bluuebunny/crossref_metadata_2025_split huggingface dataset:
O.3.3-8 Perspectives of neighborhood sport coaches towards using gamification to promote physical activity in the neighborhood
Authors: Schwarz Ayla , Verkooijen Kirsten , de Vet Emely , Simons Monique 
Published: September 2023

Abstract

Purpose
Gamification can be effective in promoting physical activity and can be applied in both physical and virtual environments. In the Netherlands, neighborhood sport coaches are intermediaries that play an important role in promoting physical activity in local communities. While gamification activities hold promise for promoting physical activity, gamification is only sporadically implemented by neighborhood sport coaches. This study aimed to assess the perceived barriers and facilitators among Dutch neighborhood sport coaches towards using gamification in their daily work.

Methods
Twenty-two semi-structured interviews were conducted with neighborhood sport coaches in the Netherlands. The interviews were audiotaped, transcribed, and analyzed by means of thematic analysis using Atlas.ti 22 software. The analysis was informed by the COM-B model and the Theoretical Domains Framework.

Results
Applying gamification to existing or new activities was highly valued by the neighborhood sport coaches. Themes that were identified related to support (i.e. in- and outside employer’s organization; established networks), skills (i.e. one’s level of technical or creative proficiency), knowledge (i.e. how to find gamified activities; proven effects), costs (i.e. high product costs; financial subsidies), time (i.e. time investment and prioritization), implementation (i.e. concerns about the digital divide; integration versus extension to current programs), and responsibility (i.e. within employer’s organization to promote gamification).

Conclusions
This study outlines the need to strategically implement gamification in the work of neighborhood sport coaches by involving the employer’s organization or municipality. Establishing a gamification network among neighborhood sport coaches could facilitate the implementation and support neighborhood sport coaches to translate best practices to their local offer.
O.4.1-1 Impact of a pre-pandemic, tele-exercise,
fall-prevention intervention on outcomes in older adults
Authors: Jones Dina Lynn , Robinson Maura , Dierkes McKinzey , Selfe Terry Kit 
Published: September 2023

Abstract

Purpose
This pre-pandemic study used an alternative delivery mode to provide an evidence-based, fall-prevention exercise intervention to older adults. We delivered Tai Ji Quan: Moving for Better Balance® (TJQMBB) via tele-exercise and determined its impact on self-reported and performance-based outcomes in older adults.

Methods
Five community sites (3 urban, 2 rural) held 6, 1-hour, synchronous TJQMBB classes, over the internet, twice weekly for 16 weeks (32 hours). Baseline and 16-week self-reported data included fear of falling (Falls Efficacy Scale), depression (Geriatric Depression Scale-Short), physical and mental health-related quality of life (HRQOL) (SF-12 PCS and MCS), and total minutes of physical activity per week. Performance-based outcomes included a 5-Meter Walk Test (gait speed), the Timed Up-and-Go Test (mobility), the 4-Square Step Test (balance), and the 5-Times Sit-to-Stand Test (leg strength). Height and weight were used to calculate body mass index (BMI). Paired t-tests and Friedman 2-Way ANOVA tests examined changes in outcomes between baseline and 16 weeks.

Results
Sixty-three (79.7%) of 79 people were eligible, of which 52 (82.5%) enrolled. Participants were a mean ± SD age of 68.5 ± 7.7 years old, primarily white (96.2%), and female (80.8%). There were no significant improvements in fear of falling (X2r =3.8, p = 0.15), depression (X2r =0.19, p = 0.91), physical (X2r =1.2, p = 0.56) or mental (X2r =0.31, p = 0.86) HRQOL, or physical activity (X2r =3.7, p = 0.16). Gait speed (meters/second) significantly improved from baseline (1.1 ± 0.2) to 16 weeks (1.2 ± 0.2) (p = 0.02). Balance, leg strength, and BMI also improved significantly (balance [seconds]: baseline 10.9 ± 2.4, 16 weeks 10.2 ± 2.5, p = 0.045; strength [seconds]: baseline 14.7 ± 5.7, 16 weeks 12.4 ± 2.9, p = 0.01; BMI [kg/m2]: baseline 30.8 ± 6.3, 16 weeks 30.2 ± 5.6, p &lt; 0.01). There were no changes in mobility (p = 0.16).

