bluuebunny/crossref_metadata_2025 huggingface dataset:
O6-8 Rethinking schools as a setting for physical activity promotion in the 21st Century - A position paper from the Erasmus+ 2PASS 4Health project
Authors: Bengoechea Enrique Garcíá , Murtagh Elaine , Grady Caera , Bois Julien , Fabre Nicolas , Solano Alberto Aibar , Dubertrand Lionel , Verloigne Maïté , Ribeiro Jose , Woods Catherine B
Published: August 2022

Background

Schools are ideally placed to provide children and adolescents with multiple opportunities to be or learn to be physically active. However, key reviews have reported that interventions to date have largely failed to have any long-term impact on overall physical activity levels. In this position paper, greater attention to key issues is needed to realise the full potential of schools and ideal physical activity for health promotion setting.

Methods

This study draws on multi-author expertise to develop a position paper to advance opinion on school-based programmes. Collaborative conceptual thinking was established through various tools such as literature review, evidence synthesis and online and in person meetings.

Results/Discussion

The adoption of a systems approach is valuable for understanding the complexities of the school setting and to support the implementation of whole-of-school initiatives. Furthermore, we contend that the full range of physical, cognitive, emotional and social benefits that physical activity provides should be considered, rather than a narrow focus solely on physical activity levels. Interdisciplinary research questions are most useful in exploring and evaluating whole-of-school approaches. Informed by process, impact and outcome evaluation and implementation science, both qualitative and quantitative research methodologies and a move beyond traditional research design are needed to advance our knowledge of what works, for whom and in what context. Case studies from several European countries will be presented to illustrate examples of systems approaches in action. This includes examples at multiple levels firstly, a national approach including a Physical Education curriculum reformation (Portugal), a regional approach such as a county council partnership with a University to support physical activity promotion (France) and a local approach at the school level i.e. a whole-of-school physical activity programme (Spain and Ireland).

Conclusion

From authors expertise and reflection, this paper makes recommendations on the nature of the evidence required to bridge the implementation gap, sustain and scale-up innovative approaches to whole-of-school programmes.
O7-1 The association of occupational and leisure time physical activity with all-cause mortality. Using an individual participant dataset (N = 634,131)
Authors: Cillekens Bart , Ketels Margo , Hallman David , Gupta Nidhi , Clays Els , Maaike Huysmans , Andreas Holtermann , Coenen Pieter
Published: August 2022

Background

Physical activity is a key determinant for health and considered as an important factor in the prevention of lifestyle related-diseases. All physical activity domains are generally considered to be health enhancing. However, accumulating evidence in recent years suggests that occupational physical activity may not have the same beneficial health effect as leisure time physical activity. Our aim was to assess the association of occupational and leisure time physical activity and all-cause mortality.

Methods

We obtained individual participant data from published and unpublished cohort studies and assessed their risk of bias. We harmonized the data, and used Cox survival regression models to assess the association between occupational and leisure time physical activity with all-cause mortality, in a two-stage individual participant data meta-analysis. Different models were performed to assess the impact of relevant confounders including behavioral, health-related and socio-economic factors. Results of the data were reported with hazard ratios (HRs) and 95% confidence intervals (95% CI).

Results

Data from 22 prospective cohort studies showed that male workers with high occupational physical activity had an increased risk of all-cause mortality in comparison with sedentary occupational physical activity (HR: 1.12, 95%CI: 1.03- 1.23). For female workers, no such association was found (HR: 1.01, 95%CI: 0.85-1.19). when comparing high with sedentary occupational physical activity.

Increasing levels of leisure time physical activity were inversely and dose-dependently associated with a reduced risk of all-cause mortality. For example, high compared with sedentary leisure time physical activity was associated with reduced risks for males (HR: 0.53, 95%CI: 0.36-0.79) and for females (HR: 0.49, 95%CI: 0.31-0.79).

All associations remained robust when adjusting for additional relevant confounders, leaving one study out analysis, and when assessing the role of bias and reverse causality.

Conclusion

We consistently found a reduced risk of all-cause mortality with increasing levels of leisure time physical activity, but not for occupational physical activity. These findings indicate that occupational activity may not be health-enhancing. These findings suggest that occupational physical activity may not be considered a suitable substitute to leisure time physical activity when striving for health enhancement.
O7-4 Temporal trends in sport participation according to WHO physical activity guidelines and its effect on weight status: a French school-based study between 2015 and 2019
Authors: Luiggi Maxime , Rey Olivier
Published: August 2022

Background

Insufficient physical activity (PA) is an important risk factor for overweight and obesity among adolescents, both causes of cardiovascular diseases. Sport is the largest contributor to achieving the World Health Organization (WHO) PA levels guidelines. However, few studies have investigated temporal trends in weekly sport participation in relation to adolescents' weight status. The main objective of this study was to compare sport participation to weight status and investigate their relationship over time.

