scholarly journals Using a Socio-Environmental Approach to Explore the Determinants for Meeting the Recommended Physical Activity among Adults at Risk of Diabetes in Rural Indonesia

Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1467
Author(s):  
Fransiskus Xaverius Widiantoro ◽  
Jing-Jy Wang ◽  
Yi-Ching Yang ◽  
Cheng-Chen Chou ◽  
Chi-Jane Wang

Moderate-to-vigorous physical activity (PA) is recommended to mitigate the risk of diabetes. This study explored the PA of adults at risk for diabetes in rural Indonesia and determined the requirements for meeting the recommended PA level. In total, 842 adults were screened using a diabetes risk test in a rural health centre; among them, 342 were at risk of diabetes. The level of PA was assessed using the International Physical Activity Questionnaire, whereas the associated factors underlying the three domains –individual, support, and environment—were determined by the Influences on Physical Activity Instrument. The data analysis included a three-step multiple linear regression (MLR) and logistic regression (LR). Overall, 40.6% of the participants met the recommended PA. According to the MLR analysis, among males, individuals who gave PA a higher priority and had enough time to perform PA were predicted to have a higher activity energy expenditure (MET-minutes per week). According to the LR analysis, men were more likely to meet the recommended PA, and people who gave PA a lower priority and had less access to space for PA were less likely to meet the recommended PA level. Strategies for promoting PA in rural Indonesia include focusing on women, people who prioritize PA less, and those who have less time and space in which to be physically active.

2020 ◽  
Vol 16 ◽  
pp. 174550651990058
Author(s):  
Aoi Ebina ◽  
Ryuichi Sawa ◽  
Yuki Kondo ◽  
Shunsuke Murata ◽  
Takashi Saito ◽  
...  

Objectives: The purpose of this cross-sectional study was to investigate the association between daily physical activity and sonographically measured bone status among women during the lactation period. Methods: Final participants were 152 women 4 months after childbirth. Bone status of the participants was measured using quantitative ultrasonometry of the calcaneus (speed of sound). Daily physical activity was assessed using the Japanese version of International Physical Activity Questionnaire short version. After getting the International Physical Activity Questionnaire results, we classified participants into three categories (low/moderate/high) according to a protocol. Participants categorized into the low group according to the International Physical Activity Questionnaire were considered to be in the low physical activity group and those categorized into the moderate and high groups were considered to be in the moderate to vigorous physical activity group. Results: Speed of sound was significantly higher in the moderate to vigorous physical activity group (moderate to vigorous physical activity versus low physical activity, 1533 m/s versus 1523 m/s, p = 0.03). Daily physical activity was significantly associated with speed of sound, even after adjustment for confounding factors and prognosticators ( β = 0.195, p = 0.02). Conclusion: Sonographically measured bone status was significantly higher in women who were physically active than in those who were physically inactive, suggesting that daily physical activity might help to maintain good bone status.


Author(s):  
Satoshi Kurita ◽  
Takehiko Doi ◽  
Kota Tsutsumimoto ◽  
Sho Nakakubo ◽  
Hideaki Ishii ◽  
...  

Background: This study aimed to examine whether physical activity measured using the International Physical Activity Questionnaire Short Form (IPAQ-SF) can predict incident disability in Japanese older adults. Methods: Community-dwelling older adults participated in a prospective cohort survey. The time spent in moderate- to vigorous-intensity physical activity was assessed at the survey baseline using the IPAQ-SF. The participants were categorized into those who spent ≥150 minutes per week (physically active) or <150 minutes per week (physically inactive) in moderate- to vigorous-intensity physical activity. Incident disability was monitored through Long-Term Care Insurance certification during a follow-up lasting 5 years. Results: Among the 4387 analyzable participants (mean age = 75.8 y, 53.5% female), the IPAQ-SF grouped 1577 (35.9%) and 2810 (64.1%) participants as those who were physically active and inactive, respectively. A log-rank test showed a significantly higher incidence of disability among the inactive group of participants (P < .001). The Cox proportional hazards model showed that physically inactive participants had a higher risk of incident disability than the physically active ones did, even after adjusting for covariates (hazard ratio, 1.24; 95% CI, 1.07–1.45, P < .001). Conclusions: Older adults identified as physically inactive using the IPAQ-SF had a greater risk of developing disabilities than those identified as physically active. The IPAQ-SF seems to be appropriate to estimate the incidence risk of disability.


