Parks and Health: Differences in Constraints and Negotiation Strategies for Park-Based Leisure Time Physical Activity by Stage of Change

2010 ◽  
Vol 7 (2) ◽  
pp. 273-284 ◽  
Author(s):  
Sonja A. Wilhelm Stanis ◽  
Ingrid E. Schneider ◽  
Mark A. Pereira
Keyword(s):  
Physical Activity ◽  
Leisure Time Physical Activity ◽  
Stage Of Change ◽  
Public Parks ◽  
Negotiation Strategies ◽  
Health Differences ◽  
Research Findings ◽  
Physical Activity Recommendations

Background:Public parks are increasingly recognized as important places that facilitate physical activity. Despite the presence of parks, constraints to recreation and physical activity at parks exist. As the health benefits identified with physical activity require long-term and regular activity, it is important to examine factors pertaining to physical activity participation beyond initiation. This study explored differences in reported constraints to park based physical activity and negotiation strategies by physical activity stage of change.Methods:Data were collected among visitors to one Minnesota state park via onsite and follow-up questionnaires.Results:The average visitor had a healthier weight than the average U.S. and Minnesota adult and the majority of visitors were meeting the physical activity recommendations (86.4%). Respondents in the inactive/insufficient stages were more constrained and used fewer negotiation strategies than respondents in the maintenance stage.Conclusions:Results both support and expand on previous research findings. Specifically, this study supports research which indicates the adoption and maintenance of physical activity are influenced by different individual, social and environmental factors, and expands the research base by examining constraints and negotiation at different physical activity stages in a park setting. Implications of these findings provide directions for future stage-based intervention efforts.

Physical Activity Among Preadolescents Modifies the Long-Term Association Between Sedentary Time Spent Using Digital Media and the Increased Risk of Being Overweight

2021 ◽  
pp. 1-8
Author(s):  
Elina Engberg ◽  
Marja H. Leppänen ◽  
Catharina Sarkkola ◽  
Heli Viljakainen
Keyword(s):  
Physical Activity ◽  
Digital Media ◽  
Leisure Time ◽  
Media Use ◽  
Leisure Time Physical Activity ◽  
Normal Weight ◽  
Web Based ◽  
Increased Risk

Background: This study aimed to examine whether sedentary digital media use in preadolescence increases the risk of being overweight 3 years later, and whether this association differs based on preadolescents’ leisure-time physical activity (LTPA) levels. Methods: The authors conducted a 3-year follow-up study among 4661 participants with a mean (SD) age of 11 (1) years at baseline and 14 (1) years at follow-up. A web-based questionnaire assessed sedentary digital media use and LTPA. The authors categorized baseline LTPA duration into 3 levels: 0 to 5 (low), 6 to 8 (moderate), and ≥9 (high) hours per week. In addition, the authors categorized adolescents as normal weight or overweight/obese at follow-up. Results: Greater amounts of sedentary digital media use at baseline associated with an increased risk of being overweight 3 years later even after adjusting for confounders. This only held for preadolescents with low baseline LTPA (OR = 1.14; 95% confidence interval, 1.05–1.24), but not among those with moderate (OR = 1.02; 0.91–1.15) or high (OR = 0.96; 0.85–1.08) LTPA. Conclusions: Preadolescent LTPA modified the long-term association between sedentary digital media use and being overweight; specifically, 6 hours per week or more of LTPA mitigated the increased risk of being overweight associated with higher amounts of digital media use.

