bluuebunny/crossref_metadata_2025 huggingface dataset:
P05-14 Effects of a 12-weeks aquatic fitness program in women with osteoarthritis
Authors: Morouço Pedro
Published: August 2022

Background

As a major public health concern, there is a high association between aging and obesity, nutritional deficiencies and physical (in)activity. Thus, diseases related to cartilage are on the list of main concerns of the WHO, assuming the prevention of degeneration of articular cartilage as an important issue for which there are few effective solutions. It is imperative to find preventive strategies that can reduce the incidence of chronic osteoarthritis.

Methods

Eleven women (58.1±3.3 years-old) diagnosed with knee osteoarthritis (KOA) enrolled in tri-weekly aquatic fitness 45' sessions, for 12 weeks. Taking advantage of the physical properties of the water for increasing the load, a gradual use of the extension of the levers was defined. The warm-up focused on body alignment, joint mobility and breathing. The fundamental part was based on exercises that combine the cardiorespiratory component with the strength component, promoting a superior range of motion. At the end of each session there was a progressive decrease in load, alternating body segments. Before and after the 12 weeks they performed the Senior Fitness Test, hand-grip strength and body measures. All participants were volunteer, informed consent was obtained and all procedures were in accordance to Helsinki Declaration. Sessions were instructed by a CSCS®.

Results

Significant and meaningful improvements were observed in lower body strength (p > 0.001; d = 1.10), lower body flexibility (p > 0.001; d = 2.88), aerobic endurance (p > 0.001; d = 0.95), dynamic balance (p > 0.001; d = 1.22) and hand grip strength (p > 0.001; d = 1.56). Significant, but moderate improvements were observed in body mass (p = 0.034; d = 0.56) and waist circumference (p = 0.041; d = 0.66).

Conclusions

Aquatic fitness induced extensive benefits in women conditioning, suggesting that this activity is able to promote an increase in life quality, even if KOA is diagnosed. This program aims to be a tool for implementing healthy behaviour, based on a physical exercise program to people with KOA. With a demographic trend towards an aging population, today society has dragged itself into a vicious cycle to the proven relationship between OA and obesity, and the increasing prevalence of both. To contribute to solving these problems, it is mandatory to have interdisciplinary perspectives that promote a motivating and lasting activity.
P05-18 The impact of a care-physical activity initiative for people with a low socioeconomic status on health, quality of life, and societal participation
Authors: Mulderij Lisanne , Verkooijen Kirsten , Groenewoud Stef , Koelen Maria , Wagemakers Annemarie
Published: August 2022

Background

Overweight and obesity rates are increasing worldwide, particularly among people with a low socioeconomic status (SES). Care-physical activity (care-PA) initiatives may improve participants' lifestyles and thereby lower overweight and obesity rates. A two-year care-PA initiative specifically developed for citizens with a low SES, X-Fittt 2.0, was offered free of charge to participants, and included 12 weeks of intensive guidance and sports sessions, and 21 months of aftercare. Here, we study the impact of X-Fittt 2.0 on health, quality of life (QoL), and societal participation using a mixed-methods design.

Methods

Questionnaires and body measurements were taken from 208 participants at the start of X-Fittt 2.0 (t0) and after 12 weeks (t1), one year (t2) and two to three years (t3). We also held 17 group discussions (t1, n = 71) and 68 semi-structured interviews (t2 and t3). Continuous variables were analysed using a linear mixed-model analysis (corrected for gender, age at t0, height, education level and employment status at the different time points), while we used descriptive statistics for the categorical variables. Qualitative data were analysed using a thematic analysis.

Results

Body weight was significantly lower at all three post-initiative time points compared with the baseline, with a maximum of 3.8 kg difference at t2. BMI, waist circumference, blood pressure and self-perceived health only significantly improved during the first 12 weeks. A positive trend regarding paid work was observed, while social visits decreased. The latter might be explained by the COVID-19 pandemic, as lockdowns limited social life. Furthermore, participants reported increased PA (including sports) and a few stopped smoking or drinking alcohol. Participants mentioned feeling healthier, fitter and more energetic. Additionally, participants' self-esteem and stress levels improved, stimulating them to become more socially active. However, the participants also mentioned barriers to being physically active, such as a lack of money or time, or physical or mental health problems.

Conclusions

X-Fittt 2.0 improved the health, QoL and societal participation of the participants. Future initiatives should take into account the aforementioned barriers, and consider a longer intervention period for more sustainable results. More complete data are needed to confirm the findings.
P06-03 Associations between walkability and physical activity of Hungarian adults, preliminary study of the EUPASMOS project
Authors: Makai Alexandra , Prémusz Viktória , Dóczi Tamás , Veress Réka , Rocha Paolo , Ács Pongrác
Published: August 2022

Background

Walkability is a new definition in sport and health science in Hungary. In our study the walkability was measured by NEWS-Hungarian questionnaire first time in Hungary and our research aim was to compare neighbourhood walkability to physical activity level.

