Journal of physical activity & health最新文献

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Breaking Barriers: An Innovative Tool to Assess the National and City-Level Physical Activity Policy Development to Practice Disconnect. 打破障碍:评估国家和城市一级体育活动政策制定与实践脱节情况的创新工具。
IF 3.1 4区 医学
Journal of physical activity & health Pub Date : 2024-01-19 Print Date: 2024-05-01 DOI: 10.1123/jpah.2023-0471
Eugen Resendiz, Andrea Ramírez-Varela, Juliana Mejía-Grueso, Jane Moon, Josef Mitáš, Ross C Brownson, Deborah Salvo, Michael Pratt
{"title":"Breaking Barriers: An Innovative Tool to Assess the National and City-Level Physical Activity Policy Development to Practice Disconnect.","authors":"Eugen Resendiz, Andrea Ramírez-Varela, Juliana Mejía-Grueso, Jane Moon, Josef Mitáš, Ross C Brownson, Deborah Salvo, Michael Pratt","doi":"10.1123/jpah.2023-0471","DOIUrl":"10.1123/jpah.2023-0471","url":null,"abstract":"<p><strong>Background: </strong>Population-level physical activity increases are improbable without intersectoral collaboration across government levels and sectors to develop and implement physical activity promotion policies. This study aims to provide information about the development of the Interaction between National and Local Government Levels in Development and Implementation of Physical Activity Policies Tool (INTEGRATE PA-Pol). A framework was created to examine the development and implementation of national and subnational physical activity policies and the (mis)alignment between government levels.</p><p><strong>Methods: </strong>The work was conducted in 3 phases: (1) a scoping review was carried out to identify local government physical activity promotion policies and instruments for assessing them, (2) an expert group designed 6 questionnaires, and (3) cognitive response testing was employed for validity testing and item modification with a panel of research and policy experts.</p><p><strong>Results: </strong>The INTEGRATE PA-Pol Tool consists of 6 questionnaires assessing how national and subnational governments collaborate to develop and implement physical activity promotion policies.</p><p><strong>Conclusion: </strong>This tool can assist in better understanding the development and implementation of a public policy monitoring system that will allow for benchmarking and priority setting to comprehend how physical activity promotion policies are designed and executed.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"425-433"},"PeriodicalIF":3.1,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139502470","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
Prevalence and Health Associations of Meeting the World Health Organization Guidelines for Physical Activity, Sedentary Behavior, and Sleep in Preschool-Aged Children: The SUNRISE Mongolia Pilot and Feasibility Study. 符合世界卫生组织关于学龄前儿童体育锻炼、久坐行为和睡眠指导原则的流行率及其与健康的关系:蒙古 SUNRISE 试点和可行性研究》。
IF 3.1 4区 医学
Journal of physical activity & health Pub Date : 2024-01-19 Print Date: 2024-03-01 DOI: 10.1123/jpah.2023-0511
Ankhmaa Byambaa, Oyundelger Dechinjamts, Bayasgalan Jambaldorj, Rachel A Jones, Kar Hau Chong, Anthony D Okely
{"title":"Prevalence and Health Associations of Meeting the World Health Organization Guidelines for Physical Activity, Sedentary Behavior, and Sleep in Preschool-Aged Children: The SUNRISE Mongolia Pilot and Feasibility Study.","authors":"Ankhmaa Byambaa, Oyundelger Dechinjamts, Bayasgalan Jambaldorj, Rachel A Jones, Kar Hau Chong, Anthony D Okely","doi":"10.1123/jpah.2023-0511","DOIUrl":"10.1123/jpah.2023-0511","url":null,"abstract":"<p><strong>Background: </strong>There is a lack of evidence regarding 24-hour movement behaviors of young children from low- and middle-income countries. This study examined Mongolian preschoolers' adherence to the World Health Organization's guidelines for physical activity, sedentary behavior, and sleep; their associations with health indicators, and the feasibility of the SUNRISE International study in Mongolia.</p><p><strong>Methods: </strong>Preschool-aged children were recruited from 5 kindergartens in urban and rural areas of Ulaanbaatar city and Tuv province in Mongolia. Physical activity and sedentary behavior were measured by an ActiGraph accelerometer worn for 5 consecutive days. Screen time and sleep were reported by parents. The National Institute of Health and Early Years Toolboxes were used to assess motor skills and executive function, respectively.