bluuebunny/crossref_metadata_2025 huggingface dataset:
O7-6 Global Matrix 3.0 Physical Activity Report Card for Children and Youth: A comparison across Europe
Authors: Chalkley Anna , Coppinger Tara , Murtagh Elaine , Harrington Deirdre , Johansen Danielle , Seghers Jan , Skovgaard Thomas , Milton Karen
Published: August 2022

Background

The Global Matrix of report card grades on physical activity serves as a public health awareness tool by summarising the status of child and youth physical activity prevalence and action. Since schools and the wider community and environment are critical influences on the physical activity levels of children and youth, this research sought to examine the factors considered when assigning these grades across included European countries. Specifically, we sought to: (1) provide a detailed examination of the evidence informing these indicators across participating European Global Matrix 3.0 countries; (2) explore the comparability of the grades for these two indicators across Europe; (3) detail any limitations or issues with the methods used to assign grades; and (4) provide suggestions on how future grading of the indicators could be improved.

Methods

Key documents relating to the European countries involved in the 2018 Global Matrix 3.0 were collated. This inlcuded the long and short forms of the report card for each country as well as the scientific paper. A template was developed and used to capture information on: the grade assigned for each indicator; details of the data used to assign the grade, the source of the data; indication of the quality of the data and any reported challenges or issues in assigning the grade for both the ‘School' and ‘Community and Environment' indicators.

Results

Seventeen of the 20 European Report Card countries (85%) had a grade for schools, and 15 countries (75%) had a grade for community and environment. All countries considered between one and five factors when assigning the grade for these indicators. There were wide disparities in the number and sources of evidence used to assign the grades for both indicators, limiting the comparability of the evidence between different countries.

Conclusions

To enable comparability, the authors recommend moving towards an agreed standardised set of metrics for grading each indicator. Furthermore, it would be useful to develop and share common tools, methods and instruments in order to collect data in a uniform way across countries. Such action will ultimately make the Global Matrix a more robust tool for future use.
O9-4 Barriers and facilitators in Belgian inactive desktop workers to participate in workplace based physical activity programs
Authors: De Clerck Ine , Van Hulle Dries , Maenhout Annelies
Published: August 2022

Background

Workplace based physical activity programs show great potential to improve health and wellbeing to a large part of the population. However, these programs appear to recruit mostly participants who already have an active lifestyle. This study aims to identify barriers and facilitators of inactive desktop workers, and can serve to inform policy makers or physical activity program designers to adapt current program in order to reach more inactive participants.

Methods

Desktop workers were voluntarily recruited by use of social media and by direct communication to companies. Inactive participants were included by means of the International Physical Activity Questionnaire (IPAQ). Semi-structured interviews were conducted with 22 desktop workers, being employed in 15 different Belgian companies and being mostly female (n = 18). Interviews were transcribed verbatim and analysed using thematic analysis.

Results

Results indicate that interpersonal relationships can be both a potential facilitator (e.g. having a colleague who asks you to join the exercise program) as a barrier (e.g. being scared of negative reactions from colleagues). Furthermore, organisational factors such as a high workload or a perceived lack of time is claimed as an important mediating factor for participation. On the other hand, having permission to exercise during working hours or having a fixed time to exercise said to be an important facilitator. Also environmental factors are important, since not having an on-site physical activity facility or program is seen as an important barrier. Lastly, also communication from the management being supportive and emphasizing the importance of participating is found to be an important motivator.

Conclusions

This study shows several specific barriers and facilitators of inactive desktop workers to participate within workplace based physical activity programs. These results can support developers of physical activity programs to create more targeted interventions in order to reach more inactive employees.
O9-6 Shedding Light on men's health: Evaluating the impact and scalability of a community-based men's health promotion programme “Sheds for Life” in Irish Men's Sheds
Authors: McGrath Aisling , Murphy Niamh , Richardson Noel , Byrne Edel
Published: August 2022

Background

Sheds for Life (SFL) is a ten-week health and wellbeing programme delivered in the community setting of Men's Sheds in Ireland that uses gender-sensitive approaches to engage typically hard-to-reach men (?Shedders') with health. SFL consists of a health check, core modules of physical activity (consisting of a walking programme or chair-based exercises for older adults), mental wellbeing, healthy eating and other elective wellbeing components. SFL is implemented across two phases with four regions per phase. The purpose of the research is to evaluate SFL using an implementation science approach to assess programme impact and implementation effectiveness with a view to enhancing its sustainability and scalability while also informing gender-sensitive strategies that engage hard-to-reach men with health and wellbeing.

