bluuebunny/crossref_metadata_2025 huggingface dataset:
P05-12 Objectively measured physical activity, chronic illness and health service utilisation - a latent class analysis of activity behaviours in older adults
Authors: O'Regan Andrew , Hannigan Ailish , Glynn Liam , Donnelly Alan , Hayes Grainne , Bengoechea Enrique Garcia , Woods Catherine
Published: August 2022

Background

Physical activity contributes to the prevention of chronic illness as well as promotion of physical and mental health, but most adults remain inactive. Chronic illness affects mainly middle aged and older adults, and very little objectively measured data on physical activity behaviours and associated health outcomes of this population is published. The aims of this study are to: 1. Objectively measure physical behaviour outcomes of adults participating in the Move for Life study; 2. Develop distinct activity profiles based on six behaviour variables; 3. Investigate whether health outcomes differ across the activity profiles.

Methods

Participants were Irish adults aged 50 years and older. Using the activPAL, objectively measured data were collected on average daily: light intensity physical activity (hours); moderate to vigorous intensity physical activity (minutes); step count; time in bed (hours); standing time (hours); and waking sedentary time (hours). Data were obtained on chronic illness and health service utilisation. Validated questionnaires were used to collect data on wellbeing, loneliness and social isolation. Hierarchical cluster analysis using squared Euclidian distance was used to cluster behaviours based on similarity, using SPSS version 26. Regression models explored associations between health outcomes and activity profiles, adjusted for age and sex.

Results

Data from 485 participants were analysed, and four activity profiles were identified: sedentary (n = 50, 10.3% of total), low active (n = 295, 60.8%), moderate active (111, 22.9%) and higher active (n = 29, 6%). We will present the differences across the activity profiles for chronic illnesses, multi-morbidity, health service utilisation and validated health tools, comparing to data from the Irish Longitudinal Study on Ageing (TILDA) and the English Longitudinal Study on Ageing (ELSA).

Conclusions

The use of physical activity behaviour clusters may identify people with multi-morbidity and higher utilisation of health services. These findings could be factored into the development of future targeted physical activity interventions.
P05-13 Associations between occupational physical activity and progression of carotid atherosclerosis among middle-aged women, are those with pre-existing cardiovascular disease more vulnerable?
Authors: Korshøj Mette , Allesøe Karen , Mortensen Ole Steen , Siersma Volkert , Kauhanen Jussi
Published: August 2022

Background

Workers with high occupational physical activity (OPA) experience higher risk of cardiovascular diseases (CVD) than sedentary workers. In an ageing workforce, greater proportions will be expected to have CVD, and pre-existing CVD are shown to increase vulnerability to exposure of high OPA. However, most of the epidemiological evidence is derived from male cohorts, excluding those with pre-existing CVD, and using clinically manifest disease outcomes that are prone to healthy worker selection bias. To address these limitations and to highlight whether pre-existing CVD indicate vulnerability, this study investigated the effects of OPA on pre-clinical asymptomatic progression of carotid artery intima-media thickness (IMT) among women.

Methods

Women participants (N = 905) of the population-based Kuopio Ischemic Heart Disease Study (KIHD) with data on OPA and IMT were included. Linear mixed models, stratified by pre-existing CVD, estimated the association between OPA and the IMT progression from baseline (1998-2001) through 8-years of follow-up.

Results

Non-stratified analysis showed the greatest 8-year IMT progressions by exposure to light standing or moderately heavy active work (both 0.13 mm). Stratified analysis on within group changes and total level of IMT showed exposure to light standing and moderately heavy active work to give the greatest 8-year IMT progressions, especially pronounced among normotensives and those with pre-existing stenosis or ischemic heart disease (IHD). Women with pre-existing CVD ended up with the greatest total IMT levels (sum of baseline and estimated 8-year IMT change), in spite of less 8-year IMT change than among women with out pre-existing CVD. This may be explained by their initial high IMT level, combined with a celling effect of the change.

Conclusion

Exposure to light standing work and moderately heavy active work was associated with accellerated progression of IMT, especially pronounced among normotensives or workers with pre-existing stenosis or IHD. The majority of the reported 8-year IMT progressions are at a clinically relevant magnitude of 0.1 mm, which associates with an 11% increased risk of acute myocardial infarction.
P05-17 Assessing the impact of care-physical activity initiatives for people with a low socioeconomic status on healthcare utilisation: an exploratory study
Authors: Mulderij Lisanne , Wagemakers Annemarie , Verkooijen Kirsten , Koelen Maria , Groenewoud Stef
Published: August 2022

Background

Care-physical activity (care-PA) initiatives are being implemented in the Netherlands to stimulate the health of citizens with a low socioeconomic status (SES), with the aim of reducing health inequality and healthcare utilisation. A two-year care-PA initiative specifically developed for citizens with a low SES, X-Fittt 2.0, was offered free of charge to participants, and included 12 weeks of intensive guidance and sports sessions, and 21 months of aftercare. As the impact of care-PA initiatives on healthcare utilisation has not yet been studied, our research question was: ‘What is the impact of participation in a care-PA initiative on the healthcare utilisation of citizens with a low SES?’.