</p><p><strong>Results: </strong>One hundred and one children participated in the study (mean age = 4.82 y, boys = 58), with 88% (n = 89) having complete data for analysis. The proportion of children who met the recommendations for physical activity, sedentary screen time, and sleep was 61%, 23%, and 82%, respectively. Only 7% met all recommendations. Meeting the sleep recommendation individually (P = .032) and in combination with the physical activity recommendation was associated with better gross (P = .019) and fine (P = .042) motor skills. Spending more time in physical activity was positively correlated with motor development. Results confirmed that the SUNRISE study protocol was feasible, age-appropriate, and enjoyable for children.</p><p><strong>Conclusions: </strong>The results of the SUNRISE pilot study will help inform the SUNRISE Mongolia main study and lay the groundwork for future research into children's 24-hour movement behaviors in Mongolia.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"283-293"},"PeriodicalIF":3.1,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139502473","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 Legacy of Harold Willis Kohl III. 哈罗德-威利斯-科尔三世的遗产
IF 3.1 4区 医学
Journal of physical activity & health Pub Date : 2024-01-18 Print Date: 2024-03-01 DOI: 10.1123/jpah.2024-0020
Loretta DiPietro
{"title":"The Legacy of Harold Willis Kohl III.","authors":"Loretta DiPietro","doi":"10.1123/jpah.2024-0020","DOIUrl":"10.1123/jpah.2024-0020","url":null,"abstract":"","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"209"},"PeriodicalIF":3.1,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139491670","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
Remembering Dr. Harold W. (Bill) Kohl III. 缅怀哈罗德-W-(比尔)-科尔博士三世。
IF 3.1 4区 医学
Journal of physical activity & health Pub Date : 2024-01-18 Print Date: 2024-03-01 DOI: 10.1123/jpah.2024-0036
Deborah Salvo
{"title":"Remembering Dr. Harold W. (Bill) Kohl III.","authors":"Deborah Salvo","doi":"10.1123/jpah.2024-0036","DOIUrl":"10.1123/jpah.2024-0036","url":null,"abstract":"","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"210-211"},"PeriodicalIF":3.1,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139491654","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
"I Can Do It": Perceived Competence of Parents of Autistic Children After Participating in a Physical Activity Intervention. "我能行":自闭症儿童家长参与体育锻炼干预后的认知能力。
IF 3.1 4区 医学
Journal of physical activity & health Pub Date : 2024-01-09 Print Date: 2024-03-01 DOI: 10.1123/jpah.2023-0669
Luis Columna, Justin A Haegele, Ashlyn Barry, Laura Prieto
{"title":"\"I Can Do It\": Perceived Competence of Parents of Autistic Children After Participating in a Physical Activity Intervention.","authors":"Luis Columna, Justin A Haegele, Ashlyn Barry, Laura Prieto","doi":"10.1123/jpah.2023-0669","DOIUrl":"10.1123/jpah.2023-0669","url":null,"abstract":"<p><strong>Background: </strong>Autistic children can benefit from physical activity (PA) in a variety of ways. However, autistic children tend not to meet PA recommendations and, consequently, may not experience the associated benefits. Parental PA support can facilitate PA participation among autistic children, but parents of autistic children may lack the skills to help their child engage in PA. Few studies, to date, have examined the outcomes of parent-mediated PA interventions for autistic children. The purpose of this study was to explore parents' perceived behavioral control (PBC) to support their autistic children in PA after their participation in a PA intervention.</p><p><strong>Methods: </strong>The theory of planned behavior served as the framework for this descriptive-qualitative investigation. Fifteen parents (each with 1 autistic child in the intervention) participated in semistructured interviews (3 wk after the intervention), which were transcribed and then analyzed using thematic line-by-line analysis.</p><p><strong>Results: </strong>Three themes characterized the changes to parents' PBC after completing the PA intervention. Those themes were: (1) I learned by son! (2) You are my coach! and (3) I can do it!</p><p><strong>Conclusions: </strong>The results showed that by participating in a parent-mediated PA intervention, parents experienced improved confidence and awareness of their child's abilities, thus enhancing their PBC. Future research is needed to examine how these improvements in PBC may influence the actual PA behaviors of autistic children.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"275-282"},"PeriodicalIF":3.1,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139403356","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
Associations Between Changes in 24-Hour Movement Behaviors in Children and Adolescents During the COVID-19 Pandemic: A Systematic Review and Mediation-Based Meta-Analysis. COVID-19 大流行期间儿童和青少年 24 小时运动行为变化之间的关联:系统综述和基于中介的元分析》(A Systematic Review and Mediation-Based Meta-Analysis)。
IF 2.9 4区 医学
