Physical Activity and Sedentary Behavior 6 Months After Musculoskeletal Trauma: What Factors Predict Recovery?

2019 ◽  
Vol 100 (2) ◽  
pp. 332-345 ◽  
Author(s):  
Christina L Ekegren ◽  
Rachel E Climie ◽  
Pamela M Simpson ◽  
Neville Owen ◽  
David W Dunstan ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sedentary Behavior ◽  
Sitting Time ◽  
Moderate Intensity ◽  
Activity Levels ◽  
Middle Aged ◽  
Convenience Sample ◽  
Moderate Intensity Physical Activity ◽  
Intensity Physical Activity ◽  
Musculoskeletal Trauma

Abstract Background Physical activity is increasingly recognized as an important marker of functional recovery following fracture. Objective The objectives of this study were to measure sedentary behavior and physical activity 2 weeks and 6 months following fracture and to determine associated demographic and injury factors. Design This was an observational study. Methods Two weeks and 6 months following fracture, 83 adults who were 18 to 69 years old and had upper limb (UL) or lower limb (LL) fractures wore an accelerometer and an inclinometer for 10 days. We calculated sitting time, steps, moderate-intensity physical activity (MPA), and vigorous-intensity physical activity and conducted linear mixed-effects multivariable regression analyses to determine factors associated with temporal changes in activity. Results At 6 months versus 2 weeks after fracture, participants sat less, took more steps, and engaged in more MPA. Participants with LL fractures sat 2 hours more, took 66% fewer steps, and engaged in 77% less MPA than participants with UL fractures. Greater reductions in sitting time were observed for participants in the youngest age group and with LL fractures, participants with high preinjury activity, and participants who were overweight or obese. For steps, greater improvement was observed for participants in the youngest and middle-aged groups and those with LL fractures. For MPA, greater improvement was observed for middle-aged participants and those with LL fractures. Limitations Although this study was sufficiently powered for the analysis of major categories, a convenience sample that may not be representative of all people with musculoskeletal trauma was used. Conclusions Working-age adults with LL fractures had lower levels of physical activity 6 months after fracture than those with UL fractures. Older adults showed less improvement over time, suggesting that they are an important target group for interventions aimed at regaining preinjury activity levels.

Leisure-Time Physical Activity: Association With Activity Levels in Other Domains

2010 ◽  
Vol 7 (4) ◽  
pp. 460-464 ◽  
Author(s):  
Airton J. Rombaldi ◽  
Ana M.B. Menezes ◽  
Mario Renato Azevedo ◽  
Pedro C. Hallal
Keyword(s):  
Physical Activity ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Population Based ◽  
Cross Sectional Study ◽  
Moderate Intensity ◽  
Activity Levels ◽  
Cross Sectional ◽  
Moderate Intensity Physical Activity ◽  
Intensity Physical Activity

Objectives:To explore whether participation in leisure-time physical activity (LTPA) is associated with participation in occupational, housework, and transport-related physical activity.Methods:Population-based cross-sectional study covering a multistage sample of 972 subjects age 20 to 69 years. Physical activity was measured using the long version of the International Physical Activity Questionnaire. A LTPA score was calculated as follows: min/wk of walking + min/wk of moderate-intensity physical activity + (min/wk of vigorous-intensity physical activity × 2). Similar scores were generated for each domain. For categorical analyses, the scores were divided into 3 categories: 0 min/wk, 10−149 min/wk, and ≥150 min/wk.Results:The proportion of subjects practicing less than 150 min/wk of physical activity in each domain was: leisure-time (69.8%), occupational (58.3%), housework (35.0%), transportation (51.9%). Subjects with a transport-related physical activity score equal to or above 150 min/wk were 40% less likely to be sedentary in leisure-time in comparison with those who did not practice transport-related physical activity. Housework and occupational physical activity were not related to participation in LTPA.Conclusions:Future physical activity campaigns should focus on other domains instead of LTPA alone, particularly supporting transport-related physical activity as a strategy of health promotion.