Conclusions
This tele-TJQMBB intervention improved physical function (gait speed, balance, leg strength) and BMI in older adults. Tele-TJQMBB provided an alternative delivery mode that could help overcome the barrier of identifying experienced instructors in rural areas, and could expand TJQMBB’s reach into the older adult population. Future comparative effectiveness studies could establish if outcomes are equivalent between in-person and tele-exercise delivery modes.
O.4.1-2 Linking lymphocyte T phenotype to physical capacities in a geriatric population: the VIF-APAS study
Authors: Rousseau Anne-Sophie , Mothe-Satney Isabelle , Chorin Frederic , Loubat Agnès , Lovera Milly , Mercier Julien , Roux Christian , Zory Raphael , Michel Emeline 
Published: September 2023

Abstract

Purpose
Potential mediators contributing to chronic inflammation in aging have both local and systemic impacts that likely promote physical decline. Supporting data in aged mice link modification of T cells to exercise performance leading to novel hypotheses involving the anti-inflammatory regulatory T cells (Tregs) in age-related changes in tissues. We investigated in a geriatric cohort whether physical markers of early signs of frailty and their reversibility would alter circulating Tregs prevalence and subtypes regarding their markers of senescence, function, and migration to tissues.

Methods
Geriatric patients able to walk without technical help, were included in a 12-weeks adapted physical activity (APA) program (NCT04080063). Multidisciplinary tools were used to assess the various aspects of human movement and frailty (isokinetic testing, bioelectric impedancemetry, nutrition, etc.). Relative NK, CD8+ and CD4+ T cells proportions were determined using flow cytometry in extracted peripheral blood monocytes. The transcription factor (FoxP3), the IL-2 receptor (CD25), the senescence (KLRG1) and migration (CCR4) markers were detected using intracellular staining and flow cytometry to discriminate the associated cell subsets and Tregs.

Results
66 women (82.8 ± 6 yrs) and 23 men (82.3 ± 4 yrs) took part in the study. Only 42% had a compliance rate in the APA program over 70%. 44%, were frail, 44% pre-frail and 12% non-frail (Fried criteria). In a representative sample (n = 19), the prevalence of NK cells was 3 times higher in frail subjects. The consideration of markers (Foxp3, CD25, and CCR4) was shown to discriminate an association with some specific physical parameters that are characteristic of neuromuscular and metabolic functions: %CCR4+ cells among NK cells was negatively related to leg extensors maximum strength, and the absence of CD25 in Tregs (CD4+Foxp3+) cells was negatively related to walking distance and speed.

Conclusions
Our preliminary results that need to be confirmed seem to show differences in immune cell markers depending on the frailty status. This study will participate in determining immunometabolic biomarkers of frailty and vitality in a geriatric population. The aim is to promote personalized strategies to predict and counteract inflammaging in an early stage, and to accompany and evaluate adapted physical activity strategies.
O.4.1-5 An online lifestyle intervention consisting of resistance exercise and advice on protein intake improves leg muscle strength and physical functioning in older adults
Authors: Dorhout Berber , Grootswagers Pol , Wezenbeek Nick 
Published: September 2023

Abstract

Purpose
The lifestyle intervention ProMuscle, combining resistance exercise and an increased protein intake, was effective in improving muscle strength, muscle mass and physical functioning in older adults. However, the ageing population is increasing at a fast pace. This leads to growing numbers of older adults suffering from the negative consequences associated with ageing, such as a declined physical functioning. Due to insufficient healthcare professionals, the rapidly growing aging population cannot be personally guided in (preventive) care in the future. Innovative online lifestyle interventions provide opportunities to guide larger numbers of older adults, demanding lower deployment of healthcare professionals. The current study investigates the effects of the online version of ProMuscle on muscle strength and physical functioning in healthy older adults.

