bluuebunny/crossref_metadata_2025 huggingface dataset:
O3-7 Prenatal predictors and physical fitness in Spanish Youth: the UP&DOWN study
Authors: Padilla-Moledo Carmen , Castro-Piñero Jose , Perez-Bey A , Conde-Caveda J , Esteban-Cornejo Irene , Veiga Oscar L , Hesketh K. D , Gusi Narcis
Published: August 2022

Background

Physical fitness outcomes are considered major health biomarkers to assess and monitor exercise-based interventions across the lifespan. Recent studies provide evidence that many adult and childhood chronic diseases should have their origins in gestational or fetal life. To date, a few pioneering studies have showed associations between prenatal predictors and selected physical fitness tests (strength and cardiorespiratory). Nevertheless, there is a lack of knowledge about the influence of prenatal factors on childhood performance on a comprehensive fitness test battery including speed and coordination. The innovative purpose of the current study is to analyse the relative weight of prenatal predictors on schoolchildren's physical fitness outcomes.

Methods

We obtain data from1188 children (571 girls) aged 6-11 years and 1020 adolescents (495 girls) aged 12-17 years. Prenatal predictors (gestational anemia, gestational diabetes and length of gestation) were self-reported from offspring's mothers. The ALPHA fitness test battery for youth was used to assess offsprinǵs physical fitness (muscular strength, motor fitness and cardiorespiratory fitness). Regression analysis were performed to predict the different physical fitness outcomes.

Results

The main findings of the present study indicate that the presence of gestational anemia significantly predicted lower scores of lower-body explosive muscular strength (standing long jump) and motor fitness (4x10-m shuttle run) and predicted moderately lower scores of upper-body isometric muscular strength (handgrip strength test). (p>.005; p>.008; p>.075 respectively). Moreover, gestational anemia better predicted lower scores of muscular strength and motor fitness in children than in adolescents (standing long jump, handgrip strength test, 4x10-m shuttle run) (p>.001; p>.051; p > 0.18, respectively). While gestational age and length of gestation (>34- ?42 weeks) predict better cardiorespiratory fitness (20 m shuttle-run test) (p>.023; p>.023 respectively) and motor fitness (4x10 m shuttle; moderately for length of gestation). (p>.020; p > 0.55 respectively).

Conclusion

This evidence suggests that preventive strategies by health-care institutions, policy makers and technicians must be two-fold: a) to effectively reduce gestational anemia in order to prevent offsprinǵs predisposition to low levels of physical fitness, and b) to intervene with toddlers and children at risk to provide tailored physical activity programs and regular physical fitness evaluation.
O4-2 Evaluate the health-enhancing physical activity policy of Rio de Janeiro: ‘Programa Academia Carioca'
Authors: Cardoso Junia , Noel-Racine Antoine , de Oliveira José Augusto Guimarães , Mota Paulo , Garbarino Jean-Marie , Massiera Bernard , Vuillemin Anne , Caetano Rosangela , Coeli Claudia
Published: August 2022

Issue and problem

In Brazil, 47% of people are insufficiently physically active (Guthold et al, 2018). According to the Global Physical Activity Observatory, 13.2% of deaths in Brazil are caused by inactivity. Besides, Ding et al (2016) estimated the direct health cost attributable to physical inactivity in this country at 1.6 billion US dollars. Rio de Janeiro (RJ) is one of the largest cities in Brazil, with a high mortality rate (54.1%) from non-communicable diseases (NCDs) and substantial health inequalities (SIM/MRJ, 2019). As a large city, it reproduces a worldwide trend, which associates economic growth and urbanization with an unhealthy lifestyle and epidemic levels of obesity and remarkable physical inactivity (WHO, 2014).

Problem description

The multifactorial context above described enables NCDs and challenges health protection systems. For this reason, the Municipal Health Department of RJ implemented since 2009 a Health-Enhancing Physical Activity (HEPA) policy: ‘Programa Academia Carioca' (PAC). This policy supports regular physical activity free of charge, in Primary Care Health Units (UAP). The Program combines the practice of physical activity associated with various educational and community activities. It includes Physical Education professionals who work in a multidisciplinary way. Therefore, this study aims to evaluate the implementation of this policy.

Results (effects/changes)

After 11 years, the PAC has 142,969 participants, 80% of whom have NCDs. Among its participants, blood pressure control was demonstrated in 90% of hypertensive patients; weight loss, and a 60% reduction in cardiovascular risk classification, and suspension of medication in 20% of users. Being part of the PAC resulted in greater use and understanding of the general services of UAP in 86% and 98% of participants, respectively. Detailed results are not available at that time but will be presented at the conference.

