bluuebunny/crossref_metadata_2025_split huggingface dataset:
O6-5 Can the development of a physical activity counseling network help fostering effective local policies for the attention of inactive people? Mugiment Gipuzkoa
Authors: Iturrioz Iñaki , Asurmendi Unai , Amiama Jon 
Published: August 2022

Abstract

Issue
In the province of Gipuzkoa, 34.1% of women and 32.1% of men do not reach the minimum levels of healthy physical activity. On the other hand, there is an important influence of social determinants, the gap on physical activity between the richest 10% and the poorest 10% is 28 points.

Description
Mugiment Gipuzkoa is a multicomponent and multilevel initiative whose objective is the promotion of physical activity in the population. One of the main strategies is the development of a network of physical activity counseling services (PACS). In this network the autonomous, provincial and local government of different sectors such as health, sports, social services and education are called to act in coordination. The objective of the PACS network, is to cause the change of behavior in the inactive population, but also to reorient the policies of local entities regarding physical activity. The PACS connect sports services to the local services of different sectors, articulating referral protocols.

Results
At the beginning of 2020 Gipuzkoa has 23 PACS in 16 municipalities. In 2018, 16 PACS corresponding to 12 municipalities have been evaluated. 778 people have attended to the services, the user profile is of an adult or aged woman, inactive, who came from the health center or autonomously. Most of them (73%), opted for autonomous physical activity. Pre-post methodology has been inplemented using a sample of 365 participants. Analized the clinical health history, we observe a positive trend on BMI, physical activity and less use of health resources at six months.

Lessons
Coordinated action between different levels of the administration and different sectors is key to the accompaniment of local entities when developing policies aimed at the inactive population. In the case of social and educational services, the experience of collaboration is limited, so it is necessary to deepen these sectors.

Main message
The establishment of a network of services for orientation to physical activity can serve to foster the development of effective local policies that focus on inactive people.
O6-6 The added value of using the HEPA PAT for physical activity policy monitoring: A four-country comparison
Authors: Gelius Peter , Messing Sven , Sarah Forberger , Lakerveld Jeroen , Fiona Mansergh , Sarah Taylor , Wendel-Vos Wanda , Zukowska Joanna , Woods Catherine 
Published: August 2022

Abstract

Background
Public policy is increasingly recognized as an important component of physical activity (PA) promotion, as policy actions to address lifestyle behaviours have the potential to in?uence the health and well-being of an entire population. However, our knowledge about the current status, implementation and effectiveness of PA policies in individual countries is still very limited, and there is consequently no clear guidance on which policies governments should preferably use in different settings or under various preconditions. In order to improve the evidence-base, we conducted a detailed assessment of existing PA policies in four EU Member States using WHO's HEPA Policy Audit Tool (PAT) in the context of the Policy Evaluation Network (PEN).

Methods
We employed a six-step process to administer the HEPA PAT Version 2 in Ireland, the Netherlands, Germany, and Poland. This involved identifying stakeholders, pre-filling parts of the tool using existing survey data and desk-research, approaching select institutions to verify details, and obtaining expert opinion via workshops, interviews, and/or questionnaires. Based on the four completed PATs, we performed a comparative analysis to identify similarities and differences between countries and with previous studies using the tool.

Results
In all four countries, the health and sport sector were found to be most active in PA promotion, followed by education, transport, and environment/urban planning. All countries have national systems to monitor population PA levels, and three out of four already have national PA recommendations. The study also showed that policy context (e.g. ministry portfolios, importance of subnational governments) varies substantially between countries. This influences policy implementation and made it necessary to employ a bespoke approach in each country to obtain the required information.

Conclusions
Our findings largely confirm results of previous studies using the PAT in other countries. They also indicate that using the tool in combination with other policy monitoring tools, e.g. the EU Monitoring Framework for HEPA across Sectors, may provide added value and help countries monitor policy progress more consistently. Our experience also confirms some known limitations of the PAT, e.g. regarding subnational policies and a high level of dependence on cooperation from key policy actors.
O6-7 Community sport coach's potential to enhance health
Authors: Stam Wikke van , Pulles Ine , Lindert Caroline van , Heijnen Eva 
Published: August 2022