Methods

Two data collections were conducted during spring 2015 (n = 1019) and 2019 (n = 1112) in 30 French high schools. Adolescents reported their age, sex, height, weight, parents' socioeconomic status (SES) and hours of sport per week. Body mass index was calculated and classified into three categories (normal weight, overweight, obese) according to the International Obesity Task Force. Three sports groups were created according to WHO PA guidelines: no sport (NS), sport less than 7 hours a week (7-) and sport more than or equal to 7 hours a week (7+). Binary logistic regressions adjusted for age, sex and SES were performed to evaluate sport participation, weight status and their relationship over time.

Results

Between 2015 and 2019, prevalence of overweight and obesity increased from 9.1% to 14.1%, with this increase greater among low-SES girls. We observed an increase in both the proportion of adolescents playing 7+ hours of sport (8.0% to 12.3%) and those not playing sport (34.2% to 35.9%). These changes varied according to adolescents' SES. In 2019, low-SES adolescents were 1.5 times less likely to play sport (95% CI:1.17-1.99) while no change was observed among high-SES adolescents. Finally, 7+ adolescents were no more likely to be overweight or obese in 2019 compared to 2015. Contrarily, NS and 7- adolescents were 1.7 and 1.8 times more likely respectively to be overweight or obese in 2019 compared to 2015.

Conclusion

These results confirm the adequacy of WHO PA recommendations to counter the rise of overweight and obesity, and show that enough hours of sport participation alone could help stabilize overweight and obesity prevalence, without controlling for other forms of PA.
O7-7 School-based intervention and nutritional behaviours change among adolescents: cross-sectional latent class and longitudinal latent transition analysis
Authors: Dakin Mohamed , Manneville Florian , Omorou Abdou
Published: August 2022

Background

Nutritional behaviours such as diet, physical activity (PA) and sedentary behaviour (SB) are interdependent and are likely to change in different way during a public health intervention. This study aimed to 1) identify cross-sectional nutritional profiles and their 2-year longitudinal transition among French school-aged adolescents, 2) identify factors associated with these profiles and transition.

Methods

Adolescents from the 2-year school-based PRALIMAP (PRomotion de l'ALIMentation et de l'Activité Physique) intervention were included. Nutritional behaviours (diet, PA and SB) were assessed by self-administered questionnaire at the beginning (T0) and end (T2) of the study. Nutritional profiles were identified at T0 using latent class analysis, and their transition from T0 to T2 using latent transition analysis. Logistic regression models were computed to identify associated factors such as sex, weight status, age, socioeconomic status and a PRALIMAP intervention.

Results

Among the 2390 adolescents included (mean ± SD age=15.1 ± 0.6 years), 5 nutritional profiles were evidenced at T0 and labelled as ‘healthy'(12.2%), ‘excessive diet' (16.0%), ‘physically inactive' (26.1%), ‘restrictive diet' (23.5%), and ‘unhealthy' (22.2%). Compared to ‘physically inactive' profile, adolescents from the ‘healthy' ones were less likely to be girls (OR = 0.21; p>.0001), and socially advantaged (OR = 0.87; p=.0002). ‘Unhealthy' profile adolescents were less likely to be overweight/obese (OR = 0.48; p>.0001) and more likely to be older (OR = 3.67; p>.0001). At T2, proportion of adolescents increased in ‘healthy' (+4.6%), ‘unhealthy' (+2.8%) profiles, and decreased in ‘excessive diet' (-1.2%), ‘physically inactive' (-3.2%), ‘restrictive diet' (-3.03%) profiles. Compared to the control group, adolescents from the intervention group were more likely to remain in ‘healthy' (OR = 1.3), and to switch from ‘excessive eater' (OR = 1.1) and ‘physically inactive' (OR = 2.6) to ‘healthy'. Sustainability of ‘healthy' profile increased with socioeconomic status.

Conclusions

The results of this study confirm the variety of behavioural profiles in nutrition with significant social differences. It also demonstrated the effectiveness of the intervention in changing behaviours favourably. Public health focusing on nutritional changes may be more effective it taking in to account the social status of adolescents.
O7-8 Mediation effect of physical activity and sedentary behavior on the association of gender with quality of life in adolescents
Authors: Omorou Abdou , Legrand Karine , Langlois Johanne , Lecomte Edith , Briançon Serge
Published: August 2022

Background

If boys and girls are known to have different levels of quality of life (HRQoL), less is known about behavioural factors such as physical activity (PA), sedentary behaviour (SB) that can explain it. We aimed to analyse the mediation effect of PA and SB on the association of sex and HRQoL among adolescents.

Methods

2448 adolescents (1378, 56.3% of Girls) from the PRALIMAP trial with 2-year follow-up were included. HRQoL (physical, mental, social and general dimension scores; range 0-100), PA (walking, moderate vigorous and total) and SB (sitting time) were assessed using the Duke Health profile and the IPAQ questionnaires, respectively. The 2-year mean PA and SB were calculated and categorized into high or low PA (? 1hour/day) or SB (2 hours/day out of school). We conducted a mediation analysis to investigate the causal mechanism of gender (reference=Girls) on HRQoL through PA and SB by estimating total effect (TE), natural direct effect (NDE), natural indirect effects (NIE) as well as proportion mediated (PM: proportion of sex-HRQoL relationship mediated by PA or SB).

