bluuebunny/crossref_metadata_2025 huggingface dataset:
O.2.1-9 Are doctors and nurses engaging in physical activity and its promotion?
Authors: Fawkner Samantha , Bhandari Sara , Watkinson Emma
Published: September 2023

Purpose

Healthcare professionals (HCPs) are ideal providers of physical activity (PA) promotion; a large portion of the population have contact with a form of HCP and they are viewed as trusted and respected role models for health advice. Despite this, we have a very limited understanding of HCPs PA counselling practices. The aim of this study was to evaluate PA levels, attitudes towards PA counselling and counselling practices of UK doctors and nurses.

Methods

The study included two cross-sectional, anonymised, online surveys conducted in 2018/19 (survey 1) and 2019/20 (survey 2). Whether or not participants were achieving the aerobic PA guideline was evaluated using the first 2 questions of the Scot-PASQ survey. Counselling practices were assessed using likert scales to assess the proportion of patients that participants had discussed PA with in the past week and their perceived importance of PA counselling as part of their role.

Results

460 doctors and 169 nurses from the UK completed the survey. 78.3% of doctors and 73.4% of nurses met the UK aerobic PA guidelines. Perceived importance of counselling was high but participants were providing PA counselling on average for less than 25% of their patients. PA counselling was more likely in primary care and doctors were marginally more likely than nurses to counsel on PA.

Conclusion

This cohort of doctors and nurses were active and viewed PA counselling as important. Despite this, PA counselling levels were low especially in secondary care. Efforts should be made to improve knowledge of, and opportunity for, PA counselling in HCPs.
O.2.1-10 Intergenerational leisure-time physical activity across three generations in Finland
Authors: Yang Xiaolin , Kukko Tuomas , Rovio Suvi , Pahkala Katja , Kulmala Janne , Raitakari Olli , Tammelin Tuija
Published: September 2023

Purpose

Associations of leisure-time physical activity (LTPA) in three-generational families has not been well studied. This study aimed to examine these associations in a three-generational data including children, and their parents and grandparents.

Methods

Self-reported LTPA data, along with a range of family sociodemographic and health-related variables, were extracted from the ongoing Young Finns Study. The cohort consists of 2501 children aged 7–38 years, their parents, and grandparents in 2018. Structural equation modeling was fitted to estimate the associations of children’s LTPA with parents’ and grandparents’ LTPA in different age and sex groups.

Results

Interrelationships of parental and grandparental LTPA with children’s LTPA varied by age and sex groups. For children aged 7–12 years, mothers’ LTPA was associated with higher LTPA in both boys (r = 0.22, p = 0.017) and girls (r = 0.34, p < 0.001), while fathers’ LTPA was associated with higher LTPA in boys (r = 0.25, p = 0.01). High LTPA level in maternal grandfathers and grandmothers was associated with higher LTPA in grandgirls (r = 0.29, p = 0.024 and r = 0.23, p = 0.039). For adolescents aged 13–18 years, only fathers’ LTPA was associated with higher LTPA in boys (r = 0.20, p = 0.029). For young adults aged >18 years, fathers’ LTPA was associated with higher LTPA in both young males (r = 0.21, p = 0.004) and females (r = 0.20, p = 0.003), while mothers’ LTPA was associated with higher LTPA in young females (r = 0.13, p = 0.009). High LTPA level in maternal grandfathers was associated with higher LTPA in grandboys (r = 0.34, p = 0.003).

Conclusions

The children’s LTPA levels associated independently with parents’ and grandparents’ LTPA depending on the child’s age and sex. Given the primary results available, further research is warranted to fully understand the interrelationships between parents' and grandparents’ LTPA and their children’s LTPA in order to create effective and targeted interventions.
O.2.2-1 Shining a light on success: the impact of the ‘Ireland Lights Up’ walking initiative on health and wellbeing
Authors: Lambe Barry , McGrath Aisling , Murphy Niamh , Briggs Nicola
Published: September 2023

Purpose

‘Ireland Lights UP’ (ILU) is an annual walking initiative implemented by the Gaelic Athletic Association (GAA) and several other partners in Ireland. The initiative sees more than 1,000 GAA clubs turning on their floodlights for the local community to walk around their grounds over a 7-week period beginning in January. An estimated 35,000 participants take part annually. The initiative has the potential to create sustainable improvements to multiple aspects of physical, social and mental wellbeing. However, there has been limited evaluation of ILU.

Methods

This was a mixed methods study consisting of surveys with adult ILU participants in 12 GAA clubs (n = 181) and semi-structured qualitative interviews with ILU co-ordinators at both club (n = 12) and national level (n = 1). Cross-sectional surveys (six Likert scale questions assessing participation and impact on wellbeing) were administrated via an online link to an MS Form or via a structured interview. The qualitative interviews were conducted using zoom, structured using a hybrid of the RE-AIM and PRISM frameworks and analysed using thematic content analysis.

