Journal of physical activity & health最新文献

{"title":"Inclusion of Children With Chronic Diseases or Disabilities in Studies Assessing Measurement Properties of Physical Activity Questionnaires: A Literature Review.","authors":"Mahdi Rostami Haji Abadi, Farzana Sadia, Sarah A Moore, Mark S Tremblay, Richard Larouche","doi":"10.1123/jpah.2024-0332","DOIUrl":"10.1123/jpah.2024-0332","url":null,"abstract":"<p><strong>Background: </strong>This review combined studies included in 3 systematic reviews of the measurement properties of physical activity (PA) questionnaires in children to explore: (1) if any questionnaire was specifically developed for or validated in children with chronic conditions or disabilities; (2) to what extent the inclusion/exclusion of these children was reported; (3) whether any specific chronic conditions or disabilities were more commonly excluded; and (4) if the percentage of papers reporting inclusion/exclusion of children with chronic conditions or disabilities changed over time.</p><p><strong>Methods: </strong>Two independent investigators reviewed included papers (N = 216) that reported at least one psychometric property of PA questionnaires for children and extracted data, including study populations and inclusion/exclusion of children with chronic conditions or disabilities. Chi-square tests were used to assess changes in reporting about inclusion/exclusion of these children between the 3 reviews.</p><p><strong>Results: </strong>Only 8 papers (4%) evaluated newly developed questionnaires or tested existing ones specifically in children with chronic conditions or disabilities. Forty-eight papers (22%) reported whether they included or excluded children with chronic conditions or disabilities. About 3 times more papers reported exclusion (n = 40; 19%) versus inclusion (n = 13; 6%) of children with chronic conditions or disabilities. Exclusions included either all chronic conditions or disabilities, those limiting PA participation, or specific chronic conditions or disabilities. Although more studies in the latest review reported about inclusion/exclusion (P < .05), the proportion remained low (31%).</p><p><strong>Conclusion: </strong>More PA questionnaires should be developed and/or validated in children with chronic conditions or disabilities and studies should avoid excluding these children whenever possible.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"585-599"},"PeriodicalIF":2.6,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146030233","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":"Independent and Joint Associations of Circadian Rhythm Patterns and Physical Activity Levels With Venous Thromboembolism: A Large-Scale Cohort Study Using Accelerometry Measurements.","authors":"Qian Zhang, Yao Yao, Yanling Wei, Yansun Sun, Siqi Zhu, Li Yi, Ying Shan","doi":"10.1123/jpah.2025-0457","DOIUrl":"10.1123/jpah.2025-0457","url":null,"abstract":"<p><strong>Background: </strong>Venous thromboembolism (VTE) constitutes a significant global health burden, yet the contribution of circadian rhythm disruptions to VTE risk remains insufficiently characterized. This study investigated the independent and joint associations of rest-activity circadian rhythm and physical activity (PA) with VTE incidence in a large cohort.</p><p><strong>Methods: </strong>A total of 89,473 UK Biobank participants were analyzed (median follow-up: 12.7 y). Rest-activity rhythm was assessed using accelerometer-derived relative amplitude (RA), and PA was measured by average daily acceleration. VTE events were ascertained via International Classification of Diseases, 10th Revision codes. Cox regression models were used to evaluate linear, nonlinear, and joint associations, adjusting for sociodemographic and clinical covariates. Sensitivity analyses, subgroup analyses, and E-value calculations further supported the robustness of the findings.</p><p><strong>Results: </strong>Each SD increase in RA was associated with a 12% lower VTE risk (hazard ratio, 0.88; 95% CI, 0.85-0.91). Nonlinear analysis of PA identified an inflection point at 30.4mg (milligravity); PA below this level was associated with a 37% higher risk (hazard ratio, 1.37; 95% CI, 1.21-1.54). Participants with both low RA and low PA had a 54% higher VTE risk compared with those with high RA and high PA (hazard ratio, 1.54; 95% CI, 1.34-1.76). Chronotype showed no significant association with VTE.</p><p><strong>Conclusions: </strong>This large-scale cohort study demonstrates that disrupted circadian rhythms and low PA are independently and jointly associated with elevated VTE risk. These findings suggest that circadian and activity monitoring, for example, via wearable devices, may have potential utility in future VTE risk assessment particularly among high-risk populations.