Methods

We studied the healthcare utilisation of 44 former participants of X-Fittt 2.0, focussing on general practitioner care, pharmaceutical care, hospital care, paramedical care, medical aids and mental healthcare. We compared utilisation intensity (number of healthcare claims) during the two years before participation in X-Fittt 2.0 (period 1) with utilisation intensity during the two years after initial participation (period 2) using paired t-tests.

Results

As expected, utilisation intensity increased significantly for paramedical care for non-chronic disorders after participation. No differences in utilisation intensity were observed for the other healthcare categories. Furthermore, although it was not the core focus of this study, our results show that people with a low SES tend to have higher healthcare utilisation than those with a higher SES.

Conclusions

This exploratory study, which is unique for its use of healthcare claims data for participants of a care-PA initiative, shows a statistically significant increase in utilisation intensity for paramedical care (supplementary healthcare insurance for non-chronic conditions) in period 2 compared with period 1, as expected. This increase is likely caused by a greater utilisation intensity for physiotherapy, which covers respectively 95% and 92% of the paramedical healthcare claims of the supplementary healthcare insurance in periods 1 and 2. The design of our study can be used as a template for future research that aims to study health care utilisation over a longer time period. The results of this and future studies can be used to improve health policies.
P06-02 Physical activity levels of citizens in Dubrovnik, Croatia
Authors: Škegro Dario , Čustonja Zrinko
Published: August 2022

Background

One of the most important areas of interest in the world today and throughout history is health. Numerous investigations are confirming positive effects of physical activity on health and this is the reason why physical activity and exercise should be measured as often as possible. Croatia as the youngest member state in European Union does not have excellent results in the levels of physical activity among its population. In this research the aim was to assess the levels of physical activity in the city of Dubrovnik and compare it to the levels of Physical activity in Croatia and European Union.

Methods

Participants in this investigation were 670 adult citizens of the City of Dubrovnik, Croatia. Levels of physical activity was measured using Eurobarometer questionnaire. Descriptive statistical parameters Mean and Standard deviation same as Statistical Difference between the values in Dubrovnik, Croatia and European Union were calculated using statistical program package Statistica.

Results

Overall results show significantly better situation in Dubrovnik when comparing with the results measured on national level and on European Union level. While, according to the Eurostat's analysis in 2017, there is 46% of citizens of European Union and even 56% of citizens in Croatia that never exercise or play sports in the City of Dubrovnik there is only 17,31% of citizens that never exercise or doing sports. The most important reasons for doing physical exercise or sport (motivators) among citizens of Dubrovnik is improvement of health (45%) and improvement of physical appearance (30%). Almost half of the sample (47%) pointed out the lack of time as the main barrier in doing physical exercise or sport.

Conclusions

This investigation shows good way to assess the information on levels of physical activity of the citizens and accordingly creating a public policy on further development and improvement of this important area. This investigation is part of document called Strategic development of Sport and Sport's Infrastructure in Dubrovnik and it reveals encouraging data for this Croatian city.
P06-07 Steps during school hours vs throughout the day in preschoolers
Authors: Vale Susana , Costa Silvia , Mota Jorge
Published: August 2022

Background

Walking is a main form of Physical Activity (PA) and daily step counts have been used as a tool to objectively assess PA levels and patterns in many studies. Children who accumulate less than 9000 steps per day may be considered insufficiently active (Vale et al., 2015). The aim of the present study was to determine the importance of analysing all day data when evaluating PA recommendations.

Methods

The study sample comprised 202 preschool aged children (44% girls), aged from 3 to 6 years (mean age of 4,7±0,8 years). Steps counts were measured during 7 consecutive days using waist worn, uniaxial Actigraph accelerometers (models 7164, 71256, and GT1M). Children used the accelerometer throughout the day, being placed after waking up and removed before going to bed. In addition to the number of steps throughout weekdays (monday to friday), the number of steps during school time was analyzed. The school hours were restricted to 8 hours and half, between 9:00h and 17:30h.

Results

During all day children account 10.563 steps, 6.947 of which were recorded during school hours (p = 0.001). Looking at the entire weekday, we found that only 7% of preschool children were considered insufficiently active (9.000 steps per day). Neverthless, looking for school hours only, we found that almost half of the sample (45%) met the same recommendation. We tested for differences between all day and school day with paired t-tests.

