scholarly journals A Cross-Sectional Needs Assessment of Adolescent Physical Activity in the Early Nutrition Transitioning Country of Haiti (P16-006-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Haley Becker ◽  
Sherlie Jean-Louis Dulience ◽  
Allan Philippe ◽  
Rodrigo Siqueira-Reis ◽  
Ross Brownson ◽  
...  

Abstract Objectives An exploratory assessment of physical activity (PA) to identify covariates of PA behaviors in Haitian adolescents. Methods Students from two urban schools participated in two different data collection methodologies: a self-reported survey (n = 100) assessing school, transportation, and leisure-time PA; an objective accelerometry study (n = 55). Self-reported diet behaviors were also collected. Parent and non-parent caregivers reported demographic data. Logistic regression identified potential correlates of PA; PA was operationalized as meeting the World Health Organization's recommendation (WHO REC) of ≥60 minutes of moderate/vigorous PA per day for adolescents. Results Self-reported data. The school PA model showed age (OR = 2.03; 95% CI = 0.66, 6.31), gender (OR = 1.41; 95% CI = 0.40, 4.97), and dietary diversity score ([DDS]; OR = 1.49; 95% CI = 1.17, 1.90) were significantly associated with WHO REC. Age (OR = 1.90; 95% CI = 1.55, 6.53), gender (OR = 1.22; 95% CI = 1.19, 3.03), DDS (OR = 1.25; 95% CI = 0.99, 1.57), and caregiver's occupation in the market (OR = 5.66; 95% CI = 1.27, 25.20) were significant correlates of WHO REC in the transportation PA model. The leisure-time PA model found gender (OR = 3.95; 95% CI = 1.09, 14.33), DDS (OR = 1.37; 95% CI = 1.09, 1.74), and bringing a snack/meal to school (OR = 4.17, 95% CI = 1.18, 14.67) to be significant covariates of WHO REC. Objective data. The model of accelerometry PA identified age (OR = 4.17; 95% CI = 1.31, 55.79), gender (OR = 48.19; 95% CI = 22.16, 77.92; female reference group), DDS (OR = 4.48; 95% CI = 1.12, 16.76), and household access to a flush toilet (OR = 0.03; 95% CI = 0.46, 64.45) as significant correlates of WHO REC. Conclusions As nutrition transition is underway in Haiti, so is the onset of the dual burden of malnutrition; PA can alleviate the negative health consequences of both phenomena, but heretofore such data have been unavailable for Haiti. Results support a) early adoption of policies and programs for PA and nutrition together and b) future investigation into Haitian PA behaviors and their sociocultural determinants. Funding Sources This study was funded by the Public Health Cubed Grant of the Washington University Institute of Public Health and the Brown School of Social Work International Dissertation Research Award.

Author(s):  
Elżbieta Biernat ◽  
Monika Piątkowska

Objective, the aim is an analysis of sociodemographic factors that had an essential relation with undertaking leisure-time physical activity—LTPA (with particular emphasis on World Health Organization (WHO) health recommendations) by adult Poles from a time-trend perspective. Methods, the paper is based on data retrieved from five large-scale surveys carried out on the representative samples of Poles aged 15–69 in 2014–2018 (n = 7347). In each wave, the Polish long version of the International Physical Activity Questionnaire was used. Results, the participation of Poles in LTPA constantly increases (p < 0.001) and the percentage of people meeting the dose of PA required for health recommendations is growing (on average, met by 43.9% of Polish men and 43.5% of women), which indicates a trend of behaviour of citizens of this country. The probability of realisation of WHO norms was determined by sex, age, place of residence and occupational status. Conclusion: it seems reasonable to develop Polish recommendations and guidelines for specific groups, including females and males, those who live in the villages and in the towns, different age groups: children/adolescents, adults (aged 50 to 59—most vulnerable to physical inactivity), the elderly, and various professional groups (especially farmers and physical workers).


