bluuebunny/crossref_metadata_2025_split huggingface dataset:
P04-13 How actively older persons age in Italy?
Authors: Contoli Benedetta , Possenti Valentina , Minardi Valentina , Bertozzi Nicoletta , Carrozzi Giuliano , Cristofori Marco , De Luca Amalia Maria Carmela , Fateh-Moghadam Pirous , Ramigni Mauro , Trinito Massimo Oddone , Masocco Maria 
Published: August 2022

Abstract

Background
One scope of the Active and Healthy Ageing framework is to increase awareness on elderly-related topics. The year 2020 has seen an upheaval across the world caused by the COVID-19 emergence, even higher to older persons.

Methods
In Italy, data gathered by the PASSI d'Argento behavioural surveillance system on general population aged 65+ in the timeframe 2016-2019 describe health conditions, lifestyles and care needs for elderly.

Results
Basing on physical activity recommended by the WHO globally, 33% of non-physically impaired older persons reaches out those levels, 27% are partially active, 40% is sedentary. 9% fell down within 30 days prior the interview, accessing hospital was necessary in 19% of cases; 64% of falling occurred at home, 20% outdoor. 61% refers at least one infrastructural housing issue, 15% perceive higher neighbourhood insecurity. 35% reported difficulties in accessing essential services, especially to local health premises and for necessities. About 19% lives socially isolated, 21% had not any contact (neither by phone) with anyone in a typical week, 71% do not attend collective meetings, such as at a club or church. Nearby 1 out of 3 (29%) represents an asset to the own family/community: 19% looks after cohabiting people, 14% relatives or friends not living together with, 6% engage in volunteering. Participation in training courses or social events (trips/stays organised) regards little more than 2 over65 out of 10: 5% partakes in learning courses, 23% enjoyed those latest occasions. Such low social connectedness is observed even among «younger elderly» (aged 65-74). Nearly 19% referred frailty impacting on their own families mainly, 94% of frail elderly is given help from relatives, 20% from professional caregivers, 12% from acquaintances. All these factors suffer from socio-economic and territorial differences. Among elderly reporting many economic difficulties, social isolation is 31%, frailty 28%, difficult access to services 58%, falling 15%, with a geographic gradient at the expense of the Southern Regions.

Conclusions
COVID-19 is a clear threat to older persons: in Italy, monitoring ageing dimensions under the pandemic scenario represents even a greater opportunity to have scientific data which describe the impact of health emergency on elderly.
P05-02 Implementing exercise based injury prevention programs -lessons learned
Authors: Nauta Joske 
Published: August 2022

Abstract

Background
In youth, physical activity is for a large part accumulated through participating in sports clubs and gymnastic classes. One of the reasons youth drop-out from sports and physical education participation are the injuries they sustain while being active. And, although we know that exercise based injury prevention programs can reduce the physical activity related injury risk, it has proven to be difficult to convince coaches, trainers and physical education teachers to implement these preventive exercises in their training/teaching routines. This presentation will focus on the lessons learned regarding the experiences and views of coaches, trainers and physical education teachers that participated in our injury prevention trials.

Methods
Over the past decade, we have evaluated the effectiveness of several physical activity based injury prevention programs that were used in both the sports as well as the school setting. Alongside these effectiveness trails, process evaluations have been conducted to assess if the interventions were delivered and received as intended and what their views were regarding implementation of the exercises in their daily routine.

Results
A comparison will be made between views of coaches, trainers and physical education teachers that participated in our several trials.

Conclusions
Combining the views of coaches, trainers and physical education teachers regarding future implementation of injury prevention programs will help guide the implementation of the exercised based preventive routines that will be developed for the EU funded Move Healthy project.
P05-08 Correlation between physical activity, Sleep componants and quality: In the context of type and intensity: A cross-sectional study among sudanese medical students
Authors: Abdelghyoum mahgoub Ahmed , Mustafa Shahenaz Satti 
Published: August 2022

Abstract

Background
Physical activity during the day is composed of different domains, specifically work related, transportation, and recreation, physical activity. We aimed at studying the correlation between energy expenditure and the corresponding metabolic equivalent of task and sleep in the context of type of physical activity, general level of activity as to be low, moderate and vigorous and the intensity of activity either moderate or vigorous physical activity.