Conclusions

When looking for step counts across the entire day vs school hours, we announced that school hours, by itself, are not representative of the number of child's steps in each day. Results from this study highlight the importance of analysing all day when investigating whether preschoolers meet recommendations.
P06-12 Construction and validation of a physical activity and sedentary behavior temperaments questionnaire among French adults
Authors: Manneville Florian , Muller Laurent , Collmann Claudia , Truwant Laure , Omorou Abdou Yacoubou
Published: August 2022

Background

Temperament refers to innate differences between individuals, is partly genetically determined, relatively stable across lifespan and expressed through behaviors such as physical activity and sedentary behavior. These two behaviors are known as major determinants of health. Therefore, measuring physical activity and sedentary behaviors temperaments appears to be of interest but no existing questionnaires allow for it among French adults. This study aimed to create and validate a questionnaire to measure physical activity and sedentary behavior temperaments among French adults.

Methods

The questionnaire was created by the Delphi method. Based on an existing questionnaire on eating temperament, 31 experts in physical activity, health psychology and public health were asked to formulate equivalent items to measure physical activity and sedentary behavior temperaments. The test of the psychometric qualities of the questionnaire and its validation will be carried out on three samples of north-eastern French adults: one of 500 to explore internal validity, one of 100 for external validity, and one of 60 for test-retest reliability (4-week interval). Internal validity will be investigated by exploratory and confirmatory factor analyses, and external validity and test-retest reliability with correlation analyses.

Results

The Delphi method results in a questionnaire of 40 items on physical activity and sedentary behavior temperaments. The test of the psychometric qualities of the questionnaire and its validation are in progress and will be carried out for the congress.

Conclusions

The validation of this questionnaire and its use in practice would help to guide changes in the management of physical activity and sedentary behavior as part of health promotion approach.
P06-13 Movida.Cronos – eHealth app at primary care to fight sedentary behavior
Authors: Morouço Pedro , Carreira Bruno , Pinto Rui
Published: August 2022

Background

Health systems play a fundamental and recognized role in promoting physical activity, particularly in the context of primary health care. eHealth is a broad concept that incorporates any area that combines healthcare and technology. This concept is often associated with improvements in process efficiency and cost reduction. Still, high occurrence of physical inactivity demonstrate the importance of developing new eHealth approaches for a more effective actuation. The aim of this work was to develop a new methodology to increase physical activity level, at primary health care.

Methods

A mobile application with web platform was developed to: physical activity prescription and monitoring; registration of biomedical variables, sending messages to users, managing physical activity events at the initiative of users (social network). The application was explained to the medical doctors and data from a case-study was accessed (56 years-old male, Caucasian, single, nuclear family, upper middle class). History of physical inactivity, obesity, hypertension, dyslipidemia and depressive disorder (sertraline 50mg and mexazolam 1mg therapy), body composition, physical and CRP fitness were assessed. International physical activity and Self-perceived quality of life assessment questionnaires were also used.

Results

It was possible to understand that just by talking was not enough to engage the patient on a more active lifestyle. After several failed attempts on counseling for lifestyle changing, patient was referred for using the developed app. Physical exercise tailored plan was prescribed using the Movida.cronos. This tool opened the possibility of assessing patient performance and adherence to the prescribed program (>90%). It allowed a narrow informative channel between the patient and the medical doctor. In three months, the patient reduced form obesity to overweight (-3.4%), decrease his waist circumference (-6.3%), fat mass (-1.8%) and arterial mean pressure (-5.1%); with an associated increase on step test performance.

Conclusions

This case study demonstrate the potential use of eHealth technology, particularly in primary care. Movida.Cronos allowed the prescription and monitoring of performance and adherence levels to the prescribed exercise program. It brings novel perspectives on prescription and remote monitoring of physical exercise, leading to an increased adherence.
P07-05 Romanian GPs knowledge, attitudes and behavior related to physical activity on prescription
Authors: Sandu Petru , Chereches Razvan Mircea , Covaliu Bogdan , Mocean Floarea
Published: August 2022

Background

Physical activity on prescription (PAP) - like schemes, have been documented to encourage sustained increases in the levels of physical activity of populations. Although proven effective, these PA promotion schemes have only been implemented high-income countries (eg. Northern/Western Europe). The aim of this study was to explore the opportunity to test PAP (related) schemes in Romania, a developing country.

Methods

In the timeframe May-June 2018 we conducted a transversal study, using an online questionnaire adressed at general practitioners (GPs) in the county of Cluj. The instrument had 4 sections: 1. attitudes/opinions regarding role of GP in PA promotion; 2. GPs (current) behavior related to PA promotion in their practice; 3. Knowledge regarding the recommended PA levels for children, youth and adults; and 4. Socio-professional information.

Results

A number of 84 GPs (out of 350) have completed the questionnaire, for a response rate of aproximatelly 25%, the sample being representative of the population - considering gender distribution and workplace location, urban/rural. The majority of the GPs (78%) stated that their role in PA promotion is limited to broadly disscussing this topic with their patients. The more consultations they have (less time available), the more they are prone to promote PA in their practice (contrary to current literature). Only 1 in 5 GPs have reported the correct number of minutes of PA for both adults and children & youth. The lower measured knowledge, the higher were the self-assessed levels of knowledge regarding PA benefits they report.