Abstract
In 2008 Community sport coaches (CSC) were introduced in the Netherlands as a policy instrument to motivate inhabitants to become physically active, by connecting the sport sector with other sectors (e.g. health, education). Almost 6000 CSC are currently active throughout 98% of Dutch municipalities. We used Jolley's model to examine the use of CSC as a complex local sport policy instrument for health enhancement (Jolley, 2014; Van Lindert et al., 2017). The question we aimed to answer was: To which extent is the CSC program used for health enhancement? We will share the impact of this policy program in the Netherlands and discuss the relevance and implications for other countries.
In 2019, we conducted an online questionnaire to examine the health incentives and outcomes (e.g. sectors, target groups, goals) of local CSC programmes among all municipalities implementing CSC (n = 347). We also surveyed our CSC (n = 100) and CSC employers (n = 27) panels about their work on health enhancement.
Findings show that health enhancement is not often an explicit goal of CSC programmes. No national goals of the program address health explicitly and only 27% of municipal goals for CSC are focused on health. Nevertheless, the governmental health department and/or local health parties are often (82%) involved in CSC policy decision making (e.g. by paying part of the finances and/or by employing CSC). This results in a contribution to health enhancement of almost all (98%) local CSC programmes. Findings show that CSC connect the sport sector with the health sector in 96% of the municipalities, coaches/employers have often collaborated with health organisations last year (respectively 81% and 100%) and/or CSC work with inactive and/or overweighed inhabitants (69%)).
CSC are responsible for motivating people to become physically active, and logically this has an impact on health. Despite the lack of explicit goals, local CSC programmes are intertwined with health incentives and outcomes. But often the exact effects on health are unknown. More explicit and specific health goals may increase the impact of sport policy on health enhancement. Facilitators and barriers relevant to further national and international implementation of CSC programmes will be discussed.
O6-8 Rethinking schools as a setting for physical activity promotion in the 21st Century - A position paper from the Erasmus+ 2PASS 4Health project
Authors: Bengoechea Enrique Garcíá , Murtagh Elaine , Grady Caera , Bois Julien , Fabre Nicolas , Solano Alberto Aibar , Dubertrand Lionel , Verloigne Maïté , Ribeiro Jose , Woods Catherine B 
Published: August 2022

Abstract

Background
Schools are ideally placed to provide children and adolescents with multiple opportunities to be or learn to be physically active. However, key reviews have reported that interventions to date have largely failed to have any long-term impact on overall physical activity levels. In this position paper, greater attention to key issues is needed to realise the full potential of schools and ideal physical activity for health promotion setting.

Methods
This study draws on multi-author expertise to develop a position paper to advance opinion on school-based programmes. Collaborative conceptual thinking was established through various tools such as literature review, evidence synthesis and online and in person meetings.

Results/Discussion
The adoption of a systems approach is valuable for understanding the complexities of the school setting and to support the implementation of whole-of-school initiatives. Furthermore, we contend that the full range of physical, cognitive, emotional and social benefits that physical activity provides should be considered, rather than a narrow focus solely on physical activity levels. Interdisciplinary research questions are most useful in exploring and evaluating whole-of-school approaches. Informed by process, impact and outcome evaluation and implementation science, both qualitative and quantitative research methodologies and a move beyond traditional research design are needed to advance our knowledge of what works, for whom and in what context. Case studies from several European countries will be presented to illustrate examples of systems approaches in action. This includes examples at multiple levels firstly, a national approach including a Physical Education curriculum reformation (Portugal), a regional approach such as a county council partnership with a University to support physical activity promotion (France) and a local approach at the school level i.e. a whole-of-school physical activity programme (Spain and Ireland).

Conclusion
From authors expertise and reflection, this paper makes recommendations on the nature of the evidence required to bridge the implementation gap, sustain and scale-up innovative approaches to whole-of-school programmes.
O7-1 The association of occupational and leisure time physical activity with all-cause mortality. Using an individual participant dataset (N = 634,131)
Authors: Cillekens Bart , Ketels Margo , Hallman David , Gupta Nidhi , Clays Els , Maaike Huysmans , Andreas Holtermann , Coenen Pieter 
Published: August 2022

Abstract

Background
Physical activity is a key determinant for health and considered as an important factor in the prevention of lifestyle related-diseases. All physical activity domains are generally considered to be health enhancing. However, accumulating evidence in recent years suggests that occupational physical activity may not have the same beneficial health effect as leisure time physical activity. Our aim was to assess the association of occupational and leisure time physical activity and all-cause mortality.

Methods
We obtained individual participant data from published and unpublished cohort studies and assessed their risk of bias. We harmonized the data, and used Cox survival regression models to assess the association between occupational and leisure time physical activity with all-cause mortality, in a two-stage individual participant data meta-analysis. Different models were performed to assess the impact of relevant confounders including behavioral, health-related and socio-economic factors. Results of the data were reported with hazard ratios (HRs) and 95% confidence intervals (95% CI).

Results
Data from 22 prospective cohort studies showed that male workers with high occupational physical activity had an increased risk of all-cause mortality in comparison with sedentary occupational physical activity (HR: 1.12, 95%CI: 1.03- 1.23). For female workers, no such association was found (HR: 1.01, 95%CI: 0.85-1.19). when comparing high with sedentary occupational physical activity.
Increasing levels of leisure time physical activity were inversely and dose-dependently associated with a reduced risk of all-cause mortality. For example, high compared with sedentary leisure time physical activity was associated with reduced risks for males (HR: 0.53, 95%CI: 0.36-0.79) and for females (HR: 0.49, 95%CI: 0.31-0.79).
All associations remained robust when adjusting for additional relevant confounders, leaving one study out analysis, and when assessing the role of bias and reverse causality.

