bluuebunny/crossref_metadata_2025 huggingface dataset:
O.3.1-4 Implementation of the JOGG approach (Healthy Youth, Healthy Future): unpacking the complex implementation process of community-based health promotion using the Critical Event Card
Authors: Huiberts Irma , Singh Amika , Collard Dorine , Hendriks Mara , van Lenthe Frank , Chinapaw Mai
Published: September 2023

Purpose

community-based programmes are important for population health promotion. Due to the context dependent and dynamic nature of these programmes, it is challenging to define and unravel successful implementation. Therefore, few studies have examined how successful implementation can be accomplished. We studied the implementation of the Dutch JOGG (Healthy Youth, Healthy Future) approach, a community-based programme for promoting physical activity and healthy nutrition in youth. The aim of our study was to (1) understand how the implementation a community-based programme changes over time, in interaction with the local context, and (2) identify key processes that influence implementation.

Methods

to guide data collection and analysis we applied the Critical Event Card (CEC). This analytical tool conceptualizes the implementation process as a continuous and dynamic interaction between the programme (actors) and context. The CEC aims to identify critical events in the evolution of the programme. We collected programme documents and conducted 24 (group) interviews about the implementation of the JOGG approach in 9 different communities. We analysed the data according to the CEC.

Results

over 6-10 years of implementation, JOGG communities included in the current study had changed their implementation strategy, integrated JOGG with other policy initiatives, scaled up to new neighbourhoods and later regained focus to stimulate health equity. Critical events that elicited these changes included (1) how JOGG was framed in local policy during the adoption process, (2) new national health policies, (3) increased national attention for health equity, (4) scale-up, (5) staff turnover and (6) the implementation teams’ experiences (successes or failures). An opportunity for change (e.g. new policy term) was needed to trigger formal programme changes. How critical events influenced implementation depended on the context and implementation team.

Conclusions

when studying the implementation of community-based programmes it is important to take into account their dynamic and context dependent nature. By looking at critical events in the interaction between programme and context over time, we were able to identify key processes in implementation. These findings can support future implementation of community-based programmes.

Funding

by the national JOGG organisation, supported by the Dutch ministry of Public Health, Welfare and Sport.
O.3.2-6 A computer-tailored physical activity intervention for prostate and colorectal cancer patients and survivors: long-term efficacy and behavior change maintenance of OncoActive
Authors: Golsteijn Rianne Henrica Johanna , Bolman Catherine , Peels Denise Astrid , Volders Esmee , De Vries Hein , Lechner Lilian
Published: September 2023

Purpose

To improve the long-term physical and psychological health of prostate and colorectal cancer survivors, physical activity (PA) interventions aimed at maintaining PA are necessary. OncoActive is a print- and web-based intervention that was was able to increase PA of prostate and colorectal cancer patients and survirors shortly after the intervention ended. This study evaluated the long-term efficacy (12-month follow-up) comparing OncoActive and a control group. Furthermore, we explored whether the increased PA was maintained after an 8 month non-intervention follow-up period.

Methods

Prostate or colorectal cancer patients were randomly assigned to OncoActive (N = 249) or a usual care control group (N = 229). OncoActive participants received 3 times PA advice and a pedometer. PA outcomes (i.e., ActiGraph and self-report MVPA min/week and days with ≥ 30 min PA) and health-related outcomes (i.e., fatigue, depression, physical functioning) that were significantly changed by the intervention at 6-month follow-up, were included. Differences between groups and changes over time were assessed with multilevel linear regressions.

Results

At 12 months, OncoActive participants did not perform better than control group participants at ActiGraph MVPA min/week, self-report MVPA min/week or ActiGraph days with PA. Only self-report days with PA were significantly higher in OncoActive compared to the control group. Fatigue was the only health-related outcome that was significantly lower in OncoActive compared to the control group at 12-month follow-up. When exploratively looking within the OncoActive group, the previously found PA increase shortly after the intervention (6 months follow-up) was maintained at 12 months and PA improved significantly from baseline to 12 months. The control group showed small but non-significant improvements from 6 to 12 resulting in a decline of differences between groups.

Conclusion

At long-term follow-up (i.e., 12-months), most significant differences between OncoActive and the control group at short-term follow-up (i.e., 6 months) were no longer significant. Natural improvements in the control group may have contributed to this. Fatigue was significantly lower in OncoActive compared to control group participants at 12 months. Computer-tailored PA advice may give participants an early start to recovery and potentially contributes to improving long-term health.

Funding

KWF Kankerbestrijding (Dutch cancer society) NOU2012-5585
O.3.2-8 Sedentary behaviour, physical activity, and sleep patterns of women with chronic temporomandibular disorders on days with and without pain: a cross-sectional study
Authors: Tavares Luiz Felipe , Brusaca Luiz Augusto , Calixtre Leticia Bojikian , Locks Francisco , Oliveira Ana Beatriz
Published: September 2023

Purpose

Sedentary behaviour (SED) and low level of physical activity (PA) might be associated with the development or worsening of pain. Still, studies assessing physical behaviours by accelerometry in individuals with orofacial pain are limited. This study aims to assess whether women with temporomandibular disorders (TMD) present different patterns of physical behaviours in days with (DWP) or without pain (DWoP).

