bluuebunny/crossref_metadata_2025_split huggingface dataset:
S12-2 The effectiveness of a peer-led school-based walking intervention on adolescent girls’ physical activity: the Walking In ScHools (WISH) study
Authors: Carlin Angela , O'Kane S Maria , Doherty Leanne C , Gallagher Alison M , Lahart Ian M , Jago Russell , McDermott Gary , Faulkner Maria , Murphy Marie H 
Published: September 2023

Abstract

Purpose
Adolescent girls are failing to meet current physical activity (PA) guidelines. PA behaviours track from childhood to adulthood so providing adolescent girls with opportunities to be physically active may have benefits well beyond childhood. The effects of walking interventions on adult health are known, however less is understood about the potential of walking to promote PA in adolescents. Following the WISH pilot feasibility study that reported an increase in light intensity PA, a full trial has been undertaken to evaluate the effectiveness of a novel school-based walking intervention at increasing PA levels of adolescent girls.

Methods
The WISH study is a clustered randomised controlled trial in which a peer-led, school-based, brisk walking intervention is compared to usual PA in adolescent girls (12-14years). Data was collected at four timepoints over a 13-month period. Following baseline data collection, schools were randomly allocated to intervention (n = 9) or control (n = 9). In intervention schools, older pupils (aged 15-18years) were trained as walk leaders and led younger girls in 10-15min walks before school and at break-times across the school year (20-22weeks). The primary outcome was accelerometer-measured total PA (post-intervention). Secondary outcomes included anthropometry, quality of life and sleep.

Results
In total, 590 participants (mean(SD) age 12.6(0.6)years) were recruited from 18 schools across Northern Ireland (n = 9) and the Republic of Ireland (n = 9). Within the intervention schools, 149 walk leaders were trained (mean(SD) age 17.1(0.8)years). At baseline (n = 535), mean(SD) time spent in moderate to vigorous PA (MVPA) was 39.2(17.1)mins/day and only 66 (12%) girls achieved PA guidelines of 60minutes MVPA per day. Post-intervention interviews were conducted with n = 18 walk leaders and n = 9 teachers. Focus groups (n = 9) were conducted with a mix of high and low attenders. Data analysis is ongoing, and the process evaluation is underway (both will be complete by May 2023).

Conclusion
To our knowledge, this is the first fully powered trial to investigate the effectiveness of a peer-led brisk walking intervention in adolescent girls. The current study builds on a promising pilot trial which confirmed the feasibility of the intervention. If the intervention increases PA, it has potential to be implemented widely.
S12-3 School-based physical activity promotion in a cross-cultural context: interventions from France and Spain
Authors: Bachouri-Muniesa Hisham , Fabre Nicolas , Aibar Alberto , Lhuisset Lena , Asún-Dieste Sonia , Bois Julien , Julián-Clemente José A , Ibor Eduardo , Zaragoza Javier 
Published: September 2023

Abstract

Purpose
School-based interventions seems to be effective to promote active lifestyles among youth but recent literature shows that these interventions have a lack of effectiveness and very few report data on its sustainability. In the same way, few of these interventions are being replicated in different contexts than their beginning. Therefore, the balance between the adaptability and fidelity of a programme in a new context is nowadays an implementation gap.

Project
For this reason, the 2PASS-4Health (Promoting PA in Secondary Schools for Health) project has created a collaborative network between different European universities with the purpose of promoting Health-Enhancing Physical Activity (HEPA) in adolescents in a school-based environment. This project was made to identify the good practices and the main problems linked to the design, implementation, evaluation, and sustainability of interventions aimed at HEPA promotion. In this line, two school-based (effective) interventions in a cross-cultural context have been disseminated and developed, at the same time, both in France and Spain respectively to examine the key parts in the process of fidelity, adaptability and sustainability of them.
The intervention developed in France, took place in Tarbes, a little city in the south of the country. In the other side of the Pyrenees, the other intervention took place in Jaca (Spain), in the north of Aragon’s region. Both interventions adopted a multi-level approach involving all parts of the educational community: students, families, teachers and policymakers. The research team (all together) with the school’s staff developed the interventions by a co-creational process helped by local policymakers. As a result of these interventions, an intervention guide was developed. This tool can be used by stakeholders to disseminate and adapt these school-based interventions to make their effects sustainable over time (sustainability).

Conclusion
The collaborative line of this project renders visible the possibility of connecting cross-cultural educational contexts, through common elements in similar school-based interventions, with the aim of creating environments that promote HEPA.
S15-2 Physical activity, sedentary behaviour, and cognitive function among older adults: a bibliometric analysis of literature from 2002 to 2022
Authors: Yang Zhen , Marent Pieter-Jan , Hotterbeex Pauline , van Uffelen Jannique 
Published: September 2023

Abstract

Purpose
Physical activity and sedentary behaviour have received intense interest in recent decades from a variety of stakeholders due to their diverse association with cognitive function, which is a key component in maintaining health of older adults. The aim of this bibliometric analysis is to reveal the developmental structure, research hotspots, and predict future trends in the field of physical activity, sedentary behaviour, and cognitive function research among older adults.

