bluuebunny/crossref_metadata_2025 huggingface dataset:
O.4.3-5 Accelerometer-measured sedentary behavior among school-aged children, adolescents, and adults in Finnish population-based studies
Authors: Husu Pauliina , Vähä-Ypyä Henri , Tokola Kari , Sievänen Harri , Vasankari Tommi
Published: September 2023

Purpose

Sedentary behavior (SB), mainly sitting, covers most of the waking hours in Western populations, and is found harmful to health and well-being, partly independently of physical activity (PA). The purpose of the present study was to describe trends of SB among school-aged children, adolescents, and adults in Finnish population-based studies.

Methods

The study is based on three cross-sectional population-based studies: Finnish School-aged PA (FSPA) study (2020 and 2022) for 7-20-year-olds, the FinFit 2021 study for 20-69-year-olds, and the Older Adults PA study (2017-2019) for 70+-year-olds. In each study participants’ physical behavior was measured by a tri-axial accelerometer 24/7 (UKK RM42, UKK Terveyspalvelut Oy, Tampere, Finland). During waking hours accelerometer was worn on an elastic hip-band and during time in bed, a rough proxy of sleep, on a wrist-band attached to a non-dominant wrist. Parameters of SB (sitting and laying down) and standing were based on the angle for posture estimation (APE) method and analyzed in terms of total daily times, different bout lengths, and patterns of SB during the day.

Results

SB covered the majority of waking hours in each participating group. The 7-year-olds had the smallest amount (on average 6h) and the 80-year-olds and older had the highest amount (over 11h) of daily SB. The amount of SB increased from younger to older participants during schoolyears, plateaued during working life, and increased again after retirement. Among children, most of the daily SB accumulated from less than 20-minute bouts, and the differences between the age groups were small. Among adults, these short bouts covered less than half of the total SB time. Bouts lasting 20-60 minutes or more than 60 minutes at a time were most frequent among the oldest participants.

Conclusion

SB is a prevalent behavior in the Finnish population, regardless of age. Since physical behavior, more precisely SB, standing, light, moderate and vigorous PA, and time in bed, form a continuum for 24 hours, an increase in one behavior decreases one or more of the others. Thus, the high prevalence of SB offers great potential for changing physical behavior patterns in a more active and healthier direction.
O.4.4-4 SPORTLAND HESSEN bewegt as an innovative health enhancing physical activity program at state level based on a Health in All Policies (HiAP) approach
Authors: Frank Béatrice , Ondrasch Lena
Published: September 2023

Purpose

The lack of physical activity in our daily lives and the associated health consequences are also a far-reaching health problem in Hesse, which has been amplified by the corona pandemic. To counteract this, Hesse set up its state program “SPORTLAND HESSEN bewegt”.

The aim is to offer the Hessian population a more diverse and better coordinated range of physical activity promotion measures across all ages. This includes raising awareness of the multiple benefits of promoting physical activity, increasing the intersectoral cooperation between all relevant actors, linking the numerous existing efforts to promote physical activity in profitable manner and expanding programs and structures across all ages.

The state program, which sees its mission as a challenge for society as a whole, is primarily targeting all relevant multipliers who can make Hessen more active: from politics to providers of physical activity programs in the municipalities. Not only sports organizations play a central role here, but also players from the fields of education, urban development, transport, health, environment and many more.

Project description

To this date five state ministries, the state sports association as well as the state association for health promotion are involved as well as many other partners.

For this purpose, a structure was created that enables all stakeholders to work together, taking into account the different age groups. As think tanks for the development of measures to promote physical activity, interministerial and intersectoral working groups have been initiated. In addition, coordinators for the promotion of physical activity at municipal level are being established, funding programs for sport clubs were set up and exercise checks are being carried out at primary schools.

Conclusions

As the WHO states in their global action plan on physical activity, increasing physical activity requires a systems-based approach. However, there is no blueprint for such a HiAP approach for the promotion of physical activity.

State government, organized sport and many other partners are pulling together to motivate citizens to adopt a more active lifestyle. By working together, the stakeholders and citizens will hopefully benefit of the synergies and further innovative measures and approaches can be established.
O.4.4-5 Transition of the chronically ill patient to a physically active lifestyle: a DELPHI study with experts from the field of sport
Authors: Mathéi Edwin , Mouton Alexandre , Petit Axelle , Horin Gautier
Published: September 2023

The purpose of this study is to gather the opinion of experts from the sports/association context on the theme of physical activity for chronically ill patients in the out-of-hospital context.

To conduct this study, we used the DELPHI methodology (Dalkey & Helmer, 1963). This method is used to reach a convergence of opinions on a subject with experts from the related field. This methodology consists in a succession of survey submitted to our population of sport experts (n = 62). Every survey is preceded by a feedback about the previous results: in that way experts can answer the following survey taking into account the opinion from the majority of respondents. Surveys have been sent to the expert electronically using SurveyMonkey®. This study contains three consecutive surveys (rounds). Each survey has been validated by the Content Validity Index (CVI) methodology to assess the relevance and the clarity of statements (Rubio et al., 2003).