Journal of physical activity & health Pub Date : 2024-01-08 Print Date: 2024-04-01 DOI: 10.1123/jpah.2023-0346
Ross D Neville, William G Hopkins, Brae Anne McArthur, Catherine E Draper, Sheri Madigan
{"title":"Associations Between Changes in 24-Hour Movement Behaviors in Children and Adolescents During the COVID-19 Pandemic: A Systematic Review and Mediation-Based Meta-Analysis.","authors":"Ross D Neville, William G Hopkins, Brae Anne McArthur, Catherine E Draper, Sheri Madigan","doi":"10.1123/jpah.2023-0346","DOIUrl":"10.1123/jpah.2023-0346","url":null,"abstract":"<p><strong>Background: </strong>Although 24-hour movement behaviors are known to be interconnected, limited knowledge exists about whether change in one behavior during the COVID-19 pandemic (eg, increased screen time) was associated with change in another (eg, reduced physical activity or sleep). This review estimates mediational associations between changes in children's physical activity, screen time, and sleep during the COVID-19 pandemic.</p><p><strong>Methods: </strong>We included studies published between January 1, 2020 and June 27, 2022, in the PubMed/MEDLINE, Embase, PsycINFO, SPORTDiscus, and Web of Science databases. Summary data were extracted from included studies and analyzed with random-effects meta-regression.</p><p><strong>Results: </strong>This review included 26 studies representing 18,959 children across 18 mid-high-income countries (53% male; mean age, 11.5 [2.9] y). There was very good evidence of decreased total daily physical activity (factor change, 0.62; 90% CI, 0.47-0.81) and strong evidence of increased screen time (1.56; 90% CI, 1.38-1.77). There was very good evidence of decreased moderate to vigorous physical activity (0.75; 90% CI, 0.62-0.90) and weak evidence of increased sleep (1.02; 90% CI, 1.00-1.04). Mediational analysis revealed strong evidence that most of the reduction in total daily physical activity from before, to during, the pandemic was associated with increased screen time (0.53; 90% CI, 0.42-0.67). We observed no further mediational associations.</p><p><strong>Conclusion: </strong>Increased reliance on and use of screen-based devices during the COVID-19 pandemic can be linked with reduced child and adolescent physical activity. This finding links COVID-related restrictions to potential displacement effects within child and adolescent 24-hour movement behavior.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"323-332"},"PeriodicalIF":2.9,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139403365","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
Correlates of Active School Transportation During the COVID-19 Pandemic Among Canadian 7- to 12-Year-Olds: A National Study. 加拿大 7 至 12 岁儿童在 COVID-19 大流行期间主动上学的相关因素:一项全国性研究。
IF 3.1 4区 医学
Journal of physical activity & health Pub Date : 2024-01-03 Print Date: 2024-03-01 DOI: 10.1123/jpah.2023-0243
Richard Larouche, Mathieu Bélanger, Mariana Brussoni, Guy Faulkner, Katie Gunnell, Mark S Tremblay
{"title":"Correlates of Active School Transportation During the COVID-19 Pandemic Among Canadian 7- to 12-Year-Olds: A National Study.","authors":"Richard Larouche, Mathieu Bélanger, Mariana Brussoni, Guy Faulkner, Katie Gunnell, Mark S Tremblay","doi":"10.1123/jpah.2023-0243","DOIUrl":"10.1123/jpah.2023-0243","url":null,"abstract":"<p><strong>Background: </strong>Active school transportation (AST) is an important source of physical activity for children and a potentially important climate change mitigation strategy. However, few studies have examined factors associated with AST in the context of the COVID-19 pandemic.</p><p><strong>Methods: </strong>We used baseline data from a longitudinal survey to investigate correlates of AST during the second wave of COVID-19 (December 2020). We collected survey data from 2291 parents of 7- to 12-year-olds across Canada and linked this information with data on neighborhood walkability and weather from national databases. We assessed potential correlates representing multiple levels of influence of the social-ecological model. We used gender-stratified binary logistic regression models to determine the correlates of children's travel mode to/from school (dichotomized as active vs motorized), while controlling for household income. We examined the correlates of travel mode for both the morning and afternoon trips.</p><p><strong>Results: </strong>Consistent correlates of AST among Canadian children during the COVID-19 pandemic included greater independent mobility, warmer outdoor temperature, having a parent who actively commuted to work or school, living in a household owning fewer vehicles, and living in a more walkable neighborhood. These findings were largely consistent between boys and girls and between morning and afternoon school trips.</p><p><strong>Conclusions: </strong>Policymakers, urban planners, and public health workers aiming to promote AST should focus on these correlates while ensuring that neighborhoods are safe for children. Future research should monitor the prevalence and correlates of AST as COVID-19 restrictions are removed.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"294-306"},"PeriodicalIF":3.1,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139087322","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