Methods
A single-arm longitudinal study was conducted in the Netherlands. In the 24-week intervention 19 healthy adults aged 55 and older were included. They conducted online resistance training twice a week during 24 weeks. In addition, older adults were advised on increasing protein intake via two online consultation by a dietitian in the first 12 weeks, and via a 12-week online learning platform in the second 12 weeks. The 1 repetition maximum (1RM) knee extension and repeated chair rise test were performed at baseline, in week 12 and 24. Linear mixed models were used to test differences over time. Adherence to the training sessions was measured as number of trainings watched, divided by number of trainings provided, times 100%.

Results
Mean age of participants at baseline was 69±6 years. The 1RM knee extension and repeated chair rise test improved significantly during the 24-week intervention (15.49 lbs, SE 1.92 and -1.16 seconds, SE 0.22 respectively). Adherence to training sessions was 72%.

Conclusions
The online lifestyle intervention ProMuscle, combining exercise and nutrition, can contribute to improved muscle strength and physical functioning in healthy older adults. Results from this one-armed trial should be interpreted with caution and larger trials are needed. Providing such lifestyle interventions online enables an increased number of older adults to follow the program, providing the opportunity to contribute to the health and independence of the rapidly growing ageing population.
O.4.1-9 vAdBeCeDa®- a multicomponent exercise programme to prevent falls and frailty in community-dwelling older adults
Authors: Dolenc Maja , Knific Tjaša , Tomažin Katja 
Published: September 2023

Abstract

Purpose
Falls and frailty in the older adults are a considerable public health and socioeconomic problem. Physical activity has an important role in delaying degenerative ageing processes and preserving the neuromuscular system’s plasticity. Multicomponent exercise programmes could improve strength (stability), balance, mobility (flexibility) and walking speed; especially if they are carried out for at least some extend of time. Exercise programmes for fall and frailty prevention in community-dwelling older adults should include muscle performance, balance challenging and functional exercises. Slovenia has a long tradition of implementing community organized and structured exercise programmes in Health promotion centres and Healthy clubs. We are establishing new approach of frailty and falls prevention in our elderly population.

Project description
With the collaboration of professionals in the field of sport recreation, health and fitness we constructed new exercise approach called vAdBeCeDa®. According to the WHO guidelines of physical activity and sedentary behaviour and the latest World guidelines for fall prevention and management for older adults, the programme is an addition to the existing Slovenian functional exercise programme called Health Promoting Sport Program ABC®. ABC programme focused especially on developing strength in fundamental movement patterns and influencing aerobic capacity. The supplement includes warm-up exercises adapted to the specific needs and functional status of the elderly, progressive balance-training programme for 12 training units and a set of static stretching exercises with support, due to poor balance. Functional and physical fitness is assed pre and post intervention with Slovenian version of senior fitness test (Jakovljević & Knific, 2015). Programme will be implemented in existing network of Health promotion centres (HPC) and in Healthy clubs (HC) all over the country, where all elderly population could practice on the Slovenian health insurance costs.

Conclusions
The results from many longitudinal studies on effects of multicomponent exercise programmes are encouraging, given that maintenance of physical fitness has a successful, prolonged effect on fall and frailty prevention in older adults. All countries should pursue a lifelong physical activity for elderly, which is achievable with community approach and good collaboration between health and sport sector.
O.4.2-2 Exercise and screentime; clusters in cohorts of Swedish adolescents with and without disabilities
Authors: Gothilander Jennifer , Eriksson Camilla , Almqvist Lena , Fritz Johanna 
Published: September 2023

Abstract

Purpose
Identify clusters of Swedish adolescents based on the combination of their exercise and screentime, and investigate if gender and disability are associated with clusters. This person-oriented study identifies clusters based on activities and can provide a complementary perspective to other descriptive studies.

