bluuebunny/crossref_metadata_2025_split huggingface dataset:
P01-16 EUMOVE Project: an Erasmus+ Project for the promotion of healthy lifestyles among children and adolescents
Authors: David Sánchez-Oliva , Tomás García-Calvo , Sánchez-López Sánchez-López , Castro-Piñero José , Grao-Cruces Alberto , Martins Joâo , Mota Jorge , Ceciliani Andrea , Murphy Marie , Vuillemin Anne 
Published: August 2022

Abstract
Physical inactivity is a worldwide public challenge and a leading risk factor for overweight and obesity. Despite the well-recognized benefits of physical activity (PA), only 29% of European youth meet recommended guidelines of at least 60 minutes of daily moderate-to-vigorous PA. The school setting provides an ideal environment to promote healthy lifestyles among young people as initiatives can target all students and the whole school community. The main goal of the EUMOVE project is to design and implement a comprehensive set of strategies and resources to enable the educational community to promote healthy lifestyles in order to reduce risk factors for non-communicable diseases.
EUMOVE project (https://eumoveproject.eu/) is a 3-year project delivered by a collaboration between academic and non-governmental institutions from Spain, Portugal, France, Italy, and the United Kingdom. The direct beneficiaries of the project will include school leaders, teachers, and parents, and indirect beneficiaries will be primary and secondary students. EUMOVE project will develop a set of strategies and resources such as Physically Active Lessons Toolkit, Real Time Active Breaks Platform, Active School Commuting Toolkit, Learning Units about healthy lifestyles promotion, School Leaders toolkit, Parents Toolkit about promoting healthy lifestyles, and Mobile phone APP. Project dissemination will be implemented across each partner region and includes: Online dissemination through a learning platform, scientific events aimed at teachers and researchers, workshops with teachers including training on how to use the teaching resources, and Workshops with parents providing recommendations for promoting healthy lifestyle in their children.
Thus, the EUMOVE project offers evidence-based and innovative resources to be applied by the educational community in the real-world setting to promote PA levels, appropriate diet and sleep habits, and reduce sedentary time amongst children and adolescents across a number of European countries.
P01-18 Physical activity for children and youth with Physical disabilities - a case study on implementation in the municipality-setting
Authors: Præst Charlotte , Skovgaard Thomas 
Published: August 2022

Abstract

Background
The Convention on the Rights of Persons with Disabilities by the United Nations states that physical activity (PA) is a human right for children and youth with disabilities, and they must experience equal opportunities for this. Nonetheless, compared to the population at large, this group participate less in PA, being 16-62% less likely to meet PA-guidelines.
While previous studies, mainly based on identifying facilitators and barriers for PA-participation, showed that promoting PA for children and youth with disabilities is a complex task, requiring multidisciplinary approaches targeting several levels in the individual's life, not much is known about how this is actually handled and realised in. Therefore, this study aimed to assess how practices in local settings influence PA-implementation for children and youth with physical disabilities.

Methods
The study was designed as a qualitative multiple case study with two danish municipalities. A total of 23 semi-structured interviews with stakeholders from different municipal departments were conducted and local policy documents were included. Thematic analysis was performed, based on Winter's integrated implementation model, Lipsky's theory on street-level bureaucrats, and Gittell's theory on relational coordination.

Results
PA-implementation for children and youth with physical disabilities is a complex challenge, involving many stakeholders and departments. The study found that efficient and sustainable performance can be improved by strengthening intersectoral collaboration, identifying shared goals and ambitions regarding PA for children and youth and, more concretely, supporting the work done by relevant local governmental departments and the schooling system. One of the municipalities had an explicit political focus on parasport and employed a parasport consultant, which had a positive influence on PA promotion across departments. In both municipalities consultants, coordinating cross-sectional processes, seemed to play an essential role. Additionally, the findings supported Michael Lipsky's theory regarding how street-level bureaucratic behaviour influence implementation processes and performances.

