Kaisa Kaseva, Sini Stenbacka, Tuomas Kukko, Katja Pahkala, Suvi Rovio, Mirja Hirvensalo, Olli T Raitakari, Tuija Tammelin, Terho Lehtimäki, Tuuli Suominen, Kasper Salin
{"title":"From Parents to Children: The Intergenerational Transference of Parents' Sport Club Participation From Childhood to Adolescence: The 40-Year Young Finns Study.","authors":"Kaisa Kaseva, Sini Stenbacka, Tuomas Kukko, Katja Pahkala, Suvi Rovio, Mirja Hirvensalo, Olli T Raitakari, Tuija Tammelin, Terho Lehtimäki, Tuuli Suominen, Kasper Salin","doi":"10.1123/jpah.2024-0368","DOIUrl":"https://doi.org/10.1123/jpah.2024-0368","url":null,"abstract":"<p><strong>Background: </strong>Physical activity has been shown to transfer across generations, but more information is needed regarding the transference of different physical activity modes. This study examined (1) whether parents' sport club participation at the ages 9-18 was associated with their offspring's sports club participation at the same ages and (2) whether the associations were robust against adjusting for demographic, health-related, and socioeconomic covariates.</p><p><strong>Methods: </strong>The participants (parents, G1, N = 309-539 and children, G2, N = 131-332) were from the ongoing, population-based Young Finns Study. Participants' sports club participation was assessed through self-reports during 1980-1992 (G1) and 2018/2020 (G2). The analyses were conducted using generalized estimation equations controlling for participants' sex, number of children's siblings, children's body mass index, health status, and living area as well as parents' educational status and income.</p><p><strong>Results: </strong>Parents' sports club participation at the age of 9 was favorably associated with their children's participation at the age of 9 (odds ratio = 5.23; 95% CI, 1.59-17.17; Tjur R2 = .27) and 12 (odds ratio = 2.56; 95% CI, 1.06-6.18; Tjur R2 = .14) adjusting for the covariates.</p><p><strong>Conclusions: </strong>Parents' sports club participation at the age of 9 was favorably associated with their offspring's sports club participation at childhood and early adolescence. Childhood might be one of the most essential periods to conduct physical activity interventions or motivational programs to support children's sports club participation.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-9"},"PeriodicalIF":2.9,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458409","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":"Developing a Conceptual Model for Collective Patterns and Leisure-Time Physical Activity Inequalities Among Adults.","authors":"Sophie Marie Jones, Ruth F Hunter, Leandro Garcia","doi":"10.1123/jpah.2024-0721","DOIUrl":"https://doi.org/10.1123/jpah.2024-0721","url":null,"abstract":"<p><strong>Background: </strong>Despite extensive efforts to tackle the unequal levels of leisure-time physical activity (LTPA) among adults, our understanding of how these inequalities are sustained over time is minimal. Existing approaches often overlook the complex dynamic, and typically nonlinear interactions, which shape physical activity patterns. Therefore, this paper aims to capture these dynamic interactions and processes which influence an individual's decision to practice LTPA, with a specific focus on the influence of income.</p><p><strong>Methods: </strong>The conceptual model was developed in 4 main stages: (1) initial draft development, (2) realist reviews, (3) expert consultation, and (4) finalization.</p><p><strong>Results: </strong>The conceptual model has intention as its central construct to practice LTPA, and intention is directly influenced by dynamic interrelated processes between individual's economic, psychosocial, and perceived physical environment factors.</p><p><strong>Conclusion: </strong>From the multiple theories, evidence, and expert agreement, we are confident that our conceptual model expresses the dynamic interactions which shape an individual's decision to practice LTPA in a context of socioeconomic inequalities. Going forward, this work will be used to conceptualize and inform the development of an agent-based model to simulate LTPA inequalities among adults and can be expanded or adapted to other uses, such as intervention development.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-8"},"PeriodicalIF":2.9,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143425563","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}
Emily Lehman, Genevieve N Healy, Roma Forbes, Mia Phillips, Casey Gilbert, Sjaan R Gomersall