Each steps of the DELPHI process have been segmented in six sections: participants, stakeholders, communication/transition, type of activity, financial aspects and motivation. After the three rounds of the DELPHI a consensus has been reached for every section of the survey (more than 60% of approval on the topic). 81% of the experts agreed that assessments were needed for participants before taking part in sport activities. 63% of the experts agreed that stakeholders needed at least a bachelor’s degree in sport sciences to supervise activities. 75% agreed that the groups must be rather small (4-5 persons). 78% agreed that participants have to pay, at least partly, for their participation. 81% agreed that social interactions are the main motivational factor of out-of-hospital sport activity among those participants.

Despite several limitations, this study led to encouraging results concerning the development of physical activities for chronically ill patient in out of hospital context. We believe that these results will enable sports associations to have a basis for developing “sport-health” activities, tailored to the local context. In the other hand, we also believe that our research will raise awareness of the role of local specialists in physical activity promotion among this type of population.
O.4.5-5 Are more active children healthier in the long run? – Results from the MoMo study
Authors: Kolb Simon , Burchartz Alexander , Klos Leon , Niessner Claudia , Volk Carmen , Haaren-Mack Birte von , Schmidt Steffen , Tschuschke Lara , Schlag Elena , Woll Alexander
Published: September 2023

Purpose

Various recommendations emphasize the importance of regular physical activity (PA) for building and maintaining health in adults as well as in children and adolescents. Using longitudinal data from the German MoMo study, this analysis aimed at investigating whether children who were more active over time were healthier eleven years later compared to those that were less active over the time.

Methods

1407 participants (55.5 % female; mean age at Baseline = 8.2 ± 3.8 y.) completed three times of measurement within three survey waves of the MoMo study (Baseline: 2003 – 2006; Wave 1: 2009 – 2012; Wave 2: 2015 - 2017). The study included a self-report questionnaire among others. Participants who reported active participation at all times of measurement were compared to those who reported no participation at all. The groups were compared regarding their self-reported health status, and whether they reported recurrent headache in the past three months. 95%-Confidence Intervals (95%CI) were used, and odds ratios were calculated to determine differences between the groups.

Results

The active group was more likely to rate their health as “very good” (46.9%, 95%CI = [30.9,63.6]) compared to their fewer active peers (18.4%, 95%CI = [11.3,28.6]) (OR(95%CI) = 3.9 [1.6,9.7]). Additionally, the active group reported less recurrent headache (35.7%; 95%CI = [31.3,40.4]) at the last measurement point compared to the least active counterparts (55.5 %; 95%CI = [48.9,62.0]) (OR(95%CI) = .5[.3,.6]).

Conclusions

Continuous physical activity during childhood and adolescence, e.g. in a sports club, not only increases the chance of a better self-perceived health, but also seems to reduce the risk of health impairments, such as recurrent headaches. Therefore, promoting physical activity as proposed by the World Health Organization and others is an important part of a healthy lifestyle.

Support/Funding Source

This work has been developed within the MoMo-Study (MoMo) (2003 – 2021). MoMo is funded by the Federal Ministry of Education and Research (funding reference number: 01ER1503) within the research program ‘long-term studies’ in public health research.
O.4.5-9 Moderate-to-vigorous physical activity assessed by tri-axial Accelerometers and its association with the risk of obesity in 6-10 years-old children
Authors: Machado-Rodrigues Aristides M , Rodrigues Daniela , Gama Augusta , Nogueira Helena , Silva Maria-Raquel , Mascarenhas Luís P , Padez Cristina
Published: September 2023

Purpose

There is a worldwide agreement that children should participate in at least 60 min of moderate-to-vigorous physical activity (MVPA) daily to achieve substantial health benefits. Furthermore, using triaxial-accelerometers has become more accurate practice in the study of childhood obesity. The present study aimed: i) to compare PA intensity levels and Body Mass Index (BMI) of boys and girls, and assess MVPA recommendation compliance of active children; ii) to examine associations between the risk of overweight and the MVPA in children.

Methods

The sample of 395 children (198 girls) aged 6-10 years was assessed. Height and weight were measured, and BMI was calculated subsequently. A tri-axial accelerometer was used to obtain seven consecutive days of MVPA, as well as the weekly time being sedentary. Logistic regression analysis was used to analyse the above-mentioned relationship between MVPA and the risk of obesity, controlling for potential confounders.

Results

About 47% of boys were active on week days by achieve the mean value of 60 min/day of MVPA; corresponding percentage for the weekend was just 32%. Among girls, only 22% were active on week days and 29% at the weekend. MVPA was not significantly associated with the risk of being overweight nor in female neither in male children. The final regression model revealed that girls of mothers with high educational level were less likely to be classified as overweight girls.

