bluuebunny/crossref_metadata_2025_split huggingface dataset:
O5-6 The relation between domain-specific physical behavior and cardiorespiratory fitness: a compositional data analysis on the physical activity health paradox using accelerometer-assessed data
Authors: Cillekens Bart , Ketels Margo , Hallman David , Gupta Nidhi , Clays Els , Maaike Huysmans , Andreas Holtermann , Coenen Pieter 
Published: August 2022

Abstract

Background
In contrast to leisure time physical activity (LTPA), occupational physical activity (OPA) does not have similar beneficial health effects. These differential health effects, also known as the physical activity health paradox, might be explained by dissimilar effects of LTPA and OPA on cardiorespiratory fitness (CRF). This study aims to investigate the association between device-worn measures of physical behaviors during both work and leisure time and CRF among workers with high level of OPA.

Methods
Our results are based on a sample of 309 workers employed within the service and production sector from the cross-sectional FEPA (Flemish Employees' Physical Activity) study. OPA and LTPA were measured using two Axivity AX3 accelerometers, worn on the back and right thigh for 2 to 4 consecutive working days. CRF levels were obtained by the Harvard step test. Compositional multiple linear regression analyses were used to analyze the relations, adjusted for age, sex, education, smoking, BMI, moderate-to vigorous physical activity (MVPA), and physical work demands.

Results
During work time, more sedentary behavior (SB) was associated with higher CRF when compared relatively to time spent on other work behaviors, while more SB during leisure time was associated with lower CRF when compared to other leisure time behaviors. Reallocating more time to MVPA from the other behaviors within leisure time was positively associated with CRF, which was not the case for MVPA during work.

Conclusion
Our results emphasize the need for taking the domain-specific nature of physical activity into account to understand its relation to CRF. Guidelines usually do not differentiate between OPA and LTPA in their recommendation to participate in at least 150 min of physical activity per week, regardless of the OPA level. Workers already meeting this recommendations through OPA might therefore mistakenly think that they already meet the recommendations on physical activity and think they can spend their leisure time in a sedentary fashion. In reality, these types of workers might benefit from recommendations to take more sitting breaks during their work and to participate in leisure time MVPA to maintain or improve their CRF in order ‘to be fit for the job'.
O5-7 Feasibility Study- A physiotherapy led remote ACHD Cardiac Rehabiliation Program
Authors: Evans Caroline , Stuart Alan Graham 
Published: August 2022

Abstract

Problem
Prevalence of adult congenital heart disease (ACHD) is growing. Exercise is safe and effective at enhancing exercise capacity and quality of life (QOL) for ACHD patients but they are predominately sedentary with reduced exercise capacity and obese compared to peers. ACHD patients are concerned about their inactivity, however are uncertain of exercise suitability and safety and are unable to access specialist advice or cardiac rehabilitation (CR). Many ACHD patients are managed in specialist centres covering vast areas meaning classes are inappropriate. Acquired heart disease CR is cost-effective, improving QOL, exercise capacity, mortality and morbidity. ACHD patients potentially gain the same benefits. Remote cardiac rehabilitation (RCR) using technology could be a feasible model providing accessible specialist knowledge and individualised exercise prescription.

Description of the problem
Cardiologists referred sedentary, complex ACHD patients for a 12-week RCR providing individualised exercise prescription, education and motivation via telephone clinics and free apps (PT Momentum, Pacer and Active 10). Initially, habitual exercise was encouraged, participants were coached to achieve the recommended UK PA guidelines. Self-efficacy for Exercise (SEE) and Satisfaction with Life Score (SWLS) were assessed comparing patients' responses upon program completion to baseline.

Results
From 23 referrals, 11 completed the program becoming more physically active, fulfilling the guidelines. Improvements were seen in both SEE (mean 30) and SWLS (mean 10). Patients deemed RCR an acceptable service delivery.
Participants (9) responded well to apps. Reasons for not using apps included data capacity (1) or no device (2).

Lessons
ACHD patients engaged with RCR making it; viable, acceptable and practical solution improving PA levels and QOL.
RCR using app's is a feasible model however, alternatives are required.

