bluuebunny/crossref_metadata_2025 huggingface dataset:
Predictors of recurrence after catheter ablation and electrical cardioversion of atrial fibrillation: an umbrella review of meta-analyses
Authors: Charitakis Emmanouil , Dragioti Elena , Stratinaki Maria , Korela Dafni , Tzeis Stylianos , Almroth Henrik , Liuba Ioan , Jönsson Anders Hassel , Charalambous Georgios , Karlsson Lars O , Tsartsalis Dimitrios
Published: August 2022

Aims

The recurrence rates after catheter ablation (CA) and direct current (DC) cardioversion remain high, although they have been established treatments of rhythm control of atrial fibrillation (AF). This umbrella review systematically appraises published meta-analyses of both observational and randomized controlled trials (RCTs) for the association of risk and protective factors for arrhythmia recurrence after CA and DC cardioversion of AF.

Methods and results

Three bibliographic databases were searched up to June 2021. Evidence of association was rated as convincing, highly suggestive, suggestive, weak, or not significant with respect to observational studies and as high, moderate, low, or very low with respect to RCTs, according to established criteria. Thirty-one meta-analyses were included. Of the 28 associations between CA and the risk of arrhythmia recurrence, none presented convincing evidence, and only the time from diagnosis to ablation over 1 year provided highly suggestive evidence. The association between hypertension and metabolic profile provided suggestive evidence. The associations of Class IC and III antiarrhythmic drugs use with the recurrence after DC cardioversion were supported by an intermediate level of evidence.

Conclusion

Although AF is a major health issue, few risk- and protective factors for AF recurrence have been identified. None of these factors examined were supported by convincing evidence, whereas established factors such as female gender and left atrial volume showed only weak association. An early CA strategy combined with treatment of metabolic syndrome and hypertension prior to CA may reduce the risk of arrhythmia recurrence. The use of antiarrhythmics can increase the success rate of DC cardioversion.

Systematic review registration

PROSPERO registry number: CRD42021270613.
Contemporary management of atrial fibrillation in primary and secondary care in the UK: the prospective long-term AF-GEN-UK Registry
Authors: Shantsila Alena , Lip Gregory Y H , Lane Deirdre A
Published: August 2022

Aims

This study established a prospective registry of contemporary management of UK patients with atrial fibrillation (AF) by cardiologists, general practitioners, and stroke, acute, and emergency medicine physicians at baseline and 1-year follow-up.

Methods and results

Data on patients with recently diagnosed AF (≤12 months) were collected from medical records from 101 UK sites to permit comparison of patient characteristics and treatments between specialities. The impact of guideline-adherent oral anticoagulation (OAC) use on outcomes was assessed using Cox regression analysis. One thousand five hundred and ninety-five AF patients [mean (standard deviation) age 70.5 (11.2) years; 60.1% male; 97.4% white] were recruited in June 2017–June 2018 and followed up for 1 year. Overall OAC prescription rates were 84.2% at baseline and 87.1% at 1 year, with non-vitamin K antagonist oral anticoagulants (NOACs) predominating (74.9 and 79.2% at baseline and 1 year, respectively). Vitamin K antagonist prescription was significantly higher in primary care, with NOAC prescription higher among stroke physicians. Guideline-adherent OAC (CHA2DS2-VASc ≥2) at baseline significantly reduced risk of death and stroke at 1 year [adjusted hazard ratio (95% confidence interval): 0.48 (0.27–0.84) and 0.11 (0.02–0.48), respectively]. Rhythm control is evident in ∼25%; only 1.6% received catheter ablation.

Conclusion

High OAC use (>80%, mainly NOACs) rates varied by speciality, with VKA prescription higher in primary care. Guideline-adherent OAC therapy at baseline was associated with significant reduction in death and stroke at 1 year, regardless of speciality. Rhythm-control management is evident in only one-quarter despite AF symptoms reported in 56.6%. This registry extends the knowledge of contemporary AF management outside cardiology and demonstrates good implementation of clinical guidelines for the management of AF, particularly for stroke prevention.
Costing the economic burden of prolonged sedentary behaviours in France
Authors: Noël Racine Antoine , Margaritis Irène , Duclos Martine , Carré François , Vuillemin Anne , Gautier Christèle
Published: August 2022

Background

There is strong evidence showing that sedentary behaviour time increase the risk to develop several chronic diseases and to premature death. The economic consequences of this risk have never been evaluated in France. The aim of this study was to estimate the economic burden of prolonged sedentary behaviour in France.

