Journal of physical activity & health最新文献

{"title":"Associations of Device-Measured Activity Behaviors With Health-Related Quality of Life in Patients With Metabolic Dysfunction-Associated Steatotic Liver Disease.","authors":"Hadeel F Saad, Khalid A Alswat, Sulaiman Omer Aljaloud, Maram Alkhamash, Amani Alsadoon, Abdullah Bandar Alansare","doi":"10.1123/jpah.2025-0522","DOIUrl":"https://doi.org/10.1123/jpah.2025-0522","url":null,"abstract":"<p><strong>Purpose: </strong>To examine associations of device-measured activity behaviors with overall, physical, and mental health-related quality of life (HRQoL) in patients with metabolic dysfunction-associated steatotic liver disease (MASLD).</p><p><strong>Methods: </strong>This cross-sectional study included 101 patients (50.0 y, 57.43% male) with MASLD who routinely visited hepatology clinics. Participants wore wActiSleep-BT accelerometers on their nondominant wrist for 7 days to measure their sedentary behavior (in hours per day), light physical activity (PA; in minutes per day), moderate-to-vigorous PA (in minutes per day), and the Physical Activity and Sitting Time Balance Index. The Chronic Liver Disease Questionnaire for Nonalcoholic Fatty Liver Disease was utilized to assess overall, physical, and mental HRQoL. Adjusted multiple and multivariable linear regression assessed the relationships between activity behaviors and HRQoL.</p><p><strong>Results: </strong>Complex relationships were observed such that higher sedentary behavior or moderate-to-vigorous PA were independently correlated with poorer overall, physical, or mental HRQoL (beta ranged between -0.09 and -0.118, P < .05). Conversely, higher light PA was independently associated with improved overall (β = 0.005, P = .021) and physical (β = 0.015, P = .006) HRQoL. Physical Activity and Sitting Time Balanced Index indicated that higher total PA combined with lower sedentary behavior was correlated to enhanced physical HRQoL (β = 0.033, P = .034).</p><p><strong>Conclusions: </strong>These findings signify the importance of incorporating activity behavior interventions in MASLD treatment strategies to enhance patient-reported outcomes, particularly HRQoL. Still, further prospective research with more robust designs and addressing the current limitations is warranted to achieve more thorough insights into the relationships between different activity behaviors and HRQoL in patients with MASLD.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-9"},"PeriodicalIF":2.6,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adolescent Leisure-Time Physical Activity Types and Adult Mental Disorders.","authors":"Kelcie Miller, Brooklyn J Fraser, Seana L Gall, Kristy Sanderson, Terence Dwyer, Alison Venn, Verity Cleland","doi":"10.1123/jpah.2025-0378","DOIUrl":"https://doi.org/10.1123/jpah.2025-0378","url":null,"abstract":"<p><strong>Background: </strong>Adolescent leisure-time physical activity has been linked to favorable mental health outcomes in adulthood; however, the role of specific activity types remains unclear. This study aimed to determine if adolescent engagement in specific leisure-time physical activity types is associated with adult mental disorders.</p><p><strong>Methods: </strong>Data were obtained from the Childhood Determinants of Adult Health (CDAH) cohort; a 34-year Australian longitudinal study. Leisure-time physical activity at ages 15-19 years was assessed at CDAH-1 (ages 26-36 y) using the Historical Leisure Activity Questionnaire. Activities were classified into 16 groupings and further categorized as team or individual. Mood and anxiety disorders, as defined by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, were assessed at CDAH-1, CDAH-2 (ages 31-41 y), and CDAH-3 (ages 36-49 y) using the World Health Organization Composite International Diagnostic Interview. Participants with reported onset of a mood/anxiety disorder before age 15 were excluded to minimize reverse causation.</p><p><strong>Results: </strong>Among 2150 participants, adolescent team-based activities were associated with a lower risk of adult mood or anxiety disorders particularly in females. Activity-specific analyses indicated that participation in ball and hoop activities in females, and football and surf sports in males, were associated with a lower risk of adult mood or anxiety disorders. In contrast, cycling in females was associated with an increased risk of mood disorders.