{"title":"The Impact of Physical Activity Behavior Change Training for Preprofessional Health Students-A Systematic Review.","authors":"Emily Lehman, Genevieve N Healy, Roma Forbes, Mia Phillips, Casey Gilbert, Sjaan R Gomersall","doi":"10.1123/jpah.2024-0399","DOIUrl":"https://doi.org/10.1123/jpah.2024-0399","url":null,"abstract":"<p><strong>Background: </strong>Health professionals play a crucial role in promoting physical activity, but the impact of physical activity behavior change training on preprofessional health students is underresearched. This systematic review examined the impact of such training for preprofessional health students.</p><p><strong>Methods: </strong>We searched PubMed, Embase, Web of Science, PsycInfo, and CINAHL up to October 2024. Included studies reported training interventions for preprofessional health students, with outcomes related to changes in knowledge, skills, confidence, and attitudes/intentions toward physical activity promotion. Inclusion criteria were peer-reviewed studies published in English, excluding qualitative studies, reviews, study protocols, and grey literature. The Risk Of Bias In Non-randomized Studies of Interventions tool was used to assess risk of bias. A narrative synthesis was conducted due to study heterogeneity, with meta-analysis not feasible. The review was registered prospectively with PROSPERO (CRD42023428847).</p><p><strong>Results: </strong>Sixteen studies from 8 countries were included (median duration: 23 weeks), featuring training approaches such as theoretical, practical, or mixed learning. Participants included medical, nursing, physiotherapy, pharmacy, or other health-related degree students. All studies reported positive effects on knowledge, skills, confidence, or attitudes. Approaches combining theoretical and practical components yielded higher improvements in knowledge and confidence compared with single-component approaches. Risk of bias was high in 12/16 studies.</p><p><strong>Conclusions: </strong>Training preprofessional health students in physical activity support and behavior change can enhance their knowledge, skills, confidence, or attitudes in this area. Variability in methods and risk of bias in the included studies necessitate caution in interpretation. Assessment of long-term training impacts on both preprofessional health students and patient outcomes is needed.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-15"},"PeriodicalIF":2.9,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143425567","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 Ischemic Heart Disease Risk: A Prospective Cohort Study Among Chinese Adults.","authors":"Yuhui Li, Yunhui Chen, Kejia Huang, Dianjianyi Sun, Pei Pei, Canqing Yu, Jun Lv, Haiping Duan, Ruqin Gao, Zengchang Pang, Xiaocao Tian","doi":"10.1123/jpah.2024-0496","DOIUrl":"https://doi.org/10.1123/jpah.2024-0496","url":null,"abstract":"<p><strong>Background: </strong>Type-specific physical activity (PA) may be associated with different risks of ischemic heart disease (IHD), but few large studies have examined this. This study aimed to assess the incidence and dose-response relationships between total PA and 4 different types of PA and IHD risk in Chinese adults.</p><p><strong>Methods: </strong>The prospective China Kadoorie Biobank enrolled 35,508 adults from Qingdao from 2004 to 2008, including 33,342 IHD-free participants in this analysis. PA was collected through a self-report questionnaire, calculating metabolic equivalents of task-hours per day based on duration and frequency. Cox regression analysis was used to assess the association between PA and IHD risk.</p><p><strong>Results: </strong>During a median 9.2 years of follow-up, 2712 incident IHD cases were recorded. Total, occupational, commuting, and leisure-time PAs were inversely associated with IHD risk. Compared with the participants in the bottom quintiles of PA, the participants in the top quintiles of total PA, occupational PA, commuting PA, and leisure-time PA had 43% (hazard ratio [HR] = 0.57; 95% CI, 0.49-0.66), 38% (HR = 0.62; 95% CI, 0.50-0.75), 38% (HR = 0.62; 95% CI, 0.44-0.87), and 21% (HR = 0.79; 95% CI, 0.67-0.95) lower IHD risk, respectively. A negative association between household PA and IHD risk was found only in males (HR = 0.83; 95% CI, 0.70-0.98). The restricted cubic spline regression analysis revealed a linear relationship between total PA and IHD risk (P for nonlinear = .5687).</p><p><strong>Conclusion: </strong>Among Chinese adults, higher total, occupational, commuting, and leisure-time PA was associated with significantly lower risks of IHD, and increased household PA could reduce IHD risk in males.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-9"},"PeriodicalIF":2.9,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414207","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}