Methods

Based on individual sedentary behaviour time, relative risk to develop cardiovascular disease, colon cancer, breast cancer and all-causes of premature mortality were identified. From relative risk and prevalence of sedentary behaviour time, a population attributable fraction approach was used to estimate the yearly number of cases for each disease. Data from the National Health Insurance were used to calculate the annual average costs per case for each disease. Disease-specific and total healthcare costs attributable to prolonged sedentary behaviour time were calculated. Indirect costs from productivity loss due to morbidity and premature mortality were estimated using a friction cost approach.

Results

In France, 51 193 premature deaths/year appear related to a prolonged daily sedentary behaviour time. Each year prolonged sedentary behaviour cost 494 million € for the national health insurance. Yearly productivity loss due to premature mortality attributable to prolonged sedentary behaviour cost 507 million € and yearly productivity loss due to morbidity cost between 43 and 147 million €.

Conclusion

Significant saving and many deaths could be avoided by reducing prolonged sedentary behaviour prevalence in France. To address this issue, strong responses should be implemented to tackle sedentary behaviour, complementary to physical activity promotion.
Using systems science methods to enhance the work of national and local walking partnerships: practical insights from Ireland
Authors: Power Dylan D , Lambe Barry M , Murphy Niamh M
Published: August 2022

Background

Physical activity (PA) literature is dominated by individual-level descriptive studies, which are known to have limited impact on population PA levels. Leveraging systems science methods offers opportunities to approach PA in a manner which embraces its inherent complexity. This study describes how participatory systems mapping and social network analysis (SNA) were used to understand the work of local and national level walking systems in Ireland.

Methods

Two adapted participatory action research workshops with multisectoral stakeholders were used to develop a systems map for walking in Cork, Ireland. The Global Action Plan for Physical Activity 2018–2030 (GAPPA) map was used as a framework to categorize workshop outcomes. Secondly, SNA methods were used to analyse the communication network between partners of Get Ireland Walking, a national walking promotion initiative, as defined within their strategic plan and the actual communication network as experienced by the partners.

Results

The systems mapping process allowed stakeholders to identify 19 suggested actions for the Cork walking system. The SNA found that there were considerably fewer communication ties between partners in the actual communication network than in the strategy defined network.

Conclusion

The systems mapping process was a useful catalyst for engaging stakeholders in cross-sectoral communication and the GAPPA was a practical way to organize workshop outcomes. Social network analysis methods highlighted that the communication network of a national level walking promotion partnership is not working as planned. Overall, the use of systems science methods can provide practical insights for local and national level walking systems.
S01 Providing policymakers with the evidence and practices to act and improve lives through physical activity
Authors: Portas Elena , Cowen Charlie , Birdsall-Strong Lottie , Scott Chris
Published: August 2022

Policymakers often lack the evidence to drive change and improve the lives of citizens through physical activity. This symposium will discuss how two unique global programs, ‘Active Citizens Worldwide' (ACW) and ‘Sport Impacts: Children' (SIC), have bridged the gap between academia and policymakers. Combining advanced data analytics, the latest in health, social and economic research and global benchmarking these programs have delivered unique insights on the drivers and outcomes of physical activity.

ACW is a city-based programme formed through a collaboration of 4 cities: London, Stockholm, Singapore and Auckland. The project uses advanced analytics on large datasets covering entire cities to inform policymakers' efforts to enhance participation levels, and to calculate the monetary and non-monetary value that sport and physical activity has on society. Previously unrelated datasets have been integrated to provide completely new analytical insights on the true drivers of the complex physical activity system including facility access, and mindsets and motivations.This is combined with systematic modelling of the broad range of outputs and outcomes of physical activity including health, social, and economic benefits.This standardisation in modelling approach and analysis has enabled multiple cities to compare, benchmark and learn from each other. ACW ultimately enables cities to understand what is working and what is not in their city, and thereby design policies with the best chance of improving their city's health, wealth and wellbeing.

Using a similar approach, the SIC initiative is a unique cross-sectorial collaboration between top national sports bodies, charities and academics in England. Through this partnership each organisation shared national participation, workforce and facility databases as well as recent primary research, which was analysed and modelled to give a holistic overview of the drivers and outcomes of childhood participation in sport. This analysis shows that the access to and benefits of sport and physical activity is not equal between different demographic groups. Preliminary findings have also indicated which type of sports and activities contribute the most value to children and their communities. This has led to the creation of a strong evidence base of the social and economic impact of childhood physical activity and sport in England, which is already being used by sport bodies and policymakers to re-evaluate their approaches to childhood participation.

These programs illustrate how a collaborative approach using data and analytics has connected research with policy and practice and lead to substantial impacts in countries around the world.

