Matthew Bourke, Tahlia Alsop, Rachel L Peters, Raisa Cassim, Melissa Wake, Mimi L K Tang, Jennifer J Koplin
{"title":"The Cross-Sectional and Longitudinal Association Between 24-Hour Movement Behavior Compositions With Body Mass Index, Waist Circumference, and Internalizing and Externalizing Symptoms in 6-Year-Old Children.","authors":"Matthew Bourke, Tahlia Alsop, Rachel L Peters, Raisa Cassim, Melissa Wake, Mimi L K Tang, Jennifer J Koplin","doi":"10.1123/jpah.2024-0482","DOIUrl":"10.1123/jpah.2024-0482","url":null,"abstract":"<p><strong>Background: </strong>Few studies have examined the association between 24-hour movement behaviors and health in children in their first 2 years of primary school. This study aimed to examine how 24-hour movement behavior compositions at age 6 were related to body mass index (BMI), waist circumference, and internalizing and externalizing symptoms at ages 6 and 10.</p><p><strong>Methods: </strong>A subsample of 361 children from the HealthNuts cohort study with valid accelerometer data was included in the cross-sectional analysis. Of these, 279 had longitudinal data for social-emotional outcomes and 113 had longitudinal anthropometric data. Children's 24-hour movement behaviors (ie, sleep, sedentary time, light-intensity physical activity, and moderate- to vigorous-intensity physical activity [MVPA]) were assessed over 8 days using accelerometery and activity logs. BMI z score and waist circumference were assessed using standardized protocols, and parents reported on their child's internalizing and externalizing behaviors. Cross-sectional and longitudinal associations were estimated using compositional data analysis and compositional isotemporal substitution analysis.</p><p><strong>Results: </strong>Overall, 24-hour movement behaviors were significantly related to internalizing symptoms cross-sectionally and longitudinally and BMI z-score cross-sectionally. Results from compositional isotemporal substitution models indicated that replacing sedentary time or light-intensity physical activity with MVPA was associated with fewer internalizing symptoms at ages 6 and 10. Replacing time spent sedentary and in light-intensity physical activity or MVPA with sleep was associated with lower BMI z score at age 6.</p><p><strong>Conclusion: </strong>Spending more time in MVPA relative to other movement behaviors is associated with fewer internalizing symptoms. In additional, spending more time sleeping is associated with lower BMI z score and waist circumference in children.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"192-204"},"PeriodicalIF":2.9,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142639272","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}
Min Ju, Yangzheng Li, Junjie Pei, Jiayi Xing, Lingyi Wu, He Liu, Zhiping Liao, YiYu Zhuang
{"title":"Association Between Leisure-Time Physical Activity and All-Cause Mortality Among Stroke Survivors: Findings From National Health and Nutrition Examination Survey.","authors":"Min Ju, Yangzheng Li, Junjie Pei, Jiayi Xing, Lingyi Wu, He Liu, Zhiping Liao, YiYu Zhuang","doi":"10.1123/jpah.2024-0287","DOIUrl":"10.1123/jpah.2024-0287","url":null,"abstract":"<p><strong>Background: </strong>Stroke is the second leading cause of death and the third leading cause of disability globally. But little is known about the optimal level of physical activity for stroke survivors. Therefore, we aimed to analyze the dose-response relationship between leisure-time physical activity (LTPA) and all-cause mortality in stroke survivors.</p><p><strong>Methods: </strong>One-thousand six hundred and sixty-four stroke survivors form from the 1999 to 2018 National Health and Nutrition Examination Surveys were classified into 6 groups: 0, 1 to 149, 150 to 299, 300 to 599, 600 to 899, and ≥900 minutes per week (based on the Global Physical Activity Questionnaire). Cox proportional hazards regression models with different adjustments of covariates were used to investigate the association between LTPA and all-cause mortality.</p><p><strong>Results: </strong>Except for stroke survivors with LTPA levels ranging from 600 to 899 minutes per week (P = .055), there was a significant difference in survival rates among stroke survivors with different levels of LTPA compared with those without LTPA. Stroke survivors engaging in LTPA levels exceeding 900 minutes per week exhibited the greatest benefit compared with stroke survivors who did not engage in LTPA (hazard ratio = 0.225; 95% confidence interval, 0.122-0.414).</p><p><strong>Conclusions: </strong>Our research findings add to the expanding evidence base that highlights the favorable connection between LTPA and decreased risk of all-cause mortality among individuals who have survived a stroke. Our study emphasizes the significance of incorporating physical activity interventions into the poststroke care regimen and underscores the potential advantages of personalized activity guidance.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"182-191"},"PeriodicalIF":2.9,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142639269","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}