Methodology
A cross-sectional study, participants were n = 273 enrolled from al-Neelain university faculty of medicine between January and April 2021 we used the global physical activity questionnaire to measure standard metabolic equivalent of task (MET) for participants for vigorous and moderate work MET, Transportation MET, Vigorous and moderate lesiure MET, and sedentary time. we used Pittsburgh sleep quality index to assess different components of sleep (subjective sleep quality, sleep latency, habitual sleep efficiency, sleep duration, sleep disturbances, use of medications, daytime dysfunction) and sleep quality.

Results
Mean of Total-MET was (3533.36min/week) predominantly moderated work-MET (33%). Poor sleepers prevalence was high (62%). Moreover there was significant difference between good and poor sleepers in moderate work MET mean (876.36,1334.2 min/week) (p &gt; 0.01). respectively. There was significant positive correlations between moderate work MET and roughly all sleep components rho = (0.196, 0.182, 0.132, 0.149)(p &gt; 0.01, p &gt; 0.01, p &gt; 0.05, p &gt; 0.05)respectively and sleep quality rho = (. 211)(p &gt; 0.001). Vigorous-lesiure MET positively correlated with sleep latency rho = (0. 134)(p &gt; 0.01). Total MET correlated with sleep latency, use of medications, and sleep quality in general. (0.134, 0.124, 0.133) (p &gt; 0.05).

Conclusion
Our results show that poor sleep quality is primarily influenced by the type and intensity of physical activity. Eliciting a dose-response effect of different domains, being deleterious for work related physical activity as work MET is of too low intensity or too long duration for maintaining or improving cardiorespiratory fitness and cardiovascular health subsequently imposing its deleterious effect. So in order to improve quality of life for university students, special strategies and policies that leverage ‘good sleep' quality are warranted by limiting work related physical activity and adding on well structured early morning exercises for University students thus improving cardiorespiratory fitness and subsequently sleep.
P05-09 Associations of the physical activity-related injuries with selected variables in adolescents - results of the pilot study
Authors: Bakalár Peter , Kopčáková Jaroslava , Tlučáková Lenka , Ružbarská Beáta , Vašková Monika , Karchynskaya Viktoryia 
Published: August 2022

Abstract

Background
Physical activity (PA) as health promotion tool is not one without adverse effects and adolescents with nonfatal physical activity-related injuries (PARI) may experience serious health consequences for the rest of their lives.

Methods
As a part of the pilot study of the Health Behaviour in School-aged Children Study conducted in October and November 2021 in Slovakia, we surveyed 119 adolescents (53 girls; average age 12,6±2,0) for moderate-to-vigorous physical activity (MVPA), medically attended injuries (MAI), physical activity-related injuries in sports clubs (PARISC), physical activity-related injuries in leisure-time (PARILT) and physical activity-related injuries in schools (PARIS) and we measured their cardiorespiratory fitness (using 20-metre shuttle run) and their body composition (using InBody 230).

Results
Out of 119 adolescents, 50 (42%) were attending sports clubs of which 27 (54%) had one or more PARI in sports clubs' activities in previous year, 50 adolescents (42%) had PARI in leisure activities and 15 (12,6%) in school activities. PARISC led to an average of 10 missed days from school or leisure-time activities. PARILT led to 7,2 missed days and PARIS led to 6,2 missed days. Spearman's correlations (n = 50 for PARISC and n = 119 for PARILT and PARIS) revealed associations between MAI and PARISC, PARILT and PARIS, but not between MVPA or 20-metre shuttle run laps and PARISC, PARILT and PARIS. Not surprisingly, percentage of body fat was negatively associated with the number of 20-metre shuttle run laps. In addition, results of crude linear regression models showed that frequency of MVPA was not associated with frequencies of PARISC (B coefficients (B)/95% CI: 0,03/-0,11-0,18), PARILT (B/95% CI: 0,04/-0,05-0,13) or PARIS (B/95% CI: -0,02/-0,07-0,02) among Slovak adolescents in our pilot study.

