Journal of physical activity & health最新文献

筛选
英文 中文
Association Between the Quality of Public Open Spaces and Their Use for Physical Activity in a Northern City in Uruguay. 乌拉圭北部城市公共开放空间质量与其用于体育活动之间的关系。
IF 2.6 4区 医学
Journal of physical activity & health Pub Date : 2025-09-30 DOI: 10.1123/jpah.2025-0048
Sofia Fernandez-Gimenez, Enrique Pintos-Toledo, Rogério César Fermino, Pedro R Olivares, Javier Brazo-Sayavera
{"title":"Association Between the Quality of Public Open Spaces and Their Use for Physical Activity in a Northern City in Uruguay.","authors":"Sofia Fernandez-Gimenez, Enrique Pintos-Toledo, Rogério César Fermino, Pedro R Olivares, Javier Brazo-Sayavera","doi":"10.1123/jpah.2025-0048","DOIUrl":"https://doi.org/10.1123/jpah.2025-0048","url":null,"abstract":"<p><strong>Background: </strong>Built environments are excellent places/opportunities for sports and recreational practice. However, research on this topic is scarce and unclear in Latin America, especially in Uruguay. This study aimed to analyze the features of resources for sport and recreational physical activity and their association with use in the city of Rivera, Uruguay.</p><p><strong>Methods: </strong>This observational, cross-sectional study analyzed all available public open spaces (POS) from Rivera city in Uruguay the Physical Activity Resource Assessment checklist to evaluate the presence and quality of resources, and the System for Observation of Play and Recreation in Communities to evaluate the use. Each space was visited 9 times: mornings, afternoons, and evenings on 2 nonconsecutive weekdays and weekend days. A negative binomial regression model was used to analyze the association between POS quality and their use.</p><p><strong>Results: </strong>Twenty-nine POS were assessed, the squares (58.1%) and sports facilities (22.6%) were the most frequent of resource. A total of 7920 scans were performed in 88 target areas; 808 users were observed, and the highest frequency of use was identified in men on the weekdays (66.4%) and on the weekend (66.7%). Was observed a positive and significant association between the features (P = .028), incivilities (P = .042), and total quality (P = .001) with the number, but there was no association between the amenities (P = .155) and the number users.</p><p><strong>Conclusion: </strong>Our findings provide relevant information at the local level and suggest promoting intervention policies that help maintain renovated and accessible POS for the physical activity, sports, and outdoor recreation.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-7"},"PeriodicalIF":2.6,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145199914","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}
引用次数: 0
Physical Activity and Older Population: Are the Physical Activity Guidelines Adequate for Low- and Middle-Income Countries? 体力活动与老年人口:体力活动指南是否适合中低收入国家?
IF 2.6 4区 医学
Journal of physical activity & health Pub Date : 2025-09-29 DOI: 10.1123/jpah.2025-0513
Fernanda Castro Monteiro, Ricardo Aurélio Carvalho Sampaio, Bruno Bizzozero-Peroni, Jullyane Caldas Dos Santos, Eduardo Lusa Cadore, Hidenori Arai, Danilo Rodrigues Pereira da Silva
{"title":"Physical Activity and Older Population: Are the Physical Activity Guidelines Adequate for Low- and Middle-Income Countries?","authors":"Fernanda Castro Monteiro, Ricardo Aurélio Carvalho Sampaio, Bruno Bizzozero-Peroni, Jullyane Caldas Dos Santos, Eduardo Lusa Cadore, Hidenori Arai, Danilo Rodrigues Pereira da Silva","doi":"10.1123/jpah.2025-0513","DOIUrl":"https://doi.org/10.1123/jpah.2025-0513","url":null,"abstract":"","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-2"},"PeriodicalIF":2.6,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145199932","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}
引用次数: 0
Unlocking the Effects of Seasonal Changes on Mobility, Activity, and Lifestyle in Rural Older Adults Living Alone: Insights From a Clustering Analysis. 解开季节变化对农村独居老年人流动性、活动和生活方式的影响:来自聚类分析的见解。
IF 2.6 4区 医学
Journal of physical activity & health Pub Date : 2025-09-24 DOI: 10.1123/jpah.2025-0066
Catarina F Martins, Lara Carneiro, Carlos Figueiredo, Maria P Mota