Bojan Masanovic, Jovan Gardasevic, Boris Banjevic, Miloš Petrovic, Stevo Popovic
{"title":"The Montenegrin 2022 Report Card on Physical Activity for Children and Youth.","authors":"Bojan Masanovic, Jovan Gardasevic, Boris Banjevic, Miloš Petrovic, Stevo Popovic","doi":"10.1123/jpah.2024-0323","DOIUrl":"10.1123/jpah.2024-0323","url":null,"abstract":"<p><strong>Background: </strong>The main purpose of this study was to summarize the results of the Montenegrin 2022 Report Card on physical activity (PA) for children and youth, which is used to identify and grade PA to help optimize the current situation and provide an improved basis for the creation of a future monitoring system.</p><p><strong>Methods: </strong>Following the methodology established by the Active Healthy Kids Global Alliance, the Montenegrin team conducted an assessment of PA of Montenegrin children and youth through 12 separate indicators. Grades were awarded based on data found in available articles published up to 2022, including the grey literature, such as government and nongovernment reports, and online content from the same period.</p><p><strong>Results: </strong>Based on the results synthesized from the available data, B was the average rating for all indicators. Individual indicators varied. Six indicators were rated above average, 3 grade A, and 3 grade B. Six were rated slightly lower, 5 in the range of grade C, and 1 in the range of grade D.</p><p><strong>Conclusions: </strong>Physical fitness, organized sport and PA, community and environment, government, overall PA, and active transportation are indicators with lower ratings than the others; therefore, they should be given the most attention in the future as it is clear they can be improved.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"216-223"},"PeriodicalIF":2.9,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142639274","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}
Eun-Young Lee, Asaduzzuman Khan, Leigh M Vanderloo, Leah J Ferguson, Norman O'Reilly, Ryan E Rhodes, John C Spence, Mark S Tremblay, Guy Faulkner
{"title":"Are Experiences of Discrimination Associated With Views of Physical Activity and Climate Policy Support in Canada?","authors":"Eun-Young Lee, Asaduzzuman Khan, Leigh M Vanderloo, Leah J Ferguson, Norman O'Reilly, Ryan E Rhodes, John C Spence, Mark S Tremblay, Guy Faulkner","doi":"10.1123/jpah.2024-0367","DOIUrl":"10.1123/jpah.2024-0367","url":null,"abstract":"<p><strong>Background: </strong>Social climate refers to the general feelings, norms, and opinions in a society and may be affected by experiences of discrimination. This study examined whether experiences of discrimination are associated with the social climate of physical (in)activity and support for policies addressing dual benefits of physical activity (PA) and climate change.</p><p><strong>Methods: </strong>Data from the 2023 Social Climate Survey were used (n = 1950; ≥18 y). Adherence to PA guidelines, perceived importance of PA, social norms, and support for 8 policy actions addressing dual benefits were each regressed on experiences of discrimination.</p><p><strong>Results: </strong>Experiencing discrimination was not associated with the importance of PA, causal attribution of physical inactivity (individual vs external), adherence to PA guidelines, or policy support addressing PA and climate change. However, experiencing discrimination was associated with social norms that are favorable to PA: seeing children playing actively outdoors (odds ratio [OR]: 1.04; 95% CI, 1.02-1.06), perceiving that half of people their age meeting PA guidelines (OR: 1.04; 95% CI, 1.02-1.06), agreeing with societal disapproval of physical inactivity (OR: 1.03; 95% CI, 1.01-1.06), and having important people (eg, family/friends) meeting PA guidelines (OR: 1.10; 95% CI, 1.08-1.12).</p><p><strong>Conclusions: </strong>Unlike structural discrimination, interpersonal experiences of discrimination may not shape the perceived importance of and engagement in PA. However, experiencing discrimination may be associated with an individual's perceptions of their social environment, including how they observe and interpret the behaviors of others within their community. Generally strong support for policies addressing dual benefits, regardless of experiences with discrimination, aligns well with the planetary health agenda.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"252-261"},"PeriodicalIF":2.9,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142639268","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}
Milena Franco Silva, Ana Luiza Favarão Leão, Áine O'Connor, Pedro C Hallal, Ding Ding, Erica Hinckson, Tarik Benmarhnia, Rodrigo Siqueira Reis