Methods

Twenty-nine out of forty-four women (mean age 29.21 sd 7.96) were diagnosed with TMD and monitored over seven days using a thigh-worn accelerometer. DWP was determined when subjects presented pain in one of the craniocervical regions (head, jaw and neck) with intensity of at least 3 in the numerical rating scale. To be considered a DWoP, the individual presented less than 3 points in the three regions. Daily time-use compositions were described in terms of SED in short (<30 min) and long (≥30 min) bouts, light PA (LPA), moderate-to-vigorous PA (MVPA), and time-in-bed. Isometric log-ratios (ilr) were calculated to express the ratio of time-in-bed to time spent awake, SED relative to LPA and MVPA, SED in short relative to long bouts, and LPA relative to MVPA. Differences between DWP and DWoP were examined using MANOVA, followed by univariate post-hoc tests of pairwise differences.

Results

During DWP, women with TMD spent more time in SED in short (239 min) and long bouts (419 min), less time in LPA (245 min), MVPA (68 min), and in bed (468 min) compared with DWoP (235, 378, 263, 70 and 493 min, respectively). The MANOVA showed that all sets of ilrs did not differ statistically (ηp2 = 0.19, p = 0.25). Still, the post-hoc tests showed a trend that time spent SED relative to LPA and MVPA was larger in DWP than in DWoP (Cohen’s d = 0.36, p = 0.05).

Conclusions

Women with TMD did not show different patterns of physical behaviours in DWP or DWoP. However, there is a trend of more sedentary behaviour and less physical activity in DWP compared to DWoP. Future studies should consider other pain intensity cut-offs, isolated pain locations, and larger sample sizes to confirm these results.
O.3.2-9 Sustaining activity with arthritis (SAWA) following an Arthritis Ireland Be active with arthritis (BAWA) exercise programme
Authors: Stephenson Aoife , French Helen , French David , Hurley Deirdre , Walsh Aisling , Fitzgerald Oliver , Bennett Kathleen , Stokes Maria , Thacker Mick , O'Leary Grainne , Kinneavy Claire , McDonough Suzanne
Published: September 2023

Purpose

Despite evidence demonstrating the health benefits of physical activity (PA), people with arthritis often do not meet recommended PA levels. Whilst various exercise programmes support these people to be active such as the ‘Be Active with Arthritis’ (BAWA) programme from Arthritis Ireland, most individuals reduce their PA after completion of prescribed programmes.

Aim

To co-develop and pilot test a PA maintenance intervention for those who have participated in BAWA.

Methods

This is a mixed methods project with four phases.

Phase 1

An evidence synthesis will evaluate effectiveness of interventions for PA maintenance in people with arthritis and extract potential intervention components.

Phase 2

An observational analysis of BAWA programmes will be undertaken to understand whether behaviour change components that might support PA maintenance are being currently used. This is followed by focus groups with 1) people with arthritis, 2) their carers, 3) the physiotherapists delivering the classes and 4) staff from Arthritis Ireland, to identify support needs and preference for development of a long-term PA programme.

Phase 3

Data from Phases 1-2 will be triangulated and fed into participatory workshops, to co-develop an intervention. People with arthritis and healthcare/exercise professionals will be invited to these workshops.

Phase 4

The PA programme, developed in Phase 3, will be piloted using a pre-post evaluation design with 25 people with arthritis in three separate waves. Interviews with programme attendees will explore facilitators of sustaining PA and identify implementation barriers. Public patient involvement will be embedded throughout this research with the formation of a PPI panel and an embedded Patient Researcher, to ensure that patients’ and carers’ lived expertise informs the various phases and final PA intervention.

Results

Given the early stage of this piece of research, we would welcome feedback from the HEPA community on our plans, and gain insights from similar studies.

Conclusion

By enhancing and developing service provision modalities, people with arthritis can remain physically active for as long as possible, improving quality of life, reducing pain, disability, co-morbidities and multi-service use.

Funding

This project is jointly funded by the Irish Health Research Board and Arthritis Ireland.
O.3.2-10 My Active Ingredient: making movement more accessible for people living with chronic conditions
Authors: Thornton Jane
Published: September 2023

Purpose

Physical activity can treat over 30 chronic conditions, yet four out of five Canadians are not active enough to get these benefits. Finding evidence-based physical activity guidance for specific chronic health conditions is challenging, and patients are unsure about what and how much exercise is needed. Healthcare providers can feel under-equipped to counsel on physical activity. In 2021, we created the Western Research Hub for Physical Activity and Health (the Hub), a team of 30 junior and senior scientists across seven Faculties at Western University (London, Canada) and a Community Advisory Council (CAC) made up of local organization representatives and patient partners. This collective works to lead and advocate for improved access for physical activity and its implementation.