Organizer and speaker: Elena Portas, Chair: Charlie Cowen,
S01-2 Providing policymakers with the evidence of the true value of physical activity to individuals and communities
Authors: Scott Chris
Published: August 2022

Background

With many countries and communities suffering from budget cuts, policymakers are coming under increasing pressure to provide the true value of public health interventions. Owing to the scale of conclusive findings over the past decade, we now have a robust evidence base regarding the impact of physical activity on individuals and communities. However, more work needs to be done to bridge the gap between policymakers and academics.

Methods

We conducted both a review of the leading academic research as well as primary analysis of existing open-access datasets to determine the impact of physical activity on the risk of health and social outcomes across the life course. This evidence base was then modelled with the latest figures on disease prevalence and its economic impact to quantify the social and economic value of physical activity.

Results

This methodology has currently been applied to a city population, as well as a national scale evaluation of the impact of individual sports on children alone. Results have shown that the average value of physical activity, across four cities around the world including London, Stockholm, Singapore and Auckland, is US$1900 per person in economic, health and social outcomes. In addition to this when looking specifically at the 4 million children who participate in team sports across England, preliminary findings estimate the total value to be £6.5Bn annually.

Conclusions

These initial findings are already being used by policymakers to make the case for additional investment and change the way they evaluate the outcome of their policies and programmes. For example, Aktive Auckland has secured an additional NZ$120M for sport and recreation in the 10-year annual national budget after they used results which showed the annual contribution of physical activity was $1.9Bn to the local economy. Sports federations in the UK are also reshaping their strategies towards childhood sport and activity based on the emerging findings of the report.
S02-3 Physical activity policies and good practices in Europe
Authors: Mendes Romeu , Whiting Stephen , Barbosa Ana , Duffey Keeva , Pinedo Adriana , Arnaiz Patricia , Wickramasinghe Kremlin
Published: August 2022

Background

The establishment of the EU physical activity (PA) guidelines and the HEPA monitoring framework has had an impact on policy development and implementation across the region from 2015. This works presents results from the third round of monitoring in 2021 and discusses trends since 2015.

Methods

A questionnaire was distributed in 2021 to all EU Member States of the WHO European Region through the network of PA Focal Points, who were requested to collect data from national colleagues and complete the questionnaire. All EU Member States (27 in 2021) responded to the survey on the implementation of the 23 indicators of the HEPA monitoring framework.

Results

The results of the 2021 round of data collection on HEPA indicators showed an overall stabilization of the implementation of PA promotion policies. Besides important increases in several indicators, such as indicators 15 (HEPA in the training of physical education teachers), 20 (Schemes to promote physical activity at the workplace) and 21 (Schemes for community interventions to promote physical activity in older adults), many others decreased and others showed no progress. Most national physical activity policies or action plans were multi-sectoral, with good coverage of the sectors recognized as important for HEPA promotion. While some methodological aspects may have affected the results, this round also reflected policy implementation during the COVID-19 pandemic (2019–2021). COVID-19 has had a significant impact on all sectors of society but especially on health, sports, education and mobility, which are major areas for PA promotion and policy implementation.

Conclusions

There seems to be an overall stabilization of the implementation of PA promotion policies since 2015. Public health experts and decision makers could utilise the increase in public awareness of the health benefits of physical activity kindled by the COVID-19 crisis to implement new health-promoting policies. Policy design, development and implementation of HEPA promotion must be strengthened for post-COVID-19 social and economic recovery.
S02-5 Physical inactivity in nine Eastern European and Central Asian countries: results from the WHO STEPwise approach to NCD risk factor surveillance
Authors: Whiting Stephen , Mendes Romeu , Abu-Omar Karim , Gelius Peter , Crispo Anna , McColl Karen , Simmonds Phillipa , Fedkina Natalia , Andreasyan Dianne , Gahraman Hagverdiyev , Migal Tatyana , Sturua Lela , Obreja Galina , Abdurakhmanova Zulfinissio , Saparkulovna Ibraeva Nurgul , Erguder Toker , Ekinci Banu , Keskinkilic Bekir , Shukurov Shukhrat , Yuldashev Rustam , Berdzuli Nino , Rakovac Ivo , Breda Joao
Published: August 2022

Background

Physical inactivity is a major risk factor for noncommunicable diseases. This paper explores patterns of physical inactivity in Armenia, Azerbaijan, Belarus, Georgia, Kyrgyzstan, Moldova, Tajikistan, Türkiye and Uzbekistan.

Methods

Nationally-representative data were collected through the WHO STEPwise survey of noncommunicable disease risk factors, which utilizes the Global Physical Activity Questionnaire (GPAQ) to estimate population physical inactivity.

Results

The prevalence of physical inactivity varied across the region, from 11.4 to 44.7%, and was higher among women than men in all countries except for Armenia, Belarus and Moldova. In most countries, the highest proportion of physical activity levels were registered during work time and appeared to vary according to the countries’ level of development. For both sexes and across all populations, time spent on leisure or recreational physical activity was low.