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"537-545"},"PeriodicalIF":2.6,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146030210","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":"Generating Older Active Lives Digitally (GOALD): Exploring Older Adults' Views of Digital Technology for Physical Activity.","authors":"Simone A Tomaz, Colin B Shore, Gemma C Ryde, Leonie A N Cooper, Pete Coffee, Hannah L Bradwell, Catherine H Hennessy, Ray B Jones, Richard Haynes, Anna C Whittaker","doi":"10.1123/jpah.2024-0799","DOIUrl":"10.1123/jpah.2024-0799","url":null,"abstract":"<p><strong>Background: </strong>The use of digital technology for supporting physical activity (PA) in older adults has increased recently despite the paucity of research exploring perceptions and age-appropriateness of these technologies.</p><p><strong>Methods: </strong>Older adults (n = 120) residing in care homes (n = 45) and living independently (n = 75) in England and Scotland, as well as care home staff (n = 30) and young adults (n = 7) appraised a variety of different PA technologies (eg, online and digital platforms, exergames, and virtual reality headsets) through a multiphase approach. Technologies were presented as a \"menu\" to participants to select at interactive sessions. Feedback was collected through focus groups, interviews, codesign workshops, and field notes, all analyzed thematically. Participant characteristics including PA levels and familiarity with technology were collected via questionnaire at baseline and after appraising selected technologies.</p><p><strong>Results: </strong>Qualitative findings explored 6 overarching themes: (1) recognizing the potential of technology, (2) suitability of PA technology, (3) barriers to using PA technology, (4) motivation to engage with digital technology, (5) content suggestions for future PA technology, and (6) preferences for PA technology delivery. PA engagement and prior experience with digital technologies varied greatly at baseline. Overall, participants' perceptions and appraisal of the PA technologies varied according to their context and setting, prior experience with technology, and PA engagement. Quantitative data were challenging to gather, with complete data available from only 18% out of those consented.</p><p><strong>Conclusions: </strong>Older adults in this study demonstrated a keen interest in digital technologies for PA, but context- and health-related barriers for engagement with these tools need addressing.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"653-665"},"PeriodicalIF":2.6,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146030196","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":"Phenotypic Heterogeneity of Movement Behaviors and Its Association With Cardiometabolic Health Using Data From the ORISCAV-LUX 2 Study.","authors":"Anne Backes, Lu Zhang, Gloria Aguayo, Guy Fagherazzi, Laurent Malisoux","doi":"10.1123/jpah.2025-0587","DOIUrl":"10.1123/jpah.2025-0587","url":null,"abstract":"<p><strong>Background: </strong>Movement behavior is inherently complex and heterogeneous, making it difficult to capture using a single indicator. To better identify meaningful movement behavior phenotypes, robust dimensionality reduction techniques are needed that integrate multiple behavioral dimensions while preserving their continuous nature. This study aimed to identify distinct movement behavior phenotypes and to investigate how variations in movement behavior phenotypes relate to cardiometabolic health biomarkers.</p><p><strong>Methods: </strong>This cross-sectional study included 1009 Luxembourg residents aged 25-79 years, each with at least 4 valid days of triaxial accelerometry data. A reversed graph embedding method was used to reduce the complexity of movement behaviors into a 2-dimensional tree structure, enabling the identification of distinct phenotypes. Separate linear regression models were used to assess associations between the derived tree dimensions and both movement behavior indicators and cardiometabolic health biomarkers.</p><p><strong>Results: </strong>Four distinct movement behavior phenotypes were identified: inactive, irregularly active, regularly active, and regularly low active. Both tree dimensions were favorably associated with cardiometabolic health outcomes, suggesting that higher overall activity volume, regardless of its regularity, may offer health benefits. Average 24-hour acceleration and total step count emerged as the most influential indicators contributing to phenotypic variation.