Methods

This study is a hybrid typology ?effectiveness-implementation? design. A community-based participatory research, and mixed methods approach has been adopted to measure the effects of the SFL intervention on Shedders across implementation phases and identify and monitor implementation barriers and facilitators that can inform future sustainability and scale-up of SFL. Central to effective implementation of SFL is a partnership approach between the Irish Men's Sheds Association (IMSA) and other health-related partner organisations (POs). This research engages key stakeholders (at individual (Shedder), provider (POs) and organisational (IMSA) levels) and prioritises implementation outcomes. Purposive sampling is used to recruit a diverse sample of participants (Shedders n = 420 and SFL providers n = 20).

Results

Findings from phase 1 will inform phase 2 implementation. Preliminary physical activity outcome results from phase one across four regions (baseline to ten weeks) suggest days active per week increased from 3.07 to 4.32 days (p =.00) days walking increased from 4.29 to 5.28 days (p=.00) minutes walking per day increased from 33.31 to 38.15 (p=.005)

Conclusions

Preliminary findings highlight the potential of the SFL initiative to address the increasing calls for gender-specific health promotion programmes that target lifestyle and health behaviour change in men. Shed settings are unique and effective in attracting men from more marginalised male subpopulations, reaching men who would typically not engage with health services.

This study is funded by the Irish Research Council (ID: EBPPG/2018/256)
O9-7 Community-based physical activity promotion for mental health and wellbeing in ‘hard-to-reach' groups
Authors: Murphy Niamh , Wagemakers Annemarie , Verkooijen Kirsten , McGrath Aisling , Matthews Evan
Published: August 2022

Community-based health enhancing physical activity (PA) initiatives often lead to important mental health and wellbeing outcomes beyond improvements in physical activity levels. However, identifying what outcomes to measure and how to measure them is a challenge in community-based work. There is a lack of practical guidance on how to strengthen mental health and wellbeing outcomes within the context of PA initiatives. This presentation will share the work on a project with community based practitioners and mental health/physical activity experts which is being led by the HEPA Europe Working Group on HEPA promotion in socially disadvantaged groups, supported by WHO Europe.

The presentation will engage participants in discussions around the following questions:

What are the most important mental health and wellbeing outcomes of community-based health enhancing physical activity initiatives in Europe, and how can these best (i.e., adequately, and pragmatically) be assessed for evaluation purposes? What are the needs of practitioners (from physical activity sectors and mental health sectors) working in communities to promote mental health through physical activity?
P01-05 Development of the MOVING policy framework: monitoring and promoting action in physical activity policy
Authors: Oldridge-Turner Kate , Kokkorou Margarita , Sing Fiona , Vlad Ioana , Fanian Diva , Helleve Arnfinn , Klepp Knut-Inge , Rutter Harry , Allen Kate
Published: August 2022

Background

The World Cancer Research Fund International's (WCRF International) analysis of global research shows a strong link between diet, physical activity, and risk of cancer. To address this, WCRF International has developed a package of policy resources to promote healthy diets and physical activity to support reporting, categorising and monitoring of policy actions. The MOVING policy framework was developed as a complement to the well-established NOURISHING framework of diet-related policies-outlining a comprehensive set of areas in which governments should take action to promote physical activity. The new framework forms the basis for the MOVING database of implemented policy actions.

Methods

For the MOVING framework, literature reviews were undertaken, and the results were distilled into policy categories on which academics and policy experts provided feedback. The framework is the basis for a specific inclusion criteria and search strategy to determine how policy actions will be collected, reviewed and categorised for the MOVING database. A comprehensive scanning methodology was designed to identify all relevant policies across the MOVING policy areas. Relevant policies are then verified with in-country experts and uploaded to the database. This methodology was tested, refined and will be applied to 27 European countries.

Results

The MOVING policy framework comprises six policy areas within four policy domains and details the areas where governments should take action to promote physical activity. The framework forms the structure for a new database of global physical activity policies, which was launched in the summer of 2020. The MOVING database currently includes 234 policy actions from 12 countries. The MOVING database is a logical and practical tool, allowing users to search for policy actions categorised in the structure of the MOVING framework.