Nikos Dimitriadis, Giannis Arnaoutis, Konstantinos D Tambalis, Christina Chrysohoou, Fotios Barkas, Evangelos Liberopoulos, Petros P Sfikakis, Christos Pitsavos, Costas Tsioufis, Demosthenes Panagiotakos
{"title":"Exploring the Path Between Life-Course Trajectories of Physical Activity Levels and Cardiometabolic Disease Incidence: Insights From the ATTICA Cohort Study (2002-2022).","authors":"Nikos Dimitriadis, Giannis Arnaoutis, Konstantinos D Tambalis, Christina Chrysohoou, Fotios Barkas, Evangelos Liberopoulos, Petros P Sfikakis, Christos Pitsavos, Costas Tsioufis, Demosthenes Panagiotakos","doi":"10.1123/jpah.2024-0537","DOIUrl":"https://doi.org/10.1123/jpah.2024-0537","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the paths between lifelong physical activity levels and the development of cardiometabolic disease.</p><p><strong>Methods: </strong>The ATTICA is a population-based cohort study with a 20-year follow-up conducted in the Attica region, Greece and included, 3042 adult males and females (45 [11] y). Participants physical activity levels' tracking together with data regarding cardiovascular disease, obesity, hypertension, hypercholesterolemia, and diabetes incidence, were available in 1988 participants (45 [12] y old, 987 males and 1001 females), at 20-year follow-up. Physical activity levels were evaluated using the validated International Physical Activity Questionnaire, in all examinations (2001-2002, 2006, 2012, and 2022). Four physical activity trajectories were defined, that is, consistently active/inactive and changed from active/inactive. Path analysis was applied using structure equation models.</p><p><strong>Results: </strong>54% of participants were classified as always inactive, 5% classified as became inactive from physically active, 38% as became active and, only 3% sustained physical activity levels. Participants who reported being consistently physically active throughout the 20-year period were 6% (OR, 0.94, 95% CI, 0.89-0.99) less likely to develop cardiovascular disease as compared with those who remained consistently physically inactive, had 21% lower risk of developing hypercholesterolemia (OR, 0.79, 95% CI, 0.59-1.04), 33% lower risk of obesity (OR, 0.67, 95% CI, 0.44-1.02), and 30% lower risk of diabetes (OR, 0.70, 95% CI, 0.48-1.03).</p><p><strong>Conclusions: </strong>Lifelong physical activity was strongly associated with reduced fatal or nonfatal cardiovascular disease events, as well as reduced risk of developing other cardiometabolic disorders, hypercholesterolemia, obesity, and diabetes.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-9"},"PeriodicalIF":2.9,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414233","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}
Elysée Claude Bika Léle, Audrey Liza Tadjoua Nenoh, Jerson Mekoulou Ndongo, Marie Solange Ndom Ebongue, Hermann Tsague Kengni, Siddick Mouliom, Wiliam Richard Guessogo, Viché Lade, Xavier Kuelang, Manuela Kamdem, Djibrilla Siddikatou, Valérie Ndobo, Samuel Honoré Mandengue, Félicité Kamdem
{"title":"Joint Association of Physical Activity and Sleep Quality With Blood Pressure Control in Patients With Hypertension in Douala, Cameroon.","authors":"Elysée Claude Bika Léle, Audrey Liza Tadjoua Nenoh, Jerson Mekoulou Ndongo, Marie Solange Ndom Ebongue, Hermann Tsague Kengni, Siddick Mouliom, Wiliam Richard Guessogo, Viché Lade, Xavier Kuelang, Manuela Kamdem, Djibrilla Siddikatou, Valérie Ndobo, Samuel Honoré Mandengue, Félicité Kamdem","doi":"10.1123/jpah.2024-0558","DOIUrl":"https://doi.org/10.1123/jpah.2024-0558","url":null,"abstract":"<p><strong>Introduction: </strong>Blood pressure (BP) control is necessary to prevent fatal events in patients with hypertension. Although physical activity (PA) and sleep quality (SQ) are known to reduce BP, their joint association is yet to be demonstrated. This study aimed to assess the joint association of PA and SQ on BP control among patients with hypertension in Cameroon.</p><p><strong>Methods: </strong>This was a hospital-based cross-sectional study carried out among outpatients attending Douala General Hospital in Cameroon diagnosed with hypertension. BP was considered to be controlled if it was lower than 140/90 mm Hg. PA and SQ have been assessed using the International Physical Activity Questionnaire and the Pittsburg Sleep Quality Index. Odds ratio and 95% CI have been calculated, and differences were considered significant at P < .05.