Results

The direct relationship of gender and HRQoL (NDE) was significant whatever the HRQoL dimension. When using vigorous PA as mediator, PM was estimated at 13.7% (TE:11.0 [9.5 to 12.5]; NIE:1.5[0.9 to 2.1]), 19.4% (TE: 12.3 [10.6 to 14.1]; NIE: 2.4 [1.6 to 3.1]), 70.0% (TE:4.6 [3.1 to 6.2] ; NIE: 3.3 [2.5 to 4.0]) and 25.6% (TE: 9.3 [8.1 to 10.5]; NIE:2.4 [1.8 to 2.9]) for physical, mental, social and general HRQoL, respectively. Similar but less important mediation effect was observed for moderate and walking PA. For Total PA, PM was estimated 7.0%, 8.7%, 47.4% and 14.7% for physical, mental, social and general HRQoL while for SB, the mediation was inverse and less important (PM: -1.5%, -1.4%, -2.0% and -1.5% for physical, mental, social and general HRQoL respectively).

Conclusion

HRQoL is significantly higher in boys compared to girls among adolescents and this difference is shown to be partially mediated by differences in PA practice, especially vigorous PA. Additionally to the impact of adolescent PA in preventing non-communicable diseases in adulthood, it can also enhance their well-being.
O8-1 24-Hour Movement Behavior and Fundamental Movement Skills in Pre-School Children: A Compositional Analysis
Authors: Martins Clarice Lucena , Clark Cain Craig Truman , Mota Jéssica Gomes , Bezerra Thaynã Alves , Lemos Luís Filipe Gomes , Reuter Cézane Priscilla , Dunca Michael , Mota Jorge
Published: August 2022

Background

Studies that have analyzed the association between the different movement behaviors and fundamental movement skills (FMS), have considered it in an independent manner, disregarding the compositional nature of 24-hour movement behaviors (24h MB). The aim of this study was to investigate relationships between the 24h MB and FMS in low-income preschoolers.

Methods

Two hundred and four preschoolers of both sexes (4.5±0.8 years old; 101boys) provided objectively assessed physical activity (PA) and sedentary time (ST) data (Actigraph wGT3X), and FMS assessments (TGMD-2). Sleep duration (SD) was reported by parents through interview. Association of daily time composition of movement behaviors with FMS was explored using compositional data analysis (R Core Team, 3.6.1).

Results

Our data highlighted that no single movement behaviour significantly predicted locomotor, manipulative, or total motor competence. When data were considered as a 24h MB composition based on PA, ST and SD, adjusted for age, BMI and sex, the composition significantly predicted locomotor score (P > 0.0001; r2 = 0.31), manipulative score (P > 0.0001; r2 = 0.19) and total motor competence score (P > 0.0001; r2 = 0.35), respectively.

Conclusion

Our study suggests that the 24h MB composition is more important for adequate FMS then any individual, movement behavior. This represents an important finding, particularly for creating and optimizing interventions to benefit child health.
O8-5 Sociodemographic factors associated with discrepancy between body satisfaction change and weight change among school-aged adolescents following a behavioral intervention
Authors: Manneville Florian , Guillemin Francis , Legrand Karine , Lecomte Edith , Rydberg Jenny Ann , Briançon Serge , Omorou Abdou Yacoubou
Published: August 2022

Background

Interventions promoting healthy behaviors such as physical activity are effective to prevent overweight and obesity among adolescents. Following such interventions, body satisfaction change could be discrepant with weight change (e.g. less body satisfaction while having lost weight), and decrease sustainability of behaviors in the long-term. This study aimed to describe the discrepancy between body satisfaction change and weight change among adolescents following a 2-year school-based intervention, and to identify associated sociodemographic factors.

Methods

Adolescents from the 2-year school-based ‘Promotion de l'Alimentation et de l'Activité Physique’ study conducted in northeastern France from 2006 to 2009 were included. Body satisfaction change was assessed using a self-administered questionnaire at the end of the study. Weight change was measured by the difference of body mass index z-score at end and start of the study. Discrepancy between body satisfaction change and weight change was described with cross-tabulations and weighted Cohen's kappa. Sociodemographic factors associated with discrepancy were determined by multivariate logistic regression models.

Results

Among the 3279 adolescents included (mean ± standard deviation age= 15.2±0.6 years), the proportion of discrepancy between body satisfaction change and weight change was 74.8% (pessimism= 41.6%; optimism= 33.2%). The weighted Cohen's kappa indicated high discrepancy (?= 0.09; 95% confidence interval [0.07; 0.11]). The likelihood of discrepancy, especially pessimism was higher in boys than in girls (odds ratio= 1.44, 95% confidence interval [1.19; 1.74], p= .0002), and higher in adolescents with high socioeconomic status than in those with low socioeconomic status (odds ratio= 1.82; 95% confidence interval [1.20; 2.74], p= .004)

Conclusions

Discrepancy between body satisfaction change and weight change was high among school-aged adolescents with increased likelihood for boys and adolescents with high socioeconomic status. Body satisfaction change should be considered in overweight and obesity prevention interventions alongside body weight change, and could be used as an indicator of long-term behavior maintenance.
O8-6 Participation in physical education, extra-curricular activities, and community sports among Irish adolescents with and without functional difficulties
Authors: Ng Kwok , Belton Sarahjane , Murphy Marie , O'Brian Wesley , Woods Catherine
Published: August 2022

Background

Physical activity for adolescents with disabilities (AWD) are reported to have even greater health benefits than for adolescents without disabilities (AWoD). The settings for organised physical activity opportunities can include physical education, extra-curricular activities and community sport. Few studies have reported whether there are differences in participation in these settings between AWD and AWoD. The purpose of this study was to report differences in participation in organised physical activity between AWD and AWoD in Ireland.