Conclusions
Estimating the burden of PARI is important in advocating the need of directing sufficient resources to PARI prevention along with the PA promotion. Improvement and understanding of factors associated with PARI might be helpful in PARI prevention. In addition, it might, among other factors, play a role in promotion of active lifestyle in adolescence.
P05-11 Motor Competence Assessment of Czech School-Age Children: Lack of Movement or Developmental Coordination Disorder?
Authors: Šeflová Iva 
Published: August 2022

Abstract

Background
Physical activity (PA) in Czech children is insufficient. In the last two decades, the prevalence of physical inactivity and excessive time spent in sedentary activities has increased (Gába et al. 2019). The determinants of PA are complex and wide-ranging: individual, socio-demographic, interpersonal, environmental. Motor skill acquisition in early childhood may be an important prerequisite for child PA participation and engagement in PA later in life (Loprinzi et al. 2012).
The aim of this study was to estimate motor competence (MC) level in a Czech school children, identify children with motor impairments and analyze the possible causes.

Methods
The research sample was made from Czech school children (n = 195, 110 girls, and 85 boys) of average age 11.96±1.96 years. To estimate an MC, we used the Bruininks-Oseretsky Test of Motor Proficiency, Second Edition, a complete form. We evaluated total motor composite (TMC) and four subcategories: fine manual control, manual coordination, body coordination, and strength and agility.

Results
Our TMC results correspond to a secular reduction in MC. The results show that the group's MC is in the lower part of the average level (TMC standard score 45.4±11.7). The overall percentage of children whose TMC is above the 15th percentile is 64.6%. Conversely, 35.4% of children do not meet the criterion in TMC.
On average, the weakest performance was recorded in the area of fine manual control (standard score 38.2±11.6). More in-depth analysis showed that the weakest subcomponent of fine manual control was fine motor precision (scale score 9.3±5.8) and fine motor integration (scale score 10.7±6.1).

Conclusion
24 children (12.3%) had well-below average results (TMC&lt;5th percentile). These children are highly likely to develop a developmental coordination disorder. It is a significantly higher result than in the literature reported around 5 - 6% in school-age children.
69 children (35.4%) had below-average result of TMC (TMC&lt;15th percentile). The poor results in the fine manual control without the accompanying other motor components point to a low exercise experience rather than a neurodevelopmental disorder.
P05-12 Objectively measured physical activity, chronic illness and health service utilisation - a latent class analysis of activity behaviours in older adults
Authors: O'Regan Andrew , Hannigan Ailish , Glynn Liam , Donnelly Alan , Hayes Grainne , Bengoechea Enrique Garcia , Woods Catherine 
Published: August 2022

Abstract

Background
Physical activity contributes to the prevention of chronic illness as well as promotion of physical and mental health, but most adults remain inactive. Chronic illness affects mainly middle aged and older adults, and very little objectively measured data on physical activity behaviours and associated health outcomes of this population is published. The aims of this study are to: 1. Objectively measure physical behaviour outcomes of adults participating in the Move for Life study; 2. Develop distinct activity profiles based on six behaviour variables; 3. Investigate whether health outcomes differ across the activity profiles.

Methods
Participants were Irish adults aged 50 years and older. Using the activPAL, objectively measured data were collected on average daily: light intensity physical activity (hours); moderate to vigorous intensity physical activity (minutes); step count; time in bed (hours); standing time (hours); and waking sedentary time (hours). Data were obtained on chronic illness and health service utilisation. Validated questionnaires were used to collect data on wellbeing, loneliness and social isolation. Hierarchical cluster analysis using squared Euclidian distance was used to cluster behaviours based on similarity, using SPSS version 26. Regression models explored associations between health outcomes and activity profiles, adjusted for age and sex.