Lessons

The PAC showed to be a successful tool to enhance health through physical activity at UAP. The use of trained and specialized professionals plays a fundamental key to develop educational and community actions in vulnerable groups.

Main messages

The implementation of an ambitious and integrated HEPA policy, considering environmental and health factors, can produce more effective institutional responses to change this epidemiological scenario.
O4-4 Relation between physical activity level and environment perception among older adults
Authors: dos Santos Daniela Lopes , Barros Temistocles Vicente Pereira , Dornelles Nicanor , da Silva Barbara Sutil , Soares Patricia Fagundes , Backes Leonardo , Giacomini Mateus
Published: August 2022

Introduction

Regular physical activity (PA) is associated to a decrease in morbidity and mortality and to a better quality of life. The environment has been shown as an important factor in the adoption of an active lifestyle, especially among the elderly, since it may be the difference between a dependent or independent living and a better health status. Thus, the purpose of this study was to analyze the relation between the PA level and the environment perception of the elderly from a city in southern Brazil.

Methods

Three neighborhoods of the city of Santa Maria, RS - Brazil were drawn to be part of the investigation, with low, medium and high socioeconomic levels. The sample had 202 subjects. An adapted version of the International Physical Activity Questionnaire for the Brazilian elderly (Mazo & Benedetti, 2010) was used to evaluate PA level and a Portuguese version of the Neighborhood Environmental Walkability Scale (Salvador et al, 2009) to evaluate environment perception. The statistical analyses were done by relative and absolute frequencies and logistic regression.

Results

The prevalence of adequate PA levels was inferior to 30% in the three studied neighborhoods and the average of minutes spent with PA per week was 63.14 (±115.15). From the 41 variables considered in the environment perception, four had a p > 0.20 being selected for the multiple logistic regression model. The presences of fair and pedestrian crosswalks near home were the most influent factors on PA: the presence of fair increases 3.3 times the chance of the elderly being physically active and the crosswalks increase 2.7 times that chance.

Conclusion

A low prevalence of physically active elderly was observed in Santa Maria, which was also shown in other studies with similar samples. The variables that most positively influenced the older adults' PA levels were the presence of fair and pedestrian crosswalks, showing the importance of the creation and maintenance of environments that facilitate PA, as well as public policies that promote healthy and safe environments.
O4-8 Measuring capabilities for physical activity-related health outcomes: A Systematic review
Authors: Till Maike , Ferschl Susanne , Abu-Omar Karim , Gelius Peter
Published: August 2022

Background

Health promotion projects commonly measure health outcomes and behavior to provide proof of effectiveness. An alternative concept that focuses on the real opportunities a person can choose from to influence their health is Amartya Sen's capability approach. Numerous tools have been developed to measure capability change in general, but it remains unclear which ones can be applied specifically to physical activity (PA).We therefore conducted a systematic review to identify appropriate tools to measure capabilities for physical activity and health and provide information on their quality.

Methods

The review included a total of 6,850 articles published between 2000 and June 2019 that were identified via searches on PubMed, EbscoHost, and ProQuest. Screenings of titles/abstracts and full texts were conducted independently by two researchers using Endnote X9 and Microsoft Excel. Identified tools are currently being analyzed regarding their indicators, evaluation methods, quality, and the extent to which they address capabilities for physical activity.

Results

The screening resulted in a total of 49 articles included in the analysis. Preliminary results show a diverse use of methods for measuring capabilities for healthy lifestyles. Preliminary results show that three categories of instruments can be identified: (a) Five studies employed secondary data analysis of specific datasets to extrapolate capabilities for healthy living; (b) five articles dealt with measuring capabilities using qualitative approaches (interviews, video recordings); (c) 39 articles reported on a total of 10 different questionnaires to measure capabilities. We identified only one instrument (employing both a questionnaire and qualitative measures) that explicitly measured capabilities for PA, albeit only for a specific target group.

Conclusions

The identified articles show that capabilities for healthy lifestyles are mostly measured by questionnaire. Available tools are mostly target group- and setting-specific. Currently, there is a dearth of tools that explicitly cover capabilities for PA, especially across settings or target groups. Therefore, more research is needed to work towards the development of universally applicable tools to measure PA capability.
O6-3 Analysis of the local health-enhancing physical activity policies in the French Riviera
Authors: Noël-Racine Antoine , Garbarino Jean-Marie , Massiera Bernard , Vuillemin Anne
Published: August 2022

Background

According to the socio-ecological model, policy is one of the levers to initiate structural and environmental changes to foster health-enhancing physical activity (HEPA) promotion (Golden et al., 2015). However, little is known about local evidence to support governments in their policies to promote HEPA (Bull, 2018). Research on HEPA policies at local level seems particularly remains scant (Noël Racine et al., 2020). This study aims to carry out the collection of comprehensive information on municipal HEPA policies of the French Riviera to provide an overview of the development of these policies on this territory.