{"title":"Unlocking the Effects of Seasonal Changes on Mobility, Activity, and Lifestyle in Rural Older Adults Living Alone: Insights From a Clustering Analysis.","authors":"Catarina F Martins, Lara Carneiro, Carlos Figueiredo, Maria P Mota","doi":"10.1123/jpah.2025-0066","DOIUrl":"https://doi.org/10.1123/jpah.2025-0066","url":null,"abstract":"<p><strong>Background: </strong>Seasonality profoundly impacts older adults in rural communities, influencing daily routines, physical activity (PA), and functionality. Effective interventions require a nuanced understanding of these variations particularly for those living alone.</p><p><strong>Methods: </strong>This longitudinal study examined 58 older adults (mean age 80.22 y) living alone in a rural community across summer and winter. Variables assessed included sociodemographics, lifestyle factors, weekly social contacts, a composite index of agricultural activity, independence in daily activities, functional status, and weather conditions. PA was measured using an ActiGraph GT9X accelerometer. Paired t tests and K-means cluster analysis were applied, followed by discriminant analysis and cluster evolution monitoring.</p><p><strong>Results: </strong>Significant seasonal differences were observed in lifestyle, weekly contacts, agricultural activity, and PA. Engagement in agricultural activities correlated with higher PA levels during summer and lower sedentary behavior in both seasons. Cluster analysis identified 3 distinct groups each season, with unique levels of PA, functionality, and behaviors. The discriminant analysis highlighted seasonal patterns, while the bipartite graph analysis showed subject reaggregation in winter, illustrating cluster composition shifts.</p><p><strong>Conclusion: </strong>This study demonstrates that older adults living alone in rural areas are vulnerable to seasonal variations, with higher PA, more frequent social contacts, and greater agricultural engagement in summer than in winter. Cluster analysis revealed 3 groups of older adults each season, underscoring the necessity for customized interventions that consider behavioral patterns, specific needs, and seasonal changes. The significance of suitable interventions to improve social interactions and prevent functional decline is emphasized.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138071","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}
引用次数: 0
Using Data-Driven Insights to Explore the Variability in Pupils' Physical Activity Between English Primary Schools. 使用数据驱动的见解来探索英国小学学生体育活动的差异。
IF 2.6 4区 医学
Journal of physical activity & health Pub Date : 2025-09-24 Print Date: 2025-10-01 DOI: 10.1123/jpah.2024-0868
Georgina K Wort, Ruth Salway, Oliver Peacock, Simon Sebire, Dylan Thompson
{"title":"Using Data-Driven Insights to Explore the Variability in Pupils' Physical Activity Between English Primary Schools.","authors":"Georgina K Wort, Ruth Salway, Oliver Peacock, Simon Sebire, Dylan Thompson","doi":"10.1123/jpah.2024-0868","DOIUrl":"10.1123/jpah.2024-0868","url":null,"abstract":"<p><strong>Background: </strong>Characterizing interindividual differences in physical activity within schools and understanding potential drivers of these differences may support the development of improved strategies to increase in-school physical activity.</p><p><strong>Methods: </strong>Anonymized physical activity data from a school-specific wrist-worn device were obtained from 17,043 pupils and 2555 staff from 165 primary schools in England. Additional school information included UK government school data, area-level deprivation, and estimated playground area. Descriptive statistics were calculated, and data visualizations were used to explore within- and between-school differences. Multilevel models were used to explore the associations between children's in-school physical activity and school variables, with pupils nested within schools, adjusted for individual characteristics.</p><p><strong>Results: </strong>There was large variation in physical activity between schools. Some schools accumulated twice the amount of physical activity within the school day compared with other schools, with physical activity ranging from 4253 to 8356 steps per school day or 16 to 39 minutes of moderate to vigorous physical activity per school day. School-level data, such as playground space and government school ratings, did not explain between-school variance. Although boys were generally more active than girls in most schools, some schools had more equitable physical activity, and in a small number of schools (∼5%), girls were more active than boys.