bluuebunny/crossref_metadata_2025 huggingface dataset:
O5-7 Feasibility Study- A physiotherapy led remote ACHD Cardiac Rehabiliation Program
Authors: Evans Caroline , Stuart Alan Graham
Published: August 2022

Problem

Prevalence of adult congenital heart disease (ACHD) is growing. Exercise is safe and effective at enhancing exercise capacity and quality of life (QOL) for ACHD patients but they are predominately sedentary with reduced exercise capacity and obese compared to peers. ACHD patients are concerned about their inactivity, however are uncertain of exercise suitability and safety and are unable to access specialist advice or cardiac rehabilitation (CR). Many ACHD patients are managed in specialist centres covering vast areas meaning classes are inappropriate. Acquired heart disease CR is cost-effective, improving QOL, exercise capacity, mortality and morbidity. ACHD patients potentially gain the same benefits. Remote cardiac rehabilitation (RCR) using technology could be a feasible model providing accessible specialist knowledge and individualised exercise prescription.

Description of the problem

Cardiologists referred sedentary, complex ACHD patients for a 12-week RCR providing individualised exercise prescription, education and motivation via telephone clinics and free apps (PT Momentum, Pacer and Active 10). Initially, habitual exercise was encouraged, participants were coached to achieve the recommended UK PA guidelines. Self-efficacy for Exercise (SEE) and Satisfaction with Life Score (SWLS) were assessed comparing patients' responses upon program completion to baseline.

Results

From 23 referrals, 11 completed the program becoming more physically active, fulfilling the guidelines. Improvements were seen in both SEE (mean 30) and SWLS (mean 10). Patients deemed RCR an acceptable service delivery.

Participants (9) responded well to apps. Reasons for not using apps included data capacity (1) or no device (2).

Lessons

ACHD patients engaged with RCR making it; viable, acceptable and practical solution improving PA levels and QOL.

RCR using app's is a feasible model however, alternatives are required.

Main Messages

RCR enables ACHD patients to receive specialist knowledge, individualised, accessible and effective exercise prescription improving QOL and PA levels.

RCR potentially leads to substantial cost savings and improvements in morbidity and mortality of ACHD patients.
O6-1 Exploring the association between green space attributes and physical activity to inform urban planning and policy
Authors: Erjavec Ina Šuklje , Kozamernik Jana , Žlender Vita
Published: August 2022

Publicly accessible green open spaces such as parks, playgrounds and urban forests are key environments within urban tissue for promotion of health-enhancing physical activities (HEPA). The association between green open space and physical activity has been a subject of numerous studies, most of them focusing on factors affecting the use of green space for HEPA. However, there are inconsistencies among studies about associations between spatial characteristics of a public open space (e.g. size, distance, safety, quality) and HEPA. This presents a struggle for urban designers and policy makers to develop and implement evidence-based guidelines for designing green open spaces to promote HEPA. Slovenian planning and management plans are no exception to this. In order to effectively overcome this shortfall, we developed an approach and methodology combining current knowledge, planning evaluation and an empirical study.

Accordingly, we conducted a comprehensive analysis of current national legislation and documents related to public health, physical activity promotion and spatial planning. We also carried out workshops, focus groups, and discussions with relevant public health experts, decision makers and planners. To assess the practical relevance of the factors identified by experts and research literature, we tested the proposed approach and guidelines on a pilot study in the municipality of Kocevje, which is the largest Slovenian municipality, characterized by one town (Kocevje) and a number of small villages. Pilot study encompassed analysis of the municipality documents and spatial plans, spatial analyses, a survey among 176 residents of the municipality, and interviews with relevant representatives of local authority.

The analysis of the planning plans showed that there is not one single official document which would stress the importance of green open space for HEPA, either on strategic or implemental level. Furthermore, the pilot study proved great differences between the town and surrounding villages, the town being insufficient in supply of green spaces suitable for walking or cycling, whilst villages were lacking open spaces as a setting where people could engage in physical activity.

Based on the results, we underline the importance of the topic integration into planning documents and propose guidelines to achieve this.
O7-5 School-based interventions to reduce accelerometer based children's sedentary time: presentation of a systematic review
Authors: Bernal Caroline , Lhuisset Lena , Fabre Nicolas , Bois Julien
Published: August 2022

Background

Sedentary time (ST) is considered as a major public health concern. Children are particularly vulnerable as their ST increase with age. Therefore, school-based interventions aimed to reduce and prevent children ST are burgeoning. Previously a review found that school-based interventions proposing multiples components which include standing desks appeared to be more effective compared to uni-component studies (Hegarty et al., 2016). However, this result only depended on 11 records published before 2016 and must be verified since the growing number of school-based interventions are proposed.

Objective: To continue the evaluation of the effectiveness of school-based interventions published since the previous review (2016).