Leisure-time physical activity and long term risk of fractures in 47–56-year old women — 15 year follow-up of OSTPRE study

Bone ◽  
2009 ◽  
Vol 44 ◽  
pp. S420
Author(s):  
T. Rikkonen ◽  
K. Salovaara ◽  
J. Sirola ◽  
M. Tuppurainen ◽  
J. Jurvelin ◽  
...  
Keyword(s):  
Physical Activity ◽  
Leisure Time ◽  
Leisure Time Physical Activity

Telephone-Based Motivational Interviewing to Promote Physical Activity and Stage of Change Progression in Older Adults

2014 ◽  
Vol 22 (4) ◽  
pp. 527-535 ◽  
Author(s):  
Kaitlin R. Lilienthal ◽  
Anna Evans Pignol ◽  
Jeffrey E. Holm ◽  
Nancy Vogeltanz-Holm
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Motivational Interviewing ◽  
Self Efficacy ◽  
Stage Of Change ◽  
Aging Adults ◽  
Healthy Activity ◽  
To Receive

This study examined the efficacy of motivational interviewing (MI) for increasing physical activity in aging adults. Eighty-six participants aged 55 years and older were randomly assigned to receive either four weekly sessions of telephone-based MI for increasing physical activity, or a healthy activity living guide (information only control). Changes from baseline weekly caloric expenditure from physical activity, self-efficacy for physical activity, and stage of change for physical activity were compared across groups at posttreatment and six months follow-up. Results indicated that MI participants had higher weekly caloric expenditures from physical activity at posttreatment, but not at six months follow-up; higher self-efficacy for physical activity at six months follow-up; and demonstrated greater stage of change progression across assessments. These findings support the use of telephone-based MI for increasing physical activity in older adults in the short-term. Future studies will need to determine if follow-up booster sessions increase long-term efficacy.

scholarly journals Long-Term Leisure-Time Physical Activity and Other Health Habits as Predictors of Objectively Monitored Late-Life Physical Activity – A 40-Year Twin Study

2017 ◽  
Author(s):  
Katja Waller ◽  
Henri Vähä-Ypyä ◽  
Timo Törmäkangas ◽  
Pekka Hautasaari ◽  
Noora Lindgren ◽  
...  
Keyword(s):  
Physical Activity ◽  
Socioeconomic Status ◽  
Health Status ◽  
Leisure Time ◽  
Genetic Factors ◽  
Leisure Time Physical Activity ◽  
Health Habits ◽  
Socioeconomic Status And Health

AbstractIMPORTANCEModerate-to-vigorous physical activity (MVPA) in old age is an important indicator of good health and functional capacity enabling independent living.OBJECTIVETo investigate whether physical activity and other health habits at ages 31-48 years predict objectively measured MVPA decades later.DESIGN, SETTING, AND PARTICIPANTSThis prospective twin cohort study in Finland comprised 616 individuals (197 complete twin pairs, including 91 monozygotic pairs, born 1940-1944), who responded to baseline questionnaires in 1975, 1981, and 1990, and participated in accelerometer monitoring at follow-up (mean age, 73 years).EXPOSURESPrimary exposure was long-term leisure-time physical activity, 1975-1990 (LT-mMET index). Covariates were body mass index (BMI), work-related physical activity, smoking, heavy alcohol use and health status in 1990, and socioeconomic status.MAIN OUTCOMES AND MEASURESPhysical activity was measured with a waist-worn triaxial accelerometer (at least 10 hours per day for at least 4 days) to obtain daily mean MVPA values.RESULTSHigh baseline LT-mMET index predicted higher amounts of MVPA (increase in R2 of 6.9% after age and sex adjustment, P<.001) at follow-up. After addition of BMI to the regression model, the R2 value of the whole multivariate model was 17.2%, and with further addition of baseline smoking, socioeconomic status, and health status, the R2 increased to 20.3%. In pairwise analyses, differences in MVPA amount were seen only among twin pairs who were discordant at baseline for smoking (n=40 pairs, median follow-up MVPA 25 vs. 35 min, P=.037) or for health status (n=69 pairs, 30 vs. 44 min, P=.014). For smoking, the difference in MVPA also was seen for monozygotic pairs, but for health status, it was seen only for dizygotic pairs. Mediation analysis showed that shared genetic factors explained 82% of the correlation between LT-mMET and MVPA.CONCLUSIONS AND RELEVANCELow leisure-time physical activity at younger age, overweight, smoking, low socioeconomic status, and health problems predicted low MVPA in old age in individual-based analyses. However, based on the pairwise analyses and quantitative trait modeling, genetic factors and smoking seem to be important determinants of later-life MVPA.