</p><p><strong>Results: </strong>A total of 415 participants were recruited, the mean age was 61 (11) years, and 67% were women. Around 66.3% of participants had their BP uncontrolled. Patients with uncontrolled BP had a significantly higher proportion of overweight/obesity (87.3% vs 73.6, P = .001), sedentary time ≥ 2 hours per day (37.1% vs 27.1, P = .043), and low leisure-time PA level (39.6% vs 52.9%, P = .014). After adjustment for confounders, a poor SQ associated with a low PA level significantly increased the odds of having an uncontrolled BP (odds ratio: 2.66; 95% CI, 1.13-6.24; P = .025).</p><p><strong>Conclusion: </strong>Cameroonian patients with hypertension exhibit a high rate of poor BP control which is significantly associated with poor SQ and low PA level. These 2 parameters should be considered simultaneously for a better prevention of cardiovascular complications.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-8"},"PeriodicalIF":2.9,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391212","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":"Erratum. Effects of a School-Based Physical Activity Intervention on Adolescents' Mental Health: A Cluster Randomized Controlled Trial.","authors":"","doi":"10.1123/jpah.2025-0071","DOIUrl":"https://doi.org/10.1123/jpah.2025-0071","url":null,"abstract":"","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1"},"PeriodicalIF":2.9,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391211","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}
Gabrielle C Gildea, Rosalind R Spence, Tamara L Jones, Carolina X Sandler, Nicole M McDonald, Sandra C Hayes, Melanie L Plinsinga
{"title":"The Swaying Pendulum: Factors Influencing Physical Activity Participation in Women With Recurrent Ovarian Cancer.","authors":"Gabrielle C Gildea, Rosalind R Spence, Tamara L Jones, Carolina X Sandler, Nicole M McDonald, Sandra C Hayes, Melanie L Plinsinga","doi":"10.1123/jpah.2024-0449","DOIUrl":"https://doi.org/10.1123/jpah.2024-0449","url":null,"abstract":"<p><strong>Background: </strong>Physical activity levels decline following diagnosis of ovarian cancer, and there is limited research investigating the factors that influence participation across the cancer continuum. The objective of this study is to explore barriers, facilitators, perceptions, and preferences of physical activity for women with recurrent ovarian cancer and to explore whether these factors change across the cancer continuum.</p><p><strong>Methods: </strong>Women enrolled in the Exercise During Chemotherapy for Recurrent Ovarian Cancer trial were invited to participate. Semistructured interviews, guided by social cognitive theory, were conducted by 2 interviewers via video conferencing. All interviews were recorded and transcribed verbatim. Data were analyzed using an adaptive thematic approach.</p><p><strong>Results: </strong>An overarching theme, \"The swaying pendulum,\" emerged following 13 participant interviews, representing the instability of physical activity participation in women with recurrent ovarian cancer. Five themes captured factors swaying the \"pendulum\": (1) the \"priority ladder\" of physical activity and the importance of social support and the physical environment, (2) the \"hurdles\" of treatment- and disease-related side effects, (3) the power of physical activity support and advice from health professionals in the face of uncertainty and fear, (4) a \"yearning\" for the outdoors, and (5) resorting to walking.</p><p><strong>Conclusions: </strong>Physical activity participation in women with recurrent ovarian cancer is swayed by a complex combination of internal and external factors, unique to each individual, and continually changing circumstances across the cancer continuum.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-9"},"PeriodicalIF":2.9,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391213","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}
Shirelle H Hallum, Anna L Chupak, Kelsey M Thomas, Erin N Looney, Eleanor Witherspoon, Nathan H Huynh, Andrew T Kaczynski