Results: The average age of survey respondents was 52.3 years and the majority (73%) were female. Almost 60% of respondents reported that they mostly walked with friends and 77% attended more than half of the organised walks. A high proportion of respondents strongly agreed that they exercised more because of ILU (56.4%), spoke to people they would not normally speak to (45.5%) and intended to maintain their increased walking (54.3%). Almost 66% stated that ILU improved their general health and wellbeing. The key themes elicited from the interviews were narratives around the lasting benefits of ILU, the restoration of connections between people, ring-fencing of quality time with friends and family and increasing social capital and connectedness.

Conclusions

Ireland Lights Up is a rare example of a PA programme already operating at scale. The standout benefit of ILU was the creation of social connections at a time when daylight hours are short and PA levels are lower. This study was formative in nature and will help to shape the research design of a more comprehensive evaluation of the implementation of ILU.

Support/funding source

non applicable.
O.2.2-2 An intervention study design to increase physical activity and health using outdoor spaces: the GoGreenRoutes project
Authors: Gomes Thayse Natacha , Suikkanen Sara , Rääsk Triin , Kuu Saima , Väänänen Ilkka , Donnelly Alan
Published: September 2023

Purpose

For outdoor physical activity (PA), it is likely that the quality of the environment is a factor which determines adherence and compliance with PA at the population level. There is some evidence that a higher environmental quality contributes to the improvement of well-being and mental health, and increased in PA. The GoGreenRoutes intervention study will explore the relationship between outdoor environmental quality and PA adherence, and determine whether environmental exposure during PA indirectly influences health.

Project description

The project will be carried out in up to six cities, including Lahti (Finland), Limerick (Ireland), and Tallinn (Estonia) as part of the European Commission-funded project GoGreenRoutes. The participant population will comprise inactive adults of both sexes (aged 30-65y). The intervention will consist of an 8-week self-guided programme, where participants will perform PA in self-selected outdoor spaces (at least 3 times/week, 30min/session). This will be a two-group design, where the experimental group will be given advice and instructions in selecting a green route; while the control group, on the opposite, will be given advice and instructions in selecting an urban/road route. Both groups will receive information about the benefits of PA performed in outdoor spaces (control group) and green/nature spaces (experimental group). Environmental quality in each selected route will be assessed. Time spent in different movement behaviours will be measured at the baseline and week eight, using an activPAL accelerometer over a nine-day measurement period. Further, differences in anthropometric and physical fitness measurements, health perception and quality of life, sleep quality, and beliefs about green exercise will be investigated, as well as their associations with movement behaviours and environmental quality.

Conclusion

The intervention design has been guided by results from the pilot/feasibility study. It will contribute to the understanding of the relationship between environmental quality and PA adherence, and will provide data on the effects of self-selected outdoor route environmental quality on the daily PA undertaken in the sample population.

Funding Source

European Union’s Horizon 2020 research and innovation program, through the GoGreenRoutes research project under grant agreement No. 869764.
O.2.2-5 Health promotion in rural areas. Findings from two German projects on physical activity promotion among disadvantaged populations
Authors: Fleuren Tobias , Till Maike , Ziemainz Heiko , Abu-Omar Karim
Published: September 2023

Purpose

Communities play a crucial role for health promotion, especially for disadvantaged groups. At the same time, rural communities face specific challenges when planning and conducting health promotion projects. This presentation focuses on the challenges and opportunities rural communities experienced in two German projects for physical activity promotion.

Methods

Data were obtained from city administration staff participating in the GESTALT and the BIG projects (N = 13). Data were gathered via three storywall surveys. In addition, a real-world lab with city-administration staff, representatives of sickness funds and researchers was used to follow the communities over time and consult them on project implementation.

Results

The challenges and opportunities occurred can be categorized in five domains: Infrastructure/mobility: Rural areas are often not well connected to public transport. This can hinder people to attend exercise classes. Voluntarily organized transport services or neighborhood assistance might help overcoming this challenge.

Networking

Networking is a double-edged sword. Some staff reported to experience benefits of already existing contacts to relevant stakeholder due to closely-knit communities. Others reported that it is challenging to get in touch with the network partners in the rural areas.

Durability

In some cases, the project funding was seen as a window of opportunity and a starting point for developing new structures for health promotion.

Range of offers

A need of exercise classes in rural areas resulted in the success of the projects. However, the implementation of new programs and activities can be time-consuming. Especially in rural districts, solutions often are planned and implemented on a very small scale.

Implementation

Regarding implementation, there are several challenges to overcome. The communities lacked gyms and qualified instructors for the classes. Reaching the target population was another challenge.

Conclusions

Rural communities face unique as well as general challenges when implementing exercise programs, which can impact success of project implementation. However, rural structures can also result in opportunities for the participating communities.

Support/Funding Source

Funded by the German Federal Centre for Health Education (BZgA) on behalf of and with funds from the statutory health insurance companies according to § 20a SGB V.
O.2.2-7 Pilot study of a health promotion intervention in sports clubs: evaluation of the implementation of the PROSCeSS intervention
Authors: Tezier Benjamin , Van Hoye Aurélie , Vuillemin Anne , Lemonnier Fabienne , Rostan Florence , Guillemin Francis
Published: September 2023

Purpose

Given the health promotion (HP) potential of the sport club (SC) and the paucity of HP interventions rigorously evaluated in this setting, a HP intervention was co-constructed from the Health Promoting SC theoretical framework to enable the application of a setting based approach. The present pilot study investigates the implementation of this intervention and how it is influenced by the characteristics of SCs.