{"title":"Understanding the Relationships Between Physical Activity and Climate Change: An Umbrella Review.","authors":"Milena Franco Silva, Ana Luiza Favarão Leão, Áine O'Connor, Pedro C Hallal, Ding Ding, Erica Hinckson, Tarik Benmarhnia, Rodrigo Siqueira Reis","doi":"10.1123/jpah.2024-0284","DOIUrl":"10.1123/jpah.2024-0284","url":null,"abstract":"<p><strong>Background: </strong>Physical activity is crucial for maintaining health and preventing chronic diseases. However, climate conditions can impact physical activity patterns, and conversely, physical activity can impact climate change. This umbrella review aims to summarize the existing evidence regarding the relationships between physical activity and climate change, as revealed in previous reviews.</p><p><strong>Methods: </strong>Systematic reviews and meta-analyses were analyzed. Searches were conducted across GreenFILE, PubMed, and Web of Science databases for peer-reviewed articles published in English. A 2-stage independent screening process was conducted, and methodological quality was assessed using the JBI framework. Standardized data extraction methods were then applied.</p><p><strong>Results: </strong>Out of 1292 articles retrieved, 7 met all eligibility criteria and were included in the review. Three articles examined physical activity as a primary exposure, 3 focused on the impacts of climate change, and one considered both physical activity and climate change as primary exposures.</p><p><strong>Conclusions: </strong>Findings reveal an interplay between climate change and physical activity. While rising temperatures may prompt outdoor activities up to a certain temperature threshold, air pollution and extreme heat can have harmful effects. Active transportation and improved logistics around large-scale sporting events can mitigate climate change by reducing greenhouse gas emissions, but transportation systems linked to sports venues may increase emissions. Research on the reciprocal relationship between climate change and physical activity domains, and integrating the community into climate discussions, is crucial for equity, especially for marginalized communities. Incorporating climate adaptation and mitigation strategies in physical activity infrastructure to minimize environmental impacts is critical.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1263-1275"},"PeriodicalIF":2.9,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142400560","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}
Kathryn Fortnum, Sjaan R Gomersall, Megan H Ross, James Woodforde, George Thomas, Yu-Shu Wen, Francisco Perales, Michalis Stylianou
{"title":"24-Hour Movement Behaviors of LGBTQA+ Young People: A Systematic Review.","authors":"Kathryn Fortnum, Sjaan R Gomersall, Megan H Ross, James Woodforde, George Thomas, Yu-Shu Wen, Francisco Perales, Michalis Stylianou","doi":"10.1123/jpah.2024-0343","DOIUrl":"10.1123/jpah.2024-0343","url":null,"abstract":"<p><strong>Background: </strong>The movement behaviors of LGBTQA+ young people, who encounter specific health, and other, challenges are not well understood. This systematic review examines the 24-hour movement behaviors of LGBTQA+ young people compared with population estimates of meeting the 24-hour movement guidelines.</p><p><strong>Methods: </strong>Seven electronic databases were searched from inception to January 2024. Observational studies published in English and reporting quantitative data for physical activity, sedentary behavior, or sleep duration for LGBTQA+ individuals <24 years old were included. Data were narratively synthesized for children/adolescents (<18 years) and young adults (18-24 years), guided by the Cochrane Synthesis Without Meta-analysis guidelines.</p><p><strong>Results: </strong>Fifty-six studies were included; 46 were of \"fair\" quality and 37 were conducted in the United States. Physical activity, sedentary behavior, and sleep outcomes were reported in 46, 11, and 14 studies, respectively. Ninety unique LGBTQA+ terms were identified. Based on outcomes reported in ≥1 study, and compared to population estimates, LGBTQA+ young people were less likely to meet aerobic physical activity and strength/resistance training guidelines. LGBTQA+ children/adolescents were less likely to meet the sleep guidelines. Young adults demonstrated similar adherence to sleep guidelines as population estimates.</p><p><strong>Conclusions: </strong>Overall, our results suggest that LGBTQA+ young people have suboptimal 24-hour movement behaviors; in some cases, worse than population estimates. Utilization of more robust measures of exposure and outcome variables is recommended, with a focus on sleep and sedentary behavior.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1308-1324"},"PeriodicalIF":2.9,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142400559","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}
Esther M F Van Sluijs, Ulf Ekelund, Pedro C Hallal, Bjorge H Hansen, Jenna Panter, Jo Salmon, Stephen J Sharp, Lauren B Sherar, Andrew J Atkin
