scholarly journals Physical Activity Intervention Effects on Sedentary Time in Spanish-Speaking Latinas

2020 ◽  
Vol 17 (3) ◽  
pp. 343-348
Author(s):  
Sheri J. Hartman ◽  
Dori Pekmezi ◽  
Shira I. Dunsiger ◽  
Bess H. Marcus

Background: Latinas have high rates of sedentary behavior and related health disparities, but it is unknown if interventions to increase physical activity will also reduce sedentary time. The current study examined changes in objectively measured sedentary time among Latinas in a randomized controlled trial of a physical activity intervention. Methods: Spanish-speaking Latinas (N = 202) were randomized to an exercise or wellness group and wore an accelerometer at baseline, 6 months, and 12 months. Results: Participants were sedentary on an average of 8.86 hours per day (SD = 2.60) at baseline. The intervention group had significantly greater increases in sedentary time compared with the control group, with the intervention group engaging in 146 more minutes per week of sedentary time at 6 months and 254 minutes per week of sedentary time at 12 months than the control group (P = .02). The intervention effect on sedentary behavior remained after controlling for moderate to vigorous physical activity. Additionally, time spent in moderate to vigorous physical activity was positively associated with more sedentary time (P = .04). Conclusion: An intervention to increase moderate to vigorous physical activity resulted in greater sedentary time, raising concerns regarding compensation and highlighting the need for interventions to address both physical activity and sedentary behavior to improve public health.

2020 ◽  
pp. 1-12
Author(s):  
Brad R. Julius ◽  
Amy M.J. O’Shea ◽  
Shelby L. Francis ◽  
Kathleen F. Janz ◽  
Helena Laroche

Purpose: The authors examined the relationship between mother and child activity. Methods: The authors compared moderate–vigorous physical activity (MVPA) and sedentary time of low-income mothers with obesity and their 6- to 12-year-old children on week (WD) and weekend (WE) days. A total of 196 mother–child pairs wore accelerometers simultaneously for a week. Mothers completed questionnaires. Spearman correlation and multivariate regression were used. Results: WE MVPA (accelerometry) was significantly correlated between mothers with children aged 6–7 (rs = .35) and daughters (rs = .27). Self-reported maternal PA time spent with one of their children was significantly correlated with the WE MVPA of all children (rs = .21) and children aged 8–10 (rs = .22) and with the WD MVPA of all children (rs = .15), children aged 8–10 (rs = .23), aged 11–12 (rs = .52), and daughters (rs = .37), and inversely correlated to the WD sedentary time of all children (rs = −.21), children aged 8–10 (rs = −.30), aged 11–12 (rs = −.34), daughters (rs = −.26), and sons (rs = −.22). In multivariate regression, significant associations were identified between reported child–mother PA time together and child MVPA and sedentary time (accelerometry). Conclusions: Mothers may influence the PA levels of their children with the strongest associations found in children aged 6–7 and daughters. Mother–child coparticipation in PA may lead to increased child MVPA and decreased sedentary behavior.


2020 ◽  
Author(s):  
Eivind Andersen ◽  
Steinar Øvreås ◽  
Kari Anne Jørgensen ◽  
Janne Borch-Jenssen ◽  
Thomas Moser

Abstract Background: A growing body of evidence suggest that the children’s physical activity (PA) level in early childhood education and care (ECEC) settings are insufficient. Since most children attend ECEC settings for many hours on most days of the week, and these institutions reach children across the socioeconomic spectrum, the ECEC settings may serve as an ideal avenue for increasing physical activity level, reduce sedentary time and enhance the overall health of young children. This paper investigates the effectiveness of the “Active Kindergarten – Active Children” study to increase children’s PA level and reduce sedentary time within the ECEC setting. Methods: Accelerometers were used to asses PA and sedentary time. A total of 116 three to four-year olds took part in a randomised controlled trial in 11 ECEC settings. Participants were cluster-randomised, by ECEC setting, to either a 12 week staff-led and expert-supported intervention or a waiting list control group. Results: The intervention group increased time spent in moderate- and vigorous intensity PA by 10 min/day (95% CI = 3, 18; P=0.01), took 1909 more steps per day (95% CI = 1130, 2688; P˂0.01) and reduced sedentary time with 14min/day (95% CI = -27, -1; P=0.04) compared to the control group. The intervention group had a 2.4 higher odds (95% CI = 1.05, 5.7; P = 0.04) of meeting the PA recommendations compared to the control group at follow-up. Conclusions: Our results show that a flexible staff-led and expert-supported multicomponent PA intervention can increase total PA level, moderate- and vigorous intensity PA and reduce time spent sedentary in three to four-year old children during their stay in ECEC settings.Trial registration: The trial was retrospectively registered on September 19, 2020 and available online at ClinicalTrials.gov: No. NCT04555746


2018 ◽  
Author(s):  
Sarah E Linke ◽  
Shira I Dunsiger ◽  
Kim M Gans ◽  
Sheri J Hartman ◽  
Dori Pekmezi ◽  
...  

