Journal of physical activity & health最新文献

{"title":"Physical Activity Promotion in Extremely Rural Districts: An Analysis of Facilitators and Barriers in 13 Rural Districts of Bavaria.","authors":"Maike Till, Karim Abu-Omar, Sarah Klein, Anna Chalkley, Adriana Isabel Pinedo Carrillo, Stephen Whiting, Romeu Mendes, Peter Gelius","doi":"10.1123/jpah.2024-0486","DOIUrl":"https://doi.org/10.1123/jpah.2024-0486","url":null,"abstract":"<p><strong>Background: </strong>Physical activity (PA) is a fundamental determinant of health, but governments face challenges promoting it. This holds particularly true for rural areas, which are home to a third of the population in the European Union. This study explores (1) to whom local government officials in extremely rural districts attribute the responsibility for PA promotion and (2) which barriers and facilitators they encounter when attempting to implement PA promotion projects.</p><p><strong>Method: </strong>We conducted semistructured interviews with 24 officials responsible for PA promotion across 13 districts in the German state of Bavaria. Qualitative content analysis was applied to identify the allocation of responsibilities, as well as facilitators and barriers for rural PA promotion.</p><p><strong>Results: </strong>Respondents characterized PA promotion in extremely rural areas as a multisectoral endeavor, considering sport clubs as central to program implementation and local governments as key providers of PA-friendly infrastructures. They named policymakers' awareness for the issue, strong political support for project implementation, and well-established networks with external collaboration partners as important facilitators of PA promotion. Limited human and financial resources, requirements of funding schemes, inadequate infrastructures, and political challenges were identified as main barriers.</p><p><strong>Conclusion: </strong>Results indicate that rural municipalities in Germany may require specially tailored funding schemes and PA promotion programs to strengthen existing structures, overcome barriers, and support local development. While confirming general findings from previous international research, this study may still provide important specific guidance for policymakers to improve PA program implementation outside of urban population centers in central Europe.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-9"},"PeriodicalIF":2.9,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078556","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":"Changes in Step-Defined Physical Activity by Occupation: The National Health and Nutrition Survey of Japan 2001-2019.","authors":"Noritoshi Fukushima, Shiho Amagasa, Hiroyuki Kikuchi, Rei Ono, Shigeru Inoue","doi":"10.1123/jpah.2024-0702","DOIUrl":"https://doi.org/10.1123/jpah.2024-0702","url":null,"abstract":"<p><strong>Background: </strong>Accumulating more steps/day provides considerable health benefits; however, studies of steps/day trends among a working population are quite limited. Moreover, steps/day trends may differ among occupations. We aimed to assess changes in steps/day by occupations in the Japanese working population.</p><p><strong>Methods: </strong>Workers aged 20-65 years were identified from the Japanese National Health and Nutrition Examination Survey conducted between 2001 and 2019. Steps/day were assessed using a pedometer. Occupations with or without income were categorized as professionals, managers, and clerks; sales workers, service workers, protective service workers, and agricultural/forestry/fishery workers; transport/machine operators; manufacturing/construction/cleaning laborers; homemakers; and unemployed individuals. Steps/day per decade were compiled for 2001-2010 and 2011-2019, and differences in age-adjusted steps/day between 2001-2010 and 2011-2019 were evaluated by an analysis of covariance.</p><p><strong>Results: </strong>A total of 105,492 workers among occupational categories were analyzed. Changes in age-adjusted steps/day (95% CI) per decade among occupations with income ranged from -873 (-1426 to -321) to 352 (-19 to 722) while those for homemakers and the unemployed ranged from -766 (-875 to -677) to -659 (-890 to -429). Only transport/machine operators did not reduce their steps/day (Δ = 352 [-19 to 722]); all other occupations significantly decreased their steps/day. Among occupations with income, the largest decrease was observed in protective service workers, followed by clerks. Moreover, clerks remained the occupational group with the lowest amount of steps/day in both periods.</p><p><strong>Conclusions: </strong>Most included occupations reduced their steps/day, and the degree of change varied widely among occupations. Further promotion of steps/day is warranted, especially for clerks.