scholarly journals Contextually tailored interventions can increase evidence-informed policy-making on health-enhancing physical activity: the experiences of two Danish municipalities

2018 ◽  
Vol 16 (1) ◽  
Author(s):  
Maja Bertram ◽  
Natasa Loncarevic ◽  
Christina Radl-Karimi ◽  
Malene Thøgersen ◽  
Thomas Skovgaard ◽  
...  
2015 ◽  
Vol 23 (2) ◽  
pp. 47-59 ◽  
Author(s):  
Nadine Langguth ◽  
Tanja Könen ◽  
Simone Matulis ◽  
Regina Steil ◽  
Caterina Gawrilow ◽  
...  

During adolescence, physical activity (PA) decreases with potentially serious, long-term consequences for physical and mental health. Although barriers have been identified as an important PA correlate in adults, research on adolescents’ PA barriers is lacking. Thus reliable, valid scales to measure adolescents’ PA barriers are needed. We present two studies describing a broad range of PA barriers relevant to adolescents with a multidimensional approach. In Study 1, 124 adolescents (age range = 12 – 24 years) reported their most important PA barriers. Two independent coders categorized those barriers. The most frequent PA barriers were incorporated in a multidimensional questionnaire. In Study 2, 598 adolescents (age range = 13 – 21 years) completed this questionnaire and reported their current PA, intention, self-efficacy, and negative outcome expectations. Seven PA barrier dimensions (leisure activities, lack of motivation, screen-based sedentary behavior, depressed mood, physical health, school workload, and preconditions) were confirmed in factor analyses. A multidimensional approach to measuring PA barriers in adolescents is reliable and valid. The current studies provide the basis for developing individually tailored interventions to increase PA in adolescents.


2008 ◽  
Vol 88 (9) ◽  
pp. 1039-1048 ◽  
Author(s):  
Robert Wagenmakers ◽  
Martin Stevens ◽  
Wiebren Zijlstra ◽  
Monique L Jacobs ◽  
Inge van den Akker-Scheek ◽  
...  

Background and Purpose Despite recognized health benefits of physical activity, little is known about the habitual physical activity behavior of patients after total hip arthroplasty (THA). The purpose of this study was to analyze this behavior and the fulfillment of guidelines for health-enhancing physical activity of these patients compared with a normative population. Subjects and Methods The participants were 273 patients who had undergone a primary THA (minimum of 1 year postoperatively). Comparisons were made between this group and 273 age- and sex-matched individuals from a normative population. Comparisons also were made between participants with THA under 65 years of age and those 65 years of age and older and among participants with THA in different Charnley classes. Level of physical activity was assessed with the Short QUestionnaire to ASsess Health-enhancing physical activity (SQUASH). Results No significant differences in total amount of physical activity or time spent in different categories of physical activity were found between the THA group and the normative group. Participants with THA spent significantly more minutes in activities of moderate intensity compared with the normative group. Participants with THA who were under 65 years of age were significantly more active than older participants with THA. Charnley class had significant effects on time spent at work, time spent in moderate-intensity activities, and total amount of activity, with the least activity performed by participants in Charnley class C. The guidelines were met by 51.2% of the participants with THA and 48.8% of the normative population. Female participants met the guidelines less frequently than male participants in both the combined groups (odds ratio=0.50, 95% confidence interval=0.35–0.72, P<.001) and the THA group (odds ratio=0.48, 95% confidence interval=0.28–0.80, P=.001). Discussion and Conclusion The results suggest that patients after THA are at least as physically active as a normative population. Nevertheless, a large percentage of these patients do not meet the guidelines; therefore, they need to be stimulated to become more physically active.


2015 ◽  
Vol 31 ◽  
pp. 99-110
Author(s):  
Thomas Skovgaard

In the last decades there has been increasing recognition that physical inactivity represents a major health problem. Attention has been directed towards making the population more physical active in everyday life. Strategies have focused on individual, social and environmental determinants of health enhancing physical activity. This article argues that policies on physical activity, on top of addressing individual lifestyle factors, must include a strong focus on and plans for intervention in the social and built environments that influence the ability and interest in being physical active.


2014 ◽  
Vol 62 (2) ◽  

Objectives: Growing interest in physical activity has led to the development of a number of organizations, networks and associations, including grass-root, professional and academic institutions. To maximize relevance and effectiveness of work undertaken in this field, we aimed at developing a systematic overview of institutions active in health-enhancing physical activity (HEPA). Methods: Systematic, purposive weblink-search complemented by expert input; classification by institutional type, main activity and synergy with goals of HEPA Europe, the European network for the promotion of HEPA. Results: Of 127 identified institutions, 42 met the criteria of being European and active in physical activity promotion. 45.3% were NGO/associations, 33.3% were networks, 11.9% WHO units or platforms and 9.5% bodies of the European Commission. Sport was the main topic of 28.6% institutions. Health promotion was represented with 21.4%, physical activity promotion and transport/environment with 19.0% each, disease prevention with 7.2% and nutrition with 4.8%. Seven institutions had a high synergy to HEPA Europe’s goals. Conclusions: The search identified many institutions, networks and initiatives, which 1. reflects the growing interest in and importance of physical activity for a number of stakeholders, 2. provides increased capacity to address this important topic on a European scale and 3. creates a “critical mass” to push the agenda forward into clearer and synergetic directions. Systematically mapping key players is a useful tool for institutions active in an environment with a multitude of actors to ensure that activities provide added value, to avoid duplication and to promote partnership and efficient use of resources.


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