{"title":"Family Car Ownership: Driving Inactivity in Young People? Cross-Sectional and Longitudinal Analyses in the International Children's Accelerometry Database.","authors":"Esther M F Van Sluijs, Ulf Ekelund, Pedro C Hallal, Bjorge H Hansen, Jenna Panter, Jo Salmon, Stephen J Sharp, Lauren B Sherar, Andrew J Atkin","doi":"10.1123/jpah.2024-0044","DOIUrl":"10.1123/jpah.2024-0044","url":null,"abstract":"<p><strong>Background: </strong>Ubiquitous car ownership may affect children's activity and health. We assessed the cross-sectional and longitudinal associations between household car ownership and children's daily time spent sedentary (SED) and in moderate to vigorous physical activity (MVPA).</p><p><strong>Methods: </strong>Pooled cohort data were from the International Children's Accelerometry Database. Outcome measures were average daily accelerometer-measured SED and MVPA (in minutes per day). Exposures were household car ownership (none, 1, and ≥2) and change in car ownership. Associations were examined using multivariable mixed-effects linear regression.</p><p><strong>Results: </strong>Mean age of participants (N = 4193) was 10.4 years (SD = 2.0), 53.4% were girls, and mean follow-up duration (N = 1333) was 3.3 years (SD = 1.1). Cross-sectionally, household car ownership was associated with higher SED (vs none: 1 car: β = 14.1 min/d, 95% CI, 6.7-21.5; ≥2 cars: 12.8, 95% CI, 5.3-20.4) and lower MVPA (vs none: 1 car: β = -8.8, 95% CI, -11.9 to -5.7; ≥2 cars: β = -8.8, 95% CI, -12.0 to -5.7). Associations were stronger in boys than girls and in children from lower socioeconomic backgrounds (SED only). Prospectively, there were no associations with increased car ownership. Reductions in household car ownership (of which 93.1% had ≥ 2 cars at baseline) were associated with a greater reduction in MVPA (vs no change: β = -8.4, 95% CI, -13.9 to -3.0) but not SED.</p><p><strong>Conclusions: </strong>Children in households with car access were more SED and less active than those without. Losing access to a second car was associated with greater decreases in MVPA, potentially related to losing access to activity-enabling environments. Reducing car access and use are important public health targets (eg, reducing air pollution), but their potential impact on children's activity opportunities should be mitigated.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1391-1400"},"PeriodicalIF":2.9,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142468331","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":"Understanding the Increases in Physical Activity Publications From 1985 to 2022: A Global Perspective.","authors":"Adrian Bauman, Karen C Lee, Michael Pratt","doi":"10.1123/jpah.2024-0050","DOIUrl":"10.1123/jpah.2024-0050","url":null,"abstract":"<p><strong>Background: </strong>A marked increase in physical activity (PA) publications has occurred since 1985. Increased publications reflect a globalization of publications and increase the difficulty of reviewing evidence and identifying effective PA strategies.</p><p><strong>Methods: </strong>Review of Scopus database publications with the title or keyword \"physical activity\" between 1985 and 2022, examining 193,335 PA publications. The choice of search strategy was standardized across the period and maximized relevant PA papers (high sensitivity).</p><p><strong>Results: </strong>The results showed 3 clear periods for increases in PA publications; an initial increase in period 1 between 1985 and 2000, a 9-fold increase in period 2 between 2001 and 2016 (from 645/y to 5876/y), and a further increase to 15,812 publications per year in period 3 between 2017 and 2022. The primary driver of this increase was the transition from publications in traditional subscription-model journals to open-access business model journals, which comprised 80% of PA publications by period 3. Although this trend was global, some countries showed greater increases through open-access publication.</p><p><strong>Discussion: </strong>These data identify a relatively unrecognized and urgent threat to the field: An exponential increase in PA publications may influence the quality of published work and increases the difficulty of finding and applying important research findings. The shift in publication patterns is contributed to by higher acceptance rates and rapid time to publication offered in open-access journals. This represents a \"commercial determinant\" of publications in the PA field, influencing the type and volume of publications without consideration of their contribution to evidence or impact.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"175-181"},"PeriodicalIF":2.9,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502620","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}
Keegan T Peterson, Oliver W A Wilson, Shannon S C Herrick, Ginny M Frederick, Michael V Fedewa, Katherine Sullivan, Melissa Bopp