Methods

A total of 4 databases were examined: PubMed-Medline, PsycINFO, ScienceDirect and Google Scholar. The search was conducted using keywords in English, the main ones being: 1) “Sedentary Time” 2) “Intervention” 3) “Child”, 4) “School”. Records published between August 2016 and August 2019 with objective measure of ST were analysed. Data were collected and compiled by an author according to PRISMA criteria.

Results

14 studies were included: 9 studies were multi-components (64%) and 5 were uni-component (36%). The method of measurement used in all studies was accelerometry. Environmental and organizational changes were the most used components. Among fourteen, nine studies reported significant results on post-intervention: respectively, with three being uni-component and six being multi-components. The long-term effect remain undetermined.

Conclusion

Uni component studies used only environmental reorganization which reduces ST in the short term. This finding had already been supported in previous interventions studies using standing desks that had been identified by the last systematic review (Aminian et al., 2015; Clemes et al., 2016). The uni- and multi-components studies do not differ clearly in the results obtained. However, multi-components interventions seem to be the more promising strategy to reduce ST and to develop healthy habits at long term. Interventions with follow-up measures at long term are required.
O8-4 The effect of The Daily Mile on primary school children's aerobic fitness levels after 12 weeks: a controlled trial
Authors: de Jonge Maxine , Slot-Heijs Jorien , Prins Rick , Singh Amika
Published: August 2022

Background

The Daily Mile is a school-based physical activity intervention that aims to improve children's aerobic fitness levels. It encompasses a 15-minute run for the whole class on or around the school grounds at least three times per week. The Daily Mile is an easy and accessible intervention, but the downside is a low threshold to stop or skip a session. Therefore, we aimed to determine 1) the effects of performing The Daily Mile for 12 weeks on the aerobic fitness levels of Dutch primary school children and 2) if additional personal support for teachers impacted the effectiveness of The Daily Mile.

Methods

We conducted a controlled trial in grades 5 through 8 of nine primary schools across the Netherlands. Schools were allocated to control, intervention (12 weeks The Daily Mile) or intervention-plus (12 weeks The Daily Mile and additional support) group. Children completed the shuttle-run test (SRT) at baseline and follow-up, 12 weeks apart. We analyzed the data using multi-level linear regression models clustered within individuals and by classes and schools. All models were adjusted for sex and age.

Results

We collected complete data sets for 536 children (mean age 10.0 years). The participation rate of classes in the intervention group was 87.8% and in the intervention-plus group 89.7%. After correcting for age and sex, the adjusted model showed a significant intervention effect on SRT-score after 12 weeks for both the intervention group (1.1 stages; 95% CI 0.75, 1.47) and the intervention-plus group (0.6 stages; 95% CI 0.32, 0.89), when compared to the control group.

Conclusion

Performing The Daily Mile at least three times per week for a 12 week period can be effective in increasing the aerobic fitness levels of primary school children. Additional personal support for teachers did not improve the effectiveness of the intervention on aerobic fitness within this time frame. This may be due to the high implementation rates in both the intervention group and the intervention-plus group. Possibly additional personal support might become beneficial for maintenance on the longer term.
O8-8 Foundation of Move Healthy: athletic skill development in children from a motor learning perspective
Authors: Benjaminse Anne
Published: August 2022

Background

In the European Union, 6.1 million people are being treated in hospital annually for a sports injury. Of this, 31% of these injuries affect young people (15-24 years). Injury incidence, medical and lost productivity costs can be reduced by promoting a healthy and active lifestyle, where attention is paid to primary injury prevention. However, after two decades of initiatives, traditional injury prevention prevention programs seem effective in the short-term and controlled study settings, but have not decreased long-term injury incidence. One reason for this is the content of the exercises, currently being mainly ?closed and static? exercises. These exercises don't reflect real-world situations where unexpected and automatic movements are required involving complicated motor control adaptations. In addition, physical educators (PE) and trainers/coaches (TC) neither experience current exercises as being context specific and contributing to their training goals. To overcome this implementation gap, the purpose of the MoveHealthy project is to create exercise routines PE and TC can use, where children acquire the ability to sustain optimal automatic motor control while engaging in complex athletic, unpredictable environments (e.g. movement of another child, or a ball), whilst minimising their risk to sustain an injury.

Methods

Exercise routines (3 for primary and 3 for secondary education, 3 for soccer and 3 for basketball) were co-created with the end-users (PE & TC) and their wishes and needs have been incorporated. Furthermore, to train the complex task-person-environmental interaction, real-world aspects such as visual-motor control where quickly processing environmental cues and anticipation and decision is crucial, was included into all conceptual considerations.

Results

Twelve prototype exercises have been developed. Merging theoretical foundations of motor learning and wishes and needs of end-users made it possible to create exercises that serve both needs.

