Should Physical Activity Intervention Efforts Take a Whole Population, High-Risk, or Middle Road Strategy?

2014 ◽  
Vol 11 (5) ◽  
pp. 966-970 ◽  
Author(s):  
Geeske Peeters ◽  
Richard Hockey ◽  
Wendy Brown
Keyword(s):  
Physical Activity ◽  
Heart Disease ◽  
Longitudinal Study ◽  
High Risk ◽  
Chronic Conditions ◽  
Physical Activity Intervention ◽  
Incidence Rates ◽  
Theoretical Modeling ◽  
Actual Distribution ◽  
Mail Surveys

Purpose:This study was designed to compare theoretical strategies for changing physical activity (PA) in terms of their potential to reduce the incidence of chronic conditions in midage women: (1) whole population: +30 minutes/week in all, (2) high-risk: +60 minutes/week in the lowest 25% of the PA distribution, and (3) middle road: shift all those not meeting guidelines to a level commensurate with meeting guidelines.Methods:10,854 participants (50–55 years in 2001) in the Australian Longitudinal Study of Women’s Health completed mail surveys in 2001, 2004, 2007, and 2010. PA was calculated as MET·minutes/week spent in walking, moderate and vigorous PA in the previous week. Incidence rates per 1000 person-years for diabetes, heart disease, hypertension, cancer, and depression were calculated for the actual distribution and after modeled shifts in PA.Results:The incidence rates were 10.6 for diabetes, 7.0 for heart disease, 30.7 for hypertension, 8.0 for cancer, and 28.4 for depression. Greater reductions in incidence were found for the middle road strategy than for the whole population and high-risk strategies, with reductions ranging from –6.3% for cancer to –12.3% for diabetes.Discussion:This theoretical modeling showed that a middle road strategy to increasing PA was superior to the whole population and high-risk strategies, in terms of reducing incidence rates of chronic conditions in middle-aged women.

scholarly journals Physical activity modification in youth with congenital heart disease: a comprehensive narrative review

2020 ◽  
Author(s):  
Arend W. van Deutekom ◽  
Adam J. Lewandowski
Keyword(s):  
Physical Activity ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Physical Activity Intervention ◽  
Large Range ◽  
Physical Activity Promotion ◽  
Activity Levels ◽  
Activity Promotion

Abstract Congenital heart disease (CHD) affects nearly 1% of births. As survival rates have dramatically improved, the majority of individuals with CHD now live into adulthood. As these patients age, they become prone to a large range of complications, such as chronic heart failure and acquired cardiovascular disease. Promotion of a healthy and active lifestyle from childhood onwards has been suggested as a sustainable and effective strategy to enhance cardiovascular health, improve quality of life and reduce immediate and long-term risk in people with CHD. Well-established physical activity consensus statements for youth with CHD have now been published. In this article, we review how increasing physical activity in youth with CHD may offer immediate and long-term cardiovascular benefits, what is known about physical activity in children with CHD, describe the unique factors that contribute to achieving sufficient and insufficient physical activity levels and summarize the evidence of trials on physical activity promotion in youth with CHD. Furthermore, we discuss some of the challenges that need to be addressed by further research regarding the optimal strategy, timing and format of physical activity intervention programmes in children and adolescents with CHD. Impact Congenital heart disease (CHD) affects nearly 1% of births, with the majority of individuals with CHD now living into adulthood due to improved survival. As CHD patients age, they become prone to a large range of cardiovascular complications. This article discusses how and why increasing physical activity in youth with CHD may offer immediate and long-term cardiovascular benefits, the barriers to achieving sufficient physical activity levels and the evidence from trials on physical activity promotion in youth with CHD. The optimal strategy, timing and format of physical activity intervention programmes in children and adolescents with CHD are discussed.

Community Participatory Physical Activity Intervention Targets Children at High Risk for Obesity

2008 ◽  
Vol 108 (9) ◽  
pp. A96
Author(s):  
K. Yadrick ◽  
P. Threadgill ◽  
A. Williams ◽  
L. Crook ◽  
C. Connell ◽  
...  
Keyword(s):  
Physical Activity ◽  
High Risk ◽  
Physical Activity Intervention

scholarly journals A digitally enhanced home-based physical activity intervention for high-risk middle school youth during COVID-19

2021 ◽  
Author(s):  
Gina L Tripicchio ◽  
Gareth J Jones ◽  
Chantelle N Hart ◽  
Moonsup Hyun ◽  
Emily DeSabato ◽  
...  
Keyword(s):  
Physical Activity ◽  
High Risk ◽  
Physical Activity Intervention ◽  
Text Messages ◽  
Home Based ◽  
Health Coaches ◽  
Middle School Youth ◽  
High Risk Youth ◽  
Digitally Enhanced ◽  
School Youth

Abstract COVID-19 significantly impacted physical activity among high-risk youth. Camp from Home, a digitally enhanced home-based intervention, was developed to address physical activity disparities among middle school youth during COVID-19. Camp from Home enrolled 62 youth in 54 families from five schools in Philadelphia during the summer of 2020. The 6-week intervention comprised of (1) three home deliveries of “activity kits” including exercise equipment and activity booklets, (2) asynchronous sport and exercise videos posted to a private YouTube channel, and (3) supportive text-messages from health coaches. YouTube analytics and self-report surveys completed by parents and youth at baseline and at the end of programming were used to assess engagement, acceptability, and preliminary efficacy. Youth participants were 12.4 (1.2) years, 38.7% female and 90.3% Black/African American. At follow-up, 41 parents (75.9%) and 34 youth (54.8%) completed measures. Youth self-reported increases in self-efficacy (ΔM(sd) = 0.4(1.0), p = .03) and physical activity (ΔM(sd) = 4.2(7.9), p = .004), despite suboptimal engagement in digital program components. Overall, participants highly rated the program. Activity kits and text-messages from health coaches were rated as most helpful. Most parents (95.1%) and youth (83.8%) expressed interested in participating again in the future. A 6-week digitally enhanced, home-based physical activity intervention was acceptable and feasible among parents and youth during the summer of 2020, with youth reporting improvements in self-efficacy and physical activity. Summer programs are critical for reducing disparities in physical activity and hold potential for addressing key barriers for high-risk youth even outside the context of COVID-19.

Resources for health: A primary-care-based diet and physical activity intervention targeting urban Latinos with multiple chronic conditions.

2007 ◽  
Vol 26 (4) ◽  
pp. 392-400 ◽  
Author(s):  
Elizabeth G. Eakin ◽  
Sheana S. Bull ◽  
Kimberley M. Riley ◽  
Marina M. Reeves ◽  
Patty McLaughlin ◽  
...  
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Chronic Conditions ◽  
Physical Activity Intervention ◽  
Multiple Chronic Conditions ◽  
Diet And Physical Activity
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