Conclusions
The organisational structure of municipalities challenges performances on PA-implementation for children and youth with disabilities. Hopefully, the findings can inspire and support various stakeholders to strengthen their efforts to install high-performance and collaboration in order to establish quality, sustainable and diversified possibilities for PA participation among children and youth with disabilities.
P03-14 Barriers to sports participation among adolescent girls from deprived neighbourhoods
Authors: Ljungmann Cecilie Karen , Christensen Julie Hellesøe , Klinker Charlotte Demant , Pawlowski Charlotte Skau , Johnsen Helene Rald 
Published: August 2022

Abstract

Background
A gender-based disparity in physical activity, where girls are less physically active than boys, is a persistent finding in the literature. Participation in organised sport plays a significant role for adolescents' physical activity habitsand provides an important means to achieve the recommended amount of daily physical activity. Nevertheless, participation in sport decreases with age, and to a higher degree among girls. Moreover, girls living in low socio-economic status neighbourhoods are even less represented in organised sport. This upholds a social inequality as a range of physical, mental and social benefits are associated with regular participation in sport. Empowering girls as experts on their own needs and preferences toward sport is critical. The aim of this qualitative study was to examine the experiences and perceived barriers to sports participation among adolescent girls living in low socio-economic status neighbourhoods.

Methods
During July-October 2021 eleven semi-structured focus groups were carried out with adolescent girls (10-16 years) who were not engaged in organised sport. The participating girls (n = 44) were recruited through purposive sampling via four Danish schools placed in areas with high deprivation. A thematic analysis was conducted from verbatim transcripts using NVivo.

Results
Six themes were identified; 1) Competing priorities, 2) Social aspects of sports participation, 3) Perceived lack of sporting abilities, 4) Feeling discomfort, 5) Gender stereotypes and 6) Physical Education as introduction to sport. Even though there were many similarities among the girls' perceived barriers to sports participation, the data showed variations in the way these barriers were experienced.

Conclusions
The results provide insight into barriers to sports participation among adolescent girls living in low socio-economic status neighbourhoods. The findings correspond with other studies among adolescent girls in general. However, the findings among this underrepresented group will be useful to shed light on how interventions should be designed to promote sports participation among adolescent girls living in low socio-economic status neighbourhoods. As this is perceived as a hard-to-reach group, the findings will be a contribution to the field and are highly needed to illuminate the different perspectives on gender-based disparities that exist in relation to sports participation.
P03-17 Evaluation of an asset-based, participatory physical activity promotion intervention in Dutch adolescents: a parallel group randomized trial
Authors: van de Kop Huib , den Uil Anne , Nauta Joske , Toussaint Huub , Busch Vincent , Verhoeff Arnoud , Janssen Mirka 
Published: August 2022

Abstract

Background
Adolescents tend to be less physically active and thus become more vulnerable to health risks. Engaging adolescents becoming agents of their active lifestyle could potentially catalyze the impact of interventions. Therefore, the effects of an asset-based physical activity promotion intervention on the physical activity behavior and physical fitness of pre-vocational students was evaluated, taking into account the extent to which the students were involved in the design and implementation of the interventions.

Methods
This randomized controlled trial included 2286 prevocational students divided between an intervention and control group. Innovative triple-i interactive research methods were used to develop and implement tailor-made interventions in co-creation with students and teachers. Self- reported physical activity behavior and direct assessments of physical fitness levels were determined on baseline and two annual follow-ups. Student involvement was determined by validated questionnaires. Generalized estimating equations were performed to determine intervention effects over time. Sensitivity analyses were conducted to evaluate the effects of the extent of student involvement.

Results
No intervention effects were found for total physical activity level, screen time, active transport and sports activities (CI includes zero; p &gt; 0.05). Positive effects of the intervention were found for the long jump (β = 3.44; CI = 1.29:5.58; p = 0.01), the handgrip strength (β = 0.55; CI = 0.02:1,08; p = 0.04), the shuttle run test (β = 0.28; CI = 0.02:0.54; p = 0.03) and the sum of skinfolds (β=-0.08; CI=-0.11:-0.06; p = 0.01). Subgroup analyses on the extent of student involvement showed mixed results. Students at intervention schools where students involvement was more successful showed no alterations in physical activity levels and higher scores on shuttle run scores (β = 0.58;CI=0.29:0.87; p = 0.00) compared to controls. Students at intervention schools that were less involved, showed higher scores on long jump (β = 7.77; CI = 4.78:10.76; p = 0.00), grip strength (β = 1.34; CI = 0.61:2.06; p = 0.00), and sum of skinfolds (β=-0.15; CI=-0.19:-0.10; p = 0.00).