Conclusions

The development of these prototype exercises guides towards further validation and final development of innovative exercise routines where real-world aspects are incorporated. With this, we will better ensure real-world effects of injury reduction.

Acknowledgements

This project is financially co-funded by the Erasmus+ Sport program from the European Union.
O9-8 Here, you step outside and you're into nature' Physical activity and health among first-generation Italian immigrants in Norway
Authors: Calogiuri Giovanna , Terragni Laura
Published: August 2022

Background

Moving to a different country often leads to changes in a person's health-related behaviours such as, among others, engagement in moderate-to-vigorous physical activity (MVPA). Italian immigrants in Norway have tripled in the past 15 years, but little is known about their lifestyle and health. The aim of this study was to examine i) the MVPA behaviour, ii) the association of MVPA with self-rated health, and iii) the perceived impact of moving among first-generation Italian immigrants in Norway.

Methods

The data was retrieved from a cross-sectional survey (n = 321) and a set of in-depth interviews (n = 14) conducted within the study Mens Sana in Corpore Sano. Inclusion criteria were: age ≥18 years, living in Norway permanently, having lived in Italy at least until age 16 years. The data included information on the participants' MVPA behaviour (amount, frequency, and mode), self-rated health, and perceived impact of moving on their MVPA behaviour. Additionally, socio-demographic characteristics (sex, age, and educational level) and factors associated with the settlement process (years in Norway, contact with close friends, and national identity) were included as covariates.

Results

Most of the respondents (62%) engaged in MVPA for ≥150 min/week; the mean MVPA frequency was 3.37±2.29 times/week. The most popular modes of MVPA were active transport and physical activity in natural settings. After controlling for multiple covariates, both engaging in MVPA for ≥150 min/week (β = 0.177; p = 0.002) and higher MVPA frequency (β = 0.164; p = 0.005) significantly predicted higher levels of self-rated health. While 15% of respondents perceived that moving to Norway had a negative impact on their MVPA behaviour, 50% perceived a positive impact. From the qualitative analysis, it emerged that proximity to natural environments and Norway’s culture that value outdoor recreations were important elements supporting the participants’ MVPA habits as well as their perceived health.

Conclusions

In spite of the relatively high socio-economic profile of most first-generation Italian immigrants in Norway, yet their MVPA levels is somewhat lower than the Norwegian population's. The physical and cultural environment in Norway, however, appears to contribute buffering the health challenges among Italian immigrants in Norway.
P01-03 Movement and physical activity in early childhood education and care in the Nordic countries
Authors: Sollerhed Ann-Christin , Olesen Line Grønholt , Soini Anne , Sääkslahti Arja , Kristjánsdóttir Gudrún , Vilhjálmsson Rúnar , Fjørtoft Ingunn , Larsen Robert , Ekberg Jan-Eric , Froberg Karsten
Published: August 2022

Background

The World Health Organization (WHO) acknowledges the importance of preschool children taking part in comprehensive physical activities supporting, among other things, their motor development, and competencies. A growing number of children attend early childhood education and care (ECEC), and expectations that this will support the development and learning of the youngest children are high. ECEC are governed by different policies embodied in both laws and curricula, and the framework of a curriculum plays a key role in ensuring the quality of ECEC services. The documents represent the content society wants the ECEC institutions to disseminate, and set out the values, objectives, and content of the work of pre-school teachers and serve as a point of reference for ECEC teachers and schools. The purpose of this study was to examine the values of movement and physical activity (MoPA) using government policy documents ECEC from Denmark, Finland, Iceland, Norway, and Sweden.

Methods

This descriptive, comparative study was designed based on curriculum theory and used word count and content analyses to examine values of MoPA and to identify similarities and differences in the ECEC policies of Nordic countries.

Results

Seven terms were identified as MoPA related; body, motor, move, physical activity, physical education, coordination, idrott/liikunta. These terms occurred in various content contexts: development, environment, expression, health and well-being, learning and play, albeit sparsely and were referred to as both a goal in itself and as a mean of achieving other goals (e.g., learning or development in another area). Formulations dedicated to MoPA as a goal were present in the Danish and Finnish curricula and, to some extent, also in the Norwegian, while the Icelandic and Swedish curricula mentioned MoPA only as a mean.