Methods

The study comprised 593 participating adults (248 males and 345 females). The data was collected during February-May 2019 using quota sampling by age and gender representing the Hungarian adult (18+) population. The physical activity was measured by RM 42 hip-worn triaxial accelerometer for 7 consecutive days using vigorous, moderate to vigorous activities and daily steps scores. The walkability was measured by walking and cycling facilities subscale (10 questions) of NEWS-Hungarian questionnaire. The subscale measured the environment's possibilities and quality for walking and cycling. Data were presented as mean ± standard deviation, Spearman's rank correlation was used to analyse data using SPSS 24. program, where level of significance was set at p > 0.05.

Results

The mean age of the participants was 44.41±18.64 and their average number of daily steps was 7308.47±6993.86. 69.05% was lived in cities and 30.05% in rural areas. The respondent's opinion about the walking and cycling around their place of living was measured by a 4 point scale (1 = strongly disagree and 4 = strongly agree), where we found 2.76±2.8 mean scores. The walkability score was showed significant but weak correlation with accelerometer-measured vigorous PA (R = 0.124, p = 0.004). But the accelerometer-based number of steps was not showed correlation with walkability (R = 0.058, p = 0.184).

Conclusions

According to our results the built environment, especially walking and cycling places had significant but weak effect on physical activity patters. The participants were somewhat satisfied with walking and cycling possibilities of their built environment but this was not affected directly the time spent physically active. This study used first time the NEWS-Hungarian walkability scale to have a better understanding of the country specific details and compared them with PA level of the population further analysis needed.
P06-05 Physical activity patterns of Hungarian women of reproductive age, preliminary study of the EUPASMOS project
Authors: Premusz Viktoria , Makai Alexandra , Veress Reka , Doczi Tamas , Rocha Paulo , Acs Pongrac
Published: August 2022

Background

Benefits of appropriate physical activity (PA) on reproductive performance of women are well known. In our study PA patterns recorded with the GPAQ-H questionnaire was corrected collected by RM42 traxial accelerometers first time in Hungary. Our aim was to examine PA patterns of women of reproductive age (RA) (15-49 years) and to evaluate their PA literacy.

Methods

Data collection was conducted during February-May 2019 using quota sampling by age and gender representing the Hungarian adult population. The study comprised 345 females, 175 of them in RA (mean age 32.63±10.23 years). PA was measured for 7 consecutive days using sedentary, standing, moderate to vigorous (MVPA) and vigorous activities (VA) and daily steps scores. Data were expressed as mean ± SD, Spearman’s rank correlation was applied to analyse data using SPSS 24. program, where level of significance was set at p < 0.05.

Results

Based on RM42 data females (N = 345) took 6483.75±3201.28 steps and spent 8.7 hours (523.00±114.31 min/day) sedentary per day and spent 6.5 hours (388.37±226.38 min/week) with MVPA and 19.12±33.98 minutes with VPA per week. The RA group (N = 175) seemed more active, 7619.32±2382.21 daily steps were measured and 229.25±304.84 min/week active transportation (walking vs cycling) self-reported. Although, they did not have sufficient knowledge on they activity patterns, significant difference (-250.92±906.95, p < 0.001) was found between self-reports (604.72±884.54 min/week) and objective measures (356.88±205.55 min/week) of MVPA and VPA was also significantly (p < 0.001) overestimated with GPAQ-H (248.78±424.50 min/week) compared to RM42 data (23.00±54.40 min/week). Negative correlation was found between age and RM42 standing (R=-0.209, p = 0.005), steps (R=-0.138, p = 0.069) and LPA (R=-0.217, p = 0.004) as well. However, the relationship was positive with MVPA (R = 0.367, p < 0.001) and VPA (R = 0.358, p < 0.001).

Conclusions

Development of an integrated methodological process of PA measurement would be the main purpose of the EUPASMOS Project, but relevant information could be also obtained on certain subsamples. However, our results need to be further analysed, conclusion could be drawing, that specific interventions are needed to increase physical literacy for better understanding of appropriate intensity and level of PA, and its benefits on fertility among women of reproductive age. This work was supported by the 20765/3/2018/FEKUTSTRAT grant.
P06-10 To what extent is active mobility practiced by adults in Italy?
Authors: Minardi Valentina , Possenti Valentina , Contoli Benedetta , Lana Susanna , Campostrini Stefano , Carrozzi Giuliano , D'Argenzio Angelo , Fateh-Moghadam Pirous , Ramigni Mauro , Trinito Massimo Oddone , Masocco Maria
Published: August 2022

Background

Walking or cycling regularly instead of using motorised vehicles returns benefits not only to our health but also to the environment: in Europe, during 2020 a spotlight has also been put on the importance of accessibility to zero-emission transport, for promoting an inclusive framework that involves everyone. Policies in favour of a diffused active mobility in the general population encourage also to take steps effectively in order to achieve the longer-term goal of a European continent that is carbon-neutral.