Methods

A qualitative study involving recordings, observations and interviews was conducted with 14 SCs. Implementation of HP strategies and intervention steps was informed by the implementation traces collected during meetings, emails and calls. The influence of SCs characteristics on the implementation of the intervention and strategies was elucidated through semi-structured interviews with the project leaders of each SC. Data were analyzed based on the HPSC model.

Results

4 SCs have implemented between 9 and 13 multi-level and multi-determinant strategies that allow them to develop adapted sports sessions and educational activities nutrition, warm-up and first aid. Their ability to develop HP activities and implement intervention steps is influenced by the human resources available, the support they receive from the sports federations and the ability of a referent to get involved. Identifying SC experiences and resources to promote health and communicating HP activities were the most used strategies. The results and feedback from the project leaders enabled the intervention steps to be reworked and an evaluation design to be developed for future work.

Conclusion

This study highlights the importance of taking into consideration the needs and specificities of the contexts in which HP interventions are deployed, as well as the importance of piloting interventions. The results highlight in particular the relevance of using the setting based approach to develop a global and sustainable approach to health in SCs.

Funding

The work was supported through a partnership between Santé Publique France, Université Côte d’Azur and the Université de Lorraine and through a doctoral grant from the Grand-Est Region and the Pole Biologie-Medecine-Santé of Université de Lorraine.
O.2.3-2 How to effectively develop and modify workplace health programs: case studies in UK contact centers
Authors: Manner Jillian , Steffan Belinda , Jepson Ruth , Baker Graham
Published: September 2023

Purpose

Workplace health programs are often implemented to improve employee health, and subsequently business outcomes (e.g., reducing absence). However, they rarely consider the full range of complexity and variability of organizational factors. This can lead to poor implementation, effectiveness and sustainability. As such, innovative methods which facilitate the development or modification of health programs while considering an organization’s unique organizational culture barriers are needed. Contact center-based organizations in particular have several organizational barriers, which create highly sedentary environments with limited opportunities for physical activity engagement. This study aims to improve the development, implementation and effectiveness of workplace health programs in contact centers by identifying and addressing these barriers.

Methods

This study is underpinned by the Six Steps in Quality Intervention Development framework (6SQuID). 6SQuID emphasizes co-production with stakeholders which is important in ensuring interventions are acceptable and sustainable. Four workshops were conducted in two contact center-based UK organizations over seven months. The workshops, with management, aimed to accomplish the following in each organization: 1) define the problem (with wellbeing programs) and its causal factors (organizational culture barriers), and 2) co-produce theories of change, theories of action and an action plan to address the causal factors and solve the problem.

Results

Organization 1 (private sector, nursing services) defined their problem as: low focus on engagement and participation in wellbeing activities. Organization 2 (public sector, emergency services) defined their problem as: wellbeing programs lack proactivity, engagement and sustainability. Each organization developed an action plan to address the causal factors of their problem and initiate their theory of change pathways (desired short, medium and long-term outcomes). Activity examples included: sanctioning time for well-being program/behaviour participation (e.g., break-taking to reduce sitting) and improving program promotion.

Conclusions

This study provides learnings on how to facilitate more effective development (or modification) and implementation of workplace health programs (especially those related to sedentary behaviour, physical activity and mental health) by including management in identifying and addressing organizational culture barriers. Results have the potential for application to other organizations with desk-based workers.

This study is part of a University of Edinburgh-funded PhD studentship.
O.2.3-4 A standardised core outcome set for measurement and reporting sedentary behaviour interventional research: the CROSBI consensus study
Authors: Curran Fiona M , Dowd Kieran P , Peiris Casey L , van der Ploeg Hidde P , Tremblay Mark S , O’Donoghue Grainne
Published: September 2023

Purpose

Heterogeneity of descriptors and outcomes measured and reported in sedentary behaviour (SB) research hinder the meta-analysis of data and accumulation of evidence. The objective of the Core Research Outcomes for Sedentary Behaviour Interventions (CROSBI) consensus study was to identify and validate, a core outcome set (COS) to report (what, how, when to measure) in interventional sedentary behaviour studies.

Methods

Outcomes, extracted from a systematic literature review, were categorized into domains and data items (COS v0.0). International experts (n = 5) provided feedback and identified additional items, which were incorporated into COS v0.1. A two round online Delphi survey was conducted to seek consensus from a wider stakeholder group and outcomes that achieved consensus in the second round COS (v0.2), were ratified by the expert panel.

Results

The final COS (v1.0) contains 53 data items across 12 domains, relating to demographics, device details, wear-time criteria, wear-time measures, posture-related measures, sedentary breaks, sedentary bouts and physical activity. Notably, results indicate that sedentary behaviour outcomes should be measured by devices that include an inclinometry or postural function.

