The Impact of Scholastic Factors on Physical Activity Levels during the COVID-19 Lockdown: A Prospective Study on Adolescents from Bosnia and Herzegovina

Scholastic factors (academic achievement) are hypothesized to be important determinants of health-related behaviors in adolescents, but there is a lack of knowledge on their influence on physical activity levels (PAL), especially considering the COVID-19 pandemic and the imposed lockdown. This study aimed to investigate the associations between scholastic factors and PAL before and during the pandemic lockdown. The participants were adolescents form Bosnia and Herzegovina (n = 525, 46% females), who were observed prospectively at the baseline (before the pandemic lockdown) and during the lockdown in 2020 (follow-up). The scholastic factors (grade point average, behavioral grade, school absences, unexcused absences) were evidenced at the baseline (predictors). The outcome (PAL) was evaluated using the Physical Activity Questionnaire for Adolescents at the baseline and the follow-up. Gender, age, parental/familial conflict, and sport participation were observed as confounders. No significant influence of the predictors on PAL were evidenced at the baseline or at the follow-up. The scholastic variables were significantly associated with the changes of PAL which occurred due to pandemic lockdown, with a lower risk for negative changes in PAL among adolescents who were better in school (OR = 0.56, 95%CI: 0.34–0.81, and OR = 0.66, 95%CI: 0.34–0.97, for the grade point average and behavioral grade, respectively). Students who do well in school are probably more aware of the health benefits of proper PAL, and therefore are devoted to the maintenance of their PAL even during the home-confinement of lockdown. Public health authorities should focus more on helping adolescents to understand the importance and benefits of proper PAL throughout the school system.

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Determinants of changes in physical activity levels in late adolescence; prospective analysis in urban communities

Proceedings of the 12th International Conference on Kinanthropology ◽

10.5817/cz.muni.p210-9631-2020-39 ◽

2020 ◽

Author(s):

Natasa Zenic ◽

Admir Terzic ◽

Ivan Kvesic

Keyword(s):

Physical Activity ◽

Logistic Regression ◽

Sport Participation ◽

Rank Order ◽

T Test ◽

Childhood And Adolescence ◽

Activity Levels ◽

Related Factors ◽

Physical Activity Levels

Purpose: Physical activity levels (PA-levels) significantly decline during adolescence, and sport participation during childhood and adolescence is frequently emphasized as protec-tive factors of PA-decline. However, there is a lack of studies which specifically examined sport-related factors and its influence on changes in PA (PA-changes) in adolescence. This study aimed to prospectively observe sport factors as: (i) correlates of PA-levels and (ii) pre-dictors of PA-changes in the period between 16 and 18 years of age among urban adoles-cents from Bosnia and Herzegovina. Methods: The sample of participants comprised 324 adolescents (44% females) who were prospectively observed over two testing waves: (i) baseline, when participants were 16 years old; and (ii) follow-up, 20 months later (18 years of age). The variables were collected by previously validated questionnaires including questions on predictors (sociodemographic variables and various sport factors [current/former/ever participation in individual and team sports, experience in sports, competitive result achieved]), and criteria (PA level obtained at study baseline and follow up, measured by Physical Activity Questionnaire for Adolescents [PAQ-A], and difference between PA-levels at baseline and follow-up). The t-test was used to compare PA-levels. The associations between variables were evidenced by: (i) Spear-man’s rank order correlations (between predictors and PA-levels), and (ii) logistic regression analysis (between predictors, and PA-changes observed as binomial criterion [PA-incline vs. PA-decline] – excluding those participants who reported active sport participation at study baseline). Results: The PA-level significantly declined over the study course (t-test: 6.60, p < 0.01). Sport-related predictors were significantly associated with PA at baseline (Spearman’s R: 0.33–0.45, p < 0.01), and PAat follow-up (Spearman’s R: 0.32-0.45, p < 0.01). Meanwhile, there was no significant correlation between studied predictors and differences in PA-levels between baseline and follow-up. Also, logistic regression did not reveal any significant influ-ence of predictors obtained at study baseline and PA-changes observed as binomial criterion (PA-incline vs PA-decline). Conclusion: While studied sport-related predictors significantly influence the PA-levels in the age of 16 and 18, with the higher level of PA among those adolescents who are actively in-volved in sports, sport-participation do not predict changes in PA-levels over the observed period of life. Knowing the influence of PAon overall health status, future studies should pro-vide additional details on possible predictors of PA-changes in adolescence.

