bluuebunny/crossref_metadata_2025_split huggingface dataset:
90 The association between risk of depression and combined vigorous physical activity and screen time behaviours in French-speaking Belgian adolescents
Authors: Assakali Wassila , Castetbon Katia , Eggen Morgane , Holmberg Emma , Mertens Caroline 
Published: September 2024

Abstract

Purpose
While there is a clear consensus on the positive effect of physical activity on reducing the risk of depression, the literature on the association between screen time and risk of depression is rather conflicting. Also, no clear consensus has been reached on whether being sufficiently active could alleviate the negative effects of being sedentary on mental health. The purpose of this study was to investigate the association of combined vigorous physical activity (VPA) and screen time (ST) behaviours with the risk of depression (RD) in Belgian adolescents.

Methods
The analysis used data collected through self-reported questionnaires from 8412 adolescents aged 10 to 20 included in the 2022 “Health Behaviour in School-aged Children” (HBSC) study in French-speaking schools. RD was measured using the World Health Organisation Five Well-being Index (WHO-5), with scores ≤28/100 indicating RD. VPA and ST behaviours were identified by combining data on ST (TV, video games and internet use) and VPA in three categories: (1) low ST (total weekly ST &lt; 4hours/day), independently of VPA; (2) high VPA-high ST (VPA≥3 times/week and total weekly ST ≥ 4hours/day) and (3) low VPA-high ST (VPA&lt;3 times/week and total weekly ST ≥ 4hours/day). The association between RD and VPA-ST behaviours was measured using adjusted binary logistic regression.

Results
In 2022, 15.4% had low ST, 40.6% high VPA-high ST, and 44.0% low VPA-high ST behaviours. Moreover, 13.2% were at risk of depression. This prevalence was eight times higher in low VPA-high ST (62.9%) and four times higher in high VPA-high ST (29.5%) than in low ST (7.6%) adolescents. After adjusting for sociodemographic characteristics, body mass index and sleep duration, adolescents with low VPA-high ST behaviours were more likely to be at risk of depression (aOR=1.17, 95%CI: 1.31-2.35) compared to those with low ST, but this was not the case for those who had high VPA-high ST (aOR=1.18, 95%CI: 0.81-1.71).

Conclusion
These findings suggest that having either low ST or sufficient VPA may be protective for RD in adolescents. With ST increasing and PA remaining low in French-speaking Belgian adolescents, health promotion initiatives should continue to promote both PA and the reduction of sedentary behaviours in adolescents.
172 The Effects of Antenatal Behaviour-Change Lifestyle Interventions on Improving Maternal and Foetal Health Outcomes: A Systematic Review and Meta-Analysis Protocol
Authors: O’Keeffe Abbey , Deery Elizabeth , Currie Sinéad , McMonagle Gemma , Faulkner Maria 
Published: September 2024

Abstract

Purpose
The purpose of this systematic review is to examine the effects of antenatal behaviour-change lifestyle interventions that focus on physical activity (PA) and evidence-based nutritional practices (NP) to improve maternal and foetal outcomes, and pregnant individuals’ adherence to lifestyle interventions.

Methods
The following databases will be searched from their inception using a detailed search strategy, MEDLINE; CINAHL; PsycINFO; Embase; AMED; WHOLiS, Web of Science; ScieLo and ASSIA. A Population, Intervention, Comparator, Outcome and Study-Design framework will guide the selection process. The review will be restricted to Randomised Controlled Trials that compared the effects of nonpharmacological, antenatal behaviour-change PA and NP lifestyle interventions. The review will utilise the FITT (Frequency, Intensity, Time/Duration and Type) principle of PA and an adapted-NP classification table to categorise interventions. Interventions will be evaluated using the ‘Framework for Developing and Evaluating Complex Interventions’.
Primary outcomes will include maternal and foetal health outcomes, including: maternal mental health-status; gestational weight-gain; gestational diabetes mellitus diagnosis; mode of delivery; birthweight; gestational age and perinatal mortality. Secondary outcomes will include adherence to interventions. Authors will independently screen titles, abstracts, and full-text articles according to inclusion/exclusion criteria. A standardised data extraction tool will be developed based on the Cochrane Handbook of Systematic Reviews of Interventions. The Cochrane Collaboration’s Risk of Bias Assessment tool will assess methodological quality of studies and GRADEpro criteria will evaluate the quality of the evidence.

Results
Meta-analysis will be employed to synthesise the results on the effects of the interventions on maternal and foetal outcomes. Primary outcomes will be pooled using a random-effects model. Subgroup analyses will explore variations across participant characteristics or intervention types. Sensitivity analyses will assess the impact of missing data. Heterogeneity among studies will be assessed quantitatively using statistical tests and the I2 statistic, with planned exploration of potential sources of heterogeneity through subgroup analyses, followed by meta-regression.