Conclusion
We consistently found a reduced risk of all-cause mortality with increasing levels of leisure time physical activity, but not for occupational physical activity. These findings indicate that occupational activity may not be health-enhancing. These findings suggest that occupational physical activity may not be considered a suitable substitute to leisure time physical activity when striving for health enhancement.
O7-4 Temporal trends in sport participation according to WHO physical activity guidelines and its effect on weight status: a French school-based study between 2015 and 2019
Authors: Luiggi Maxime , Rey Olivier 
Published: August 2022

Abstract

Background
Insufficient physical activity (PA) is an important risk factor for overweight and obesity among adolescents, both causes of cardiovascular diseases. Sport is the largest contributor to achieving the World Health Organization (WHO) PA levels guidelines. However, few studies have investigated temporal trends in weekly sport participation in relation to adolescents' weight status. The main objective of this study was to compare sport participation to weight status and investigate their relationship over time.

Methods
Two data collections were conducted during spring 2015 (n = 1019) and 2019 (n = 1112) in 30 French high schools. Adolescents reported their age, sex, height, weight, parents' socioeconomic status (SES) and hours of sport per week. Body mass index was calculated and classified into three categories (normal weight, overweight, obese) according to the International Obesity Task Force. Three sports groups were created according to WHO PA guidelines: no sport (NS), sport less than 7 hours a week (7-) and sport more than or equal to 7 hours a week (7+). Binary logistic regressions adjusted for age, sex and SES were performed to evaluate sport participation, weight status and their relationship over time.

Results
Between 2015 and 2019, prevalence of overweight and obesity increased from 9.1% to 14.1%, with this increase greater among low-SES girls. We observed an increase in both the proportion of adolescents playing 7+ hours of sport (8.0% to 12.3%) and those not playing sport (34.2% to 35.9%). These changes varied according to adolescents' SES. In 2019, low-SES adolescents were 1.5 times less likely to play sport (95% CI:1.17-1.99) while no change was observed among high-SES adolescents. Finally, 7+ adolescents were no more likely to be overweight or obese in 2019 compared to 2015. Contrarily, NS and 7- adolescents were 1.7 and 1.8 times more likely respectively to be overweight or obese in 2019 compared to 2015.

Conclusion
These results confirm the adequacy of WHO PA recommendations to counter the rise of overweight and obesity, and show that enough hours of sport participation alone could help stabilize overweight and obesity prevalence, without controlling for other forms of PA.
O7-7 School-based intervention and nutritional behaviours change among adolescents: cross-sectional latent class and longitudinal latent transition analysis
Authors: Dakin Mohamed , Manneville Florian , Omorou Abdou 
Published: August 2022

Abstract

Background
Nutritional behaviours such as diet, physical activity (PA) and sedentary behaviour (SB) are interdependent and are likely to change in different way during a public health intervention. This study aimed to 1) identify cross-sectional nutritional profiles and their 2-year longitudinal transition among French school-aged adolescents, 2) identify factors associated with these profiles and transition.

Methods
Adolescents from the 2-year school-based PRALIMAP (PRomotion de l'ALIMentation et de l'Activité Physique) intervention were included. Nutritional behaviours (diet, PA and SB) were assessed by self-administered questionnaire at the beginning (T0) and end (T2) of the study. Nutritional profiles were identified at T0 using latent class analysis, and their transition from T0 to T2 using latent transition analysis. Logistic regression models were computed to identify associated factors such as sex, weight status, age, socioeconomic status and a PRALIMAP intervention.

Results
Among the 2390 adolescents included (mean ± SD age=15.1 ± 0.6 years), 5 nutritional profiles were evidenced at T0 and labelled as ‘healthy'(12.2%), ‘excessive diet' (16.0%), ‘physically inactive' (26.1%), ‘restrictive diet' (23.5%), and ‘unhealthy' (22.2%). Compared to ‘physically inactive' profile, adolescents from the ‘healthy' ones were less likely to be girls (OR = 0.21; p&gt;.0001), and socially advantaged (OR = 0.87; p=.0002). ‘Unhealthy' profile adolescents were less likely to be overweight/obese (OR = 0.48; p&gt;.0001) and more likely to be older (OR = 3.67; p&gt;.0001). At T2, proportion of adolescents increased in ‘healthy' (+4.6%), ‘unhealthy' (+2.8%) profiles, and decreased in ‘excessive diet' (-1.2%), ‘physically inactive' (-3.2%), ‘restrictive diet' (-3.03%) profiles. Compared to the control group, adolescents from the intervention group were more likely to remain in ‘healthy' (OR = 1.3), and to switch from ‘excessive eater' (OR = 1.1) and ‘physically inactive' (OR = 2.6) to ‘healthy'. Sustainability of ‘healthy' profile increased with socioeconomic status.