</p><p><strong>Conclusions: </strong>Adolescent participation in particular leisure-time physical activities was associated with a lower risk of adult mental disorders, with differences observed by sex. These findings contribute to evidence that early engagement in physical activity may support long-term mental well-being.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-11"},"PeriodicalIF":2.6,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bidirectional Association Between Movement Behavior Composition and Body Composition in Children With Motor Coordination Difficulties and Typical Motor Development.","authors":"Matthew Bourke, Kathryn Fortnum, Martin O'Flaherty, Sara King-Dowling, Shelley E Keating, Denver M Brown, Gregore I Mielke, Matthew Y Kwan","doi":"10.1123/jpah.2025-0875","DOIUrl":"https://doi.org/10.1123/jpah.2025-0875","url":null,"abstract":"<p><strong>Background: </strong>The cross-sectional association between movement behaviors and body composition in children is well established, but evidence of directionality is lacking. This study examined bidirectional associations between wake-time movement behavior and body composition and whether associations differed between children with typical motor development and motor coordination difficulties.</p><p><strong>Methods: </strong>Waist-worn accelerometers assessed sedentary time, light-intensity physical activity, and moderate- to vigorous-intensity physical activity at baseline (aged 4-5 y) and annually for 3 years among 475 children from the Coordination and Activity Tracking in CHildren cohort study (n = 175 with motor coordination difficulty, n = 283 boys). Annual assessments included height, weight, waist circumference, percentage body fat via bioelectric impedance analysis, and motor coordination using the Movement Assessment Battery for Children-Second Edition. Wake-time movement behaviors were expressed as isometric log-ratio coordinates, and associations with body composition were examined using cross-lagged panel models of compositional data, including compositional isotemporal substitution analysis.</p><p><strong>Results: </strong>Children with higher body mass index z scores, larger waist circumference, and higher body fat percentage prospectively engaged in less healthy movement behavior compositions characterized by more sedentary time and less moderate- to vigorous-intensity physical activity. Overall movement behavior compositions were not significantly prospectively related to body composition, although several specific isotemporal substitution associations were observed. Estimated associations did not significantly differ between children with typical motor development and those with motor coordination difficulties.</p><p><strong>Conclusion: </strong>These findings suggest that children's body composition may influence future movement behaviors, demonstrating the importance of behavior change interventions targeting children with overweight or obesity to promote healthy movement behavior combinations and overcome widening disparities over time.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-10"},"PeriodicalIF":2.6,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical Activity Participation Among Culturally and Linguistically Diverse Women in Australia: An Equity-Focused Commentary.","authors":"Kaushik Talukdar, Reza Mortazavi","doi":"10.1123/jpah.2026-0128","DOIUrl":"https://doi.org/10.1123/jpah.2026-0128","url":null,"abstract":"","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-2"},"PeriodicalIF":2.6,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Approaches to Confounder Selection in Observational Studies Investigating Associations Between Physical Activity and Health-Related Outcomes: A Review.","authors":"Terry Boyle, Leonessa Boing, Barbara Jefferis, Shaea Alkahtani, Derrick A Bennett, Elli Kontostoli, Matthew Mclaughlin, Aoko Oluwayomi, Kabir P Sadarangani, Philip von Rosen, Stephanie A Prince, Lin Yang, Yuzi Zhang, Brigid M Lynch","doi":"10.1123/jpah.2025-0744","DOIUrl":"https://doi.org/10.1123/jpah.2025-0744","url":null,"abstract":"<p><strong>Background: </strong>There are many different confounder selection approaches. It is considered best practice, and recommended by reporting guidelines, that the choice of confounders is described and justified. We aimed to describe practices in confounder selection in epidemiological studies using observational data to investigate the effect of physical activity-related exposures on health-related outcomes.