Motivational interviewing to increase physical activity in women with gestational diabetes

2021 ◽  
Vol 29 (10) ◽  
pp. 550-556
Author(s):  
Ralph Smith ◽  
Ashley Ridout ◽  
Angus Livingstone ◽  
Nicola Wango ◽  
Yvonne Kenworthy ◽  
...  
Keyword(s):  
Physical Activity ◽  
Gestational Diabetes ◽  
Motivational Interviewing ◽  
Clinical Pathway ◽  
Moderate Intensity ◽  
Activity Levels ◽  
Moderate Intensity Physical Activity ◽  
Intensity Physical Activity ◽  
Increased Activity

Regular physical activity improves glycaemic control in pregnant women with gestational diabetes. Motivational interviewing is an effective technique for increasing activity levels. This report evaluates a clinical pathway developed to integrate physical activity motivational interviewing into routine gestational diabetes care. Women attending a single-centre NHS clinic were invited to engage in a physical activity-focused motivational interview. The aerobic physical activity levels of 62 women were evaluated at baseline and at a 2-week telephone follow up, coded into three categories by minutes of moderate intensity physical activity per week: red (<30 minutes), amber (30–149 minutes) and green (≥150 minutes). At baseline, 30.6% of participants were coded red, 41.9% amber and 27.4% green. At follow up, 4.8% women coded red, 38.7% amber and 56.5% green, demonstrating a significant association for increased activity levels after motivational interviewing (P<0.001). This clinical pathway provides encouraging results that physical activity increased significantly in the short term.

Objectively assessed physical activity and sedentary behaviour does not differ between children and adolescents with and without a congenital heart defect: a pilot examination

2011 ◽  
Vol 22 (1) ◽  
pp. 34-41 ◽  
Author(s):  
Lauren A. Ewalt ◽  
Michael J. Danduran ◽  
Scott J. Strath ◽  
Victoria Moerchen ◽  
Ann M. Swartz
Keyword(s):  
Physical Activity ◽  
Children And Adolescents ◽  
Congenital Heart Defect ◽  
Congenital Heart ◽  
Moderate Intensity ◽  
Activity Levels ◽  
Moderate Intensity Physical Activity ◽  
Heart Defect ◽  
Physical Activity Levels ◽  
Intensity Physical Activity

AbstractObjectivesTo objectively evaluate and describe physical activity levels in children with a stable congenital heart defect and compare those levels with children who do not have a congenital heart defect.MethodsWe matched 21 pairs of children for gender and grade in school and gave them an accelerometer-based motion sensor to wear for 7 consecutive days.ResultsPhysical activity levels did not differ between children with and without a congenital heart defect. During the 7 days of monitoring, children in this study spent most of their time in sedentary behaviours, that is, 6.7 hours of the 13 monitored hours, 54 minutes in moderate-intensity physical activity, and 12 minutes in vigorous-intensity physical activity. Less than one-fifth of all participants, with or without a congenital heart defect, accumulated sufficient physical activity to meet current physical activity recommendations for children and adolescents.ConclusionChildren with a stable congenital heart defect have activity behaviours that are similar to children without a congenital heart defect. Habitual physical activity in children with a congenital heart defect should be encouraged early on in life to develop strong physical activity habits that will hopefully follow them across their lifespan.

scholarly journals Physical activity levels and energy expenditure of 9-year-old – 12-year-old overweight and obese children

2011 ◽  
Vol 16 (1) ◽  
Author(s):  
Chanelle Kemp ◽  
Anita E. Pienaar
Keyword(s):  
Physical Activity ◽  
Energy Expenditure ◽  
Primary Schools ◽  
Overweight And Obesity ◽  
Moderate Intensity ◽  
Activity Levels ◽  
Obese Children ◽  
Moderate Intensity Physical Activity ◽  
Physical Activity Levels ◽  
Intensity Physical Activity

The high occurrence of overweight and obesity amongst children is a disturbing health problem worldwide. Possible causes of increasing childhood obesity are inactivity and energy imbalances. The aim of this study was to analyse the total energy expenditure (TEE)and physical activity levels in 9-year-old – 12-year-old overweight and obese children during a weekday and a weekend day, as well as during a weekday morning and afternoon. Twenty-four 9-year-old – 12-year-old children (seven boys and 17 girls), of whom nine were overweight and 15 were obese, were selected from seven public primary schools for this study. Body mass index (BMI) cut-off points were used to distinguish between overweight and obese. Each participant wore an ACTICAL™ monitor to determine their physical activity levels and TEE. It was found that the TEE of the children did not differ between a week day and a weekend day, although the TEE of the week day afternoon differed significantly from that of the weekday morning. Unlike the overweight children, none of the obese children met the requirements of 60 minutes of moderate-intensity physical activity per day. Strategies should be found to increase the activity levels of overweight and, especially, obese children, specifically during the mornings and over weekends.OpsommingDie hoë voorkoms van oorgewig en obesiteit onder kinders is wêreldwyd ’n kommerwekkende gesondheidsprobleem. Fisieke onaktiwiteit en energiewanbalanse word as moontlike oorsake van die probleem beskou. Die doel van hierdie studie was om die totale energieverbruik (TEV) en fisieke-aktiwiteitsvlakke van 9-jarige – 12-jarige oorgewig- en obese kinders tydens ‘n totale weeksdag en naweekdag te ontleed, asook tydens die oggend en middag van ‘n weeksdag. Vier-en-twintig 9-jarige – 12-jarige kinders (sewe seuns en 17 dogters), waarvan nege oorgewig en 15 obees was, is uit sewe publieke laerskole vir die studie gekies. Afsnypunte volgens die liggaamsmassa-indeks (LMI) is gebruik om tussen oorgewig en obees te onderskei. Elke deelnemer het ‘n ACTICAL™ monitor gedra om hul fisieke-aktiwiteitsvlakke en TEV te bepaal. Die studie het getoon dat die TEV van die kinders op ’n weeksdag en naweekdag nie verskil het nie, alhoewel TEV tydens die middag van die weeksdag betekenisvol verskil het van die oggend s’n. Anders as die oorgewig kinders, het geen van die obese kinders aan die voorgestelde riglyn van 60 minute se matig intensiewe fisieke aktiwiteit per dag voldoen nie. Strategieë moet gevind word om die vlakke van aktiwiteit van oorgewig en veral obese kinders te verhoog, spesifiek gedurende die oggende en oor naweke.