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-10"},"PeriodicalIF":2.9,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004893","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 and Survival After an Acute Coronary Syndrome: Data From the ERICO Study.","authors":"Carlos Alberto Treff, Gisela Tunes da Silva, Alessandra Carvalho Goulart, Alexandre Costa Pereira, Paulo Andrade Lotufo, Isabela Martins Bensenor, Itamar de Souza Santos","doi":"10.1123/jpah.2024-0138","DOIUrl":"https://doi.org/10.1123/jpah.2024-0138","url":null,"abstract":"<p><strong>Background: </strong>Due to enhancements in health care, the number of individuals who survive an acute coronary syndrome (ACS) event is rising. In this population, the impact of physical activity on long-term survival is still a matter of debate. We aimed to analyze the association between the level of physical activity during the first 4 years of follow-up and survival.</p><p><strong>Methods: </strong>We analyzed data from 692 patients admitted due to an ACS event in a community hospital in Brazil. Physical activity was assessed using the long version of the International Physical Activity Questionnaire at 30 days, 180 days, and yearly after the first event. Mortality data were obtained using phone contacts, medical records, and official death documents. We built time-dependent Cox proportional hazard models to analyze whether physical activity levels during follow-up were associated with survival.</p><p><strong>Results: </strong>Our main sample had 280 (40.5%) women and a mean age of 62.6 (12.5) years. In all assessments, 50.8% to 74.9% of study participants had physical activity levels below recommendations for healthy individuals. Physical inactivity increased the risk of death (hazard ratio [HR], 1.82; 95% confidence interval, 1.13-2.92). There was no statistically significant survival difference between insufficiently active and active participants.</p><p><strong>Conclusions: </strong>Many individuals who survive an ACS event have poor physical activity levels. Physical inactivity after an ACS event significantly increases the risk of death. Our findings provide additional support to reinforce, in clinical practice, the benefits of physical activity in individuals who survive an ACS event.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-7"},"PeriodicalIF":2.9,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032442","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":"Effort Minimization and the Built Environment: Public Health Implications.","authors":"Boris Cheval, Silvio Maltagliati, Neville Owen","doi":"10.1123/jpah.2025-0194","DOIUrl":"https://doi.org/10.1123/jpah.2025-0194","url":null,"abstract":"<p><p>Promoting physical activity represents a major public health opportunity due to its significant impact on physical and mental health. Despite ongoing efforts, public health interventions often struggle to achieve sustainable behavioral changes. Instead of explicitly or implicitly attributing such failures to a lack of individual motivation, it is essential to consider the characteristics of contemporary environments that promote physical inactivity. We propose an explanatory framework that integrates the theory of effort minimization in physical activity with the postulates of the ecological model of physical activity behavior. According to theory of effort minimization in physical activity, humans have an innate tendency to avoid physical effort, making it difficult to adopt an active lifestyle in environments where opportunities to minimize effort are pervasive. Complementarily, the ecological model emphasizes the key role of built environment in providing behavior settings-those social and physical situations that can promote and sometimes demand certain actions and discourage or prohibit others. Building from the theory of effort minimization in physical activity, we suggest that redesigning the built environment so that being active is the default behavioral option, while ensuring that it elicits positive affective responses, could be a decisive strategy. Such an approach could not only increase physical activity levels across the population but also help to reduce gender differentials and sociospatial inequalities in participation.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-6"},"PeriodicalIF":2.9,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013109","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":"Working Women Walking Program: A Sequential Multiple Assignment Randomized Trial.","authors":"Susan W Buchholz, Manju Daniel, Spyros Kitsiou, Michael E Schoeny, Shannon Halloway, Tricia J Johnson, Sachin Vispute, JoEllen Wilbur","doi":"10.1123/jpah.2024-0790","DOIUrl":"https://doi.org/10.1123/jpah.2024-0790","url":null,"abstract":"<p><strong>Background: </strong>Different interventions have shown efficacy in improving physical activity in women. This study aimed to determine the most effective adaptive intervention combining 4 efficacious treatments (Fitbit, text messages, personal calls, and group meetings) for improving physical activity.