scholarly journals Does high occupational physical activity hamper the beneficial health effects of leisure time physical activity? Evidence of the physical activity health paradox from a prospective study on compositional accelerometry data and long-term sickness absence

2020 ◽  
Author(s):  
Nidhi Gupta ◽  
Sofie Dencker-Larsen ◽  
Charlotte Lund Rasmussen ◽  
Duncan McGregor ◽  
Charlotte Diana Nørregaard Rasmussen ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sickness Absence ◽  
Proportional Hazards Model ◽  
Leisure Time Physical Activity ◽  
Cox Proportional Hazards ◽  
Cox Proportional Hazards Model ◽  
Time In Bed ◽  
Health Paradox

Abstract Background: The ‘physical activity health paradox’ advocates that leisure physical activity (PA) promotes health while occupational PA impairs health. However, this paradox can be explained by methodological limitations of the previous studies—self-reported PA measures, socioeconomic confounding or not addressing the compositional nature of PA. Therefore, this study investigated the association between compositions of accelerometer-based moderate to vigorous PA (MVPA) time at work and leisure and onset of long-term sickness absence (LTSA). Methods: Time spent on MVPA and remaining physical behaviours (sedentary behaviour, standing, light PA and time in bed) at work and leisure was measured for 929 workers using thigh accelerometry and expressed as isometric log-ratios (ilrs). LTSA was register-based events of ≥6 consecutive weeks during 4-year follow-up. The association between ilrs and LTSA was analysed using a Cox proportional hazards model adjusted for remaining physical behaviours and potential confounders, then separately adjusting for and stratifying on education and type of work. Results: During the follow-up, 21% workers experienced LTSA. During leisure, more relative MVPA time was negatively associated with LTSA (20% lower risk with 20 minutes higher MVPA, P=0.02). At work, more relative MVPA time was positively associated with LTSA (15% higher risk with 20 minutes higher MVPA, P=0.02). Beneficial association between MVPA at leisure and LTSA was only observed for the lowest tertile of MVPA at work (P=0.03). Results remained unchanged when adjusted for or stratified on education and type of work. Conclusion: These findings provide further support to the ‘PA health paradox’. Key words: physical activity, sedentary behavior, accelerometers, sick leave, occupational health, time-use epidemiology, register-based sickness absence

scholarly journals Physical workload and increased frequency of musculoskeletal pain: a cohort study of employed men and women with baseline occasional pain

2021 ◽  
pp. oemed-2020-107094
Author(s):  
Kathryn Badarin ◽  
Tomas Hemmingsson ◽  
Lena Hillert ◽  
Katarina Kjellberg
Keyword(s):  
Survey Data ◽  
Musculoskeletal Pain ◽  
Leisure Time Physical Activity ◽  
Physical Workload ◽  
Job Exposure Matrix ◽  
Men And Women ◽  
Strenuous Work ◽  
High Level

ObjectivesMusculoskeletal pain (MSP) is prevalent among the workforce. This study investigates the long-term association between physical workload (PWL) and increased frequency of MSP among male and female employees with pre-existing occasional MSP.MethodsThis study uses the Stockholm Public Health cohort survey data from the baseline 2006. The sample includes 5715 employees with baseline occasional MSP (no more than a few days per month). Eight PWL exposures and overall PWL were estimated using a job-exposure matrix (JEM). The JEM was assigned to occupational titles from a national register in 2006. Follow-up survey data on frequent MSP (a few or more times a week) were collected from 2010. Logistic regressions produced sex-specific ORs with 95% CIs and were adjusted for education, health conditions, psychological distress, smoking, BMI, leisure-time physical activity and decision authority.ResultsAssociations were observed between several aspects of heavy PWL and frequent MSP for men (eg, OR 1.57, 95% CI 1.13 to 2.20, among those in the highest exposure quartile compared with those in the lowest quartile for heavy lifting) and women (eg, OR 1.76, 95% CI 1.35 to 2.29, among those in the highest exposure quartile compared with those in the the lowest quartile for physically strenuous work). Small changes were observed in the OR after adjustment, but most of the ORs for PWL exposures among the men were no longer statistically significantly increased.ConclusionA high level of exposure to heavy PWL was associated with increased frequency of MSP 4 years later for men and women with baseline occasional pain.