Conclusion

Findings indicated that MoPA, which are important for children's development, health, and well-being, is a low-priority value, to varying degrees, in the ECEC policies enacted by the Nordic countries. Thus, the guidance provided to educators and stakeholders therein is inexplicit. The low priority of the MoPA domain in the ECEC policies might negatively affect the possibility for young children to be physically active in preschools.
P01-12 The Netherlands united by sport: implementtion and monitoring of the national sports agreement in 2019
Authors: Wendel-Vos Wanda , van den Berg Lilian , van der Poel Hugo
Published: August 2022

Issue/problem

The favorable international position of the Netherlands in terms of sport an physical activity is no reason for those involved in policy to lean back. The motor skills of our children are decreasing, some population groups never engage in sports, respectful behavior in sports needs our attention and the traditional sports clubs are under pressure due to declining numbers of members and volunteers. To tackle these issues, for the first time in history, the Netherlands have a National Sports Agreement (NSA) involving a numerous set of stakeholders besides the national government.

Description of the problem

Through the NSA, we want to make sport enjoyable for everyone. Now and in the future, without any restrictions and in a safe and healthy environment. The sports infrastructure will be strengthened at every level: locally, regionally and nationally. Policy makers want to involve communities of practice and knowledge from monitoring and science in order to be able to adjust policy on the short term and create a ‘self-learning' policy process.

Results

Local and regional stakeholders were invited to strengthen and start collaboration and compose local and regional sports agreements in line with the NSA which has six main ambitions: inclusive sport, sustainable sports facilities, vital providers, positive sports culture, enjoying exercise from an early age and elite sport inspires. As registered on 08-11-2019, 339 out of the 355 municipalities in the Netherlands have started work on a local sports agreement. Thirty nine local agreements were already in place covering 45 municipalities. From the national level, vouchers are made available for local stakeholders to facilitate implementation of particular interventions within a certain ambition on the local level. A consortium of national knowledge institutes provided local policy makers with training sessions facilitating them to incorporate local data, facts and figures in the local sports agreements. Twice a year, National Parliament is informed about the efforts taken and results obtained. On a continuous basis, for every ambition, a set of indicators is disseminated through the website www.sportenbewegenincijfers.nl
P01-19 Building a cross-sectoral collaboration to support insight, intelligence and innovation for physical activity promotion in Ireland
Authors: Murphy Joey
Published: August 2022

Issue

The national physical activity plan (NPAP) for Ireland originated from an interdepartmental, cross-disciplinary structure that was put in place to promote population physical activity (PA) levels. There is a documented gap between research, policy and practice which hinders this promotion of population levels of PA. The Irish Physical Activity Research Collaboration (I-PARC) was established to play a key role in contributing to the outcomes of the NPAP, including the creation of a platform that enables knowledge translation and the sharing of valuable insight.

Description of Methods

Using elements of participatory action research, the collaboration encompasses 1) cross-sectoral buy in and interaction to reflect upon and understand the current PA landscape in Ireland, 2) a knowledge translation plan that provides strategies for ensuring any collaborative outputs are effectively shared with those relevant, and 3) interaction with PA professionals to generate a common aim and objectives for I-PARC, and identify the added value of sustaining such a collaboration.

Results

To date, I-PARC has gained buy in from key stakeholders (N = 20) involved in PA promotion across government departments (N = 3), government agencies (N = 5) and research institutes (N = 4) in Ireland. Furthermore, the collaboration encompasses a Practitioner Advisory Group (PAG; N = 25), a Research Advisory Panel (RAP; N = 5) and I-PARC members (N = 140). This collaboration has generated a common aim and objectives that are reinforced through a website, social media account and I-PARC led events. Feedback from events and from focus groups with the PAG shows that a cross-sectoral collaboration, such as I-PARC, is needed to support insight, intelligence and innovation to enable more people to be more active in Ireland.

Lessons

Key learnings show that generating buy in from key stakeholders, creating and reinforcing a common aim, use of a knowledge translation plan, and identifying the added value and need for a collaboration have aided with establishing and sustaining I-PARC. Buy in from government departments, agencies and research institutes enables future planning around the sustainability of the collaboration, which will allow for continued collaboration between key stakeholders, narrowing the gap between practice, policy and research, and help work towards the common goal of PA promotion.
P02-11 Effectiveness and implementation of a long-term home-based exercise training programme using minimal equipment in COPD patients: A multi-centre randomised controlled trial
Authors: Frei Anja , Radtke Thomas , Lana Kaba Dalla , Brun Patrick , Sigrist Thomas , Spielmanns Marc , Riegler Thomas , Büsching Gilbert , Cerini Tamara , Puhan Milo
Published: August 2022

Background

Although exercise training is an important component of pulmonary rehabilitation (PR) in chronic obstructive pulmonary disease (COPD), a majority of COPD patients fails to maintain training after PR. This study aimed to evaluate the effectiveness and implementation of a 12-months home-based, minimal equipment strength exercise programme.

