bluuebunny/crossref_metadata_2025_split huggingface dataset:
95 Parental education, physical activity, sedentary behavior and Family Health Climate of children in primary-school age: A mediation analysis
Authors: Ziegeldorf Alexandra , Hottenrott Nina , Moritz Johanna , Wagner Petra , Wulff Hagen 
Published: September 2024

Abstract

Purpose
Parents’ level of education (ED) is an important factor influencing children’s physical ac-tivity (PA) and sedentary behaviour (SED). In this context, family factors, such as the physical activity related family health climate (FHCPA), are relevant (Niermann et al., 2015). However, the effect of FHCPA on the interaction between parental ED and chil-dren’s PA and SED has not been investigated yet. In this analysis, the mediating effect of the FHCPA on the relation between ED and objectively measured PA-parameters was examined.

Methods
For this analysis, data from 94 children (51.1% female, Mean age = 9,0 (±1)) and their parents from the collaborative research project “Familie+” (Baseline) have been used. Questionnaires were used to assess parental ED and FHCPA. Children’s moderate-to-vigorous physical activity (MVPA) and SED were measured using accelerometers (GT3X+ und wGT3X+). Bivariate correlations were conducted to investigate associations between parental ED and MVPA/SED/FHCPA. Mediation analyses were used to investigate the role of FHCPA in the link between maternal and paternal ED and children’s MVPA/SED.

Results
Between maternal ED and FHCPA there was a small correlation for the total sample (ρ=.318, p&lt;.001) and a medium correlation for girls only (ρ=.570, p&lt;.001). Mediation analyses showed no significant mediation effect. However, there was a significant direct association considering FHCPA in the relation between higher maternal ED and SED in girls compared to lower ED.

Conclusion
Future research should examine more complex models to develop and sharpen further theoretical frameworks in order to be able to derive better recommendations through health prevention programs, especially for mothers and girls.

Support/Funding Source
The data originate from a collaborative research project (‘Familie+ - Gesundes Zusam-menleben in Familie und Schule’/‘Family+ - Living healthily together in family and school’) which was funded by the German Federal Ministry of Health.
References:
Niermann et al. (2015). Family Health Climate and Adolescents `Physical Activity and Healthy Eating: A Cross-Sectional Study with Mother-Father-Adolescent Triads. PLoS ONE 10 (11). 1-18.
139 Physical literacy in adolescents with disabilities in Ireland: a cross-sectional study examining effects of disability, age, gender and family affluence on physical literacy
Authors: Britton Una , Ng Kwok , Behan Stephen , Goss Hannah , McFlynn Paul , McClelland Julia , Woods Catherine , Connolly Sinead , Belton Sarahjane 
Published: September 2024

Abstract

Purpose
Physical literacy (PL), defined as physical competence, confidence, motivation, and knowledge and understanding, is the foundation for physical activity (PA). PL is inclusive of all, yet PL research has proved quite exclusive, with a scarcity of data on those with disabilities. In Ireland, National PA Report Cards present contrasting grades for those with and without disabilities, suggesting different PA experiences which impact PL. Factors consistently recognised as correlates of PA in the general population (sex, age, socioeconomic status), and how they impact PL, are not well understood in the disability population. This research reports on PL in adolescents with disabilities attending mainstream education, investigating differences between those with and without disabilities.

Methods
Participants were adolescents involved in the Children’s Sport Participation and Physical Activity study (Woods et al 2023. Age, gender, family affluence and disability status were recorded. Perceived physical competence (McGrane et al 2015), PA self-efficacy (Marcus et al 1992), motivation (14 items), and PA knowledge and understanding (4 questions) were measured. Difference in PL by disability status was analysed using one-way MANOVA and Chi-square tests for independence. Three-way MANOVA investigated effects of age, gender, and family affluence on PL.

Results
Participants were 3,964 adolescents (Mage 14.9±1.87 years). Perceived physical competence, PA self-efficacy and PA knowledge and understanding were significantly lower amongst those with disabilities (small effect sizes; Ƞ2 = 0.053, 0.027, 0.021 respectively). Significantly more children with disabilities cited “something to do” and “because of mother” as motivating factors. Those with motoric disabilities had significantly poorer PL than other disability types. Being female and/or of low family affluence negatively impacted PL. Gender had a greater effect on PL in those without disabilities (Ƞ2 = .040-.044) than with (Ƞ2 = .027-.032). Family affluence had a greater effect on PL in those with disabilities (Ƞ2 = .028-.032) than without (Ƞ2 = .017-.023).