Methods

Data, were disaggregated by disabilities, from the Irish children sport participation and physical activity 2018 study; a national representative self-report survey. Adolescents selected sports and physical activities they took part in the last 12 months in physical education, extra-curricular activities, and community sports. The child functioning module was completed with data coded according to the Washington group on disability statistics criteria. Data were stratified by gender and school level, with average scores of the number of activities analysed by T-Tests with Hedge's g, and no participation by Chi-square test of independence.

Results

The weighted sample included 6646 adolescents (53% female, 68% secondary level), of which 16% reported disabilities. Specific difficulties were sensory (4%), physical (1%), cognitive (7%), and behavioural (9%). More AWD reported they did not do any organised physical activities in all three settings (physical education, p = 0.029, extra-curriculum, p = >.001, community sport p = >.001) than AWoD. Adolescents with behavioural disabilities reported fewer types of physical education activities (males primary, p = .014, g =.31; secondary, p = .008, g = .24) and community sports (male primary, p = >.001, g = .49; female secondary, p = .027, g = .14) than adolescents without behavioural disabilities.

Conclusions

Adolescents with behavioural difficulties were the largest disability group and reported fewer number of organised physical activities than AWoD; reinforcing actions are needed to increase perceived choice of activities. An alarming number of AWD reported no organised physical activities in all three settings. More thorough studies are required to investigate these reasons, and to provide support across settings, whereby differences in participation between adolescents with and without disabilities are not so profound.
O8-7 Do physical activity, motor skills, and attention capacities predict the academic achievement of primary school children from disadvantaged neighbourhoods? Elaboration of inference conditional trees
Authors: Bernal Caroline , Fabre Nicolas , Lhuisset Lena , Bois Julien
Published: August 2022

Background

In the 6-10 year period, physical activity (PA) and motor skills have a positive impact on cognitive development, which in turn act on academic performance. In order to better understand these links, a study was conducted to explore these relationships for disadvantaged children between the ages of 6 and 10.

Methods

Children from two primary schools located in a disadvantaged neighbourhood (Tarbes, France) participated in the study. Variables were measured at 5 measurement times over 3 academic school years (2016; 2017; 2018). PA was measured by accelerometry over the whole day and weekend (MVPAF, MVPAWF). Motor skills were also assessed with a shuttle run test (NAV), a standing broad jump test (SBJ) and a tapping test (TT). A cardiorespiratory Shuttle Run test 20m (AR) was also carried out. Attentional capacities were measured with a computer-based Flanker Task: the Total Reaction Rime (RTT) of the correct answers (ms) for each child was collected. Finally, the children's score academic performance in French Language and Mathematics were collected. To study the relationships between the different variables, conditional inference trees including all these variables were performed with R software. Two trees were generated having as target variables respectively French language (FR) and Mathematics (MAT).

Results

French language (FR) was predicted first by the age of the children (p > 0.001), but as well for the youngest and the oldest chidldren, FR was predicted by performance on the TT (p > 0.001) and RTT (p > 0.001): the children who perform better on the TT test and have a lower RTT are those who obtain the best results in French language. Mathematics (MAT) was explained by these same variables as for FR (p > 0.001). The evaluation of these two conditional inference tree by the Pseudo R-square were respectively 0.13 and 0.11.

Discussion

These two conditional inference trees revealed that French language and Mathematics were predicted by attentional capacities (RTT), by motor variables (TT, NAV and SBJ). Finally, these models obtained were non-linear, complex and highlight different profiles of children. Although these relationships are documented in the literature (Diamond, 2002), this study confirms this from a longitudinal perspective, which is rarely used.
O9-1 Physical activity change and stability patterns from adolescence to early adulthood: how activity domains and sedentary behaviour are associated with maintaining, increasing and decreasing activity?
Authors: Aira Tuula , Vasankari Tommi , Heinonen Olli , Korpelainen Raija , Parkkari Jari , Savonen Kai , Uusitalo Arja , Valtonen Maarit , Villberg Jari , Kokko Sami
Published: August 2022

Background

Longitudinal studies demonstrate that physical activity (PA) declines on average from adolescence to early adulthood. However, some subgroups of adolescents increase activity while others decrease or maintain high or low activity. Determinants of change or maintenance of (in)activity may differ between subgroups and are valuable information for targeted health promotion. The purpose of this study was to identify PA patterns from adolescence to early adulthood, and also to explore how different activity domains and Sedentary Behaviour (SB) are associated with PA patterns.