Conclusions

These results have important implications for policy, including actions to promote active travel and leisure-time physical activity as countries develop economically. Investments in workplace physical activity programmes and infrastructure are needed as populations transition to sedentary from more physically active occupations. The results reiterate the need for multisectoral policies, programmes and interventions to promote physical activity tailored to the local context.
S03-1 Physical literacy, physical activity and wellbeing in Danish children
Authors: Melby Paulina Sander , Nielsen Glen , Brønd Jan Christian , Bentsen Peter , Elsborg Peter
Published: August 2022

Background

PL is increasingly regarded as a ‘cause of the causes’ to health promotion. Cross-sectional studies have shown associations between children’s PL, physical activity (PA) behaviors and well-being. This presentation aims to present empirical evidence from a large-scale research project in Denmark assessing children’s physical literacy. Results from two studies will be presented and discussed. The first aims to examine the associations between Danish children’s PL and their physical and psychosocial well-being and whether the associations are mediated by moderate-to-high intensity physical activity (MVPA). The second aim is to examine the synergies between movement behaviors and levels of PL.

Methods

Cross-sectional data from Danish school children aged 7-13 years were collected in Jan-Dec 2020 in the Danish Assessment of Physical Literacy (DAPL) project. PL was assessed with DAPL which measures the affective, cognitive, and physical domains of PL. Sedentary time and time spent in different PA intensities was measured with accelerometers (Axivity), psychosocial well-being was measured with The Strengths and Difficulties Questionnaire (SDQ), and physical wellbeing was measured with the KIDSCREEN questionnaire. In study 1, structural equation models were constructed with PL and MVPA as predictors of physical well-being and four aspects of psychosocial well-being. In study 2 a compositional analysis was applied with average weekly time spent sedentary, in low PA, moderate PA and vigorous PA as the compositional response and levels of PL as predictor.

Results

A positive moderate association between PL and physical well-being, partly mediated by MVPA was observed. PL was positively associated with the positive aspects of psychosocial wellbeing and negatively associated with the negative aspects (behavior problems). None of the associations between PL and aspects of psychosocial wellbeing were mediated by MVPA. Results from study 2 are ongoing.

Conclusions

The studies contribute to evidence on the link between PL, physical activity, and health outcomes. The study found beneficial relations between PL and physical and psychosocial well-being.
S03-4 3PL: Promoting pupils’ physical literacy: a pilot study testing feasibility and acceptability of the Y-PATH intervention in a Danish school setting
Authors: Kurtzhals Mette , Melby Paulina Sander , Elsborg Peter , Nielsen Glen , Belton Sarahjane , Issartel Johann , O’Brien Wesley , Bentsen Peter
Published: August 2022

Background

A considerable number of Danish children and adolescents do not currently meet the national physical activity (PA) recommendations. In recent years, the concept of physical literacy (PL), has gained popularity worldwide, and it is considered as a proximal measure for lifelong PA. However, only a few interventions targeting PL exist on a global scale. In Denmark, the development of theoretically driven and evidence-based PL interventions that aim to increase PL among children and adolescents has not begun. Yet, a promising, theory-based, and internationally tested intervention, the Youth Physical Activity Towards Health (Y-PATH), has proven to be effective on children and adolescents’ PA levels and motor skills. This presentation introduces the Promoting Pupils’ Physical Literacy (3PL) project which aims to test the feasibility and acceptability of the Y-PATH intervention in a Danish context among pupils 9-11 years of age.

Methods and Results

The hypothesis is that a revised and adapted 3PL intervention protocol that aims to increase pupils’ PL is ready for effectiveness testing by the end of this project. Two public schools will be recruited and randomly assigned to intervention or control condition following a waitlist design. The primary outcomes include the feasibility and acceptability of the intervention. The feasibility of the practicality and the recruitment process will be assessed within a document log administered by research assistants. The acceptability, including demand and experiences, and the intervention implementation degree will be evaluated by short bimonthly questionnaires to teachers, and interviews with pupils, teachers, parents, and school managers. The preliminary effectiveness will be tested by comparing changes in pupils’ PL over time, assessed with the validated Danish Assessment of Physical Literacy tool.

Discussion

A revised PL intervention, a Template for Intervention Description and Replication TIDieR checklist, and a protocol that offers a solid empirical and theoretical foundation for a future upscaled effectiveness study. Additionally, the development of such protocol and checklist provides a national as well as an international opportunity for researchers to use and compare effectiveness of the intervention across countries.
S04-1 Health benefits of different sport disciplines: an updated systematic review
Authors: Oja Pekka , Titze Sylvia , Pedisic Zeljko , Jurakic Danijel
Published: August 2022

Background

Our previous systematic review on the health benefits of different sport disciplines included 69 studies published before 2013. We found moderately strong evidence of health benefits for running and football while the evidence for other sport disciplines was either inconclusive or tenuous. The purpose of this report is to update the evidence base on published studies through 2013-2019.