Conclusions

The proposed standardised COS is available openly to enhance the accumulation of pooled evidence in future sedentary behaviour intervention research and practice.
O.2.3-9 The working shifts & physical literacy factors associated with physical activity level in various settings among nurses: preliminary results
Authors: Coşkun Nida , Uçar Dilara Ebru , Yildizer Günay
Published: September 2023

Purpose

This study aims to examine (I) the importance of working shifts on physical activity (PA) level and (II) the association between physical literacy (PL) and energy spent with PA in occupational, leisure-time, and sports settings among nurses who live most of their time in healthcare environments and are aware of health literacy and PA.

Methods

The data of this cross-sectional study were collected from 201 nurses (MAGE= 34.53±8.41; MBMI= 24.32±4.17) nurses working at hospitals in Eskisehir. Woking shifts were 08:00-16:00 (n = 53), 16:00-08:00 (n = 19), alternating between 08:00-16:00 and 16:00-08:00 (n = 47), and 24-hour shifts with a day off between shifts (n = 82). The 7-Day PA Assessment Questionnaire developed by Karaca and Turnagöl (2007) was used as a data collection tool as it enables individuals to report their various types of physical activities (occupational, leisure-time, sport) in the past seven days, and the energy spent is computed in terms of MET. Moreover, the Turkish version of the PL Questionnaire (Munusturlar and Yıldızer, 2021) was used to measure PL level in knowledge, communication, and self-awareness subdimensions. The data were analyzed with One-way ANOVA and multiple linear regression models.

Results

The one-way ANOVA results indicated nurses working in 24-hour shifts reported significantly higher MET values (276.05±71.07 MET/week) in occupational PA than nurses working between 08:00-16:00 (222.00±53.70 MET/week) and 16:00-08:00 (223.27±73.67 MET/week) shifts, F(3, 200)=8.539, p < 0.001. Regression models indicated that PL was only associated with spent energy in sports activities [F(4,200)=9.21, p < 0.001], but not with occupational and leisure-time PA. Lastly, knowledge was the only PL factor associated with energy spent on sports activities (ß=1.35, OR:0.77-1.93).

Conclusions

24-hour working shifts with day-offs increase energy expenditure with occupational physical activity, however, there was no significant differences were found in energy expenditure with leisure time or sports activities in favor of those who work in these shifts. Moreover, increased physical literacy knowledge is the only factor for increasing physical activity participation through sports activities. Hence, policies, PA prescriptions, and interventions should focus on PL knowledge and understanding.

Support/Funding Source

This study was supported by Eskişehir Technical University Scientific Research Projects Commission under grant no: 23LÖT069.
O.3.1-7 Multi-level stakeholders' perspectives on implementation and scaling up community-based physical activity promotion in Germany
Authors: Birkholz Leonie , Weber Philipp , Helsper Natalie , Dippon Lea , Kohler Simone , Pfeifer Klaus , Rütten Alfred , Semrau Jana
Published: September 2023

Purpose

Community-based physical activity promotion (c-PAP) with a systems perspective has the potential to address health inequity. To achieve a public health impact, such approaches need to be scaled up. For a successful scale up, a concept is needed that is also scientifically grounded and considers practice-based evidence from various stakeholders at different levels and sectors. Therefore, the aims of this study are to assess what kind of external support communities need for implementation and to identify facilitators and barriers for scaling up c-PAP.

Methods

Two digital workshops were conducted in Germany in March and April 2021. Stakeholders at the community level (n = 163) were involved in the first workshop to identify, what kind of external support communities need and what they can accomplish themselves to implement c-PAP. In the second workshop, stakeholders at the federal and state levels from the sport, health, and social sector as well as scientists (n = 92) discussed facilitators and barriers for scaling up c-PAP interventions. Protocols were compiled and coded using qualitative content analysis.

Results

During the first workshop, we identified 14 themes. They represent external support needs, e.g., guidance and assistance by intermediary organization as well as internal efforts that communities can accomplish themselves, e.g., building local networks. In the second workshop, 11 facilitators and barriers for scaling up c-PAP, e.g., political support or an intermediary organization, were identified.

Conclusions

The identified results provide practice-based evidence on support needed for scaling up, facilitators that promote scaling up and barriers that might hinder scaling up c-PAP in Germany. Various stakeholders emphasized the need for collaboration and partnerships across several sectors as well as changes in current political and legal conditions. In a next step, this practice-based evidence needs to be systematically integrated with scientific-based evidence on key components for scaling up such approaches for the development of an effective scaling up concept.

Funding Source

This research was funded by the Federal Centre of Health Education (BZgA) on behalf of and with funds from the statutory health insurances according to § 20a SGB V in the context of the GKV Alliance for Health.
O.3.2-2 Substituting device-measured sedentary time with alternative 24-hour movement behaviours: compositional associations with adiposity, cardiometabolic risk and arterial stiffness in the ORISCAV-LUX 2 study
Authors: Collings Paul James , Backes Anne , Aguayo Gloria A , Fagherazzi Guy , Malisoux Laurent
Published: September 2023

Purpose

There is a considerable burden of sedentary time in European adults. We aimed to quantify the differences in adiposity, cardiometabolic risk biomarkers, and arterial stiffness associated with exchanging sedentary time for alternative 24-hour movement behaviours.