Conclusion

The MOVING physical activity framework and database are innovative tools that support reporting, categorising and monitoring of physical activity policy actions that will work alongside the NOURISHING framework and database. These physical activity policy tools allow stakeholders such as researchers, civil society organizations and policy makers to quickly identify both gaps and strengths in government action and therefore assess where there is scope for improvement within and across countries.
P01-07 Promoting physical activity in Finnish early childhood education and care, and the implementation of national recommendations of physical activity for early childhood
Authors: Sääkslahti Arja , Korhonen Nina , Tammelin Tuija
Published: August 2022

Joy in Motion is a nationwide physical activity and well-being programme aimed at early childhood education and care (ECEC) launched in 2015 in Finland. The aim is to enable every child to be physically active and enjoy physical activity every day. Latest updates of the Finnish recommendations for physical activity in early childhood was published in 2016. The key message in the recommendations is Joy, play and doing together. Daily physical activity is just as important for children's well-being as healthy nutrition and sufficient sleep and rest. Presentations discuss the current state of the programme with more than 2200 registered early education units and provides concrete examples of the promotion work in practice.
P01-11 Economic impact of health-enhancing-physical activity from different settings in France
Authors: Racine Antoine Noël , Vuillemin Anne , Meurisse Bénédicte , Toussaint Jean-François , Christèle Gautier
Published: August 2022

Background

There is strong evidence of the multiple benefits of physical activity on health in primary, secondary and tertiary prevention (WHO, 2020). However, economic evaluations are still needed to estimate direct and indirect costs that could be saved from various Health-Enhancing Physical Activity (HEPA) promotion strategies (Ding et al., 2020). Moreover, these savings might be influenced by specificities of the national health system. The aim of this study is to explore the economic impact of HEPA from different settings in France.

Methods

A systematic scoping review of grey and scientific literature was conducted. Relevant articles were identified through searching from PubMed, ScienceDirect, SportDiscus databases and from google. Searches were conducted in English and French between January 2000 and December 2020. A data extraction template was used to collect, organize and summarize data regarding the following variables: aim of the study, study population, study settings, methods, and main results.

Results

A total of 17 studies were included from the grey literature (n = 10) and the scientific peer-reviewed literature (n = 7). Data from each variables of interest were heterogeneous, making comparisons difficult. Studies were categorized in 5 types: studies aiming to estimate the cost of physical inactivity or the cost that could be saved from HEPA promotion in general population (n = 8); studies aiming to evaluate the medico-economic impact of a physical activity adapted program (n = 5); studies aiming to assess the economic benefit of active travel in a city (n = 3); study aiming to estimate the economic impact of physical activity from a company and its employee's perspectives (n = 1). Whatever the methods, the study population or the study setting, several tens of millions of euros to several billions of euros could be saved each year by investing in HEPA promotion.

Conclusions

HEPA promotion can lead to substantial saving. Methods should be standardized to more precisely estimate its extent in different settings in France. This could help policy-makers in their decision to invest in HEPA promotion, especially in phases of epidemics, where sedentarity and physical inactivity account for major health risks.
P01-15 National focal point network for physical activity promotion - experiences from the european union
Authors: Tcymbal Antonina , Gelius Peter , Abu-Omar Karim , Messing Sven , Whiting Stephen , Kremlin Wickramasinghe
Published: August 2022

Background

An analysis of currently existing partnerships and cross-country collaboration for physical activity (PA) promotion is valuable for understanding how such partnerships operate, and how they impact national PA promotion efforts. This study aimed to outline the structure of the European Union's (EU) National Physical Activity Focal Point Network, to evaluate its outputs and benefits, and to describe its potential and challenges.

Methods

We employed a mixed methods approach with three components: (1) document analysis of network meeting reports, (2) semi-structured interviews with key officials who were involved in establishing the network, and (3) an online evaluation survey with the national PA Focal Points.

Results

The PA Focal Point Network was founded in 2014, and its main task is to coordinate the collection of information for the EU's HEPA Monitoring Framework. Each of the EU Member States nominated a representative to the network. Focal Points usually meet twice a year to discuss issues related to the HEPA Monitoring Framework and to share best practices and plan activities for the promotion of PA within the EU. The results of the evaluation survey show that participation in the network helped members to specify goals for PA promotion, gain knowledge, and identify opportunities to promote PA in their country. From the perspective of the Focal Points, most helpful outputs of the Network activity are the country factsheets on physical activity, the connections within the Network and the opportunity to share their experience with colleagues during meetings and group discussions.

Conclusions

The study shows that the PA Focal Point Network may serve as an example of successful cross-country collaboration in PA promotion. The network has supported the monitoring of the implementation of the EU Council Recommendation on HEPA across sectors in particular and of PA promotion in the EU in general. It also had positive effects on national PA promotion efforts and on cooperation between countries. All in all, the PA Focal Point Network can serve as an example for other world regions or policy areas that set up similar networks.
P02-01 Promoting Physical Activity in Secondary School for Health, a collaborative European project
Authors: Lhuisset Léna , Bois Julien , Fabre Nicolas , Zunquin Gautier , Grady Caera , Haerens Leen , Mota Jorge , Zaragoza Javier , Dubertrand Lionel
Published: August 2022

Issue

The 2PASS-4Health project (Promoting Physical Activity in Secondary School for Health) was founded by the Erasmus+ Sport programme of the European Union to improve the participation in sport and physical activity (PA). This project aims at examining examples of PA promotion interventions in secondary school, identifying good practices as well as the main barriers and difficulties linked to the design, implementation and evaluation of such interventions in order to improve their quality and sustainability. This project targets both the scientific community and various stakeholders involved in school-based PA promotion for adolescents to provide them with clear knowledge and usable tools. The overall design of this project will be presented as well as the first results and deliverables created to implement the interventions.