Conclusions
This review will synthesise available evidence on the effectiveness of antenatal behaviour-change lifestyle interventions to provide valuable information for clinicians and health policymakers to improve policy and practice.

Support/Funding Source
Atlantic Technological University, Donegal Research Bursaries and The Health Research Board’s SPHeRE PhD Programme.
S02 Exploring equity and social inclusion in national PA policy documents and policy monitoring
Authors: Kahlmeier Sonja 
Published: September 2024

Abstract
Equity and social inclusion are prerequisites for ethical public health services provision. In the field of physical activity promotion, ensuring wide and equitable access to PA infrastructure and services has been recognized as a modality to address social inequities in health.
However, it is still not clear how these desiderates translate in national PA policies.
This symposium aims to cover this gap by presenting aspects related to equity and social inclusion in national and transnational policy documents and policy monitoring and evaluation frameworks.
Systematic literature review, thematic policy documents analysis, stakeholders' consultations and other quantitative and qualitative methods are employed in the four studies presented in the symposium.
S02-1: Improving Physical Activity policies and their impact on health Equity: An overview of the IMPAQT project
Authors: Woods Catherine , Volf Kevin , van Hoye Aurelie , Gelius Peter , Messing Sven , Forberger Sarah , Zukowska Joanna , Okraszewska Romanika , den Braver Nicole , Lakerveld Jeroen , Heuvelman Fleur , Sandu Petru , Messing Sven , Baceviciene Migle , Jankauskiene Rasa 
Published: September 2024

Abstract

Purpose
The growing burden of non-communicable diseases (NCDs) requires effective public policy to change systems instead of individuals and create supportive contexts that reduce NCDs and health inequity. A major determinant of disease reduction is physical activity (PA). Many countries have policies in place, but the implementation of those policies is unknown. This presentation will show how Germany, Ireland, Lithuania, Netherlands, Poland and Romania are collaborating to gather data to benchmark the extent of implementation of their PA policies and their health equity impact.

Methods
An innovative tool, the PA-Environment Policy Index for Equity (PA-EPIQ) will be developed and used to test and promote policy benchmarking as a tool to improve policy implementation in six countries. This will involve mixed methods including evidence synthesis, document analysis and case reports to ‘evidence ground’ countries’ policy implementation status in relevant domains, e.g. health, sport, education, transport. Quantitative and qualitative evidence validation with policymakers will ensure the comprehensive representation of government action. While engagement with stakeholders – both experts and citizens – from each country will independently assess the evidence on their governments’ action, comparing it to international best practice.

Results
IMPAQT will generate six country-specific policy index scores, which will be translated into report cards containing critical implementation gaps and policy recommendations for each country. It will also bring the individual country reports together and create a unified report for citizens, scientific communities, and policymakers.

Conclusions
IMPAQT is based on scientific research as well as the involvement of policymakers, experts and citizens through a co-production approach in 6 EU countries. Transnational comparisons will provide international benchmarks to support policymakers in enhancing health equity in PA policy development.

Support/Funding Source
ERA4Health, GA N° 101095426 of the EU Horizon Europe Research and Innovation Programme
S04-2: Government-driven physical activity policy monitoring across 27 countries: The EU HEPA Monitoring Framework
Authors: Wendel-Vos Wanda 
Published: September 2024

Abstract

Purpose
National policy action is essential to increase population-level physical activity. To support these activities, the European Commission published Physical Activity Guidelines in 2008. In 2013, a Recommendation by the Council of the EU endorsed their implementation across Member States and called on governments to monitor their progress using a joint framework.

Methods
The Council Recommendation established 23 indicators based on the categories of the EU Physical Activity Guidelines. A survey tool was developed with support from WHO Europe, accompanied by a Staff Working Document with background information and detailed instructions. An EU Physical Activity Focal Points Network was established in 2014 to support governments and ensure harmonized data collection across countries.

Results
Supported by the European Commission and WHO Europe, EU Member States have conducted three rounds of data collection for the Monitoring Framework since 2015, with a fourth round in 2024. Results were published in summary documents and individual Country Factsheets in 2015, 2018 and 2021, as well as thematic factsheets and scientific publications. In a 2020 survey, a broad majority of Focal Points stated that the information was useful for national policy development, e.g. to gain insights from other countries, to communicate with national policymakers, and to exchange with other sectors.

Conclusions
With 23 indicators for 27 countries, the EU HEPA Monitoring Framework is arguably the most comprehensive dataset currently available comparing national physical activity policy in a harmonized way. It is also one of the few examples for government-driven physical activity policy monitoring. The framework has proven to be an important tool for policy development in the EU and inspired data collection in several other countries. Future challenges include further developing the Framework to account for global challenges like climate change and for glass ceiling effects as national physical activity policies continue to evolve.

