Social inequality in lifestyle, motivation to change lifestyle and received health advice in individuals with diabetes: A nationwide study

2019 ◽  
Vol 48 (8) ◽  
pp. 847-854
Author(s):  
Marie B. Andersen ◽  
Anne-Sofie D. Bjørkman ◽  
Maria Pedersen ◽  
Ola Ekholm ◽  
Stig Molsted
Keyword(s):  
Physical Activity ◽  
Alcohol Consumption ◽  
Socioeconomic Position ◽  
Smoking Status ◽  
National Health Survey ◽  
Activity Levels ◽  
Motivation To Change ◽  
Physically Active ◽  
Health Advice ◽  
Physical Activity Levels

Aims: The aim was to investigate the association between socioeconomic position (SEP) and physical activity, alcohol consumption and smoking, motivation to change lifestyle and health advices from general practitioners (GPs) in individuals with diabetes. Methods: Data were provided by the Danish National Health Survey 2013 and 7504 adults (⩾ 40 years) with diabetes were included. Educational level was used as SEP indicator and categorized into low, middle and high SEP. Dependent variables included physical activity, alcohol consumption, smoking, motivation to change lifestyle and GP lifestyle advices. Multiple logistic regression analyses adjusted for age, body mass index and ethnic background were performed. Results: Higher SEP were associated with reduced odds of being physically inactive (middle SEP odds ratio (OR) men 0.58 (95% confidence intervals 0.47–0.72) and women 0.59 (0.47–0.75)) and non-smoking (middle SEP OR men 0.74 (0.59–0.93) and high SEP OR women 0.54 (0.38–0.77)) compared to participants with a low SEP. Alcohol consumption above the recommended maximum was associated with high SEP in men, OR 1.83 (1.30–2.61). Elevated SEP was associated with a motivation to increase physical activity levels (middle SEP OR men 1.45 (1.19–1.76) and women 1.35 (1.09–1.67)), high SEP was associated with none advice from GPs regarding smoking cessation among women, OR 0.47 (0.25–0.89). Conclusions: Socioeconomic position was strongly associated with lifestyle in individuals with diabetes. The most pronounced inequalities were found in physical activity levels, smoking status and the motivation to become more physically active. Municipalities and GPs may need a greater focus on SEP in interventions to change lifestyle in individuals with diabetes.

Physical Activity in Preschool Children With the Transition to Outdoors

2013 ◽  
Vol 10 (2) ◽  
pp. 170-175 ◽  
Author(s):  
Russell R. Pate ◽  
Marsha Dowda ◽  
William H. Brown ◽  
Jonathan Mitchell ◽  
Cheryl Addy
Keyword(s):  
Physical Activity ◽  
Time Course ◽  
Outdoor Play ◽  
Activity Levels ◽  
Physically Active ◽  
Minute Period ◽  
Physical Activity Levels ◽  
Trained Observers ◽  
Children’S Physical Activity ◽  
Observation Period

Background:It is known that children are more physically active outdoors than indoors. However, few previous studies have observed the time course for physical activity as young children transition from indoor to outdoor activities.Methods:Participants were 3- to 5-year-old children enrolled in the Children’s Activity and Movement in Preschool Study (CHAMPS). Trained observers used the Observational System for Recording Physical Activity in Children-Preschool Version (OSRAC-P) to record children’s physical activity levels over 20 minutes in outdoor settings. The 20-minute outdoor observational period began immediately following the transition from indoors to outdoors.Results:Children’s activity levels were moderately high at the time of transition and declined over the 20-minute observation period. Different patterns, however, were observed for boys and girls. Overall, boys were more active than girls. Boys’ activity levels declined in a linear fashion over the 20-minute period, while girls’ activity levels increased slightly, decreased, and then increased slightly again.Conclusions:These data indicate that physical activity levels decline with increased duration of outdoor play. The frequency and duration of outdoor play should be investigated for the purpose of optimizing physical activity levels.

scholarly journals Physical Activity Status in Patients With Coronary Heart Disease: Results From the Cross-Sectional EUROASPIRE Surveys

2016 ◽  
Vol 13 (12) ◽  
pp. 1378-1384 ◽  
Author(s):  
Delphine De Smedt ◽  
Els Clays ◽  
Christof Prugger ◽  
Johan De Sutter ◽  
Zlatko Fras ◽  
...  
Keyword(s):  
Physical Activity ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Risk Profile ◽  
Activity Level ◽  
Activity Levels ◽  
Cross Sectional ◽  
Physically Active ◽  
Physical Activity Levels ◽  
The Cross