Conclusion
Having a disability puts children at risk of poor PL, with family affluence having a greater effect on PL for those with disabilities. PA policies should focus on improving PL in children with disabilities, particularly those from low family affluence.

Funding
Sport Ireland/Northern Ireland, Healthy Ireland.
155 Practicing the active video fighting game strengthen antioxidant defense system: a pilot study
Authors: Çakır-Atabek Hayriye , Aygün Cihan 
Published: September 2024

Abstract

Background and purpose
When exercise –aerobic or anaerobic– is performed regularly, the antioxidant defense system, which prevents oxidative stress or reduces its damage, becomes stronger. Recently many studies showed that active video games (AVGs) could be used as useful intervention tool to increase physical fitness status among healthy population. From this point, this study aimed to investigate the acute and chronic effects of AVGs on indices of oxidative stress in young participants.

Methods
Eleven healthy, physically active young males (age: 20.90±1.37 years, height: 177.41±5.68 cm, weight: 70.09±8.15 kg, and BMI: 22.22±1.91 kg/m2) volunteered to participate in the study. Major exclusion criteria were using tobacco products, and suffering from acute or chronic diseases. The participants performed a fighting AVGs -“Fighters Uncaged”- with Xbox Kinect console, in which the opponents were randomly selected, for 20 minutes per day, three days a week, for 4 weeks. The previous practices shown that this fighting AVGs provides vigorous physical activity (MET&gt;7). At the beginning and at the end of the study maximum oxygen consumption (VO2max) was determined to verify the effectiveness of AVGs. Blood samples were obtained just before (after 10-min rest) and immediately after the VO2max tests. Oxidative stress was evaluated with total antioxidant status (TAS), total oxidant status (TOS), oxidative stress index (OSI), and total oxidized guanidine (TOG), which is an indirect marker of DNA damage, additionally, superoxide dismutase (SOD) was analyzed. Data were analyzed with dependent t-test and significance was accepted as p &lt; 0.05.

Results
The 4-week AVGs practicing significantly increased the VO2max (56.51±4.41 vs 58.52±3.66 ml/kg/min; p = 0.034). When investigate the acute effects, no significant alteration was determined between pre and post-test values for SOD, TAS, TOS, OSI, and DNA damage (p &gt; 0.05). To determine the chronic effects, the pre-test values were compared, and result showed that SOD significantly increased (3.37±1.7 vs 7.65±4.6 U/ml; p = 0.022) and DNA damage significantly decreased (10.28±1.9 vs 7.75±1.7 ng/ml; p &lt; 0.001) following 4-week AVGs practice.

Conclusions
This study’s findings support the thought that AVGs can be an effective tool to enhance physical fitness status and strengthen the antioxidant defense system.
115 Preliminary results of the current MSFiT-study: a controlled trial examining the potential effects of regular online exercise training in people with Multiple Sclerosis
Authors: Klump Charlotte , Woschek Stephanie , Anhorn Laura , Temmes Herbert , Lamprecht Juliane 
Published: September 2024

Abstract

Purpose
Physical exercise has both preventive and rehabilitative effects in people with Multiple Sclerosis (pwMS). However, there is still a lack of evidence in effects of online-exercise interventions. The MSFiT-study, a cooperation of German MS Society, University of Halle-Wittenberg (Germany) and Sherpa B.V. (Netherlands), aims at examining effects of weekly 45 minutes „DMSG functional training “(FT) online in pwMS. The intervention was concepted in 2019 as therapeutic group training and can currently only prescribed as face-to-face-training.

Methods
Inclusion criteria were a confirmed MS-diagnosis, age ≥18, no experience in FT, no relapse in the past 4 weeks. Participants were free to choose between online or face-to-face training (FACE). Online-participants were randomly divided in online-intervention (ONLINE) and wait-list-control-group (WAIT). Participants of the FACE-group were not randomised due to low application. Before (T0) and after 3 months training (T1) all participants filled out a standardised questionnaire via the app MS sherpa or paper form: Inter alia, outcomes are walking ability (2MWT), cognitive function (SDMT), function of the upper extremities (DASH) and fatigue (FSMC). End of study is 31st of March 2024.