Methods

Parallel arm, multicentre study across four Swiss PR clinics, random allocation of COPD patients (1:1 ratio) into intervention (IG) or control group (CG, usual care). Primary outcome was change in dyspnoea (Chronic Respiratory Questionnaire, CRQ) from baseline to 12-months, secondary outcomes change in exercise capacity (1-minute-sit-to-stand-test [1-min-STST], 6-minute-walk-test [6MWT]), health-related quality of life, exacerbations and symptoms. Main effectiveness analyses were based on the intention-to-treat approach and adjusted linear regression models were used. To assess the implementation outcomes dose, reach, fidelity, adherence, acceptability and appropriateness, we conducted interviews with patients, coaches and stakeholder and analysed reports, diaries and notes.

Results

123 patients (IG: 61, CG: 62) were randomised, 61 females, mean (SD) age 66.8 (8.1) years, and 104 participants completed 12-months follow-up (IG: 53, CG: 51). Of 53 IG participants, 37 (70%) conducted the training until study end. We found no difference in change of CRQ dyspnoea over 12 months (adjusted mean difference 0.28, 95% CI -0.23-0.80, p = 0.27). We found moderate evidence for a difference in 1-min-STST repetitions favouring the IG (adjusted mean difference 2.6 (95% CI 0.22-5.03, p = 0.033) but no evidence for an effect in other outcomes.

All involved groups perceived the strength-training exercises as appropriate, efficient for COPD patients and relevant to maintain improvements after PR. The patients' most important facilitators for long-term motivation were self-perceived improvement in strength, supervision by a coach and integration of the training in daily routine. Based on these insights, we redesigned and reworded the training material and introduced three new exercises.

Conclusions

The exercise program had no effect on dyspnoea but improved 1-min-STST performance and patient-perceived fitness. The results from the insights of the involved persons enabled us to optimize the program for sustainable further use in clinical and other settings and inform the future design of patient-centred home-based exercise programs in COPD.
P02-15 Green exercise for well-being: an exploration of psychological responses to physical activity in outdoor and indoor environments
Authors: Scott Laura
Published: August 2022

Background

There is an emerging body of knowledge regarding beneﬁts of outdoor activity on well-being, restoration and mood enhancement. This pre-post study explored psychological outcomes in groups carrying out exercise classes in outdoor and indoor settings.

An aim looks to environment in group classes for physical activity programs for population health.

Research Questions: (1) What are the psychological outcomes after a green exercise session (2) Is there a difference in psychological scores between indoor and outdoor exercise programs?

Methods

Two groups of subjects undertaking similar exercises for one hour, in two settings: a ﬁtness studio (N = 19) and a city park (N = 15), subjects completed the Subjective Exercise Experience Scale (SEES) prior to and post classes.

Paired t-tests for dependent groups identiﬁed differences in the three categories of SEES, computed by IMB SPSS Statistics 20.

Results

Exercise in each group improved scores of psychological well-being.

Independent samples t-test showed the outdoor group reported higher psychological well-being markers in the pre-survey. Statistically signiﬁcant difference for “awful” with indoor (M = 2.8421, SD=1.64192) and outdoor (M = 1.7333, SD=.96115); conditions t(32)=2.32, p=.027. Paired samples t-test showed weak statistical signiﬁcance for improved values for psychological well-being (M = 5.36, SD=1.24) and decreased values for psychological distress (M = 1.08, SD=1.87) in the indoor group pre to post.

There were no statistically signiﬁcant differences between pre and post survey data, the outdoor environment did not garner higher response scores than the indoor group. Limitations included relatively small sample size, difference in age between outdoor and studio participants, as well as a hot summer in Germany, which may have impacted the perceived well-being scores.

Conclusions

Exercise is beneﬁcial to psychological well-being, regardless of environment. The study did not provide evidence that green exercises elicited greater psychological responses, likely due to study limitations. The outdoor cohort, 50-70 years of age, demonstrated a heightened interest in outdoor programs. Indoor exercise classes should be encouraged as it decreases distress. Green exercise could foster anticipation of a more positive experience yet weather could impact mood outcomes. Intensity, hydration and shade should be prioritized. Future green exercise studies should include objective measures such as age and weather conditions.
P02-17 Promoting physical activity for mental health in the EU: Development and implementation of practice guidelines from the SPHERE EU project 2019-2020
Authors: Crone Diane , Sellars Paul
Published: August 2022

Issue/problem

Despite physical activity having an established evidence base for mental health problems there is mixed practice across the EU regarding its role in the support of mental health problems. The SPHERE EU project (Sport Healing Rehabilitation; 2019-2020 http://www.ecos-europe.com/sphere/erasmus-project/) was established to draw together academics, practitioners and psychiatrists, to develop practical guidelines and case study examples for their implementation.

Description of the problem

To support the use of physical activity for mental health promotion, a critical review of evidence was conducted to inform the development of Practice Guidelines with case study examples of practice.