scholarly journals Do levels of sedentary behaviour and physical activity differ according to weight-bearing status after lower limb fracture? A prospective cohort study

2021 ◽  
Vol 28 ◽  
pp. 221049172110204
Author(s):  
Christina L Ekegren ◽  
Elton R Edwards ◽  
Lara Kimmel ◽  
Belinda J Gabbe
Keyword(s):  
Physical Activity ◽  
Sedentary Behaviour ◽  
Lower Limb ◽  
Weight Bearing ◽  
Sitting Time ◽  
Moderate Intensity ◽  
Initial Weight ◽  
Post Discharge ◽  
Moderate Intensity Physical Activity ◽  
Intensity Physical Activity

Background/purpose: To determine whether sedentary behaviour and physical activity differ according to initial weight-bearing status 2 weeks and 6 months after lower limb (LL) fracture. Methods: Two weeks and 6 months following LL fracture, 47 adults aged 18–69 wore ActiGraph and activPAL accelerometers for 10 days. Sitting time, steps, and moderate-intensity physical activity (MPA) were compared between weight-bearing (WB) and non-weight-bearing (NWB) groups. Results: Two weeks post-discharge, the NWB group sat significantly more than the WB group (median: 14.1 h/day vs. 13.3 h/day; p = 0.04). These differences were apparent for female and middle-aged participants. At 6 months, there were no significant differences between weight-bearing groups for sitting time, steps or MPA. Conclusion: Weight-bearing restriction had an early impact on sitting time, but this impact lessened over time. While considering the need for rest, advice about reducing sitting time may be particularly important for people who are NWB post-fracture.

scholarly journals Trends in Self-Reported Sitting Time by Physical Activity Levels Among US Adults, NHANES 2007/2008–2017/2018

2021 ◽  
Vol 18 (S1) ◽  
pp. S74-S83
Author(s):  
Emily N. Ussery ◽  
Geoffrey P. Whitfield ◽  
Janet E. Fulton ◽  
Deborah A. Galuska ◽  
Charles E. Matthews ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sedentary Behavior ◽  
Physical Inactivity ◽  
Premature Mortality ◽  
Linear Increase ◽  
Sitting Time ◽  
Point Estimate ◽  
Activity Levels ◽  
Physical Activity Levels ◽  
Active Adults

Background: High levels of sedentary behavior and physical inactivity increase the risk of premature mortality and several chronic diseases. Monitoring national trends and correlates of sedentary behavior and physical inactivity can help identify patterns of risk in the population over time. Methods: The authors used self-reported data from the National Health and Nutrition Examination Surveys (2007/2008–2017/2018) to estimate trends in US adults’ mean daily sitting time, overall, and stratified by levels of leisure-time and multidomain physical activity, and in the joint prevalence of high sitting time (>8 h/d) and physical inactivity. Trends were tested using orthogonal polynomial contrasts. Results: Overall, mean daily sitting time increased by 19 minutes from 2007/2008 (332 min/d) to 2017/2018 (351 min/d) (Plinear < .05; Pquadratic < .05). The highest point estimate occurred in 2013/2014 (426 min/d), with a decreasing trend observed after this point (Plinear < .05). Similar trends were observed across physical activity levels and domains, with one exception: an overall linear increase was not observed among sufficiently active adults. The mean daily sitting time was lowest among highly active adults compared with less active adults when using the multidomain physical activity measure. Conclusions: Sitting time among adults increased over the study period but decreased in recent years.

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