{"title":"Launch of the First Journal of Physical Activity and Health Series on Priority Topics in Physical Activity and Health.","authors":"Karen Milton, Pedro C Hallal","doi":"10.1123/jpah.2026-0493","DOIUrl":"https://doi.org/10.1123/jpah.2026-0493","url":null,"abstract":"","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1"},"PeriodicalIF":2.6,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111133","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}
Sjaan R Gomersall, Karen Milton, Ding Ding, Rodrigo S Reis, Deborah Salvo
{"title":"The International Society for Physical Activity and Health and the Journal of Physical Activity and Health-An Enduring Partnership for Global Thought Leadership.","authors":"Sjaan R Gomersall, Karen Milton, Ding Ding, Rodrigo S Reis, Deborah Salvo","doi":"10.1123/jpah.2026-0840","DOIUrl":"https://doi.org/10.1123/jpah.2026-0840","url":null,"abstract":"","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-2"},"PeriodicalIF":2.6,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111150","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":"From Evidence to Impact: Physical Activity Research 30 Years After the US Surgeon General's Report.","authors":"Fiona C Bull","doi":"10.1123/jpah.2026-0833","DOIUrl":"https://doi.org/10.1123/jpah.2026-0833","url":null,"abstract":"","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-3"},"PeriodicalIF":2.6,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111164","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}
Joseph Firth, Jake Linardon, Chelsea Sawyer, Chloe French, Brendon Stubbs, Josh A Firth, Marco Solmi, John Torous, Kidanemaryam Berhe Tekola, Pedro C Hallal, Simon Rosenbaum
{"title":"Physical Activity for Youth Mental Health in the \"Online Era\": Risks, Opportunities, and Implementation Priorities.","authors":"Joseph Firth, Jake Linardon, Chelsea Sawyer, Chloe French, Brendon Stubbs, Josh A Firth, Marco Solmi, John Torous, Kidanemaryam Berhe Tekola, Pedro C Hallal, Simon Rosenbaum","doi":"10.1123/jpah.2026-0550","DOIUrl":"https://doi.org/10.1123/jpah.2026-0550","url":null,"abstract":"<p><p>Today's young people (aged ∼10-24 y) are the first \"digital natives\" but have become the most sedentary generation on record. These trends have coincided with a widely recognized decline in youth mental health, prompting increasingly polarized debate: some attribute the crisis primarily to smartphones and social media, but large-scale analyses suggest more heterogeneous population-level effects. Therefore, this review examines the role of physical activity (PA) in mental health during the online era; considering how different forms of online engagement relate to youth mental health, with regard to both the emerging downsides (through increasing sedentariness) and the potential for harnessing such platforms to improve PA and mental health, together. As a narrative review of an emerging field, we drew on nonsystematic searches of PubMed and Google Scholar alongside author expertise to integrate key findings and identify new directions. Two conclusions emerged. First, whether online time helps or harms depends more on content, context, and user characteristics than screentime, although converging (though still-developing) causal evidence points to displacement of PA, alongside disrupted sleep as a leading mechanism. Second, digital adoption itself has become an opportunity for promoting PA/delivering exercise interventions, online, with growing evidence of benefits for depression, anxiety, and well-being. However, these tools also carry risks, including body surveillance, social comparison, and compulsive exercise. Furthermore, data on online PA interventions in clinical mental health populations is sparse but appear to favor blended approaches. Overall, we argue the coming decade's key challenge is embedding evidence-based PA promotion within young people's online lives.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-11"},"PeriodicalIF":2.6,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111170","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}
Joanna M Blodgett, John J Mitchell, Euridice Martínez Steele, Karen Milton, Mark Hamer, I-Min Lee, Pedro C Hallal
{"title":"Covariate Selection in Physical Activity Epidemiology: Too Little, Too Much, or Just Right?","authors":"Joanna M Blodgett, John J Mitchell, Euridice Martínez Steele, Karen Milton, Mark Hamer, I-Min Lee, Pedro C Hallal","doi":"10.1123/jpah.2026-0426","DOIUrl":"https://doi.org/10.1123/jpah.2026-0426","url":null,"abstract":"<p><p>Many observational studies are interested in the total effect of physical activity on any given health outcome. These studies rely heavily on covariate adjustment, yet decisions about which variables to include vary widely. Such decisions have meaningful consequences, including altering estimated effect sizes and their interpretation, and ultimately, modifying our understanding of how physical activity influences health. For example, inclusion of biological intermediates is likely to constitute overadjustment, while the role of co-occurring health behaviors is more conceptually complex. Despite longstanding recognition of overadjustment bias, there remains little consensus regarding which variables should routinely be included in models that use observational data to explore the effect of physical activity on health. In this paper, we discuss key conceptual definitions and frameworks relevant to covariate selection, such as confounding, mediation, and