Project or policy description

Through ongoing discussion and regular meetings with The Hub, we learned about the barriers and opportunities patients face when approaching physical activity, and in response collaboratively developed My Active Ingredient (myactiveingredient.org – launch date June 3/2023), a peer-to-peer healthcare hub for movement as medicine, co-designed and curated by people living with chronic conditions, healthcare providers, and researchers. From 2021-2023, we held CAC meetings and Community Workshops to review resources and provide feedback on design and functionality of the site. We gathered information through small group discussion, online surveys, and the Patient Education Materials Assessment Tool to incorporate in the development of the website. We collect and create the best physical activity resources to help make movement more accessible for people living with chronic conditions, and support healthcare providers advising their patients. Our team updates the website on an ongoing basis with new research, resources, and programs related to physical activity identified by website users, the CAC, and/or researchers. The website will undergo a quarterly, two-part evaluation that focuses on website analytics (e.g., page views, sessions, traffic sources etc.) and usability (e.g., test with target representative users).

Conclusions

My Active Ingredient will increase the accessibility and quality of physical activity advice and resources for individuals living with chronic conditions or other barriers to physical activity, and become the “go-to” source for evidence-based guidance for patients, caregivers, and health providers.
O.3.3-1 “Friuli Venezia Giulia in Movimento, 10000 passi di salute” as an example of a multilevel-multifaceted project promoting citizens’ physical activity and healthy habits
Authors: Pagani Laura , Zamaro Gianna , Sandrin Luana , Del Fabbro Tiziana , Del Bianco Rizzardo Alessia
Published: September 2023

The project “Friuli Venezia Giulia in Movimento, 10000 passi di salute” (Friuli Venezia Giulia (FVG) Region on the move, 10000 healthy steps), started in 2019 and is carried out by Federsanità ANCI FVG with financial support of the FVG Region. The project’s main objective is that of encouraging physical activity and healthy habits, in an accessible way for all citizens (with a focus on the elderly) by financing the promotion of pedestrian paths located in the municipalities that have decided to pursue the initiative. The innovative aspect of the project is its multilevel-multifaceted characteristic. The project can be said to be multilevel because it involves subjects and/or institutions at different levels (region, municipalities, citizens’ associations, citizens) and multifaceted as it regards health as well as socialization, tourism, environment, and community networks.

In the early phases of the project, a participatory methodology is applied, which involves different actors through the understanding of the various needs and suggestions. A call for proposals, devoted to all the Municipalities is then open and all the applications are evaluated to detect which are accepted for funding. All the pedestrian paths funded have signals and posters with the same layout, creating a “brand” of the project. Special events are organized to open the paths, targeting all the community members, with the participation of the project’s organizing committee. News about the project and related initiatives are disseminated by social and traditional media; a dedicated website, an information line and promotional materials are created. To evaluate the project different tools are used: questionnaires, interviews, secondary data and survey sheets.

The project can be summarized with three terms: participatory, inclusive and sustainable. Due to the successful participation in the project, two spin-offs are born: walking leader courses and soft gymnastic activities for the elderly. Moreover, it has been included in a European project and has aroused the interest of other Italian regions keen on applying it to their territories. To date about 1/3 of the municipalities are involved with a potential impact on 43% of the population and 59 paths have been completed for a total of 330 km.
O.3.3-7 A Socio-ecological approach to overcoming barriers for physical activity promotion after gestational diabetes: a systematic review and thematic synthesis
Authors: Ioannou Elysa , Humphreys Helen , Homer Catherine , Purvis Alison
Published: September 2023

Purpose

Physical activity is recommended after Gestational Diabetes to reduce risk of subsequent Type 2 Diabetes. However, uptake and maintenance of physical activity is low. Approaching barriers and facilitators to physical activity using a socio-ecological approach could help better direct multi-level interventions in future. The present review therefore aimed to synthesise the postnatal barriers and facilitators to physical activity, and develop and understanding of where, across the socio-ecological model, these factors exist and/or are interrelated.

Methods

Eligible studies included discussion around physical activity with women with a history of GDM. A systematic search of MEDLINE, CINAHL Complete, Scopus, Web of Science and Cochrane Library was conducted in October 2022. Risk of bias was assessed in included studies using The Critical Appraisal Skills Programmes checklist for qualitative research. A reflexive thematic analysis was employed by 2 authors to analyse the barriers and facilitators to physical activity. Themes were first open coded, and then subsequently organised and interpreted in the context of and according to the socio-ecological model.

Results

After screening, 29 studies were included in the final review. The present review updated the most recent review in 2019, including 9 new studies since then. All but 4 studies had a CASP study quality rating greater than 6.5. Most themes spanned the intrapersonal, social, and organisational levels of the socio-ecological model. Physical activity barriers discussed pertained to leisure time physical activity, while other modes of activity, including active transport, were often overlooked, despite being routine. Partner and familial support were identified as vital for engagement with activity. This was either due to the emotional support received, or the provision of childcare. However, most women did not want to have to rely on family for childcare and identified that other forms of childcare present could be facilitative of physical activity.

