{"title":"A Call for Weight Stigma Reduction in Physical Activity, Exercise, and Sport Settings.","authors":"Angela S Alberga, Taniya S Nagpal, Ian Patton","doi":"10.1123/jpah.2025-0221","DOIUrl":"https://doi.org/10.1123/jpah.2025-0221","url":null,"abstract":"","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-3"},"PeriodicalIF":2.9,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144187228","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}
Nidhi Gupta, Martin Eghøj, Tonje Pedersen Ludvigsen, Jon Roslyng Larsen, Christian Tolstrup Wester, Rasmus Kildedal, Emmanuel Stamatakis, Leon Straker, Mette Aadahl, Peter J Johansson, Paul Jarle Mork, Christina Bjørk Petersen, Andreas Holtermann
{"title":"A Feasibility Study of the \"Motus\" System for Wearable-Based Movement Behaviors at Scale.","authors":"Nidhi Gupta, Martin Eghøj, Tonje Pedersen Ludvigsen, Jon Roslyng Larsen, Christian Tolstrup Wester, Rasmus Kildedal, Emmanuel Stamatakis, Leon Straker, Mette Aadahl, Peter J Johansson, Paul Jarle Mork, Christina Bjørk Petersen, Andreas Holtermann","doi":"10.1123/jpah.2024-0832","DOIUrl":"https://doi.org/10.1123/jpah.2024-0832","url":null,"abstract":"<p><strong>Background: </strong>For detailed, large-scale data on 24-hour movement behaviors, we designed a system \"Motus\" using state-of-the-art wearable and cloud technology, and tested its feasibility on randomly chosen Danish adults in a 2-stage evaluation.</p><p><strong>Methods: </strong>Stage 1: We invited 7735 adults, responding to a national occupational health surveillance-2021. Consented participants received a wearable (SENSmotion Plus) and downloaded the Motus app, which provided instructions for wearable attachment on the thigh and for self-reporting work and sleep hours. Following the 7-day measurement, participants completed a feasibility questionnaire. Administrators recorded time spent on Motus-related tasks (eg, postal package preparation). Identified feasibility issues led to revisions of protocol and Motus elements. Stage 2: We invited 6993 adults from a national public health surveillance-2023. Participants used the revised Motus version. We evaluated Motus on the key issues identified from stage 1.</p><p><strong>Results: </strong>Stage 1: Feasibility ranged from 77% for social acceptability to 98% for adherence to the measurement protocol. Participants reported spending 73 minutes per week (eg, attaching the sensors) on Motus, while administrators reported 15 minutes per participant. We identified 3 issues: 6% consent rate, 20% lost wearables (but not the data), and 10% wearable patches becoming loose. We addressed these issues by sending reminders, using stronger return envelopes, and replacing patch adhesive with higher quality alternatives, respectively. At stage 2, we observed a higher consent rate (23%) and lower patch complaints (<3%) but higher wearables loss (25%).</p><p><strong>Conclusion: </strong>Motus displays promising feasibility for collecting large-scale 24-hour movement behavior data. However, the low participation rate and high sensor loss require improvement before broader implementation, especially in surveillance.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-12"},"PeriodicalIF":2.9,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144173925","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":"Are We Ignoring The Context of Behavioral Data?","authors":"Jasper Schipperijn, Josef Heidler","doi":"10.1123/jpah.2025-0225","DOIUrl":"https://doi.org/10.1123/jpah.2025-0225","url":null,"abstract":"","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-2"},"PeriodicalIF":2.9,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127978","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}
Carlos Alberto Treff, Gisela Tunes da Silva, Alessandra Carvalho Goulart, Alexandre Costa Pereira, Paulo Andrade Lotufo, Isabela Martins Bensenor, Itamar de Souza Santos
{"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":"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":"857-863"},"PeriodicalIF":2.9,"publicationDate":"2025-05-21","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}
Maike Till, Karim Abu-Omar, Sarah Klein, Anna Chalkley, Adriana Isabel Pinedo Carrillo, Stephen Whiting, Romeu Mendes, Peter Gelius
{"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":"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":"864-872"},"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}
Aleksander Solberg, Nils Petter Aspvik, Stian Lydersen, Sindre Midttun, Line Skarsem Reitlo, Sigurd Steinshamn, Jan Erik Ingebrigtsen, Jorunn L Helbostad, Ulrik Wisløff, Dorthe Stensvold
{"title":"Effect of a 5-Year Exercise Intervention on Objectively Measured Physical Activity and Sedentary Time in Older Adults-The Generation 100 Study.","authors":"Aleksander Solberg, Nils Petter Aspvik, Stian Lydersen, Sindre Midttun, Line Skarsem Reitlo, Sigurd Steinshamn, Jan Erik Ingebrigtsen, Jorunn L Helbostad, Ulrik Wisløff, Dorthe Stensvold","doi":"10.1123/jpah.2024-0767","DOIUrl":"10.1123/jpah.2024-0767","url":null,"abstract":"<p><strong>Background: </strong>Interventions promoting increased physical activity (PA) and limited sedentary time in older adults are urgently required. This study examines how 5 years of supervised high-intensity interval training (HIIT), or moderate-intensity continuous training (MICT) affects PA and sedentary time measured objectively, during, and 5 years after the intervention, compared to an unsupervised control group.</p><p><strong>Methods: </strong>In total, 1405 participants with a mean age of 72.8 years, consisting of 51% females, were randomized 1:1:2 to 5 years of 2 weekly sessions of HIIT (90% of peak heart rate), MICT (70% of peak heart rate), or as controls asked to follow national PA recommendations. Total PA, number of steps, sedentary time, light PA, moderate PA, and vigorous PA were measured with ActiGraph GT3X+ monitors at baseline, years 1, 3, 5, and 10.