Methods

A systematic literature search of observational and experimental studies on the association between the participation in sport and health outcomes was conducted through electronic databases: MEDLINE via PubMed, Scopus, and Web of Science. The inclusion criteria were: participants heathy adults; type of studies cross-sectional, cohort or intervention designs; study group participation in specific sport disciplines; non-participation comparison group; health-related outcome variables in terms of mortality, morbidity, disease risk factors and function. Studies on sport injuries were excluded.

Results

A total of 3909 titles and abstracts of studies published between 2013-2019 were identified for potential inclusion. The study selection process yielded 30 studies for further assessment. These studies included 26 different sport disciplines with 54 sport vs. no sport comparisons. The most prevalent sports were cycling (10 studies) and running (8 studies). Together with the previous systematic review the combined data includes 99 studies, 40 sport disciplines and 159 sport vs. no sport comparisons. Significant health benefits were found for a range of sport disciplines

Conclusions

The updated systematic review provides new relevant data for an extended analysis of the health benefits of different sport disciplines and strengthens the existing evidence base for the promotion of health through participation in sports.
S04-2 More than a club' - experiences gained by piloting the Sport Clubs for Health approach in Hungary
Authors: Veress Reka
Published: August 2022

Issue/problem

According to the latest Eurobarometer, only 5% of the active population in Hungary are sport club members. The “Sport Clubs for Health” (SCforH) approach was developed to help unlock the health potential of sports clubs and increase the offer of recreational sport programmes. The SCforH guidelines have been recognized in 2013 by the EU, as one of the indicators of the Council recommendations on promoting HEPA across sectors.

Description of the problem

The Hungarian Ministry of Human Capacities has recognized the need to support the implementation of SCforH approach, and decided to finance the “More than a club” pilot project. This project aimed to develop complex services that enable local and regional sports clubs to build their capacities and provide regular, health-focused physical activities supervised by sport professionals. Within the project, we tested and analysed what kind of organizational and service development measures are needed to be able to provide more health-focused programmes to the population, within sports clubs.

Results (effects/changes)

We managed to recruit 190 participants (drop-out rate = 12.7%) and involve them for at least one year into the following sport activities in a multisport environment: table tennis; zumba; Nordic walking; cycling; gymnastics; spine training and breathing technics; and ‘father-son' football. The programme is ongoing, and participants are monitored regularly in relation with their health-status and attitude towards physical activities. The adherence to the programme is 87.3%.

Lessons

This project showed this type of a SCforH intervention may be feasible for implementation at a larger scale in multisport clubs. The further aim of the project is to prepare and test the Hungarian model of health-oriented sports clubs, by the end of April 2021. Based on the lessons learned from this pilot project, a long-term goal is to implement this kind of a SCforH intervention in several large Hungarian sports organizations and contribute to improving health at the population level.

Main messages

The implementation of SCforH guidelines can be realized in a gradual manner with dedicated leadership. Top-sport oriented clubs possess the capacity to implement the SCforH approach, but incentives and training are needed to facilitate the implementation.
S04-3 The effectiveness of a coordinated action between the healthcare sector and local sports clubs to promote physical activity: an intervention trial
Authors: Titze Sylvia , Ruf Wolfgang , Lackinger Christian , Großschädl Lena , Strehn Albert
Published: August 2022

Background

Joining forces through collaboration between the health- and sports-sector led to the project Jackpot.fit, which aimed at increasing physical activity (PA) among inactive adults in Styria (a state of Austria). The main objective was to assess the short- and long-term effectiveness of a mixed PA intervention, consisting of counselling in a health care setting combined with a standardised sports club programme, on PA in an adult population.

Methods

In a quasi-experimental study with two follow-up time points (4 and 12 months after baseline), participants from eight regions were allocated to the intervention group (IG) and participants from three other regions to the comparison group (CG).

Half of the study participants were women and the mean participants' age was 53 (SD ± 6) years. During the health resort stay, the IG received PA counselling and coupons for 12 complimentary, standardised training sessions in a sports club near the participants' home. Participants of the CG received identical PA counselling, but written material only. PA was measured with an accelerometer (GENEActive). Linear mixed-effects models were applied to examine changes of PA within and between groups over time.