</p><p><strong>Conclusion: </strong>This study demonstrates that a novel dimensionality reduction approach effectively captures the complexity of movement behaviors, identifies key movement behavior indicators, and distinguishes between meaningful phenotypes. The findings provide new insights into behavioral heterogeneity and highlight key movement dimensions linked to cardiometabolic health.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"556-566"},"PeriodicalIF":2.6,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146030357","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":"A Comparative Analysis of Fourth-Grade Students' Satisfaction With Opportunities for Physical Activity in \"School in Motion\" and Nonnetwork Schools: Findings From National Satisfaction Survey, 2018-2024.","authors":"Evelin Mäestu, Marko Uibu, Katrin Mägi, Merike Kull","doi":"10.1123/jpah.2025-0365","DOIUrl":"10.1123/jpah.2025-0365","url":null,"abstract":"<p><strong>Background: </strong>Comprehensive school-based physical activity (PA) interventions are considered effective for fostering movement-supportive school cultures. This study examined differences in fourth-grade students' satisfaction with PA opportunities between schools participating in the School in Motion (SiM) network and nonnetwork schools in Estonia from 2018 to 2024.</p><p><strong>Methods: </strong>Data from 77,677 fourth-grade students (participation rate 70%-81%) in the National School Satisfaction Survey were analyzed. Satisfaction was assessed on a 5-point Likert scale and dichotomized into \"satisfied\" (Ratings 4-5) and \"not satisfied\" (Ratings 1-3). Proportions of satisfied students were calculated annually, and differences between school types were analyzed using Generalized linear mixed models, with school as a random intercept, adjusting for language of instruction and regional poverty rates.</p><p><strong>Results: </strong>Students in SiM network consistently reported higher satisfaction with PA opportunities in almost all survey years (P < .001). Overall satisfaction with PA opportunities ranged from 36.5% to 41.9% in SiM network and 29.7% to 34.4% in nonnetwork schools. Differences remained significant after adjusting for socioeconomic factors (odds ratios [OR] = 1.21-1.35; P < .001). The strongest difference was observed for student-organized activities (OR 1.29-2.40), while active lessons (OR 1.16-1.39) and teacher encouragement (OR 1.09-1.31) showed modest but consistent effects. For recess-related opportunities, effects were smaller, ranging from OR 0.98 to 1.19 for indoor recess and OR 0.74 to 1.30 for outdoor recess.</p><p><strong>Conclusions: </strong>Participation in the SiM network was associated with higher student satisfaction with school-based PA opportunities. Whole-of-school approaches may help to promote more equitable access to PA and contribute to movement-supportive school cultures.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"546-555"},"PeriodicalIF":2.6,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146030129","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":"Associations of Sleep Duration, Quality, and Timing With Physical Activity and Sedentary Behaviors Among High School Students.","authors":"Kayla T Johnson, Emma Billmyer, Sarah M Kaja, Rachel Widome","doi":"10.1123/jpah.2025-0247","DOIUrl":"10.1123/jpah.2025-0247","url":null,"abstract":"<p><strong>Background: </strong>Insufficient physical activity (PA) is associated with obesity, cardiovascular disease, and mortality, yet only 26.1% of US high school students report meeting the 60-minute daily PA guideline. Adolescents' sleep may contribute to their activity patterns. However, findings in this area have been inconsistent, and few studies have used both objectively measured sleep and PA.</p><p><strong>Methods: </strong>Two hundred and sixty ninth-grade students (mean age = 14.7, SD = 0.5) in Minnesota wore wrist actigraphs for 7 days to assess weekday and weekend sleep duration, midpoint, efficiency, latency, moderate to vigorous PA, light PA, and waking sedentary time. Multiple regression analyses, controlling for demographics, assessed whether sleep features were associated with activity levels.</p><p><strong>Results: </strong>Weekday and weekend sedentary time decreased by 25.86 and 19.21 minutes per each additional hour in weekday and weekend sleep duration, respectively. A later weekend sleep midpoint was associated with 8.09 fewer minutes of weekend sedentary time. Sleep duration related to less daily time spent in light PA (8.66 and 9.64 min per every additional hour slept on weekdays and weekends, respectively). Each hour of advancement in weekday sleep midpoint was associated with 14.22 additional minutes of light PA and 3.06 more minutes of moderate to vigorous PA. For each additional percentage point in sleep efficiency, 2.11 minutes less weekend light PA was observed.</p><p><strong>Conclusion: </strong>If sleep can influence activity, modifying sleep could be a path to promoting healthful activity levels. Further, given that PA and sleep may be mutually reinforcing, targeting both behaviors concurrently could provide comprehensive health promotion.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"468-475"},"PeriodicalIF":2.6,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12866889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145863314","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}