Conclusions
The participatory physical activity intervention in this study does not change physical activity level but does improve some elements of physical fitness. The research methods used in this study offers a protocol to align intervention plans to the students' assets by co-creation which is feasible to use in the school context.
P04-06 Employing citizen science to promote active and healthy ageing across diverse local urban communities in Birmingham, UK
Authors: Wood Grace , Pykett Jessica , King Abby , Banchoff Ann , Stathi Afroditi 
Published: August 2022

Abstract

Background
Incorporating age-friendly elements across urban environments can promote active and healthy ageing by facilitating opportunities to improve health and well-being among older residents. However, developing inclusive and supportive age-friendly environments remains a key gap for governance and public policy. Community-engaged citizen science recognises older adults as key stakeholders in designing and implementing age-friendly initiatives. The aim of this study was to employ the Our Voice citizen science for healthy equity framework to engage older adults and community stakeholders to: a) identify local urban characteristics that influence active and healthy ageing, and b) co-produce recommendations to develop actionable urban changes.

Methods
Older adults (n = 17; Mean age= 72(7.5 SD); 11 women) and community stakeholders (n = 23; 14 women) in urban planning and ageing-well services were recruited from Birmingham, UK. Six online discussion groups (n = 16 older adults, 11 stakeholders), 12 Discovery Tool walks (n = 14 older adults), 3 in-person discussions (n = 12 older adults), 2 online individual discussions (n = 2 older adults) and 2 workshop events (n = 15 older adults, 17 stakeholders) were conducted. Audio transcripts and co-produced data were member checked and thematically analysed to identify urban barrier and facilitator themes and co-produce recommendations.

Results
A range of interconnected urban features were identified as influential of active and healthy ageing, including presence or absence of community facilities, suitable outdoor spaces, and the impact of Covid-19. Six collective and 12 individual recommendations were co-produced proposing feasible ways to enhance urban environments. These included public toilets schemes, maintenance of green and public spaces, car parking enforcement, provision of local information, and integrating communities across all ages.

Conclusion
Employing citizen science developed a network of older adults and stakeholders that shared local knowledge and experiences to co-produce a strong vision for shaping urban environments in Birmingham. This approach facilitated older adults to: drive research processes and solution-building; identify local urban influences; and advocate these findings to a network of actors who can disseminate and activate change in urban domains. To enhance citizen science further, increased time and resources to embed older adults into scientific processes, including data analysis and interpretation, is required.
P04-11 A physical activity intervention designed to improve multi-dimensional health and functional capacity of frail older adults in residential care: a randomised controlled feasibility study
Authors: Swales Bridgitte , Whittaker Anna , Ryde Gemma 
Published: August 2022

Abstract

Background
Frailty is a common and clinically significant multi-dimensional syndrome associated with adverse health outcomes such as hospitalisation, disability, and mortality among older adults. Physical activity interventions have been shown to be effective in the prevention and treatment of functional decline and frailty, with strength training protocols reporting improvements in mobility, balance, preservation of muscle function and independence. Due to the trial's exploratory and feasibility design a small sample was used to investigate the acceptability and practicality in long term care. This includes addressing the HEPA priority of improving the health and well-being of people with chronic conditions and/or frailty.

Methods
Eleven older adults (aged &gt;65 years) were randomised to the intervention or wait-list control. A 6-week strength training protocol for 35 mins 3x/week used resistance machines, specially designed for older adults, in a residential care home. Mixed methods were used to assess the feasibility and acceptability of the intervention and research measures and indicate meaningful differences in outcomes. Feasibility was measured through adherence statistics and focus groups/interviews with staff and participants. Pre- and post-intervention levels are given as descriptive statistics for physiological, psychosocial, cognitive, and functional measures. Intervention effect is illustrated through mean difference (95% Confidence Intervals) pre- to post-intervention in the intervention group.