</p><p><strong>Methods: </strong>A structured search strategy was used to identify studies estimating the effect of a physical activity-related exposure on a health-related outcome using individual-level observational data, published in 2021-2022. A total of 1353 articles were identified in the screening process, 300 of which were randomly selected for full-text screening and data extraction. Data extracted included the approach(es) used to select confounders and study characteristics.</p><p><strong>Results: </strong>Of the 300 selected articles, 279 were eligible. Most (61%) did not describe their approach to choosing confounders. Around a quarter (27%) of studies used a confounder selection approach based on prior knowledge or theory, and a further 3% used a directed acyclic graph. The remaining studies (9%) used only a data-driven approach.</p><p><strong>Conclusions: </strong>Most published studies aiming to estimate the effect of physical activity-related exposures on health-related outcomes do not report the method used to choose confounders. This goes against reporting guidelines and negatively impacts transparency and reproducibility. These results suggest that more awareness and professional development of confounder selection methods are required among people conducting observational studies in physical activity epidemiology and that greater adherence to reporting guidelines is required by study authors, reviewers, and journal editors.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-7"},"PeriodicalIF":2.6,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility, Acceptability, and Preliminary Impact of an Online Latina Mother-Daughter Physical Activity Intervention.","authors":"Elva M Arredondo, Jennifer L Schneider, Marisa S Torres-Ruiz, Victoria M Telles, Katie Butte, Oliva Lafuente, Taynara Formagini, Athena Cisneroz, Scott C Roesch, Tom Baranowski, Guadalupe X Ayala","doi":"10.1123/jpah.2025-0646","DOIUrl":"https://doi.org/10.1123/jpah.2025-0646","url":null,"abstract":"<p><strong>Background: </strong>Latina girls have low rates of moderate to vigorous physical activity (PA) compared with their male counterparts and non-Hispanic White girls. The current study examines the feasibility, acceptability, and preliminary impact of Conmigo, a mother-daughter PA intervention for preadolescent Latinas (ages 8-11) delivered online.</p><p><strong>Methods: </strong>Seventy-nine mother-daughter dyads were recruited. Dyads were randomized to a PA intervention or a delayed, abbreviated control condition. The PA intervention consisted of 12 weekly 1.5-hour virtual PA sessions. Feasibility was measured by the delivery, receipt, and enactment of the intervention; acceptability was measured by satisfaction in surveys and interviews in the PA intervention condition. PA and associated secondary outcomes were measured at baseline and follow-up (12 wk) using accelerometry and self-report.</p><p><strong>Results: </strong>Most mothers had some college education (63.3%), and 44.3% worked full time; most daughters were US-born (91.1%) compared with mothers (38.0%). Program fidelity was high (81%-95%) with a mean attendance of 6.2 (SD = 4.6) across 12 sessions. Satisfaction was high (mean = 4.6, SD = 0.8). Qualitative findings indicated that the curriculum met families' needs. No significant changes were observed in daughters' accelerometer-assessed or self-reported PA. A marginal improvement (B = 0.37, P < .05) was found in limit-setting behavior; other parenting outcomes and dyadic effects were nonsignificant.</p><p><strong>Conclusions: </strong>Qualitative and quantitative findings were not fully aligned regarding feasibility, acceptability, and preliminary impact of the online Conmigo program. Nonetheless, online mother-daughter PA interventions may represent a scalable strategy to have high reach among Latino families.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-10"},"PeriodicalIF":2.6,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does a Menstrual State and Hormonal Contraception Use Determine Exercise Participation? A Study of 8060 Exercising Women.","authors":"Emily Bowring, Jessica Hill, Amal Hassan, Emily Cushion, Jamie Tallent, Charles R Pedlar, Georgie Bruinvels","doi":"10.1123/jpah.2025-0746","DOIUrl":"https://doi.org/10.1123/jpah.2025-0746","url":null,"abstract":"<p><strong>Background: </strong>Menstrual states and hormonal contraceptive (HC) use may affect athletic training and performance. The prevalence of different menstrual states, menstrual dysfunctions, and HC use is not well established in the exercising population. This study aims to describe this, as well as identify the impact that menstrual states may have on training and performance.