Results (effects/changes)

Practice Guidelines include 17 recommendations relating to physiological, psychological and social dimensions of mental health rehabilitation. The presentation will outline the practical, evidence-based guidelines designed for practitioners and evaluators which can be used to support the use of physical activity for mental health in the EU.

Lessons

Practical, evidence-based guidelines for practice must be flexible to allow for individual differences and preferences, settings (clinical or community), and facility and equipment availability. This aim of these Guidelines are to enable professionals involved in health enhancing physical activity for mental health to have that evidence translated into practice, in a form that can be transferred to their setting and country.

Main messages

Despite physical activity being widely understood to have an important role in the lives of people with mental health problems and other common co-morbidities for this population group, guidelines remain scarce. The SPHERE project has addressed this dearth and provides practical and pragmatic recommendations for physical activity for people with mental health problems in the future.
P03-05 State of the Evidence of Active Living among Children and Youth in India: A Scoping Review Informing the Global Matrix 4.0
Authors: Bhawra Jasmin , Katapally Tarun R
Published: August 2022

Background

There is strong evidence of physical inactivity's link to global disease and economic burden. Physical inactivity among Indian children and youth has particular consequences for the global economy, as youth in India make up a substantial proportion of the world's workforce. As part of the 60-country Active Healthy Kids Alliance Global Matrix 4.0 initiative, a systematic scoping review was conducted to appraise the current state of evidence of active living among children and youth in India.

Methods

A systematic search of peer-reviewed and grey literature published over the last decade was conducted for 11 indicators of active living: overall physical activity, organized sport participation, active play, active transportation, sedentary behavior, family and peers, school programs and policies, community and built environment, government strategies, physical fitness, and yoga. Data sources included national, state (i.e., province) and city-level surveys, as well as primary data from ongoing longitudinal studies. Relevant grey literature, including government reports and school board policies, were also reviewed.

Results

Physical activity levels vary widely across India, with children and youth in rural settings accumulating greater moderate-to-vigorous activity and lower screen time compared to their urban counterparts. The majority of Indian children and youth report active transportation, however; they are not meeting recommended physical activity and sedentary behaviour guidelines. Despite the availability of many non-profit and organized programs, several indicators of active living including organized sports, active play, and yoga programming have not been evaluated for uptake or impact. Physical activity type and levels varied significantly across gender and socioeconomic status, with girls belonging to lower socioeconomic status having the greatest disadvantage due to cultural and safety perceptions.

Conclusions

While the vast majority of Indian children and youth are not accumulating recommended physical activity levels, there are encouraging signs of active transportation and active play?a phenomenon that needs to be further explored in India and other high-, middle- and low-income countries. The findings point to widespread disparities in access to active living resources and infrastructure between urban and rural settings. Targeted programs, policies, and resource allocation are necessary to improve built environment and safety for children and youth.
P03-09 Cross-sectional associations between physical activity pattern, sports participation, screen time and mental health in Swedish adolescents
Authors: Kjellenberg Karin , Ekblom Örjan , Ahlen Johan , Helgadóttir Björg , Nyberg Gisela
Published: August 2022

Background

Poor mental health among youth is a public health concern. As half of the mental disorders occur before or during adolescence it is important to investigate how modifiable lifestyle factors are associated with mental health in this population. The association between physical activity patterns and mental health has been studied before but most studies rely on self-reported physical activity. This study aimed to investigate the associations between device-measured physical activity patterns, sports participation, screen time, and mental health in Swedish adolescents.

Methods

Cross-sectional data were collected from 1139 adolescents aged 13-14 in 2019. Data on physical activity patterns were collected using accelerometers for one week. Screen time and sports participation were self-reported by the students. Anxiety and health-related quality of life were assessed using a short version of the Spence Children's Anxiety Scale and Kidscreen-10.

Results

A positive association between time spent in moderate-to-vigorous-physical activity during the whole week and health-related quality of life was found (B = 0.03, CI: 0.01, 0.05 and B = 0.04, CI: 0.02, 0.07), whereas sedentary time during the whole week (B=-0.02, CI: -0.03, -0.01 and B=-0.02, CI: -0.03, -0.01) and high screen time on weekdays (B=-3.50, CI: -4.79, -2.22 and B=-1.54, CI: -2.66 -0.41) were associated with low health-related quality of life in girls and boys respectively. Although the effect sizes generally were small, the largest effect sizes were observed between the high/low MVPA group in boys (Cohen's d -0.51) and high/low screen time group on weekdays in girls (Cohen's d 0.59). With regards to anxiety, high moderate-to-vigorous-physical activity during leisure time on weekdays was associated with low anxiety scores in girls (B=-0.09, CI: -0.13, -0.05) and boys (B=-0.4, CI: -0.07, -0.01). Gender differences were observed, boys participating in organized sports had lower anxiety (B= -1.81 CI: -3.49, -0.13) whereas girls who reported high screen time on weekdays had high anxiety (B = 4.06, CI: 1.94, 6.18).