</p><p><strong>Conclusions: </strong>There is considerable heterogeneity in physical activity levels between English primary schools. Technology-enabled surveillance from wearable devices can be used to identify schools needing greater support and facilitate learning from those with higher and more equitable physical activity among pupils.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1270-1282"},"PeriodicalIF":2.6,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145137522","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}
引用次数: 0
Dog Ownership, Physical Activity, and Mental Health in Mid-to-Older Aged Adults: Findings From the HABITAT Cohort Study. 中老年人养狗、身体活动和心理健康:来自生境队列研究的发现。
IF 2.6 4区 医学
Journal of physical activity & health Pub Date : 2025-09-22 DOI: 10.1123/jpah.2024-0797
Emma K Adams, Kevin Murray, Adrian Bauman, Hayley Christian
{"title":"Dog Ownership, Physical Activity, and Mental Health in Mid-to-Older Aged Adults: Findings From the HABITAT Cohort Study.","authors":"Emma K Adams, Kevin Murray, Adrian Bauman, Hayley Christian","doi":"10.1123/jpah.2024-0797","DOIUrl":"https://doi.org/10.1123/jpah.2024-0797","url":null,"abstract":"<p><strong>Background: </strong>Dog ownership is a potential strategy for maintaining physical activity levels and supporting healthy aging. This study examined longitudinal effects of dog ownership and dog walking on physical activity and mental health in mid-to-older aged adults.</p><p><strong>Methods: </strong>Data were from the \"How Areas in Brisbane Influence healTh and AcTivity\" (HABITAT) cohort study (2007-2016) in Brisbane, Australia. Participants self-reported dog ownership, dog walking, physical activity, psychological well-being, psychological distress, and loneliness across up to 9 years of follow-up. Measures were compared for males (n = 4587) and females (n = 5996) using linear mixed effects models with dog ownership-by-time interactions and adjusted for sociodemographic characteristics.</p><p><strong>Results: </strong>At baseline, female dog owners reported an additional 17.4 minutes per week (95% CI, 8.5-26.3) total walking, 25.8 minutes per week (95% CI, 15.4-36.1) recreational walking, and 24.4 minutes per week (95% CI, 4.7-44.1) total physical activity compared with female nondog owners. At baseline, male dog owners reported an additional 20.4 minutes per week (95% CI, 9.4-31.4) total walking and 24.1 minutes per week (95% CI, 11.7-36.5) recreational walking compared with male nondog owners. Dog ownership was positively associated with changes in females' total walking, recreational walking, and total physical activity and males' total walking (group-by-time interactions; P <.05). Dog owners who did not walk their dog had similar physical activity levels as nondog owners. Dog walking status had small mixed effects on mental health.</p><p><strong>Conclusions: </strong>Dog walking supports mid-to-older aged adults maintain regular physical activity. Future research should investigate effects of dog ownership using device-based measures of physical activity and physical function and changes in health following changes in dog ownership.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-10"},"PeriodicalIF":2.6,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124929","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}
引用次数: 0
Muscle Strength and Later Incident Dementia and Related Mortality: The Cooper Center Longitudinal Study. 肌肉力量与后期痴呆及相关死亡率:库珀中心纵向研究。
IF 2.6 4区 医学
Journal of physical activity & health Pub Date : 2025-09-19 DOI: 10.1123/jpah.2025-0058
Yuzi Zhang, Laura F DeFina, David Leonard, Baojiang Chen, Emily T Hébert, Carolyn E Barlow, Andjelka Pavlovic, Harold W Kohl