Methods

Mid-size cities from 2 counties of the French South Region were targeted (n = 17). In each city, a local HEPA policy analysis tool, CAPLA-Santé, was administered to key informants heading the departments of sport, health and social. CAPLA-Santé is a local policy analysis tool adapted from the national HEPA policy analysis tool (HEPA PAT version 2) developed by the World Health Organization. Data were collected through semi-structured interviews and documents analysis. These empirical data were used to make an inductive analysis.

Results

A total of 10 mid-size cities were volunteered to participate. Key informants from sport (n = 10), health (n = 5) and social (n = 6) departments were interviewed. Several written HEPA policies were formalized in 6 cities, 4 of them based their policies on scientific evidences or a national policy. These policies (n = 14), were mainly from the sport (n = 8) and the health sectors (n = 4). Some cities had a department head to ensure cross-sectoral collaboration (n = 3). Key informants reported that the support of national policies, the commitment of elected officials and an important local stakeholders' network could facilitate the HEPA promotion; whereas lack of intersectoral collaboration and resources could be a limitation.

Conclusions

The results help to better understand the local HEPA policies, highlighting some barriers, facilitators and perspectives. Using a local HEPA policy analysis tool can provide evidence to support policymakers. These findings could be valuable to scale up the HEPA promotion at the local level.
O7-3 Young people Living, learning and growing - the impact of a year on independent boarding schools
Authors: Elkrog-Hansen Lise , Skovgaard Thomas
Published: August 2022

Background

This paper outlines a mixed methods research study conducted at three independent boarding schools (a uniquely Danish type of residential setting for young people between the ages of 14 to 18) that all focus on sport and physical activity. In total independent boarding schools attracts more than 30.000 students per year, which makes it a very popular choice for young people. Interestingly, this particular type of schools have not been researched much.

This study aims to provide an insight into the special qualities of Danish independent boarding schools and explore how a focus on sport and physical activity in relation to personal development of young people plays a role at three of these schools.

Methods

The analyses are based on an online survey distributed to 1020 students at the participating schools in March 2019. In total, 865 students answered the survey. The purpose of the survey was to collect quantitative data on background issues, the students' motives for choosing independent boarding school life and to gain an insight into what the students' perceived as the special qualities of living on such a school - typically for one year. The quantitative findings are enriched by empirical findings and conclusions from qualitative data generated via six MSc theses.

Results

The survey results show that students to a great extent choose an independent boarding school based on the sports program (73%), facilities (69%) and sport performance levels (51%). The students point out getting new friends (92%), being a part of a community (92%), learning to collaborate (91%) and solving conflicts (88%) as some of the special qualities of life at independent boarding schools. The qualitative analyses reveals that sense of community, social interaction with fellow students and the relationship between teachers and students are perceived as the main qualities of this type of school life. Furthermore, the analyses points out that sport and physical activity can both hinder and promote qualities as the ones mentioned.

Conclusion

The study contributes to new and important insights into a popular and unique type of school in Denmark, but more research is undoubtedly needed.
O8-2 Effects of the HEPA Oblomov methodology on primary school children
Authors: Franck Nicolas , Remacle Maurine , Cloes Marc , Mouton Alexandre
Published: August 2022

Background

If children are encouraged early in childhood to engage in a physically active lifestyle and if they are used to practice physical activity (PA) as children, they are likely to be more active as they grow up (Telama et al., 2014). Nevertheless, in Belgium, only 2% of children 6 to 9 years of age are able to reach PA international recommendations (Wijtzes et al., 2016). Fortunately, holistic school-focused initiatives can raise children's level of physical activity (Heath et al., 2012). Accordingly, the aim of the study was to scrutinise the influence of an innovative pedagogical approach on self-reported PA and lifestyle habits among elementary school children.

Methods

176 pupils (11-13) and 5 physical education (PE) teachers were recruited in the area of Liege. Those pupils took part in a 10 weeks intervention including one weekly session of PE. PE lessons are original since they combine High Intensity Interval Training (HIIT), dramatization and health education. Assessments were performed before (T0), during (process analysis) and after the intervention (T1). Childrens' levels of PA were assessed with the PAQ-C, as their food habits were assessed with the Adolescent food habits Checklist. Children were also invited, before each session, to notify and share their good practices related to the health education activities proposed during the lesson.

Results

Results exposed significant improvements in self-reported PA (3,09 to 3,26 scores; p > 0,000). As we sort out results by gender, we noticed higher improvements among girls. In contrast, we observed a slight and non-significant decrease in children's food habits (13,88 to 13,55 scores; p = 0,24). On over 400 good practices collected, half were related to physical activity and hydration. By involving physical and psychosocial objectives, the study is expected to provide a deeper understanding of the impact of this teaching method on children.