</p><p><strong>Methods: </strong>8060 premenopausal women, aged 18 years or over, from 6 territories were recruited through the STRAVA™ exercise app. An online survey was completed to understand current menstrual states, HC use, current exercise volume, and perceived influence of the menstrual cycle on training and competition.</p><p><strong>Results: </strong>The most prevalent menstrual state was amenorrhea (42.1%), and HC was used in 39.7% of participants. The occurrences of oligomenorrhea (14.5%), nonhormonal IUD (NonH IUD) (6.0%), amenorrhea (4.4%), and polymenorrhea (1.1%) were comparatively lower. HC users were significantly less likely to miss/change training compared with amenorrhea (P < .001) or polymenorrhea (P = .035) cycles. HC users were significantly less likely to miss a race/event/competition than those with a eumenorrheic cycle (P < .001) or amenorrhea (P = .021). Those with polymenorrhea were significantly more likely to miss a race/event/competition than those with a eumenorrheic cycle (P = .032), oligomenorrhea (P < .001), HC users (P < .001), or NonH IUD users (P = .017). Ovarian cysts (11.3%) and polycystic ovarian syndrome (7.9%) were the most reported forms of menstrual dysfunctions.</p><p><strong>Conclusions: </strong>Most participants were eumenorrheic or using hormonal contraception. Having polymenorrhoea or amenorrhea was associated with an increased likelihood of negative outcomes on exercise participation. Those using HC were less likely to miss/change training.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-8"},"PeriodicalIF":2.6,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Physical Activity and Barriers to Exercise in Transgender and Gender-Diverse Adults Initiating or Continuing Gender-Affirming Hormone Therapy.","authors":"Emily Miro, Masaru Teramoto, Brett Toresdahl","doi":"10.1123/jpah.2025-0518","DOIUrl":"https://doi.org/10.1123/jpah.2025-0518","url":null,"abstract":"<p><strong>Background: </strong>Little is known about physical activity and barriers to exercise in transgender and gender diverse (TGD) adults. We examined the impact of gender-affirming hormone therapy (GAHT) on exercise comfort and perceived barriers to physical activity.</p><p><strong>Methods: </strong>An online survey was distributed to TGD adults initiating or continuing GAHT at a primary care clinic. Comfort with exercise and agreement with statements describing potential barriers to physical activity were assessed using Likert scales. Pre- and post-GAHT comfort levels were compared using Wilcoxon signed-rank tests, and association with psychosocial variables was examined using Spearman correlations.</p><p><strong>Results: </strong>Among 111 participants, comfort exercising at home increased significantly after GAHT (58%-88%, P < .001), while discomfort in sports leagues increased (68%-85%). Fear of harassment or bullying was significantly associated with greater declines in comfort in public gyms (ρ = -.295, P = .006) and sports leagues (ρ = -.397, P < .001). In gender-stratified analyses, all groups reported increased comfort at home, but transgender women uniquely experienced declines in public gym (P = .002) and sports league comfort (P < .001).</p><p><strong>Conclusions: </strong>TGD respondents reported increased comfort exercising at home and decreased comfort exercising in sports leagues post-GAHT. Barriers included fear of acceptance, harassment, and body discomfort. Post-GAHT changes in exercise comfort appear strongly influenced by psychosocial factors and setting-specific concerns, particularly for transgender women. These findings highlight the need for safer, affirming exercise environments and targeted strategies to reduce harassment and enhance access to physical activity for TGD adults.