Methods
This study adhered strictly to the step-by-step guideline of bibliometric analysis. Publications in this field from 2002 to 2022 were retrieved from the Web of Science Core Collection. Only original articles and review articles published in English were included in the analysis. A cubic polynomial was applied to determine the publication trends. CiteSpace (6.1.R4 Basic) and VOSviewer (1.6.18) were performed to obtain collaborative networks, reference co-cited networks, and keyword co-occurrence networks, as well as to perform burst analysis to predict future trends.

Results
A total of 1093 publications were retrieved, of which 73.56% obtained research grants. The publications were cited 30,317 times. Within two decades there was rapid growth in publications in this field. The USA (329 items, 30.10%) and China (136 items, 12.44%) were the top contributors, and the USA had the strongest collaborative network. University of British Columbia (41 items, 3.75%) and University of California System (40 items, 3.66%) were the most active institutions. Liu-Ambrose T (32 items, 2.93%) and Shimada H (20 items, 1.83%) contributed to the largest number of publications. Journal of Aging and Physical Activity, and Frontiers in Aging Neuroscience were the most active journals. Reference co-cited networks, and keyword co-occurrence networks revealed that hotspots in this field were age, nursing home resident, tai chi, and perceptions, while future trends in this field were healthy ageing, qi gong, sedentary behaviour, and falls.

Conclusions
There has been an increased research interest in the interrelationships between physical activity, sedentary behaviour, and cognitive function in older adults in the past two decades. Our findings will help researchers, practitioners, and other stakeholders to understand the structure and hotspots in this relevant field of research.

Funding
Not applicable.
O.1.1-1 Burnout and recovery need among Flemish secondary school teachers: what type of physical activity-intensity matters?
Authors: Verhavert Yanni , Van Hoof Elke , Zinzen Evert , De Martelaer Kristine , Van Cauwenberg Jelle , Deliens Tom 
Published: September 2023

Abstract

Purpose
Teacher burnout is a topic of concern for educational institutions and thus it is important to investigate how teacher burnout can be managed or prevented. Previous research showed that physical activity (PA) may be effective in reducing burnout, but research regarding the optimal PA-intensity is lacking. Therefore, the aim of this study was to investigate the association between PA-intensities, burnout and recovery need in secondary school teachers in Flanders.

Methods
One thousand nine hundred and nine secondary school teachers were included in this cross-sectional study. In September-October 2019, all teachers completed an online-questionnaire assessing burnout dimensions (i.e., emotional exhaustion, depersonalization and personal accomplishment), recovery need, and PA-intensities per domain (i.e., walking, moderate-intensity PA and vigorous-intensity PA in the following domains: work-related PA, active transport, leisure-time PA, domestic & garden PA), as well as sociodemographic and work-related factors. Multiple linear regression models were applied to identify which PA intensities are significantly associated with the burnout dimensions and recovery need. Adjusted (i.e., adjusted for all PA intensities within each PA domain) and unadjusted models (i.e., PA intensities per domain separately) were created.

Results
The unadjusted models showed that depersonalization was positively associated with moderate-intensity PA at work and moderate-intensity domestic & garden PA, and that more personal accomplishment was associated with more walking at work and during transport. The adjusted models showed that emotional exhaustion and recovery need were negatively associated with vigorous-intensity PA during leisure-time and positively associated with moderate-intensity domestic & garden PA, and that more depersonalization was associated with more walking during leisure-time.

Conclusion
Walking at work, during transport and during leisure-time, moderate-intensity PA at work, vigorous-intensity PA during leisure-time and moderate-intensity domestic & garden PA may be important factors when it comes to managing or preventing burnout and recovery need. Due to the cross-sectional study design, no conclusions about the causal relationship can be made. Future research should use longitudinal or experimental designs to get more insight into causality.
O.1.1-3 Measuring the mental health benefits of community-based physical activity programmes-what are the most important indicators for pragmatic evaluation?
Authors: Aisling McGrath , Murphy Niamh , Evan Matthews , Annemarie Wagemakers , Mark Tully , Kirsten Verkooijen 
Published: September 2023

Abstract

Purpose
While health enhancing physical activity (HEPA) initiatives can improve mental health, there is a lack of standardised measures to evaluate mental health outcomes. The need for the current work emerged from discussions amongst researcher and practitioner members of the HEPA promotion in socially disadvantaged groups Working Group of the HEPA Europe network. This study aimed to identify the most relevant indicators of mental health and well-being in community-based HEPA initiatives in Europe, and determine optimal assessment methods.