Conclusion

As Oblomov pedagogy seems to have the potential to generate health basic knowledge as well as pleasure of being physically active, it could be extended to other various settings such as obesity prevention. This method will also be shared with PE teachers in Belgium, as part of the PE curriculum reform in Belgium.
O8-3 A school-based quasi-experimental intervention to improve students' motor competence and physical fitness
Authors: Huhtiniemi Mikko , Salin Kasper , Jaakkola Timo
Published: August 2022

Background

Previous research has shown that school can be an influential context to promote students' physical activity engagement, physical fitness, and motor competence. The purpose of this study was to investigate the effectiveness of a 5-month-long intervention program that aimed to increase students' motor competence and physical fitness during school days.

Methods

A quasi-experimental intervention design with pre- and post-tests was implemented. Altogether 325 Finnish Grade 5 (Mage = 11.26, SD = .33) students from five schools participated in the study. At the beginning of the study, students were divided into experimental and control groups on purpose. The intervention consisted of three components: a) weekly 20 minutes sessions of guided training during a regular PE lesson, b) weekly 20 minutes sessions of guided training during recess and c) daily 5 minutes long activity breaks during academic lessons. Intervention activities aimed to increase different elements of physical fitness and motor competence. One week before and one week after the intervention period students' physical fitness levels were measured by 20-meter shuttle run (cardiorespiratory fitness), curl-up and push-up (muscular fitness) tests, and motor competence by 5-leaps (locomotor skills) and throwing-catching-combination (object control skills) tests.

Results

Repeated measures MANOVA indicated that there was a multivariate interaction effect between experimental and control groups over time (F [5, 222] = 7.52, p=.000, partial η2=.145). Moreover, univariate analysis revealed that students in the experimental group performed significantly better in 20-meter shuttle run test (F [1, 226] = 21,9, p=.000, partial η2=.088), curl-up (F [1, 226] = 4,9, p=.028, partial η2=.021), push-up (F [1, 226] = 15,5, p=.000, partial η2=.064) and throwing-catching-combination (F [1, 226] = 4,0, p=.046, partial η2=.017). There were no differences between experimental and control groups in 5-leaps test (F [1, 226] = 0.003 p=.958, partial η2=.000).

Conclusions

The intervention program appeared to be effective in increasing students' cardiorespiratory fitness, muscular fitness, and object control skills. This indicates that guided school-based physical activity programs can be influential in promoting physical fitness and motor competence among school children.
O9-2 Participants' and leaders' experiences of a family-based health promotion programme: A Healthy Generation
Authors: Andermo Susanne , Olin Susanna , Hellénius Mai-Lis , Nordenfelt Anja , Lidin Matthias , Nyberg Gisela
Published: August 2022

Background

Family-based interventions may be a promising solution to increase children's physical activity, but there is a lack of knowledge on how to facilitate such interventions, specifically in socioeconomically disadvantaged areas. The aim of this study was to explore participants' and leader's experiences of the content and delivery of the family-based programme A Healthy Generation.

Method

A Healthy Generation is a health-promoting programme, for families with children in grade 2 (8-9 years) including siblings. Intervention components are: activity sessions, parental support groups, healthy meals and health information. The programme is delivered twice a week for one school year in collaboration with local municipalities, health coordinators and a variation of invited sport organisations in socioeconomically disadvantaged areas. Data was collected through participant observations during activity sessions, interviews with leaders (n = 11), and four focus groups with parents (n = 27) who had participated in the programme. Data was transcribed verbatim and analysed using content analysis.

Results

Leaders' and participants' experienced the programme to have an appealing ?Family-concept for joy, activity and integration?. The variation of activities provided opportunities and challenges to new interests, and the family approach were perceived as valuable for parental engagement and integration. To be ?A suitable programme for all participants?, activities directed to whole families needed to be simple and fun to keep all participants engaged, but also provide a progression for learning. Free and locally situated activities, meals and equipment for whole families facilitated participation, whereas lack of time and socio-cultural differences were barriers. The programme delivery consisted of ?A fruitful leadership collaboration? where health coordinators played an important role as coordinators of a heterogeneous group, so the invited leaders could focus on the content of their sport. They also provided participants with continuity and important reminders for participation during and in-between activity sessions.