Description

In order to fill the existing gap between theory and practice by identifying evidence-based practices that work we are translating recent scientific knowledge into accessible information and tools that meet the needs of the stakeholders in the field. Furthermore, using a co-design approach involving several internationally recognised experts, stakeholders, and end-users, we developed some adapted and ready-to-use contents and we designed an optimised multicomponent school-based intervention that has been implemented in France and Spain. We evaluated these interventions not only in terms of outcomes related to PA and sedentary time, but also in relation to other important domains like implementation or maintenance based on the RE-AIM framework.

Results

We are producing: (1) a white paper geared towards professionals and policy makers, and a consensus statement intended for the scientific community; (2) two handbooks on the implementation of the intervention and its evaluation, accompanied by two scientific publications; (3) an educational toolkit to support PA promotion in schools; and (4) articles on the evaluation of the interventions held in France and Spain.

Lessons

System approach seems needed to implement a sustainable multilevel whole-of-school intervention co-constructed with the different stakeholders and end-users involved.
P02-05 Our healthy community - development of a new model for health promotion and disease prevention in Danish municipalities
Authors: Aadahl Mette , Bloch Paul , Demant Klinker Charlotte , Holm Pisinger Charlotta , Vardinghus-Nielsen Henrik , Jørgensen Thea Suldrup , Tørslev Mette Kirstine , Bøggild Henrik , Toft Ulla
Published: August 2022

Background

The Danish health care system is facing major challenges as the prevalence of chronic diseases increases. There is a need for new approaches and strategies to prevent chronic disease and promote health and well-being among citizens. The aim is to describe the development of a new model for coordinated, integrated and evidence-based health promotion and disease prevention in Danish municipalities. The model builds on the supersetting approach, intersectoral collaboration and community engagement and applies a broad bio-psychosocial concept of health.

Methods

Two Danish municipalities were included in the initial development and testing of the model from 2019 to 2021. This involved the following steps in each municipality: 1) Analyzing the health status, lifestyles and socio-economy at municipality level. 2) Mobilizing lead municipal administrators and politicians for intersectoral action including jointly defining thematic focus areas and target populations. 3) Mapping community-based stakeholders, physical environments and existing evidence to qualify relevant action 4) Mobilizing professional stakeholders from the public, private and civic sectors for co-creation of intervention ideas and joint action. 5) Co-creating and implementing interventions together with professional stakeholders and citizens.

Results

The strategic model and results from the development process will be presented from one of the involved municipalities: The municipal administration chose physical activity and well-being among children and young people as their key focus area. Community-based stakeholders from non-profit organizations and public institutions, including sports clubs, leisure clubs, primary schools, and public departments jointly developed and implemented specific interventions. One specific intervention aimed to engage more children in local clubs. Coaches from three local sport clubs introduced 1st and 4th grade students at two schools to their sport (a course of eight times) during students' time in their local after-school club. Overall, the process fostered broad engagement of stakeholders from the public sector, the private sector, and civil society.

Conclusion

The model developed in Our Healthy Community builds on contextual analyses, dialogues, workshops, and co-creation processes with a wide range of stakeholders to promote local relevance, integration and sustainability of developed actions and interventions. The model will be pilot tested in two other Danish municipalities (2022-2025)
P02-07 Physical activity promotion project: intervention and evaluation among pregnant women
Authors: Ruart Shelly , Sinnapah Stéphane , Hue Olivier , Janky Eustase , Antoine-Jonville Sophie
Published: August 2022

Background

We have set up a project to promote physical activity. Physical activity counseling was dispensed to aimed decrease perceived barriers and improve physical activity behaviors. The objective was to evaluate the process and the effectiveness for public health.

Methods

A quasi-experimental trial was conducted in the Maternity Unit of a hospital in Guadeloupe between 2017 and 2018. 96 pregnant women were allocated to a control or intervention group. Physical activity counseling throughout pregnancy was dispensed to the women in the intervention group by trained health professionals. The physical activity levels (an activity monitor and PPAQ) and perceived barriers (questionnaire) were assessed in each trimester. The evaluation of the process consists of evaluating the frequency of counseling in accordance with the recommendations, reported by the women in the intervention group and their effect on physical activity behaviors compared control group. The counseling received was measured with a questionnaire.