Methods
An adapted, two round, Delphi method (guided by an indicator framework to categorise mental health indicators based on the dual-continua and socio-ecological models) was conducted with 20 experts in the field of mental health and physical activity from Denmark, the Netherlands, the UK, and Ireland. Experts selected the most important indicators and agreed consensus on definitions and their application, where consensus ≥50% signified important indicators.

Results
Experts compiled 66 (n = 21 outcome, n = 45 determinant) indicators. Top rated indicators for the evaluation of HEPA initiatives were self-rated mental health (69.2%), physical activity (69.2%) life satisfaction (53.8%), stress (53.8%), loneliness (53.8%), social participation, network, connection and support (53.8%). Consensus on definition and application of the nine indicators varied (44.4% - 100%), with no consensus on a standardised measurement tool reached.

Conclusions
While this study highlights a lack of conformity for evaluating mental health and wellbeing outcomes, it suggests utility in an agreed definition and application of nine indicators for the evaluation of HEPA initiatives, with social determinants of particularly high importance across all countries. Suggested measures are provided to aid community based practitioners measure mental health outcomes of physical activity programmes. Further research is recommended to develop a standardised measurement tool that can be utilised across other European countries and its implementation tested.
O.1.1-9 Clinical symptoms and body composition correlates with cardiorespiratory fitness in adults with bipolar disorder: FINEXT-BD study
Authors: Gorostegi-Anduaga Ilargi , Etxaniz-Oses José , Tous-Espelosin Mikel , Maldonado-Martin Sara , Lopez Purificación , Gonzalez-Pinto Ana 
Published: September 2023

Abstract

Purpose
Bipolar disorder (BD) is a mental illness involving mood disorder, characterized by alternating normal mood, manic and depressive symptom. People with BD are associated with an unhealthy lifestyle. Assessment of cardiorespiratory fitness (CRF) indicates the overall health and can be directly measured and assessed by the cardiopulmonary exercise test and peak oxygen uptake (VO2peak), respectively. The CRF in the BD population may be altered due to sex, age, depression symptoms, and inactivity. The aim of this study was to analyze possible correlations of CRF with clinical symptoms and body composition variables.

Methods
Participants (n = 53, 44.9 ± 13.2 yr old) with BD were assessed with (1) body mass index and fat body mass (FBM) percentage; (2) upright bicycle ergometer using an incremental ramp protocol to get the VO2peak; and (3) symptoms of the disease [Hamilton Depression Rating Scale (HRSD) and Clinical Global Impressions Scale (CGI-S)]. Correlation analyses were performed among clinical symptoms, BMI, and VO2peak.

Results
The studied population showed overweight based on BMI (29.4±6.8 kg/m2), and obesity taking into account the fat mass percentage (33.6±10.6 %). According to Kaminsky et al., participants were classified in the 40th percentile with a low physical condition (VO2peak =25.8±8.4 mL·kg-1·min-1). Spearman's rho correlation coefficients demonstrated an inverse relationship between VO2peak (mL·kg−1·min−1) and HRSD (B=-0.286; P = 0.040); VO2peak (mL·kg−1·min−1) and CGI-S (B=-0.277; P = 0.047); and VO2peak (mL·kg−1·min−1) and FBM (B=-0.606; P &lt; 0.001).

Conclusions
In population with BD a significantly higher CRF was detected in those with lower clinical symptoms, as well as lower FBM. Exercise interventions for improving CRF should be promoted in this population to better control clinical symptoms.
O.1.1-10 Determinants of mental health: do body mass index, perceived stress and acculturation impact the mental health of international medical students?
Authors: Umami Afriza , Molnár Regina , Paulik Edit 
Published: September 2023

Abstract

Background
International medical students are more likely to experience mental health issues. In addition to the acculturation challenges, people living with obesity often struggle with mood and anxiety disorders. The aim of this study was to investigate the association between mental health and nutritional status of international medical students, focusing on body mass index (BMI), perceived stress and acculturation.

Methods
This was a cross-sectional study among international medical students at the University of Szeged, Hungary between April and October 2021. A self-administered survey was used to obtain the data. Questionnaires were asked regarding the perceived stress scale (PSS), the modified Stephenson multigroup acculturation scale (SMAS), BMI, and sociodemographic characteristics. The data were analysed using SPSS 28.0 with a multiple logistic regression model.

Results
A total of 326 international medical students participated in the study. 49.7% of the students reported poor mental health and 5.2% were underweight and 10.1% were obese. We have found that perceived stress and acculturation were associated with poor mental health after adjusting for covariates. Higher perceived stress was likely to increase poor mental health (OR = 8.50; 95% CI = 3.82 – 8.93, P &lt; 0.001), similar to acculturation where marginalization was more likely to have poor mental health (OR = 6.42; 95% CI = 2.39 – 9.03, P = 0.011). Meanwhile, the association between poor mental health and BMI in total was not significant, but underweight students were less likely to have poor mental health in the multivariable analysis (OR = 0.23; 95% CI = 0.06 – 0.86, P = 0.029).