Conclusions

Findings of the present study revealed no significantly relation between MVPA and obesity risk among Portuguese children. Future research should extend similar design to other lifestyle features of children to clarify potential predictors of being overweight at early ages.

Support/Funding Source

Fundação para a Ciência e a Tecnologia [PEst-OE/SADG/UI0283/2013].
O.5.1-1 Physical environment perceptions in rural and urban areas and their influence on adolescents’ walking and non-motorized vehicle use
Authors: Klos Leon , Fiedler Janis , Nigg Carina , Burchartz Alexander , Hinz Thomas , Wäsche Hagen , Niessner Claudia , Woll Alexander
Published: September 2023

Purpose

Environment perceptions influence adolescents’ active transport. However, most studies focus on urban areas only and do not differentiate between walking and the use of non-motorized vehicles (NMV; e. g. cycling, skateboarding). Therefore, we aim to describe differences in perceived environment attributes across urbanicity levels and assess the relationship between perceived environment and walking as well as NMV in adolescents stratified across urban and rural areas.

Methods

We used cross-sectional data including age, gender, socioeconomic status, environment perceptions, duration of walking, and NMV use of 3,976 adolescents (14.5±2.0 years, 51% female) from the nationwide Motorik-Modul Study Wave 2 (2014-2017) and Wave 3 pre-Covid (2018-2020) in Germany. Separate cumulative link mixed models were calculated for rural areas, small towns, medium-sized towns, and cities to analyze relationships between environment perceptions and walking as well as NMV use.

Results

Adolescents in urban areas report higher presence of recreation facilities, walking and cycling infrastructure, cars, and children playing outside as well as better access to shops and bus stops compared to adolescents in rural areas. The latter perceive their neighborhood to be safer from crime and more pleasant for walking and cycling compared to urban areas. The relationships between environment perceptions and walking differ between urbanicity levels. For example, public sports facilities (OR = 1.29), cycling paths (OR = 1.30), and car presence are associated with walking in rural areas, whereas having access to shops (OR = 1.26) is associated with walking in cities. Rural-urban differences are also found for NMV use. For example, access to shops (OR = 1.16), cycling paths (OR = 1.29), and having a pleasant neighborhood for walking and cycling (OR = 1.29) are associated with NMV use in rural areas, whereas in cities, car presence (OR = 0.80) relates to NVT use. Public sports facilities (OR = 1.23-1.33) are associated with NVT use across urbanicity levels (all p < 0.05).

Conclusions

This work suggests that active transport behaviors of rural and urban living adolescents are influenced by different neighborhood environment characteristics. Therefore, programs targeting active transport should consider specifics of the rural or urban context. Further, there is little overlap between factors associated with walking and NVT use, highlighting different needs based on transport mode choice.
O.5.2-3 Women’s experiences of being physically active during the menopause life stage
Authors: Fitzsimons Claire , Reid Janis , Sivaramakrishnan Divya , Mutrie Nanette , Niven Ailsa
Published: September 2023

Purpose

There is growing evidence for the benefits of physical activity (PA) during the menopause life stage (MLS) in relation to general health and wellbeing, managing symptoms, and protecting against future ill health. However, Scottish national surveillance data shows a decline in women achieving PA guidelines across the MLS (40% 35-44yrs, 28% 55-64yrs). This work was part of a larger research study. In this abstract, we present qualitative data on women’s experiences of being physically active during the MLS, with a particular interest on mental wellbeing (MWB).

Methods

Four focus groups took place (MS Teams) with women experiencing the MLS (Oct 2022, N = 24, mean age 52.6yrs). Discussion was structured around four questions – what helps/hinders PA during the MLS; how does/did PA influence mental wellbeing during the MLS; and what could be done better/differently to support women to be active during the MLS. Informed by contemporary understanding of behavior, a thematic analysis was undertaken to identify the role of Capability, Opportunity and Motivation on Behaviour (COM-B).

Results

Physical and psychological capability to be active was negatively impacted by menopause symptoms including painful joints, heavy periods, tiredness, and declining mental health. Having access to HRT helped manage menopausal symptoms and therefore increase PA. A lack of time, suitable opportunities, and lack of support from healthcare professionals limited physical opportunities, while the support of other people and social connections enhanced PA. Motivation and confidence to be active was suppressed, but many were aware PA eased psychological symptoms of the MLS, particularly if outdoors. A range of suggestions were made to support PA including enhanced education and opportunities, increased social support, greater access to tools and resources, and prioritising self-care.

Conclusions

Multiple factors influenced PA behaviour during the MLS, and the COM-B model provided a useful framework to understand these. Supporting PA during the MLS is a priority to prevent PA levels falling during this life-stage that then persists into older age. A toolbox of strategies are needed in order to better support women to be active during the MLS.