Conclusions

Most barriers and facilitators at the social and organisational levels were interrelated with those at the individual level. Therefore, future physical activity interventions after Gestational Diabetes should be multi-level.
O.3.3-8 Perspectives of neighborhood sport coaches towards using gamification to promote physical activity in the neighborhood
Authors: Schwarz Ayla , Verkooijen Kirsten , de Vet Emely , Simons Monique
Published: September 2023

Purpose

Gamification can be effective in promoting physical activity and can be applied in both physical and virtual environments. In the Netherlands, neighborhood sport coaches are intermediaries that play an important role in promoting physical activity in local communities. While gamification activities hold promise for promoting physical activity, gamification is only sporadically implemented by neighborhood sport coaches. This study aimed to assess the perceived barriers and facilitators among Dutch neighborhood sport coaches towards using gamification in their daily work.

Methods

Twenty-two semi-structured interviews were conducted with neighborhood sport coaches in the Netherlands. The interviews were audiotaped, transcribed, and analyzed by means of thematic analysis using Atlas.ti 22 software. The analysis was informed by the COM-B model and the Theoretical Domains Framework.

Results

Applying gamification to existing or new activities was highly valued by the neighborhood sport coaches. Themes that were identified related to support (i.e. in- and outside employer’s organization; established networks), skills (i.e. one’s level of technical or creative proficiency), knowledge (i.e. how to find gamified activities; proven effects), costs (i.e. high product costs; financial subsidies), time (i.e. time investment and prioritization), implementation (i.e. concerns about the digital divide; integration versus extension to current programs), and responsibility (i.e. within employer’s organization to promote gamification).

Conclusions

This study outlines the need to strategically implement gamification in the work of neighborhood sport coaches by involving the employer’s organization or municipality. Establishing a gamification network among neighborhood sport coaches could facilitate the implementation and support neighborhood sport coaches to translate best practices to their local offer.
O.4.1-1 Impact of a pre-pandemic, tele-exercise,
fall-prevention intervention on outcomes in older adults
Authors: Jones Dina Lynn , Robinson Maura , Dierkes McKinzey , Selfe Terry Kit
Published: September 2023

Purpose

This pre-pandemic study used an alternative delivery mode to provide an evidence-based, fall-prevention exercise intervention to older adults. We delivered Tai Ji Quan: Moving for Better Balance® (TJQMBB) via tele-exercise and determined its impact on self-reported and performance-based outcomes in older adults.

Methods

Five community sites (3 urban, 2 rural) held 6, 1-hour, synchronous TJQMBB classes, over the internet, twice weekly for 16 weeks (32 hours). Baseline and 16-week self-reported data included fear of falling (Falls Efficacy Scale), depression (Geriatric Depression Scale-Short), physical and mental health-related quality of life (HRQOL) (SF-12 PCS and MCS), and total minutes of physical activity per week. Performance-based outcomes included a 5-Meter Walk Test (gait speed), the Timed Up-and-Go Test (mobility), the 4-Square Step Test (balance), and the 5-Times Sit-to-Stand Test (leg strength). Height and weight were used to calculate body mass index (BMI). Paired t-tests and Friedman 2-Way ANOVA tests examined changes in outcomes between baseline and 16 weeks.

Results

Sixty-three (79.7%) of 79 people were eligible, of which 52 (82.5%) enrolled. Participants were a mean ± SD age of 68.5 ± 7.7 years old, primarily white (96.2%), and female (80.8%). There were no significant improvements in fear of falling (X2r =3.8, p = 0.15), depression (X2r =0.19, p = 0.91), physical (X2r =1.2, p = 0.56) or mental (X2r =0.31, p = 0.86) HRQOL, or physical activity (X2r =3.7, p = 0.16). Gait speed (meters/second) significantly improved from baseline (1.1 ± 0.2) to 16 weeks (1.2 ± 0.2) (p = 0.02). Balance, leg strength, and BMI also improved significantly (balance [seconds]: baseline 10.9 ± 2.4, 16 weeks 10.2 ± 2.5, p = 0.045; strength [seconds]: baseline 14.7 ± 5.7, 16 weeks 12.4 ± 2.9, p = 0.01; BMI [kg/m2]: baseline 30.8 ± 6.3, 16 weeks 30.2 ± 5.6, p < 0.01). There were no changes in mobility (p = 0.16).

Conclusions

This tele-TJQMBB intervention improved physical function (gait speed, balance, leg strength) and BMI in older adults. Tele-TJQMBB provided an alternative delivery mode that could help overcome the barrier of identifying experienced instructors in rural areas, and could expand TJQMBB’s reach into the older adult population. Future comparative effectiveness studies could establish if outcomes are equivalent between in-person and tele-exercise delivery modes.
O.4.1-2 Linking lymphocyte T phenotype to physical capacities in a geriatric population: the VIF-APAS study
Authors: Rousseau Anne-Sophie , Mothe-Satney Isabelle , Chorin Frederic , Loubat Agnès , Lovera Milly , Mercier Julien , Roux Christian , Zory Raphael , Michel Emeline
Published: September 2023

Purpose

Potential mediators contributing to chronic inflammation in aging have both local and systemic impacts that likely promote physical decline. Supporting data in aged mice link modification of T cells to exercise performance leading to novel hypotheses involving the anti-inflammatory regulatory T cells (Tregs) in age-related changes in tissues. We investigated in a geriatric cohort whether physical markers of early signs of frailty and their reversibility would alter circulating Tregs prevalence and subtypes regarding their markers of senescence, function, and migration to tissues.