Results
Intervention group (n = 6) adherence was 98.9%. Interviews revealed participants and staff found the measures and intervention acceptable, practicable and beneficial. Mean differences pre- to post-intervention indicated meaningful clinical difference in measures of strength, functional capacity and frailty. Psychosocial variables (stress, depression, social support), immunological measures, cognition and Activities of Daily Living Scores did not show meaningful change.

Conclusion
A strength training intervention protocol for frail care home residents was beneficial, with findings supporting a future randomised controlled trial. High adherence and clinically meaningful differences for frailty and physical function support the use of such interventions to improve multi-dimensional health, maintain functional capacity and independence, and enhance social participation in frail older adults. This study and further research may help inform practical physical activity initiatives for frail older adults, and support strategies prioritising health and well-being, and the prevention of functional decline and frailty.
P05-01 Change in cardiorespiratory fitness in midlife and incident hypertension
Authors: Holmlund Tobias , Ekblom Björn , Ekblom-Bak Elin 
Published: August 2022

Abstract

Background
Low cardiorespiratory fitness (CRF) is associated with higher blood pressure and risk of incident hypertension. However, existing literature has mainly investigated CRF at baseline. For HEPA initiatives, it is important to know how change in CRF in midlife associate with incident hypertension, and whether this varies between sexes, age and baseline CRF.

Methods
91,728 individuals (20-79 years, 48% women, free from hypertension at baseline) from the Swedish workforce who had completed two health profile assessments in a nationwide occupational health service screening between 1986 and 2019 were included. CRF (assessed as VO2max) was estimated using a submaximal cycle test. Change in CRF between the two tests was expressed as % change in absolute CRF (L·min-1) per year and categorized as “maintainers” (-1% to 1% change/year), “decreases” (≥-1% change/year) or “increasers” (≥1% change/year). Incident hypertension was defined as having a blood pressure &gt;140/90 mmHg or diagnosed with hypertension at the second test. Binary logistic regression was used to assess OR (95% CI) for hypertension at the second test between maintainers, decreases and increasers. All analyses were adjusted for sex, age, heart medication, time between tests, education, and change in other lifestyle variables between the two tests (stress, diet, exercise, smoking).

Results
Compared to maintainers (set as reference), OR for decreases was 1.27 (1.18-1.38) and increasers OR 0.99 (0.89-1.09). Isolating midlife participants (40-60 years), OR for decreasers was 1.47 (1.30-1.66) and increasers OR 0.75 (0.64-0.86). Looking at sex differences, male decreasers had OR 1.24 (1.12-1.36) and female decreasers OR 1.36 (1.20-1.56), compared to maintainers, while OR for male and female increasers was 0.93 (0.83-1.03) and 0.97 (0.83-1.13). For participants with low CRF at baseline (&lt;32·kg-1·min-1), OR for decreasers was 1.70 (1.51-1.92) and increasers 1.32 (1.18-1.49). Corresponding ORs in those with high CRF at baseline were 0.90 (0.80-1.02) and 0.43 (0.26-0.71).

Conclusions
Decrease in CRF with &gt;1% per year associated with significant higher risk for incident hypertension, while maintaining or increasing CRF had similar risk associations. This was seen in both men and women, different age-groups and baseline level of CRF. Health enhancing promotion strategies to maintain or increase CRF level is highly clinically relevant.
P06-04 Agreement between single item physical activity measures in population surveillance in New Zealand
Authors: Adrian Bauman , MIzdrak Anja , Gage Ryan , McEwan Hamish , Richards Justin 
Published: August 2022

Abstract

Background
Sport New Zealand conducts continuous physical activity and sport “Active NZ” surveys, conducted since 2017; these survey around 20,000 representatively sampled adults annually (response rate 29-32%, data weighted to NZ Census population). There has been international interest in “single item” physical activity questions to estimate and monitor physical activity levels. Validated questions for adults have asked about the number of days in the past week people were active for &gt; =30 mins for leisure or transport (SI-days). The Active NZ surveys also ask IPAQ-long form questions and a new single item question on the number of hours people were active in sport/recreation in the past 7 days (SI-hours). The public health problem is that the validated SI-days question cannot directly estimate the WHO recommended threshold of 150+ mins of PA/week. This study describes the prevalence of these questions, and examines the relationships between SI-days, SI-hours and IPAQ-long form [using 600 total PA met-mins as the threshold approximating 150 mins of moderate PA, and also using the leisure time domain only in IPAQ).