Methods

This observational cross-sectional study included Luxembourg residents aged 18-79y who each provided ≥4 valid days of triaxial accelerometry (n=1046). Covariable adjusted compositional isotemporal substitution models were used to examine if replacing device-measured sedentary time with more time in the sleep period, light physical activity (PA), or moderate-to-vigorous PA (MVPA) was associated with waist circumference, numerous biomarkers of cardiometabolic health (fasting plasma glucose and insulin, triglycerides, high-density lipoprotein cholesterol (HDL-c), the ratio of apolipoprotein B/A1), and arterial stiffness (carotid-femoral pulse wave velocity (cfPWV)). We further investigated the cardiometabolic properties of replacing sedentary time accumulated in prolonged (≥30 minute) with non-prolonged (<30 minute) bouts. The results are presented as 30 minute time exchanges (β (95% confidence interval)).

Results

Replacing 30 minutes of sedentary time with MVPA was favourably associated with waist circumference (-1.09 (-1.68 to -0.51) cm), HDL-c (1.30 (0.68 to 1.93) mg/dL), fasting glucose (-1.02 (-1.64 to -0.39) mg/dL), insulin (-4.71 (-7.12 to -2.24) %), and cfPWV (-1.70 (-2.76 to -0.62) %). Substituting sedentary time with light PA was associated with fasting insulin (-3.29 (-5.71 to -0.81) %), and was the only time-exchange to predict lower triglycerides (-2.32 (-4.38 to -0.21) %) and a lower apolipoprotein B/A1 ratio (-0.01 (-0.02 to -0.00)). Exchanging sedentary time with more time in the sleep period was associated with lower fasting insulin (-2.56 (-3.99 to -1.11)), and also with lower waist circumference (-1.39 (-2.30 to -0.48) cm) and cfPWV (-1.96 (-3.74 to -0.15) %) in short sleepers (<7h per night (n=349)). There was no evidence that replacing prolonged with non-prolonged sedentary time was related to outcomes.

Conclusions

Replacing sedentary time with MVPA is beneficially associated with the widest range of cardiometabolic risk factors, but light PA confers additional and unique benefit. Extending sleep, by redistributing sedentary time, may be an appropriate strategy to lower obesity risk and improve arterial health in short-sleeping individuals.

Funding

Luxembourg Institute of Health.
O.3.2-3 ‘It helped me to disconnect from the problems’: a qualitative study exploring the subjective experiences of people with schizophrenia in a concurrent exercise program
Authors: Tous-Espelosin Mikel , Crone Diane , Iriarte-Yoller Nagore , Maldonado-Martin Sara
Published: September 2023

Purpose

The relationship between exercise and its role in mental health is extensively documented and has led to the inclusion of exercise into adjuvant programs for people with mental health disorders. However, considerably less attention is devoted to the experience of taking part in exercise and perceived health outcomes for people with specific mental health disorders. The aim of this study was therefore to investigate the subjective experiences of a concurrent exercise program designed to improve both physical and mental health, through participation, for people with schizophrenia.

Methods

Participants diagnosed with schizophrenia (n = 35, 41.6±10.3 years) from two locations (a psychiatric hospital and a mental health community support group) received an intensive concurrent exercise program (i.e., aerobic interval training and resistance training within the same session) for a five-month duration, three times a week, at out-of-hospital facilities. Qualitative data was collected via individual, semi-structured interviews, organized, and analyzed with thematic analysis using NVivo software.

Results

A conceptual model developed from the analysis explains the participants’ subjective experiences, opinions, and perceptions of the role of exercise and their perceived outcomes from participation in the program. Six themes emerged from the analysis. The themes ‘expectations about taking part’ and ‘attitude to exercise, the program, and general lifestyle’ appeared to influence participants to take part. The act (and factors associated with it) of ‘taking part’ then led to subsequent ‘perceived outcomes’ and ‘plans’.

Conclusions

Findings from the study support the case for the strategic use of exercise as an adjuvant program and maintenance of holistic health for people with schizophrenia. However, this study also demonstrates the paramount importance of building a continuation plan for participation to ensure sustainable and long-term adherence to exercise. The location of the program appears important to consider (i.e., out-of-hospital), as does the constitution of the group, the type of people, and the exercise program itself. For this clinical group, the exercise intervention not only serves a physical and mental enhancement function but also appears to achieve holistic health benefits such as well-being and important opportunities for social interaction.
O.3.3-4 Development and validation of the obesity-specific decisional balance for Physical Activity questionnaire
Authors: Hayotte Meggy , Beaudet Thomas , Nègre Véronique , d'Arripe-Longueville Fabienne
Published: September 2023

Purpose

Despite the crucial role of physical activity in obesity management, many patients remain insufficiently physically active. The decisional balance, from the transtheoretical model, represents the facilitators and the barriers associated with behavior change (e.g., engaging in regular physical activity). Studies have identified barriers to and facilitators of physical activity specific to the context of obesity. However, to date, there is no scale to measure them. The objective of this study was to develop and validate a preliminary version of the Obesity-specific Decisional Balance for Physical Activity (O-DBPA).