Methods

The data of this observational cohort study (collected in 2013/2014 and 2017/2018) consisted of 254 Finns at age 15 and 19 participating the Health Promoting Sports Club study. K-means cluster analysis for longitudinal data was performed to identify participant clusters (patterns) based on their accelerometry-measured moderate-to-vigorous PA (MVPA). Associations of sports club participation (SC), active commuting (AC), and SB with PA patterns were examined by logistic regression analysis.

Results (preliminary)

Five MVPA patterns were identified: inactivity maintainers (n = 71), activity maintainers (n = 70), decreasers from moderate (to low) PA (n = 61), decreasers from high (to moderate) PA (n = 32), and increasers (n = 20). At age 15, SC participation (41-97%) and AC (47-75%) were common in all the patterns. By age 19, clear dropout from these activities was prevalent (SC participation mean 32%, AC 31-63%). Maintained SC participation was associated with a higher likelihood of belonging to the decreasers from high PA (OR = 11.2, CI = 1.4-90.0) and to the combined group of increasers and activity maintainers (OR = 3.6, CI = 1.8-7.4); also with a lower likelihood of being an inactivity maintainer (OR = 0.1, CI = 0.02-0.2). Dropout from SC was related to a higher likelihood of being a decreaser from high PA (OR = 10.9, CI = 1.3-90.7). Maintenance/adoption of AC was associated with a lower likelihood of being an inactivity maintainer (OR = 0.3, CI = 0.1-0.7). Decreased SB was related to a higher likelihood of belonging to the activity maintainers and increasers (OR = 0.96, CI = 0.93-0.98).

Conclusions

PA patterns diverge greatly over the transition to adulthood. Changes in SC participation, AC, and SB show different associations with diverging PA patterns. Hence, tailored PA promotion is recommended.
O9-3 Reducing workplace sedentary behaviour: An exploration of the facilitators and barriers to professional men reducing prolonged sedentary behaviour
Authors: Nicolson Gail
Published: August 2022

Introduction

There is a growing interest in workplace interventions to reduce sedentary behaviour. Professional males are most at risk of prolonged sedentary behaviour, are considered difficult to reach in terms of recruitment to studies, and may require targeted health promotion interventions. Research on the views of senior managers and executives as well as employees in a professional setting in relatively underdeveloped. Studies have shown that a ?one size fits all' approach is not suitable in behaviour change interventions. The aim of this study was to qualitatively explore professional male workers' facilitators and barriers to reducing workplace sedentary behaviour and their views on suggested intervention strategies to ensure relevance and practicality of the intervention in each specific context.

Methods

Three semi-structured focus groups and one interview were conducted with a purposive sample of 25 professional men (15 employees and 10 senior managers). The men were recruited using convenience sampling from two professional worksites in Dublin, Ireland. Transcripts were analysed using thematic analysis.

Results

The men identified a range of intrapersonal, interpersonal and organisational barriers and facilitators to reducing workplace sedentary behaviour. Perceived facilitators included individual motivation, the formation of new habits likely through small changes, management buy-in and support and organisational culture. Perceived barriers included the primacy of work, job requirements of being desk-bound, and management expectations. Views of suggested strategies for a novel multicomponent intervention to target the determinants of sedentary behaviour as informed by the socio-ecological model were positive overall.

Conclusions

The needs, preferences and opinions of professional men to participate in a workplace intervention to reduce sedentary behaviour should be taken into consideration prior to implementation in a workplace setting. This is important to ensure relevance and the practicality of intervention strategies in the particular settings.
P01-02 Can leisure time physical activity moderate the impact of occupational physical activity on sickness absence?
Authors: Clays Els , Ketels Margo
Published: August 2022

Introduction

Physical activity (PA) as health promotion tool is not one without adverse effects and adolescents with nonfatal physical activity-related injuries (PARI) may experience serious health consequences for the rest of their lives.

Purpose

The aim of this study was to assess the associations between physical activity-related injuries in adolescents in various settings and moderate-to-vigorous physical activity, medically attended injuries, cardiorespiratory fitness and body composition.

Methods

As a part of the pilot study of the Health Behaviour in School-aged Children Study conducted in October and November 2021 in Slovakia, we surveyed 119 adolescents (53 girls; average age 12,6±2,0) for frequency ofmoderate-to-vigorous physical activity (MVPA), frequency of medically attended injuries (MAI), frequencies of physical activity-related injuries in sports clubs (PARISC), physical activity-related injuries in leisure-time (PARILT) and physical activity-related injuries in schools (PARIS) and we measured their cardiorespiratory fitness (using 20-metre shuttle run) and their body composition (using InBody 230).