Author(s):  
Khwaja Mir Islam Saeed

Background: Hypertension affects an estimated one billion people, worldwide. It is a public health challenge characterized by increased morbidity, mortality, as well as cost to the community and health systems. The goal of this study is to determine the prevalence of hypertension and characterize associated risk factors in an urban setting in Afghanistan.Methods: A cross-sectional study of adults aged 25-65 years was conducted in Jalalabad city from May to June 2013 using the World Health Organization STEPwise approach to surveillance (WHO STEPS). A multistage technique was used to enroll 1,200 participants in the study. Demographic and socio-economic variables were collected via individual interviews using the WHO STEPS survey, after which blood samples were collected using a locally developed standard operating procedure (SOP). Bivariate and multivariable analyses were performed to explore the association between hypertension and associated factors.Results: A total of 1,180 adults (40% males, 60% females) of 25-65 years of age were surveyed. The response rate was 98.5 % and the prevalence of hypertension was 28.4. Independent risk factors of hypertension were found to be: age ≥ 50 (AOR = 3.42, 95% CI: 2.50 – 4.76); sex (AOR = 0.58, 95% CI: 0.38 – 0.88); obesity (AOR = 2.1, 95% CI 1.49 – 2.94); and diabetes (AOR = 1.75, 95% CI: 1.10 – 2.79). Independent protective factors were physically demanding occupations (AOR = 0.55, 95% CI: 0.36 – 0.85); physical activity itself (AOR = 0.69, 95% CI: 0.47 – 0.99) and consuming more vegetables (AOR = 0.59, 95% CI: 0.38 – 0.93).Conclusion: This urban setting in Afghanistan evidenced a high prevalence of hypertension; age, obesity, and diabetes were identified as risk factors and physical activity and consuming more vegetables were protective. These findings have implications for future public health intervention and clinical efforts.


2009 ◽  
Vol 6 (4) ◽  
pp. 493-502 ◽  
Author(s):  
Paula J. Lindström ◽  
Jaana H. Suni ◽  
Clas-Håkan Nygård

Background:The importance of neuromuscular-type exercise (NME) has been recognized in recent recommendations for public health. However, the knowledge on associations and dose response of different types of leisure-time physical activity (LTPA) with musculoskeletal fitness and health is incomplete. This study evaluated the validity of the NME recommendation for public health introduced by the Physical Activity Pie.Methods:Engagement in LTPA and health-related fitness were assessed in 2 consecutive studies with the same adult population age 30 to 69 years (n = 575). Cross-sectional associations between different LTPA types and motor and musculoskeletal fitness were examined by logistic-regression models.Results:Engagement in NME was associated with good static and dynamic balance and lower extremity strength. The highest odds ratios (OR) were found between brisk NME and static balance (most vs least ft OR = 2.39, moderate vs least ft OR = 1.94) and brisk NME and leg strength (more vs least ft OR = 2.10). Some associations were also found between brisk aerobic exercise and good balance.Conclusions:This cross-sectional study suggests that the recommendation for NME in the Physical Activity Pie is valid in terms of balance and leg strength, the 2 major fitness factors related to mobility functioning, especially among aging adults.


10.2196/14841 ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. e14841
Author(s):  
Jairo H Migueles ◽  
Cristina Cadenas-Sanchez ◽  
Elroy J Aguiar ◽  
Pablo Molina-Garcia ◽  
Patricio Solis-Urra ◽  
...  

Background Best-practice early interventions to increase physical activity (PA) in children with overweight and obesity should be both feasible and evidence based. Walking is a basic human movement pattern that is practical, cost-effective, and does not require complex movement skills. However, there is still a need to investigate how much walking—as a proportion of total PA level—is performed by children who are overweight and obese in order to determine its utility as a public health strategy. Objective This study aimed to (1) investigate the proportion of overall PA indicators that are explained by step-based metrics and (2) study step accumulation patterns relative to achievement of public health recommendations in children who are overweight and obese. Methods A total of 105 overweight and obese children (mean 10.1 years of age [SD 1.1]; 43 girls) wore hip-worn accelerometers for 7 days. PA volumes were derived using the daily average of counts per 15 seconds, categorized using standard cut points for light-moderate-vigorous PA (LMVPA) and moderate-to-vigorous PA (MVPA). Derived step-based metrics included volume (steps/day), time in cadence bands, and peak 1-minute, 30-minute, and 60-minute cadences. Results Steps per day explained 66%, 40%, and 74% of variance for counts per 15 seconds, LMVPA, and MVPA, respectively. The variance explained was increased up to 80%, 92%, and 77% by including specific cadence bands and peak cadences. Children meeting the World Health Organization recommendation of 60 minutes per day of MVPA spent less time at zero cadence and more time in cadence bands representing sporadic movement to brisk walking (ie, 20-119 steps/min) than their less-active peers. Conclusions Step-based metrics, including steps per day and various cadence-based metrics, seem to capture a large proportion of PA for children who are overweight and obese. Given the availability of pedometers, step-based metrics could be useful in discriminating between those children who do or do not achieve MVPA recommendations. Trial Registration ClinicalTrials.gov NCT02295072; https://clinicaltrials.gov/ct2/show/NCT02295072