Background:The study aim was to assess the physical activity levels as well as the intention to become physically active in patients with stable coronary heart disease (CHD) with a special focus on the association with their risk profile.Methods:Analyses are based on the cross-sectional EUROASPIRE IV surveys. Information was available on 8966 patients in EUROASPIRE III and on 7998 patients in EUROASPIRE IV. Physical activity level according to patients risk profile and their medical management was assessed, the intention to become physically active was investigated and a time trend analysis was performed.Results:A better cardiovascular risk profile as well as receiving physical activity advice or weight loss advice was associated with better physical activity levels. The physical activity status improved significantly over time, the proportion of patients reporting vigorous physical activity for at least 20 minutes ≥ 3 times/week increased from 14.1% to 20.2% (P < .001). Similarly, a significantly greater proportion of patients are in the maintenance stage (36.6% vs. 27.4%) and a smaller proportion in the precontemplation stage (43.2% vs. 52.3%).Conclusion:Although an increase was seen in the proportion of patients being adequately physical active, physical activity levels remain suboptimal in many CHD patients.

scholarly journals Factors Influencing Food Choices in Different Sports: Importance of Sustainability, Performance and Health: A Cross-Sectional Study

2021 ◽  
Author(s):  
Cosima Nuszbaum ◽  
Mari Wollmar ◽  
Agneta Sjöberg
Keyword(s):  
Physical Activity ◽  
Food Preferences ◽  
Food Choices ◽  
Cross Sectional Study ◽  
Activity Levels ◽  
Cross Sectional ◽  
Physically Active ◽  
Outdoor Sports ◽  
Factors Influencing ◽  
Physical Activity Levels

Abstract Background: This study investigates food preferences among individuals active in different sports. Since food intake affects the carbon footprint, it is of interest to investigate influencing factors of food choices regarding sustainability. Physically active individuals are in need for high intakes of energy and protein in order to maintain their performance. Little is known about what influence food choices in this population. Method: A survey of a sample of 367 individuals was conducted in German and Swedish gyms, climbing halls and CrossFit boxes. Therefore, a questionnaire was developed to capture information about factors influencing food choice and consumed protein sources. Kruskal-Wallis-test tested significant differences between sport groups and physical activity levels.Results: The most frequently consumed animal-based protein were dairy-products, and the most frequently used plant-based source were grains. Taste and health were the main influences on food choices. Significant differences were observed between sport groups and physical activity levels. Sustainability was ranked as moderately important, with the highest importance in people active in the outdoor sports running and climbing. Participants with high physical activity levels and active in CrossFit rated performance more important than the rest of the sample and consumed protein supplements, eggs and poultry more frequently. Conclusion: Differences in food choices between various sports and physical activity levels were identified. Understanding the underlying influences on food choices might help to motivate a shift towards a more sustainable diet in athletes.

scholarly journals Individual and Co-occurring SNAP Risk Factors

2016 ◽  
Vol 18 (6) ◽  
pp. 298-304 ◽  
Author(s):  
Julia M. Balto ◽  
Ipek Ensari ◽  
Elizabeth A. Hubbard ◽  
Naiman Khan ◽  
Jennifer L. Barnes ◽  
...  
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Smoking Status ◽  
Dietary Guidelines ◽  
Self Report ◽  
Activity Levels ◽  
Physical Activity Guidelines ◽  
Poor Diet ◽  
Physical Activity Levels ◽  
Insufficient Physical Activity

Background: Smoking, poor nutrition, excess alcohol consumption, and insufficient physical activity underlie most preventable causes of morbidity in the general population and may be associated with comorbidities and health outcomes in multiple sclerosis (MS). However, the frequency of co-occurrence of these risk factors in people with MS remains unclear. Methods: Sixty-nine individuals with MS completed self-report measures of smoking status, nutrition, alcohol use, physical activity levels, and sociodemographic and clinical characteristics. The data were analyzed using t tests and χ2 analyses. Results: Poor diet was the most common risk factor, with 85.5% of the sample not meeting dietary guidelines. Of participants with two risk factors, 90.3% were not meeting dietary and physical activity guidelines. Seventy-three percent of women were not meeting physical activity guidelines, compared with 38% of men (χ2 = 7.5, P &lt; .01). There were also differential rates by sex of the most commonly co-occurring risk factors: 65% of women reported the co-occurrence of insufficient physical activity and poor diet, compared with 38% of men (χ2 = 4.2, P = .05). Conclusions: These results indicate that 85.5% of the sample was not meeting nutrition guidelines, 90.3% of participants with two risk factors reported the co-occurrence of poor diet and insufficient levels of physical activity, and physical activity levels and the total number of risk factors varied across sex.

scholarly journals Factors Influencing Food Choices In Different Sports: Importance of Sustainability, Performance And Health: A Cross-Sectional Study