Statistical Analysis: For intervention, repeated measures ANOVAs was used to investigate changes between groups over time for PA behaviors, perceived barriers and the neonatal outcomes collected monthly from delivery to 2 months. For evaluation of the process, Chi2 tests explored PA counseling received by group. Repeated measures ANOVAs were used to investigate the changes between groups over time for PA behaviors.

Results

Firstly, the perceived barriers, such as a lack of information about the health benefits and risks and insecurity related to practice (all p < 0.05), were different in favor of the intervention group. There were no significant between-group differences for the major indices of PA, whether measured or reported, and perinatal health outcomes. Secondly, the evaluation of the process showed that women in the intervention group reported more frequently receiving PA counseling throughout their pregnancy vs. the control group (p < 0.001). The same results were found for counseling received in accordance with the recommendations, and women pre-pregnancy overweight (all p < 0.001). All women in the intervention group (normal and pre-pregnancy overweight) who reported received counseling throughout pregnancy reported larger total PA compared to women in the control group (all p < 0.05). However, the total quantity of PA was not different in women who received counseling in accordance with recommendations between the groups (all p > 0.05).

Conclusions

The intervention was unable to limit the decline in PA or improve health outcomes. However, it was associated with an improvement in the perceived barriers. The evaluation of this project has highlighted encouraging signs for PA promotion.
P02-14 KaziBantu ‘healthy schools for healthy communities' - A holistic approach to enhance health literacy and physical activity in primary schools from low-resourced settings in South Africa
Authors: Arnaiz Patricia , Müller Ivan , Dolley Danielle , Adams Larissa , Degen Jan , Joubert Nandi , Nqweniso Siphesihle , Gerber Markus , Du Randt Rosa , Cheryl Walter , Pühse Uwe
Published: August 2022

Backgound

The disease profile of low- to middle-income countries is moving towards one seen in Westernised countries, where deaths are mainly attributed to chronic diseases. Children develop risk factors at a young age predisposing them to noncommunicable diseases in adulthood. Most of the risk factors are preventable through healthy lifestyles. Results from South Africa (SA) show that many children, particularly from marginalized communities, do not achieve the minimal requirements of physical activity (PA). Thus, more emphasis needs to be placed on primary prevention strategies, such as incorporating health promotion interventions within established educational and workplace structures. Primary schools present unique opportunities for holistic prevention interventions.

Methods

Using an ecosystem approach, an interprofessional team of PA researchers, public health specialists and digital innovators, together with partners from the ministry of education and ministry of health in SA, was set up to map and tackle the role of physical education (PE) in the SA school system. Experts identified actionable changes at the school, teacher and policy levels. First, a comprehensive health intervention was developed and implemented in primary schools in low resourced settings in the Eastern Cape of SA. The intervention was followed to learn and adapt. Finally, changes in the educational system will be scaled-up and sustained through governmental institutionalization.

Results

In 1994 PE lost its stand-alone subject status and became part of Life Orientation. Ever since, non-specialist teachers lack the confidence and understanding to adequately teach the subject. The interdisciplinary team developed ‘the KaziBantu model (Healthy Schools for Healthy Communities)’, to promote PA and healthy lifestyles in public primary schools through two complementary programs: KaziKidz, a PE toolkit for schoolchildren, and KaziHealth, a workplace health intervention program for teachers. Furthermore, Short Learning Programs have been developed for continued professional development of life orientation teachers, thereby introducing lasting changes within the educational system.

Discussion/Conclusion

PE and health literacy are oftentimes neglected in the SA curriculum, especially in marginalized areas. System-wide changes initiated and sustained through local ownership are critical to ensure long-lasting impact. Our multilateral intervention aimed to achieve this to offer children and teachers a quality education.
P02-16 Implementation of a program based on adapted physical activity and recommendations for second cancers prevention for adolescents and young adults with cancer: PREVAPAJA study
Authors: Mongondry Rodolf , Perol Olivia , Marec-Berard Perrine , Delrieu Lidia , Febvey-Combes Olivia , Lion Axel , Marvalin Serge , Moumjid-Ferdjaoui Nora , Fervers Béatrice , Boyle Helen , Carretier Julien
Published: August 2022

Background/Objectives

About 1,000,000 new cases of cancer in Adolescent and Young Adults (AYAs) are diagnosed annually worldwide. . While their long term survival is about 80%, they are six times more likely to develop a second primary cancer (SPC) compared to their peers. This risk is multifactorial and depends on the type of first cancer, treatment received and prevalence of risk factors. PREVAPAJA aimed to implement a clinical program based on physical activity (PA) and cancer prevention recommendations for AYAs with cancer at Centre Léon Bérard-AYAs Department.