Results
65 pwMS were recruited. Until now n = 47 pwMS completed T0, T1 (ON = 22, WAIT = 19, FACE = 6) and showed an adherence of at minimum 50%. Preliminary descriptive data (T0) show: pwMS in ONLINE-group (age = 45.9±9.19 years; disease duration = 10.17±7.74 years) had a patient-reported disability (PDDS) score of 2.09 (±1.89), a fatigue of 70.5±15.5 and a DASH score of 26.1±18.3. WAIT-group (age = 50.84±9.65 years; disease duration = 16.16±11.21 years) had a PDDS of 2.79 (±2.27), a fatigue score of 66.2±17.7 and a DASH of 26.4±17.2. FACE-group (age = 58.14±8.47 years; disease duration = 19.71±18.88 years) had a PDDS of 4.67 (±2.45), fatigue score of 73,8±16.7 and DASH of 42.9±28.7.

Conclusions
Further analyses will be necessary once the study period ends. Most participants seem to be physically limited due to PDDS and fatigue score. Research findings will be a further step to bring more trust in online-options for people with disabilities who are not able to participate in trainings due to infrastructure, symptom burdens or other obligations. Furthermore, results should demonstrate the equivalence of the two group forms as a basis for health policy decisions.
129 Prioritising health in mobility planning: unlocking the health protential of Sustainable Urban Mobility Plans (SUMPs)
Authors: Kahlmeier Sonja , Kasraina Dena , Murdock Hannah E , Faghih Imani Ahmadreza , Yu Yurong , de Nazelle Audrey , Stead Dominic 
Published: September 2024

Abstract

Purpose
Urban mobility can have detrimental impacts on health and quality of life, but can also be an opportunity for health promotion, e.g. through walking and cycling. While health impacts of transport are well known, the extent to which health is considered in mobility plans is less obvious. European cities are strongly encouraged to develop Sustainable Urban Mobility Plans (SUMPs).

Methods
We assess the extent to which health is reflected in SUMPs in cities, with regards to: i) key health and health equity terminology, ii) how explicit transport pathways to health are made, and iii) whether health is operationalised into targets and key performance indicators (KPIs) and iv) how well elaborated the health-rationale of various actions and measures is . We analysed the latest SUMPs in the Eltis City database of urban mobility plans with a quantitative text analysis, supported by the development of a health dictionary and a policy analysis checklist. We carried out a qualitative analysis of a purposive sub-sample to verify the validity of the quantitative approach and provide further nuance to the assessment.

Results
230 SUMPS (2006-2023) from 31 countries were usable for quantitative analysis, from which 13 were included into qualitative analysis, reflecting a range of city sizes, countries, and focus on health. The findings show that while health is often touched upon, and its prominence seems to be increasing, SUMPs miss out on the opportunity to embrace mobility as a driver of health promotion. The link between transport and equity and social and mental wellbeing is not frequently discussed. Detailed targets and KPIs for several health pathways are scarce or missing, as are the health rationale and outcomes for proposed measures. Health aspirations are concerned with minimising detrimental impacts of transport on health, primarily from traffic injuries and to a lesser extent from air pollution. Concepts such as accessibility and active travel feature prominently but are not explicitly identified as an opportunity to enhance health.

Conclusions
Urban mobility planning across Europe miss an opportunity to embrace health as a means to engage across sectors and society to help promote transformative urban sustainability policies.
117 The Development of a Patient-centered, Evidence-based and Theoretically-informed Physical Activity Behaviour Change Intervention for Young People who have had Cancer
Authors: Fitzpatrick Jennifer , Dowd Kieran , Moyna Niall , Godwin Cliona , Cantwell Mairéad 
Published: September 2024

Abstract

Purpose
The purpose of this study was to describe the development of CHAMPs, the CHildhood and adolescent cancer survivors’ physical Activity (PA) and Movement Programme. CHAMPs aims to increase participants’ PA levels, physical function and quality of life.