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Effect of Statewide Lockdown in Response to COVID-19 Pandemic on Physical Activity Levels of Hemodialysis Patients

Blood Purification ◽

10.1159/000514935 ◽

2021 ◽

pp. 1-8

Author(s):

Maggie Han ◽

Priscila Preciado ◽

Ohnmar Thwin ◽

Xia Tao ◽

Leticia M. Tapia-Silva ◽

...

Keyword(s):

Physical Activity ◽

New York ◽

New York City ◽

New York State ◽

Hemodialysis Patients ◽

Activity Levels ◽

Physical Activity Levels ◽

National Emergency ◽

The Impact

Background/Objectives: On March 22, 2020, a statewide stay-at-home order for nonessential tasks was implemented in New York State. We aimed to determine the impact of the lockdown on physical activity levels (PAL) in hemodialysis patients. Methods: Starting in May 2018, we are conducting an observational study with a 1-year follow-up on PAL in patients from 4 hemodialysis clinics in New York City. Patients active in the study as of March 22, 2020, were included. PAL was defined by steps taken per day measured by a wrist-based monitoring device (Fitbit Charge 2). Average steps/day were calculated for January 1 to February 13, 2020, and then weekly from February 14 to June 30. Results: 42 patients were included. Their mean age was 55 years, 79% were males, and 69% were African Americans. Between January 1 and February 13, 2020, patients took on average 5,963 (95% CI 4,909–7,017) steps/day. In the week prior to the mandated lockdown, when a national emergency was declared, and in the week of the shutdown, the average number of daily steps had decreased by 868 steps/day (95% CI 213–1,722) and 1,222 steps/day (95% CI 668–2300), respectively. Six patients were diagnosed with COVID-19 during the study period. Five of them exhibited significantly higher PAL in the 2 weeks prior to showing COVID-19 symptoms compared to COVID-19 negative patients. Conclusion: Lockdown measures were associated with a significant decrease in PAL in hemodialysis patients. Patients who contracted COVID-19 had higher PAL during the incubation period. Methods to increase PAL while allowing for social distancing should be explored and implemented.

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The Impact of Isolation Measures Due to COVID-19 on Energy Intake and Physical Activity Levels in Australian University Students

Nutrients ◽

10.3390/nu12061865 ◽

2020 ◽

Vol 12 (6) ◽

pp. 1865 ◽

Cited By ~ 10

Author(s):

Linda A. Gallo ◽

Tania F. Gallo ◽

Sophia L. Young ◽

Karen M. Moritz ◽

Lisa K. Akison

Keyword(s):

Physical Activity ◽

Energy Intake ◽

Activity Levels ◽

Physical Isolation ◽

Home Based ◽

Physical Activity Levels ◽

Reduced Physical Activity ◽

The Impact

The coronavirus disease 2019 (COVID-19) pandemic resulted in physical isolation measures in many parts of the world. In Australia, nationwide restrictions included staying at home, unless seeking medical care, providing care, purchasing food, undertaking exercise, or attending work in an essential service. All undergraduate university classes transitioned to online, mostly home-based learning. We, therefore, examined the effect of isolation measures during the early phase of the COVID-19 pandemic in Australia (March/April) on diet (24-h recall) and physical activity (Active Australia Survey) patterns in third-year biomedical students. Findings were compared with students enrolled in the same course in the previous two years. In females, but not males, energy intake was ~20% greater during the pandemic, and snacking frequency and energy density of consumed snacks also increased compared with 2018 and 2019. Physical activity was impacted for both sexes during the pandemic with ~30% fewer students achieving “sufficient” levels of activity, defined by at least 150 min over at least five sessions, compared with the previous two years. In a follow-up study six to eight weeks later (14–18% response rate), during gradual easing of nationwide restrictions albeit continued gym closures and online learning, higher energy intake in females and reduced physical activity levels in both sexes persisted. These data demonstrate the health impacts of isolation measures, with the potential to affect long-term diet and activity behaviours.