Support/Funding Source
Data are collected by EU Member States. The WHO Regional Office for Europe provides support for data collection and analysis as via grant from the European Commission.
S04-3: Reflexive feedback on the use of a local health-enhancing policy audit tool: the CAPLA-santé
Authors: Racine Antoine Noël , Van Hoye Aurélie , Vuillemin Anne 
Published: September 2024

Abstract

Purpose
The implementation of effective intersectoral policies is a key issue in developing an upstream approach to the promotion of health-enhancing physical activity (HEPA). In the last few years, comprehensive frameworks and tools for the analysis of HEPA policies have been developed. In 2018, a local policy audit analysis tool “CAPLA-Santé” was developed by the French Public Health Society with a research team and policy makers from different sectors. Since then, this tool has been used for practical and research purposes. The aim of this project is to collect and analyze feedback on the use of CAPLA-Santé from policy-makers.

Methods
This project involves the capitalization of the experience of CAPLA-Santé users in order to analyze their experiential knowledge in practical application. The users were contacted from the database of the French Public Health Society, which manages the tool. All known users were contacted and invited to take part in an interview. General information about the type of user and the context of use of the tool were collected, and participants were asked to give their reflective feedback on their experience of using the tool.

Results
Elected officials (n = 4) and department heads (n = 4) from two mid-sized French municipalities (n = 2) were interviewed to provide reflective feedback on their experience using CAPLA-Santé. According to the department heads, the tool was useful in promoting discussion and collaboration among different sectors, particularly in achieving better alignment of policies to reach a common goal or shared population target. According to elected officials, CAPLA-Santé was particularly useful for taking stock and formulating a more comprehensive and coherent policy, especially in preparation of a new political mandate. However, the use of the tool required expertise and was seen as time-consuming, which could be a barrier for its use among other municipalities.

Conclusions
A reflexive analysis of the use of the CAPLA-Santé tool, based on the experiences of policy makers and researchers in practice, could help to provide a more comprehensive overview of the needs and perspectives in this field.

Funding Source
No funding
S04-5: Lessons learned from the results of policy audits of multiple local governments
Authors: Takeda Noriko , Oida Yukio , Inoue Shigeru , Miyachi Motohiko 
Published: September 2024

Abstract

Purpose
To promote health-enhancing physical activity (HEPA), it is essential to evaluate physical activity policies not only at the national level but also the local level. We have conducted research on physical activity policies in multiple local governments across Japan.

Methods
Japan has 47 prefectures and 1,718 municipalities. We first developed a Local Policy Audit Tool (L-PAT) for prefectures, comprising 11 items based on WHO’s HEPA Policy Audit Tool (PAT) that cover key policy areas. We then developed a City PAT (C-PAT) with six questions based on the HEPA PAT. All 47 prefectures were targeted for the L-PAT study, and 272 municipalities were targeted with the C-PAT, randomly selected by municipality size. For both tools, we asked key government departments (e.g. health, sports, urban planning and transport) for their responses.

Results
The response rate to the L-PAT was 71.6%. Results indicate that health and sports are the most active departments in promoting HEPA at a prefecture level. Some prefectures also reported actions by the urban planning and transport departments. The response to the C-PAT was 37.7%. The rate of policy formulation was extremely high in the health and sports departments, with slight variation by population size. By contrast, policy formulation rates were generally low in the urban planning, transport and environment departments, especially in smaller municipalities.

Conclusions
The advantage of the L-PAT and C-PAT is that they can quantitatively assess the status of local government HEPA policies. This allows for comparisons by state, by population size, and between countries. The assessment at the municipal level showed the impact of the size of the municipality. This may help us to provide better support to these local governments from the national government. The next steps could be to revise the questionnaires to increase their usefulness, to consider ways to increase the response rate, and to use them for continuously monitoring local HEPA policies.
S04-6: INTEGRATE-PA-Pol: A Tool for Assessing Cross-Level Collaboration in HEPA Policies
Authors: Resendiz Eugen , Salvo Deborah , Ramírez-Varela Andrea , Mejía-Grueso Juliana , Moon Jane , Pratt Michael , Mitáš Josef , Brownson Ross C 
Published: September 2024

Abstract

Purpose
The Physical Activity Policy at the National and City Levels Project aimed to develop and test a tool to assess how national and subnational (city and region) governments collaborate to develop and implement health-enhancing physical activity (HEPA) policies.