Results

From 217 participants (IG = 167; CG = 50) at least one follow-up measurement was available. IG data showed a significant increase in moderate-intensity PA from baseline (101 min/week) to 4 months (+58 min; 95% CI = 36 to 80) and 12 months (+24 min; 95% CI = 2 to 46) whereas there was no significant change in CG. Between-group comparisons revealed a significant difference after 4 but not after 12 months.

Conclusions

The study confirms the feasibility of coordinated actions between health care institutions and sport clubs to recruit people into a standardized PA programme. In addition, those who participated in the sports club programme increased their PA in a long term.
S07-5 Young peoplés perspectives on what makes a sports club health promoting
Authors: Geidne Susanna
Published: August 2022

Background

In many European countries, about two-thirds of young people participate in sports clubs. However, these numbers peaks in early adolescence and then decrease. In addition, participation in sports clubs looks different in different groups. Participation in sports have the possibility to contribute to young peoplés health in a broad sense, both increasing their physical activity, but also their mental and social health. Sports clubs have also been acknowledged as health promoting settings by researchers and policymakers. Young people participate in sports for different reasons, most common are that it is fun, social, developing and healthy. On the other hand, young people drop out of sports because of coach and teammate relations, but also for organizational reasons like facilities or lack of coaches. A reason can also be too much focus on performance, although this can also be a motivating reason. A major task for sports clubs is to develop sports to maintain the participation of young people. Different perspectives can be used to develop sports clubs activities, among them the novel health-promoting sports clubs approach. Few studies have however explored young people's perspectives on health-promoting sports clubs. The aim of this study is therefore to explore young peoplés perspectives on what makes a sports club health-promoting.

Methods

This cross-sectional study conducted a brief survey in two schools in central Sweden with grade 9 pupils (15-16 years old). The sample consisted of 123 participants (54 % girls, 52 % sport clubs participants, 37 % former sports clubs participants). The questionnaire contained three open-ended questions about what characteristic of a sports clubs makes them feel well, not well and makes them want to stay in sports clubs. The data was analysed with content analysis in combination with statistical analyses.

Results

Early results shows that fun, social dimensions, coaches, but also organizing aspects like amount and ambition of practice are factors that young people think makes a sports club health-promoting.

Conclusions

Health-promoting perspective on sports clubs can from young peoplés perspective include many dimensions and develop sports clubs in this direction could lead to young people staying longer.
S08-1 Comparing physical activity measurement instruments across member states by means of a conversion factor: European Union Physical Activity and Sport Monitoring System (EUPASMOS) project
Authors: de Hollander Ellen
Published: August 2022

Background

The successful promotion of health-enhancing physical activity (HEPA) requires authoritative information to enable the design, implementation and evaluation of effective and cost-effective policies. This includes reliable and valid prevalence data of physical activity (PA) that can be compared across European Union Member States populations regardless of the type of measurement instrument used. In order to enable comparison of PA prevalence data between different measurement instruments, an attempt was made to develop a conversion factor between commonly used questionnaires in Europe and accelerometry in the ongoing European Union Physical Activity and Sport Monitoring System project (EUPASMOS) among 18 member states.

Methods

Data of physical activity (PA) and sedentary behavior (SB) were collected in 18 member states using four questionnaires (Eurobarometer, European Health Interview Survey, International Physical Activity Questionnaire and Global Physical Activity Questionnaire) and the UKK RM42 accelerometer. The number of measured participants varied between 100 and 1000 among the 18 member states. Participants completed the questionnaires in random order and wore the accelerometer seven consecutive days on their right hip (during the day) and on their non-dominant wrist (overnight). Time spent in moderate-to-vigorous intensity physical activity and sedentary behavior were calculated based on these 5 measurement instruments. The comparison between methods will be examined by using sophisticated regression analyses.

Results

The EUPASMOS project is in progress and the final data is collected in the last two member states. In the meantime, a model is being developed to examine whether a conversion factor can be calculated to compare prevalence data based on questionnaires and accelerometry. By developing a conversion factor, prevalence data can be compared between member states although the measurement instruments used differ between member states. In June 2020 the results from these analyses are expected.

Conclusions

These results will provide insight into the possibility to compare prevalence data of physical activity among member states, when using different measurement instruments within their monitoring systems.
S10-1 Developing and monitoring physical activity policy: 1990 to today
Authors: Pratt Michael
Published: August 2022

Background

Physical inactivity accounts for as many as 5 million deaths per year globally but has yet to be addressed effectively by most governments or the World Health Organization (WHO).

Description of the problem

Reasonable evidence for effective strategies exist, and several countries have implemented consistent public health policies and programs that have increased population prevalence of regular physical activity. In 2018 WHO launched a Global Action Plan for Physical Activity (GAPPA). However, most countries do not have effective public health policies in place for physical activity. Evaluating the history of national and global policies to understand how some countries have developed sound public health programs for physical activity while most have not requires monitoring and evaluating policy, programmatic, and perhaps even research indicators for physical activity. Only recently have there been systematic efforts to do so.