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Integrating Motivational Interviewing into Clinical Care to Increase Physical Activity Levels in Women with Gestational Diabetes

10.21203/rs.3.rs-61688/v1 ◽

2020 ◽

Author(s):

Ralph Smith ◽

Ashley Ridout ◽

Angus Livingstone ◽

N. Wango ◽

Yvonne Kenworthy ◽

...

Keyword(s):

Physical Activity ◽

Glycaemic Control ◽

Gestational Diabetes ◽

Motivational Interviewing ◽

Clinical Pathway ◽

Moderate Intensity ◽

Activity Levels ◽

Physical Activity Levels ◽

The Impact

Abstract Background: Regular physical activity (PA) improves glycaemic control in women diagnosed with Gestational Diabetes (GDM). However, PA advice competes with other components of care, with many women forgoing the benefits of regular PA. Motivational interviewing (MI) is an effective technique for increasing individual PA levels. A clinical pathway was developed integrating MI on PA into the routine care. This report evaluates the impact of MIs on self-reported PA levels.Methods: Women attending a single centre NHS GDM clinic were invited to engage in an individual PA-focused MI session, delivered by a trained midwife. This included goal setting and activity planning. All women had a confirmed diagnosis of GDM based on a 75g oral glucose tolerance test using the International association of diabetes and pregnancy study group diagnostic thresholds. A modified version of the exercise vital sign was used to evaluate self-reported aerobic PA levels at baseline and two-week telephone follow-up. PA levels were coded into three categories: i) red (<30mins moderate intensity PA (MIPA)/week), ii) amber (30-150mins MIPA/week) and iii) green (150mins MIPA/week). Women with contraindications to PA were excluded. The main outcome was the difference PA levels from baseline to two weeks. The Pearson’s Chi-squared test was used to evaluate statistical difference in self-reported PA levels from baseline to follow-up.Results: Complete follow-up data was obtained from 62 women. Mean gestation was 27+5/40 weeks (9-36+4/40), mean age 31.7y (21-43y) and mean BMI 29.9kg/m2 (18.3-48.2 kg/m2). At baseline, 19 (30.6%) were coded red (<30mins MIPA/week); 26 (41.9%) amber (30-150mins MIPA/week); and 17 (27.4%) green (150mins MIPA/week). Self-reported physical activity levels of these women at two-week follow-up revealed only 3 (4.8%) women coded red, 24 (38.7%) amber and 35 (56.5%) green. This demonstrates a significant association for increased PA levels after MI at two-week follow-up (p=0.0001).Conclusion: This new clinical pathway provides encouraging results, showing that self-reported PA increased significantly at two-week follow-up. Further work is now required to examine the impact on glycaemic control, maternal and fetal outcomes, and maintenance of PA levels. This model of care should be integrated into other high-risk patient groups.

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The impact of sport and active recreation injuries on physical activity levels at 12 months post-injury

Scandinavian Journal of Medicine and Science in Sports ◽

10.1111/j.1600-0838.2012.01523.x ◽

2012 ◽

Vol 24 (2) ◽

pp. 377-385 ◽

Cited By ~ 18

Author(s):

N. Andrew ◽

R. Wolfe ◽

P. Cameron ◽

M. Richardson ◽

R. Page ◽

...

Keyword(s):

Physical Activity ◽

Activity Levels ◽

Post Injury ◽

Physical Activity Levels ◽

The Impact ◽

Active Recreation

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Effect of physical activity levels on oncological breast surgery recovery: a prospective cohort study

Scientific Reports ◽

10.1038/s41598-021-89908-8 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Ifat Klein ◽

Leonid Kalichman ◽

Noy Chen ◽

Sergio Susmallian

Keyword(s):