Conclusions

Participants' and leaders' experiences of a family-based health promoting programme give insight to the importance of local involvement, collaborative leadership and a well-adjusted family programme for health promotion. The study also draws attention to opportunities and barriers for increased integration through health promotion aimed at families in socioeconomically disadvantaged areas.
O9-5 Workplace sitting associated with self-rated perceived global health
Authors: Kallings Lena V , Blom Victoria , Andersson Gunnar , Wallin Peter , Ekblom-Bak Elin
Published: August 2022

Introduction

Total self-reported sitting time is associated with higher risk for cardiometabolic disease and mortality, while breaks in prolonged sitting has positive cardiometabolic effects. However, less is known about the associations of domain specific sitting and breaks at work and self-rated global health, likewise if physical activity could influence the associations.

Methods

36,120 adults (42% women) from the Swedish working population who participated in a nationwide occupational health service screening 2014 -2018 were included in this cross-sectional study. Sitting duration and frequency of breaking sitting time at work, self-rated global health, exercise, leisure time sitting, diet, smoking and stress were self-reported. Cardiorespiratory fitness was estimated by a submaximal cycle test and BMI assessed through physical examination. Occupation was classified to requiring university competence or not. Logistic regression modelling assess OR (95% CI) associated between poor global health and decreased levels of workplace sitting and increased breaks in workplace sitting.

Results

Having poor perceived global health was associated with increasing levels of workplace sitting, OR 0.65 (0.57-0.74) for sitting 75% of the time vs. sitting almost all time. Association were found between having poor perceived global health and lower frequency of breaking up workplace sitting every 30 minutes, in people sitting more than half of their working time, OR 0.60 (0.51-0.69) for occasionally vs. seldom breaking up sitting. The association were affected by sex, type of work, exercise habits, and sitting during leisure time. When sitting almost all the time OR for poor global health was 0.48 (0.39-0.60) for regular exerciser vs. no regular exercise. Within the no regular exercise group the OR 0.75 (0.63-0.89) for having poor global health was lower if not sitting almost all the time.

Conclusion

Sitting almost all the time at work and not taking breaks, are associated with increased risk for perceived poor global health. The associations are affected by sex, type of job, exercise habits and sitting during leisure time. People who have to sit almost all their time at work, should be recommended to exercise on regular weekly bases and/or decrease their leisure time sitting to reduce the risk for poor health.
P01-01 Assessment of local governments’ involvement in sport and physical activity policy promotion – LoGoPAS project
Authors: Sandu Petru , Chereches Razvan Mircea , Papiu Antonia , Gelius Peter , Abu-Omar Karim , Takeda Noriko , Oida Yukio , Onatsu Tanja , Tuunanen Katariina
Published: August 2022

Background

The involvement of local governments in physical activity (PA) promotion represents a key factor to drive change at grassroots level, based on identified specific needs and solutions, tailored to each local context (needs, resources, etc.). The aim of LoGoPAS, Erasmus + Sport co-financed project (2020-2021), is to assess, promote and support local governments' involvement in PA (policy) promotion.

Methods

A mixed methods approach has been put in place (including thematic document analysis of grey literature, semi-structured stakeholder interviews, group consensus methodologies) to explore and analyze the current legally binding and voluntary activities of local goverments in PA (policy) promotion. The study is being conducted at local level in Finland, France, Germany, Japan and Romania. Already validated instruments to evaluate local PA policy, such as L-PAT (Local Policy Audit Tool), Capla SANTE or TEAviisari will be used to harmonize data collected from each partner country, at local level.

Results

Locally collected data from partner countries reveal significant differences in the organization and delivery of PA related policies with more regulations and structures in the western countries (e.g. Germany or Finland) and more opportunistic and mixed approach (related to the purpose of the PA related projects) in Romania. Also, the currently available instruments for evaluation of local PA policies (those used for data harmonization in our project - see methods section) can benefit from additions in order to capture the complexities of the engagement of local governments in PA promotion.

Conclusion

Although the roles of local governments in PA promotion has been widely acknowledged (e.g. by WHO or the European Comission), there are currently few hands-on instruments for policy-makers and other actors at local level to advance PA promotion agenda and activities. Approaches tailored to local contexts may help engage local governments, while international networking may foster the exchange of experiences and help optimize interventions.
P01-04 The importance of local organizational and leadership capacity to support Danish school heads in the implementation of a national physical activity school requirement
Authors: Nielsen Jonas Vestergaard , Koch Sofie , Skovgaard Thomas
Published: August 2022

Background

Regular physical activity (PA) strengthens both the physical, psychological and social health in children and young people. Furthermore, research show that PA is beneficial for academic related outcomes. In 2014, the Danish government introduced a wide-ranging reform of primary and lower secondary education that applied to all public schools. A distinctive feature was that it became mandatory for schools to deliver an average of 45 minutes of daily PA. Local school heads and the school's capacity for change is considered key to deliver such a policy-driven requirement. Thus, the aim of this study is to explore the ability of schools to implement the stated requirement of 45 minutes of daily PA. There is special focus on the role and impact of leadership by school heads.