Project Description
The development of the “Interaction between National and Local Government Levels in Development and Implementation of Physical Activity Policies Tool” (INTEGRATE-PA-Pol) took place in three phases: 1) scoping review to identify local government physical activity promotion policies and instruments for assessing them, 2) questionnaires development, and 3) cognitive response testing (validity testing and item modification) with local physical activity experts. The final tool comprises six questionnaires assessing how national and subnational governments (city and region) collaborate to develop and implement HEPA policies. An observational cross-sectional study was conducted in four Latin American countries and eight of their cities to test the feasibility of the tool used for global surveillance. GoPA! Country Contacts from each country were invited to serve as their country’s principal investigators. Country Contacts identified the main sectors, key actors, and policymakers from each sector involved in HEPA policy development and implementation at the national level, the capital city, and an additional city for participant recruitment. Between August 2022 and February 2023, online snowball sampling surveys collected data on national and subnational government informants' perspectives on the development and implementation stages of national and local HEPA policies. The pilot study demonstrated the feasibility of collecting national and subnational HEPA policy data across countries with the active collaboration of GoPA! Country Contacts. We also successfully identified governmental interactions throughout the PA policy process, suggesting suboptimal engagement between national and subnational levels.

Conclusions
This tool can assist in better understanding how government levels and sectors collaborate during the HEPA policy process and will help uncover policy gaps and improve policy translation between national and subnational (city and region) governments. Our tool will contribute to developing and implementing a global public policy monitoring system to enable benchmarking and priority setting for HEPA policies.
S05-1: Dutch national fall prevention program - implementation challenges
Authors: Preller Liesbeth 
Published: September 2024

Abstract

Purpose
In the Netherlands, an ambitious national multi-domain fall prevention program for older people is being implemented starting in 2023 as part of a broader prevention plan. This is done because of the high burden of falls for healthcare capacity and costs. Large responsibility is given to municipalities for implementation at the local level, and to regional public health services at a higher level.

Project description
The program is developed based on existing evidence and by consulting a wide range of stakeholders. This led to a chain approach including description of screening, fall prevention physical activity programs (FPPs), Physical Activities (PA) outside these FPPs for people with no or limited fall risk and as follow up after participation to FPPs. Each year 3% of people over 65 should attend an FPP VeiligheidNL is responsible for coordinating development and subsequent implementation.
Local implementation is generally done or under supervision of the local policy department of Sport. This is supported by involving several national and regional stakeholders on public health and local policy. Additionally, national and regional sports organisations fill gaps experienced by municipalities and other stakeholders.
Preliminary evaluation shows that local implementation largely varies depending on the role taken by municipalities and local sports and healthcare organisations, and by regional health service organisations.
Dissemination to all municipalities is guaranteed because of designated funding in combination with obligations for health insurance companies to reimburse the costs of participation to FPP for the (estimated 1% of 65) people with the highest fall risk.

Conclusions
The national program leads to broader knowledge about and attention to PA for older people, development of supportive tools and a slowly increasing number of people attending FPP. Still many challenges have to be overcome, such as reach of the target group, local intersectoral collaboration, and scaling up to obtain sufficient qualified trainers for FPP and sufficient structural PA at local sports and PA providers.
S06-2: Moving Cancer Care: The importance of exercise during and after a cancer treatment
Authors: Crabbe Marie , Vrancken Dimitri , Van Stappen Vicky , Declerck Ine 
Published: September 2024

Abstract

Purpose
Literature is recognizing exercise in cancer as a promising therapeutic tool. Authors have shown that exercise could prevent health deterioration, reduce the risk of comorbidities, and improve overall quality of life. Despite this, few cancer patients participate in exercise programs. In this study, we identify barriers and solutions for cancer patients and professionals in promoting exercise. We investigate patient motivations, enhance professional roles (assess, motivate, refer) and identify optimal exercise programs.

Methods
We used a human-centred design research, an iterative approach that focuses on understanding and addressing the needs of the field. For this, we first reviewed the international literature and specifically mapped the situation in Flanders (Belgium). We used qualitative (face-to-face interviews, focus groups, online survey) and quantitative (parameter registration) methods among cancer patients (39) and health/exercise professionals (36). In the second phase, our goal was to address the issue through collaborative feedback and partnership with the professional field. This resulted in the creation of practical tools, allowing professionals to assist cancer patients more effectively in their exercise routines.

Results
Patients and professionals commonly face barriers related to exercise resistance (e.g. lack of motivation) and limited referral pathways.
Patients also express concerns about the location of exercise programs and susceptibility to external factors (e.g. weather conditions). While health and exercise professionals contend with challenges such as limited professional knowledge and organizational barriers, including an overloaded workload.
When developing exercise programs, it is important to incorporate proven design criteria from previous research. These include the use of behaviour change models, adherence to evidence-based exercise standards, and the provision of guidance and follow-up throughout the program.

Conclusions
This research highlights the urgent need for a paradigm shift in cancer care, advocating not only more appropriate exercise programs, but also the integration of exercise coaching into the standard care pathway for all cancer patients.
The inspirational book and practical guidelines elaborated serves as valuable resources for health and exercise professionals and aims to promote physical activity during cancer treatment. This project aims to contribute to the future of care, envisioning sustainable physical rehabilitation beyond the traditional hospital setting