Methods

A series of studies was conducted with a total sample of 350 adults with obesity (Mage=44.3, SD = 14.7 years; MIMC=44.4, SD = 14.7 kg.m2). First, the clarity of the 50 items developed by the expert committee was examined. Second, the dimensionality of the scale was examined through confirmatory factor analyses. Third, reliability tests were performed (i.e., Cronbach's alphas, test-retest reliability). Fourth, theoretical validity of the O-DBPA was examined through its correlations with other theoretically related constructs (i.e., motivation, self-esteem).

Results

Clarity assessment revealed acceptable scores for all items (M = 6.2/7, SD = 1.1). Dimensionality testing led to reduce the scale to 21 items divided into two factors: facilitators of and barriers to physical activity. Each of these factors was composed of three subscales: physical, psychological, and environmental. The confirmatory two-factor model had the best fit indices: χ2(166)=323.67, CFI=0.95, TLI=0.93, RMSEA=0.052. Cronbach's alphas were acceptable or marginally acceptable (i.e., [0.61-0.88]). Temporal reliability, measured with a 4-week interval, was satisfactory. The O-DBPA subscales were significantly related to the motivation and self-esteem constructs in the expected directions, attesting to the theoretical validity of the scale.

Conclusion

The O-DBPA, composed of 21 items, presented good psychometric qualities. This new instrument allowed to examine the obesity-specific barriers to and facilitators of physical activity in French-speaking samples. This new scale offers promising clinical and research perspectives for the promotion of physical activity in adults with obesity.
O.4.1-4 Integrated geriatric care - a community approach to preventing falls and frailty of elderly Slovenian
Authors: Knific Tjaša , Horvat Martina , Gabrovec Branko , Veninšek Gregor
Published: September 2023

Purpose

The need for geriatric treatment is increasing with the aging of the population. Multimorbid patients with social care problems and increased need for rehabilitation and paliative care are more common. Mortality of the elderly, due to falls is 2.5 times higher in Slovenia than in the other EU countries. Until the national regulation of integrated geriatric care in Slovenian health system and in other relevant environments (community, long-term care, social care) and the establishment of appropriate, licensed postgraduate training for health professionals, it is necessary to start educating wider range of health and social care personnel, for most common geriatric syndromes such as frailty, falls and NCDs. Establishing a community approach to health is one effective way to address vulnerability of elderly population.

Project description

Project Integration of geriatric care for the elderly is implementing the existing commitment from WHO Decade of healthy ageing and the Slovenian Health Care Plan until 2025. With planned activities, it will ensure equal access to quality and safe health services, integrated and comprehensive treatment and will contribute to the deinstitutionalization of the Slovenian eldest population. It will develop a unified set of tools, for the systematic identification of elderly needs, new digital tools for optimization and better communication between different levels of providers and training a wider range of new and already employed health and social care personnel, for optimal health care. Evaluation of new competency models for health care personnel, training methods and proposed clinical pathways will be carried out at the end of the project. Based on final proposals, we will establish a new approach to the system level of integrated geriatric care and bring the treatment closer to the patient's home.

Conclusions

Project will also contribute to upgrading competences of physiotherapists, kinesiologists, standard health teams in Health Promotion Centers, community nurses, family medicine and internal medicine doctors and social care workers for the integrated geriatric care for the elderly. It will address especially treatment of the physical component in geriatric syndrome, such as decreased muscle strength, balance, impaired walking and frailty, at different levels of health care and communities.
O.4.1-7 Recreational football training increases leg-extensor force production at high velocities in 55- to 70-year-old adults
Authors: Van Roie Evelien , Poffé Chiel , Jaspers Arne , Boen Filip , Helsen Werner , Koppo Katrien
Published: September 2023

Purpose

Ageing coincides with a blunted ability to produce force at moderate to high velocities. Therefore, improving muscle power, especially at moderate to high velocities, is a crucial target for exercise interventions in middle-aged and older adults. We investigated the effects of 10 weeks of recreational football training on the leg-extensor force-velocity (F-V) profile in 55- to 70-year-old adults. Simultaneous effects on functional capacity, body composition and endurance exercise capacity were examined. In addition, feasibility and the physical demands of the training program were tracked.

Methods

Forty participants (age 63.5 ± 3.9 years) were randomized in a football training (FOOT, n = 20) and a control (CON, n = 20) group. FOOT performed 45-min to 1-h of football training sessions with small-sided games (SSG’s) twice a week. Pre and post intervention, leg-extensor F-V profile (maximal power (Pmax), maximal force (F0), maximal velocity (V0), the slope divided by F0 (SFV/F0)), functional capacity, body composition and endurance exercise capacity were measured.

Results

Results revealed an increase over time for Pmax (ptime = 0.009), but no interaction effect (pint = 0.221). A greater increase in V0 and in SFV/F0 was apparent in FOOT compared to CON (pint = 0.043 and pint = 0.065). No interaction effect was found for F0 (pint = 0.922). Three-step stair ascent power, 10m fast walk, body fat percentage and running speed at 2mM lactate improved significantly more in FOOT than in CON (all pint < 0.1). The SSG’s elicited intense muscular actions and high average heart rates of 85.7% of maximal heart rate. Despite the high training load, participants perceived the sessions as very enjoyable and feasible.