2016 ◽  
Vol 13 (1) ◽  
pp. 79-86 ◽  
Author(s):  
Robin P. Shook ◽  
Nicole C. Gribben ◽  
Gregory A. Hand ◽  
Amanda E. Paluch ◽  
Gregory J. Welk ◽  
...  

Background:Subjective measures of moderate and vigorous physical activity (MVPA) rely on relative intensity whereas objective measures capture absolute intensity; thus, fit individuals and unfit individuals may perceive the same activity differently.Methods:Adults (N = 211) wore the SenseWear Armband (SWA) for 10 consecutive days to objectively assess sedentary time and MVPA. On day 8, participants completed the International Physical Activity Questionnaire (IPAQ) to subjectively assess sitting time and MVPA. Fitness was assessed via a maximal treadmill test, and participants were classified as unfit if the result was in the bottom tertile of the study population by sex or fit if in the upper 2 tertiles.Results:Overall, estimates of MVPA between the IPAQ and SWA were not significantly different (IPAQ minus SWA, 67.4 ± 919.1 MVPA min/wk, P = .29). However, unfit participants overestimated MVPA using the IPAQ by 37.3% (P = .02), but fit participants did not (P = .99). This between-group difference was due to overestimation, using the IPAQ, of moderate activity by 93.8 min/wk among the unfit individuals, but underestimation of moderate activity among the fit participants by 149.4 min/wk.Conclusion:Subjective measures of MVPA using the IPAQ varied by fitness category; unfit participants overestimated their MVPA and fit participants accurately estimated their MVPA.


2016 ◽  
Vol 49 (1) ◽  
pp. 9 ◽  
Author(s):  
Franco Noce ◽  
Henrique De Oliveira Castro ◽  
Tadeu Sartini Ferreira ◽  
James Guo ◽  
André Gustavo Pereira de Andrade ◽  
...  

A inatividade física tem sido descrita como um dos principais problemas de saúde pública do século XXI. Neste contexto, a atividade física desempenha um papel importante na redução da prevalência de sedentarismo, melhorando a qualidade de vida e a saúde mental dos indivíduos. Objetivo: Este estudo teve como objetivo analisar a influência de seis meses de atividade física (AF) na qualidade de vida (QV) e estados de humor (EH) de adultos jovens. Métodos: Uma amostra de 32 indivíduos completou uma bateria de questionários para avaliar o seu nível de atividade física, qualidade de vida e estados de humor. Eles foram separados em dois grupos: sedentários (n = 15) e fisicamente ativos (n = 17). O International Physical Activity Questionnaire (IPAQ) foi utilizado para avaliar os níveis de AF, o WHO Quality of Life-BREF (WHOQOL_Bref) para QV e a Escala Brasileira de Humor (BRAMS) para os EH. Foi realizada análise fatorial de variância com medidas repetidas e teste post-hoc de Tukey (p ≤ 0,05) para QV e análise inferencial para os EH. Resultados: Escores de QV foram significantemente maiores para o grupo fisicamente ativo nos domí- nios ambiental e social. Da mesma forma, EH apresentaram maiores escores na dimensão Vigor para o grupo fisicamente ativo depois de seis meses, sem contudo, atingir os níveis de significância estatística. Conclusões: Estes resultados sugerem que AF pode influenciar positivamente aspectos na qualidade de vida do indivíduo. Contudo, os dados não evidenciam uma influência significativa da AF nos estados de humor


Author(s):  
František Chmelík ◽  
Karel Frömel ◽  
Dorota Groffik ◽  
Michal Šafář ◽  
Josef Mitáš

Background: Physical and mental health are the basis of life satisfaction (LS), even during adolescence. The aim of this study was to identify the associations between LS and types of physical activity (PA) in Czech and Polish boys and girls. Methods: The research involved 933 girls and 663 boys aged 15–19 years. LS was diagnosed using the Bern Subjective Well-Being Questionnaire and the WHO-5 Well-Being Index. The International Physical Activity Questionnaire-long form (IPAQ-LF) questionnaire was used to identify the types of weekly PA. Results: Adolescents with the highest LS had more recreational, moderate, vigorous, and total weekly PA. The strongest associations between LS and PA were in the Czech and Polish boys and girls who participated in vigorous PA (VPA). The recommendations for VPA were fulfilled by 45% of Czech and 46% of Polish boys and 40% of Czech and 50% of Polish girls, with the highest LS. The most significant positive moderator between LS and PA was participation in organized PA. Boys with the highest LS were 1.94 times more likely to meet the weekly recommendation of VPA than boys with the lowest LS. Similarly, girls with the highest LS were 1.77 times more likely to meet these recommendations. Conclusions: Promoting both current subjective well-being and organized PA, with an emphasis on achieving the VPA recommendations, may support general LS and a healthy lifestyle in adolescents.