Results

Several key questions about physical activity policy, starting with an examination of the evolution of public health physical activity policy and policy research from when it was first explicitly identified in the 1990s to the present will be addressed. Key recommendations, global statements, research reviews and action plans will be summarized to provide a clear picture of the evolution of this important aspect of public health. Evidence on the implementation of policy at national and global levels will also be reviewed. We will examine whether it feasible to track physical activity policy at the global and country levels, if the existence of ?good? physical activity policy is associated with less physical inactivity, how policy indicators may be used for advocacy and guidance.

Lessons

Physical activity policy for public health is a relatively new concept that has evolved significantly in the last three decades with formal national and global policy statements, research, and evaluation efforts all increasing markedly since 1990.

Main Message

Despite notable growth in policy research and the development of sophisticated national and global policies and action plans, implementation of effective national and global policies and programs for physical activity remains limited.
S11 Improving knowledge co-creation and participation in physical activity promotion: The cooperative planning approach
Authors: Gelius Peter , Sommer Raluca , Ferschl Susanne , Till Maike , Abu-Omar Karim , Semrau Jana , Helsper Nathalie , Kohler Simone , Dippon Lea , Pfeifer Klaus , Rütten Alfred , Popp Johanna , Carl Johannes , Grüne Eva , Müller Christina , Hassel Holger , Altmeier Dorothee , Frahsa Annika , Thiel Ansgar
Published: August 2022

A central problem of current efforts to promote health and physical activity (PA) is that many successful projects remain stuck in the demonstration phase and are not implemented successfully at scale. The use of participatory and/or co-creation approaches has been suggested to avoid this ?pilot project trap? and better adapt interventions to target group needs and setting specificities.

This symposium intends to introduce to an international audience a particular participatory concept that has become increasingly popular in PA promotion in Germany in recent years: The Cooperative Planning approach has been successfully used in sport facility planning, local and regional PA policy development, and various settings of PA promotion (incl. kindergartens, schools, vocational training, and communities). The workshop will shed light on the theoretical background and methodology of Cooperative Planning as well as its specific application in select settings.

The first presentation will introduce the concept of Cooperative Planning, outline potential areas of application, and compare it with other popular participatory and co-creation approaches in PA promotion. Following this, we will provide evidence from ongoing projects employing the approach to promote PA in kindergartens (Presentation 2) and in the community setting (Presentation 3). Presentation 4 will introduce an example from the retirement home setting and also highlight ways of combining Cooperative Planning with other approaches such as photovoice and participatory evaluation. The final presentation will provide an outlook on the future extension of the concept by introducing the idea of the Practice Dive, which may be used to further optimize knowledge co-creation between researchers and practitioners.

A closer look at the Cooperative Planning approach is both timely and relevant for an international audience for a number of reasons: Conceptually, Cooperative Planning is a theory-based framework that combines ideas of participation and co-creation for PA into an innovative whole-of-system approach. From a practical PA promotion perspective, it transcends many existing techniques by focusing both on engaging multipliers and members of the target group, and by involving all of them in the decisive intervention development process (e.g. rather than only via opinion polls or focus groups). This symposium will allow us to combine evidence from four different projects, highlighting both the specificities of working in different settings as well as different aspects and possible extensions of the Cooperative Planning approach.
S11-4 Participatory physical activity promotion in senior residencies
Authors: Altmeier Dorothee
Published: August 2022

Background

During their final life decade, people in Germany tend to live in senior residences or nursing homes. Re-location to such institutionalized homes is associated with declining levels of physical activity. Beside intrapersonal factors, like dealing with illness, social and physical environments might be decisive in shaping residents' physical activity levels. At the same time, it remains largely underresearched what residents themselves perceive as barriers and promoters of physical activity. This presentation aims to introduce first results of BaSAlt (BMG, 2019-2022), a participatory research project on physical activity promotion in senior residences in Germany.

Methods

We draw upon data from the BaSAlt study (2019-2022) in eight German senior residences, generated using Photovoice with 48 residents, staff, and visitors, as well as semi-structured interviews (n = 24), group discussions (n = 8), cooperative planning in future workshops (n = 16) and document analysis. Recorded and transcribed interviews, photos, discussions, as well as documents are subject to thematic analysis (Braun & Clarke 2016). All participating actors become part of data collection, and analysis, as well as in developing and implementing change projects to promote physical activity informed by findings.