Methods

Geriatric patients able to walk without technical help, were included in a 12-weeks adapted physical activity (APA) program (NCT04080063). Multidisciplinary tools were used to assess the various aspects of human movement and frailty (isokinetic testing, bioelectric impedancemetry, nutrition, etc.). Relative NK, CD8+ and CD4+ T cells proportions were determined using flow cytometry in extracted peripheral blood monocytes. The transcription factor (FoxP3), the IL-2 receptor (CD25), the senescence (KLRG1) and migration (CCR4) markers were detected using intracellular staining and flow cytometry to discriminate the associated cell subsets and Tregs.

Results

66 women (82.8 ± 6 yrs) and 23 men (82.3 ± 4 yrs) took part in the study. Only 42% had a compliance rate in the APA program over 70%. 44%, were frail, 44% pre-frail and 12% non-frail (Fried criteria). In a representative sample (n = 19), the prevalence of NK cells was 3 times higher in frail subjects. The consideration of markers (Foxp3, CD25, and CCR4) was shown to discriminate an association with some specific physical parameters that are characteristic of neuromuscular and metabolic functions: %CCR4+ cells among NK cells was negatively related to leg extensors maximum strength, and the absence of CD25 in Tregs (CD4+Foxp3+) cells was negatively related to walking distance and speed.

Conclusions

Our preliminary results that need to be confirmed seem to show differences in immune cell markers depending on the frailty status. This study will participate in determining immunometabolic biomarkers of frailty and vitality in a geriatric population. The aim is to promote personalized strategies to predict and counteract inflammaging in an early stage, and to accompany and evaluate adapted physical activity strategies.
O.4.1-5 An online lifestyle intervention consisting of resistance exercise and advice on protein intake improves leg muscle strength and physical functioning in older adults
Authors: Dorhout Berber , Grootswagers Pol , Wezenbeek Nick
Published: September 2023

Purpose

The lifestyle intervention ProMuscle, combining resistance exercise and an increased protein intake, was effective in improving muscle strength, muscle mass and physical functioning in older adults. However, the ageing population is increasing at a fast pace. This leads to growing numbers of older adults suffering from the negative consequences associated with ageing, such as a declined physical functioning. Due to insufficient healthcare professionals, the rapidly growing aging population cannot be personally guided in (preventive) care in the future. Innovative online lifestyle interventions provide opportunities to guide larger numbers of older adults, demanding lower deployment of healthcare professionals. The current study investigates the effects of the online version of ProMuscle on muscle strength and physical functioning in healthy older adults.

Methods

A single-arm longitudinal study was conducted in the Netherlands. In the 24-week intervention 19 healthy adults aged 55 and older were included. They conducted online resistance training twice a week during 24 weeks. In addition, older adults were advised on increasing protein intake via two online consultation by a dietitian in the first 12 weeks, and via a 12-week online learning platform in the second 12 weeks. The 1 repetition maximum (1RM) knee extension and repeated chair rise test were performed at baseline, in week 12 and 24. Linear mixed models were used to test differences over time. Adherence to the training sessions was measured as number of trainings watched, divided by number of trainings provided, times 100%.

Results

Mean age of participants at baseline was 69±6 years. The 1RM knee extension and repeated chair rise test improved significantly during the 24-week intervention (15.49 lbs, SE 1.92 and -1.16 seconds, SE 0.22 respectively). Adherence to training sessions was 72%.

Conclusions

The online lifestyle intervention ProMuscle, combining exercise and nutrition, can contribute to improved muscle strength and physical functioning in healthy older adults. Results from this one-armed trial should be interpreted with caution and larger trials are needed. Providing such lifestyle interventions online enables an increased number of older adults to follow the program, providing the opportunity to contribute to the health and independence of the rapidly growing ageing population.
O.4.1-9 vAdBeCeDa®- a multicomponent exercise programme to prevent falls and frailty in community-dwelling older adults
Authors: Dolenc Maja , Knific Tjaša , Tomažin Katja
Published: September 2023

Purpose

Falls and frailty in the older adults are a considerable public health and socioeconomic problem. Physical activity has an important role in delaying degenerative ageing processes and preserving the neuromuscular system’s plasticity. Multicomponent exercise programmes could improve strength (stability), balance, mobility (flexibility) and walking speed; especially if they are carried out for at least some extend of time. Exercise programmes for fall and frailty prevention in community-dwelling older adults should include muscle performance, balance challenging and functional exercises. Slovenia has a long tradition of implementing community organized and structured exercise programmes in Health promotion centres and Healthy clubs. We are establishing new approach of frailty and falls prevention in our elderly population.