Main Messages
RCR enables ACHD patients to receive specialist knowledge, individualised, accessible and effective exercise prescription improving QOL and PA levels.
RCR potentially leads to substantial cost savings and improvements in morbidity and mortality of ACHD patients.
O6-1 Exploring the association between green space attributes and physical activity to inform urban planning and policy
Authors: Erjavec Ina Šuklje , Kozamernik Jana , Žlender Vita 
Published: August 2022

Abstract
Publicly accessible green open spaces such as parks, playgrounds and urban forests are key environments within urban tissue for promotion of health-enhancing physical activities (HEPA). The association between green open space and physical activity has been a subject of numerous studies, most of them focusing on factors affecting the use of green space for HEPA. However, there are inconsistencies among studies about associations between spatial characteristics of a public open space (e.g. size, distance, safety, quality) and HEPA. This presents a struggle for urban designers and policy makers to develop and implement evidence-based guidelines for designing green open spaces to promote HEPA. Slovenian planning and management plans are no exception to this. In order to effectively overcome this shortfall, we developed an approach and methodology combining current knowledge, planning evaluation and an empirical study.
Accordingly, we conducted a comprehensive analysis of current national legislation and documents related to public health, physical activity promotion and spatial planning. We also carried out workshops, focus groups, and discussions with relevant public health experts, decision makers and planners. To assess the practical relevance of the factors identified by experts and research literature, we tested the proposed approach and guidelines on a pilot study in the municipality of Kocevje, which is the largest Slovenian municipality, characterized by one town (Kocevje) and a number of small villages. Pilot study encompassed analysis of the municipality documents and spatial plans, spatial analyses, a survey among 176 residents of the municipality, and interviews with relevant representatives of local authority.
The analysis of the planning plans showed that there is not one single official document which would stress the importance of green open space for HEPA, either on strategic or implemental level. Furthermore, the pilot study proved great differences between the town and surrounding villages, the town being insufficient in supply of green spaces suitable for walking or cycling, whilst villages were lacking open spaces as a setting where people could engage in physical activity.
Based on the results, we underline the importance of the topic integration into planning documents and propose guidelines to achieve this.
O7-5 School-based interventions to reduce accelerometer based children's sedentary time: presentation of a systematic review
Authors: Bernal Caroline , Lhuisset Lena , Fabre Nicolas , Bois Julien 
Published: August 2022

Abstract

Background
Sedentary time (ST) is considered as a major public health concern. Children are particularly vulnerable as their ST increase with age. Therefore, school-based interventions aimed to reduce and prevent children ST are burgeoning. Previously a review found that school-based interventions proposing multiples components which include standing desks appeared to be more effective compared to uni-component studies (Hegarty et al., 2016). However, this result only depended on 11 records published before 2016 and must be verified since the growing number of school-based interventions are proposed.
Objective: To continue the evaluation of the effectiveness of school-based interventions published since the previous review (2016).

Methods
A total of 4 databases were examined: PubMed-Medline, PsycINFO, ScienceDirect and Google Scholar. The search was conducted using keywords in English, the main ones being: 1) “Sedentary Time” 2) “Intervention” 3) “Child”, 4) “School”. Records published between August 2016 and August 2019 with objective measure of ST were analysed. Data were collected and compiled by an author according to PRISMA criteria.

Results
14 studies were included: 9 studies were multi-components (64%) and 5 were uni-component (36%). The method of measurement used in all studies was accelerometry. Environmental and organizational changes were the most used components. Among fourteen, nine studies reported significant results on post-intervention: respectively, with three being uni-component and six being multi-components. The long-term effect remain undetermined.

Conclusion
Uni component studies used only environmental reorganization which reduces ST in the short term. This finding had already been supported in previous interventions studies using standing desks that had been identified by the last systematic review (Aminian et al., 2015; Clemes et al., 2016). The uni- and multi-components studies do not differ clearly in the results obtained. However, multi-components interventions seem to be the more promising strategy to reduce ST and to develop healthy habits at long term. Interventions with follow-up measures at long term are required.
O8-4 The effect of The Daily Mile on primary school children's aerobic fitness levels after 12 weeks: a controlled trial
Authors: de Jonge Maxine , Slot-Heijs Jorien , Prins Rick , Singh Amika 
Published: August 2022

Abstract

Background
The Daily Mile is a school-based physical activity intervention that aims to improve children's aerobic fitness levels. It encompasses a 15-minute run for the whole class on or around the school grounds at least three times per week. The Daily Mile is an easy and accessible intervention, but the downside is a low threshold to stop or skip a session. Therefore, we aimed to determine 1) the effects of performing The Daily Mile for 12 weeks on the aerobic fitness levels of Dutch primary school children and 2) if additional personal support for teachers impacted the effectiveness of The Daily Mile.

Methods
We conducted a controlled trial in grades 5 through 8 of nine primary schools across the Netherlands. Schools were allocated to control, intervention (12 weeks The Daily Mile) or intervention-plus (12 weeks The Daily Mile and additional support) group. Children completed the shuttle-run test (SRT) at baseline and follow-up, 12 weeks apart. We analyzed the data using multi-level linear regression models clustered within individuals and by classes and schools. All models were adjusted for sex and age.

