Motor Performance and BMI of Primary School Children over Time-Influence of the COVID-19 Confinement and Social Burden. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:4565. [PMID: 35457432 PMCID: PMC9025743 DOI: 10.3390/ijerph19084565] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/16/2022] [Revised: 03/29/2022] [Accepted: 04/08/2022] [Indexed: 12/20/2022]
Abstract
During the COVID-19 pandemic, physical inactivity and being overweight increased in children, especially those from lower socioeconomic backgrounds. Additionally, a decrease in motor performance has been increasingly reported; however, there is a lack of meaningful data on the relationship between these findings and socioeconomic status. Therefore, we examined the BMI, BMI z score, the prevalence of overweight/obesity, and motor performance (based on lateral jumping, the standing long jump, and the 6-min run) among three cohorts from timelines before (2016) and during the pandemic (2020, 2021), using a cohort sequential design. Our analysis revealed that all parameters examined showed a significant negative trend over time. For children with a low social burden, the trend was statistically detectable only for lateral jumping and the 6-min run. For children with a high social burden, the prevalence of overweight/obesity increased from 4.2% to 5.4% between 2016 and 2021. The prevalence of being underweight also increased from 3.4% to 4.3% during this time. Motor performance decreased from 11.3% to 12.3%, except in the standing long jump. Children with a high social burden showed significantly lower results (7.4% to 9.6%). Thus, our data confirm an increase in both measurements of overweight/obesity and underweight, as well as a decrease in motor performance under the pandemic conditions, especially in children from socioeconomically deprived backgrounds. These findings affirm the urgent need for action regarding health promotion measures, especially for children with high social burdens.
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Affiliation(s)
- Stefanie Wessely
- Department for Physical Activity in Public Health, Institute of Movement and Neurosciences, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany; (N.F.); (D.F.); (M.G.); (M.K.); (C.J.)
| | - Nina Ferrari
- Department for Physical Activity in Public Health, Institute of Movement and Neurosciences, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany; (N.F.); (D.F.); (M.G.); (M.K.); (C.J.)
- Cologne Center for Prevention in Childhood and Youth, Heart Center Cologne, University Hospital of Cologne, Kerpener Str. 62, 50937 Cologne, Germany
| | - David Friesen
- Department for Physical Activity in Public Health, Institute of Movement and Neurosciences, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany; (N.F.); (D.F.); (M.G.); (M.K.); (C.J.)
| | - Martin Grauduszus
- Department for Physical Activity in Public Health, Institute of Movement and Neurosciences, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany; (N.F.); (D.F.); (M.G.); (M.K.); (C.J.)
| | - Marlen Klaudius
- Department for Physical Activity in Public Health, Institute of Movement and Neurosciences, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany; (N.F.); (D.F.); (M.G.); (M.K.); (C.J.)
| | - Christine Joisten
- Department for Physical Activity in Public Health, Institute of Movement and Neurosciences, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany; (N.F.); (D.F.); (M.G.); (M.K.); (C.J.)
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Timpel P, Herrmann S, Flößel P, Beck H, Schwarz PE. Effectiveness of digital primary prevention interventions targeting physical activity, motor skills and nutrition in children aged 3-10 years in the setting of day care and primary school: protocol for a systematic review. BMJ Open 2021; 11:e053628. [PMID: 34949625 PMCID: PMC8705251 DOI: 10.1136/bmjopen-2021-053628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
INTRODUCTION Available evidence points to an association of increased screen time and the availability of digital tools during childhood with negative health outcomes in later life. For many years, public discourse focused on restricting access and use of digital technologies below certain ages. However, little is known about the specific benefit of a responsible use of digital primary prevention in the setting of (early) childhood education. The objective of this evidence synthesis is to investigate the effectiveness of digital primary prevention interventions targeting physical activity, motor skills and/or nutrition in children aged 3-10 years in day-care facilities and (pre-) schools. METHODS AND ANALYSIS We present the rationale and methodological steps of a systematic review in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses procedures. Automated searches will be conducted by applying a pretested search strategy to the databases MEDLINE/PubMed, EMBASE and PsycInfo to identify relevant interventional (randomised controlled trials, controlled trials, crossover trials and pilot and feasibility) and observational (case-control, cohort) studies in English or German, with no date restrictions. The overall search will be complemented by backward, forward and additional hand searches. Two researchers will independently screen titles/abstracts and assess full texts by applying predefined eligibility criteria. Data extraction will be conducted by using a pretested data extraction sheet. The assessment of methodological quality will be performed independently by two review authors using the Critical Appraisals Skills Programme relevant to the study design applied in the given study. Additionally, qualitative content analysis will be conducted to analyse priorities for future research extracted from the discussion sections and conclusions of included studies. PROSPERO REGISTRATION NUMBER CRD42020207682.