Results

Out of 119 adolescents, 50 (42%) were attending sports clubs of which 27 (54%) had one or more PARI in sports clubs' activities in previous year, 50 adolescents (42%) had PARI in leisure activities and 15 (12,6%) in school activities. PARISC led to an average of 10 missed days from school or leisure-time activities. PARILT led to 7,2 missed days and PARIS led to 6,2 missed days. Spearman's correlations (n = 50 for PARISC and n = 119 for PARILT and PARIS) revealed associations between MAI and PARISC, PARILT and PARIS, but not between MVPA or 20-metre shuttle run laps and PARISC, PARILT and PARIS. Not surprisingly, percentage of body fat was negatively associated with the number of 20-metre shuttle run laps. In addition, results of crude linear regression models showed that frequency of MVPA was not associated with frequencies of PARISC (B coefficients (B)/95% CI: 0,03/-0,11-0,18), PARILT (B/95% CI: 0,04/-0,05-0,13) or PARIS (B/95% CI: -0,02/-0,07-0,02) among Slovak adolescents in our pilot study.

Conclusions

Estimating the burden of PARI is important in advocating the need of directing sufficient resources to PARI prevention along with the PA promotion. Improvement and understanding of factors associated with PARI might be helpful in PARI prevention. In addition, it might, among other factors, play a role in promotion of active lifestyle in adolescence.
P01-06 Physical activity and non communicable diseases in France
Authors: Berjaoui Roxane , Gautier Christele , Joannard Nathalie
Published: August 2022

France, as a Member State of WHO Europe, plays a major role in the European strategy on physical activity, nutrition and health within a global framework for the ﬁght against non-communicable diseases.

France has adopted a National Sport Health Strategy for 2019-2024 intended to promote sports and physical activities (SPA) as a fully-fledged determinant of health and well-being lifelong. It is consistent with other strategies or plans implemented by other ministerial departments.

The four axes of the NSHS are: 1/Promoting health and well-being through physical activity and sports, 2/Developing the offer of and participation in adapted physical actvities for therapeutic purposes and prevention of loss of autonomy; 3/Better protecting sports people’s health and improving safety of activities whatever their intensity; 4/Improving and disseminating knowledge on the impacts on physical condition and health of engaging in sports and physical activities.

One of the key measure of the NSHS is indexing of “Maisons Sport Santé”, Health Sport-Houses (HSH) aimed at receiving and orientating all those wishing to engage in, develop or resume sport or physical activities for health or wellbeing reasons, whatever their age, state of health or frailty. Following 3 calls for projects, 436 HSH have been recognized since 2019 and cover almost whole French territory. HSH can be integrated within an association, a hospital, a sports establishment or as digital platforms. A particular attention is paid to people with highly sedentary lifestyles and those with limited autonomy. People with chronic or long-term diseases (cancer, diabetes, heart disease, asthma, Alzheimer etc.) to whom physical activities adapted to their limitations have been prescribed are also priority targets.

“Month of Sport and Physical Activities” is a large-scale communication campaign to promote the beneﬁts of sport and physical activities to a wide range of population. The aim is to spread recommendations on SPA and the ﬁght against sedentary behavior, to make SPA accessible to everyone and to encourage people and make them aware of the possibilities to practice in their daily life. Another goal is to give visibility to current actions in this area, to enable French people carry out an analysis of their physical condition and to spur them to (re) start a physical activity training.
P01-08 Implementing school-based physical activity - putting Policy into Practice
Authors: Skovgaard Thomas
Published: August 2022

Close to ten years ago, at the beginning of December 2012, the Danish government, announced its intention to implement comprehensive reforms of the public school system. Six months later, in June 2013, a broad-based political alliance agreed on extensive alterations in the legislation guiding Danish public schools.

The discussions of the most recent major reform of Danish public schools, established a next to unequivocal consensus among the parties in the Danish Parliament, school employers and employees as well as voluntary sports organizations that children and young people should be more physically active during the school day. Thus, the updated Danish Education Act of 2013 made it compulsory for public schools to offer an average of 45 minutes of physical activity (PA) per school day.

It is, however, painfully clear that the subsequent implementation of the primary policy goal to incorporate a minimum of 45 minutes of school-based PA for all pupils per day has been far from complete. According to some of the more exhaustive monitoring reports, in 2019 only six out of 10 schools fulfilled the basic PA-criterion. This was at the same level as in 2016. In spite of much political goodwill at both national, regional and local levels, significant investments of time and other resources by school authorities, professional organizations, a number of private and public foundations, individual employees and work teams, school managers and boards the number of schools actually adhering to current legislative goals related to physical activity has not changed in any substantial way from the adoption of the updated legislative framework in mid-2013 till present time.

Based on this state of affairs the presentation explores the question: What factors have influenced the translation of an overall policy ambition, related to school-based physical activity, into practice? The presentation builds on the Integrated Implementation Model, as presented by Winter and Nilsen and Cairney's introduction to Policy implementation research, and covers phases two and three of a total of four into which a given political decision-making process is typically divided: 1) agenda-setting, 2) policy generation, 3) implementation, and 4) evaluation.
P01-09 State-wide implementation of the ‘Sport-Health Houses' program
Authors: Racine Antoine Noël , Mullot Marie , Christèle Gautier
Published: August 2022

Issue and problem

In France according the group of age, 37% to 81% of the population are insufficiently active (ANSES, 2017). In addition, more than 40% of adults have prolonged sedentary behaviours (? 7 hours of day) (ANSES, 2017). Moreover, 7,6% of premature deaths in France could be attributable to physical inactivity (GOPA, 2021). In many territories, opportunities to adopt a physical active lifestyle need to be improved (IGAS, 2018). To tackle these major issues, the French government have implemented the Sport-Health Houses (SHH) program through the national sport health strategy 2019-2024.