scholarly journals P181 Long-term improvement in axial spondyloarthritis clinical outcomes following 2-weeks of intensive education and rehabilitation: results from the Bath residential rehabilitation programme

Rheumatology ◽  
2021 ◽  
Vol 60 (Supplement_1) ◽  
Author(s):  
Rosie Barnett ◽  
Anita McGrogan ◽  
Matthew Young ◽  
Charlotte Cavill ◽  
Mandy Freeth ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Disease Activity ◽  
Axial Spondyloarthritis ◽  
Rehabilitation Programme ◽  
Spinal Mobility ◽  
The Impact

Abstract Background/Aims  Axial spondyloarthritis (axSpA) is a chronic rheumatic condition, characterised by inflammatory back pain - often associated with impaired function and mobility, sleep disturbance, fatigue, and reduced quality of life. Despite the vast advances in pharmacological treatments for axSpA over the last few decades, physical activity and rehabilitation remain vital for effective disease management. At the Royal National Hospital for Rheumatic Diseases in Bath (RNHRD), the 2-week inpatient axSpA rehabilitation programme has been integral to axSpA care since the 1970’s. Prior research has demonstrated significant short-term improvements in spinal mobility (BASMI), function (BASFI) and disease activity (BASDAI) following course attendance. However, the long-term outcomes are yet to be evaluated in this unique cohort. Methods  Since the early 1990’s, clinical measures of spinal mobility, function and disease activity have been routinely collected at the RNHRD at all clinical appointments through administration of the BASMI, BASFI and BASDAI, respectively. Dates of attending the axSpA course and standard clinical and treatment follow-up data were also collected. Multiple linear regression models were used to investigate the impact of course attendance on final reported BASMI, BASDAI and BASFI scores (final score=most recent). Length of follow-up was defined as time between first and last recorded BASMI. Results  Of the 203 patients within the Bath SPARC200 cohort, 77.8% (158/203) had attended at least one rehabilitation course throughout follow-up. 70.0% (140/203) of patients were male. The mean duration of follow-up was 13.5 years (range 0-35 years); 28.1% (57/203) of individuals with 20+ years of follow-up. Course attendance (yes versus no) significantly reduced final BASMI score by 0.84 (p = 0.001, 95%CI -1.31 to -0.37) and final BASDAI score by 0.74 (p = 0.018, 95%CI -1.34 to -0.13). Although course attendance reduced final BASFI by 0.45 (95%CI -1.17 to 0.28), this relationship did not reach significance (p = 0.225). Whilst minimally clinically important difference (MCID) is, to our knowledge, yet to be defined for BASMI, MCIDs were achieved long-term for both BASDAI and BASFI - defined by van der Heijde and colleagues in 2016 as 0.7 and 0.4 for BASDAI and BASFI, respectively. Conclusion  These results provide novel evidence to support the integral role of education, physical activity and rehabilitation in the management of axSpA. Future work should investigate additional outcomes of critical importance to patients and clinicians, such as fatigue, quality of life and work productivity. Furthermore, a greater understanding of the factors that confound these outcomes may provide insights into those patients who may most benefit from attending a 2-week rehabilitation course. In addition to facilitating identification of those patients who may require additional clinical support. Disclosure  R. Barnett: None. A. McGrogan: None. M. Young: None. C. Cavill: None. M. Freeth: None. R. Sengupta: Honoraria; Biogen, Celgene, AbbVie, Novartis, MSD. Grants/research support; Novartis, UCB.