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Affiliation(s)
- Patrick Timpel
- Medical Faculty Carl Gustav Carus, Department of Medicine III, Prevention and Care of Diabetes, Technische Universität Dresden, Dresden, Sachsen, Germany
| | - Sandra Herrmann
- Medical Faculty Carl Gustav Carus, Department of Medicine III, Prevention and Care of Diabetes, Technische Universität Dresden, Dresden, Sachsen, Germany
| | - Philipp Flößel
- UniversityCenter for Orthopedics, Trauma & Plastic Surgery, Section Sports Medicine and Rehabilitation, Technische Universität Dresden, Dresden, Sachsen, Germany
| | - Heidrun Beck
- UniversityCenter for Orthopedics, Trauma & Plastic Surgery, Section Sports Medicine and Rehabilitation, Technische Universität Dresden, Dresden, Sachsen, Germany
| | - Peter Eh Schwarz
- Medical Faculty Carl Gustav Carus, Department of Medicine III, Prevention and Care of Diabetes, Technische Universität Dresden, Dresden, Sachsen, Germany
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18
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Ostermeier E, Tucker P, Clark A, Seabrook JA, Gilliland J. Parents' Report of Canadian Elementary School Children's Physical Activity and Screen Time during the COVID-19 Pandemic: A Longitudinal Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182312352. [PMID: 34886076 PMCID: PMC8656757 DOI: 10.3390/ijerph182312352] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/15/2021] [Revised: 11/22/2021] [Accepted: 11/23/2021] [Indexed: 01/24/2023]
Abstract
COVID-19 public health protocols have altered children’s daily routines, limiting their physical activity opportunities. The purpose of this study was to examine how the COVID-19 pandemic affected children’s (ages 10–12 years) physical activity and screen time, and to explore the impact of gender, socioeconomic status (SES), and public health constraints (i.e., facility use and social interaction) on the changes in children’s health behaviors. Online surveys were disseminated to parents at two time points: before COVID-19 (May 2019 to February 2020) and during COVID-19 (November to December 2020). Wilcoxon signed-rank tests were used to assess changes in physical activity and screen time, and for subgroup analyses. Parents (n = 95) reported declines in children’s physical activity (Z = −2.53, p = 0.01, d = 0.18), and increases in weekday (Z = −4.61, p < 0.01, d = 0.33) and weekend screen time (Z = −3.79, p < 0.01, d = 0.27). Significant changes in physical activity and screen time behaviors were identified between gender, SES, and facility use groups. All social interaction groups underwent significant changes in screen time. Overall, COVID-19 protocols have negatively influenced children’s physical activity and screen time. Due to the negative consequences of inactivity and excessive screen time, resources must be made available to support families during the pandemic.
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Affiliation(s)
- Emma Ostermeier
- Health and Rehabilitation Sciences, Faculty of Health Sciences, The University of Western Ontario, London, ON N6A 3K7, Canada;
- Child Health and Physical Activity Laboratory, School of Occupational Therapy, The University of Western Ontario, London, ON N6A 3K7, Canada;
- Human Environments Analysis Laboratory, Department of Geography and Environment, The University of Western Ontario, London, ON N6A 3K7, Canada; (A.C.); (J.A.S.)
| | - Patricia Tucker
- Child Health and Physical Activity Laboratory, School of Occupational Therapy, The University of Western Ontario, London, ON N6A 3K7, Canada;
- Human Environments Analysis Laboratory, Department of Geography and Environment, The University of Western Ontario, London, ON N6A 3K7, Canada; (A.C.); (J.A.S.)
- School of Occupational Therapy, Faculty of Health Sciences, The University of Western Ontario, London, ON N6A 3K7, Canada
- Children’s Health Research Institute, London, ON N6C 2V5, Canada
| | - Andrew Clark
- Human Environments Analysis Laboratory, Department of Geography and Environment, The University of Western Ontario, London, ON N6A 3K7, Canada; (A.C.); (J.A.S.)
- Children’s Health Research Institute, London, ON N6C 2V5, Canada
| | - Jamie A. Seabrook
- Human Environments Analysis Laboratory, Department of Geography and Environment, The University of Western Ontario, London, ON N6A 3K7, Canada; (A.C.); (J.A.S.)
- Children’s Health Research Institute, London, ON N6C 2V5, Canada
- School of Food and Nutritional Sciences, Brescia University College, London, ON N6G 1H2, Canada
- Department of Epidemiology & Biostatistics, The University of Western Ontario, London, ON N6A 3K7, Canada
- Department of Paediatrics, The University of Western Ontario, London, ON N6A 3K7, Canada
- Lawson Health Research Institute, London, ON N6A 4V2, Canada
| | - Jason Gilliland
- Human Environments Analysis Laboratory, Department of Geography and Environment, The University of Western Ontario, London, ON N6A 3K7, Canada; (A.C.); (J.A.S.)