Changes in Perceptions of the Near-Home Walking Environment Among US Adults-2015 and 2020 National Health Interview Survey. 美国成年人对近家步行环境认知的变化--2015 年和 2020 年全国健康访谈调查》。
IF 3.1 4区 医学
Journal of physical activity & health Pub Date : 2023-12-28 Print Date: 2024-03-01 DOI: 10.1123/jpah.2023-0531
Graycie W Soto, Geoffrey P Whitfield, Akimi Smith, David Berrigan, Janet E Fulton
{"title":"Changes in Perceptions of the Near-Home Walking Environment Among US Adults-2015 and 2020 National Health Interview Survey.","authors":"Graycie W Soto, Geoffrey P Whitfield, Akimi Smith, David Berrigan, Janet E Fulton","doi":"10.1123/jpah.2023-0531","DOIUrl":"10.1123/jpah.2023-0531","url":null,"abstract":"<p><strong>Background: </strong>The built environments in which we work, live, and play can influence physical activity behaviors, and perceptions of these environments are associated with walking behavior. This study's objective is to compare national-level data on perceptions of the near-home walking environment from the 2015 and 2020 National Health Interview Survey.</p><p><strong>Methods: </strong>Adults in 2015 (n = 30,811) and 2020 (n = 29,636) reported perceptions of walkable supports (roads, sidewalks, paths, or trails; sidewalks on most streets), destinations (shops, stores, or markets; bus or transit stops; movies, libraries, or churches; places that help you relax, clear your mind, and reduce stress), and barriers to walking (traffic; crime; animals). Age-adjusted prevalence estimates, prevalence differences, and 95% confidence intervals were calculated overall and by demographic characteristics.</p><p><strong>Results: </strong>The reported prevalence of roads, sidewalks, paths, or trails for walking increased overall (85.3% in 2015 to 88.0% in 2020) and for many subgroups. Perceived places to walk to for relaxation, to clear your mind, and to reduce stress increased overall (72.1% in 2015 to 77.1% in 2020) and for all subgroups. Perceptions of crime as a barrier to walking decreased overall (12.5% in 2015 to 11.2% in 2020) and for some subgroups. From 2015 to 2020, the proportion of adults perceiving roads, sidewalks, paths, or trails; places to relax; and crime as a barrier to walking improved.</p><p><strong>Conclusions: </strong>Continuing to monitor perceptions of the walking environment could contribute to progress toward national walking and walkability goals in the United States.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"266-274"},"PeriodicalIF":3.1,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10922589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139058454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessing Support for Policy Actions With Co-Benefits for Climate Change and Physical Activity in Canada. 评估对加拿大气候变化和体育活动共同受益的政策行动的支持。
IF 3.1 4区 医学
Journal of physical activity & health Pub Date : 2023-12-27 Print Date: 2024-03-01 DOI: 10.1123/jpah.2023-0617
Matthew J Fagan, Leigh M Vanderloo, Ananya Banerjee, Leah J Ferguson, Eun-Young Lee, Norman O'Reilly, Ryan E Rhodes, John C Spence, Mark S Tremblay, Guy Faulkner
{"title":"Assessing Support for Policy Actions With Co-Benefits for Climate Change and Physical Activity in Canada.","authors":"Matthew J Fagan, Leigh M Vanderloo, Ananya Banerjee, Leah J Ferguson, Eun-Young Lee, Norman O'Reilly, Ryan E Rhodes, John C Spence, Mark S Tremblay, Guy Faulkner","doi":"10.1123/jpah.2023-0617","DOIUrl":"10.1123/jpah.2023-0617","url":null,"abstract":"<p><strong>Background: </strong>Calls to action addressing the interconnections between physical (in)activity and the climate crisis are increasing. The current study aimed to investigate public support for policy actions that potentially have co-benefits for physical activity promotion and climate change mitigation.</p><p><strong>Methods: </strong>In 2023, a survey through the Angus Reid Forum was completed by 2507 adults living in Canada. Binary logistic regressions were conducted. Separate models were created to reflect support or opposition to the 8 included policy items. Several covariates were included in the models including age, gender, political orientation, physical activity levels, income, urbanicity climate anxiety, and attitudes surrounding physical activity and climate change. The data were weighted to reflect the gender, age, and regional composition of the country.