Methods

The study was conducted at Leon Berard Comprehensive Cancer Centre among patients aged 15-25 years. AYAs attended PA sessions during the active treatment period and were individually informed on SPC risk prevention. PA, sedentary, anthropometrics, quality of life and fatigue were assessed at baseline (T1) and at the end of treatment (T2). PA level and intention of changes in health behaviors were assessed by phone 1 year after T1.

Results

68 AYAs (median age=19 years) were enrolled in 2016-2017). The results showed an improvement in PA level during and at distance of the intervention, with also a reduction of sitting time. Fatigue decreased between T1 and T2 (p>0.003) and overall quality of life improved significantly between T1 and T2 (p>0.001).

Conclusions

This study showed the feasibility of implementing a clinical program based on PA intervention and cancer prevention recommendations for AYAs with cancer. It responded to AYAs' needs for support and discussions regarding PA recommendations and ways to prevent SPC. Beneficial outcomes of this program should encourage to systematically proposing PA intervention in combination with information exchanges with AYAs with cancer.
P03-12 Falling between two stools: parents' experience of supporting their children with cerebral palsy (GMFCS I-II) living an active life
Authors: Morley Sofie , Fonvig Christina Esmann , Troelsen Jens , Larsen Anders Holsgaard
Published: August 2022

Background

Children and adolescents with cerebral palsy (CP) are a vulnerable group who find it challenging to meet current physical activity guidelines, which predispose them to the negative health implications associated with low levels of physical activity and high levels of sedentary time. For these reasons, a key role for many clinicians, parents, and other practitioners is to encourage and facilitate an increase in habitual physical activity and reduce the amount of time spent sedentary, in order to optimize long-term health outcomes.

In Denmark, there is a strong tradition of practicing habitual exercise at leisure activities (83% of children and adolescents). When participating in leisure activities these children are being physically active as well as experiencing being a part of a community. Children and adolescents living with CP are often not able to participate in regular leisure activities, which excludes them from the active and social life that's happening there. This study focuses on parents of children with GMFCS I-II, who, due to their good walking abilities, may be more likely to be able to participate in regular leisure activities.

This study aims to explore the daily life and challenges described by parents in their pursuit of supporting their children with CP living a physically active life. This knowledge can be used by parents, clinicians, coaches, teachers, and other practitioners to guide families living with CP towards a more physically active lifestyle and possibly optimize long-term physical and social health outcomes for children and adolescents with CP.

Methods

Eleven parents of children with CP (n = 7) (GMFCS I-II) aged 7-15 years participated in seven semi-structured interviews. Thematical analysis was performed to understand the data material.

Results and conclusions

The main challenge described by parents was formulated as ‘Falling between two stools’ referring to the experience of their child being ‘too good’ for adapted leisure activities, but at the same time wanting to participate in regular leisure activities, but performing a little too poorly, to feel included. It was found that a reigning performance culture in regular leisure activities was perceived as a barrier for the participation of these children.
P04-08 The art of ageing well - a salutogenic study of physically active old adults
Authors: Ericson Helena , Geidne Susanna , Quennerstedt Mikael
Published: August 2022

Background

People aged 60 years and over has doubled since 1980 and WHO predicts that this population will reach 2 billion by the year 2050. However, increases in life spans do not directly lead to increases in health. An aging population poses both challenges and opportunities for society and for individuals. In order to address this, scholars argue for the benefits of being physically active, especially in a group of peers. However, the relation between physical activity and health is often based on an understanding of what causes or prevents illness rather than what promotes health. The purpose of this study is thus to contribute to knowledge about which health resources older adults develop in their participation in organised physical activity initiatives. The study will consider to what extent older adults develop health resources, differences in demographic background and the relation between the health resources and Sense of coherence (SOC).

Methods

This is the first data collection in a longitudinal study. Participants were old adult men and women, 60 years and above. All participants were active in ongoing organised physical activity initiatives in different organisations on a voluntary basis. A survey included demographics, overall health, health resources (McCuaig & Quennerstedt, 2018) and SOC-13. The data collection is ongoing (preliminary n = 200) and ends spring 2020. Statistical analyses were descriptive and included bivariate analyses.

Results

Preliminary results show that the most frequent health resources are social relations, positive energy and embodied identity for both men and women. A positive related correlation of the health resource habit of exercising were observed with a high sense of coherence.