Methods

In the Italian Behavioural Risk Factor Surveillance System PASSI, active mobility identifies both adults (aged 18-69) who cycle or walk to go to work or to school or for their usual commuting and those who, thanks to this habit, reach out recommended levels of physical activity to gain health benefits. Basing on their own active mobility levels, people are classified in: physically active (they reach out at least 150 minutes per week by walking or cycling for usual commuting, in bouts of at least 10 minutes); partially active (they use bicycle and/or walk usually, but not till 150 minutes weekly); non-active (they do not practise any active mobility or they do for little time duration).

Results

PASSI data 2016-2019 show that 44% among adults residing in Italy has practised active mobility by cycling (11%) and/or walking (41%) for usual commuting. They do in average for 4-5 days per week: people who cycle and those who walk sum up an average of, respectively, 144 and 181 minutes weekly. In the North, active mobility is experienced more than in the other parts of the Country. Active mobility definitively contributes to reach out recommended levels of physical activity that ensure health benefits and, in Italy, 21% of the resident adult population results to be physically active just thanks to this healthy lifestyle.

Conclusions

Walking or cycling for urban commuting, at least for 150 minutes per week in bouts of 10 minutes each, can help to meet the recommendations for physical activity by the WHO, without counting movement in spare time or at work.
P07-06 Physical activity promotion in cancer patient: opinions and practices of health professionals
Authors: Petitfrère Yoric , Rompen Jérôme , Cloes Marc , Mouton Alexandre
Published: August 2022

Background

Literature suggests that health professionals (HPs) can play an important role in promoting physical activity (PA) in cancer patients (Jones et al., 2004). This study had three purposes: (1) analyzing HPs' knowledge and opinion about PA for cancer patients; (2) examining practices, barriers and roles that they identify when considering PA promotion in their patients; (3) determining factors that may enhance practices in this field.

Methods

This study was designed in two phases and took place in Wallonia, Belgium. The first phase was qualitative: 12 HPs were interviewed about their experiences with PA in cancer patients. Then, in the second (and quantitative) phase, an online survey was created based upon the results of the first phase and upon the relevant literature. We sent this second-phase survey to professional organizations, hospitals and medical health centers and received 68 responses.

Results

In both phases of the study, HPs seemed to be aware of the benefits of PA for cancer patients and considered that they have to play a role in promoting PA in that specific population. However, only 25% (n = 17) of HPs were familiar with the official PA guidelines. According to our results, HPs discuss the topic of PA with more than 7 out of 10 patients (7.11 ± 2.61). Lack of time and lack of knowledge about PA were identified as barriers to PA promotion. Finally, other relationships that may help to explain the role of HPs in PA promotion were uncovered: clinicians who used more information (e.g. PA benefits) (p = >0.001), exercised referrals (p = 0.012), and prescribed PA (p = 0.007) had higher intervention rates.

Conclusions

Our findings suggest that improving HPs' knowledge about PA guidelines and how it can be proposed to cancer patients could help them to promote PA and to encourage their patients to consult a PA specialist, and eventually adopt a physically active lifestyle.
P07-08 The City of Antibes' Prescription Sports plan, the first « Health Sports Centre » in the Alpes-Maritimes department
Authors: Madrignac Yannick , Plisson Isabelle , Melan Romain
Published: August 2022

Today, Antibes is obviously the « Health and Sport city ». Demographic and epidemiological studies reveal problems of ageing and isolation of elderly people; often they are subject to serious health consequences and triggering the loss of autonomy. Precariousness and social isolation also enhance the occurence or deterioration of certain health problems (cardiovascular diseases, cancers, depression, etc.). All these factors lead to a growth of long term illnesses.

Following a national law health system modernisation in 2017, the City of Antibes, the Hospital Centre and the Regional Medical and Sport Centre have set up a program called “Pass Form Santé” dedicated to “Prescription Sports”.

What does it consist of? Who are the beneficiaries? What are the means implemented?

This unique and innovative program in the Alpes Maritimes aims to help people with chronic diseases to improve their health and the way of taking medication. It is to guide them to an adapted physical practice of activity at a regular, secure and progressive way on the recommendation of an attending physician.

The City of Antibes has all the resources to enable the implementation of this program: multi-disciplinary local municipal establishments, well trained human resources in different adapted physical activities, and a substantial network of sport and medical-social partners. Since 2017, 135 people have joined the “Pass Form Santé” program. 47% of prescriptions came from liberal or specialist doctors, 31% from hospitals and 22% from the Medical-Sportive Centre of Antibes. The breakdown of pathologies shows a majority cases in cardiology and oncology.

Qualitative result on the beneficiaries' health is unequivocal. The program allows them to feel better physically and morally. This “Pass Form Santé” program perfectly meets their expectations and allows them to get closer to an autonomous practice or to join any associative sports network.