Conclusions

The present study emphasized that recreational football can be used as a feasible, enjoyable and effective training tool in middle-aged to older adults for improving force production at high velocities. This improvement is translated into a better performance on functional capacity tests that rely on high execution velocity. In addition, broad-spectrum health benefits can be realized with only 2 hours of training per week.

Funding

E. Van Roie was supported by the Research Foundation Flanders, Belgium (senior postdoctoral fellowship 12Z5720N).
O.4.2-5 An eight-week pa intervention improves FMS & self efficacy in children with underlying conditions
Authors: Kaar Eoin Andrew , Coppinger Tara , O'Leary Mai
Published: September 2023

Purpose

To evaluate the effectiveness of the “FunFit” pilot intervention, designed to support children awaiting a therapy service within the Irish health system to increase their physical activity (PA) levels and improve fundamental movement skills (FMS). FunFit aims to provide children with a positive experience of PA in a non-competitive, community-based environment. This is a novel collaborative intervention approach for children with underlying conditions in Ireland.

Methods

A total of 14 children (8 male, 6 female) aged 8-12 years (mean age: 9.19 ± 1.03) participated in the eight-week intervention. Trained exercise professionals delivered 1-hour PA classes each week. Pre and post intervention, a PA questionnaire assessed self-efficacy, enjoyment of PA and days of PA per week. 12 FMS (6 locomotor & 6 object control) skills were assessed using the Test of Gross Motor Development – 2 (TGMD-2). Paired T-Tests and Wilcoxon Signed Rank Tests were conducted to analyse improvements.

Results

Nearly all (91.67%) children (N = 13) did not meet the recommended levels of PA before, or after, the intervention and PA levels remained low post intervention (mean days of PA per week: 4.33 ± 1.55). Yet, improvements in overall total locomotor (P = 0.012, effect size (ES) = 0.589), total object control (P = 0.034, ES = 0.499) and total FMS (P = 0.008, ES = 0.629), were evident after the intervention. A positive improvement in enjoyment of PA (P = 0.014, ES = 0.502), and in self efficacy (P = 0.035, ES = 0.430), were also reported after the intervention.

Conclusions

An eight-week PA intervention for children with underlying conditions did not result in children reaching recommended levels of PA. Yet, improvements in FMS, self-efficacy and enjoyment of PA were evident. This evidence suggests that a focus away from PA levels in interventions is needed with these individuals; and instead, providing an intervention that promotes enjoyment of PA in a non-competitive environment in the community setting could be more effective. By doing so, children could be supported in developing their FMS, which may then have a positive knock-on effect on their PA levels over a longer time period.
O.4.2-6 The complexity of physical activity and alcohol consumption in adolescents aged 13-16 years: cross-sectional analysis of Avon Longitudinal Study of Parents and Children data (ALSPAC)
Authors: Codling Saphsa , Phillips Thomas , Martin Colin R , Huang Chao , Smith Lesley
Published: September 2023

Purpose

A recent review indicated that physical activity (PA), facilitated by organisations/clubs, may reduce alcohol consumption in early to mid-adolescence. Our study aims were to examine these factors, and identify how health determinants may influence association.

Methods

Cross-sectional secondary data analysis using UK cohort data from ALSPAC. Ages and sample-size: Time-point (TP) 1: 13-14 (n = 1824), TP2: 15-16 (n = 1334). Variables: minutes per day spent in moderate to vigorous PA > =3 days of accelerometer wear. Ancillary PA variables: Club-type (CT); and frequency of attending club (FAC) collected age 15 only. Risk of alcohol-related harm (RARH) categorised as: no current risk, increasing risk, and at risk (AR). Ordinal regression was conducted at each TP, using PA as a covariate. Explanatory variables (EVs): Psychosocial health (PSH) - Cluster membership numbers generated through K-means cluster analysis (uniquely represented at each TP); Socioeconomic status (SES); Educational attainment; BMI; Smoking status, and Gender. EVs entered into regression model if preliminary X2 tests achieved p<.10.

Results

Regression showed a positive association between PA and RARH at both TPs. Odds of being AR at TP1 were 1.31 greater for each 30 minute increase in PA (95%CI 1.10-1.57; p<0.002). At TP2: OR 1.24 (95%CI 1.01, 1.52; p=.036). TP1: CT (age 15) was not statistically significant at age 13. However, ‘sports club only’ (SCO), had greatest RARH (OR 1.04; 95%CI .806, 1.35; p=.753) vs. no CT. All EVs retained statistical significance at p<.05, excepting IDACI (p = .854) and gender (p = .917). TP2: Although CT was not statistically significant, SCO had the greatest RARH (OR 1.22; 95%CI .798, 1.86; p=.360). RARH was reduced if attending club most evenings vs. no attendance (OR .796; 95%CI .499,1.27; p=.388). Statistically significant EVs were PSH (OR 4.27; 95%CI 3.32, 5.51; p<.001) and smoking (OR 5.39; 95%CI 3.99, 7.29; p<.001). Model fit χ2 331.010, df 11, p<0.001. Pearson .455. Deviance .218. Nagelkerke .251. -2LL test of parallel lines with significance .321.