Breast Cancer ◽

Physical Activity ◽

Chronic Pain ◽

Self Efficacy ◽

Breast Cancer Surgery ◽

Activity Levels ◽

Axillary Web Syndrome ◽

Function Range ◽

A Prospective Study ◽

The Impact

AbstractAfter breast cancer (BC) surgery, women may experience a physical decline. The effect of physical activity (PA) on the course of recovery after BC surgery has not yet been thoroughly examined. To analyze the impact of physical activity performed by women undergoing breast cancer surgery on measures of function, range of motion, and self-efficacy. A prospective study was carried out in 157 patients who underwent surgery for BC between October 2018 and April 2019, divided into four groups according to the intensity of PA with 6 months follow-up. 50 sedentary patients and 107 active patients were enrolled; the mean age was 52.6. Women who performed physical activity, moderate to vigorous, demonstrated lower function disabilities (QuickDASH 2.22) compared with inactivity or light physical activity (QuickDASH 7.0, p < 0.001), with better shoulder flexion (159.0° vs. 150.7°, p = 0.007) and abduction (159.5° vs. 152.2°, p = 0.008). Higher PA levels, displayed in higher self-efficacy reports (9.5 vs. 8.8, p = 0.002), and return to prior job status (0.005). The PA level does not influence pain at one, three and 6 months postoperatively (p = 0.278, p = 0.304 and p = 0.304 respectively). High PA levels increase the risk of axillary web syndrome (p = 0.041), although, it reduces the incidence of chronic pain (p = 0.007). Women who practice physical activity recover better from BC surgery than sedentary women. The higher the intensity and frequency of training, the better the results. Vigorous activity cause axillary web syndrome, despite, it has a beneficial effect on lowering the rate of chronic pain.

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Physical activity levels and hepatic steatosis: A longitudinal follow-up study in adults

Journal of Gastroenterology and Hepatology ◽

10.1111/jgh.13965 ◽

2018 ◽

Vol 33 (3) ◽

pp. 741-746 ◽

Cited By ~ 2

Author(s):

Aline Mendes Gerage ◽

Raphael Mendes Ritti-Dias ◽

P Babu Balagopal ◽

Raquel Dilguerian de Oliveira Conceição ◽

Daniel Umpierre ◽

...

Keyword(s):

Physical Activity ◽

Hepatic Steatosis ◽

Activity Levels ◽

Follow Up Study ◽

Physical Activity Levels

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Accelerometer-Measured Physical Activity and Its Impact on Sleep Quality in Persons Suffering From Restless Legs Syndrome

10.21203/rs.3.rs-107111/v1 ◽

2020 ◽

Author(s):

Anne Reimers ◽

Verena Heidenreich ◽

Hans-Joachim Bittermann ◽

Guido Knapp ◽

Carl-Detlev Reimers

Keyword(s):

Physical Activity ◽

Sleep Quality ◽

Negative Correlation ◽

Restless Legs Syndrome ◽

Quality Parameters ◽

Moderate Physical Activity ◽

Activity Levels ◽

Restless Legs ◽

Physical Activity Levels ◽

The Impact

Abstract Background: Main symptoms of the restless legs syndrome (RLS) are sleep onset insomnia and difficulty to maintain sleep. Previous studies showed that regular physical activity can reduce the risk of developing RLS. However, the relationships of physical activity on sleep quality parameters in subjects suffering from RLS have not been investigated by applying accelerometry. Thus, the present study investigates the impact of physical activity during the day (7-12 h, 12-18 h, 18-23 h) on sleep quality in subject suffering from idiopathic RLS as well as their intensity and extent of physical activity by applying a real-time approach.Methods: In a sample of 47 participants suffering from idiopathic RLS, physical activity and sleep quality were captured over one week by using accelerometers. For data analysis physical activity levels and step counts during three periods of a day (morning, afternoon, evening) were correlated with sleep quality parameters of the following night.Results: In this observational study, significant correlations of physical activity with the sleep parameters were rarely confirmed (exception: negative correlation of steps in the morning with periodic leg movements in sleep and negative correlation of physical activity in the evening and total sleep period). However, the physical activity levels of the participants were unexpectedly high compared to population-level data and variance in physical activity was low. The average activity was 13,817 (SD=4,086) steps and 347 (SD=117) minutes of moderate physical activity per day in females and 10,636 (SD=3,748) steps and 269 (SD=69) minutes of moderate physical activity in males, respectively. However, the participants conducted no vigorous physical activity.Conclusions: To investigate the effects of daily physical activity and RLS symptoms interventional studies with different intensities of physical activities at different points of time during the day are needed.

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Is the impact of adiposity on taste perceptions moderated by chronic physical activity? An overview of the data from NHANES 2013-2014.