{"title":"Muscle Strength and Later Incident Dementia and Related Mortality: The Cooper Center Longitudinal Study.","authors":"Yuzi Zhang, Laura F DeFina, David Leonard, Baojiang Chen, Emily T Hébert, Carolyn E Barlow, Andjelka Pavlovic, Harold W Kohl","doi":"10.1123/jpah.2025-0058","DOIUrl":"https://doi.org/10.1123/jpah.2025-0058","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to examine the longitudinal association between muscle strength, incident dementia, and dementia-related mortality among community-dwelling adults.</p><p><strong>Methods: </strong>This prospective cohort study included 7755 participants (20-90 y) participating in the Cooper Center Longitudinal Study (1980-1990) and enrolled in Medicare between 1999 and 2019. Upper and lower body strength was measured with 1-repetition isotonic maximum bench and leg press. Relative muscle strength was computed relative to body weight and categorized into tertiles based on previously established age and sex normative data. Earliest indication of dementia and dementia-related mortality were determined with Medicare Administrative Claims Data and the National Death Index. The associations of muscle strength with incident dementia and dementia-related mortality were determined using an illness-death model with random frailty.</p><p><strong>Results: </strong>Participants were predominantly White (97%) and male (86%), with an average age of 44 years at baseline. The mean duration between baseline muscle strength assessment and Medicare surveillance was 23 years. The incidence of all-cause dementia was 18.2 per 1000 person-years. Individuals in the medium tertile of lower body strength had reduced hazard of all-cause dementia (hazard ratio = 0.84; 95% CI, 0.72-0.98) relative to the low tertile, controlling for cardiovascular risk factors. Yet, the association was marginally significant (hazard ratio = 0.86; 95% CI, 0.73-1.0) when further controlled for cardiorespiratory fitness. There were no associations between body strength and dementia-related mortality.</p><p><strong>Conclusions: </strong>No associations of upper and lower body muscle strength with the risk of dementia and related mortality were observed after adjusting for cardiovascular risk factors and cardiorespiratory fitness.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-8"},"PeriodicalIF":2.6,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092055","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}
引用次数: 0
The Application of the 24-Hour Movement Paradigm in People Diagnosed With Cancer: A Scoping Review. 24小时运动范式在癌症患者中的应用:范围综述。
IF 2.6 4区 医学
Journal of physical activity & health Pub Date : 2025-09-17 DOI: 10.1123/jpah.2025-0062
Sue L Smith, Laura Brocklebank, Fiona Kennedy, Mark Hamer, Abi Fisher
{"title":"The Application of the 24-Hour Movement Paradigm in People Diagnosed With Cancer: A Scoping Review.","authors":"Sue L Smith, Laura Brocklebank, Fiona Kennedy, Mark Hamer, Abi Fisher","doi":"10.1123/jpah.2025-0062","DOIUrl":"https://doi.org/10.1123/jpah.2025-0062","url":null,"abstract":"<p><strong>Background: </strong>The 24-hour movement (physical activity-sedentary behavior-sleep) paradigm can promote an ability-focused approach to changing movement behaviors in people diagnosed with cancer. This scoping review aimed to explore how the 24-hour movement paradigm has been applied in people diagnosed with cancer, examining behavior measurement methods and associations between 24-hour movement behaviors and health variables.</p><p><strong>Methods: </strong>A systematic search was conducted on the August 8, 2024. MEDLINE, Embase, and Cumulative Index of Nursing and Allied Health were searched. There were 5 steps: identifying the research question; identifying studies; study selection; charting the data; collating, summarizing, and reporting results. Study design, sample demographics, movement behavior measurement, analytical approach, and study outcomes were extracted. The review was conducted according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews framework.</p><p><strong>Results: </strong>Of 88 records identified, 7 studies met inclusion criteria. All studies were cross-sectional with movement behaviors as the exposures. One study was conducted in children. Four studies used device-based measures for all behaviors, 2 used device-based measures of daytime behaviors with self-reported sleep, and 1 study used self-report for all behaviors. All studies used isotemporal substitution modeling. One study applied a compositional data approach. Outcomes included anthropometrics, quality of life, cognitive function, and bone health. Reallocating time into moderate to vigorous physical activity was associated with the most consistent health benefits.