{"title":"Disparities in Pedestrian and Cyclist Crashes by Social Vulnerability Across South Carolina.","authors":"Shirelle H Hallum, Anna L Chupak, Kelsey M Thomas, Erin N Looney, Eleanor Witherspoon, Nathan H Huynh, Andrew T Kaczynski","doi":"10.1123/jpah.2024-0552","DOIUrl":"https://doi.org/10.1123/jpah.2024-0552","url":null,"abstract":"<p><strong>Background: </strong>Little crash equity research has controlled for active transportation rates, examined the Southeastern United States, or used composite sociodemographic metrics. This study analyzed disparities in pedestrian and cyclist crashes and crash severity according to level of social vulnerability (SV) across South Carolina.</p><p><strong>Methods: </strong>Data about SV and its 4 dimensions (socioeconomic status, household composition and disability, minority status and language, and housing type and transportation) were compiled for all census tracts (N = 1103) within South Carolina. Data for all crashes involving a pedestrian (n = 10,688) and/or cyclist (n = 4802) from 2011 to 2021 were obtained from the South Carolina Department of Transportation and geocoded to the respective census tract. Total average pedestrian and cyclist crash severity (Equivalent Property Damage Only) were also calculated for each tract. Crash frequency and severity scores were adjusted using the average number of walking and cycling trips in the census tract per year using StreetLight Data. Mixed-model linear regression analyzed the relationships between overall SV and the 4 SV dimensions and 4 crash measures-pedestrian and cyclist frequency and severity. Stratified analyses were conducted for urban and rural tracts.</p><p><strong>Results: </strong>Overall SV was positively and significantly associated with all 4 crash outcomes in urban areas: pedestrian crashes per trip (B = 0.048, SE = 0.012, P < .001), pedestrian crash severity per trip (B = 9.018, SE = 2.516, P < .001), cyclist crashes per trip (B = 0.093, SE = 0.029, P < .01), and cyclist crash severity per trip (B = 16.370, SE = 5.482, P < .01). In urban areas, greater SV was associated with more severe pedestrian and cyclist crash outcomes.</p><p><strong>Conclusions: </strong>Targeted policy and programmatic and infrastructure interventions are needed to improve active transportation safety and public health.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-11"},"PeriodicalIF":2.9,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143370761","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}
Ville Päivärinne, Jouni Lahti, Jatta Salmela, Anne Kouvonen, Tea Lallukka, Ossi Rahkonen
{"title":"Changes in Leisure-Time Physical Activity and Sedentary Time and Their Associations With Psychological Distress: An Occupational Cohort Study.","authors":"Ville Päivärinne, Jouni Lahti, Jatta Salmela, Anne Kouvonen, Tea Lallukka, Ossi Rahkonen","doi":"10.1123/jpah.2024-0224","DOIUrl":"https://doi.org/10.1123/jpah.2024-0224","url":null,"abstract":"<p><strong>Background: </strong>Physical inactivity and sedentary behavior are associated with mental ill-health. We examined changes in leisure-time physical activity (LTPA) and sedentary time, and their associations with psychological distress in an occupational cohort.</p><p><strong>Methods: </strong>We used phase 1 survey data, collected among the employees of the City of Helsinki, Finland, aged 19-39 years in 2017, and phase 2 follow-up survey from 2022 (n = 1914 participants, 75% women). A 4-category variable (High→High, Low→High, High→Low, and Low→Low) was constructed for both LTPA and sedentary time to reflect the change over time. The 21-item Depression, Anxiety and Stress Scale was used to measure psychological distress. Logistic regression analysis estimated odds ratios (ORs) and their 95% CIs, adjusting for sociodemographic factors, working conditions, health-related factors, and physician-diagnosed mental disorders at phase 1.</p><p><strong>Results: </strong>Repeated low LTPA was associated with anxiety (OR = 2.03; 95% CI, 1.44-2.85), depressive (OR = 1.69; 95% CI, 1.22-2.36), and stress (OR = 2.22; 95% CI, 1.58-3.12) symptoms after adjusting for gender and age, compared with repeated high LTPA. The associations remained after full adjustments in anxiety (OR = 1.57; 95% CI, 1.08-2.30) and stress (OR = 1.92; 95% CI, 1.32-2.78) symptoms. Additionally, a change from high to low LTPA was associated with anxiety (OR = 1.47; 95% CI, 1.05-2.04) symptoms after full adjustments.</p><p><strong>Conclusion: </strong>Repeated low levels of LTPA are associated with anxiety and stress symptoms. No consistent associations between sitting time and psychological distress could be confirmed. Considering the increasing levels of psychological distress in recent years, particularly among younger adults, it is essential to explore effective countermeasures through large interventions or prospective study designs.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-9"},"PeriodicalIF":2.9,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143073647","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}