Results
We collected complete data sets for 536 children (mean age 10.0 years). The participation rate of classes in the intervention group was 87.8% and in the intervention-plus group 89.7%. After correcting for age and sex, the adjusted model showed a significant intervention effect on SRT-score after 12 weeks for both the intervention group (1.1 stages; 95% CI 0.75, 1.47) and the intervention-plus group (0.6 stages; 95% CI 0.32, 0.89), when compared to the control group.

Conclusion
Performing The Daily Mile at least three times per week for a 12 week period can be effective in increasing the aerobic fitness levels of primary school children. Additional personal support for teachers did not improve the effectiveness of the intervention on aerobic fitness within this time frame. This may be due to the high implementation rates in both the intervention group and the intervention-plus group. Possibly additional personal support might become beneficial for maintenance on the longer term.
O8-8 Foundation of Move Healthy: athletic skill development in children from a motor learning perspective
Authors: Benjaminse Anne 
Published: August 2022

Abstract

Background
In the European Union, 6.1 million people are being treated in hospital annually for a sports injury. Of this, 31% of these injuries affect young people (15-24 years). Injury incidence, medical and lost productivity costs can be reduced by promoting a healthy and active lifestyle, where attention is paid to primary injury prevention. However, after two decades of initiatives, traditional injury prevention prevention programs seem effective in the short-term and controlled study settings, but have not decreased long-term injury incidence. One reason for this is the content of the exercises, currently being mainly ?closed and static? exercises. These exercises don't reflect real-world situations where unexpected and automatic movements are required involving complicated motor control adaptations. In addition, physical educators (PE) and trainers/coaches (TC) neither experience current exercises as being context specific and contributing to their training goals. To overcome this implementation gap, the purpose of the MoveHealthy project is to create exercise routines PE and TC can use, where children acquire the ability to sustain optimal automatic motor control while engaging in complex athletic, unpredictable environments (e.g. movement of another child, or a ball), whilst minimising their risk to sustain an injury.

Methods
Exercise routines (3 for primary and 3 for secondary education, 3 for soccer and 3 for basketball) were co-created with the end-users (PE & TC) and their wishes and needs have been incorporated. Furthermore, to train the complex task-person-environmental interaction, real-world aspects such as visual-motor control where quickly processing environmental cues and anticipation and decision is crucial, was included into all conceptual considerations.

Results
Twelve prototype exercises have been developed. Merging theoretical foundations of motor learning and wishes and needs of end-users made it possible to create exercises that serve both needs.

Conclusions
The development of these prototype exercises guides towards further validation and final development of innovative exercise routines where real-world aspects are incorporated. With this, we will better ensure real-world effects of injury reduction.

Acknowledgements
This project is financially co-funded by the Erasmus+ Sport program from the European Union.
O9-8 Here, you step outside and you're into nature' Physical activity and health among first-generation Italian immigrants in Norway
Authors: Calogiuri Giovanna , Terragni Laura 
Published: August 2022

Abstract

Background
Moving to a different country often leads to changes in a person's health-related behaviours such as, among others, engagement in moderate-to-vigorous physical activity (MVPA). Italian immigrants in Norway have tripled in the past 15 years, but little is known about their lifestyle and health. The aim of this study was to examine i) the MVPA behaviour, ii) the association of MVPA with self-rated health, and iii) the perceived impact of moving among first-generation Italian immigrants in Norway.

Methods
The data was retrieved from a cross-sectional survey (n = 321) and a set of in-depth interviews (n = 14) conducted within the study Mens Sana in Corpore Sano. Inclusion criteria were: age ≥18 years, living in Norway permanently, having lived in Italy at least until age 16 years. The data included information on the participants' MVPA behaviour (amount, frequency, and mode), self-rated health, and perceived impact of moving on their MVPA behaviour. Additionally, socio-demographic characteristics (sex, age, and educational level) and factors associated with the settlement process (years in Norway, contact with close friends, and national identity) were included as covariates.

Results
Most of the respondents (62%) engaged in MVPA for ≥150 min/week; the mean MVPA frequency was 3.37±2.29 times/week. The most popular modes of MVPA were active transport and physical activity in natural settings. After controlling for multiple covariates, both engaging in MVPA for ≥150 min/week (β = 0.177; p = 0.002) and higher MVPA frequency (β = 0.164; p = 0.005) significantly predicted higher levels of self-rated health. While 15% of respondents perceived that moving to Norway had a negative impact on their MVPA behaviour, 50% perceived a positive impact. From the qualitative analysis, it emerged that proximity to natural environments and Norway’s culture that value outdoor recreations were important elements supporting the participants’ MVPA habits as well as their perceived health.