BACKGROUND The internet’s low cost and potential for high reach makes Web-based channels prime for delivering evidence-based physical activity (PA) interventions. Despite the well-studied success of internet-based PA interventions in primarily non-Hispanic white populations, evidence on Spanish-speaking Latinas’ use of such interventions is lacking. The recent rise in technology use among Latinas in the United States, a population at heightened risk for low PA levels and related conditions, suggests that they may benefit from Web-based PA interventions tailored to their cultural and language preferences. OBJECTIVE The goal of the research was to examine participant engagement with various features of an internet-based PA intervention for Latinas and explore how use of these features was differentially associated with adoption and maintenance of PA behavior change. METHOD Pasos Hacia la Salud tested a Spanish-language, culturally adapted, individually tailored, internet-based PA intervention versus a Spanish language, internet-based, Wellness Contact Control condition for underactive Latinas (N=205, mean age 39.2 [SD 10.5] years, 84% Mexican American). These analyses examined engagement with the website and explored how use was associated with adoption and maintenance of moderate to vigorous physical activity (MVPA) behavior. RESULTS Overall, participants logged on to the website an average of 22 times (SD 28) over 12 months, with intervention participants logging on significantly more than controls (29 vs 14.7, P<.001). On average, participants spent more time on the website at months 1, 4, and 6 compared to all other months, with maximum use at month 4. Both log-ins and time spent on the website were significantly related to intervention success (achieving higher mean minutes of MVPA per week at follow-up: b=.48, SE 0.20, P=.02 for objectively measured MVPA and b=.74, SE 0.34, P=.03 for self-reported MVPA at 12 months, controlling for baseline). Furthermore, those meeting guidelines by the Centers for Disease Control and Prevention for PA at 12 months (≥150 minutes per week of MVPA) logged on significantly more than those not meeting guidelines (35 vs 20 over 12 months, P=.002). Among participants in the intervention arm, goal-setting features, personal PA reports, and PA tips were the most used portions of the website. Higher use of these features was associated with greater success in the program (significantly more minutes of self-reported MVPA at 12 months controlling for baseline). Specifically, one additional use of these features per month over 12 months translated into an additional 34 minutes per week of MVPA (goals feature), 12 minutes per week (PA tips), and 42 minutes per week (PA reports). CONCLUSIONS These results demonstrate that greater use of a tailored, Web-based PA intervention, particularly certain features on the site, was significantly related to increased PA levels in Latinas. CLINICALTRIAL ClinicalTrials.gov NCT01834287; https://clinicaltrials.gov/ct2/show/NCT01834287


2019 ◽  
Vol 31 (3) ◽  
pp. 356-362 ◽  
Author(s):  
Jade L. Morris ◽  
Andy Daly-Smith ◽  
Margaret A. Defeyter ◽  
Jim McKenna ◽  
Steve Zwolinsky ◽  
...  

Purpose: To assess physical activity outcomes of a pedometer-based physically active learning (PAL) intervention in primary school children. Methods: Six paired schools were randomly allocated to either a 6-week teacher-led pedometer-based physically active learning intervention or a control (n = 154, female = 60%, age = 9.9 [0.3] y). Accelerometers assessed total daily sedentary time, light physical activity (LPA), and moderate-to-vigorous physical activity (MVPA). Preintervention mean daily MVPA minutes grouped participants as Low Active (<45 min/d) and High Active (≥45 min/d). Results: From the final sample size, the intervention (n = 52) significantly improved LPA versus control (n = 31, P = .04), by reducing sedentary time. More intervention (+10%) than control (+3%) pupils met the 60 minutes per day guidelines. In both intervention subgroups, pupils spent less time in LPA (P < .05) versus control. The greatest nonsignificant increase was found in the Low Active pupils MVPA levels. Conclusions: Improvements in LPA were statistically significant in the intervention versus control group. In subgroup analysis, Low Active pupils in the intervention showed the greatest beneficial effects and the Most Active pupils may have replaced MVPA and sedentary time with LPA. The intervention group housed clusters of pupils showing variable responsiveness, justifying routine examination of subgroup variability in future studies.


Author(s):  
Francesca Gallè ◽  
Pierluigi Pecoraro ◽  
Patrizia Calella ◽  
Giuseppe Cerullo ◽  
Maria Imoletti ◽  
...  