scholarly journals A 20-Year Follow-Up Study of Objectively Measured Physical Activity

2021 ◽  
Vol 18 (6) ◽  
pp. 3076
Author(s):  
Anders Raustorp ◽  
Andreas Fröberg
Keyword(s):  
Physical Activity ◽  
Early Adolescence ◽  
Total Sample ◽  
Short Time Span ◽  
Steps Per Day ◽  
Objectively Measured ◽  
Short Time ◽  
Objectively Measured Physical Activity

Background: The objectives of this study were to explore the effect of time, long-term tracking, and the proportion of objectively measured physical activity (PA) from early adolescence to the mid-thirties. Methods: PA was measured as mean steps per day (SPD) with pedometers during 2000 (T1), 2003 (T2), 2005 (T3), 2010 (T4), 2016 (T5) and 2020 (T6). Data from 64 participants (n = 32 males) were analysed from their early adolescence (T1) to their mid-thirties (T6). Results: SPD decreased in the total sample and among males and females (all, p < 0.001). Males took more mean SPD than females during T1 (p = 0.002), whereas females took more mean SPD during T2 (p = 0.009) and T6 (p = 0.008). Males’ mean SPD tracked between T1 and T2 (p = 0.021), T2 and T3 (p = 0.030), T3 and T4 (p = 0.015) and T4 and T5 (p = 0.003). Females’ mean SPD tracked between T3 and T4 (p = 0.024) and T5 and T6 (p < 0.001). In the total sample, more mean SPD were found on weekdays compared to weekend days at T3 (p = 0.017) and T5 (p < 0.001). Conclusions: SPD decreased between T1 and T6. Mean SPD tracked low-to-moderate in the short time span. From late adolescence to the mid-thirties, more mean SPD was observed during weekdays compared to weekend days.

scholarly journals Questionnaire survey assessing the leisure-time physical activity of hospital doctors and awareness of UK physical activity recommendations

2019 ◽  
Vol 5 (1) ◽  
pp. e000534 ◽  
Author(s):  
Jennifer A Cuthill ◽  
Martin Shaw
Keyword(s):  
Physical Activity ◽  
Leisure Time Physical Activity ◽  
Teaching Hospitals ◽  
Muscle Strengthening ◽  
Scottish Population ◽  
Physical Activity Recommendations ◽  
Hospital Doctors ◽  
Type Of Exercise ◽  
The Uk ◽  
Activity Recommendations

ObjectiveThe UK Government Physical Activity Recommendations suggest that adults should aim for 150 min of physical activity each week to maintain health. We assessed the total volume, frequency, intensity and type of exercise taken by hospital doctors in association with their specialty, age and knowledge of the specific components of the recommendations.MethodsAn anonymous paper-based questionnaire was distributed to doctors working in the two largest teaching hospitals in Glasgow. 332 questionnaires were analysed with a response rate of 60.3%.Results239 (72%) doctors felt they exercised regularly with 212 (63.9%) meeting the recommended volume of cardiovascular activity, similar to an age and sex-matched cohort of the general Scottish population. Only 78 (23.5%) doctors achieved the recommended muscle-strengthening activities. 108 (35.5%) doctors were aware recommendations for activity existed but only 45 (13.6%) were able to state the recommended duration of activity per week. Doctors who were aware of the recommendations were more likely to personally achieve them (OR 1.802, 95% CI 1.104 to 2.941) although other additional factors may contribute.ConclusionAlthough this was a small study in two hospitals, our results suggest that hospital doctors are as active as the general public in the UK of a similar age. Eight years after implementation, knowledge of specific components of the current physical activity recommendations remains poor. Efforts to improve this prior to graduation, combined with improving confidence and competence in counselling practices and enhancing the opportunities for doctors to exercise, could translate into improved healthcare promotion.

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