Conclusion

Romanian GPs knowledge, attitudes and behavior related to PA prescription/recommendation are strongly influenced by lack of proper information, incentives and/or enforcement. Before attempting to introduce PAP in Romania, more education, awareness and financial/structural resources should be allocated to improve acceptability and feasibility of such PA promotion scheme.
P07-09 Physical activity prescription for chronic disease in Belgium: results of a 6-month intervention led by physical educators
Authors: Mouton Alexandre , Petitfrère Yoric , Franck Nicolas , Ocula Charlotte , Da Sara , Rocha Costa , Cloes Marc
Published: August 2022

Background

Physical activity (PA) prescription has the potential to be an important therapeutic agent for all ages in primary, secondary and tertiary prevention of chronic disease (Thornton et al., 2016). However, physicians report that they do not deliver PA counselling because of limitations in time, knowledge, confidence, and practical tools (Meriwether, Lee, Lafleur, & Wiseman, 2008). Physical educators have the required skills to address those issues in encouraging patients to adopt an active lifestyle that will reduce the incidence of their chronic conditions. In Belgium, physical activity prescription initiatives are emerging: this study aimed at monitoring one of these to ensure the development of evidence-based intervention relying on HEPA best practices.

Methods

With a PA prescription from their doctor, patients with chronic cardiac, neurological, metabolic, oncologic or spinal disease took part to a 6-month intervention supervised by physical educators in a Belgian municipality. The program was composed of weekly sessions of physical exercise focusing on the 4 dimensions of physical fitness according to international recommendations (ACSM, 2016). Monthly motivational sessions were also organized to promote active lifestyle. Monthly assessments included PA level (Ricci & Gagnon,2011), SF-36 (Ware & Sherbourne, 1992), and Senior Fitness Test (Rikli & Jones, 2001).

Results

Preliminary results after one month intervention on 19 patients (68.6 ± 10.8 years) with chronic cardiac (n = 11), neurological (n = 2), metabolic (n = 1), oncological (n = 4) or spinal (n = 1) disease exposed significant improvements of their lower (p = 0.03) and upper (p = 0.01) body strength, and aerobic endurance (p = 0.17). No significant changes were observed for physical activity level and SF-36 scores. Further results will provide information about the impact of motivational sessions on the adoption of an active lifestyle.

Conclusions

Physical activity prescription supervised by physical educators has the potential to bridge the missing link between hospital revalidation performed by health care professionals and autonomous physical activity. If outcomes are favourable, it could provide an advocacy to inspire key decision makers and policies to ameliorate chronic diseases care involving physical educators. Future local interventions should therefore rely on existing guidelines (Inserm, 2019) and support the development of this specific HEPA environment.
P08-04 A protocol for the development of a systems map to identify the factors that influence walking in Cork, Ireland
Authors: Power Dylan , Murphy Niamh , Lambe Barry
Published: August 2022

Background

Systems approaches have been used in recent years in addressing complex public health problems such as obesity and physical inactivity. Depicting these ‘wicked' problems through systems maps has helped system actors better understand the entire systems in which these problems exist. Like physical activity (PA) promotion, there are multiple sectors and organisations who have a stake in the promotion of walking. However, their efforts are seldom combined, and stakeholders often work in conceptual silos when tackling the same problem. Walking has been described as a ‘best buy' for public health (Bull and Hardman, 2018). However, walking promotion requires efforts across the entire ecosystem if population-level PA goals are to be reached. The purpose of this study is to generate a systems map of the factors that influence walking in Cork.

Methods

Participants of the workshops all work in Cork, Ireland. Participants remotely attended two online Zoom workshops to develop the systems map. The Australian Systems Map for Physical Activity (Bellew et al., 2020) was used as a framework in the development of the map. Semi-structured interviews (n = 5) were used to supplement the online workshops. A third online workshop is planned for October 2020 to discuss identified interventions.

Outcomes

The systems map provided stakeholders with a new perspective on the complexities of the system and provided a platform to network with organisations outside of their sectors. Semi-structured interviews helped identify barriers and facilitators to working collaboratively and explored the political and commercial environment of the system. Furthermore, 19 potential interventions were identified from the workshop discussions. A selection of these will be discussed in detail in a third workshop in October 2020.

Conclusions

The systems map alone will not increase walking levels across the entire system. However, it will provide stakeholders with a common visual language of the structure of the system. Thus, enabling them to identify where they sit within the system and potential leverage points they can influence. Furthermore, understanding the entire ecosystem of walking in Cork through a systems map may prove useful in other contexts when approaching the complex problem of population-level walking promotion.
P08-07 The effects of an integrated approach to a worksite intervention on the mental health and wellbeing of cleaners: A randomized stepped wedge worksite study
Authors: Poulsen Vivian Rueskov , Mortensen Ole Steen , Sköld Margrethe Bordado , Autrup Sanna Koch , Oldenburg Brian , Mette Korshøj
Published: August 2022

Background

Despite an intensive focus on worker health over the last three decades, the prevalence of work-related diseases remain largely unchanged in Denmark and internationally. In recent years, American and Australian researchers have developed new approaches to integrate health promotion, prevention of work-related disease and organization of work. The aim of this study was to examine whether an Integrated Approach to Health, Wellbeing and Productivity at Work (ITASPA) intervention would promote the mental health and wellbeing of workers.