2019 ◽  
Author(s):  
Jairo H Migueles ◽  
Cristina Cadenas-Sanchez ◽  
Elroy J Aguiar ◽  
Pablo Molina-Garcia ◽  
Patricio Solis-Urra ◽  
...  

BACKGROUND Best-practice early interventions to increase physical activity (PA) in children with overweight and obesity should be both feasible and evidence based. Walking is a basic human movement pattern that is practical, cost-effective, and does not require complex movement skills. However, there is still a need to investigate how much walking—as a proportion of total PA level—is performed by children who are overweight and obese in order to determine its utility as a public health strategy. OBJECTIVE This study aimed to (1) investigate the proportion of overall PA indicators that are explained by step-based metrics and (2) study step accumulation patterns relative to achievement of public health recommendations in children who are overweight and obese. METHODS A total of 105 overweight and obese children (mean 10.1 years of age [SD 1.1]; 43 girls) wore hip-worn accelerometers for 7 days. PA volumes were derived using the daily average of counts per 15 seconds, categorized using standard cut points for light-moderate-vigorous PA (LMVPA) and moderate-to-vigorous PA (MVPA). Derived step-based metrics included volume (steps/day), time in cadence bands, and peak 1-minute, 30-minute, and 60-minute cadences. RESULTS Steps per day explained 66%, 40%, and 74% of variance for counts per 15 seconds, LMVPA, and MVPA, respectively. The variance explained was increased up to 80%, 92%, and 77% by including specific cadence bands and peak cadences. Children meeting the World Health Organization recommendation of 60 minutes per day of MVPA spent less time at zero cadence and more time in cadence bands representing sporadic movement to brisk walking (ie, 20-119 steps/min) than their less-active peers. CONCLUSIONS Step-based metrics, including steps per day and various cadence-based metrics, seem to capture a large proportion of PA for children who are overweight and obese. Given the availability of pedometers, step-based metrics could be useful in discriminating between those children who do or do not achieve MVPA recommendations. CLINICALTRIAL ClinicalTrials.gov NCT02295072; https://clinicaltrials.gov/ct2/show/NCT02295072


Author(s):  
Solomon B. Oguntuase ◽  
Yanlin Sun ◽  
Tolulope C. Apata ◽  
Jephtah O. Ogunsanya

<p>Despite the numerous benefits associated with leisure time physical activity (LTPA), it is quite worrisome that the habit of regularly engaging in LTPA is rare among Nigerians, especially among adolescents who are found in myriads of sedentary lifestyle behaviour as a result of technological and economical advancement. The present study examined socio-demographic and psychological determinants of LTPA among adolescents in Nigeria. A cross-sectional study was conducted and multistage sampling technique was employed to recruit 1200 adolescents (Male =59.7%; Female =40.3%; Age: 10-19years) from twelve secondary schools in Southwest States, Nigeria. Physical Activity Self-Efficacy for Adolescent (PASE), The Physical Activity and Leisure Motivation Scale (PALMS), Activity Questionnaire for Adults and Adolescents (AQuAA) and Self-developed Socio-demographic Questionnaire were used to collect the data. Data were analyzed using statistics of frequency count, percentages &amp; Multiple Regression. The result of the study showed that socio-demographic (F(8,1191) = 4.980; p&lt; .05; R2 = .28) accounting for 28% of its variance and psychological factors (F (2,1197) =31014.342, p&lt; .05; R2 = .99) accounting for 99% of its variance) were significant. Based on the findings, adolescents in Southwest states in Nigeria do not meet the World Health Organization recommendations on physical activity. Both socio-demographic and psychological factors significantly determined LTPA and these factors could be taken into account in the development of interventions to increase LTPA levels throughout the life course among adolescents in Nigeria. </p><p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0852/a.php" alt="Hit counter" /></p>