</p><p><strong>Results: </strong>Most individuals living in Canada strongly or moderately supported all actions (ranging from 71% to 85%). Meeting the physical activity guidelines, higher self-reported income, and scoring high on personal experience of climate change were associated with higher odds of supporting the policy actions related to climate actions.</p><p><strong>Conclusions: </strong>Most adults living in Canada support policies that align with the recommended policy actions related to physical activity and climate change. National campaigns enhancing awareness and understanding of the bidirectional relationship between physical activity and climate change are warranted, and these should consider the consistent demographic differences (eg, gender, age, and political orientation) seen in public support for physical activity-related policies.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"256-265"},"PeriodicalIF":3.1,"publicationDate":"2023-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139058453","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
Factors That Influence Meeting the Recommended Weekly Physical Activity Target Among Older People With Physical Multimorbidity: Evidence From 6 Low- and Middle-Income Countries. 影响身体多病的老年人达到每周建议体育锻炼目标的因素:来自 6 个中低收入国家的证据。
IF 3.1 4区 医学
Journal of physical activity & health Pub Date : 2023-12-27 Print Date: 2024-03-01 DOI: 10.1123/jpah.2023-0473
Lee Smith, Dong Keon Yon, Laurie Butler, Karel Kostev, Carol Brayne, Yvonne Barnett, Benjamin R Underwood, Jae Il Shin, Masoud Rahmati, Sharon A S Neufeld, Anya Ragnhildstveit, Guillermo F López Sánchez, Ai Koyanagi
{"title":"Factors That Influence Meeting the Recommended Weekly Physical Activity Target Among Older People With Physical Multimorbidity: Evidence From 6 Low- and Middle-Income Countries.","authors":"Lee Smith, Dong Keon Yon, Laurie Butler, Karel Kostev, Carol Brayne, Yvonne Barnett, Benjamin R Underwood, Jae Il Shin, Masoud Rahmati, Sharon A S Neufeld, Anya Ragnhildstveit, Guillermo F López Sánchez, Ai Koyanagi","doi":"10.1123/jpah.2023-0473","DOIUrl":"10.1123/jpah.2023-0473","url":null,"abstract":"<p><strong>Background: </strong>There is a scarcity of studies on the association between physical multimorbidity and lower levels of physical activity among older adults from low- and middle-income countries, while the potential mediating variables in this association are largely unknown.</p><p><strong>Methods: </strong>Cross-sectional, community-based, nationally representative data from the World Health Organization Study on global AGEing and adult health were analyzed. Data on 11 chronic physical conditions were collected. Scoring <150 minutes of moderate- to high-intensity physical activity per week was considered low physical activity. Multivariable logistic regression and mediation analysis were done to assess associations and quality of life measures which might influence these associations.</p><p><strong>Results: </strong>Data on 14,585 people aged ≥65 years were analyzed (mean [SD] age 72.6 (11.5) y, maximum age 114 y; 55.0% women). After adjustment for potential confounders, compared with no chronic conditions, ≥3 conditions were associated with a significant 1.59 to 2.42 times higher odds for low physical activity. Finally, mobility mediated the largest proportion of the association between ≥3 chronic physical conditions and low physical activity (mediated percentage 50.7%), followed by activities of daily living disability (30.7%), cognition (24.0%), affect (23.6%), and pain/discomfort (22.0%).</p><p><strong>Conclusions: </strong>Physical multimorbidity was associated with higher odds for low physical activity among older adults residing in low- and middle-income countries. Mobility, disability, cognition, affect, and pain/discomfort explained the largest proportion of this association. Given the universal benefits of regular and sustained participation in physical activity, it would be prudent to implement interventions among older people with physical multimorbidity to increase levels of physical activity. Future studies should assess the impact of addressing the identified potential mediators among people with multimorbidity on physical activity levels.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"247-255"},"PeriodicalIF":3.1,"publicationDate":"2023-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139058455","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
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