Methods

Two worksites were recruited and offered the intervention and 76 cleaners agreed to participate in the scientific evaluation. At each worksite, employees developed initiatives to improve the psychosocial work environment, building on top of existing work environment programs, practices and procedures. The developed initiatives did not hold any physical activity components. The intervention was planned to run for 12 months, and this analysis presents data from the first of four follow-ups. Data on mental health and wellbeing were obtained using the SF12 and Orebro questionnaires. Using a stepped wedge design, participants functioned as their own controls. Data were analysed using a linear mixed model with random slope and intercept. Intercorrelation of repeated measurements was included in the models as random effect.

Results

The results showed significant decrease in sleeping problems (-4.04, 95% CI, -5,32- -2.75) after the intervention. Moreover, there was a non-significant increase in the amount of time participants had felt relaxed and calm (0.33, 95% CI, -0.10-0.96) and a small non-significant decrease in the amount of time participants had felt sad (-0.004, 95% CI, -0.42-0.41). Finally, results showed a small non-significant increase in how much physical pain had challenged the daily work (0.04, 95% CI, -0.21-0.30).

Conclusion

The findings show that ITASPA intervention led to significantly reduced sleep problems. There was a tendency of improved self-ratings of feeling relaxed and calm as well as reduced feeling sadness. The intervention did not decrease ratings of whether physical pain challenged the daily work, however, the worksites decided to focus on the psychosocial work environment and thus changes in mental health are expected to show greatest effects.
P08-08 Exploring paths of physical activity for city residents using mobile applications and geographic information system
Authors: Duhair Amir , Ghebghoub Yaqouta
Published: August 2022

Background

The built environment is one of the main places where residents engage in their physical activity. Therefore, it is important to identify the track most frequently used by the population. This was done by designing a mobile application that charts the track that residents take when practicing their sports and sends them to a specially designed data hall to arrange and classify information. Since there are no tracks dedicated to exercising in the Jijel city, Algeria; the study aimed to identify the most frequently used tracks, as well as identify the points that constitute an obstacle in those tracks.

Methods

During April-May 2021, 107 people (76 men, 31 women) from city of Jijel (Algeria) participated in the study (Purposive Sample). Participants were provided with a mobile application (APK file) linked to a database that collects and arranges data and mapped with ArcGIS software. The experiment lasted for 30 consecutive days. Where the application was programmed to start automatically at 06:00 am to 09.00 am. The application maps participants' track, and identifying places where deceleration occurs.

Results

Around eighty-two percent (82.2%) chose three main tracks, two coastal tracks (A,B), and a mountain track (C), These are the paths that have been analysed and studied. A total of 2552 hours of data were collected, with an average of 29 hours per person. In the three tracks, there were 18 sub-tracks (less than 10 meters), These sub-paths are distributed as (A:06, B:09, C:03). The coastal tracks (A,B) witnessed a noticeable slowdown in movement speed. This slowdown is related to the presence of obstacles such as unpaved roads, congested traffic points and narrow pedestrian paths, which witness congestion in the morning. The mountain track (C) considered the least slowed path due to the absence of traffic congestion.

Conclusions

The tracks and the three lanes must be rehabilitated in a way that allows residents to engage in physical activity in a smooth and safe manner. Some changes have been suggested in the lanes and marked with signs dedicated, with a recommendation to intervene at 43 obstacles.
P08-12 Equity review of the relationship between the physical environment and physical activity
Authors: Christiansen Lars B , Høyer-Kruse Jens , Pedersen Marlene R. L , Eriksen Mette B , Hansen Anne F
Published: August 2022

Background

The impact of the physical environment on physical activity is not equal for all citizens. According to the socioecological theory, moderators of the association can for example be income, education, age, ethnicity and gender. These moderating conditions are important for practice in order to plan and initiate the best solutions for different population groups.

Methods

Based on a systematic review process 1464 studies were screened. After title, abstract and full text reading 41 studies remained and constitute the basis for this presentation.

Results

Citizens with different sociodemographic backgrounds are often geographically divided within cities. Looking at the overall characteristics of urban areas, studies show that citizens with lower incomes and shorter education often live in areas with higher population density and generally shorter distances to daily destinations. Conversely, citizens with higher incomes and longer education often have better access to trails, sidewalks and sports facilities. Several of the included studies find that access to facilities is inferior for low-income citizens, but other studies indicate that social and personal factors also play a role in the use of the areas. Adding to this, some evidence possits a lower adoption of for example new bike trails for citizens with shorter education. This leads many of the studies to recommend holistic efforts where improvements in the built environment are initiated simultaneously with other types of efforts that strengthen information, skills and motivation for physical activity. For example, combine cheaper or free access to sports facilities or gyms with marketing and beginners' courses. Another important finding from the equity review is a focus on safety from crime and traffic, which more often is a problem in low income areas, and at the same time a larger perceived barrier for women and elderly people.