</p><p><strong>Conclusions: </strong>Limited studies have applied the 24-hour movement paradigm in this population. Most used devices for measurement. While current evidence is constrained by cross-sectional designs and limited generalizability, results support the positive impact of reallocating time from other behaviors into physical activity.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-16"},"PeriodicalIF":2.6,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145080603","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}
引用次数: 0
Population-Wide mHealth Interventions Promoting Healthy Movement Behaviors: Systematic Review of the Real-World Evidence. 全民移动健康干预促进健康运动行为:对现实世界证据的系统回顾。
IF 2.6 4区 医学
Journal of physical activity & health Pub Date : 2025-09-16 Print Date: 2025-10-01 DOI: 10.1123/jpah.2025-0151
Sarah Edney, Jacqueline L Mair, Thitikorn Topothai, Xin Hui Chua, Wan Xin Esther Na, Falk Müller-Riemenschneider
{"title":"Population-Wide mHealth Interventions Promoting Healthy Movement Behaviors: Systematic Review of the Real-World Evidence.","authors":"Sarah Edney, Jacqueline L Mair, Thitikorn Topothai, Xin Hui Chua, Wan Xin Esther Na, Falk Müller-Riemenschneider","doi":"10.1123/jpah.2025-0151","DOIUrl":"10.1123/jpah.2025-0151","url":null,"abstract":"<p><strong>Background: </strong>Mobile health (mHealth) interventions offer scalable opportunities to promote healthy movement behaviors, but their real-world effectiveness and implementation remain unclear. This review aims to evaluate scaled-up mHealth interventions targeting physical activity, sedentary behavior, and sleep at a population level and in real-world settings using the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework.</p><p><strong>Methods: </strong>Systematic searches were conducted across 5 databases (PubMed, Embase, Scopus, Web of Science, and PsycINFO). Studies were included if they targeted an entire population or population group, used mHealth, promoted at least one movement behavior, and reported RE-AIM-related outcomes (RE-AIM) either implicitly or explicitly. Study and intervention characteristics alongside RE-AIM-related indicators were extracted and synthesized narratively.</p><p><strong>Results: </strong>From 9385 records, 43 studies reporting on 24 interventions were included. All were nonrandomized studies and targeted physical activity, with 21.0% also addressing sedentary behavior and 4.8% including sleep. Median reporting across RE-AIM indicators was 6.5 out of 14, with Reach most commonly reported (3 out of 4 indicators), followed by Implementation (2 out of 4), Maintenance (1 out of 2), Effectiveness (1 out of 2), and Adoption (0 out of 2). Representativeness was often assessed by age and sex, but rarely by socioeconomic status or ethnicity. Most interventions had positive effects on movement behavior, and 9.5% assessed cost-effectiveness.</p><p><strong>Conclusions: </strong>While mHealth interventions show promise for promoting movement behaviors, gaps in evaluation and reporting persist, limiting our understanding of their real-world impact. Future research should prioritize rigorous evaluations and comprehensive reporting to strengthen the case for scalable, sustainable mHealth interventions.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1218-1230"},"PeriodicalIF":2.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145075566","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}
引用次数: 0
Does Physical Activity Intensity Matter? Longitudinal Evidence From a 5-Wave National Chinese Cohort on Chronic Disease Prevalence. 运动强度重要吗?来自中国慢性病患病率五波队列的纵向证据。
IF 2.6 4区 医学
Journal of physical activity & health Pub Date : 2025-09-08 DOI: 10.1123/jpah.2025-0284
Qiang Wang, Mingda Wang, Xing Zhang, Xueshi Wang