Conclusions
The results of the study can be used to advise academic institutions to help international students integrate into the local students and local communities. The arts and other free time activities, and sports could help to alleviate mental conditions including anxiety, depression, and burnout.
O.1.2-2 Delivering enjoyable group-based physical activity programmes to older adults: a qualitative exploration of the views of exercise instructors
Authors: Creighton Rachel M , Blackburn Nicole E , Paradis Kyle F , Tully Mark A 
Published: September 2023

Abstract

Purpose
Enjoyable group-based physical activity programmes provide an engaging opportunity for older adults to experience healthy ageing promotion. To understand the programme delivery context, we explored how exercise instructors seek to make their existing sessions enjoyable.

Methods
A semi-structured interview guide was used to qualitatively investigate how exercise instructors create the conditions to promote an enjoyable experience. Exercise instructors (n = 9) who were experienced in delivering group-based exercise programmes to community-dwelling older adults were interviewed. The mean interview length was 50 minutes.

Results
Reflexive thematic analysis generated three main themes: 1) Identifying individual expectations and motives for engagement. Exercise instructors recognised that safety was a foundational aspect of the exercise programme, so that older adults could enjoy exercising confidently. 2) Adopting a tailored approach to meet the needs of older adults. Exercise instructors ensured that the exercises were inclusive of all abilities so that older adults could enjoy exercising collectively. 3) Encouraging collective participation through the development of social support networks. Exercise instructors created a relaxed social atmosphere, facilitating social support, so that older adults could enjoy being part of the group and experience belonging.

Conclusions
In summary, exercise instructors reported that tailoring sessions to meet the identified needs of older adults and encouraging the group to foster social support can create the conditions to promote an enjoyable experience. The findings can inform the promotion of enjoyment and engagement into existing programs. Findings can be used by exercise instructors, policy makers, researchers, and civil society organisations to ensure that opportunities for healthy ageing are sustainable. Longer-term group-based physical activity opportunities are required to ensure that older adults can experience belonging in a group they enjoy being active in, and which encourages the development of external social networks they may not otherwise have. For the purpose of the presentation, the primary focus is on how exercise instructors can incorporate the social elements of enjoyment in group-based physical activity programmes for older adults, across the dynamic progression of group identity.

Support/Funding Source
This study was funded by a Postgraduate Studentship from the Department for the Economy (DfE) in Northern Ireland.
O.1.2-4 Evaluation of a multifaceted implementation plan for a computer-tailored physical activity intervention: a mixed methods study
Authors: Peels Denise , Boekhout Janet , Van Nassau Femke , Lechner Lilian , Bolman Catherine , Berendsen Brenda 
Published: September 2023

Abstract

Background
Although there are many proven effective physical activity (PA) interventions for older adults, implementation in a real world setting is often lacking, limiting their actual impact on public health. This study describes the systematic development of a multifaceted implementation plan and evaluates its use during implementation of the evidence-based computer-tailored Active Plus PA intervention. Important lessons learned during this process will be presented.

Methods
The implementation plan was developed following the steps of Implementation Mapping, linking multilevel determinants of implementation to implementation theory and strategies. Municipalities (n = 33) were invited to implement the intervention among their inhabitants aged 65 years and older. Quantitative and qualitative data were gathered within municipalities to assess the implementation process, i.e. achievement of the performance objectives (i.e. sub-behaviours of implementers) and utilization of implementation strategies. We also assessed implementation determinants (i.e. perceptions of the intervention characteristics, the inner setting of the organization and the outer setting) before, during and after utilization of the implementation plan.

Results
A total of 8 municipalities (i.e. 24% adoption) implemented Active Plus, and 624 people aged over 65 participated in the intervention (8% adoption). Implementation strategies were used adequately. Execution of the performance objectives for adoption and implementation was relatively high (75-100%). Maintenance objectives were executed to a lesser degree (13-63%). No positive changes in implementation determinants were observed and none of the municipalities decided to further continue intervention implementation.

Conclusion
Implementation Mapping was found to be a useful protocol to develop and evaluate the implementation plan. Yet, implementers’ determinants did not change favorably, and municipalities did not continue intervention implementation, although implementation strategies were used as intended. We might have not addressed the most relevant determinants with the selected implementation strategies. Whereas the current implementation plan mainly targeted implementation determinants related to the individual and the perceived intervention characteristics, a stronger focus on strategies targeting implementation determinants related to the inner setting, the outer setting and the implementation process itself is recommendable. In addition, it is advisable to use a more iterative approach, evaluating goals and determinants regularly, and consequently adapting the required implementation strategies.