Methods
This cohort study used register data from 564 adolescents aged 12-18 years, collected in 2019. Adolescents provided data on their exercise in sports clubs, self-organized exercise, watching TV or movies, and playing video games. Cluster analyses were done separately on 12-14 and 15-18-year-olds. Regression analysis was used to examine if gender and disability are associated with clusters.

Results
Identified clusters are Exercising & no watching TV, Using screens, No sporting, Sporting & no self-organized exercising, No watching TV or exercising, Watching TV, Self-organized exercising & no sporting, and Exercising. Adolescents in the cluster Exercising are characterized by exercising in both sports clubs and self-organized exercise. Exercising was the largest cluster in both age groups with 39% of adolescents aged 12-14 years and 34% of adolescents aged 15-18 years. Twelve percent of 12-14-year-old adolescents and 18% of 15-18-year-old adolescents were in clusters characterized by not exercising in either sports clubs or self-organized. Gender was not associated with any cluster, and having a disability was associated with the cluster Watching TV in the older cohort (13% of adolescents aged 15-18).

Conclusions
The study provides insight into the exercise and screentime habits of Swedish adolescents. Gender does not play a significant role in the clusters, while having a disability is associated with certain screentime behaviors in older adolescents. Overall, this person-oriented approach can complement other descriptive studies and inform interventions aimed at promoting healthy habits among adolescents.

Funding
Swedish Research Council (2018-05824_VR).
O.4.2-3 Physical activity participation among disabled people: secondary analysis of the 2018/19 Active Lives survey
Authors: Carr Shelby , Atkin Andrew , Milton Karen 
Published: September 2023

Abstract

Purpose
Disabled people face significant barriers to being physically active and typically have low levels of activity. To enhance both access to and engagement in physical activity, it is valuable to understand the activity choices of disabled people. This study describes the types and duration of physical activity participation among disabled people and compares this to participation among non-disabled people.

Methods
This study used data from the 2018/19 sweep of Sport England’s Active Lives survey, a nationally representative assessment of activity levels in adults living in England. From a prespecified list of 212 activities, participants reported their participation in the previous 12 months (yes/no) and duration in the previous four weeks (min/week). For this study, activities were subsequently collapsed into 17 mutually exclusive groups, which included ‘leisure activities’ (for example, walking, and gardening) and ‘invasion games’ (for example, football and rugby). Participants also reported whether they had a long term (&gt;12 months) health condition and whether this affected their normal daily activities; this informed the classification of participants into three groups: limiting disability, non-limiting disability, and no disability.

Results
Data were available for 171,121 participants, of whom 31,666 (18.5%) had a limiting disability, 34,955 (20.4%) a non-limiting disability, and 104,500 (61.1%) no disability. Leisure activity was the most common activity type and had the highest median mins/week of activity (median, 315 [IQR = 120-705] limiting disability; median, 390 [IQR = 180-750], non-limiting disability; median, 379 [IQR = 165-750] no disability). Across the three participant groups, walking, swimming, and gym-based activity were among the most common activities undertaken. Compared to participants with no disability, participants with a limiting disability reported lower engagement and durations for all activity types, except motorsports.

Conclusions
The types of activities undertaken by disabled people were largely similar to that of non-disabled people, but engagement and duration was typically lower. The necessary next step is understanding how to improve adoption of and adherence to different activity types among disabled people.

Support/Funding Source
This research was funded by a University of East Anglia Faculty of Medicine and Health Studentship.
O.4.2-10 What can one minute of the day tell about physical capacity?
Authors: Vähä-Ypyä Henri , Husu Pauliina , Tokola Kari , Sievänen Harri , Vasankari Tommi 
Published: September 2023

Abstract

Introduction
High cardiorespiratory fitness (CRF) allows individuals to perform daily activities and operate at higher intensity levels. This study investigates the association between the CRF and peak intensity of physical activity (PA) in absolute and relative terms. Absolute intensity measures the amount of energy expended per unit of time during an activity, while relative intensity reflects the proportion of an individual's maximal capacity.