Methods
Programme development was guided by the Medical Research Council’s Framework for the development of complex interventions and The Behaviour Change Wheel. A review of literature was conducted to identify i) determinants of PA behaviour, maintenance and adherence, and ii) previous successful PA interventions for this population. Additionally, 31 interviews were conducted, which sought to identify important components for inclusion within a PA intervention, from the perspectives of young people who have had cancer (aged 12-25 years), their parents and healthcare professionals. A workshop was conducted with key stakeholders to determine intervention acceptability, including programme appeal and engagement, and to obtain recommendations for improvements.

Results
Recommendations generated from the literature review were summarised in statements of findings (n = 26) which informed programme development, and included the need for a personalised PA intervention which is underpinned by behavioural theory and incorporates multi-modal PA (e.g. strength, flexibility, endurance PA). Ten recommendations were generated from interviews, which emphasised the importance of face-to-face PA sessions and the inclusion of educational components. Stakeholder workshop recommendations (n = 10) included strategies to optimise engagement, including shorter session length for educational components and motivational interviewing (MI) workshops with no parent present to optimise participant engagement. All of the recommendations obtained were synthesized and produced CHAMPs, a 12-week multi-component PA intervention. CHAMPs includes: i) 12 personalised PA sessions (n = 8 home-based; 4=online), ii) 3 MI workshops, iii) 3 educational workshops, iv) PA equipment (e.g. beanbags, hoops) and v) PA information booklet.

Conclusions
This study is the first to develop a PA behaviour change intervention for young people who have had cancer using this systematic approach which has produced a novel patient-centred, evidence-based and theoretically-informed PA programme. CHAMPs will be subsequently tested in a feasibility study.

Funding Source
This work is co-funded by the Irish Cancer Society Social, Nursing, Allied Health Research Scholarship CRS21FIT, and The Technological University of the Shannon President’s Doctoral Scholarship.
40 The effects of acute exercise on emotional pattern separation in adolescents and young adults
Authors: Jennen Lise , Mazereel Victor , Vancampfort Davy , Qiao Zhiling , Vansteelandt Kristof , Dupont Patrick , Lecei Aleksandra , van Winkel Ruud 
Published: September 2024

Abstract

Exercise has been widely recognized for its benefits on cognitive health. One potential underlying mechanism is the modulation of hippocampal pattern separation (PS), a memory process crucial for accurate storage and preventing memory interference. PS can be gauged behaviorally with a mnemonic discrimination task using images, and neurally with functional magnetic resonance imaging assessing hippocampal activation of primarily the dentate gyrus and CA3 subregions.
While a number of studies have demonstrated a positive effect of acute exercise on PS, the majority of studies only investigated PS behaviorally. Furthermore, these previous studies examined PS using neutral images, but it is often the recollection of emotional experiences that guides behavior. Additionally, research in this area predominantly focused on adult populations, neglecting the critical developmental period of adolescence and young adulthood, characterized by decreased exercise and increased vulnerability to emotional problems.
In this randomized between-subject study involving healthy adolescents and young adults (n = 53), we extend previous findings by examining the effect of a 10-minute bout of moderate-intensity exercise intervention compared to rest on both behavioral and neural PS, utilizing emotional images. Task-related neuronal activity was discerned from exercise induced changes in cerebral blood flow by including arterial spin labeling scans. We hypothesized increased behavioral mnemonic discrimination ability and neural hippocampal PS activation after the exercise intervention compared to rest. Across interventions, we hypothesized decreased discrimination for emotional images and more similar images.
Contrary to our hypotheses, we could not demonstrate a significant benefit of acute exercise on PS, not on the behavioral or neural level. Behaviorally, we did observe decreased mnemonic discrimination for more similar images and for highly-similar positive images. However, correlation analysis did not demonstrate an association between behavioral discrimination ability and neural activity, and exploratory analysis did not reveal a neural signal consistent with pattern separation in any of the hippocampal subregions.
In conclusion, this study underscores the need to broaden our hippocampal focus of PS, in order to bridge behavioral mnemonic discrimination with neural PS activation. In addition, future studies should optimize the exercise characteristics necessary to robustly enhance PS.
* LJ and VM shared first authorship
184 Use it or lose it: can engagement in physical activity close to one’s relative physical capacity protect against decline in physical functioning among older adults?
Authors: Löppönen Antti , Lindeman Katja , Palmberg Lotta , Van Roie Evelien , Delecluse Christophe , Portegijs Erja , Rantanen Taina , Rantalainen Timo , Karavirta Laura 
Published: September 2024

Abstract

Purpose
Physical activity (PA) is distinct from physical capacity (PC), even though they correlate strongly in old age. Physical capacity defines the boundaries for PA, while activities in daily life typically remain submaximal. Older people who approach their capacity in terms of intensity and duration of daily activities might be better protected from future declines in physical function compared to those who do not (i.e., “use it or lose it”), although prospective research is lacking to support this hypothesis. Therefore, this study compared changes in physical function over a four-year follow-up between community-dwelling older adults categorized based on their baseline PC and PA.