Support/Funding Source

This work was funded by SAMH, the Scottish Association for Mental Health.
O.5.2-4 ‘Experience of the menopause transition with reference to symptoms, health, and wellbeing, and how they impact motivators, facilitators, and barriers to physical activity engagement’
Authors: McNulty Kelly Lee , Lane Aoife , Kealy Rosarie , Heavey Patricia
Published: September 2023

Purpose

To explore experiences of the menopause transition (MT) of women living in Ireland with reference to symptoms, health, and wellbeing, and how they impact motivators, facilitators, and barriers to physical activity (PA) engagement.

Methods

Eleven, perimenopausal, Irish women (age: 51 ± 3 years) participated in individual, online, semi-structured interviews. During each interview women were asked about their experience of the MT and its influence on PA engagement. All interviews were digitally recorded and transcribed verbatim, resulting in ≈ 51, 951 of words for descriptive and thematic analysis. Three to four themes were identified under the headings of motivators, facilitators, and barriers to PA engagement.

Results

The MT was a significant event in most women’s lives that influenced PA engagement. The main motivators to engage in PA throughout the MT included safeguarding against long term health conditions, managing menopause symptoms, enjoyment through both socialising and achievement, as well as encouragement from family and role models. Many women discussed that feelings of community and collective experience through menopause fraternities, adapting and modifying, and medical supports were key factors that facilitated PA engagement throughout this life stage. There were a multitude of barriers that women in midlife faced before they could engage in PA, such as fears surrounding their capability to engage in PA, symptoms associated with the MT, the busyness of life and competing demands, as well as a lack of relatable opportunities and feelings of belonging within certain PA environments alongside other practicalities, including environment location and cost.

Conclusion

The specific motivators, facilitators, and barriers to PA engagement that women experience throughout the MT are unique which is an important consideration for stakeholders when facilitating women to either continue or (re)introduce PA during this life stage.

Support/funding source

Sport Ireland Research Grant Scheme.
O.5.2-5 Piloting a text message intervention to increase physical activity and exercise after post-stroke rehabilitation: the KATS study (Keeping Active with Texting after Stroke)
Authors: Morris Jacqui , Irvine Linda , Farre Albert , Dombrowski Stephan , Breckenridge Jenna , Ozakinci Gozde , Lebedis Therese
Published: September 2023

Purpose

After stroke rehabilitation, people feel abandoned by services and struggle to undertake physical activities to support recovery and health. Text messaging interventions can reach many people at low cost but have not been used widely after stroke. This study pilot-tested a text message intervention (KATS) to promote post-rehabilitation activity.

Methods

We developed KATS using: formative research on post-stroke activity; stakeholder engagement (people with stroke and rehabilitation therapists) to identify priorities; the Health Action Process Approach to structure the behaviour change intervention; and stakeholder review before pre-testing. KATS components included: increasing motivation; goal setting and planning; self-monitoring; coping planning; and maintaining regular activity. KATS comprised 95 messages, delivered by computer programme, over 12 weeks. Text messages explained and modelled KATS components using Behaviour Change Techniques effective for changing health behaviours. Messages used conversational language to encourage engagement, some asked questions on current activities. Quotes from survivors modelled behaviours, providing encouragement and authenticity. Some messages were personalised to include participants’ names.

We piloted KATS with community-dwelling stroke survivors, using mid and end-of-intervention interviews to explore experiences of KATS. We analysed qualitative data using Normalisation Process Theory to examine how participants made sense of KATS and embedded it in everyday activities.

Results

Following piloting, from 24 interviews with 12 participants, we derived four analytical themes: (1) Making sense of KATS: Timing and complementarity in the rehabilitation journey; (2) Engaging with KATS: Connection and identification with others; (3) Making KATS work: flexibility and tailorable guidance; (4) Appraising the worth of KATS: encouragement and friendliness. Participants differentiated KATS from current rehabilitation practice, finding it relevant, fitting, and worthwhile. They reported variations in engagement with behaviour change techniques, but participants could tailor KATS use, making it work for them in different ways.

Conclusions

KATS was seen as useful and acceptable to stroke survivors. Perceived benefits went beyond promoting physical activity, to feeling supported and connected. Future research will test effectivenes of KATS in promoting physical activities and explore associations with functional, social and emotional secondary outcomes. The study illustrates the importance of co-design in interventions for clinical populations.

Funder

Scottish Government Chief Scientist Office.
O.5.2-6 Using the Physical Activity Messaging Framework to investigate physical activity messaging preferences in new mothers
Authors: Williamson Chloë , Baker Graham , Kelly Paul
Published: September 2023

Purpose

Evidence suggests PA levels decline during pregnancy and remain low during the postpartum period. PA can reduce risk of excessive gestational weight gain, gestational diabetes, and symptoms of postpartum depression. One way to encourage postpartum to engage in PA is through PA messaging. This study aimed to apply the novel Physical Activity Messaging Framework (PAMF) to develop targeted messaging recommendations for postpartum women.