Methods
Analyses were descriptive, and inter-method comparisons using Spearman's correlations, and the best fit with the PA thresholds were estimated using Area under the ROC curve (AUC) and Youden's Index.

Results
IPAQ and SI-days were only collected mid 2019 to early 2020 (n = 15044). SI-days showed a mean of 3.2 days (SD=2.2), SI-hours 5.3 (SD=6.2), and SI-hours 150 mins+ was reported by 60.6%. 88.2% reached the IPAQ-total met threshold, and 41.4% met the IPAQ leisure only threshold. Correlations between SI measures and IPAQ were 0.22 for IPAQ-total, and ∼ 0.45 for IPAQ-leisure. SI-days and SI-hours were correlated rho=0.51. ROC curve analyses showed AUC values with IPAQ measures were between 0.63 to 0.76, but the SI-days showed a good AUC of 0.82 (0.81-0.83) with the SI-hours 150 mins threshold. Youdens index suggested the best fit was at 3+ days/week were most likely to meet the SI-hours threshold.

Conclusion
These data show SI questions reflect health enhancing thresholds well, and that those reporting &gt;3 SI days showed best fit with the 150mins threshold based on SI hours, indicating good surveillance utility.
P06-08 Socio-demographic profile of physically inactive adults living in Italy according to the PASSI data
Authors: Minardi Valentina , Possenti Valentina , Gallo Rosaria , Contoli Benedetta , Lana Susanna , Masocco Maria 
Published: August 2022

Abstract

Background
Insufficient physical activity (PA) or physical inactivity (PI) is one of the ten leading risk factors for global mortality. PI leads to 20-30% increased risk of all-cause mortality and monitoring its current levels and trends in general population is essential to track progress towards health targets, identify at-risk groups, assess policies' effectiveness, guide future planning.

Methods
PASSI (Progressi delle Aziende Sanitarie per la Salute in Italia - Progresses in ASSessing adult population health in Italy) is an ongoing cross-sectional Behavioral Risk Factor Surveillance System (BRFSS) that monitors prevalence and temporal trends for the major modifiable health-related risk factors in the adults (18-69 years) residing in Italy. Data are collected in the Local Health Units (LHU) by trained personnel who administer a standardized questionnaire telephonically to sampled people. In the period 2015-2018, 132,717 people were interviewed in more of 90% LHUs (89 out of 101 in 2018), achieving a response rate above 80%. Concerning PA/PI, respondents are classified as per the WHO indicators in: (i) Active - basing on levels achieved in leisure time and/or heavy work; (ii) Partially active - in leisure time and/or moderate work or in spare time and without regular work; (iii) Inactive - in leisure time with sedentary work or in spare time and without regular work. PASSI calculates prevalence of PA/PI overall and by socio-demographic characteristics, including 95% confidence intervals (CI), and a logistic regression model estimates adjusted prevalence ratios (APR).

Results
In Italy, 28.8% (CI95%:28.5-29.1%) of adult population is featured by a sedentary lifestyle: PI is greater among women (32.4% vs. 25.1%; APR: 1.26), grows with age (34% in over50 vs. 24.7% among 18-34 year-old; APR: 1.34), is higher among deprived people both per economic difficulties (41.7% if many vs. 22.4% if none; APR: 1.39) and for education level (23.7% university vs. 47.2% primary/any; APR: 1.33). We observed a highly evident geographic gradient: PI amounts to 18.3% in the North, 25.2% in the Centre and 40.6% in the South. A multivariate analysis confirms these values are statistically significant.

Conclusions
PASSI data provide strong evidence to support community prevention interventions on territorial planning or advice by health professionals.