Results
Data from 485 participants were analysed, and four activity profiles were identified: sedentary (n = 50, 10.3% of total), low active (n = 295, 60.8%), moderate active (111, 22.9%) and higher active (n = 29, 6%). We will present the differences across the activity profiles for chronic illnesses, multi-morbidity, health service utilisation and validated health tools, comparing to data from the Irish Longitudinal Study on Ageing (TILDA) and the English Longitudinal Study on Ageing (ELSA).

Conclusions
The use of physical activity behaviour clusters may identify people with multi-morbidity and higher utilisation of health services. These findings could be factored into the development of future targeted physical activity interventions.
P05-13 Associations between occupational physical activity and progression of carotid atherosclerosis among middle-aged women, are those with pre-existing cardiovascular disease more vulnerable?
Authors: Korshøj Mette , Allesøe Karen , Mortensen Ole Steen , Siersma Volkert , Kauhanen Jussi 
Published: August 2022

Abstract

Background
Workers with high occupational physical activity (OPA) experience higher risk of cardiovascular diseases (CVD) than sedentary workers. In an ageing workforce, greater proportions will be expected to have CVD, and pre-existing CVD are shown to increase vulnerability to exposure of high OPA. However, most of the epidemiological evidence is derived from male cohorts, excluding those with pre-existing CVD, and using clinically manifest disease outcomes that are prone to healthy worker selection bias. To address these limitations and to highlight whether pre-existing CVD indicate vulnerability, this study investigated the effects of OPA on pre-clinical asymptomatic progression of carotid artery intima-media thickness (IMT) among women.

Methods
Women participants (N = 905) of the population-based Kuopio Ischemic Heart Disease Study (KIHD) with data on OPA and IMT were included. Linear mixed models, stratified by pre-existing CVD, estimated the association between OPA and the IMT progression from baseline (1998-2001) through 8-years of follow-up.

Results
Non-stratified analysis showed the greatest 8-year IMT progressions by exposure to light standing or moderately heavy active work (both 0.13 mm). Stratified analysis on within group changes and total level of IMT showed exposure to light standing and moderately heavy active work to give the greatest 8-year IMT progressions, especially pronounced among normotensives and those with pre-existing stenosis or ischemic heart disease (IHD). Women with pre-existing CVD ended up with the greatest total IMT levels (sum of baseline and estimated 8-year IMT change), in spite of less 8-year IMT change than among women with out pre-existing CVD. This may be explained by their initial high IMT level, combined with a celling effect of the change.

Conclusion
Exposure to light standing work and moderately heavy active work was associated with accellerated progression of IMT, especially pronounced among normotensives or workers with pre-existing stenosis or IHD. The majority of the reported 8-year IMT progressions are at a clinically relevant magnitude of 0.1 mm, which associates with an 11% increased risk of acute myocardial infarction.
P05-17 Assessing the impact of care-physical activity initiatives for people with a low socioeconomic status on healthcare utilisation: an exploratory study
Authors: Mulderij Lisanne , Wagemakers Annemarie , Verkooijen Kirsten , Koelen Maria , Groenewoud Stef 
Published: August 2022

Abstract

Background
Care-physical activity (care-PA) initiatives are being implemented in the Netherlands to stimulate the health of citizens with a low socioeconomic status (SES), with the aim of reducing health inequality and healthcare utilisation. A two-year care-PA initiative specifically developed for citizens with a low SES, X-Fittt 2.0, was offered free of charge to participants, and included 12 weeks of intensive guidance and sports sessions, and 21 months of aftercare. As the impact of care-PA initiatives on healthcare utilisation has not yet been studied, our research question was: ‘What is the impact of participation in a care-PA initiative on the healthcare utilisation of citizens with a low SES?’.

Methods
We studied the healthcare utilisation of 44 former participants of X-Fittt 2.0, focussing on general practitioner care, pharmaceutical care, hospital care, paramedical care, medical aids and mental healthcare. We compared utilisation intensity (number of healthcare claims) during the two years before participation in X-Fittt 2.0 (period 1) with utilisation intensity during the two years after initial participation (period 2) using paired t-tests.