{"title":"Does Physical Activity Intensity Matter? Longitudinal Evidence From a 5-Wave National Chinese Cohort on Chronic Disease Prevalence.","authors":"Qiang Wang, Mingda Wang, Xing Zhang, Xueshi Wang","doi":"10.1123/jpah.2025-0284","DOIUrl":"https://doi.org/10.1123/jpah.2025-0284","url":null,"abstract":"<p><strong>Background: </strong>As China's population ages, chronic noncommunicable diseases have become increasingly prevalent. While physical activity (PA) is known to reduce disease risk, the role of intensity-light, moderate, or vigorous-remains unclear.</p><p><strong>Methods: </strong>Using 5 waves (2011-2020) of China Health and Retirement Longitudinal Study data (N = 54,300), this study examined associations between PA intensity and the prevalence of 13 chronic diseases. Physical activity was self-reported and categorized by intensity; disease outcomes were also self-reported. Generalized estimating equations were applied to control for demographic and behavioral covariates.</p><p><strong>Results: </strong>Vigorous PA was associated with lower odds of hypertension, diabetes, heart disease, stroke, mental disorders, and asthma but was associated with higher odds of arthritis, digestive, kidney, and liver diseases. Moderate PA reduced the risk of hypertension and stroke, while light PA was positively associated with several chronic conditions, possibly reflecting reverse causality. Several associations changed direction after covariate adjustment, underscoring the importance of multivariable modeling.</p><p><strong>Conclusion: </strong>Overall, an intensity-dependent relationship was observed, with vigorous activity offering the most consistent benefits. These findings suggest that public health interventions should emphasize activity intensity to better tailor chronic disease prevention strategies in aging populations.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-9"},"PeriodicalIF":2.6,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023524","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}
引用次数: 0
Midlife Physical Activity, Disease Symptoms, and Quality of Life in Parkinson's Disease: A Structural Equation Modeling Approach. 帕金森病患者中年体育活动、疾病症状和生活质量:结构方程建模方法
IF 2.6 4区 医学
Journal of physical activity & health Pub Date : 2025-09-01 DOI: 10.1123/jpah.2024-0583
Elisabeth DeMarco, Jac Lindish, Elissa Held-Bradford, Jason K Longhurst
{"title":"Midlife Physical Activity, Disease Symptoms, and Quality of Life in Parkinson's Disease: A Structural Equation Modeling Approach.","authors":"Elisabeth DeMarco, Jac Lindish, Elissa Held-Bradford, Jason K Longhurst","doi":"10.1123/jpah.2024-0583","DOIUrl":"10.1123/jpah.2024-0583","url":null,"abstract":"<p><strong>Background: </strong>While higher levels of physical activity (PA) during midlife are associated with lower risk and later onset of Parkinson's disease (PD), it is not understood how PA is related to PD symptoms and quality of life (QOL). The purpose of this study was to determine the direct and indirect effects of midlife PA on PD-related QOL.</p><p><strong>Methods: </strong>Data were obtained from the Fox Insight Study (n = 38,321) and included demographics, weekly hours of midlife PA (ages 36-55), neurobehavioral symptoms, nonmotor somatic symptoms, motor activities of daily living, and PD-related QOL. Structural equation modeling was conducted on those with complete data (n = 1765) to determine direct and indirect relationships of midlife PA to PD-related QOL.</p><p><strong>Results: </strong>Older age, greater proportion of males, and fewer comorbidities were found in the higher PA groups. The final model included paths from midlife PA to PD-related QOL directly and through 3 moderating variables (neurobehavioral symptoms, motor activities of daily living, and nonmotor somatic symptoms), resulting in a total standardized effect of PA on QOL of β = -0.036. Effects varied in directionality and strength. The standardized effect of neurobehavioral symptoms on QOL (β = 0.904) was more than double that of motor activities of daily living (β = 0.41). The final model explained 80% of variance in PD-related QOL.</p><p><strong>Conclusions: </strong>Higher levels of midlife PA were associated with reduced neurobehavioral burden, suggesting premorbid PA may be critical to lessening the burden of mood and cognitive symptoms, which are known contributors to deterioration in QOL.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-10"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958330","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}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信