Methods
This study is a longitudinal 4-year follow-up study in older adults aged 75-85 years at baseline (N = 311, 60% women). Baseline PC was measured by a 10-meter maximal walking speed, and PA was continuously monitored for 3-7 days using a thigh-worn accelerometer. PA intensity was examined using Mean Amplitude Deviation (MAD) and 5-second epochs. Baseline values of PA and PC were categorized distributionally (low & high) into lowPC-lowPA, lowPC-highPA, highPC-lowPA, and highPC-highPA profiles. Physical function was evaluated using the Short Physical Performance Battery (SPPB) at baseline and at the four-year follow-up, with total score and 5 x Sit-To-Stand (5xSTS) test time as the primary outcomes. Paired samples t-test and generalized estimating equations were used for analyses.

Results
During the follow-up, the SPPB total score and the 5xSTS test decreased for all profiles (p&lt;.05), except for the highPC-highPA profile (p=.055, p=.182, respectively). When comparing highPC-highPA to other profiles, a greater decrease in SPPB total score were observed in all other profiles (highPC-lowPA B -.62 (SE .22), p=.006; lowPC-highPA -.70 (.35), p=.045; lowPC-lowPA -1.86 (.28), p&lt;.001) and in 5xSTS time for the lowPA profiles (highPC-lowPA 1.32 (.49), p=.004; lowPC-lowPA 1.92 (.67), p=.007).

Conclusions
The findings suggest that engaging in PA close to one’s PC may help to protect against decline in physical functioning among older adults, especially among those with relatively high PC. Therefore, older adults should be encouraged to participate in physically challenging activities that could potentially improve their capacity.
185 What matters most for physical activity participation? A national Delphi study identifying the top ten priorities of adolescents with physical disability
Authors: Brady Karen , Cleary Ronan , O’Gorman Eva , McDonough Suzanne , Kerr Claire , McConkey Elaine , Ryan Jennifer , Malone Ailish 
Published: September 2024

Abstract

Background
Most young people with disability are insufficiently active and do not meet the recommended physical activity guidelines. This can have a significant impact on future health. Supporting engagement in physical activity is challenging during adolescence, when priorities shift towards social participation. Finding ways to support sustainable and meaningful physical activity participation among adolescents with physical disability remains a challenge.

Purpose
To establish a consensus among adolescents with physical disability regarding their priorities for enhancing their physical activity participation. The priorities will help inform the design of future interventions for physical activity participation.

Methods
We conducted a multi-round Delphi study involving adolescents (13-17 years) with physical disability. Survey Round 1 comprised of open-ended questions, inviting free text responses. Free text responses were analysed thematically, creating items categorised to the Family of Participation-Related Constructs framework. In Round 2, participants rated the perceived importance of these items using a five-point Likert scale. The top 10 priorities were constructed from the highest-ranked items.

Results
One-hundred-sixteen participants (mean age 14.6 years, range 13-17 years; 66 boys; 58 with cerebral palsy; 43 wheelchair users) completed Round 1. One-hundred-eight items were included in Round 2. Fifty-eight items were rated either “important” or “really important” by 70% of participants. The top 10 priorities were rated as “important” or “really important” by 82-94% of participants with a mean Likert score of 4.40 (range: 4.25-4.63). Seven of the top 10 related to the environmental context of the Family of Participation Related Constructs framework. The remaining three related to involvement and the related concept of preferences.

Conclusion
The priorities identified will help inform the design and development of future physical activity interventions to support physical activity participation for adolescents with physical disability.

Support/Funding Source
This work was funded by Health Research Board Ireland (HRCI-JFS-2022-006) via the Health Research Charities Ireland/Health Research Board Joint Funding Scheme 2022.