Methods

Eleven semi-structured interviews were conducted across eleven Danish schools. Respondents were school staff with management responsibilities (leading teachers with managerial duties, deputy heads and school heads). Thematic analyses were performed, focusing on factors relating to local organizational and leadership capacity.

Results

Three main factors were found to support the local leader's ability to the implement the mandatory daily PA: i) local school culture, values, and norms; ii) staff skillset and school resources; iii) existing work routines and systems.

Conclusion

Results indicate that local school heads are central in converting the Danish school requirement of 45 minutes of daily PA into local action. Future PA programs could benefit from focusing specifically on engaging school heads, as they can both help advance broad ambitions into concrete goals, secure supportive structures and organize the implementation strategy within the local setting. In connection with this heads must be able to rely on sufficient organizational ad administrative components to ensure quality delivery. This entails building sufficient competencies among relevant staff groups on, for instance, how to incorporate PA in daily practice as well as allocate work hours for further development of such practices. Also, assigning a local PA ambassadors is highlighted as an important implementation factor. The ambassadors can help build and disseminate knowledge and support the school head's strategy and prioritization in relation to school-based PA.
P01-16 EUMOVE Project: an Erasmus+ Project for the promotion of healthy lifestyles among children and adolescents
Authors: David Sánchez-Oliva , Tomás García-Calvo , Sánchez-López Sánchez-López , Castro-Piñero José , Grao-Cruces Alberto , Martins Joâo , Mota Jorge , Ceciliani Andrea , Murphy Marie , Vuillemin Anne
Published: August 2022

Physical inactivity is a worldwide public challenge and a leading risk factor for overweight and obesity. Despite the well-recognized benefits of physical activity (PA), only 29% of European youth meet recommended guidelines of at least 60 minutes of daily moderate-to-vigorous PA. The school setting provides an ideal environment to promote healthy lifestyles among young people as initiatives can target all students and the whole school community. The main goal of the EUMOVE project is to design and implement a comprehensive set of strategies and resources to enable the educational community to promote healthy lifestyles in order to reduce risk factors for non-communicable diseases.

EUMOVE project (https://eumoveproject.eu/) is a 3-year project delivered by a collaboration between academic and non-governmental institutions from Spain, Portugal, France, Italy, and the United Kingdom. The direct beneficiaries of the project will include school leaders, teachers, and parents, and indirect beneficiaries will be primary and secondary students. EUMOVE project will develop a set of strategies and resources such as Physically Active Lessons Toolkit, Real Time Active Breaks Platform, Active School Commuting Toolkit, Learning Units about healthy lifestyles promotion, School Leaders toolkit, Parents Toolkit about promoting healthy lifestyles, and Mobile phone APP. Project dissemination will be implemented across each partner region and includes: Online dissemination through a learning platform, scientific events aimed at teachers and researchers, workshops with teachers including training on how to use the teaching resources, and Workshops with parents providing recommendations for promoting healthy lifestyle in their children.

Thus, the EUMOVE project offers evidence-based and innovative resources to be applied by the educational community in the real-world setting to promote PA levels, appropriate diet and sleep habits, and reduce sedentary time amongst children and adolescents across a number of European countries.
P01-18 Physical activity for children and youth with Physical disabilities - a case study on implementation in the municipality-setting
Authors: Præst Charlotte , Skovgaard Thomas
Published: August 2022

Background

The Convention on the Rights of Persons with Disabilities by the United Nations states that physical activity (PA) is a human right for children and youth with disabilities, and they must experience equal opportunities for this. Nonetheless, compared to the population at large, this group participate less in PA, being 16-62% less likely to meet PA-guidelines.

While previous studies, mainly based on identifying facilitators and barriers for PA-participation, showed that promoting PA for children and youth with disabilities is a complex task, requiring multidisciplinary approaches targeting several levels in the individual's life, not much is known about how this is actually handled and realised in. Therefore, this study aimed to assess how practices in local settings influence PA-implementation for children and youth with physical disabilities.

Methods

The study was designed as a qualitative multiple case study with two danish municipalities. A total of 23 semi-structured interviews with stakeholders from different municipal departments were conducted and local policy documents were included. Thematic analysis was performed, based on Winter's integrated implementation model, Lipsky's theory on street-level bureaucrats, and Gittell's theory on relational coordination.

Results

PA-implementation for children and youth with physical disabilities is a complex challenge, involving many stakeholders and departments. The study found that efficient and sustainable performance can be improved by strengthening intersectoral collaboration, identifying shared goals and ambitions regarding PA for children and youth and, more concretely, supporting the work done by relevant local governmental departments and the schooling system. One of the municipalities had an explicit political focus on parasport and employed a parasport consultant, which had a positive influence on PA promotion across departments. In both municipalities consultants, coordinating cross-sectional processes, seemed to play an essential role. Additionally, the findings supported Michael Lipsky's theory regarding how street-level bureaucratic behaviour influence implementation processes and performances.