Methods

Proof-of-concept study. Semi-structured individual interviews were conducted with seven new mothers from North Tyneside and Northumberland (mean age 33.6 years). The interview schedule aligned with sections of the PAMF to explore preferences around: (1) message aim and pathway, (2) message content, and (3) message format and delivery. Interviews were audio recorded and transcribed verbatim. Framework analysis was used to identify trends, similarities, and differences in the data.

Results

Key findings related to the three sections of the PAMF. (1) This study identified important potential aims and working pathways for messages to this group, such as reducing barriers to PA and educating new mums on benefits. (2) Findings included that tone and language used in messages should be empathetic and reassuring, and that messages should be gain-framed. New mums value the social and acute mental health benefits of PA, such as connecting with other mums and relaxing. This study also demonstrated the importance of using realistic and inclusive images in PA messages. New mums may find the 150-minute PA guideline unachievable, with a preference for shorter bouts of PA and clear, practical advice. (3) Social media was identified as an viable delivery platform for new mums, and healthcare providers were identified as important messengers.

Conclusion

This study found the PAMF to be a helpful tool to inform data collection, data analysis and organisation of findings in a study aiming to develop PA messages. Findings relating to message aim and pathway, message content, and message format and delivery were identified, and specific targeted PA messaging recommendations for new mums were provided.

Funding source

This research was conducted as part of CW’s PhD, funded by the University of Edinburgh’s Principal’s Career Development Scholarship, Oct 2018 - Jan 2021.
O.5.3-7 Evaluation of implementation strategies promoting Interprofessional Collaboration Practices among social and health professionals involved in fall prevention in the community
Authors: Velde Saskia te , van Scherpenseel Meike , van Veenendaal Lidia , de Vries Sabine , Zuidema Rixt
Published: September 2023

Purpose

Fall prevention practices (FPPs), including exercised-based programs, are effective in reducing fall rates among community-dwelling older adults, but they are not implemented enough to reach their full potential. Given the multifactorial nature of falls, these FPPs should have an integrated approach where multiple social and health professionals achieve good Interprofessional Collaboration Practices (ICP). The aim of the current study is to evaluate implementation strategies promoting ICP among professionals involved in fall prevention.

Methods

We performed longitudinal process evaluations with a mixed-methods approach including document study, dynamic learning agenda (DLA), and a social network analysis (SNA) survey in four communities in the region of Utrecht, the Netherlands. Professionals involved in fall prevention participated in regular meetings and responded to SNA surveys. This survey was distributed at baseline, after six, 12 and 18 months, which measured, among other things, the number of links between professionals. Evaluation whether the implementation strategies, such as training, providing a social care map and establishing referral pathways, improved ICP were guided by The Conceptual Framework ICP.

Results

Data collection is ongoing and results will be updated. Until now, the SNA shows that in all communities physical therapists and primary care and community nurses play a central role, and that over time more professionals were included in the network. The DLA showed that changes in barriers for ICP differed per community; in one community time and budget remained main barriers, while in another community barriers were successfully transformed in facilitators. For example, initially professionals did not know each other well, but after using the implementation strategies they understood each other's role better, which highly facilitates efficient ICP.

Conclusions

The effect of implementation strategies are dependent on local contexts. Furthermore, continuous evaluations, such as insight in present barriers and facilitators, and reflections are necessary to select the implementation strategies that fit best to the current context. These findings will help professionals involved in fall prevention to implement and upscale FPPs in the community.

Support/Funding Source

This research is co-financed by Regieorgaan SIA, part of the Netherlands Organisation for Scientific Research (NWO) (project number RAAK.PRO03.099).
O.6.1-2 Motor competencies of elementary-school aged children – investigating the conjoint impact of parenting, school grounds quality, children’s movement behavior and self-confidence
Authors: Algurén Beatrix , Tang Yiling , Pelletier Chelsea , Naylor P-J , Faulkner Guy
Published: September 2023

Purpose

To understand factors that impact on children’s motor competencies (MCs) from a socio-ecological perspective.

Methods

The study is a cross-sectional sub-study of a three-year longitudinal cohort study called ‘Physical Literacy for communities (PL4C)’ in the West Vancouver school district. Motor competencies were assessed by the Physical Literacy Assessment for Youth (PLAY) Fun tool. Children were asked to perform 18 different movement tasks across five domains: running, locomotor, upper and lower body control, balance.

Children’s objective physical activity was measured using wrist-worn accelerometer Actigraph GT3X+BT. Through a survey, parents were asked about their children’s amount of time playing outside during workdays and weekdays as well as time doing sports or instructor-led physical activity.

The Activity Support Scale for Multiple Groups (ACTS-MG) were included in the survey measuring parental support for children’s physical activity.

Quality of the 14 school grounds was measured by using the Sport, Physical activity and Eating behavior: Environmental Determinants in young people (SPEEDY) school grounds audit tool existing of six component scores: cycling provision, walking provision, sports and play facilities provision, other facility provision, design of the school grounds, aesthetics.