Problem description

SHH have been launched in 2019 across the country. SHH are places were communities are welcomed and informed about multiples benefits of physical activity and sport. SHH also offer opportunities to evaluate people's fitness and to refer them to a ‘sport health' program through their own resources or through local stakeholders network. How the SSH program have been implemented across the country? Did SHH reach inactive people? How SHH impacted communities?

Results

Each year since 2019, the ministry of sport and the ministry of solidary and health have launched a call for project to local stakeholders to their organization become a SHH by complying selection requirements. In January 2022, 436 SSH were created on metropolitan and overseas territories with attention to the most vulnerable. Since 2020, beyond information about the benefits and opportunities to practice locally a physical activity, almost 697 000 inactive people were supported following a sport-health program of SHH in primary prevention of which 45 000 people in secondary or tertiary prevention. The impact evaluation of SHH to the communities is in progress

Lessons

A strong national policy can support the local level to develop Health-Enhancing the Physical Activity (HEPA) promotion. Moreover, it seems to be particularly relevant to develop SHH in territories with social inequalities to attract people generally far away of an active lifestyle.

Main messages

An approach linking the national and the local level is promising to develop HEPA.
P01-10 Workplace Health Promotion To Facilitate Physical Activity Among Swedish Office Workers
Authors: Ullberg Oskar
Published: August 2022

Background

The Swedish Work Environmental Authority (2015) states that about 60% of the Swedish workforce work in various office settings, a primarily sedentary environment (Prince, Elliott, Scott, Visintini, Reed, 2019). Today many workplaces offer their employees tax deductible preventive health services, i.e., wellness allowance to promote physical activity. Previous surveys indicate that 50% of the Swedish working population have access to wellness allowance (Hanson, 2007; Weightwatchers, 2017). However, 40% do not take advantage of this benefit (Weightwatchers, 2017; Kjellman & Höglind, 2006). Further, there is still little knowledge about how companies in Sweden promote an active lifestyle at work. This study describes how companies current Workplace Health Promotion (WHP), i.e., wellness allowance and other services related to physical activity, are implemented. Their purpose for providing WHP and the policymakers visions and possible hinders.

Method

Qualitative semi-structured interviews were used to explore how nine policymakers (i.e., human resource managers or CEO) describe WHP related to physical activity analyzed with the framework method.

Results

Physical activity is facilitated through wellness allowance, flexible working hours, step-challenges, walk and talk meetings, and health education. The companies also use the office setting by providing fitness facilities. Accessibility and convenience are described as important for WHP uptake. The provision of WHP related to physical activity is described as employee-driven, where employee initiatives and work-life balance are essential. The purpose of providing WHP described by the informants was to maintain health and productivity among employees and employee branding. Their visions are to reach a broader range of employees by providing easier access to physical activity and more life-friendly solutions. Hinders related to WHP are economic interest, lack of flexibility, and distrust among employees and leaders. The wellness allowance must also be up to date with market prices to be attractive among employees.

Conclusions

Companies have several strategies to facilitate physical activity during and after working hours to maintain employee health and attract and retain top talents. To increase WHP usage and physical activity during and after working hours, we suggest improvements in organizational support, wellness allowance in line with market prices, and easy access to in-house fitness facilities.
P01-13 A pilot study benchmarking physical activity policy actions in Europe: Lessons learned from the CO-CREATE project
Authors: Kokkorou Margarita , Oldridge-Turner Kate , Vlad Ioana , Fanian Diva , Helleve Arnfinn , Fismen Anne-Siri , Malczyk Sonia , Harbron Janetta , Klepp Knut-Inge , Allen Kate
Published: August 2022

Background

Global research shows a strong link between physical activity and risk of developing non-communicable diseases. To increase physical activity levels, governments must design and implement a comprehensive set of policy actions across a range of areas. To aid governments in this process, the MOVING benchmarking tool was developed to assess the design and strength of countries' policies in promoting physical activity, as well as gaps in policy action.

Methods

The MOVING benchmarking tool was developed using a consultative process that reviewed evidence on physical activity policy design, existing benchmarking tools and built on the policy areas of the MOVING framework. The tool values the strength of policy design based on policy attributes that are evidence-based and aspirational - regardless of whether any countries have implemented them. The tool was applied to a set of physical activity policies from five countries participating in? CO-CREATE?, a European Commission-funded project: Netherlands, Norway, Poland, Portugal and UK. Physical activity policies that are currently implemented in these countries were identified based on a comprehensive country scan, with a set methodology. A set of policies from each country corresponding to benchmarks on access to quality public open space and green spaces and community and mass participation initiatives were analysed. The policies were assessed by applying the benchmark corresponding to the relevant policy area

Results

The benchmarking tools easily identified the strengths and weaknesses in the design of each policy. Thus, the benchmarking tool identified where there was scope for improvement in specific policy area for each country, such as walking and cycling infrastructure and active transport. It also allowed comparisons between countries for specific policy areas. Further, by allowing a fast assessment of many physical activity policies, the benchmarking tool enabled an analysis of the interplay of single policies and draw conclusions about the overall policy environment in the selected countries.