Conclusion

The Salutogenic idea of having access to various health resources linked to a high sense of coherence is in line with the result of a positively related correlation direction and also with the health resource habit of exercising. The results of the study can contribute to knowledge about which health resources older adults develop in their participation in organised physical activity initiatives.
P04-10 The Physical activity health paradox - what do we know about physiological mechanisms? (editorial)
Authors: Hallman David , Cillekens Bart , Ketels Margo , Gupta Nidhi , Clays Els , Maaike Huysmans , Andreas Holtermann , Coenen Pieter
Published: August 2022

There is strong and consistent evidence that leisure-time physical activity (LTPA) improves cardiovascular health and reduces the risk of all-cause and cardiovascular mortality. Less is known about health effects of occupational physical activity (OPA), and results are not in favor of a beneficial effect on cardiovascular health. Several large-scale prospective studies have found that high occupational physical activity (OPA) is associated with detrimental or no effects on cardiovascular health and mortality. These contrasting associations with cardiovascular morbidity and mortality for LTPA and OPA have coined ‘The Physical activity health paradox'. Although the underlying physiological mechanisms are not established, a theoretical framework was proposed by Holtermann and colleagues (2018). This framework suggests that due to the nature of OPA (i.e. low intensity, long duration, constrained postures, and limited recovery), it may not result in healthy adaptation to the same extent as LTPA, or even lead to unhealthy responses, such as elevated 24-hour heart rate and blood pressure and increased inflammation. Drawing on theoretical models and empirical findings, the aim is to summarize the literature regarding potential physiological mediators of the physical activity health paradox. This also includes a brief summary of our own research based on accelerometer measurements of physical activity with cardiovascular regulation assessed by heart rate and blood pressure in workers with low occupational class and manual work.
P05-03 The role of physical training in the correction of cognitive impairment in patients with type 2 diabetes
Authors: Matveeva Mariia , Samoilova Julia , Zhukova Natalie , Yakimovich Inessa
Published: August 2022

Background

The purpose of the study was to evaluate the role of physical exercises in improving cognitive functions in type 2 diabetes mellitus.

Methods

The study protocol was approved by an ethics committee and all patients signed an informed consent. We examined 204 patients with type 2 diabetes aged 61.7 ± 11.2 years (persons hospitalized in the endocrinology department of the clinics of the Siberian State Medical University, Tomsk). Blind double method patients were randomized into 2 groups: the main one was engaged in physical therapy and the control group (observation). The study was carried out in two stages: at the first visit, a clinical and psychological examination was conducted, which included the Montreal Cognitive Function Assessment Scale and the Diabetes-dependent Quality of Life Questionnaire; repeated clinical and psychological examination was carried out after rehabilitation after 6 months

Results

At the first stage the study revealed the presence of cognitive impairment in type 2 diabetes, mainly in tasks on visual-constructive skills, memory, attention and speech. These disorders were reduced after physical therapy (second stage) by 2.6 points (t = 0.01, p = 0.00006): visual-constructive skills (t = 0.0, p = 0.008), speech (t = 0.0, p = 0.005), abstraction (t = 0.0, p = 0.002) and memory (t = 0.0, p = 0.0007), no change in cognitive function occurred in the observation group. In terms of carbohydrate metabolism: the level of HbA1c decreased by 0.9%, fasting glycemia - by 1.6 mmol/L in main group, but increased by 0,1% of HbA1c and by 0,2 mmol/L of glycemia in the observation group (second stage) (t = 2.0, p = 0.000003; t = 3.0, p = 0.0008). Patients involved in physical therapy showed improvement in a larger number of parameters - leisure, travel, vacation, personal life, appearance, self-confidence, future confidence, financial situation, dependence, food choice, choice of drinks, total point (p > 0.05), when there was a decrease in points in the parameters of the control group.

Conclusion

During rehabilitation in patients with type 2 diabetes, there is an improvement in cognitive functions, carbohydrate metabolism and quality of life.
P05-05 Impact of pain and fear of falling in walking performance under single and dual-task conditions in women with fibromyalgia
Authors: Narcis Gusi , Murillo-Garcia Alvaro , Leon-Llamas Juan Luis , Sanchez-Gomez Jesus , Villafaina Santos
Published: August 2022

Background

Fibromyalgia is characterized by stiffness and widespread pain which cause a negative impact on health-related quality of life and activities of daily living. In this regard, these activities are usually presented as dual-task situations (execution of two tasks simultaneously). Some physical fitness tests have been used under dual-task condition in order to evaluate physical fitness under a more ecological approach. It is hypothesized that physical fitness test could provide more information than physical fitness test under single-task condition. Therefore, the aim of the present study was to explore the relationship between 10m walking test performance under both single and dual- task conditions and the fear of falling and the intensity of pain in women with fibromyalgia.

Methods

A total of 38 women (55.65 [9.28] years-old) participated in the study. Participants performed the 10-m walking test where they have to walk on a 10 meters straight-line as fast as they can. Moreover, the fear of falling and the intensity of pain were measured by a visual analogue scale (0-100).