Results
As expected, utilisation intensity increased significantly for paramedical care for non-chronic disorders after participation. No differences in utilisation intensity were observed for the other healthcare categories. Furthermore, although it was not the core focus of this study, our results show that people with a low SES tend to have higher healthcare utilisation than those with a higher SES.

Conclusions
This exploratory study, which is unique for its use of healthcare claims data for participants of a care-PA initiative, shows a statistically significant increase in utilisation intensity for paramedical care (supplementary healthcare insurance for non-chronic conditions) in period 2 compared with period 1, as expected. This increase is likely caused by a greater utilisation intensity for physiotherapy, which covers respectively 95% and 92% of the paramedical healthcare claims of the supplementary healthcare insurance in periods 1 and 2. The design of our study can be used as a template for future research that aims to study health care utilisation over a longer time period. The results of this and future studies can be used to improve health policies.
P06-02 Physical activity levels of citizens in Dubrovnik, Croatia
Authors: Škegro Dario , Čustonja Zrinko 
Published: August 2022

Abstract

Background
One of the most important areas of interest in the world today and throughout history is health. Numerous investigations are confirming positive effects of physical activity on health and this is the reason why physical activity and exercise should be measured as often as possible. Croatia as the youngest member state in European Union does not have excellent results in the levels of physical activity among its population. In this research the aim was to assess the levels of physical activity in the city of Dubrovnik and compare it to the levels of Physical activity in Croatia and European Union.

Methods
Participants in this investigation were 670 adult citizens of the City of Dubrovnik, Croatia. Levels of physical activity was measured using Eurobarometer questionnaire. Descriptive statistical parameters Mean and Standard deviation same as Statistical Difference between the values in Dubrovnik, Croatia and European Union were calculated using statistical program package Statistica.

Results
Overall results show significantly better situation in Dubrovnik when comparing with the results measured on national level and on European Union level. While, according to the Eurostat's analysis in 2017, there is 46% of citizens of European Union and even 56% of citizens in Croatia that never exercise or play sports in the City of Dubrovnik there is only 17,31% of citizens that never exercise or doing sports. The most important reasons for doing physical exercise or sport (motivators) among citizens of Dubrovnik is improvement of health (45%) and improvement of physical appearance (30%). Almost half of the sample (47%) pointed out the lack of time as the main barrier in doing physical exercise or sport.

Conclusions
This investigation shows good way to assess the information on levels of physical activity of the citizens and accordingly creating a public policy on further development and improvement of this important area. This investigation is part of document called Strategic development of Sport and Sport's Infrastructure in Dubrovnik and it reveals encouraging data for this Croatian city.
P06-07 Steps during school hours vs throughout the day in preschoolers
Authors: Vale Susana , Costa Silvia , Mota Jorge 
Published: August 2022

Abstract

Background
Walking is a main form of Physical Activity (PA) and daily step counts have been used as a tool to objectively assess PA levels and patterns in many studies. Children who accumulate less than 9000 steps per day may be considered insufficiently active (Vale et al., 2015). The aim of the present study was to determine the importance of analysing all day data when evaluating PA recommendations.

Methods
The study sample comprised 202 preschool aged children (44% girls), aged from 3 to 6 years (mean age of 4,7±0,8 years). Steps counts were measured during 7 consecutive days using waist worn, uniaxial Actigraph accelerometers (models 7164, 71256, and GT1M). Children used the accelerometer throughout the day, being placed after waking up and removed before going to bed. In addition to the number of steps throughout weekdays (monday to friday), the number of steps during school time was analyzed. The school hours were restricted to 8 hours and half, between 9:00h and 17:30h.

Results
During all day children account 10.563 steps, 6.947 of which were recorded during school hours (p = 0.001). Looking at the entire weekday, we found that only 7% of preschool children were considered insufficiently active (9.000 steps per day). Neverthless, looking for school hours only, we found that almost half of the sample (45%) met the same recommendation. We tested for differences between all day and school day with paired t-tests.

Conclusions
When looking for step counts across the entire day vs school hours, we announced that school hours, by itself, are not representative of the number of child's steps in each day. Results from this study highlight the importance of analysing all day when investigating whether preschoolers meet recommendations.