Conclusions

The organisational structure of municipalities challenges performances on PA-implementation for children and youth with disabilities. Hopefully, the findings can inspire and support various stakeholders to strengthen their efforts to install high-performance and collaboration in order to establish quality, sustainable and diversified possibilities for PA participation among children and youth with disabilities.
P03-14 Barriers to sports participation among adolescent girls from deprived neighbourhoods
Authors: Ljungmann Cecilie Karen , Christensen Julie Hellesøe , Klinker Charlotte Demant , Pawlowski Charlotte Skau , Johnsen Helene Rald
Published: August 2022

Background

A gender-based disparity in physical activity, where girls are less physically active than boys, is a persistent finding in the literature. Participation in organised sport plays a significant role for adolescents' physical activity habitsand provides an important means to achieve the recommended amount of daily physical activity. Nevertheless, participation in sport decreases with age, and to a higher degree among girls. Moreover, girls living in low socio-economic status neighbourhoods are even less represented in organised sport. This upholds a social inequality as a range of physical, mental and social benefits are associated with regular participation in sport. Empowering girls as experts on their own needs and preferences toward sport is critical. The aim of this qualitative study was to examine the experiences and perceived barriers to sports participation among adolescent girls living in low socio-economic status neighbourhoods.

Methods

During July-October 2021 eleven semi-structured focus groups were carried out with adolescent girls (10-16 years) who were not engaged in organised sport. The participating girls (n = 44) were recruited through purposive sampling via four Danish schools placed in areas with high deprivation. A thematic analysis was conducted from verbatim transcripts using NVivo.

Results

Six themes were identified; 1) Competing priorities, 2) Social aspects of sports participation, 3) Perceived lack of sporting abilities, 4) Feeling discomfort, 5) Gender stereotypes and 6) Physical Education as introduction to sport. Even though there were many similarities among the girls' perceived barriers to sports participation, the data showed variations in the way these barriers were experienced.

Conclusions

The results provide insight into barriers to sports participation among adolescent girls living in low socio-economic status neighbourhoods. The findings correspond with other studies among adolescent girls in general. However, the findings among this underrepresented group will be useful to shed light on how interventions should be designed to promote sports participation among adolescent girls living in low socio-economic status neighbourhoods. As this is perceived as a hard-to-reach group, the findings will be a contribution to the field and are highly needed to illuminate the different perspectives on gender-based disparities that exist in relation to sports participation.
P03-17 Evaluation of an asset-based, participatory physical activity promotion intervention in Dutch adolescents: a parallel group randomized trial
Authors: van de Kop Huib , den Uil Anne , Nauta Joske , Toussaint Huub , Busch Vincent , Verhoeff Arnoud , Janssen Mirka
Published: August 2022

Background

Adolescents tend to be less physically active and thus become more vulnerable to health risks. Engaging adolescents becoming agents of their active lifestyle could potentially catalyze the impact of interventions. Therefore, the effects of an asset-based physical activity promotion intervention on the physical activity behavior and physical fitness of pre-vocational students was evaluated, taking into account the extent to which the students were involved in the design and implementation of the interventions.

Methods

This randomized controlled trial included 2286 prevocational students divided between an intervention and control group. Innovative triple-i interactive research methods were used to develop and implement tailor-made interventions in co-creation with students and teachers. Self- reported physical activity behavior and direct assessments of physical fitness levels were determined on baseline and two annual follow-ups. Student involvement was determined by validated questionnaires. Generalized estimating equations were performed to determine intervention effects over time. Sensitivity analyses were conducted to evaluate the effects of the extent of student involvement.

Results

No intervention effects were found for total physical activity level, screen time, active transport and sports activities (CI includes zero; p > 0.05). Positive effects of the intervention were found for the long jump (β = 3.44; CI = 1.29:5.58; p = 0.01), the handgrip strength (β = 0.55; CI = 0.02:1,08; p = 0.04), the shuttle run test (β = 0.28; CI = 0.02:0.54; p = 0.03) and the sum of skinfolds (β=-0.08; CI=-0.11:-0.06; p = 0.01). Subgroup analyses on the extent of student involvement showed mixed results. Students at intervention schools where students involvement was more successful showed no alterations in physical activity levels and higher scores on shuttle run scores (β = 0.58;CI=0.29:0.87; p = 0.00) compared to controls. Students at intervention schools that were less involved, showed higher scores on long jump (β = 7.77; CI = 4.78:10.76; p = 0.00), grip strength (β = 1.34; CI = 0.61:2.06; p = 0.00), and sum of skinfolds (β=-0.15; CI=-0.19:-0.10; p = 0.00).