2021 ◽  
Author(s):  
Cosima Nuszbaum ◽  
Mari Wollmar ◽  
Agneta Sjöberg
Keyword(s):  
Physical Activity ◽  
Food Preferences ◽  
Food Choices ◽  
Cross Sectional Study ◽  
Activity Levels ◽  
Cross Sectional ◽  
Physically Active ◽  
Outdoor Sports ◽  
Factors Influencing ◽  
Physical Activity Levels

Abstract Background: This study investigates food preferences among individuals active in different sports. Since food intake affects the carbon footprint, it is of interest to investigate influencing factors of food choices regarding sustainability. Physically active individuals are in need for high intakes of energy and protein in order to maintain their performance. Little is known about what influence food choices in this population. Method: A survey of a sample of 367 individuals was conducted in German and Swedish gyms, climbing halls and CrossFit boxes. Therefore, a questionnaire was developed to capture information about factors influencing food choice and consumed protein sources. Kruskal-Wallis-test tested significant differences between sport groups and physical activity levels.Results: The most frequently consumed animal-based protein were dairy-products, and the most frequently used plant-based source were grains. Taste and health were the main influences on food choices. Significant differences were observed between sport groups and physical activity levels. Sustainability was ranked as moderately important, with the highest importance in people active in the outdoor sports running and climbing. Participants with high physical activity levels and active in CrossFit rated performance more important than the rest of the sample and consumed protein supplements, eggs and poultry more frequently. Conclusion: Differences in food choices between various sports and physical activity levels were identified. Understanding the underlying influences on food choices might help to motivate a shift towards a more sustainable diet in athletes.

Physical activity in patients with coronary heart disease: results from the EUROASPIRE V Survey

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
Z Fras ◽  
P Jankowski ◽  
B Jug ◽  
D Gaita ◽  
D.A Wood ◽  
...  
Keyword(s):  
Physical Activity ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Lifestyle Change ◽  
Risk Profile ◽  
Funding Source ◽  
Activity Levels ◽  
Physically Active ◽  
Index Event ◽  
Physical Activity Levels

Abstract Background Physical inactivity is common in patients with coronary heart disease (CHD) and associated with an unfavorable prognosis. The study aim was to assess the physical activity levels as well as the intention to become physically active in patients with stable CHD with an additional focus on the association with their risk profile. Methods Analyses are based on the cross-sectional EUROASPIRE V survey, conducted under the auspices of the ESC EURObservational Research Project in 2016–2017. The survey encompassed 8,261 CHD patients, included in 27 countries, with a mean age of 62.4 years (±9.6, range 18 - 80 years), 25.8% of them were female. Physical activity level according to the overall patients' risk profile and their medical management was assessed, and the intention to become physically active in order to reduce their risk for recurrent events was investigated. Results The physical activity status found in CHD patients included was far from satisfactory in general, since only 34.4% of those interviewed were regularly physically active (for more than 30 minutes duration on average 5 times a week). Nearly half (47.3%) of the patients reported they are performing more everyday physical activity in general after the index event; while only every fifth patient (21.4%) reported to follow the specific exercise advice from a health or exercise professional, every tenth (11.3%) attending the fitness club or leisure centre, and only 6.1% joining the community walking groups. Regular exercise to increase physical fitness (defined as planned physical activity performed 3–5 times per week for 20–60 minutes) was confirmed by 34.8%, while interestingly 40.4% of patients declared regular physical activity as part of the self-reported lifestyle change in order to lose their body weight. A better cardiovascular risk profile as well as receiving physical activity advice or weight loss advice was associated with better physical activity levels. Conclusions Although an increase in the proportion of patients being adequately physical active after their index event, physical activity levels remain suboptimal in many CHD patients. There is an obvious need for improvement, with regards to both finding more effective ways of advice and encouraging our patients to increase the amount of their everyday exercise, as well regularly to monitor their lifestyle change. Funding Acknowledgement Type of funding source: Private grant(s) and/or Sponsorship. Main funding source(s): The survey was supported through research grants to the European Society of Cardiology from Amgen, Eli Lilly, Sanofi (Gold Sponsors), Pfizer (Silver Sponsor), and Ferrer and Novo Nordisk (Bronze Sponsors).

scholarly journals Environmental and Motivational Determinants of Physical Activity among Canadian Inuit in the Arctic

2019 ◽  
Vol 16 (13) ◽  
pp. 2437
Author(s):  
Victor O. Akande ◽  
Robert A.C. Ruiter ◽  
Stef P.J. Kremers
Keyword(s):  
Physical Activity ◽  
Gender Effects ◽  
The Arctic ◽  
Activity Levels ◽  
Physically Active ◽  
Mediation Effects ◽  
Environmental Correlates ◽  
Motivational Regulation ◽  
Physical Activity Levels ◽  
Steps Per Day