Conclusions

Our results could create a paradigm for future studies to decide which types of PA patterns and time domains to target in intervention studies with the aim to improve mental health among adolescents.
P03-11 Talking to Danish children/adolescents living with cerebral palsy and their parents about perceived motivators and barriers for being physically active - a family perspective
Authors: Morley Sofie , Troelsen Jens , Larsen Anders Holsgaard , Fonvig Christina Esmann
Published: August 2022

Background

Children and adolescents with cerebral palsy (CP) are a vulnerable group who find it challenging to meet current physical activity guidelines, which predispose them to the negative health implications associated with low levels of physical activity and high levels of sedentary time. For these reasons, a key role for many clinicians, parents, and other practitioners working with children and adolescents with cerebral palsy is to encourage and facilitate an increase in habitual physical activity and reduce the amount of time spent sedentary, in order to optimize long-term health outcomes. Since 2014 Danish schools have been committed to enhance physical activity during the school day, but teachers still find it challenging to include children and adolescents with special needs. In Denmark, there is a strong tradition of practicing habitual exercise in the voluntary sports clubs (83% of children and adolescents). In sports clubs, these children are being physically active as well as experiencing being a part of a community. Children and adolescents living with CP are often not able to participate in these sports clubs which excludes them from the active and social life that's happening there. This study acknowledges that parents of children and adolescents living with CP play an important role in supporting them being physically active. Therefore, this study aims to identify perceived barriers and motivators for being physically active, experienced by this particular group of children and parents. This knowledge can be used by parents, clinicians, coaches, teachers and other practitioners to guide families living with CP towards a more physically active lifestyle and possibly optimize long-term physical and social health outcomes for children and adolescents with CP.

Methods

This study will investigate the children's and parents' perceptions of motivators and barriers. The study is designed as a multi-family member interview study involving 10-14 combined in-depth interviews with children aged 8-15 (GMFCS I-III) and their parents. Interviews will be analysed thematically within and between groups.

Results and conclusions

The study will take place in spring 2020 as a part of a pre-graduate research year and thus data and conclusions will be presented at the conference.
P03-18 A Review of Sporting Role Model Led Interventions Promoting Physical Activity in Youth
Authors: Kelly Eimear , Lane Aoife , Liston Katie , Dowd Kieran
Published: August 2022

Background

Among adolescents there is a notable decline in physical activity (PA) levels from childhood, more notable among females than males. Visibility is regularly a cornerstone of strategy to promote engagement with women's sport particularly around stimulating and sustaining female participation in sport and PA. This includes leveraging sporting role models (SRM) to develop participation in sport and PA. The purpose of this research is to locate and describe the features and impact of SRM led interventions on female participation in sport and PA.

Methods

APA PsychInfo, PudMed, and Sport Discus databases was used to identify SRM led interventions. In sum, 7,169 papers were identified with 360 duplicates. A further 5,122 were removed from title screen, 1,666 from abstract screening, 21 from full text review with two studies included in the final review.

Results

Two SRM led interventions were included in the final review and were deemed as ‘fair' quality using Black and Downs Checklist. The first study1 aimed to improve attendance in PE, behaviour and attitude towards PA through a 12-week school based intervention. Schools were funded to complete a novel sport rolled out by teachers (group 1), with a second group having an additional visit from an elite ‘athlete mentor' (group 2). The study found 98% of students enjoyed the athlete visits and found them beneficial however there was no additional impact on PE attendance and attitudes to PA linked to athlete visits. The second study2 involved school students visiting a local professional football club and meeting professional football players through video messages and letters over a four-month school period. The intervention group showed a significant increase in self-efficacy towards PA compared to the control group.

Conclusion

There is limited, if any, evidence to support SRM led interventions to promote participation in sport or PA. Studies considered in this review are poorly designed and evaluated and lack theoretical frameworks. There is scope to undertake a broader review of grey literature due to the scarcity of published evidence despite anecdotal support and implementation of SRM interventions throughout the sport sector.
P04-01 Slovenian approach to healthy and active aging - Fall prevention program for elderly living at home
Authors: Knific Tjaša , Horvat Martina , Juričan Andrea Backović
Published: August 2022

Issue/problem

Due to the population aging, injuries in relation to falls are a public health problem in Slovenia as well. They are expensive for the health care system, usually have serious consequences and lead to irreversible impairment of function, institutionalization and death.