Conclusion

The interplay between sociodemographic characteristic and the physical environment is complex, but the review points to some important findings.
P08-15 More active parents, more active children: Association between mode of commuting and physical activity
Authors: Rodríguez-Rodríguez Fernando , Huertas-Delgado Francisco Javier , Sevil-Serrano Javier , Barranco-Ruiz Yaira , Aranda-Balboa María Jesús , Chillón Palma
Published: August 2022

Background

A substantial body of research have shown that parents' behaviours are closely linked to children's behaviours. Although some studies have reported positive association between parents' and youths' physical activity, especially in same sex (father-son; mother-daughter), further studies are required to strengthen these preliminary findings. The main objective of this study was to examine the relationship between fathers' and mothers' physical activity and mode of commuting and sons' and daughters' physical activity and mode of commuting.

Methods

This cross-sectional study included 1,372 participants, 686 parents (43.4±6.5 years; mothers: 52.8%) and 439 children (age: 9.7±1.7 years; girls: 65.1%) and 246 adolescents (14±1.7 years; girls: 68.3%). Each participant completed a self-report questionnaire on physical activity (Parents: IPAQ; Children: YAP) and commuting patterns (PACO: Pedalea y Anda al Cole). The parents completed and signed an informed consent on the characteristics of the study, which was approved by the corresponding ethics committee. Descriptive statistics (mean, standard deviation, and frequency distribution) and chi-square test (p > 0.05) were used to examine this association. Odds ratio (OR) and confidence interval 95% (CI) were used to determine the degree of association.

Results

Most of the sample did not meet Physical activity recommendations, particularly adolescents and parents (children: 46.4%; adolescents: 6.5%; and parents: 7.2%). Less than one third of the sample commute to school/work actively (children: 31.6%; adolescents: 31.0%; and parents: 31.6%). Only the fathers' physical activity was positively associated with their female childreńs physical activity (OR = 2,477, 95%CI: 1,144-5,362). A positive association between fathers' active commuting to work and their children' commuting to school was only found in girls (Girls OR = 2,890, 95%CI: 1,336-6,251), but this relationship was not found in boys' children and adolescents. And another association was found between motherśactive commuting to work and their childreńs commuting (Girls OR = 3,242, 95%CI: 1,343-7,828; Boys OR = 6,381, 95%CI: 2,530-16,091), but not with adolescents.

Conclusions

Parent's physical activity and active commuting to work are closely linked to their children's physical activity and active commuting to school, especially in girls. This study emphasizes the importance to involve parents in school-based interventions to create a positive ripple effect in Physical activity-related behaviours.
P09-02 Risks assessment related to physical activity and sedentary lifestyle profiles among French children and adolescents
Authors: El Ouadrhiri Youssef , Duché Pascale , Vuillemin Anne , Carillo Sandrine , Pinard Peggy , Dubuisson Carine , Margaritis Irene
Published: August 2022

Introduction

Based on Anses's report (2016)[1][1], the French Public Health Policy emphasizes on health status improvement by acting on physical activity and sedentary behaviors. Since 2016, many countries have collected results of large epidemiological studies providing new insights into the effect of physical activity- and mainly sedentary-related behaviors on health. To date, behaviors inducing the highest risks are not identified. In this context, based on the data from the most recent French Food Consumption Survey “(Inca3 2017)”[1][2], Anses aims at characterizing the overweight and obesity risks related to physical fitness regarding the levels of physical activity (PA) and sedentary (SED) daily duration of children and adolescents.

Methods

For 11–17 year-old children, the PA and SED behavior were collected using an adapted Youth Risk Behavior Survey questionnaire. Physical activity and sedentary duration were compared to the thresholds considered as safe (Anses 2016): PA > 60 min/day and SED 20 min/day and SED >4h30/day) were set to disaggregate the population that does not reach these benchmarks, allowing to define nine profiles regarding the associated risks identified and updated in the literature. Profiles were compared according to BMI and age using Pearson chi-square tests. All statistical analysis were performed taking into account the survey complex sampling frame design and the individual weighting.

Results

The preliminary results show nine risk-based profiles of children and adolescents (n = 1285) related to the risk thresholds that can be identified. The most at risk profiles represented almost 50% of the 11-17 years old and were associated with the highest BMI. The highest sedentary (>4h30) profiles were observed in the oldest adolescents. However, among them, regarding the updated literature, those having a high physical activity level were considered as at lower risk.