Background: Canadian Inuit have transited from a physically active hunter-gatherer subsistence lifestyle into sedentary ways of life. The purpose of the current study was to measure physical activity levels among Nunavut Inuit adults, and explore the socio-cognitive and environmental factors influencing the number of steps taken per day. Method: Inuit and non-Inuit adults (N = 272) in Nunavut participated in a seven-day pedometer study during summer and winter seasons. Participants were asked to complete the Neighbourhood Environmental Walkability Scale (NEWS) and Behavioral Regulation in Exercise Questionnaire (BREQ-3). Data analyses included descriptive statistics, hierarchical linear regression, and tests of mediation effects. Results: Participants had limited to low activity at a rate of 5027 ± 1799 and 4186 ± 1446 steps per day, during summer and winter, respectively. There were no seasonal and age effects on the number of steps. Gender effects and community differences were observed. Perceived infrastructure and safety as well as land use mix diversity were found to be positive environmental correlates of steps taken, which were partially mediated by identified motivational regulation. Conclusion: Physical activity levels among Nunavut adults are generally low, but can be promoted by improving the external physical environment and internal motivational regulation.

Motivated but Not Active: The Dilemmas of Incorporating Interactive Dance into Gym Class

2012 ◽  
Vol 9 (6) ◽  
pp. 794-800 ◽  
Author(s):  
Zan Gao
Keyword(s):  
Physical Activity ◽  
Vigorous Physical Activity ◽  
Empirical Studies ◽  
Ninth Graders ◽  
Activity Levels ◽  
Physically Active ◽  
Physical Activity Levels ◽  
Mastery Experiences ◽  
Mastery Experience ◽  
Situational Motivation

Background:Dance Dance Revolution (DDR) is considered a tool to help children promote a healthy active lifestyle. Empirical studies in this field have been largely unexplored. The purpose of this study was to examine the relationships between students’ mastery experiences, situational motivation, and physical activity levels in DDR.Methods:One hundred and ninety-five seventh, eighth, and ninth graders participated in a 2-week DDR unit. Students’ physical activity levels and situational motivation [intrinsic motivation (IM), identified regulation (IR), external regulation, and amotivation) were measured for 3 classes.Results:Students were motivated to play DDR, but their moderate-to-vigorous physical activity (MVPA) was low (ie, mean = 4.95%). In addition, students with successful mastery experiences had significantly higher IM, IR, and MVPA.Conclusions:Although students were motivated for DDR, they were not physically active in DDR. In addition, successful mastery experience played an important role in students’ motivation and physical activity levels in DDR.

scholarly journals Predictors of physical activity for weekdays and weekends among adolescent – a cross-sectional study in Sarawak, Malaysia

2015 ◽  
Vol 7 (1) ◽  
pp. 42-50
Author(s):  
WHYE LIAN CHEAH ◽  
HELMY HAZMI ◽  
CHING THON CHANG
Keyword(s):  
Physical Activity ◽  
Cross Sectional Study ◽  
Activity Levels ◽  
Sectional Study ◽  
School Students ◽  
Cross Sectional ◽  
Physically Active ◽  
Physical Activity Levels ◽  
Steps Per Day ◽  
The Mean

Background: This study aimed to describe the patterns of physical activities both at weekends and on weekdays and to identify their associated factors. Material/Methods: This was a cross-sectional study conducted among secondary school students aged 13-15 years old in Kuching Division, Sarawak, Malaysia. A self-administered questionnaire was used to collect socio-demographic information and to measure perceived barriers, self-efficacies and social influences. Anthropometric measurements were taken and used to determine BMI-for-age, while pedometers were used to assess the physical activity levels. Data were analyzed using SPSS. Results: A total of 474 students from six secondary schools participated. About 16% of the respondents were overweight and obese, majority of them males. The mean BMI was 21.21 ±12.93, higher among males. The mean steps per day were 6251.37±3085.31, with weekends recorded a higher number of steps. The number of steps among males was higher than among females. On weekdays, self-motivation scores significantly predicted the participants’ number of steps/physical activity rate (b = 521.43, 95% CI -72.78 to 1050.19). At weekends, lack of interest and knowledge scores (b = -427.82, 95% CI -837.72 to 17.92) and making choices scores (b = 737.41, 95% CI -197.94 to 1276.88) were significant to predict the number of steps/physical activity levels. Conclusions: These findings indicated the importance of investigating predictors of physical activity for weekdays and weekends. Thus, efforts should focus on how to motivate adolescents to be more physically active targeting the identified predictors for weekdays and week ends.

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