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-5"},"PeriodicalIF":2.6,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of Digital Resources to Support the Implementation of the Physical Activity Advice Continuum: The Right Advice, in the Right Setting, at the Right Time.","authors":"Jessica Hill, Stephen Barrett, Jess Seymour, Kimberley Szeto, Emily R Cox, Roger Lay, Catherine M Capio, Nicole Freene, Sjaan Gomersal","doi":"10.1123/jpah.2025-0822","DOIUrl":"https://doi.org/10.1123/jpah.2025-0822","url":null,"abstract":"<p><strong>Background: </strong>Physical activity promotion by health professionals and other health care workers is an underutilized opportunity to address physical inactivity. To support clinicians to provide the right advice, in the right setting, and at the right time, this project aimed to develop and test the usability and acceptability of digital resources supporting the translation of the physical activity advice continuum.</p><p><strong>Methods: </strong>This project was conducted in 2 phases. In phase 1, 2 focus groups were completed to support the development of digital resources. In phase 2, an online survey and individual interviews were completed to test the usability and acceptability of digital resources.</p><p><strong>Results: </strong>In phase 1, 8 health professionals participated in 2 focus groups, resulting in a list of refinements to the original physical activity advise continuum to support its translation. In phase 2, 62 allied health, nurses, and medical professionals participated in an online survey, and 4 health professionals and 4 health care consumers participated in individual interviews. Findings revealed that while participants saw potential in the use of the digital resources, there was a need for further clarity regarding the purpose of the tool, as well as further consideration regarding how the tool could be used by different professionals. Recommendations provided were applied.</p><p><strong>Conclusions: </strong>The physical activity advice continuum digital resources have the potential to improve the physical activity promotion practices of health professionals and health care workers. Further research is required to establish who these resources are best suited for, and the extent to which they influence practice.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-10"},"PeriodicalIF":2.6,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Participation in Group-Based Exercise During Adolescence and Physical Activity in Older Age.","authors":"Momoka Watanabe, Kenjiro Kawaguchi, Kazushige Ide, Katsunori Kondo, Taishi Tsuji, Satoru Kanamori, Mitsuya Yamakita, Atsushi Nakagomi","doi":"10.1123/jpah.2025-0707","DOIUrl":"https://doi.org/10.1123/jpah.2025-0707","url":null,"abstract":"<p><strong>Objective: </strong>This study examined whether adolescent group-based exercise is associated with walking time and sports group participation in older age and explored sensitive period and accumulation models.</p><p><strong>Methods: </strong>Cross-sectional data were drawn from the 2016 Japan Gerontological Evaluation Study, including 19,249 community-dwelling individuals aged ≥ 65. Group-based exercise was retrospectively assessed and defined using 3 approaches. First, exposure was participation at ages 13-18. Second, to isolate adolescent participation, we included only those active at ages 13-18. Third, an accumulation score was calculated by summing participation across 5 periods. Outcomes included walking ≥30 minutes per day and weekly sports group participation. Adjusted prevalence ratios were estimated using modified Poisson regression. Stratified analyses were conducted by sex and adolescent living standard.</p><p><strong>Results: </strong>Adolescent group-based exercise was associated with walking ≥30 minutes per day (prevalence ratio: 1.04; 95% CI, 1.02-1.06) and weekly sports group participation (1.18; 95% CI, 1.11-1.25) in older age; associations were consistent across sex and adolescent living standard. Individuals who exercised only during adolescence still had higher activity levels in later life, supporting the sensitive period model. A greater number of life stages with participation was associated with higher later-life activity, supporting accumulation.</p><p><strong>Conclusion: </strong>Participating in group-based exercise during adolescence is associated with greater walking time and sports group participation in later life. Both adolescent exposure and cumulative engagement contribute to this association. Promoting equitable access to organized sports during adolescence and ensuring opportunities for organized physical activity across life stages may support greater walking time and sports group participation in older age.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-9"},"PeriodicalIF":2.6,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}