Conclusions

The participatory physical activity intervention in this study does not change physical activity level but does improve some elements of physical fitness. The research methods used in this study offers a protocol to align intervention plans to the students' assets by co-creation which is feasible to use in the school context.
P04-06 Employing citizen science to promote active and healthy ageing across diverse local urban communities in Birmingham, UK
Authors: Wood Grace , Pykett Jessica , King Abby , Banchoff Ann , Stathi Afroditi
Published: August 2022

Background

Incorporating age-friendly elements across urban environments can promote active and healthy ageing by facilitating opportunities to improve health and well-being among older residents. However, developing inclusive and supportive age-friendly environments remains a key gap for governance and public policy. Community-engaged citizen science recognises older adults as key stakeholders in designing and implementing age-friendly initiatives. The aim of this study was to employ the Our Voice citizen science for healthy equity framework to engage older adults and community stakeholders to: a) identify local urban characteristics that influence active and healthy ageing, and b) co-produce recommendations to develop actionable urban changes.

Methods

Older adults (n = 17; Mean age= 72(7.5 SD); 11 women) and community stakeholders (n = 23; 14 women) in urban planning and ageing-well services were recruited from Birmingham, UK. Six online discussion groups (n = 16 older adults, 11 stakeholders), 12 Discovery Tool walks (n = 14 older adults), 3 in-person discussions (n = 12 older adults), 2 online individual discussions (n = 2 older adults) and 2 workshop events (n = 15 older adults, 17 stakeholders) were conducted. Audio transcripts and co-produced data were member checked and thematically analysed to identify urban barrier and facilitator themes and co-produce recommendations.

Results

A range of interconnected urban features were identified as influential of active and healthy ageing, including presence or absence of community facilities, suitable outdoor spaces, and the impact of Covid-19. Six collective and 12 individual recommendations were co-produced proposing feasible ways to enhance urban environments. These included public toilets schemes, maintenance of green and public spaces, car parking enforcement, provision of local information, and integrating communities across all ages.

Conclusion

Employing citizen science developed a network of older adults and stakeholders that shared local knowledge and experiences to co-produce a strong vision for shaping urban environments in Birmingham. This approach facilitated older adults to: drive research processes and solution-building; identify local urban influences; and advocate these findings to a network of actors who can disseminate and activate change in urban domains. To enhance citizen science further, increased time and resources to embed older adults into scientific processes, including data analysis and interpretation, is required.
P04-11 A physical activity intervention designed to improve multi-dimensional health and functional capacity of frail older adults in residential care: a randomised controlled feasibility study
Authors: Swales Bridgitte , Whittaker Anna , Ryde Gemma
Published: August 2022

Background

Frailty is a common and clinically significant multi-dimensional syndrome associated with adverse health outcomes such as hospitalisation, disability, and mortality among older adults. Physical activity interventions have been shown to be effective in the prevention and treatment of functional decline and frailty, with strength training protocols reporting improvements in mobility, balance, preservation of muscle function and independence. Due to the trial's exploratory and feasibility design a small sample was used to investigate the acceptability and practicality in long term care. This includes addressing the HEPA priority of improving the health and well-being of people with chronic conditions and/or frailty.

Methods

Eleven older adults (aged >65 years) were randomised to the intervention or wait-list control. A 6-week strength training protocol for 35 mins 3x/week used resistance machines, specially designed for older adults, in a residential care home. Mixed methods were used to assess the feasibility and acceptability of the intervention and research measures and indicate meaningful differences in outcomes. Feasibility was measured through adherence statistics and focus groups/interviews with staff and participants. Pre- and post-intervention levels are given as descriptive statistics for physiological, psychosocial, cognitive, and functional measures. Intervention effect is illustrated through mean difference (95% Confidence Intervals) pre- to post-intervention in the intervention group.

Results

Intervention group (n = 6) adherence was 98.9%. Interviews revealed participants and staff found the measures and intervention acceptable, practicable and beneficial. Mean differences pre- to post-intervention indicated meaningful clinical difference in measures of strength, functional capacity and frailty. Psychosocial variables (stress, depression, social support), immunological measures, cognition and Activities of Daily Living Scores did not show meaningful change.

Conclusion

A strength training intervention protocol for frail care home residents was beneficial, with findings supporting a future randomised controlled trial. High adherence and clinically meaningful differences for frailty and physical function support the use of such interventions to improve multi-dimensional health, maintain functional capacity and independence, and enhance social participation in frail older adults. This study and further research may help inform practical physical activity initiatives for frail older adults, and support strategies prioritising health and well-being, and the prevention of functional decline and frailty.