{"title":"Unequal Play: Understanding and Overcoming Disparities in Children's Physical Activity.","authors":"Rebecca E Hasson","doi":"10.1123/jpah.2025-0765","DOIUrl":"10.1123/jpah.2025-0765","url":null,"abstract":"","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"285-287"},"PeriodicalIF":2.6,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145863306","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":"International Manifesto for the Promotion of Physical Activity in the Post-COVID-19 Era: Overview, Challenges, and Perspectives.","authors":"Antonio Carlos Bramante, Lamartine Da Costa, Maria Beatriz Maria Beatriz, Luiz Guilherme Grossi Porto, Francisco Pitanga, Markus Nahas, Douglas Roque Andrade, Laercio Elias Pereira, Ana Maria de Freitas Miragaya, Bruno Gualano, Dartagnan Pinto Guedes, Luis Carlos de Oliveira, Bianca Gama Pena, Victor Keihan Rodrigues Matsudo","doi":"10.1123/jpah.2025-0684","DOIUrl":"10.1123/jpah.2025-0684","url":null,"abstract":"","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":"23 3","pages":"290-292"},"PeriodicalIF":2.6,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147486489","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":"Reflecting on Physical Activity and Health Through JPAH's Editorship.","authors":"Pedro C Hallal","doi":"10.1123/jpah.2025-0860","DOIUrl":"10.1123/jpah.2025-0860","url":null,"abstract":"","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-2"},"PeriodicalIF":2.6,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145634631","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":"The Potential of School Campuses to Promote Active Communities: A Scoping Review on Usage and Physical Activity in School Shared Use Spaces.","authors":"Kylie Wilson, Pamela Hodges Kulinna, Punam Ohri-Vachaspati, Alexis Koskan, Allison Poulos","doi":"10.1123/jpah.2024-0889","DOIUrl":"10.1123/jpah.2024-0889","url":null,"abstract":"<p><strong>Background: </strong>Ensuring access to safe and affordable recreational spaces is vital for promoting health and well-being. Despite the potential of shared use agreements between schools and community entities as a strategy to expand recreational access, there is a limited existing body of research connecting access to actual usage of these spaces and resulting physical activity levels. This scoping review aimed to synthesize existing literature on the (1) usage of and (2) physical activity in school shared use spaces to inform efforts to promote active and healthy communities.</p><p><strong>Methods: </strong>Following Preferred Reporting Items for Systematic review and Meta-Analyses extension for Scoping Reviews guidelines, we extracted key information from eligible research, including objectives, theoretical frameworks, study designs, data collection methods, and findings.</p><p><strong>Results: </strong>Twenty-seven articles were included across at least 13 US states and 4 countries, with most studies (85%) classified as observational and utilizing various data collection methods (eg, self-report, observation [56%]), and lacking theoretical or conceptual frameworks (56%). Outcomes focused on usage patterns and physical activity levels related to access to school shared use spaces were found in 24 (89%) and 23 studies (85%), respectively.</p><p><strong>Conclusions: </strong>The findings highlight the potential role schools can play as a space for providing opportunities for physical activity, especially when complemented by renovations, structured programming, and safety considerations. However, the variability in outcomes indicates a need for community-specific, adaptable practices. Future research should focus on developing and evaluating tailored strategies that actively engage communities to identify their local shared use needs, and optimize and sustain the use of school shared spaces for physical activity.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"311-333"},"PeriodicalIF":2.6,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145459085","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}