The city of Antibes, together with its partners, has known how to create this innovative program called “Pass Form Santé” in order to develop prescription sports. It serves as a common link between beneficiaries, the medical professionals and the associative sport networks in order to encourage people with a chronic disease to resume physical activity.
P07-10 Nice acti'santé: Let’s move for health in Nice
Authors: Falzon Charlène , Lazzaro Aurélien , Soummer Emmanuelle , Prot Barbara , Chemla Richard
Published: August 2022

Issue

In view of the multiple benefits, the integration of physical activity into the health care pathway of people with chronic diseases is a major issue. In Nice, nearly a third of the population is over 60 years old and more than 60,000 people are in long-term illness. In view of this, the City of Nice has decided to set up a physical activity prescription device named Nice Acti'Santé to support people in Nice with a chronic illness who want to make physical activity part of their life.

Description of the problem

The main objective of the device is to encourage people with a chronic disease to engage in a physical activity appropriate to their health. A medico-active process has been implemented to meet this objective: (a) the doctor guides his patient toward the Nice Acti'Santé platform, (b) the platform team makes a free checkup of the patient and guides him toward a partner sports club, (c) the doctor validates the patient's orientation, prescribes the physical activity and signs the certificate, (d) the partner sports club takes charge of the patient and the plateform team sets up a follow-up, (e) after 4 months, the platform team makes a new checkup of the patient and guides him toward an autonomous practice and, (f) the doctor validates the new patient's orientation and signs the certificate.

Results

Preliminary results show that 1 out of 2 patients is registered in a partner sports club after being taken charge on the platform. Most patients are aware of the platform through media or communication supports, and few are oriented by their doctor.

Lessons

The platform (a) acts in complementarity with the doctor who can count on a quality device with qualified staff to take charge of his patient, (b) guides the patient toward a physical activity adapted to health and taking account his capacities and needs and, (c) helps partner club sports to recruit participants.

Main messages

Nice Acti'Santé is an effective link between health and sport professionals/Nice Acti'Santé is an innovative and local device to serve the most vulnerable people in Nice.
P07-11 Physical activity promotion in the German healthcare system - Establishing pathways of exercise referral for persons with noncommunicable diseases
Authors: Klamroth Sarah , Naber Inga , Mino Eriselda , Geidl Wolfgang , Gelius Peter , Abu-Omar Karim , Pfeifer Klaus
Published: August 2022

Background

Exercise referral schemes (ERS) are embedded in the routine practice of healthcare systems in many countries (e.g. Sweden and New Zealand). In primary healthcare, ERS are recommended to sustainably increase physical activity (PA) levels among patients with noncommunicable diseases (NCD). Yet, the German health care system currently only incorporates interventions that primarily focus on improving functional outcomes but hardly aim at increasing PA levels. This presentation introduces an ongoing research project that aims to develop, implement and evaluate an ERS to promote PA for persons with NCD within the German healthcare system.

Methods

In the first phase of the project, a concept of an ERS was developed using a participatory research approach that involved relevant stakeholders such as physicians, funding agencies, PA providers, and patient representatives. The development process comprised three steps: 1) interviews to gather stakeholders' ideas of an ERS; 2) a literature review to collect evidence on key elements of international ERS; 3) three stakeholder meetings to combine scientific evidence with stakeholders' perspectives (co-creation). Subsequently, the ERS will be implemented, tested and evaluated in a regional pilot project using a pragmatic trial design. Finally, a concept for scaling-up the ERS to the German national level will be developed.

Results

As result of the co-creation process, the following key elements were defined to be part of the ERS: Screening, short counselling and provision of a referral form by a physician; initial assessment, counselling, individual PA recommendations, re-assessment and follow-up by exercise professionals. Additional aspects considered important for the implementation of the ERS were ensuring good communication and feedback between all participating health professionals, as well as an overview of all local physical activity offers and exercise professionals (database). These preliminary findings were combined into a draft of the ERS.

Conclusions

The participatory research approach employed by our project yielded the first draft of an ERS with a specific focus on PA promotion among persons with NCD within the German healthcare system. In the upcoming project stage, this ERS concept will be further elaborated and prepared for implementation and evaluation at a regional level.
P08-01 Demographic, social, and environmental factors predicting Danish children's greenspace use
Authors: Arvidsen Jan , Schmidt Tanja Betinna , Præstholm Søren , Andkjær Søren , Olafsson Anton Stahl , Nielsen Jonas Vestergaard , Schipperijn Jasper
Published: August 2022

Background

Evidence suggest that greenspace use can be associated with children's physical, mental, social health, and well-being (Tillmann et al., 2018; Mygind et al., 2019; Mygind et al., 2021). Greenspace can facilitate a wide range of low-cost activities and the availability of greenspace is frequently linked to increased levels of recreational physical activity. Accordingly, contemporary children's declining greenspace use prompts a need to understand the factors that affect frequency of use.

Methods

Aiming to determine to what extent demographic, environmental and social factors predict greenspace use for school-aged (6-15-year-old) children in Denmark, a national online survey was distributed to parents of 10.000 0-15-year-old children. From a total of 4772 responses a sub-sample of 3171 responses from parents of school-aged children was included in the analysis for this study. The aim was addressed by answering the following research questions: 1) How often do Danish children use greenspaces? 2) What demographic differences in greenspace use are present? 3) How do social and environmental factors predict greenspace use?