Description of the problem

During 2019, registered nurses in community health nursing from 25 Primary Healthcare Centres participated in the MoST pilot project. They conducted a fall risk assessment of 64 years and older patients at their homes, using a Slovenian adaptation of the STEADI (Stopping Elderly Accidents, Deaths & Injuries) questionnaire. At the same time, they also performed an assessment of muscle strength, gait and balance with a timed framed Stand up and go test. Afterwards patients were classified into 3 groups (low, medium, and high risk of falls) and were treated according to the Algorithm for the assessment of the risk of falls for the elderly and prevention measures.

Results (effects/changes)

6815 fall risk assessments were conducted (results are preliminary). More details will be presented at the HEPA conference as the data is still being processed. Based on the expected population distribution, mobility and nutrition treatment, home safety counselling and a multifactorial risk assessment during the development phase of the project were planned. The interventions were performed at integrated Health Promotion Centres in Primary Healthcare Centres and at the homes of the elderly.

Lessons

The risk assessment method described earlier should be carried out at the home of an elderly person. The most effective interventions were multicomponent measures or prevention programs with ever-present physical exercise program. Focused physical activity aiming at improving strength and balance not only reduces the frequency of falls, but also the frequency and severity of injuries in the event of a fall.

Main messages

A fall risk assessment is an economically viable fall prevention intervention in the elderly. Time invested in preventing falls is reflected in a more active elderly population.
P04-02 Are Older Adults Adhering to the Strength Component of the Physical Activity Guidelines?
Authors: Gluchowski Ashley , Bilsborough Helena
Published: August 2022

Background

In 2019, the UK prominently placed the strength recommendations on their Chief Medical Officers' Physical Activity Guidelines infographic. The purpose of this study was to offer a nuanced description of older adults' awareness, understanding, and participation in activities that meet the strength component, as well as their perceived barriers to strength training participation.

Methods

Older adults living in the UK (n = 15, 70±3.3 years) volunteered to participate in one 30-minute, semi-structured, one-on-one interview on Zoom with the lead author. Advertisements were placed in ageing charity newsletters. People who identified as 65 years old or over and living in the UK were asked to respond via email if interested.

Results

Awareness. None of our participants were aware of the strength recommendations. “I honestly can't say that I ever recall seeing that.”

Understanding and Action. Walking was the most common modality for participants who believed they were meeting the strength guidelines. “I think I'm more than meeting them because … I do masses of walking …”

Suggestions for Improvement. Adding more detail to the guidelines and separating the guidelines based on ability, rather than chronological age, was suggested. “It's a bit subjective as to what counts as building strength.”

Barriers to Strength Training. Barriers included misconceptions about strength training in later life, “You know, you always know, don't overload yourself…I never push it.” and a lack of options for older adults who are not quite ready for classes for the oldest old, “There's a big cohort of us that are what you might call young old and the provision for us who are fit and active is sadly missing…the classes that are on are always for the older old”

Conclusion

Our participants reported an unawareness of the strength guidelines. Adherence reporting to the strength guidelines should be interpreted with abundance of caution, as older adults are largely unaware of what activities fulfill this requirement. Researchers & practitioners can influence the many barriers to strength training participation primarily with dissemination of accurate information and providing age & ability-appropriate strength prescription.
P04-03 Does physical activity improve an interaction between motor control and cognitive functions in elderly?
Authors: Česnaitienė Vida , Drozdova-Statkeviciene Margarita , Levin Oron , Ossowsky Marcin Zbigniew , Masiulis Nerijus
Published: August 2022

Background

Normal aging is associated with progressive functional loss in many cognitive domains, including working memory, attention (van Raalten et al., 2008) and executive functions (Nyberg et al., 2008), responsible for the control of behavioral activities (Miller & Cohen, 2001). Research aim was to evaluate postural control and executive function during dual tasking in physically active and inactive old adults.

Methods

Participants were 42 older healthy human males and females (Mean age: 70.17±6.08 years). Posturography method with a single piezoelectric force plate was used to measure postural sway activity. For the evaluation of cognitive functions, we used Word Memory task with ten audio-recorded words (Lithuanian nouns) in each trial, and the Mathematical Processing Task, where negative or positive one-digit integer-numbers (10 in total) were presented in each trial at 2-second intervals. Physical activity of participants was evaluated according to WHO recommendations.

Results

The study showed that there was a strong correlation between physically active time spent and balance behavior. The balance of physically active older people was statistically significantly more stable when they performed cognitive tasks than that of those who were physically inactive. Dual-task interferences on postural sway were evident in both Word Memory task and the Mathematical Processing Task conditions. Dual-task effect on Mathematical Processing Task and Word Memory task was not statistically different.

Discussion

Taken together, we suggest that physical activity improves proprioceptive control which also improves balance control. In dual tasking, more attention is required in cognitive tasking, so better proprioception allows for better balance control with fewer attention resources. However, it is also evident that participants can reduce sway activity and increase balance stability by increasing attentional control.