Conclusion

The MOVING benchmarking tool can inform the development and implementation of policies which promote physical activity. It can be used by government policy-makers, researchers and civil society organisations to identify areas of physical activity policy that require government action. The scores generated by the benchmarking tool will be amalgamated into an overall policy index for 27 European countries.
P01-17 Promotion of health-enhancing physical activity in Europe: a cross-sectional study among 536 sports associations
Authors: Matolić Tena , Jurakić Danijel , Podnar Hrvoje , Radman Ivan , Pedišić Željko
Published: August 2022

Background

Sports associations may play an important role in the promotion of health-enhancing physical activity (HEPA) in Europe. However, no recent findings on their commitment to HEPA promotion are available. Therefore, we aimed to determine the level and correlates of the commitment of European sports associations to HEPA promotion.

Methods

Representatives of 1717 sports associations from 36 countries were invited to take part in a survey conducted within the Sports Club for Health (SCforH) 2015-17 project, and 536 (31%) agreed to participate. The participants were asked about their organisation's awareness of SCforH guidelines and its commitment (0-10) to the promotion of: elite sports; health-enhancing sports; health-enhancing exercise, and other types of HEPA. An overall HEPA promotion score was calculated as the arithmetic mean of the latter three. A multiple regression analysis was conducted with the overall HEPA promotion score as the outcome variable and organisation type (“national association of a specific sport” as the reference group [ref], “European sports federation”, “national umbrella sports organisation”, “national Olympic committee”, “national sport-for-all organisation”), headquarters in an EU member state (“no” [ref], “yes”), region of Europe (“Western” [ref], “Central-Eastern”, “Northern”, “Southern”), commitment to elite sports (“low” [ref], “medium”, “high”), and awareness of SCforH guidelines (“no” [ref], “yes”) as explanatory variables.

Results

The commitment to HEPA promotion was low (score: 0-3) in 32.1% (95% confidence interval [CI]: 28.1, 36.0), medium (4-6) in 39.7% (95% CI: 35.6, 43.9), and high (7-10) in 28.2% (95% CI: 24.4, 32.0) of sports associations. Being a national sport-for-all organisation (β = 1.68; 95% CI: 0.74, 2.62; p > 0.001), national Olympic committee (β = 1.48; 95% CI: 0.41, 2.55; p = 0.007), located in Central-Eastern Europe (β = 0.56; 95% CI: 0.01, 1.12; p = 0.047), and aware of the SCforH guidelines (β = 0.86; 95% CI: 0.35, 1.37; p > 0.001) was associated with greater commitment to HEPA promotion.

Conclusion

Relatively low commitment of European sports associations to HEPA promotion may be increased by raising awareness of the SCforH guidelines and by considering national sport-for-all organisations, national Olympic committees, and organisations in Central-Eastern Europe as role-models in this endeavour.
P02-02 Evaluating community-based programmes for health promotion: a novel approach considering the complexity perspective
Authors: Huiberts Irma , Singh Amika , van Lenthe Frank , Chinapaw Mai , Collard Dorine
Published: August 2022

Background

For the past decade, community-based programmes have been a popular strategy for physical activity promotion. The implementation of these programmes is a complex process, characterized by (a) objectives that vary locally, (b) adaptions to the programme over time in response to a community's shifting needs, challenges and opportunities, (c) emergent outcomes, and (d) non-linear causality. This poses several challenges for evaluation, as commonly used evaluation designs mainly focus on predetermined programme components and outcomes. Such a traditional evaluation approach may overlook necessary but unanticipated programme developments or outcomes and provide limited opportunity to learn from these. The aim of this study was to develop a novel evaluation approach that considers the complexity perspective, in order to evaluate a large community-based programme for children's physical activity and health promotion in the Netherlands.

Methods

An exploratory review of theoretical and methodological literature regarding community-based health promotion, complexity theory, developmental evaluation and theory based evaluation was conducted. Based on this review a novel evaluation approach was developed.

Results

The developed evaluation framework focusses on elements of the complex and adaptive implementation process of community-based health promotion. These include the local programme theory, implementation, adaption, the influence of context and feedback loops, and intended as well as emergent and unintended outcomes. By studying each of these elements in practice using innovative qualitative methods, including Ripple Effects Mapping and the Critical Event Card tool, principles that guide effective health promotion across community contexts can be extracted. Practice-based knowledge can subsequently be validated in other contexts.

Conclusions

The proposed evaluation approach aims to inform both research and practice (local and national programme planners and policy makers), by considering the implementation of community-based programmes as a complex process in evaluation. Using this evaluation approach will provide insight in how community-based health promotion programmes impact communities, and which mechanisms underly success or failure. The proposed evaluation approach may be relevant for other physical activity promotion programmes or policies. Since considering complexity in evaluation is a relatively new challenge in public health, we believe it is essential to share and deliberate on innovative evaluation approaches and methods.