Author(s):  
García-Fernández ◽  
González-López ◽  
Vilches-Arenas ◽  
Lomas-Campos

Despite the World Health Organization considering it important to promote physical activity as part of a healthy lifestyle, the official data show an increase in the percentage of physical inactivity, which has brought about the development of strategies at different levels (national and international) to reverse this trend. For the development of these strategies, it is relevant to know what the determinants of physical activity (at leisure and at work) are. Therefore, this is going to be analysed in the autochthonous young adults from Seville. A cross-sectional survey of their health behaviours was carried out. The sample was selected through a proportionally stratified random sampling procedure. From the results, we highlight that the general perceived health status is good and that most physical activity is performed during leisure time. However, a majority of the population analysed reported overweight or obesity. Participants with a low perceived health status, those who have low social support from their family and friends, and those who do not smoke are the ones who have more probability of engaging in physical activity during their leisure time. However, gender, education level, and alcohol consumption are revealed as determinants of the intensity of physical activity at work. In this regard, men and/or participants with a low level of studies are those who carry out more physically demanding activities at work.


2003 ◽  
Vol 6 (8) ◽  
pp. 751-757 ◽  
Author(s):  
Albert GB Amoah

AbstractObjectives:To determine the sociodemographic associations of obesity in Ghana.Design:A cross-sectional descriptive study was conducted on a sample of 6300 adults aged 25 years and over who were selected by random cluster sampling.Setting:Two urban (high-class and low-class suburbs) and a rural community in Accra, Ghana.Subjects and methods:In total, 4731 (1857 males, 2874 females) subjects participated. Demographic data were obtained by a questionnaire and height and weight were determined with subjects in light clothing and without shoes.Results:The overall crude prevalence of overweight and obesity was 23.4 and 14.1%, respectively. The rates of overweight (27.1 vs. 17.5%) and obesity (20.2 vs. 4.6%) were higher in females than males. Obesity increased with age up to 64 years. There were more overweight and obesity in the urban high-class residents compared with the low-class residents and in urban than rural subjects. Overweight and obesity were highest among the Akan and Ga tribes and relatively low among Ewes. Subjects with tertiary education had the highest prevalence of obesity (18.8%) compared with less literate and illiterate subjects (12.5–13.8%). Subjects whose jobs were of a sedentary nature had higher levels of obesity (15%) than subjects whose jobs involved heavy physical activity (10%). Subjects who did not engage in leisure-time physical activity were more obese than those who had three or more sessions of leisure-time physical activity per week (15.3 vs. 13.5%).Conclusions:Overweight and obesity are common among residents in the Accra area. Older age, female gender, urban, high-class residence, sedentary occupation and tertiary education were associated with higher levels of obesity. Policies and programmes that promote healthy lifestyles may prove beneficial.


2017 ◽  
Vol 29 (1) ◽  
pp. 19-25 ◽  
Author(s):  
Agnieszka Nawrocka ◽  
Arkadiusz Mynarski ◽  
Jarosław Cholewa ◽  
Wiesław Garbaciak

Objective/Background The aim of this study was to assess the leisure-time physical activity of Polish white-collar workers in relation to various health recommendations. Methods The study used a cross-sectional design with a convenience sample of 482 white-collar workers from Poland. Researchers recorded the leisure-time physical activity logs for 7 consecutive days of the week. Physical activity level was interpreted in relation to the World Health Organization and the American College of Sports Medicine recommendations. Results Among the workers, 42% of women and 53% of men declared moderate physical activity for at least 150 minutes per week, but only 23% of women and 18% men undertook activity in at least 5 days. Conclusion The results of the physical activity identified were significantly different from the American College of Sports Medicine and World Health Organization recommendations. The lower percentage of workers who met American College of Sports Medicine recommendations was caused by insufficient frequency of physical efforts.


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