Project description

With the collaboration of professionals in the field of sport recreation, health and fitness we constructed new exercise approach called vAdBeCeDa®. According to the WHO guidelines of physical activity and sedentary behaviour and the latest World guidelines for fall prevention and management for older adults, the programme is an addition to the existing Slovenian functional exercise programme called Health Promoting Sport Program ABC®. ABC programme focused especially on developing strength in fundamental movement patterns and influencing aerobic capacity. The supplement includes warm-up exercises adapted to the specific needs and functional status of the elderly, progressive balance-training programme for 12 training units and a set of static stretching exercises with support, due to poor balance. Functional and physical fitness is assed pre and post intervention with Slovenian version of senior fitness test (Jakovljević & Knific, 2015). Programme will be implemented in existing network of Health promotion centres (HPC) and in Healthy clubs (HC) all over the country, where all elderly population could practice on the Slovenian health insurance costs.

Conclusions

The results from many longitudinal studies on effects of multicomponent exercise programmes are encouraging, given that maintenance of physical fitness has a successful, prolonged effect on fall and frailty prevention in older adults. All countries should pursue a lifelong physical activity for elderly, which is achievable with community approach and good collaboration between health and sport sector.
O.4.2-2 Exercise and screentime; clusters in cohorts of Swedish adolescents with and without disabilities
Authors: Gothilander Jennifer , Eriksson Camilla , Almqvist Lena , Fritz Johanna
Published: September 2023

Purpose

Identify clusters of Swedish adolescents based on the combination of their exercise and screentime, and investigate if gender and disability are associated with clusters. This person-oriented study identifies clusters based on activities and can provide a complementary perspective to other descriptive studies.

Methods

This cohort study used register data from 564 adolescents aged 12-18 years, collected in 2019. Adolescents provided data on their exercise in sports clubs, self-organized exercise, watching TV or movies, and playing video games. Cluster analyses were done separately on 12-14 and 15-18-year-olds. Regression analysis was used to examine if gender and disability are associated with clusters.

Results

Identified clusters are Exercising & no watching TV, Using screens, No sporting, Sporting & no self-organized exercising, No watching TV or exercising, Watching TV, Self-organized exercising & no sporting, and Exercising. Adolescents in the cluster Exercising are characterized by exercising in both sports clubs and self-organized exercise. Exercising was the largest cluster in both age groups with 39% of adolescents aged 12-14 years and 34% of adolescents aged 15-18 years. Twelve percent of 12-14-year-old adolescents and 18% of 15-18-year-old adolescents were in clusters characterized by not exercising in either sports clubs or self-organized. Gender was not associated with any cluster, and having a disability was associated with the cluster Watching TV in the older cohort (13% of adolescents aged 15-18).

Conclusions

The study provides insight into the exercise and screentime habits of Swedish adolescents. Gender does not play a significant role in the clusters, while having a disability is associated with certain screentime behaviors in older adolescents. Overall, this person-oriented approach can complement other descriptive studies and inform interventions aimed at promoting healthy habits among adolescents.

Funding

Swedish Research Council (2018-05824_VR).
O.4.2-3 Physical activity participation among disabled people: secondary analysis of the 2018/19 Active Lives survey
Authors: Carr Shelby , Atkin Andrew , Milton Karen
Published: September 2023

Purpose

Disabled people face significant barriers to being physically active and typically have low levels of activity. To enhance both access to and engagement in physical activity, it is valuable to understand the activity choices of disabled people. This study describes the types and duration of physical activity participation among disabled people and compares this to participation among non-disabled people.

Methods

This study used data from the 2018/19 sweep of Sport England’s Active Lives survey, a nationally representative assessment of activity levels in adults living in England. From a prespecified list of 212 activities, participants reported their participation in the previous 12 months (yes/no) and duration in the previous four weeks (min/week). For this study, activities were subsequently collapsed into 17 mutually exclusive groups, which included ‘leisure activities’ (for example, walking, and gardening) and ‘invasion games’ (for example, football and rugby). Participants also reported whether they had a long term (>12 months) health condition and whether this affected their normal daily activities; this informed the classification of participants into three groups: limiting disability, non-limiting disability, and no disability.

Results

Data were available for 171,121 participants, of whom 31,666 (18.5%) had a limiting disability, 34,955 (20.4%) a non-limiting disability, and 104,500 (61.1%) no disability. Leisure activity was the most common activity type and had the highest median mins/week of activity (median, 315 [IQR = 120-705] limiting disability; median, 390 [IQR = 180-750], non-limiting disability; median, 379 [IQR = 165-750] no disability). Across the three participant groups, walking, swimming, and gym-based activity were among the most common activities undertaken. Compared to participants with no disability, participants with a limiting disability reported lower engagement and durations for all activity types, except motorsports.