Background: Classroom Active Breaks (CABs), short active sessions integrated in the school time, have been recognized as a promising tool to reduce sedentary behavior and increase Physical Activity (PA) levels in children. “AulAttiva” is a six-month CABs-based program implemented in primary schools of the province of Naples. The aim of this study was to evaluate its effectiveness by comparing PA and sedentary time of participating pupils respect to a control group, considering also their weight status. Methods: Four third-grade classes, each from 4 schools out of 32 participating in AulAttiva, and 4 third-grade classes, each from 4 schools out of 74 that did not take part, were randomly selected. Finally, 58 children composed the intervention group and 57 the control group. Age, gender, weight and height were registered for each participant. Weight status was classified as non-overweight and overweight/obesity. Sedentary time and PA were assessed through accelerometers along a school day. Results: Light PA was 4 min higher in the AulAttiva group with respect to controls (p = 0.046). Within the non-overweight children, the AulAttiva group spent less time in sedentary behavior and more time in light and total PA than controls. No significant differences were found between the overweight/obese subgroups. Conclusions: The results support the effectiveness of CABs in increasing PA during the school day. Greater effects were registered among normal weight pupils, suggesting the possible influence of weight status on children’s participation to the intervention. Further studies are needed to improve the compliance of overweight/obese children to this intervention.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Eivind Andersen ◽  
Steinar Øvreås ◽  
Kari Anne Jørgensen ◽  
Janne Borch-Jenssen ◽  
Thomas Moser

Abstract Background A growing body of evidence suggest that the children’s physical activity (PA) level in early childhood education and care (ECEC) settings are insufficient. Since most children attend ECEC settings for many hours on most days of the week, and these institutions reach children across the socioeconomic spectrum, the ECEC settings may serve as an ideal avenue for increasing physical activity level, reduce sedentary time and enhance the overall health of young children. This paper investigates the effectiveness of the “Active Kindergarten – Active Children” study to increase children’s PA level and reduce sedentary time within the ECEC setting. Methods Accelerometers were used to asses PA and sedentary time. A total of 116 three to four-year olds took part in a randomised controlled trial in 11 ECEC settings. Participants were cluster-randomised, by ECEC setting, to either a 12 week staff-led and expert-supported intervention or a waiting list control group. Results The intervention group increased time spent in moderate- and vigorous intensity PA by 10 min/day (95% CI = 3, 18; P = 0.01), took 1909 more steps per day (95% CI = 1130, 2688; P < 0.01) and reduced sedentary time with 14 min/day (95% CI = − 27, − 1; P = 0.04) compared to the control group. The intervention group had a 2.4 higher odds (95% CI = 1.05, 5.7; P = 0.04) of meeting the PA recommendations compared to the control group at follow-up. Conclusions Our results show that a flexible staff-led and expert-supported multicomponent PA intervention can increase total PA level, moderate- and vigorous intensity PA and reduce time spent sedentary in three to four-year old children during their stay in ECEC settings. Trial registration The trial was retrospectively registered on September 19, 2020 and available online at ClinicalTrials.gov: No. NCT04555746.


2019 ◽  
Author(s):  
Marta Swirski ◽  
Netasha Shaikh ◽  
Amy Chinner ◽  
Ellen Gaaikema ◽  
Elizabeth Coulthard

Biochemical and neuropsychological changes due to poor sleep may contribute to the development of neurodegenerative disorders, such as dementia. Physical activity is widely thought to improve sleep; however, the optimal intensity/duration of physical activity required is unknown. This 14-week, single-blind study (n=23) investigated the feasibility of a self-directed physical activity intervention in healthy adults using actigraphy and cognitive function measures as primary outcomes. Participants were randomised to a control group (no change in routine) or the intervention group (increased physical activity) and were provided with an actigraphy device to monitor activity. Participants completed daily sleep/activity diaries and three cognitive assessment sessions. Vigorous physical activity increased between baseline and week 3 for the intervention group only, with no identifiable impact on sleep. This change was not sustained at week 12. Performance on an executive function task and delayed visuospatial recall improved from baseline to week 12 for the intervention group only. Contrary to our expectations, increasing light-moderate physical activity was associated with more impaired sleep across all participants. It is clear that the relationships between physical activity, sleep and cognition are complex and require further investigation. We discuss optimal methodologies for clinical trials investigating physical activity and/or sleep interventions targeting cognition.