Results

Responses from the 3171 parents showed that 49.5% of the children used greenspace almost every day during the summer season. Multivariate binary logistic regression analysis showed that the number of types of greenspaces within walking or cycling distance from home was a strong predictor for daily use. Social factors (parental concern and encouragement) also predicted use, but less so. Geography and child age were the only demographic predictors for using greenspace almost every day.

Conclusions

Findings from the present study suggest that providing opportunity for choosing between various types of greenspaces within walking or cycling distance might be an effective way to stimulate children's use of greenspace. Also, increased parental awareness of their role in children's outdoor spatial behaviours might further greenspace use among children.
P08-02 Critical elements of sports programs for socially vulnerable adults: a concept mapping study
Authors: Alarslan Güven , de Jager Dico , Verkooijen Kirsten
Published: August 2022

Background

Sports programs are recognised as a promising way to contribute to the personal development of socially vulnerable adults. However, it remains unknown which elements of sports programs are critical for social inclusion and personal development to occur. Knowledge on these critical elements is needed to improve sports programs and to maximize positive outcomes.

Methods

Data were collected and analyzed using Concept Mapping (CM), which is a standardized systematic tool to visualize relations between different concepts by collecting and sorting ideas in groups and ranking them in terms of importance (1-5 Likert-scale). A total of 14 sports coaches, 5 program coordinators, 8 social workers and 5 advisors partook in our CM study, making up four groups of informants. Data among participants of the sports programs have been collected in a separate study.

Results

Altogether, sports coaches provided 152 elements, program coordinators provided 81 elements, social workers provided 115 elements, and the advisors provided 95 elements that they deemed critical for positive outcomes of sports programs serving socially vulnerable adults. Both overlapping and unique elements were provided. The role of the sports coach had the highest average importance score (>4.00) and was equally important for all four groups. Elements related to facilities of the sports activity, such as accessible and diverse activities appeared to be more important for social workers and advisors than for program coordinators and sports coaches. In fact, elements related to facilities of the sports program had the lowest importance score among program coordinators and sports coaches. Elements related to external partners involved in the sport program (e.g., clear agreements with partners, continuous funding) showed to be important to program coordinators and advisors, but less important to the sports coaches. Social workers did not mention elements related to external partners. All four groups deemed elements related to the personal development of the participant, such as working towards a goal and intrinsic motivation important.

Conclusions

Training the sports coaches properly and keeping involved care workers in close contact enables participants to achieve better positive outcomes. Sports programs should be experienced as a safe and positive learning environment participants should be encouraged to work on their personal goals without forcing them. For the continuity of a sports program, collaboration with municipalities and social care organizations are essential.
P08-09 The promotion of walking through nudging. Evaluation of the app „Time2Walk“
Authors: Titze Sylvia , Em Sowannry , Kniely Sandra , Gumhold Verena , Freidl Andreas , Reiner Maria , Platzer Mario , Wernbacher Thomas
Published: August 2022

Background

Walking is an appropriate mode to increase or maintain the physical activity behavior. However, physically inactive adults often need support in order to increase their physical activity level. The aim of the presentation is to inform about the nudging framework within the app Time2Walk, the recruitment of the study participants for both time points, and the development of the walking behavior over time.

Methods

The study participants were recruited via social media, press releases, advertising material and personal contacts. A pre-post single group study design was applied using an online questionnaire before and after the intervention.

The intervention refers to a not so distant dystopian future where the city Graz (Austria) suffers from pollution, traffic chaos as well as climate change. Via regular walking as well as visiting places such as parks or other points of interest the users of the app were rewarded with tokens and could contribute to reversing the pollution. Four different types of behavioral nudges were applied during the use of Time2Walk in order to motivate people to walk more: awareness-raising (information about health and traffic related effects), social (information about guided walking tours), rewarding (token-based rewards), and stabilizing (daily walking targets) nudges.The app was developed as a central hub for conveying the nudges and for raising the players' awareness. By means of Wilcoxon-tests, changes in behavior categories were investigated.

Results

Three hundred and forty seven people registered and 145 (42%) filled in the first questionnaire: 65% women, mean age 32 years (SD ±11) and 57% > high-school certificate. Of those, 31 (21%) filled in the the questionnaire a second time. Based on the stages of the Transtheoretical Model as well as on subjective assessment of the weekly walking behavior participants significantly raised their frequency of walking (20% increased walking from 4 or less days/week to ≥ 5 days/week).