Conclusions

The types of activities undertaken by disabled people were largely similar to that of non-disabled people, but engagement and duration was typically lower. The necessary next step is understanding how to improve adoption of and adherence to different activity types among disabled people.

Support/Funding Source

This research was funded by a University of East Anglia Faculty of Medicine and Health Studentship.
O.4.2-10 What can one minute of the day tell about physical capacity?
Authors: Vähä-Ypyä Henri , Husu Pauliina , Tokola Kari , Sievänen Harri , Vasankari Tommi
Published: September 2023

Introduction

High cardiorespiratory fitness (CRF) allows individuals to perform daily activities and operate at higher intensity levels. This study investigates the association between the CRF and peak intensity of physical activity (PA) in absolute and relative terms. Absolute intensity measures the amount of energy expended per unit of time during an activity, while relative intensity reflects the proportion of an individual's maximal capacity.

Methods

1952 adults (803 men, 1149 women) aged 20-69 years participated in the FinFit2017-study. Their CRF was predicted with 6 min walking test, and they wore the accelerometer for at least four days with a minimum of 24 h/day during the seven days measurement period. The participants were divided into CRF thirds by five age groups and sex. Acceleration data were analyzed in 6s epochs and intensity in MET (metabolic equivalent) values were calculated for each epoch. MET values were smoothed with a 1min exponential moving average and the highest daily value was recorded (peakMET). Analysis was done to the weekly mean of daily peakMET values both in absolute and relative terms.

Results

The CRF correlated significantly with absolute peakMET (r = 0.500) and relative peakMET (r=-0.456). In absolute terms, the highest CRF third had the highest peakMET value for men (6.5±1.8; 6.0±1.5; 5.2±1.2) and women (6.3±1.4; 5.8±1.1; 5.2±1.0). In relative terms, the highest CRF third utilized least of their aerobic capacity (men: 53±14%; 56±13%; 61±15%) and (women: 58±12%; 60±12%; 70±16%).

Conclusion

One minute of the day can provide valuable information about the individual’s CRF and the level of effort required during PA. Higher measured absolute peakMET may indicate higher CRF, as more fit individuals can sustain higher levels of PA. When an individual’s CRF is taken into account, individuals with lower CRF have to utilize more of their aerobic capacity. Thus, high CRF provides a possibility to operate at higher intensity levels and protects from strenuous PA during daily routines.
O.4.3-4 Associations between screen-time media use, physical activity, and positive and negative mental health outcomes among adolescents in Ireland: a cross-sectional study
Authors: Forte Chloe , Biddle Stuart J H , Hallgren Mats , Woods Catherine B , Herring Matthew P
Published: September 2023

Purpose

Understanding the individual and joint associations of positive and negative mental health with screen-time and physical activity (PA) among adolescents is essential to develop enhanced guidance for prevention strategies and appropriate interventions.

Methods

Participants (n=879, n = 463 female, mean age 14.71 (SD = 1.51) years) from second-level schools in Ireland completed a battery of well-validated questionnaires assessing hours of daily screen-time use (TV, computer, and phone), PA levels (PACE+) (low (0–2 day/week), moderate (3–4 day/week), or high (5+day/week), and mental health outcomes (anxiety (STAI-Y2) and depressive symptoms (QIDS) and positive mental health (MHC-SF)). Multiple linear regressions examined associations between screen-time, PA and mental health and one-way ANOVA’s examined differences in mental health outcomes between screen-time mode and use categories (none (0 hours), low (0.5-1.5 hours), moderate (2-4.5 hours), and high (5+ hours)). Cohen’s d effect size and 95% confidence intervals quantified the magnitude of the difference.

Results

Higher computer (β=0.112, p≤0.001) and phone use (β=0.138, p≤0.001) were associated with higher depressive symptoms. Higher TV use (β=-0.111, p≤0.002) and PA levels (β=-0.123, p≤0.001) were associated with lower anxiety symptoms. Higher phone use (β=0.113, p≤0.002) and PA levels (β=0.116, p≤0.001) were associated with higher positive mental health. The magnitude of differences in depressive and anxiety symptoms across screen-time use categories were largely small-to-moderate (d = 0.02 to 0.67) and in positive mental health, ranged from small to large (d = 0.03 to 0.88). The sample was then stratified by PA level to assess the potential moderating influence of PA on the screen-time-mental health association, with mixed results.

Conclusions

Results are among the first findings regarding the relationship between screen-time mode and PA levels with mental health, particularly positive mental health among adolescents in Ireland. Associations of screen-time and PA with mental health outcomes varied according to PA level and screen-time mode. The variation in these findings suggest the need to investigate the context of screen-time use and the screen-time activity engaged with. These results suggest that not all screen-time is detrimental and some, in moderation, may be beneficial for mental health. Future research should investigate longitudinal associations between screen-time, PA, and mental health.