Results

Complete assessment of motor competencies (with PlayFun) were done for 319 children with average age of 7.5 years (90%; 166 boys, 147 girls, 6 non-binaries), whereof the majority was on an emerging- level (79%) regarding overall MC and one fifth on competent- level (n = 67). Participants accumulated MVPA about 111 minutes per day (113 min/d for boys, 109 min/d for girls, p = 0.37). Children with competent-level MC had in average 15 minutes/day more MVPA compared to children with emerging-level MC (p = 0.001). Analysis with structural equation modeling (SEM) revealed that direct significant effects of parenting, school grounds quality, children’s movement behavior varied for each MC and overall MC and between gender. ‘Logistics’ turned out to influence significantly positive most often, and had a positive significant effect on males and females overall MC (g = 0.267, p = 0.004 and g = 0.247, p = 0.011).

Conclusions

Beside parents logistics support and participation in sports, school grounds seems to impact positively children’s MCs, yet different school grounds qualities enhance girls’ and boys’ MCs in different ways.
O.6.1-3 The association between education outside the classroom, intrinsic school motivation, and physical activity in primary school pupils
Authors: Mikkelsen Silje , Müllertz Alberte Laura Oest , Bølling Mads , Aadahl Mette , Elsborg Peter
Published: September 2023

Purpose

The decline of school motivation over a school year is a common issue that can have negative impacts on academic achievement and children's health. Education outside the classroom (EOtC) has been shown to positively affect intrinsic school motivation and physical activity (PA) in previous studies. However, the relationship between motivation and PA during EOtC remains unclear. This study aims to investigate the association between EOtC and intrinsic school motivation and what role PA has in this association.

Methods

Cross-sectional data from the Danish MOVEOUT study intervention group were collected from 225 primary school pupils aged 10-15 from 15 different school classes from September 2022 to February 2023. Intrinsic school motivation was measured by Intrinsic Motivation Inventory and Psychological Need Satisfaction Scales (BPNSS) items at pupil-level immediately after two EOtC and two non-EOtC schooldays. PA was measured with wrist band worn Axivity® AX3 accelerometers. Data was analysed with linear mixed models.

Results

The study found a positive association between EOtC and higher levels of school motivation. The study also found associations between PA and intrinsic motivation, indicating that more time spent in sedentary behavior was associated with less school motivation, while more time in light intensity activity was associated with higher school motivation. However, the data did not support that PA moderates the association between EOtC and school motivation.

Conclusion

The results of this study suggest that EOtC have a positive impact on pupil’s school motivation. We therefore recommend the use of EOtC to enhance intrinsic motivation. The study also highlights the importance of reducing sedentary behavior during school days. These findings can inform education policymakers and teachers in designing learning environments, lessons, and activities that promote pupils’ motivation and academic and personal growth.

Funding

Novo Nordisk Foundation (Grant no. 0062703).
O.6.1-10 Associations between physical education anxiety and physical fitness through five years
Authors: Jaakkola Timo , Costigan Sarah , Gråsten Arto , Huhtiniemi Mikko
Published: September 2023

Purpose

Physical education is an important context to contribute students’ physical activity in childhood and adolescence. However, negative physical education experiences may have a long-lasting association on students’ willingness to participate in physical activity. The associations between students’ anxiety in physical education and physical fitness have not been previously investigated. The aim of this longitudinal study was to analyse associations between physical education anxiety and physical fitness through five years.

Methods

Participants of this study included 1147 Grade 5 students (565 males) (mean age: 11.27(0.32) years) at the baseline measure. These participants were measured annually between Grades 5 to 9. The Finnish version of the Physical Education State Anxiety Scale (Barkoukis, 2007) was used to measure cognitive anxiety in physical education. Physical fitness was measured by 20meters shuttle run test (cardiorespiratory fitness) and curl-up and push-up tests (muscular fitness). Sex, BMI and peak height velocity was used as covariates in the analysis. Associations between study variables were measured by the Random Intercept Cross-Lagged Panel Model using Mplus statistical software.

Results

Between level results (squared multiple correlations) of the analysis demonstrated that cognitive anxiety was related to cardiorespiratory (-.32) and muscular fitness (-.34) over five years. Additionally, sex (-.12; girls higher anxiety), BMI (.16) and peak high velocity (-.23) had significant associations with cognitive anxiety.

Conclusions

This study revealed that cognitive anxiety in physical education has an influence on student’s physical fitness longitudinally. These findings were similar between anxiety and cardiorespiratory fitness and between anxiety and muscular fitness. Results demonstrate that negative physical education experiences have an association on cardiorespiratory and muscular fitness from late childhood to adolescence. Constructs of the Self-determination theory (basic psychological needs) and Achievement goals theory (task orientation) are helpful when implementing positive pedagogy in physical education.

