Physical activity and sedentary behaviour in Bangladesh: a systematic scoping review

OBJECTIVES

Lack of physical activity (PA) contributes to increasing prevalence of non-communicable diseases (NCDs) globally. However, little is known about PA and sedentary behaviour (SB) among populations in low- and middle-income countries (LMICs). This systematic review examined prevalence of PA and SB in Bangladesh.

STUDY DESIGN

Systematic review of the literature.

METHODS

A systematic electronic search in eight databases and a manual search of retrieved articles' references were conducted. Original research conducted in Bangladesh with PA- and/or SB-related outcome(s) were included.

RESULTS

Out of 1,162 retrieved titles, 33 articles (32 cross-sectional and one case-control study) met the inclusion criteria. Twenty-nine studies were with healthy populations: adults (n = 19); children and adolescents (n = 7); and children, adolescents and adults (n = 3). Five studies used nationally representative samples of adults and one of adolescents. Most studies (n = 26) assessed PA only; three only SB, and four both PA and SB. All studies used self-reported measures. Among healthy adults, prevalence of insufficient PA ranged from 5% to 83%. Occupational and transport-related PA contributed the most towards total PA with negligible contribution of recreational PA. Among children and adolescents, the prevalence of insufficient PA ranged between 20% and 67%. Females engaged in less PA compared to males. Limited evidence currently exists about the prevalence of SB, especially among adults.

CONCLUSIONS

PA and SB research has received little attention in Bangladesh. Critical knowledge gaps identified in this review should be taken into account when designing new research and programmes in Bangladesh and other LMICs with similar socio-economic and cultural settings.

Light scattering as an intrinsic indicator for pancreatic islet cell mass and secretion

The pancreatic islet of Langerhans is composed of endocrine cells producing and releasing hormones from secretory granules in response to various stimuli for maintenance of blood glucose homeostasis. In order to adapt to a variation in functional demands, these islets are capable of modulating their hormone secretion by increasing the number of endocrine cells as well as the functional response of individual cells. A failure in adaptive mechanisms will lead to inadequate blood glucose regulation and thereby to the development of diabetes. It is therefore necessary to develop tools for the assessment of both pancreatic islet mass and function, with the aim of understanding cellular regulatory mechanisms and factors guiding islet plasticity. Although most of the existing techniques rely on the use of artificial indicators, we present an imaging methodology based on intrinsic optical properties originating from mature insulin secretory granules within endocrine cells that reveals both pancreatic islet mass and function. We demonstrate the advantage of using this imaging strategy by monitoring in vivo scattering signal from pancreatic islets engrafted into the anterior chamber of the mouse eye, and how this versatile and noninvasive methodology permits the characterization of islet morphology and plasticity as well as hormone secretory status.

Modification of the Wingate Anaerobic Power Test for Rowing: Optimization of the Resistance Setting

The purpose of the study was to determine the resistance factor that would elicit the highest peak 5 s and mean 30 s power output (PO) during a maximal 30 s anaerobic power test on a rowing ergometer. Thirty-one rowers (17 male and 14 female) were recruited based on the light-weight (LW) (6 male; age 23 +/- 6 yrs and 6 female; age 19 +/- 2 yrs) and heavy-weight (HW) (11 male; age 24 +/- 4 yrs and 8 female; age 27 +/- 8 yrs) rowing categories. Each group completed 5 randomized series of maximal 30 s sprints equivalent to the following forces: 58.9, 63.8, 68.7, 73.7 and 78.6 N for LW males; 83.5, 88.4, 93.4, 98.2 and 103.1 N for HW males; 29.4, 34.3, 39.2, 44.1 and 49.1 N for LW females; and 44.1, 49.1, 54.0, 58.6 and 63.8 N for HW females. The tests were performed on a Gjessing rowing ergometer modified to accommodate greater resistance settings and computer linked to obtain the necessary data. The peak 5 s and mean 30 s PO (W) were determined for each test. A relative load factor (RLF) for determining the amount of resistance to be applied was calculated based on body mass (BM). The RLF settings that elicited the highest peak 5 s PO were 0.109 and 0.102 kg. kg (-1) BM for LW and HW male rowers and 0.111 kg. kg (-1) BM and 0.076 kg. kg (-1) BM for LW and HW female rowers, respectively. The RLF settings for eliciting the highest mean 30 s PO were 0.102 and 0.095 kg. kg (-1) BM for LW and HW male rowers and 0.103 kg. kg (-1) BM and 0.068 kg. kg (-1) BM for LW and HW female rowers, respectively. A 30 second anaerobic test was also performed on a Concept II rowing machine for comparison and it was found to elicit a significantly lower peak 5 s but not 30 s PO in both male and female rowers. Our findings provide RLFs for assessing anaerobic power using a 30 s test in male and female rowers. As well, peak 5 s but not mean 30 s PO is underestimated using the Concept II rowing machine.