Conclusion

Finally, definition of profiles based on risk thresholds, >60 min/day and >20 min/day for PA and allows to characterize the children and adolescents the most a risk in order to enhance the effectiveness of public health policy. The risk assessment could be further refined using accelerometer real time measurement of physical activity and sedentary behavior.
P09-05 Can physical activity make up for the self-care disability effects of too much sitting?
Authors: del Pozo-Cruz Jesus , del Pozo-Cruz Borja , Alfonso-Rosa Rosa M
Published: August 2022

Objectives

To determine whether or not, and, what extent the association between sedentary time, moderate to vogorous physical activity and self-care disability.

Methods

Sedentary time was measured with accelerometers. Self-care disability was assessed with th barthel index. A multivariate regression model was used to ascertain the effects of the interaction between sedentary time and moderate to vigorous physical activity on the disability of participants. The Jhonson-Nyeman model was used to estimate the exact mvpa thresfold from which the effect of sedentary time on disability ceased to be significant.

Design: Cross-sectional

Participants: 122 (84 females, mean age 85 years old) older adults.

Results

We found a significant effect of sedentary time on self care disability (p > 0.5). The results also indicated that mvpa moderates the relationship between self-care disability satatus and sedentary time. 51 min/day of mvpa would neglect the sedentary time effects on self care disability.

Conclusions

The negative effects of sedentary time on self care disability can be offset with 51 min/day of mvpa.
P09-07 Physical activity and sedentary behaviour patterns among French adults during the COVID-19 health crisis
Authors: Manneville Florian , Muller Laurent , Omorou Abdou Yacoubou
Published: August 2022

Background

The COVID-19 health crisis and the various restrictions (lockdowns) implemented may have impacted individuals' behaviours (e.g. physical activity [PA] and sedentary behaviour [SB]) and psychological health (e.g., self-esteem or adjustment strategies to cope with stressful events). The objective of this study was to identify PA and SB patterns and to investigate their associations with socioeconomic and psychological characteristics among French adults during the COVID-19 health crisis.

Methods

Cross-sectional data of French adults were collected during the COVID19 health crisis (between March 2020 and February 2021). PA and SB were measured using the International Physical Activity Questionnaire. The Rosenberg Self-Esteem Scale and the Brief Cope questionnaire were used to measure self-esteem and coping strategies, respectively. PA and SB cross-sectional patterns were identified using latent class analysis. Multivariable logistic regression models were used to investigate associations between identified patterns and adults' socioeconomic factors, self-esteem, and coping strategies.

Results

Among the 241 included adults (mean age ± standard deviation: 29.6 ± 13.1 years), three cross-sectional PA and SB patterns were identified:

Compared to the sedentary walker pattern, the walker with intense PA one was overrepresented by socially less advantaged adults, using more planning and less religion as coping strategies to stressful events, and those in the varied PA practitioner pattern used more denial as coping strategy.

Conclusions

More than half of adults were in the least healthy pattern (sedentary walker). These results suggest using PA and SB as levers to cope with stressful life events.
P09-08 24-Hour Physical Behavior Balance for Better Health for All: “The Sweet-Spot Hypothesis”
Authors: Gupta Nidhi , Cillekens Bart , Ketels Margo , Hallman David , Clays Els , Maaike Huysmans , Andreas Holtermann , Coenen Pieter
Published: August 2022

Background

‘Sit less-move more' has been a common advice to improve health of adults. Research indicates that this advice might be health enhancing among adults with sedentary occupations but not among adults with physically active occupations such as cleaners. This may be explained by the considerable differences in 24-h physical behaviors between adults in sedentary and physically active occupations. To provide a scientific approach and encourage research on 24-h physical behaviors and health for those in physically active occupations, we recently proposed the ‘Sweet-Spot Hypothesis'. The hypothesis postulated that the ‘Sweet-Spot' of 24-h physical behaviors for better health differs between adults, depending on their occupation.

Methods

To exemplify such hypothesis, we tested the cross-sectional association between 24-hour time composition of physical behaviors measured using thigh-based accelerometry and self-rated health among adults engaged in white-collar (n = 136), manufacturing (n = 481) and cleaning (n = 130) occupations.

Results

We found that the sweet spot of 24-h physical behaviors for better health was far from ‘sit less-move more' zone among adults with physically active occupations. Specifically, among white-collar workers, 24-h physical behavior distribution associated with the best 5% of self-rated health comprised about 30% of the day spent on sedentary behavior, 45% spent actively, and 25% spent on sleep. However, among cleaners, this distribution was about 50% spent sedentary, 15% spent actively, and 35% on sleep and in manufacturing sector, this distribution was about 35% spent sedentary, 35% spent actively, and 30% spent on sleep.