Methods
1952 adults (803 men, 1149 women) aged 20-69 years participated in the FinFit2017-study. Their CRF was predicted with 6 min walking test, and they wore the accelerometer for at least four days with a minimum of 24 h/day during the seven days measurement period. The participants were divided into CRF thirds by five age groups and sex. Acceleration data were analyzed in 6s epochs and intensity in MET (metabolic equivalent) values were calculated for each epoch. MET values were smoothed with a 1min exponential moving average and the highest daily value was recorded (peakMET). Analysis was done to the weekly mean of daily peakMET values both in absolute and relative terms.

Results
The CRF correlated significantly with absolute peakMET (r = 0.500) and relative peakMET (r=-0.456). In absolute terms, the highest CRF third had the highest peakMET value for men (6.5±1.8; 6.0±1.5; 5.2±1.2) and women (6.3±1.4; 5.8±1.1; 5.2±1.0). In relative terms, the highest CRF third utilized least of their aerobic capacity (men: 53±14%; 56±13%; 61±15%) and (women: 58±12%; 60±12%; 70±16%).

Conclusion
One minute of the day can provide valuable information about the individual’s CRF and the level of effort required during PA. Higher measured absolute peakMET may indicate higher CRF, as more fit individuals can sustain higher levels of PA. When an individual’s CRF is taken into account, individuals with lower CRF have to utilize more of their aerobic capacity. Thus, high CRF provides a possibility to operate at higher intensity levels and protects from strenuous PA during daily routines.
O.4.3-4 Associations between screen-time media use, physical activity, and positive and negative mental health outcomes among adolescents in Ireland: a cross-sectional study
Authors: Forte Chloe , Biddle Stuart J H , Hallgren Mats , Woods Catherine B , Herring Matthew P 
Published: September 2023

Abstract

Purpose
Understanding the individual and joint associations of positive and negative mental health with screen-time and physical activity (PA) among adolescents is essential to develop enhanced guidance for prevention strategies and appropriate interventions.

Methods
Participants (n=879, n = 463 female, mean age 14.71 (SD = 1.51) years) from second-level schools in Ireland completed a battery of well-validated questionnaires assessing hours of daily screen-time use (TV, computer, and phone), PA levels (PACE+) (low (0–2 day/week), moderate (3–4 day/week), or high (5+day/week), and mental health outcomes (anxiety (STAI-Y2) and depressive symptoms (QIDS) and positive mental health (MHC-SF)). Multiple linear regressions examined associations between screen-time, PA and mental health and one-way ANOVA’s examined differences in mental health outcomes between screen-time mode and use categories (none (0 hours), low (0.5-1.5 hours), moderate (2-4.5 hours), and high (5+ hours)). Cohen’s d effect size and 95% confidence intervals quantified the magnitude of the difference.

Results
Higher computer (β=0.112, p≤0.001) and phone use (β=0.138, p≤0.001) were associated with higher depressive symptoms. Higher TV use (β=-0.111, p≤0.002) and PA levels (β=-0.123, p≤0.001) were associated with lower anxiety symptoms. Higher phone use (β=0.113, p≤0.002) and PA levels (β=0.116, p≤0.001) were associated with higher positive mental health. The magnitude of differences in depressive and anxiety symptoms across screen-time use categories were largely small-to-moderate (d = 0.02 to 0.67) and in positive mental health, ranged from small to large (d = 0.03 to 0.88). The sample was then stratified by PA level to assess the potential moderating influence of PA on the screen-time-mental health association, with mixed results.

Conclusions
Results are among the first findings regarding the relationship between screen-time mode and PA levels with mental health, particularly positive mental health among adolescents in Ireland. Associations of screen-time and PA with mental health outcomes varied according to PA level and screen-time mode. The variation in these findings suggest the need to investigate the context of screen-time use and the screen-time activity engaged with. These results suggest that not all screen-time is detrimental and some, in moderation, may be beneficial for mental health. Future research should investigate longitudinal associations between screen-time, PA, and mental health.

Support/Funding Source
N/A