overadjustment, alongside the shift from statistical toward conceptual approaches including causal inference frameworks (eg, directed acyclic graphs). We outline common biological and behavioral pathways linking physical activity to downstream health outcomes, highlighting the challenges of adjusting for biological intermediates, health-status indicators, and co-occurring health behaviors. We draw on empirical illustrations using data from cohort studies in Brazil, the United Kingdom, and the United States to explore how common adjustment strategies influence estimates of the association between physical activity and each of hypertension, type 2 diabetes, and all-cause mortality. The use of directed acyclic graphs highlights where adjustment decisions may be conceptually simple and where they require careful consideration of the underlying causal assumptions. Our findings demonstrate that adjustment decisions meaningfully influence both the magnitude and interpretation of associations in physical activity epidemiology. We conclude by proposing practical recommendations to improve transparency, interpretation, and covariate selection in future observational epidemiological analyses examining how physical activity influences health outcomes.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-11"},"PeriodicalIF":2.6,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111185","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}
Emmanuel Stamatakis, Nicholas A Koemel, Karen Milton, Sarah K Keadle, Alex A Florindo, Mark Hamer, Pedro C Hallal, Matthew N Ahmadi
{"title":"Wearables for Physical Activity Guideline Development and Health Surveillance: Converging Research and Practice Agendas.","authors":"Emmanuel Stamatakis, Nicholas A Koemel, Karen Milton, Sarah K Keadle, Alex A Florindo, Mark Hamer, Pedro C Hallal, Matthew N Ahmadi","doi":"10.1123/jpah.2026-0466","DOIUrl":"https://doi.org/10.1123/jpah.2026-0466","url":null,"abstract":"<p><strong>Objective: </strong>Etiological epidemiology and health surveillance are interdependent foundations of physical activity research, yet wearable devices have been adopted disproportionately across these 2 pillars of policy and practice. As physical activity research transitions from mostly self-reports toward a combination of mostly wearables and some self-reports, alignment between etiological evidence generation and surveillance systems is becoming increasingly important. We examine the goals, methods, and emerging convergence between wearable-based policy, surveillance, and etiological epidemiology.</p><p><strong>Methods: </strong>This narrative review compares the wearable-based methods and metrics used for physical activity surveillance and for etiological research and draws on 2 contrasting case studies: the World Health Organization's surveillance-oriented standardization work and the harmonized research infrastructure of the Prospective Physical Activity, Sitting, and Sleep consortium. Building on these case studies and emerging evidence, we outline a 10-year roadmap toward a globally harmonized and translation-ready wearable evidence ecosystem.</p><p><strong>Results: </strong>Wearables capture high-resolution dimensions of physical activity including the intensity, accumulation patterns, and 24-hour composition of movement that questionnaires cannot resolve. Wearable-based studies have identified strong dose-response associations at substantially lower absolute activity volumes than currently recommended in national and global guidelines and enabled the emergence of novel behavioral phenotypes including activity fragmentation, movement timing, and physical activity micropatterns. However, substantial challenges remain, including methodological heterogeneity, incompatibility between questionnaire- and wearable-derived evidence, limited representation of low- and middle-income countries, and uncertainty around translation into surveillance and guideline frameworks. World Health Organization surveillance initiatives prioritize simple, scalable, and internationally comparable metrics, whereas etiological epidemiology can accommodate greater complexity and methodological innovation.</p><p><strong>Conclusions: </strong>Convergence between surveillance and etiological epidemiology is both feasible and necessary, but requires harmonized wear protocols and reporting standards, capacity building and equitable infrastructure in underrepresented communities, and clear translation pathways between research-grade and policy-grade wearable metrics.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-11"},"PeriodicalIF":2.6,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111198","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}
Philippe Jean-Luc Gradidge, Jane Thornton, Andrea Wendt, Karen Milton, Adrian Bauman, Pedro C Hallal
{"title":"Using the Behavioral Epidemiological Framework to Help Bridge the Divide Between \"Physical Activity and Health\" and \"Sport for All\".","authors":"Philippe Jean-Luc Gradidge, Jane Thornton, Andrea Wendt, Karen Milton, Adrian Bauman, Pedro C Hallal","doi":"10.1123/jpah.2026-0864","DOIUrl":"https://doi.org/10.1123/jpah.2026-0864","url":null,"abstract":"","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-4"},"PeriodicalIF":2.6,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111188","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}
Bart Cillekens, Pieter Coenen, Andreas Holtermann, Tyler Quinn