Support/Funding Source

N/A
O.4.3-7 Mothers’ experiences of supporting their daughter to be physically active: a qualitative analysis
Authors: Brennan Carol , Donoghue Grainne O' , Keogh Alison , Rhodes Ryan E , Matthews James
Published: September 2023

Purpose

Girls are more at risk of non-communicable diseases associated with insufficient levels of physical activity (PA). Maternal support plays an important role in girl’s PA. Yet little is known about how mothers provide support to keep their daughters active. The aim of this study was to explore mothers’ experiences of supporting their daughter to be physically active.

Methods

A qualitative study with semi-structured interviews was conducted with a purposive sample of mothers (n = 29) of girls (Mean age =10.9 years; SD = 0.6). Reflexive Thematic Analysis was used to analyse the data, with themes/subthemes mapped to the relevant domains of the Theoretical Domains Framework (TDF).

Results

Most mothers recognised the importance of supporting their daughter to be active. Themes highlighted how a mother’s identity and confidence in supporting their daughter to be active influenced supportive behaviours. Social interactions played an important role in facilitating or inhibiting how a mother supports her daughter. The circumstances of a mother’s environment and her perceptions of her daughter’s attitudes towards PA influenced the type of support mothers provided.

Conclusion

The findings advance our understanding of maternal PA support behaviours which will inform strategies to enhance maternal PA support with the ultimate goal of improving girls’ participation in PA. Future research should explore the appropriate behaviour change techniques for maternal PA support and involve mothers in the co-design process to develop interventions that are more feasible, acceptable and implementable.
O.4.3-8 Associations of subjective social status with physical activity and sedentary time among lower secondary school students
Authors: Rajala Katja
Published: September 2023

Purpose

The low level of physical activity among young people has become a common societal concern. This study sought new information on the background to adolescents’ physical activity. The aim was to determine whether adolescents’ subjective social status is related to their physical activity.

Methods

The data was collected as part of follow-up research and evaluation of the Finnish Schools on the Move programme in 2012–2015. The data was collected through student surveys, measuring adolescents’ physical activity with accelerometers, and observing and interviewing secondary school students. The associations between adolescents’ subjective social status and physical activity, as well as the factors related to the subjective social status were studied using both quantitative and qualitative methods.

Results

Adolescents’ subjective social status was associated with physical activity. The subjective social status in school was positively associated with whole-day moderate- to vigorous-intensity physical activity. Adolescents’ high perceived social status in school was significantly associated with physical activity among boys and girls during break times, participation in planning break-time activities among girls, and participation in arranging common school events among boys and girls. Subjective social status in school was negatively associated with sedentary time in school. A high subjective social status in school was also associated with more opportunities for activity created with schoolmates. A high subjective social status was also associated with a wider environment for physical activities in school, which were related to the interactive relationships between adolescents. There were school premises that not everyone had access to, and one limiting factor may be the low subjective social status in school.

Conclusions

The different subjective experiences of school-based social networks are linked to adolescents’ physical activity and should be taken into account when considering the possibilities of increasing adolescents’ physical activity. Although the foundation of an active lifestyle is largely built on one’s own family, the school still has the potential to compensate for differences in family background with its own actions. These interventions should place greater emphasis on peer relations and youth participation rather than the role of school staff.

Support/Funding Source

The Ministry of Education and Culture of Finland.
O.4.4-1 Moving messages: development of the physical activity messaging framework and checklist
Authors: Williamson Chloë , Kelly Paul , Baker Graham
Published: September 2023

Purpose

Physical activity (PA) messaging is an important step in the pathway towards improving population PA levels, but best practice is not yet understood. A gap in the literature existed for a PA messaging framework to help guide creation and evaluation of messages. This study aimed to further develop and improve, and gain international expert consensus on, a Physical Activity Messaging Framework and Checklist.

Methods

A modified Delphi study consisting of three online survey rounds was conducted. A preliminary version of the framework and checklist developed using findings from a scoping review of PA messaging were used as a starting point for this study. Each survey gathered feedback from an international expert panel using quantitative and qualitative methods. The framework and checklist were amended each round based on survey results until consensus (defined a priori as 80% agreement) was reached.

Results

The final expert panel (n = 40, 55% female) came from nine countries and comprised academics (55%), healthcare and other professionals (22.5%) and government officials or policymakers (22.5%). Consensus was reached in survey 3 with 85% and 87.5% agreement on the framework and checklist, respectively. The Physical Activity Messaging Framework (PAMF) and Checklist (PAMC) comprise several PA messaging concepts organised into three overarching sections: (1) who, when, what, how and why, (2) message content, and (3) message format and delivery.

Conclusion

This study presents an expert- and evidence-informed framework and checklist for physical activity messaging. The PAMF and PAMC can be used to create physical activity messages, plan evaluation of messages, and aid understanding and categorisation of existing messages. The PAMF and PAMC may improve practice by encouraging development of evidence-based and target audience-focused messages, as well as enhance the research base on physical activity messaging by harmonising key terminologies and improving quality of reporting.

Funding source

This research was conducted as part of CW’s PhD, funded by the University of Edinburgh’s Principal’s Career Development Scholarship, Oct 2018 - Jan 2021.