The mysterious case of the public health guideline that is (almost) entirely ignored: call for a research agenda on the causes of the extreme avoidance of physical activity in obesity

2016 ◽  
Vol 17 (4) ◽  
pp. 313-329 ◽  
Author(s):  
P. Ekkekakis ◽  
S. Vazou ◽  
W. R. Bixby ◽  
E. Georgiadis
2017 ◽  
Vol 14 (6) ◽  
pp. 492-498 ◽  
Author(s):  
Dale S. Bond ◽  
Hollie A. Raynor ◽  
J. Graham Thomas ◽  
Jessica Unick ◽  
Jennifer Webster ◽  
...  

Background:This study examines whether performance of bout-related physical activity (PA) during morning hours is related to greater overall bout-related PA increases within a preoperative PA intervention for bariatric surgery (BS) patients.Methods:Participants with severe obesity (n = 33; mean age = 45.6 ± 9.6 years; BMI = 45.7 ± 7.0 kg/m2) seeking BS were randomized to and completed 6 weeks of preoperative PA counseling (retention = 82.5%). Participants were encouraged to walk daily at a moderate intensity in bouts ≥ 10 minutes during morning hours to overcome time-related obstacles and establish a PA habit. Timing and amount of bout-related moderate-to-vigorous PA (MVPA) was assessed via objective monitor at pre- and postintervention.Results:Greater proportion of bout-related MVPA performed during morning hours (4:00 AM–12:00 PM) at postintervention was associated with larger total increases in bout-related MVPA minutes/day (β = .40, P = .03). At postintervention, a greater proportion of participants whose longest MVPA bouts occurred during morning hours (n = 11) achieved the public health guideline (ie, ≥150 bout-related MVPA minutes/week) versus those whose longest MVPA bouts occurred during nonmorning hours (n = 19; 63.6% vs. 26.3%, P = .04).Conclusions:Intervention-related increases in PA tended to be greatest when PA was performed in the morning. Morning exercise may be a viable strategy for promoting habitual PA in inactive BS patients.


2006 ◽  
Vol 3 (2) ◽  
pp. 164-178 ◽  
Author(s):  
Rachel Cole ◽  
Eva Leslie ◽  
Adrian Bauman ◽  
Maria Donald ◽  
Neville Owen

Background:Walking is integral to strategies to promote physical activity. We identified socio-demographic variations in walking for transport, and for recreation or exercise.Methods:Representative population data (n = 3392) from Australia were collected using computer assisted telephone interviewing, to examine adults’ participation in moderate- or brisk-paced walking for transport and walking for recreation or exercise; walking “sufficient” to meet the current public health guideline (≥ 150 min/wk); and, the contributions of total walking to meeting the guideline for total physical activity.Results:Rates of sufficient walking for transport (10% for men, 9% for women) were lower than those for walking for recreation or exercise (14% for both genders). Few socio-demographic differences emerged. Men over age 60 y were significantly less likely (OR = 0.40) to walk for transport; men age 45 to 59 y were more likely (OR = 1.56) to walk for recreation or exercise. Walking contributed more toward meeting the current public health guideline among women (15% to 21%) than among men (6% to 8%).Conclusions:There is potential for socially equitable increases in participation, through a focus on both walking for transport and on walking for recreation or exercise; attention to gender differences would be helpful.


Author(s):  
Katja Siefken ◽  
Andrea Varela Ramirez ◽  
Temo Waqanivalu ◽  
Nico Schulenkorf

Since 2020, the world has been navigating an epidemiologic transition with both infectious diseases (COVID-19) and noncommunicable diseases intertwined in complex and diverse ways. In fact, the pandemics of physical inactivity, noncommunicable diseases, and COVID-19 coincide in a tragically impactful ménage à trois with their detrimental long-term health consequences yet to be determined. We know that people in low- and middle-income countries not only have the highest risk of developing chronic diseases, they also develop the diseases at a younger age, they suffer longer, and they die earlier than people in high-income countries. This commentary features 5 compelling reasons for putting physical activity in low- and middle-income countries high up on the public health research agenda and calls for more commitment to inclusive and context-specific public health practices that are paired with locally relevant promotion and facilitation of PA practice, research, and policymaking.


2012 ◽  
Vol 6 ◽  
pp. 71
Author(s):  
N. Chilcott ◽  
S. Duncan ◽  
D. Gorton ◽  
L. Matoe ◽  
G. Schofield ◽  
...  

Author(s):  
R Evans

Background: Noncommunicable diseases (NCDs) are increasingly prevalent within South Africa. Physical inactivity is a significant, independent and modifiable risk factor increasing the prevalence of NCDs.Discussion: The integration of physical activity programmes into the primary health care system through multidisciplinary platforms is thus advocated for and envisioned to be more cost-effective than current practices. However, currently within the primary health care setting of South Africa, there is an absence of health care professionals adequately equipped to develop and implement physical activity programmes. Biokineticists, whose scope of practice is to improve physical functioning and health through exercise as a modality, are ideally suited to developing and implementing physical activity programmes in the public sector. Yet despite their evident demand, the role of the biokineticist is not incorporated into the national public health care system.Conclusion: This short report calls firstly, for the inclusion of biokinetics into the public health care sector, and secondly, for the funding of multidisciplinary community health programmes supporting education, healthy eating and physical activity levels.


Author(s):  
Chetana P. Hadimani ◽  
Shruti S. Kulkarni ◽  
Avinash K. Math ◽  
Shivalingappa B. Javali

Background: The public health burden of a sedentary lifestyle has been recognized globally. Physical inactivity has been identified as the fourth leading risk factor in global mortality. Medical professionals have a significant role in counselling patients so as to reach the public health goals. The objectives were to evaluate patterns of physical activity comprising work, transport, domestic and leisure domains and its correlation with gender and body mass index (BMI) among medical students.Methods: A cross-sectional study was conducted in 128 medical students. The international physical activity questionnaire (IPAQ) long form was used to measure total physical activity (PA) and metabolic equivalent (MET). BMI was calculated using height and weight. Data analyzed by SPSS version 20.Results: It was observed that the PA was low among medical students. As per MET score, 80.5%, 58.6%, 67.2% and 39% of students had a low PA pattern in domains of work, transport, domestic and leisure time respectively. The practice of domestic and leisure activity was significantly lower among female students compared to males with p-values of <0.009 and 0.005. The association between PA score and its domains with BMI of students was found to be not significant. In female students a significant positive relationship was observed between domestic and BMI scores with r =0.3459, p<0.005.Conclusions: Medical students in this study were insufficiently physically active. The practice of activity was intensely lower in females compared to males. These results reflect us the crucial need for intervention on students’ health promotion strategies.


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