Conclusions

The relationship between PA and alcohol consumption is complex. While facilitated PA can provide many benefits for adolescents, potential unwanted consequences may be an increase in risk-behaviours like alcohol consumption. Further research is needed for greater comprehension of this association.
O.4.2-9 Shared genetic factors may partly explain the associations between physical activity and cardiometabolic diseases
Authors: Sillanpää Elina , Tynkkynen Niko , Törmäkangas Timo , Palviainen Teemu , Hyvärinen Matti , Joensuu Laura , Klevjer Marie , Bye Anja , Paula Pesonen , Katja Waller , Maarit Kangas , Minna Männikkö , Henri Vähä-Ypyä , Harri Sievänen , Raija Korpelainen , Timo Jämsä , Maisa Niemelä , Samuli Ripatti , Urho Kujala , Jaakko Kaprio
Published: September 2023

Shared genetic factors may contribute to the associations between higher levels of physical activity (PA) and lower risk for cardiometabolic diseases (CMDs), and may partially explain these associations observed in cohort studies. To explore this, we used novel methodology to calculate PA genotypes (polygenic risk score, PRS) and validated them against measured or reported PA in three independent cohorts. We then investigated the associations between polygenic inheritance of PA and cardiometabolic risk factors and diseases in two large population-based biobank datasets, and examined whether selected associations were independent of self-reported PA.

Our study utilized the UK Biobank as a base dataset (N = 400,124) and constructed genomewide PRSs for both self-reported and device-measured PA using single nucleotide polymorphism (SNP)-specific weights and SBayesR methodology. Both PRSs for PA included over one million SNPs. PRSs were constructed in the Finnish Twin cohort (N = 759–11,528), the Northern Finland Birth Cohort 1966 (N = 3,263–4,061), the Trøndelag Health Study cohort (HUNT, N = 47,148), and the FinnGen (N = 218,792). Cardiometabolic risk factors were measured in laboratory conditions, and CMD outcomes were derived from national health registers (ICD codes). We utilized linear, logistic, and cox regression methods for analysis.

Our results showed that genotypes predisposing to higher PA were associated with higher levels of PA in independent datasets, but PRSs accounted for only a limited amount of variation (0.13-1.44%). Genotypes supporting higher PA were associated with lower body mass index [B=-0.002 in HUNT and B=-0.025 in FinnGen] and favorable cardiometabolic health in HUNT (waist circumference [B=-0.003] and HDL cholesterol [B = 0.004]). Genotypes supporting higher PA volumes were associated with lower incidence of CMDs in both HUNT and FinnGen. The strongest associations were found in hypertensive diseases and Type 2 Diabetes. In HUNT, the observed associations were not materially changed after accounting for self-reported PA. Higher PRS for PA was also associated with lower risk of mortality in FinnGen.

Our findings suggest small pleiotropic effects between PA and CMDs. This means that same genetic variation may explain both physical activity behaviour and risk of diseases. PRSs provide new tools for genetic studies in sport science, but they currently have substantial practical limitations.
O.4.3-3 Optimising time-use data to determine the optimal balance between 24-hour movement behaviours for the prevention of childhood obesity
Authors: Gába Aleš , Rasmussen Charlotte Lund , Stanford Ty , Dygrýn Jan , Dumuid Dorothea , Janda David , Hron Karel
Published: September 2023

Purpose

This cross-sectional study aimed to investigate the associations between 24-hour movement behaviours and adiposity and to determine optimal durations for sleep, sedentary behaviour (SB), light physical activity (LPA), and moderate-to-vigorous physical activity (MPVA) for preventing childhood obesity.

Methods

The study involved 659 Czech children and adolescents aged 8 to 18 years, whose 24-hour movement behaviours were measured using wrist-worn accelerometers. Data on sleep duration and time spent in SB, LPA, and MPVA were derived from raw acceleration data recorded for seven consecutive days. Healthy adiposity status was defined as any value of the adiposity indicator below the 85th percentile. The study employed compositional regression analysis to investigate the association between movement behaviour composition and adiposity. An 'optimal day' was defined as the compositional mean of all compositions that were associated with a healthy adiposity status.

Results

We found a significant association between the composition of movement behaviours and visceral adipose tissue (F = 3.672, p = 0.013) in children and the percentage of fat mass (F = 2.733, p = 0.044) in adolescents. The optimal durations of movement behaviours differed across various age groups. For children, the optimal balance of movement behaviours consisted of 8.5 hours of sleep, 10.8 hours of SB, 3.9 hours of LPA, and 0.8 hours of MVPA. For adolescents, the 'optimal day' consisted of 7.5 hours of sleep, 12.4 hours of SB, 3.5 hours of LPA and 0.5 hours of MVPA.

Conclusions

It seems crucial to optimise the duration of sleep, SB, and physical activity of varying intensities to prevent excess adiposity. Additionally, age-specific variations should be considered while suggesting the most appropriate durations for 24-hour movement behaviours to prevent childhood obesity.

Funding source

This research was funded by research grants from the Czech Science Foundation (18-09188S and 22-02392S).