Conclusion

The advice ‘sit less-move more' may not bring adults in physically active occupations toward their ‘Sweet-Spot' of 24-h physical behaviors for better health. To promote health for all and reduce social gradient, we see a great need for empirically testing the ‘Sweet-Spot Hypothesis' with high-quality data and strong study design. We hope that the proposal of testing ‘Sweet-Spot Hypothesis' will encourage discussion, debates, and empirical research to expand our collective knowledge about the healthy ‘24-h physical behavior balance' for all.
P10-04 Effects of a web-based versus a print-based physical activity intervention for community-dwelling older adults: Results of a randomized trial with a cross-over design
Authors: Pischke Claudia , Voelcker-Rehage Claudia , Ratz Tiara , Peters Manuela , Buck Christoph , Meyer Jochen , von Holdt Kai , Lippke Sonia
Published: August 2022

Background

Despite the crucial role of regular physical activity (PA) for preventing chronic non-communicable diseases, fewer than half of older adults in Germany engage in the recommended levels.

Objective: The aim of this study was to compare acceptance and effectiveness of two interventions for PA promotion among initially inactive community-dwelling adults aged 60 years and above in a nine-month randomized trial with a cross-over design.

Methods

Participants were recruited offline and randomized to (a) a print-based intervention (PRINT n = 113) and (b) a web-based intervention (WEB, n = 129). Thirty percent (n = 38) of those in group (b) received a PA tracker in addition to WEB (WEB+, (c)). All intervention groups were offered ten weekly face-to-face group sessions led by trained student assistants. Afterwards, participants could choose to stay in their group or cross over to one of the other groups. Group sessions were continued monthly for another six months. Three-dimensional accelerometers to assess PA at baseline (T0), three-months (T1) and nine-months (T2) were employed. Intervention acceptance was assessed via self-administered paper-based questionnaires. Linear mixed models were used to calculate differences in moderate-to-vigorous PA (MVPA) between time points and intervention groups.

Results

Of the initially recruited n = 242 participants, n = 91 (37.6%) were randomized to the WEB group, n = 38 (15.7%) to WEB+ and n = 113 (46.7%) to PRINT and n = 195 participants completed T1. Only n = 1 moved from WEB to PRINT and n = 15 from PRINT to WEB (WEB-WEB: n = 103, PRINT-PRINT: n = 76), when offered to cross over at T1. One-hundred and sixty participants completed T2. MVPA in min per day increased between baseline and T1, but these within-group changes in time disappeared after adjusting for covariates. MVPA decreased by 9 min/day between baseline and T2 (βtime = -9.37, 95% CI: [-18.58; -0.16]), regardless of intervention group (WEB vs. PRINT: βgroup*time = -3.76, 95% CI: [-13.33; 5.82], WEB+ vs. PRINT: βgroup*time = 1.40, 95% CI: [-11.04; 13.83]). Intervention acceptance was generally high.

Conclusions

Despite high levels of acceptance of web- and print-based interventions for PA promotion and little movement between groups at T1, when given the choice, participation was not associated with increases in PA over time.
P10-05 Evaluation of a MOOC on Heath Promotion in sports club
Authors: Tezier Benjamin , Johnson Stacey , Vuillemin Anne , Rostan Florence , Lemonnier Fabienne , Guillemin Francis , Van Hoye Aurélie
Published: August 2022

Background

The acquisition of health promotion (HP) skills and knowledge is essential for interventions development [1,2]. Considering the increasing recognition of the potential of HP in sports clubs (SC) [3] and the number of HP interventions [4,5], the development of training to optimize their implementation is important. To this end, the MOOC (Massive Open Online Course) PROSCeSS (PROmotion de la Santé dans les Clubs de SportS) was developed. The objective of this work was to evaluate the learning process of the MOOC, its acceptability and its effectiveness on the HP knowledge and on the abilities to implement the learning.

Methods

Questionnaires were sent to participants before and after the training between November and February 2022. The RE-AIM model, measuring reach (affected audience) of the training, effectiveness (knowledge gained), adoption (motivations to participate in the course), implementation (use of learning), and maintenance (long-term use of learning) was used to structure the study. Descriptive and multivariate statistics were performed using SPSS 23.0 software.

Preliminary Results

Of the 2000 learners, 21% completed the pre-MOOC questionnaire and 5% completed the post-MOOC questionnaire. Among non-exclusive categories, 32% of learners were SC coaches, 26% were managers, 43% were practitioners (on average for 10 years) and 46% were HP or sport professionals. A paired sample t-test showed an 11% increase in the post-MOOC knowledge questionnaire score compared to the pre-MOOC questionnaire, as well as a 10% increase in confidence in implementing HP actions. 48% of learners were “completely satisfied” with the MOOC and 47% “quite satisfied”. The strategies of participatory approach, communication and objective were considered as the most important and feasible while the lack of time, financial and human resources were considered the main barriers to learning's implementation.

Conclusions

SC actors seem to be interested in HP and want to be trained. This MOOC appears to be an effective solution for acquiring knowledge in HP. The results provide indications for the development of strategic tools and inform on strategies recognized as effective and feasible to implement HP projects and face the problems encountered by the SC.