Results

The presentation will highlight similarities and differences in participants' perceptions of physical activity-related promoters and barriers. We will present a preliminary comparative assessment of the organizational readiness in participating senior residences and potential consequences for cooperative planning in future workshops. Our aim is to initiate concrete action to improve physical activity promotion.

Conclusions

The BaSAlt design recognizes residents, staff, and visitors as experts of their own lives, which allows for greater awareness of people's unique experiences and perceptions. The participatory approach used both for data collection and intervention planning might help uncover physical activity-related promoters and barriers that might otherwise have remained hidden and thus support the development of individualized and targeted action for physical activity promotion.
O1-2 Identification of existing audit instruments for the assessment of urban and rural physical activity environments
Authors: Domokos Bruno , Müller Christina , Paulsen Lisa , Bojkowska Izabela , Bucksch Jens , Wallmann-Sperlich Birgit
Published: August 2022

Background

According to a socio-ecological perspective, the neighbourhood environment plays a critical role in promoting physical activity across all population groups. A comprehensive assessment of environmental characteristics is a prerequisite to the planning, implementation and evaluation of physical activity interventions. This work aims to identify existing audit tools for the assessment of physical activity related environmental features in order to evaluate a) their applicability in the European context and b) their relevance in the urban and rural context.

Methods

Within the research project EUBeKo[1] we searched relevant websites (e. g. Active Living Research) and scientific databases (e. g. PubMed) in order to identify existing audit instruments. We then developed a categorization system for the integration of the topics and items retrieved from the identified tools. To reveal context-relevant strengths and weaknesses, we critically inspected the instruments with the support of the current scientific evidence and literature regarding eligibility to the European context and rural/urban applicability.

Results

We identified 29 audit tools focusing on different topics and features influencing physical activity (e. g. infrastructure, barriers). Some also include aspects of the social environment (e. g. presence of people) or the subjective perception (e. g. walkability, aesthetics). We found that numerous tools contain aspects of the socio-ecological environment reflected on the item level that do not conform with European environmental characteristics (e. g. street signage, types of destinations). Furthermore, we identified an unequal distribution with few tools being developed explicitly for the rural context (n = 3).

Conclusions

It is challenging to rate the applicability and relevance of audit tools. We were able to develop a comprehensive categorization system that can assist researchers and practitioners in the selection of a suitable set of items for an optimized assessment of European physical activity environments. In addition, our work points out the need for an instrument reflecting urban and specifically rural peculiarities of the European context.
O1-4 Validation of questions to assess the mode of commuting to/from school for children according to their parents: the PACO study
Authors: Balboa María Jesús Aranda , Fernández Marina , Villa-González Emilio , Murillo-Pardo Berta , Segura-Diaz José Manuel , Saucedo-Araujo Romina Gisele , Barranco-Ruiz Yahira , Herrador-Colmenero Manuel , Huertas-Delgado Francisco Javier , Chillón Palma
Published: August 2022

Background

The active commuting to school behaviour is an opportunity to increase the physical activity levels. The most frequent used tool to assess the mode of commuting to school is self-reporting by children or by their parents. However, there is a lack of information about the validity between both, children and parents. So, the purpose is to validate the questions of mode of commuting to go and come back from school of children according to their parents'.

Method

A total of 611 parents (mean age: 43.28±6.25 years old) and their children (mean age: 11.44±2.77 years old) from Granada (Spain) completed a family (mode of commuting of children reported by parents as part of the Family PACO questionnaire) and a student questionnaire validated (Chillon et al., 2017) (mode and frequency of commuting to and from school questionnaire), respectively, in two measurement points. The questions from the ‘Family PACO questionnaire' are: “How does your child usually go to school?” and “How does your child usually come back?”; and the questions from the ‘mode and frequency of commuting to and from school questionnaire' are: “How do you usually go to school?” and “How do you usually go from school?”. The validation between parents and childreńs questions was analysed using Kappa and Spearman correlation coefficients. The results of the kappa are considered as: poor agreement (0-0.20), acceptable agreement (0.21-0.40), moderate agreement (0.41-0.60), substantial agreement / good (0.61-0.80) and almost perfect / very good agreement (0.81-1.00) (Landis & Koch, 1977). The Spearman correlations coefficients were interpreted as low (> 0.30), moderate (0.30-0.50), and high (> 0.50) (Van Dyck, Cardon, Deforche, & De Bourdeaudhuij, 2015).

Results

The validity of questions from both questionnaires about mode of commuting presented high coefficients of validation (Kappa coefficient; 0.865 to school and 0.839 from school and Spearman correlation; rho=0.882 to school and rho=0.860 from school).

Conclusion

The questions about the mode of commuting to/from school from the ‘Family PACO questionnaire’ are valid method. Therefore, the use of the questions would be recommended to assess children's mode of commuting.