{"title":"A Scoping Review of Physical Activity Interventions Among Sexual Minority Adults: A Call to Action for Future Research.","authors":"Keegan T Peterson, Oliver W A Wilson, Shannon S C Herrick, Ginny M Frederick, Michael V Fedewa, Katherine Sullivan, Melissa Bopp","doi":"10.1123/jpah.2024-0336","DOIUrl":"10.1123/jpah.2024-0336","url":null,"abstract":"<p><p>Physical activity (PA) has a variety of well-established benefits for physical and mental health. However, there are PA disparities based on numerous sociodemographic characteristics, including sexual orientation. Mapping of PA interventions tailored to sexual minorities (ie, nonheterosexual) is currently absent from the literature.</p><p><strong>Purpose: </strong>The purpose of this scoping review was to summarize the existing interventions focused on promoting PA among sexual minority (SM) adults.</p><p><strong>Methods: </strong>A search strategy was developed in consultation with a research librarian for PubMed, Web of Science, SportDiscus, and CINAHL. The scoping review was conducted using the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews guidelines. Randomized and nonrandomized interventions that focused on increasing PA among SM adults were included. Data on study design, sample demographics, purpose of research, methodology, intervention components, theory-based constructs used, PA measures, and outcomes of the intervention were extracted.</p><p><strong>Results: </strong>Our search yielded 7289 articles, with 26 articles requiring full-text review. Four interventions were identified that focused on increasing PA among SM adults, with 2 focusing on lesbian/bisexual women, 1 focusing on lesbian/gay cancer survivors, and 1 focusing on men who have sex with men. Two of the 4 studies were successful at increasing PA, with varying psychosocial theories (ie, social cognitive theory and theory of reasoned action) and intervention strategies (ie, PA counseling, group meetings, and pedometers).</p><p><strong>Conclusion: </strong>Findings of this review demonstrate a clear lack of PA interventions targeting SM adults, limiting the available knowledge required for preventionists, practitioners, and health care professionals to effectively promote PA through behavioral modification among this group.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1286-1295"},"PeriodicalIF":2.9,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502619","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}
Antonio Moreno-Llamas, Ernesto De la Cruz-Sánchez, Jesús García-Mayor
{"title":"Estimating the Reduction of Socioeconomic Inequalities for a More Physically Active Society: A Cross-Sectional Study of the European Union Country Members.","authors":"Antonio Moreno-Llamas, Ernesto De la Cruz-Sánchez, Jesús García-Mayor","doi":"10.1123/jpah.2024-0232","DOIUrl":"10.1123/jpah.2024-0232","url":null,"abstract":"<p><strong>Background: </strong>Socioeconomic inequalities significantly impact the accessibility of resources necessary for physical activity, thereby influencing overall physical activity levels and contributing to broader health disparities. Nevertheless, evidence is lacking on quantifying the increase of people who would be physically active through reducing inequalities by a higher socioeconomic position.</p><p><strong>Methods: </strong>We conducted secondary data analysis on the 2017 cross-sectional survey of the European Union's population aged ≥18 years (n = 27,538). By estimating socioeconomic status percentages and odds ratios between socioeconomic status (education, occupational social class, and economic issues) and physical activity, we calculated age-standardized Prevented Fraction for Population and the total number of individuals that would meet physical activity guidelines by a higher socioeconomic status (eg, from low to middle or high socioeconomic status), along with scenarios of reduced socioeconomic disparities, controlling for age, gender, place of residence, and marital status.</p><p><strong>Results: </strong>A higher socioeconomic status could promote physical activity for a total of 93.0 (84.5-101.8) million people through university education, 28.5 million via high-ranked occupations (24.6-32.8), and 137.9 (129.5-146.2) million by less economic issues (compared with primary education, low-manual occupations, and having economic issues most of the time, respectively)-equivalent to 35.46%, 14.49%, and 55.42% of the Prevented Fraction for Population. Reducing socioeconomic inequalities by 50% could raise these estimations to 148.1 million (134.0-162.8) through education, 43.5 million (37.5-50.3) through occupation, and 223.6 million (209.3-237.8) through less economic issues.</p><p><strong>Conclusions: </strong>Enhancing access to university education, high-ranked occupations, and income impacts physical activity population levels in the European Union.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":"21 11","pages":"1197-1207"},"PeriodicalIF":2.9,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502621","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}