2020 ◽  
Author(s):  
Eivind Andersen ◽  
Steinar Øvreås ◽  
Kari Anne Jørgensen ◽  
Janne Borch-Jenssen ◽  
Thomas Moser

Abstract A growing body of evidence suggest that the children’s physical activity (PA) level in early childhood education and care (ECEC) settings are insufficient. Since most children attend ECEC settings for many hours on most days of the week, and these institutions reach children across the socioeconomic spectrum, the ECEC settings may serve as an ideal avenue for increasing physical activity (PA) level, reduce sedentary time and enhance the overall health of young children. This paper investigates the effectiveness of the “Active Kindergarten – Active Children” study to increase children’s PA level and reduce sedentary time within the ECEC setting. Accelerometers were used to asses PA and sedentary time. A total of 116 three to four-year olds took part in a randomized controlled trial in 11 ECEC settings. Participants were cluster-randomized, by ECEC setting, to either a 12 week staff-led and expert-supported intervention or a waiting list control group. The intervention group increased time spent in moderate- and vigorous intensity PA by 10 min/day (95% CI = 3, 18; P=0.01), took 1909 more steps per day (95% CI = 1130, 2688; P˂0.01) and reduced sedentary time with 14min/day (95% CI = -27, -1; P=0.04) compared to the control group. The intervention group had a 2.4 higher odds (95% CI = 1.05, 5.7; P = 0.04) of meeting the PA recommendations compared to the control group at follow-up. Our results show that a flexible staff-led and expert-supported multicomponent PA intervention can increase total PA level, moderate- and vigorous intensity PA and reduce time spent sedentary in four-year-old children during their stay in ECEC settings. Key words: ECEC; RCT; children; physical activity; sedentary time


2020 ◽  
pp. 109019812097119
Author(s):  
Whitney A. Welch ◽  
Caroline P. Groth ◽  
Siobhan M. Phillips ◽  
Bonnie Spring ◽  
Juned Siddique

Background and Aims To estimate and compare the change in moderate-to-vigorous physical activity (MVPA) between an accelerometer and technology-supported physical activity (PA) log across a 3-week PA intervention. Method Participants ( N = 204, 77% female, age = 33 ± 11 years, body mass index = 28.2 ± 7.1 kg/m2) were randomized to one of two activity-related intervention arms: (1) increase MVPA intervention or (2) decrease sedentary behavior active control. Participants wore an accelerometer while simultaneously completing a technology-based PA log every day for 5 weeks: a 2-week baseline assessment phase and a 3-week intervention phase. Bivariate linear mixed-effects models and correlations were used to characterize the relationship of MVPA between measurement methods throughout the intervention. Effect sizes were calculated to determine the intervention effect by measurement method. Results At baseline, PA log MVPA was 28 minutes greater than accelerometer-based minutes of MVPA in the active control group. This difference was 35 minutes (95% CI [23.7, 46.1]) greater at follow-up than at baseline measurement in the MVPA intervention group. In the active control group, there was a significant 16-minute (95% CI [6.0, 26.5]) increase between the two measures from baseline to follow-up. The intervention effect size based on the PA log was 0.27 (95% CI [0.14, 0.39]) and 0.42 (95% CI [0.28, 0.56]) when using the accelerometer. Discussion and Conclusions Our results indicate that PA log MVPA and accelerometer MVPA estimate significantly different minutes per day of MVPA. It is important researchers use caution when comparing MVPA intervention outcomes from different measurement methods.


2008 ◽  
Vol 5 (4) ◽  
pp. 592-606 ◽  
Author(s):  
Gary S. Goldfield ◽  
Risa Mallory ◽  
Denis Prud’homme ◽  
Kristi B. Adamo

Background:This study evaluated the effects of gender on response to a behavioral intervention that rewarded increases in physical activity (PA) with increases in access to TV viewing.Methods:We performed a secondary analysis of a clinical trial that randomized 30 overweight or obese, 8- to 12-year-old children to an intervention (8 boys, 6 girls) or control (7 boys, 9 girls) group. Participants wore accelerometers every day for 8 weeks and attended biweekly meetings to download the activity monitors. For the intervention group, accumulating 400 counts of PA on accelerometers earned 1 hour of TV time, which was controlled by a Token TV electronic device. Controls wore activity monitors but had free access to T V.Results:Compared with girls, boys in the intervention group exhibited greater increases in overall daily PA counts (110% versus 40%, P < .05) and minutes per day of moderate-to-vigorous physical activity (MVPA; +18.1 versus +2.7, P < .05). Neither boys nor girls in the control group showed significant changes in overall PA or intensity of PA.Conclusion:Wearing an accelerometer in combination with rewarding PA with TV might be a more effective intervention for increasing overall PA and time spent in MVPA in overweight and obese boys than it is for overweight or obese girls.


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