Support/Funding Source

Finnish Ministry of Education and culture funded this study.
O.6.2-3 The Global Observatory for Physical Education (GoPE!): monitoring physical education and physical activity in children and adolescents worldwide
Authors: Martins João , Onofre Marcos , Cristão Rafael , Varela Andrea Ramirez , Pratt Michael , Hallal Pedro C
Published: September 2023

Purpose

It is estimated that 80% of children and adolescents do not meet the 60 min of moderate-to-vigorous intensity physical activity (PA) per day to benefit their health.1,2 Strengthening the provision of quality physical education (PE) and PA experiences within schools is a highly recommended policy action.3 Furthermore, there is a gap in monitoring systems of PE&PA at schools, which would contribute to tracking progress and inform decision-making to drive PE&PA policy, action, and research in this population group.4 After 10 years of successful monitoring of adults’ PA by The Global Observatory of Physical Activity (GoPA!), there is an urgent need to complement and initiate high-quality monitoring in children and adolescents. The Global Observatory of Physical Education (GoPE!) will be launched in 2023, therefore, our purpose is to present the GoPE! to the HEPA network.

Project description

Placed within the GoPA!, GoPE!’s main mission is to monitor PE and PA in children and adolescents worldwide. The GoPE! monitoring system will use a set of surveillance, policy, and research standardized indicators to allow countries to initiate, determine and improve their current status and progress around PE and PA. Standardized indicators will be updated every 3-4 years, allowing comparability between countries and world regions. GoPE! will publish the country profiles [GoPE! Country Cards], which are going to be developed following the GoPA! stepwise approach, and will consolidate as an independent evidence and local representatives-based and global surveillance system including the best PE&PA and sports experts, researchers, practitioners, and policymakers.

Conclusions

GoPE! will demonstrate its critical role in facilitating periodic PE&PA surveillance, policy and research data, to inform promotion, advocacy, and agenda-setting efforts to achieve international goals and recommendations. GoPE! and GoPA! will continue to monitor progress to battle the global pandemic of physical inactivity across the life course.

References

1 USDHHS. 2018 PA Guidelines Advisory Committee Scientific Report. Washington: USDHHSD;2018.

2 van Sluijs, E. et al. PA behaviours in adolescence: current evidence and opportunities for intervention. The Lancet. 2021;398(10298):429-442.

3 WHO. GAPPA 2018–2030: more active people for a healthier world. Geneva;2018.

4 WHO. Global status report on PA 2022. Geneva: WHO;2022.
O.6.2-4 Please stop claiming that elite sport influences the general population to practice physical activity!
Authors: Lion Alexis , Vuillemin Anne , Léon Florian , Delagardelle Charles , van Hoye Aurélie
Published: September 2023

Purpose

The Paris 2024 Olympic Games Organisation Committee claims that “another impact of the Games on society is reflected in the increase in the practice of sports”. Decision-makers and policymakers still use the trickle-down effect to legitimize spending public money to support elite sport events and/or to finance elite sport programs/athletes. We therefore wanted to investigate if this effect was not a myth.

Methods

We conducted structured Boolean searches across five electronic databases (Pubmed, JSTOR, Web of Sciences, Sportdiscus, and PsycInfo) from January 2000 to August 2021 using the following equation: ((“elite” OR “high level” OR “performance”) OR (“Olympic*” AND *Games”) AND (“sport” OR “athletes” OR “players”)) AND ((“physical activit*” OR “sport” OR “exercise”) AND (“participation” OR “practice”)). We also conducted manual searches using the reference lists of the recovered records. Peer-reviewed studies in English were included if the effects of hosting elite sport events, elite sport success, and elite sport role-modelling on physical activity (PA) or sport practice in the general population were measured.

Results

We identified 12,563 articles and included 36 articles. Most studies used data from the United Kingdom (n = 10), Australia (n = 5), Canada (n = 4), and multiple countries (studies using data from several countries) (n = 4). Seven articles investigated more than one effect of elite sport. Most studies investigated the effect of hosting elite sport events (n = 27), followed by elite sport success (n = 16) and elite sport role-modelling (n = 3). Most studies did not observe an effect of hosting elite sport events, elite sport success, or elite sport role-modelling on PA/sport practice in the general population. We also did not observe any evidence of elite sport effects according to the age range, the geographical scale, or time.

Conclusions

There is no evidence supporting an effect of elite sport in increasing PA or sport participation in the general population. Decision-makers and policymakers should not use the tickle-down effect of elite sport to legitimize spending public money to support elite sport events and/or to finance elite sport programs/athletes. They should invest in other strategies such as those recommended by the World Health Organization.
O.6.2-5 Data infrastructure Sport and Physical Activity: the creation of a thematic classification for indicators
Authors: Duijvestijn Marjolein , Wendel-Vos Wanda
Published: September 2023

Accurate facts and figures concerning physical activity are crucial to inform policy decisions. In the Netherlands, a vast amount of data related to this domain is currently available. However, accessing the required information is increasingly challenging. Therefore, the National Institute for Public Health and the Environment (RIVM), in collaboration with several key knowledge institutes, initiated a project to integrate existing data on sport and physical activity into a thematic data-infrastructure.