Conclusions

Different interdisciplinary expertise is essential for the development of the app-prototype including the nudging framework. Despite push-notifications, reminders through the newsletter and social media the response rate was low. In general, the nudging framework was successful in the increase of the perceived walking behavior.
P09-01 Prevalence and determinants of physical activity among schoolchildren in Abidjan-Côte d'Ivoire
Authors: Sackou-Kouakou Julie-Ghislaine
Published: August 2022

Background

The health benefits of a physically active lifestyle during adolescence include improved muscular fitness, bone and cardiometabolic health, and positive effects on weight. Physical activity has also a positive impact on cognitive development and socializing. Trends show a decline in its practice, especially in developing countries. As the potential related-factors of physical activity are not commonly assessed in Ivorian youth, we investigated factors associated with physical activity among schoolchildren in Abidjan.

Methods

A cross-sectional study was carried out in a random sample of 394 schoolchildren aged 11-20 years in 2019, in Abidjan, Southern Côte d'Ivoire. Moderate-to-vigorous physical activity was assessed using a questionnaire based on Youth Risk Behaviour Surveillance System (YRBSS). Height and weight were objectively measured and body mass index (BMI) was calculated. Demographic and socioeconomic characteristics and dietary factors were also collected. Chi square test was used to compare proportions.

Results

The majority of children (71.3%) do not achieve the daily recommended duration of physical activity (at least 60 minutes/day). Walking to school (80.4%) was the most common physical activity. Schoolchildren that were male (p = 0.039), had normal BMI (p = 0.04), consumed water during meals (p = 0.000) were the more physically active. The others factors that increase physical activity in our population were physically active mothers (p = 0.037) and the presence of sports facilities not far from their home (p = 0.011). Socioeconomic status was unrelated to physical activity.

Conclusions

More actions or opportunities are needed to increase physical activity of schoolchildren (especially girls). It is necessary to install sports facilities that are easily accessible to them. Illustrations of parents are also important.
P09-03 Costing the economic burden of sedentary behaviors in France
Authors: Racine Antoine Noël , Margaritis Irène , Duclos Martine , Carré François , Vuillemin Anne , Christèle Gautier
Published: August 2022

Background

There is strong evidence showing that sedentary behaviour (SB) increase the risk to develop several chronic diseases and to premature death (Chau et al., 2015). A dose response relation is observed with a more marked risk when people spend more than 7 hours/day in sitting position (Ekelund et al., 2019). The study INCA 3 on the lifestyle habits of French population indicated that 40% of people between 18 and 79 years had a high risk for health conditions with more than 7 hours of daily SB (ANSES, 2017). The economic consequences of this risk have never been evaluated. The aim of this study was to estimate the economic burden of SB-related diseases in France.

Methods

From meta-analysis or large cohorts based on individual SB time, we identified relative risk (RR) to develop cardiovascular disease (CVD), colon cancer, breast cancer and all-causes premature death after co-variables adjustments including physical activity. From RR and prevalence of SB time in France, a population attributable fraction approach was used to estimate the yearly number of cases for each disease. Data from the national health insurance were used to calculate the annual average costs per case for each disease. Then, disease-specific and total health-care costs attributable to prolonged SB time were calculated. Indirect costs for private sector and households were calculated in a second stage.

Results

In France, 66 528 premature deaths/year appear related to a daily SB time ≥ 8,6 hours Each year prolonged SB cost 559 millions € for the national health insurance, including 359 millions € for CVD (≥ 10 hours of daily SB), 170 millions € for breast cancer (≥ 6 hours of daily SB), and 31 millions € for colon cancer (≥ 5 hours of TV/day).

Conclusions

These preliminary results showed that many deaths could be avoided by reducing prolonged SB prevalence in France. Moreover, direct health-care costs attributable to SB related diseases represent a high economic burden for the French health system. To address this issue, strong responses should be implemented to tackle SB, complementary to physical activity promotion.
P10-02 Barriers to use of the internet as an alternative delivery channel for an evidence-based fall-prevention intervention for older adults
Authors: Jones Dina , Robinson Maura , Selfe Terry Kit , Barnes Lucinda , Wen Sijin , Shawley-Brzoska Samantha , Myers Douglas , Wilcox Sara
Published: August 2022

Issue/problem

Physical activity (PA) can prevent falls, a leading cause of death globally. Alternative delivery channels may increase the “reach” of interventions into older adult populations in areas which lack trained instructors. Using technology is one alternative to traditional, face-to-face group classes where instructors and participants are in the same room. We delivered a PA program via the Internet for older adults in rural West Virginia (USA). This alternative could help other countries reach more older adults and reduce falls.

Description of the problem

Tai Ji Quan: Moving for Better Balance® (TJQMBB) is an evidence-based intervention for older adults that reduces falls. Adults, ≥ 55 years, attended free, 1-hour tele-TJQMBB sessions, twice weekly, for 16 weeks at 5 remote community sites (3 urban, 2 rural). Trained instructors (new to TJQMBB) led 6 classes from a classroom for participants at remote sites. Instructors/sites used minicomputer, web camera, microphone, and television(s) for live, 2-way verbal/audio exchange. A CPR-certified person was present with participants. This project identified barriers to implementing tele-TJQMBB. Data on barriers were collected from instructors' class logs and summarized.