{"title":"Physical Activity Guidelines for Everybody-or Exercise Guidelines for the Privileged? Why Choice Versus Necessity Matters.","authors":"Bart Cillekens, Pieter Coenen, Andreas Holtermann, Tyler Quinn","doi":"10.1123/jpah.2026-0674","DOIUrl":"https://doi.org/10.1123/jpah.2026-0674","url":null,"abstract":"","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-4"},"PeriodicalIF":2.6,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111125","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}
Frank Devereux, Siobhan O'Connor, Enda Whyte, Kwok Ng, Catherine Woods
{"title":"Injury Prevalence and Associated Activity-Related Factors Among Children and Adolescents in Ireland.","authors":"Frank Devereux, Siobhan O'Connor, Enda Whyte, Kwok Ng, Catherine Woods","doi":"10.1123/jpah.2026-0421","DOIUrl":"https://doi.org/10.1123/jpah.2026-0421","url":null,"abstract":"<p><strong>Background: </strong>To promote long-term participation in exercise, injury prevention strategies are imperative. To be effective, strategies must be specific to the population they are being implemented in, making epidemiological data for the target population essential. The aim of this study is to identify the injury prevalence of youth in Ireland. A secondary aim is to examine which activity- and lifestyle-related factors are associated with increased injury prevalence.</p><p><strong>Methods: </strong>Youths aged 10-18 years from Ireland completed a cross-sectional survey. Questions included injury prevalence, location, and severity in the previous year. Demographic information and activity levels were captured alongside screen time, sedentary time, and physical activity enjoyment scores. Data analysis was conducted using independent t tests and Mann-Whitney U tests. Chi-square analysis tests were used to identify differences between expected and observed frequencies.</p><p><strong>Results: </strong>A total of 6650 participants completed the survey; 44.7% reported an injury in the previous year. Over half of reported injuries were in the lower limb (51.7%). Males reported more injuries compared with females (P < .001, d = 0.75). There was no significant difference in moderate to vigorous physical activity levels between those who reported an injury and those who did not (P = .60, d = 0.06). Participants who reported an injury spent significantly less time on screens (P = .005, d = 0.04) and scored significantly higher in their physical activity enjoyment score compared with their uninjured counterparts (P < .001, d = 0.14).</p><p><strong>Conclusion: </strong>Results show that musculoskeletal injuries are a significant problem for youth across Ireland, highlighting the need for targeted injury prevention strategies in this population and providing key information for their development.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-7"},"PeriodicalIF":2.6,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149039348","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":"Intersectional Effects of the FIT FIRST 10 School-Based Intervention Across Sex and Parental Country of Birth on Physical and Psychosocial Health in Danish Primary Schools.","authors":"Caroline Eckert, Peter Krustrup, Sofie Koch, Guðrún Júlía Jóhannsdóttir, Camilla Prisak, Christina Birch Meiner, Giampiero Tarantino, Nikos Ntoumanis, Cecilie Thøgersen-Ntoumani, Malte Nejst Larsen","doi":"10.1123/jpah.2026-0136","DOIUrl":"https://doi.org/10.1123/jpah.2026-0136","url":null,"abstract":"<p><strong>Background: </strong>Children with a migration background often show poorer health profiles than majority peers. Schools provide an important setting for equitable physical activity promotion. FIT FIRST 10 (FF10) delivers high-intensity, inclusive multisport activities in Danish primary schools.</p><p><strong>Objectives: </strong>To examine whether FF10 effects on physical and psychosocial outcomes differed across intersections of sex and parental country of birth (0 or 1 Danish-origin parent [0-1DOP] vs 2 Danish-origin parents [2DOP]), hypothesizing greater benefits among girls with 0-1DOP.</p><p><strong>Methods: </strong>This subgroup analysis included 1175 children aged 7-11 years from 27 schools. 1050 had information on sex and parental country of birth (control: n = 413, FF10: n = 637). The analytical sample for the primary outcome (cardiorespiratory fitness) comprised 798 children with complete data for all variables included in the adjusted model.</p><p><strong>Results: </strong>FF10 did not improve the primary outcome in any subgroup (all P ≥ .310), and no between-subgroup differences were observed. Within-subgroup effects showed reductions in fat mass, fat mass index, body mass index, and resting heart rate among boys with 2DOP (all P ≤ .026) and improved psychological well-being among girls with 0-1DOP (P = .024). Between-subgroup contrasts favored boys with 2DOP over boys with 0-1DOP for cardiometabolic outcomes and girls with 0-1DOP over girls with 2DOP for psychological well-being. Small within-subgroup declines were observed in self-reported flexibility (girls with 2DOP) and physical condition (boys with 0-1DOP).</p><p><strong>Conclusion: </strong>Inclusive multisport programs in Danish primary schools may enhance psychological well-being among girls with 0-1DOP, but uneven physiological effects highlight the need to optimize implementation to achieve equitable benefits.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-16"},"PeriodicalIF":2.6,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149039429","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}