Conclusions
The results of this study confirm the variety of behavioural profiles in nutrition with significant social differences. It also demonstrated the effectiveness of the intervention in changing behaviours favourably. Public health focusing on nutritional changes may be more effective it taking in to account the social status of adolescents.
O7-8 Mediation effect of physical activity and sedentary behavior on the association of gender with quality of life in adolescents
Authors: Omorou Abdou , Legrand Karine , Langlois Johanne , Lecomte Edith , Briançon Serge 
Published: August 2022

Abstract

Background
If boys and girls are known to have different levels of quality of life (HRQoL), less is known about behavioural factors such as physical activity (PA), sedentary behaviour (SB) that can explain it. We aimed to analyse the mediation effect of PA and SB on the association of sex and HRQoL among adolescents.

Methods
2448 adolescents (1378, 56.3% of Girls) from the PRALIMAP trial with 2-year follow-up were included. HRQoL (physical, mental, social and general dimension scores; range 0-100), PA (walking, moderate vigorous and total) and SB (sitting time) were assessed using the Duke Health profile and the IPAQ questionnaires, respectively. The 2-year mean PA and SB were calculated and categorized into high or low PA (? 1hour/day) or SB (2 hours/day out of school). We conducted a mediation analysis to investigate the causal mechanism of gender (reference=Girls) on HRQoL through PA and SB by estimating total effect (TE), natural direct effect (NDE), natural indirect effects (NIE) as well as proportion mediated (PM: proportion of sex-HRQoL relationship mediated by PA or SB).

Results
The direct relationship of gender and HRQoL (NDE) was significant whatever the HRQoL dimension. When using vigorous PA as mediator, PM was estimated at 13.7% (TE:11.0 [9.5 to 12.5]; NIE:1.5[0.9 to 2.1]), 19.4% (TE: 12.3 [10.6 to 14.1]; NIE: 2.4 [1.6 to 3.1]), 70.0% (TE:4.6 [3.1 to 6.2] ; NIE: 3.3 [2.5 to 4.0]) and 25.6% (TE: 9.3 [8.1 to 10.5]; NIE:2.4 [1.8 to 2.9]) for physical, mental, social and general HRQoL, respectively. Similar but less important mediation effect was observed for moderate and walking PA. For Total PA, PM was estimated 7.0%, 8.7%, 47.4% and 14.7% for physical, mental, social and general HRQoL while for SB, the mediation was inverse and less important (PM: -1.5%, -1.4%, -2.0% and -1.5% for physical, mental, social and general HRQoL respectively).

Conclusion
HRQoL is significantly higher in boys compared to girls among adolescents and this difference is shown to be partially mediated by differences in PA practice, especially vigorous PA. Additionally to the impact of adolescent PA in preventing non-communicable diseases in adulthood, it can also enhance their well-being.
O8-1 24-Hour Movement Behavior and Fundamental Movement Skills in Pre-School Children: A Compositional Analysis
Authors: Martins Clarice Lucena , Clark Cain Craig Truman , Mota Jéssica Gomes , Bezerra Thaynã Alves , Lemos Luís Filipe Gomes , Reuter Cézane Priscilla , Dunca Michael , Mota Jorge 
Published: August 2022

Abstract

Background
Studies that have analyzed the association between the different movement behaviors and fundamental movement skills (FMS), have considered it in an independent manner, disregarding the compositional nature of 24-hour movement behaviors (24h MB). The aim of this study was to investigate relationships between the 24h MB and FMS in low-income preschoolers.

Methods
Two hundred and four preschoolers of both sexes (4.5±0.8 years old; 101boys) provided objectively assessed physical activity (PA) and sedentary time (ST) data (Actigraph wGT3X), and FMS assessments (TGMD-2). Sleep duration (SD) was reported by parents through interview. Association of daily time composition of movement behaviors with FMS was explored using compositional data analysis (R Core Team, 3.6.1).

Results
Our data highlighted that no single movement behaviour significantly predicted locomotor, manipulative, or total motor competence. When data were considered as a 24h MB composition based on PA, ST and SD, adjusted for age, BMI and sex, the composition significantly predicted locomotor score (P &gt; 0.0001; r2 = 0.31), manipulative score (P &gt; 0.0001; r2 = 0.19) and total motor competence score (P &gt; 0.0001; r2 = 0.35), respectively.

Conclusion
Our study suggests that the 24h MB composition is more important for adequate FMS then any individual, movement behavior. This represents an important finding, particularly for creating and optimizing interventions to benefit child health.