2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1766.1-1767
Author(s):  
N. Schlesinger ◽  
K. Jablonski ◽  
E. Schwarz ◽  
N. Young

Background:Despite the high prevalence of gout, there has been little investigation into the relationship between physical activity and gout.Objectives:To investigate whether physically active gout patients, as assessed by the International Physical Activity Questionnaire (IPAQ) long form, have lower pain scores, decreased inflammation, assessed by C-reactive protein (CRP) levels and less flares.Methods:During scheduled appointments, gout patients not experiencing a flare at the time of visit were recruited from our clinics and consented to participate in the study. IPAQ were completed. Clinical data collected during the visit included age, years since diagnosis, flares per year, perceived pain at the time of visit and in the past 4 weeks, and C-reactive protein (CRP) levels.Results:Thirty gout patients were recruited. Ages 31-86 (mean 61); duration of gout: one- 43 years (mean 9). IPAQ, separated gout patients into physically active (n=16) and physically inactive cohorts (n=14) (p<0.001. Physically active gout patients had over 12-fold fewer gout flares per year (p<0.01); 10-fold less CRP (p<0.01, a 4.6-fold decrease in perceived pain at the time of visit (p<0.01), and a 2.8-fold decrease in perceived pain over the past 4-week period (p<0.05).Conclusion:This is the first study using a validated physical activity tool, IPAQ, to assess physical activity in gout patients. In this study, physically active gout patients were found to have lower CRP levels, less flares per year, and decreased pain perception compared to those that are not physically active, highlighting, the importance of incorporating physical activity as a possible adjunct treatment option during intervals between flares.References:[1]Benatti FB, Pedersen BK. Exercise as an anti-inflammatory therapy for rheumatic diseases-myokine regulation. Nat Rev Rheumatol 2015;11:86-97.[2]Hagströmer M, Oja P, Sjöström M. The International Physical Activity Questionnaire (IPAQ): a study of concurrent and construct validity. Public Health Nutr 2006;9:755-62.[3]Young NA, Jablonski K, Sharma J, Thomas E, Snoad B, Hampton J, et al. Low and Moderate Intensity Exercise Suppresses Inflammatory Responses in an Acute Mouse Model of Gout and Suggests Therapeutic Efficacy [abstract]. Arthritis Rheumatol. 2017;69 (suppl 10).Disclosure of Interests:Naomi Schlesinger Grant/research support from: Pfizer, AMGEN, Consultant of: Novartis, Horizon Pharma, Selecta Biosciences, Olatec, IFM Therapeutics, Mallinckrodt Pharmaceuticals, Speakers bureau: Takeda, Horizon, Kyle jablonski: None declared, Emmy schwarz: None declared, Nicholas Young: None declared


2012 ◽  
Vol 19 (2) ◽  
pp. 127-133 ◽  
Author(s):  
Andrzej Hadzik ◽  
Rajmund Tomik ◽  
Adam Ryszard Szromek ◽  
Marek Szczerbowski

AbstractIntroduction. There are currently no studies published on the relationship between participation in international sports events and physical activity of the fans. This inspired the authors to examine this subject. The aim of the study was to estimate the level of physical activity of Polish national teams' supporters of selected sports disciplines. Material andmethods. The study was conducted on randomly selected group of fans during the Polish national level football, basketball and volleyball games. The study used the diagnostic survey method with a questionnaire of the authors' own design. In this report there were questions concerning physical activity modelled on the International Physical Activity Questionnaire. Results. Physical activity is usually practised by fans of basketball and football who are 19-35 years old. Fans who are not physically active are mainly the fans of volleyball and football who are 36-55 years old. A significant correlation was noted between fans' sex and the willingness to practice sport (p=0.016). 58% of women and 72% of men declared that they practice some recreational physical activities. The most active were the basketball fans; the least active were the volleyball fans. The greatest diversity in terms of physical activity depending on participants' sex was revealed among the fans at international football games. Additionally, a significant correlation was noted between fans' age and their willingness to practice sports in their free time (p<0.001). Conclusions. The majority of fans at international sports events are physically active. In the research groups analysed the weekly volume of physical activity varied significantly. The basketball fans spent the greatest amount of time on physical activity and the volleyball fans the lowest. The average frequency of physical activity was the same in all groups.


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