</p><p><strong>Results: </strong>There were no significant between-group differences throughout the study. However, HIIT, MICT, and control demonstrated significant changes after 1 year, including decreased total PA (-10%, -9%, and -9%, respectively), increased sedentary time (164, 163, and 163 min/d, respectively), and increased moderate PA (21, 21, and 19 min/d, respectively). Furthermore, after 10 years, pooled moderate to vigorous PA was maintained or increased in all groups (5.7, 1.9, and 1.5 min/d in HIIT, MICT, and control, respectively).</p><p><strong>Conclusion: </strong>HIIT, MICT, and control exhibited a similar long-term effect on objective PA and sedentary time in a general population of older adults. Notably, both supervised and unsupervised exercise combined with regular follow-up hindered the expected age-related decline in moderate to vigorous PA over 10 years.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"749-757"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772507","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}
Javier Ramos-Munell, Devan Antczak, Francisco Álvarez-Barbosa, Rosa M Alfonso-Rosa, Borja Del Pozo Cruz, Jesús Del Pozo-Cruz
{"title":"Accelerometer Monitoring Duration for Reliable Estimates of Physical Activity, Sedentary Behavior, and Step Counts in Preschoolers.","authors":"Javier Ramos-Munell, Devan Antczak, Francisco Álvarez-Barbosa, Rosa M Alfonso-Rosa, Borja Del Pozo Cruz, Jesús Del Pozo-Cruz","doi":"10.1123/jpah.2024-0640","DOIUrl":"https://doi.org/10.1123/jpah.2024-0640","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to establish the reliability of accelerometer-based measurements for physical activity, sedentary behavior, and step counts in preschoolers and determine the optimal monitoring duration necessary for reliable data.</p><p><strong>Methods: </strong>The study analyzed data from 434 preschoolers (ages 3-5) who wore waist-worn ActiGraph wGT3X-BT accelerometers for 7 days as part of the Sunrise Study in Spain. Two-way mixed effects intraclass correlation coefficients were calculated for various combinations of daily wear time and number of valid days to assess reliability. The Spearman-Brown prophecy formula was applied to determine the required days to achieve reliability scores of 0.7, 0.8, and 0.9.</p><p><strong>Results: </strong>The findings showed that reliability improved with increased wear time, although intraclass correlation coefficients values were weaker around 7 to 9 hours per day. To achieve a reliability score of 0.7, moderate to vigorous physical activity required 3 to 4 days, light physical activity required 4 to 7 days, and sedentary behavior required 8 to 13 days. Steps per day required 7 to 9 days for a reliability score of 0.7, while other step outcomes needed 10 to 13 days.</p><p><strong>Conclusion: </strong>The study provides evidence-based recommendations on the monitoring duration required for reliable estimates of physical activity, sedentary behavior, step counts, and sleep duration in preschoolers using accelerometers. These findings are crucial for researchers and practitioners aiming to accurately assess and promote physical activity in early childhood.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-8"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772502","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}
Lucía Guerrero Romero, Mar Cepero González, Francisco J Rojas-Ruiz
{"title":"Physical Activity in Lower-Extremity Sarcoma Survivors: Specific Recommendations and Program Design.","authors":"Lucía Guerrero Romero, Mar Cepero González, Francisco J Rojas-Ruiz","doi":"10.1123/jpah.2024-0745","DOIUrl":"10.1123/jpah.2024-0745","url":null,"abstract":"<p><p>Survivors of lower-extremity sarcoma are at high risk of developing physical performance dysfunctions and impaired quality of life resulting from the sarcoma disease itself and the adverse side effects of the treatments. Therefore, the implementation of safe and effective exercise programs addressing survivors' functionality and life quality is an essential and complementary nonpharmacological intervention in the cancer continuum. The viability and success of physical activity and exercise in lower-extremity sarcoma survivors remains largely unknown, likely due to the heterogeneity of clinical presentation and development of this type of cancer regarding diagnosis, treatment, and prognosis. This study provides specific recommendations for designing an appropriate training program that will help maintain sarcoma survivors' physical activity and improve their quality of life. The main conclusions reported here result from scientific studies and analyses of clinical data both selected from a systematic search in PubMed database. Sarcoma survivors should be advised as soon as the disease is diagnosed to perform a simple program of low-intensity and short-duration exercise prior to surgery (prehabilitation). Later, during clinical treatments and taking into account their psychobiological status, an adapted exercise program may be developed within the hospital environment. Finally, building healthy habits is recommended so as to improve disease-free survival, including regular physical activity, always under the supervision of professionals in this field. Hopefully, these suggestions will contribute to a better professional performance by specialists in the implementation of safe, reliable, and exercise programs in lower-extremity sarcoma survivors.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"664-672"},"PeriodicalIF":2.9,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657580","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":"Thinking and Acting Politically for Effective Policies for Physical Activity.","authors":"Kent Buse","doi":"10.1123/jpah.2025-0033","DOIUrl":"10.1123/jpah.2025-0033","url":null,"abstract":"","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"525-530"},"PeriodicalIF":2.9,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634064","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}