</p><p><strong>Methods: </strong>The Working Women Walking program used a Sequential Multiple Assignment Randomized Trial (SMART) design with 3 phases: initial (weeks 1-8), augmented (weeks 9-34), and maintenance (weeks 35-50). Low-active women aged 18-70 working at an academic medical center were recruited. In the initial phase, participants were randomized to Fitbit or Fitbit + text messages. After 8 weeks, nonresponders were rerandomized to an augmented treatment (personal calls or group meetings). The primary outcomes (steps/day and minutes of moderate/vigorous physical activity [MVPA]/day via ActiGraph) were assessed at baseline and 8, 34, and 50 weeks.</p><p><strong>Results: </strong>The study had 301 women (age: 45.1 [11.6] y). During the initial phase, there were no differences by initial treatment for change in steps (P = .78) or MVPA (P = .60). During the augmented phase, there were no differences by augmented treatment among nonresponders for change in steps (P = .95) or MVPA (P = .78). A significant overall increase was seen in steps (752/d; P < .001, d = 0.56) and MVPA at 8 weeks (4.1 min/d; P < .001, d = 0.48), and this was sustained at 34 and 50 weeks.</p><p><strong>Conclusions: </strong>Text messages, personal calls, and group meetings did not lead to increased physical activity. Using Fitbit and goal setting (a constant) appeared to have some benefit for many of the women in improving physical activity.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-15"},"PeriodicalIF":2.9,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018242","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":"Impact of a Lifestyle Intervention Among Latina Women on Infant Birth and Anthropometric Measures: Pooled Analyses of 2 Randomized Controlled Trials.","authors":"Madhuri Palnati, Susan Park, Bess Marcus, Penelope Pekow, Milagros C Rosal, Corina Schoen, Tiffany A Moore Simas, Nicole VanKim, Lynnette L Sievert, Lisa Chasan-Taber","doi":"10.1123/jpah.2024-0401","DOIUrl":"https://doi.org/10.1123/jpah.2024-0401","url":null,"abstract":"<p><strong>Background: </strong>To assess the impact of a pregnancy and postpartum culturally modified, motivationally targeted, individually tailored intervention on infant outcomes among Latinas.</p><p><strong>Methods: </strong>We conducted a pooled analysis of 2 randomized controlled trials in Western Massachusetts: Estudio Parto (collected 2013-2017, analyzed 2018-2020, n = 203) and Proyecto Mamá (data collected 2014-2020, analyzed 2021-2022, n = 141) focused on pregnant Latinas (predominantly Puerto Rican) with abnormal glucose tolerance and prepregnancy body mass index in the overweight/obese range, respectively. Women were randomized in pregnancy to a Lifestyle Intervention (n = 167) focusing on healthy exercise and diet or to a comparison Health and Wellness Intervention (n = 177) with no mention of exercise or diet. The primary outcomes in both studies were birth weight, gestational age, birth weight-for-gestational-age z score, low birth weight, preterm birth, small-for-gestational-age, large for gestational age, macrosomia). Proyecto Mamá also assessed infant anthropometrics (ie, weight, length, sum and ratio of skin fold thickness, ponderal index) at 6 weeks of age. We used linear regression for continuous outcomes and logistic regression for dichotomous outcomes.</p><p><strong>Results: </strong>In modified intent-to-treat analyses, we observed no statistically significant impact of the Lifestyle Intervention on infant outcomes or anthropometric measures. For example, there was no difference in odds of small-for-gestational-age between intervention arms (odds ratio = 1.29; 95% confidence interval, 0.60-2.76).</p><p><strong>Conclusions: </strong>In these randomized trials among pregnant Latina women, we found that a culturally modified, individually tailored Lifestyle Intervention did not lead to a significant difference in infant birth weight outcomes or anthropometric measures when compared to the Health and Wellness control arm.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-11"},"PeriodicalIF":2.9,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032441","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":"Patterns and Determinants of Performance-Enhancing Drug Use Among Gym-Goers in Saudi Arabia.","authors":"Khalid Mubarak Orayj, Abdulaziz Ali Asiri, Asim Abdullah Alqahtani, Faisal Abdulaziz Alshareef, Nawaf Mohammed Nasser, Alanoud Abdulrahman Alshehri, Wajn Mohammed Aldaghar, Musab Abdulhadi Ghanem, Musaad Hasan Alzahrani, Sajwa Abdullah Alfifi, Azfar Athar Ishaqui","doi":"10.1123/jpah.2024-0841","DOIUrl":"https://doi.org/10.1123/jpah.2024-0841","url":null,"abstract":"<p><strong>Background: </strong>Despite the widespread use of performance-enhancing drugs (PEDs) particularly among gym-goers, the prevalence, motivations, and associated factors of PED use in Saudi Arabia remain under-researched. This study aims to explore the demographic characteristics, knowledge, and use of PEDs among gym-goers in Saudi Arabia to inform targeted interventions and promote safe practices.