Results

Fifty-two adults (81% female, mean age 70) attended 23 (median) of 32 sessions. Barriers that caused session cancelations included: participant vacations/unavailability (n = 7), inclement weather (n = 4), technical issues (n = 2), no CPR person (n = 1), classroom not available (n = 1), site closed for state holiday (n = 1), competing event at site (n = 1), and ill instructor (n = 1). Technical barriers during sessions included interruptions/lack of audio, video freezing, and Wi-Fi/Internet connectivity problems. Two participants did not like videoconferencing.

Lessons

Tele-TJQMBB may be easier to teach with instructors who have already taught the program in-person. Selecting instructors/sites that are comfortable with technology may reduce technological barriers. Some older adults may still prefer face-to-face classes. Most cancelations were due to reasons normally encountered in face-to-face classes. Use of technology added new barriers that will need addressed for future classes.

Main messages

Technology reached older adults in areas with no instructors. We think that this is the first time a live, evidence-based, group PA intervention was delivered using this method which could be a model for reaching older adults globally.
P10-11 The effect of a pedometer-based intervention across two years, in people with type 2 diabetes and prediabetes - a compositional data analysis
Authors: Larsson Kristina , Von Rosen Philip , Rossen Jenny , Johansson Unn-Britt , Hagströmer Maria
Published: August 2022

Background

For people with prediabetes and type 2 diabetes it is important to be regularly physical active. Increasing and maintaining physical activity (PA) can be challenging. The aim of this study was to evaluate the effects of a pedometer-based intervention on PA, with a compositional data analysis (CoDA) approach, in individuals with prediabetes or type 2 diabetes.

Methods

Longitudinal data on 188 participants with prediabetes and type 2 diabetes (40% female, mean age = 64.1 years) from a three-armed randomized controlled trail, the Sophia Step Study, was used. The three groups were a multi?component group (self?monitoring of steps with a pedometer, together with group (12 occasions) and individual counselling (10 occasions)), a single?component group (self?monitoring of steps with a pedometer, without counselling) and a standard care group. PA (moderate-to-vigorous PA (MVPA), light-intensity PA (LIPA) and sedentary behaviour (SB)) during the awake time were measured with ActiGraph GT1M accelerometer at baseline, 6, 12, 18 and 24 months. Relative time in MVPA, LIPA and SB for each participant at each measurement point was calculated by using the CoDA approach. Linear mixed models were used to evaluate the intervention effect between the three groups on the relative time in MVPA, LIPA and SB over the two-year period.

Results

In total, 41% had ≤30 min MVPA at baseline. Significant group by time interactions were found for the multi-component group and the standard care group for the relative time in MVPA, at 6, 18 and 24 months. Differences in predicted group means between the groups were 1.2% at 6 months, 1.3% at 18 months and 0.9% at 24 months. Significant group by time interactions were also found for the single-component group and the standard care group for the relative time in MVPA at 24 months, with a difference in predicted group means of 0.8%. No significant interactions for LIPA or SB were found.

Conclusions

The multi-component group and the single-component component group maintained their relative time in MVPA, while the standard care group decreased their relative time in MVPA over the two-year period. This indicate that the Sophia Step Study intervention can prevent a decrease in MVPA in people with prediabetes and type 2 diabetes.
P10-12 DIPPAO: digital-based intervention promoting physical activity among obese people
Authors: Mazeas Alexandre , Chalabaev Aïna , Blond Marine , Duclos Martine
Published: August 2022

Despite the accumulation of scientific evidence supporting the benefits of physical activity, the general population remains insufficiently active and this situation is even worsened for some specific populations such as obese people (Barker et al., 2019). It is therefore becoming urgent to develop interventions that can effectively change individuals' behavior. In this context, “e-health” interventions and gamification appear to be a particularly promising avenue to improve physical activity and reduce attrition rates of current programs.

This study protocol aims to present a randomized, two-arm intervention design that will examine the efficacy of a digital intervention based on play and teamwork for an obese sample. Fifty patients will be recruited at the hospital of Clermont-Ferrand, France and randomized into two groups: the experimental group will receive digital supervised sessions of PA in videoconference and a gamification of PA through a mobile app and will be compared to an active control group representing the traditional care program (supervised physical activity three times per week during three months). Informed by the tenets of the social identity approach and built around behavior change techniques, implemented via the principles of gamification, this three-month intervention has the objective to improve physical activity adherence. Objective and self-reported PA, quality of live, physical condition and psychological variables like motivation or perceived discrimination will be assessed before, at the end of the intervention and then at the issue of a 6-month follow up in order to evaluate the long-term effect of the intervention. We make the assumption that the intervention will be efficient by the development of an intrinsic motivation through the process of gamification on the one hand. On the other hand, through the in-group collaboration with other people who share the same stigmatized criteria that will help participants to overcome weight stigmas, acting generally as physical activity barriers.