- Children’s Health Research Institute, London, ON N6C 2V5, Canada
- Department of Epidemiology & Biostatistics, The University of Western Ontario, London, ON N6A 3K7, Canada
- Department of Paediatrics, The University of Western Ontario, London, ON N6A 3K7, Canada
- Lawson Health Research Institute, London, ON N6A 4V2, Canada
- Department of Geography and Environment, The University of Western Ontario, London, ON N6A 3K7, Canada
- School of Health Studies, The University of Western Ontario, London, ON N6A 3K7, Canada
- Correspondence: ; Tel.: +1-519-661-2111 (ext. 80963)
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Changes in Workers’ Physical Activity and Sedentary Behavior during the COVID-19 Pandemic. SUSTAINABILITY 2021. [DOI: 10.3390/su13179524] [Citation(s) in RCA: 26] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
Background: COVID-19 has changed the world and strongly affected the health of the people and the quality of their life. These changes might impact employees’ physical activity (PA) and sedentary behavior (SB). This study aimed to summarize the literature focusing on the COVID-19-caused changes in physical activity and sedentary behavior among the adult working population. Methods: Literature searches were conducted in June 2021 using multiple electronic databases. The following keywords and synonyms were used during the searching process: physical activity, sedentary behavior, COVID-19, employee. After the data cleaning process (duplicates, inclusion criteria), the title and the abstract of all manuscripts from the searches were screened independently by two reviewers. Results: Thirty-nine manuscripts were selected as a result of the searching process. Of these, 5 were SB related, 15 were PA related and 19 addressed both PA and SB. There were longitudinal (10), cross-sectional (28) and a case study (1) in the selected manuscripts. The majority of studies were conducted in the USA (6) and Europe (18), and four studies examined the PA and/or SB in multiple countries. The majority (34 studies) of the studies used subjective, self-reported, but mostly before-validated questionnaires. Objective measures were less common and used only 12.8% of the examined studies. Moreover, 76.4% of the studies described an overall decrease in the amount of PA during the COVID-19 pandemic. In three cases, researchers observed an increase in PA among the workers. Five studies reported no significant changes in the amount of PA during the pandemic. As far as SB is concerned, 18 out of 24 of the studies reported an overall increase in the amount of SB between the two periods. Four manuscripts reported no significant change in the amount of SB, and there was only one manuscript in the examined studies that reported an overall decrease in the SB time before and during the COVID-19 pandemic. Discussion: There is no doubt that the COVID-19 pandemic, including lockdown and work from home (WFH) policies, impaired the PA and SB level of the populations. This period has delivered an important message for the adult working population as well. They should be as active as possible and avoid high levels of SB and uninterrupted sitting time. Therefore, organizations, policies and public health bodies should motivate workers, especially office workers, to be more active and interventions must be developed to mitigate the negative effects of the COVID-19 on PA and SB.
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20
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Hu D, Zhang H, Sun Y, Li Y. The effects of the measures against COVID-19 pandemic on physical activity among school-aged children and adolescents (6-17 years) in 2020: A protocol for systematic review. PLoS One 2021; 16:e0255520. [PMID: 34324595 PMCID: PMC8320922 DOI: 10.1371/journal.pone.0255520] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2021] [Accepted: 07/17/2021] [Indexed: 11/19/2022] Open
Abstract
Background The pandemic of coronavirus disease (COVID-19) has greatly changed people’s daily lives, forcing countries to take actions, such as school shutdown, lockdown, isolation, and social distancing measures. It remains unclear how the closures, cancellations, and restrictions of schools and courses as a response to the COVID-19 pandemic affect the engagement of school-aged children and adolescents in relation to physical activity (PA). Methods The articles in the databases of EBSCO (including AMED, CINAHL Plus, Health Business, Health Source MEDLINE with Full Text, APA PsycArticles, APA PsycINFO, and SPORTDiscus) published during the period from 1 January 2020 to 31 December 2020 will be retrieved, and the data in the selected articles are extracted, including research methods, demographics, and key results. Search outcomes were reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The Mixed Methods Appraisal Tool (MMAT) will be used to evaluate research quality. Two reviewers are responsible for completing the three tasks, namely selecting the articles that meet the inclusion criteria, extracting data in the articles selected, and evaluating their research quality. All findings, and especially primary outcomes will be summarized in a table format of findings. The results will provide a high-quality synthesis of current evidence for researchers in this subject area. Aim The objective of this systematic review is to investigate the effects of the COVID-19 pandemic on PA in children and adolescents aged 6–17 years during 2020. 1). What impact has the COVID-19 pandemic had on PA levels in school-aged children and adolescents? 2). Investigating changes in the locations of school-aged children’s and adolescents’ PA between the pre-COVID-19 period (January 2020) and the COVID-19 period (December 2020). Results We hope that this study will provide government authorities and health professionals with the necessary information in guiding actions and allocating resources, so that the situation of physical inactivity in school-aged children and adolescents during the COVID-19 pandemic can be improved, thereby enhancing their physical health. Protocol registration number This review was submitted and registered under CRD42020225976 in PROSPERO.
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Affiliation(s)
- Donglin Hu
- School of Physical Education and Educational Science, Tianjin University of Sport, Tianjin, China
- Department of Physical Education, Nanjing Agricultural University, Nanjing, China
- Faculty of Health, Southern Cross University, Lismore, New South Wales, Australia
| | - He Zhang
- Department of Physical Education, Nanjing Agricultural University, Nanjing, China
- * E-mail:
| | - Yingshuang Sun
- Department of Graduate Studies, Shenyang Sport University, Shenyang, China
| | - Yongqin Li
- College of Further Education, Nanjing Sport Institute, Nanjing, China
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