</p><p><strong>Method: </strong>This cross-sectional observational study was conducted among 903 gym-goers in Saudi Arabia. Participants were selected through a combination of convenience and purposive sampling. Data were collected using a structured questionnaire assessing demographic characteristics, gym visitation habits, and knowledge and use of PEDs.</p><p><strong>Results: </strong>The study found that the mean age of participants was 27.19 years (SD = 7.8). Among participants, 21.5% were current users of PEDs, and 10.3% had used them in the past. The prevalence of PED use was strongly associated with frequent gym visits (3 times a week: adjusted odds ratio = 3.574, 95% CI, 2.277-5.611, P < .001; 4 or more times a week: adjusted odds ratio = 3.645, 95% CI, 2.2-6.037, P < .001). In addition, 72.13% of PED users believed that PED use should be allowed in bodybuilding competitions, and 83.97% were willing to participate in drug testing programs. Around 64.3% of participants were aware of PEDs, with higher awareness significantly associated with educational attainment and frequent gym visits. However, other demographic factors such as gender, age, and employment status were not significant predictors in the adjusted analysis.</p><p><strong>Conclusion: </strong>The study reveals a decent prevalence of PED awareness and use among gym-goers in Saudi Arabia, particularly among those with higher educational levels and frequent gym visitation.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-9"},"PeriodicalIF":2.9,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031096","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":"Unsafe Streets, Inactive Lives: The Toll of Urban Violence on Physical Activity in Brazil.","authors":"Claudio Andre Barbosa de Lira, Thalles Guilarducci Costa, Marília Santos Andrade, Rodrigo Luiz Vancini, Rizia Rocha-Silva","doi":"10.1123/jpah.2025-0167","DOIUrl":"https://doi.org/10.1123/jpah.2025-0167","url":null,"abstract":"","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-2"},"PeriodicalIF":2.9,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143968516","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":"Lessons Learned and Call for Action From Building an International Consensus on Social Return on Investment Modeling of Physical Activity and Sport.","authors":"Inés Nieto, Xián Mayo, Larissa Davies, Lindsey Reece, Alfonso Jimenez","doi":"10.1123/jpah.2025-0174","DOIUrl":"https://doi.org/10.1123/jpah.2025-0174","url":null,"abstract":"<p><strong>Background: </strong>The Social Return on Investment (SROI) model has been applied to physical activity and sports (PAS) inconsistently in the past. In order to demonstrate that PAS creates social value for society, consistent, scientific-based tools must be developed.</p><p><strong>Methods: </strong>In 2022, a group of interdisciplinary researchers started a project to standardize the application of SROI to global PAS activities. A Delphi study, informed by a systematic review on this topic, was used and the present commentary exposes the main conclusions.</p><p><strong>Results: </strong>Six main lessons can be drawn from the process of building a global SROI applied to PAS: the methodology to measure the impact of PAS at the population level is different from the methodology applied to specific interventions; there is consensus on the impact in health; there is knowledge, but also unanswered questions on the impact of PAS in education; the impact of PAS in population well-being as a promising area; the of impact on crime and social capital requires more research; and there is controversy in the relationship between PAS, and environment, and climate change.</p><p><strong>Conclusions: </strong>A global SROI applied to PAS is a powerful tool to demonstrate how an active population can bring value to society. For this purpose, researchers and policymakers are called to action to fill in the gaps that remain open in order to build a robust model.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-4"},"PeriodicalIF":2.9,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031084","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":"The Inaugural Journal of Physical Activity and Health Article of the Year Awards.","authors":"Gregore Iven Mielke, Valerie Carson, Esther van Sluijs, Ding Ding, Pedro Hallal","doi":"10.1123/jpah.2025-0233","DOIUrl":"https://doi.org/10.1123/jpah.2025-0233","url":null,"abstract":"","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-3"},"PeriodicalIF":2.9,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005953","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}