Conclusions
In spite of the relatively high socio-economic profile of most first-generation Italian immigrants in Norway, yet their MVPA levels is somewhat lower than the Norwegian population's. The physical and cultural environment in Norway, however, appears to contribute buffering the health challenges among Italian immigrants in Norway.
P01-03 Movement and physical activity in early childhood education and care in the Nordic countries
Authors: Sollerhed Ann-Christin , Olesen Line Grønholt , Soini Anne , Sääkslahti Arja , Kristjánsdóttir Gudrún , Vilhjálmsson Rúnar , Fjørtoft Ingunn , Larsen Robert , Ekberg Jan-Eric , Froberg Karsten 
Published: August 2022

Abstract

Background
The World Health Organization (WHO) acknowledges the importance of preschool children taking part in comprehensive physical activities supporting, among other things, their motor development, and competencies. A growing number of children attend early childhood education and care (ECEC), and expectations that this will support the development and learning of the youngest children are high. ECEC are governed by different policies embodied in both laws and curricula, and the framework of a curriculum plays a key role in ensuring the quality of ECEC services. The documents represent the content society wants the ECEC institutions to disseminate, and set out the values, objectives, and content of the work of pre-school teachers and serve as a point of reference for ECEC teachers and schools. The purpose of this study was to examine the values of movement and physical activity (MoPA) using government policy documents ECEC from Denmark, Finland, Iceland, Norway, and Sweden.

Methods
This descriptive, comparative study was designed based on curriculum theory and used word count and content analyses to examine values of MoPA and to identify similarities and differences in the ECEC policies of Nordic countries.

Results
Seven terms were identified as MoPA related; body, motor, move, physical activity, physical education, coordination, idrott/liikunta. These terms occurred in various content contexts: development, environment, expression, health and well-being, learning and play, albeit sparsely and were referred to as both a goal in itself and as a mean of achieving other goals (e.g., learning or development in another area). Formulations dedicated to MoPA as a goal were present in the Danish and Finnish curricula and, to some extent, also in the Norwegian, while the Icelandic and Swedish curricula mentioned MoPA only as a mean.

Conclusion
Findings indicated that MoPA, which are important for children's development, health, and well-being, is a low-priority value, to varying degrees, in the ECEC policies enacted by the Nordic countries. Thus, the guidance provided to educators and stakeholders therein is inexplicit. The low priority of the MoPA domain in the ECEC policies might negatively affect the possibility for young children to be physically active in preschools.
P01-12 The Netherlands united by sport: implementtion and monitoring of the national sports agreement in 2019
Authors: Wendel-Vos Wanda , van den Berg Lilian , van der Poel Hugo 
Published: August 2022

Abstract

Issue/problem
The favorable international position of the Netherlands in terms of sport an physical activity is no reason for those involved in policy to lean back. The motor skills of our children are decreasing, some population groups never engage in sports, respectful behavior in sports needs our attention and the traditional sports clubs are under pressure due to declining numbers of members and volunteers. To tackle these issues, for the first time in history, the Netherlands have a National Sports Agreement (NSA) involving a numerous set of stakeholders besides the national government.

Description of the problem
Through the NSA, we want to make sport enjoyable for everyone. Now and in the future, without any restrictions and in a safe and healthy environment. The sports infrastructure will be strengthened at every level: locally, regionally and nationally. Policy makers want to involve communities of practice and knowledge from monitoring and science in order to be able to adjust policy on the short term and create a ‘self-learning' policy process.

Results
Local and regional stakeholders were invited to strengthen and start collaboration and compose local and regional sports agreements in line with the NSA which has six main ambitions: inclusive sport, sustainable sports facilities, vital providers, positive sports culture, enjoying exercise from an early age and elite sport inspires. As registered on 08-11-2019, 339 out of the 355 municipalities in the Netherlands have started work on a local sports agreement. Thirty nine local agreements were already in place covering 45 municipalities. From the national level, vouchers are made available for local stakeholders to facilitate implementation of particular interventions within a certain ambition on the local level. A consortium of national knowledge institutes provided local policy makers with training sessions facilitating them to incorporate local data, facts and figures in the local sports agreements. Twice a year, National Parliament is informed about the efforts taken and results obtained. On a continuous basis, for every ambition, a set of indicators is disseminated through the website www.sportenbewegenincijfers.nl