10.1101/2021.09.30.21264372 ◽

2021 ◽

Author(s):

Alexandre-Charles Gauthier ◽

Marie-Eve Mathieu

Keyword(s):

Physical Activity ◽

Body Fat ◽

Activity Level ◽

Body Fat Percentage ◽

Activity Levels ◽

Fat Percentage ◽

Active Lifestyle ◽

Physical Activity Levels ◽

Tip Test ◽

The Impact

Introduction Taste is a key sensory modulator of eating behaviour and thus energy intake. The effects of acute exercise has recently been confirmed especially regarding sweet and salty tastes. Physical activity is a safe and effective countermeasure to certain types of chemosensory losses, especially in older populations. Knowing that taste can be impaired with increased adiposity, it is unknown if the adoption of an active lifestyle on a regular basis can mitigate such impairments. Methods Data were extracted from NHANES 2013-2014 database. Perception of salt and bitter tastes for Tongue Tip Test and Whole Mouth Test, physical activity levels over an 8-9-day period and adiposity were analyzed. Moderation analyses were used to study the impact of adiposity on taste perceptions, with physical activity level as the moderator. Results The 197 participants (130 males) included in this project had a mean+/-standard deviation age of 49.1+/-5.2 years, a mean body fat percentage of 31.7+/-7.6% and mean daily physical activity levels of 11 084+/-3531 Monitor-Independent Movement Summary unit (MIMS). The positive association between adiposity and both bitter Tongue Tip Test and overall result (salt+bitter) of Tongue Tip Test were moderated by the adoption of an active lifestyle, with better taste scores observed in individuals achieving higher physical activity levels. When moderation analysis were stratified by gender, the effect of physical activity was no longer significant. Perspectives This study is the first to evaluate the influence of an active lifestyle on the preservation of some taste perceptions across a wide range of adiposity levels. While differences in taste can be observed regarding body fat percentage, physical activity moderates that relation only when men and women are analysed together.

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Dietary education provision within a cardiac rehabilitation programme in the UK: a pilot study

British Journal of Cardiac Nursing ◽

10.12968/bjca.2020.0012 ◽

2020 ◽

Vol 15 (8) ◽

pp. 1-12

Author(s):

Chelsea E Moore ◽

Costas Tsakirides ◽

Zoe Rutherford ◽

Michelle G Swainson ◽

Karen M Birch ◽

...

Keyword(s):

Physical Activity ◽

Cardiac Rehabilitation ◽

Rehabilitation Programme ◽

Habitual Physical Activity ◽

Activity Levels ◽

Nutrient Intakes ◽

Cardiac Rehabilitation Programme ◽

Physical Activity Levels ◽

Dietary Education ◽

The Impact

Background/aims The primary aim of this study was to evaluate the effectiveness of two 30-minute dietary education sessions, within cardiac rehabilitation, as a means to optimise nutrient and energy intakes. A secondary aim was to evaluate patients' habitual physical activity levels. Methods Thirty patients (males: n=24, 61.8±11.2 years; females: n=6, 66.7±8.5 years) attended a 6-week early outpatient cardiac rehabilitation programme in the UK and received two 30-minute dietary education sessions emphasising Mediterranean diet principles. Energy intakes and nutrient intakes were measured through completion of 3-day food diaries in weeks one and six (before and after the dietary education sessions) to assess the impact of these sessions on nutrient intakes. At the same time-points, a sub-group (n=13) of patients had their physical activity levels assessed via accelerometery to assess the impact of the cardiac rehabilitation programme on physical activity. Results Estimated energy requirements at week one (1988±366 kcal d−1) were not matched by actual energy intakes (1785±561 kcal d−1) (P=0.047, d=−0.36). Energy intakes reduced to 1655±470 kcal d−1 at week six (P=0.66, d=−0.33) whereas estimated energy requirements increased as a function of increased activity (cardiac rehabilitation sessions). Nutrient intakes remained suboptimal, while no significant increases were observed in healthy fats and fibre, which are core elements of a Mediterranean diet. Statistically significant increases were not observed in physical activity; however, patients decreased sedentary time by 11±12% in week six compared with week one (P=0.009; d=−0.54). Conclusions The present study findings suggest that two 30-minute dietary education sessions did not positively influence energy intakes and nutrient intakes, while habitual physical activity levels were not significantly increased as a result of the cardiac rehabilitation programme. Future research should explore means of optimising nutrition and habitual physical activity within UK cardiac rehabilitation.

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