This poster presentation will introduce the conception of the intervention, the experimental design and proposed evaluation of the trial. If the effectiveness of this intervention is confirmed, its implementation in the health circuit could reduce the costs and constraints associated to face-to-face support.
Translocating Humour to Seventeenth-Century England: The Comic Afterlife of Spanish Drama
Authors: Riera Jorge Braga
Published: August 2022

The term ‘Golden Age’ broadly describes a period (the mid-sixteenth to late-seventeenth centuries) of great literary flowering in Spain, above all in theatre, where honour, love and humour emerged as recurring motifs. Unsurprisingly, Caroline and even more so Restoration England took an interest in the genre and imported several Spanish comedias, which made a modest but essential qualitative contribution to the London stage during this age. This essay centres on the purposes and limitations of humour in Spanish Golden Age drama, and on the extent to which the linguistic and semiotic aspects linked to comic performance were successfully carried over into the seventeenth-century English versions. By examining a corpus of performance-oriented plays in translation, I seek to illustrate the way in which contemporary British translators rendered comicality, studying how it was maintained, modified or distorted in the process, and taking into account the particular landscape proper to drama-translation practice and its degree of acceptance in the recipient culture. The dramatic areas in which comic devices function – plot, character, thought, diction, music and spectacle – are given special attention. The results reveal how practitioners may have obliterated the so-called Spanish flavour of the original comedy in an attempt to seek deliberately audience-friendly solutions, so as to fall in line with the expectations of the target theatrical context.
How Statues Speak
Authors: Friedell David , Liao Shen-yi
Published: August 2022

We apply a familiar distinction from philosophy of language to a class of material artifacts that are sometimes said to “speak”: statues. By distinguishing how statues speak at the locutionary level versus at the illocutionary level, or what they say versus what they do, we obtain the resource for addressing two topics. First, we can explain what makes statues distinct from street art. Second, we can explain why it is mistaken to criticize—or to defend—the continuing presence of statues based only on what they represent. Both explanations are driven by the same core idea: the significance of statues arises primarily from what they do and not what they say.
HIV stigma limits the effectiveness of PMTCT in Guinea: the ANRS 12344-DIAVINA study
Authors: Breton Guillaume , Diallo Oumou Hawa , Cissé Mohamed , Diallo Oumou Hawa , Diallo Néné Aissatou , Soumaoro Sény Agnès , Camara Yalikhatou , Montoyo Alice , Rouzioux Christine , Koita Youssouf , Peytavin Gilles , Tubiana Roland , Frange Pierre ,   the ANRS 12344-DIAVINA study group, Basla Joséphine , Becquet Renaud , Breton Guillaume , Camara Yalikatou , Cissé Mohamed , D'Ortenzio Eric , Dia Hasminou , Diallo Alpha , Diallo Néné Aissatou , Diallo Oumou Hawa , Diallo Omou Hawa , Diallo Penda , Dollfus Catherine , Frange Pierre , Koita Youssouf , Leroy Valériane , Gardiennet Elise , Montoyo Alice , Oy Kolié , Peytavin Gilles , Rouzioux Christine , Agnés Soumaoro Sény , Sy Telly , Sylla Mariam , Teijokem Mathurin , Tubiana Roland
Published: August 2022

Background

Nearly half of HIV-infected children worldwide are born in West and Central African countries where access to prevention of mother-to-child transmission of HIV (PMTCT) programmes is still limited. WHO recommends reinforced antiretroviral prophylaxis for infants at high risk of mother-to-child transmission of HIV (MTCT) but its implementation needs further investigation in the field.

Methods

The prospective ANRS 12344-DIAVINA study evaluated the feasibility of a strategy combining early infant diagnosis (EID) and reinforced antiretroviral prophylaxis in high-risk infants as identified by interviews with mothers at Ignace Deen Hospital, Conakry, Guinea.

Results

6493 women were admitted for delivery, 6141 (94.6%) accepted HIV testing and 114 (1.9%) were HIV positive. Among these, 51 high-risk women and their 56 infants were included. At birth, a blood sample was collected for infant EID and reinforced antiretroviral prophylaxis was initiated in 48/56 infants (86%, 95% CI 77%–95%). Iron supplementation was given to 35% of infants for non-severe anaemia. Retrospective measurement of maternal plasma viral load (pVL) at delivery revealed that 52% of women had pVL < 400 copies/mL attributable to undisclosed HIV status and/or antiretroviral intake. Undisclosed HIV status was associated with self-stigmatization (85% versus 44%, P = 0.02). Based on the results of maternal pVL at delivery, ‘real’ high-risk infants were more frequently lost to follow-up (44% versus 8%, P < 0.01) in comparison with low-risk infants, and this was associated with mothers’ stigmatization (69% versus 31%, P < 0.01).

Conclusions

Reinforced antiretroviral prophylaxis and EID at birth are widely feasible. However, mothers’ self-disclosure of HIV status and antiretroviral intake do not allow adequate evaluation of MTCT risk, which argues for maternal pVL measurement near delivery. Furthermore, actions against stigmatization are crucial to improve PMTCT.