Results

Furthermore, the performance of 10-m walking test correlated positively with the fear of falling in both under single (rho= 0.550; p-value: > 0.001) and dual-task conditions (rho= 0.483; p-value: 0.002). However, the performance of 10m walking test only positively correlated with pain under dual-task condition (rho= 0.341; p-value: 0.031). In single task condition did not significantly correlate (rho= 0.252; p-value: 0.116).

Conclusions

The performance of 10m walking test under single and dual-task conditions are correlated with the fear of falling. However, the pain intensity only significant correlated with 10m walking test performance under dual-task condition. This could indicate that pain intensity has more influence than the fear of falling on decreasing the performance of a daily living activity such as walking. However, further studies under dual-task paradigm are needed to confirm this hypothesis.
P05-06 Composition of physical behaviors at work and risk of sick leave due to musculoskeletal pain
Authors: Hallman David , Gupta Nidhi , Holtermann Andreas
Published: August 2022

Background

Sick leave due to musculoskeletal pain is common in the workforce. Time use in physical behaviors at work such as sitting, standing, low- (LIPA) and moderate-to-vigorous physical activity (MVPA) may impact on sick leave due to pain. However, studies addressing this relationship using technical measures of physical behaviors are scarce. The aim was to investigate the association between time-use compositions of physical behavior at work and sick leave trajectories due to musculoskeletal pain over one year.

Methods

We analyzed data of 981 workers in a Danish cohort (DPHACTO 2012-2014). We assessed physical behaviors at work at baseline using thigh-worn accelerometers, and classified behaviors at work as sitting, standing, LIPA, and MVPA. Over 1 year follow-up, workers reported sick leave days due to musculoskeletal pain using text messages at 4-week intervals (14 waves). We used Latent class growth analysis to distinguish sub-groups with different trajectories of sick leave. We analyzed associations between time-use in physical behaviors and sick leave trajectories using multinomial regression analysis with adjustment for age, gender, BMI, smoking, and accelerometry-measured physical activity during leisure. Compositional data analysis was used to account for the co-dependency of different behaviors.

Results

We identified four distinct trajectories of sick leave due to pain over one year as follows: no sick days (prevalence 76%), few days-increasing trajectory (19%), some days-decreasing trajectory (3%), and some days-increasing trajectory (2%). Spending more time in sitting relative to the other behaviors was negatively associated with few days-increasing trajectory of sick leave (p > 0.001), while time in LIPA was positively associated with some days-increasing trajectory of sick leave (p = 0.001). Reallocating 60 min/day from sitting to other behaviors at work predicted a 22% increased likelihood of few days-increasing trajectory of sick-leave. In contrast, reallocating 30 min/day from LIPA to other behaviors at work predicted a 57% decreased likelihood for some days-increasing trajectory.

Conclusion

We found that compositions with more sitting relative to the other behaviors had lower odds for the trajectory with increasing sick leave due to pain, while compositions with more LIPA had higher odds. This may have implications for prevention of pain-related sick leave in workers.
P05-10 Changes in mental health and physical activity patterns before and during the covid-19 pandemic in Swedish adolescents - a longitudinal study
Authors: Nyberg Gisela , Kjellenberg Karin , Helgadóttir Björg , Ekblom Örjan
Published: August 2022

Background

The covid-19 pandemic has had a large impact on the daily lives of adolescents, even in Sweden where the restrictions were relatively mild. The aim of this study was to examine if there had been a change in mental health outcomes and if these changes were related to changes in physical activity patterns before and during the pandemic.

Methods

In this longitudinal study, data were collected in the autumn 2019 and in follow-up measurements in the spring 2021. Physical activity and sedentary time were measured for seven consecutive days by accelerometry (Actigraph). The mental health outcomes, health-related quality of life (HRQoL) and psychosomatic health were measured with questionnaires (KIDSCREEN-10 and PSP). ANCOVA analyses were applied to estimate the associations between change in physical activity patterns and mental health outcomes.

Results

In total, 585 boys (45%) and girls (55%), aged 13-14 years (baseline) from 34 schools around Stockholm, were included in the study. Between 2019-2021 there was a decrease in HRQoL (p > 0.001) and increase in psychosomatic problems (p > 0.001) among both boys and girls. There was a significant positive relationship between change in MVPA and change in HRQoL (β = 0.02, CI: 0.00, 0.05).

Conclusions

The results suggest that the COVID-19 pandemic has impaired the mental health of Swedish adolescents but increased physical activity was related to positive changes in the mental health outcome HRQoL.

Funding: The Public Health Authority and Skandia