The key knowledge institutes involved in this project are NOC*NSF, Mulier Institute, the Knowledge Center for Sport and Physical Activity, RIVM, the Dutch Knowledge Center for Injury Prevention, and Statistics Netherlands. These organizations have been responsible for collecting data on 20 key-indicators for sports and physical activity since 2015. Having experts in the domain of sports and physical activity (e.g. research, practice, policy) endorse the thematic data structure was crucial. In total, 99 experts from 27 organizations across the domains of research, practices, and policy were involved in the project. An extensive inventory of existing and new indicators was carried out by the team in collaboration with the experts. The process involved multiple online and live sessions, as well as two consultations with online forms for each theme, resulting in the identification of 12 themes and nearly 400 indicators. These indicators were categorized within each theme based on the relevance assigned by the experts.

In addition, the position of the current set of 20 Key-Indicators was assessed within each theme. Results showed that the set of Key-Indicators was indeed largely still up-to-date. Nevertheless, there is reason to more closely examine and evaluate the current set in the near future.

In the future RIVM will continue to coordinate the sports and physical activity data-infrastructure in the Netherlands by advocating and facilitating harmonized data collection at the national and local level.
O.6.3-6 The effects of an active breaks intervention on physical and cognitive performance: results from the I-MOVE study
Authors: Masini Alice , Marini Sofia , Ceciliani Andrea , Barone Giuseppe , Lanari Marcello , Gori Davide , Bragonzoni Laura , Toselli Stefania , Stagni Rita , Bisi Mariacristina , Sansavini Alessandra , Tessari Alessia , Dallolio Laura
Published: September 2023

Purpose

The present quasi-experimental study aimed to evaluate the effects of active breaks intervention (ABs) to promote physical and cognitive improvement in primary school.

Methods

The active breaks group (ABsG) performed 10 minutes of ABs three times per school day and the control group (CG) did normal lessons. The baseline and follow-up evaluation was conducted respectively in October-2019 and in May-2021. Cognitive performance was assessed using working memory test, physical performance was analysed with ActiGraph accelerometers and physical fitness tests, quality of life was monitored using the Paediatric Quality of Life questionnaire (PedsQL) and classroom behaviour was collected with an ad hoc questionnaire.

Results

We enrolled 153 children (age:7.61±1.41, 54.2% males). Working memory significantly increased in the ABsG (ΔWM:1.30±1.17) than in CG (ΔWM:0.96±1.20). The 6-minutesCooper test increased in the ABsG (Δ:1.77±136.03) but not in CG (Δ:-156.42±187.53) p < 0.05. The weekly PA levels increased in both groups however the sedentary behaviour significantly increased both in ABsG and CG. Children reported improvements in their quality of school life including feeling better in class and in school when using ABs, moreover children improved their time on task behaviours in ABsG.

Conclusion

The present study proven to be effective on children's physical and cognitive performance.
Skeletal Muscle Health, Physical Performance, and Lower Urinary Tract Symptoms in Older Adults: The Study of Muscle, Mobility, and Aging
Authors: Bauer Scott R , Parker-Autry Candace , Lu Kaiwei , Cummings Steven R , Hepple Russell T , Scherzer Rebecca , Covinsky Kenneth , Cawthon Peggy M
Published: September 2023

Background

Lower urinary tract symptoms (LUTS) and mobility limitations are bidirectionally associated among older adults, but the role of skeletal muscle remains unknown. We evaluated cross-sectional associations of muscle health and physical performance with LUTS.

Methods

We used data from 377 women and 264 men aged >70 years in the Study of Muscle, Mobility and Aging (SOMMA). LUTS and urinary bother were assessed using the LURN Symptom Index-10 (SI-10; higher = worse symptoms). Muscle mass and volume were assessed using D3-creatine dilution (D3Cr) and magnetic resonance imaging. Grip strength and peak leg power assessed upper/lower extremity physical performance. 400-m walk, Short Physical Performance Battery (SPPB), and Four Square Step Test (FSST) assessed global physical performance. Mobility Assessment Tool-short form (MAT-sf) assessed self-reported mobility. We calculated Spearman correlation coefficients adjusted for age, body mass index, multimorbidity, and polypharmacy, chi-square tests, and Fisher’s Z-test to compare correlations.

Results

Among women, LURN SI-10 total scores were inversely correlated with FSST (rs = 0.11, p = .045), grip strength (rs = −0.15, p = .006), and MAT-sf (rs = −0.18, p = .001), but not other muscle and physical performance measures in multivariable models. LURN SI-10 was not associated with any of these measures among men. Forty-four percent of women in the lowest tertile of 400-m walk speed versus 24% in the highest tertile reported they were at least “somewhat bothered” by urinary symptoms (p < .001), whereas differences among men were not significant.

Conclusions

Balance and grip strength were associated with LUTS severity in older women but not men. Associations with other muscle and physical performance measures varied by LUTS subtype but remained strongest among women.