scholarly journals Do Older People with Diabetes Meet the Recommended Weekly Physical Activity Targets? An Analysis of Objective Physical Activity Data

Author(s):  
Damiano Pizzol ◽  
Lee Smith ◽  
Ai Koyanagi ◽  
Brendon Stubbs ◽  
Igor Grabovac ◽  
...  

Appropriate management of diabetes mellitus (DM) includes following a healthy lifestyle, in which reaching physical activity (PA) recommendations is an important factor. Despite this, it remains unclear whether people with DM meet the recommended PA targets. We therefore aimed to investigate the proportion of older adults with DM (type 1 and 2) engaging in the recommended amount of PA per week in a cross-sectional study. PA levels were objectively measured using the GT1M ActiGraph accelerometer for seven consecutive days, and the cut-off of 150 min of moderate-to-vigorous PA (MVPA) was used. To assess the relationship between not meeting the recommendation for, and the significant factors associated with PA level (MVPA < 150 min/week), a multivariable logistic regression analysis was applied. 197 diabetic participants (mean age = 66.8 years; 46.7% males) spent only 74.5 ± 94.4 min/weekly in MVPA, and only 39 (=19.8%) reached the cut-off for sufficient PA levels. Significant correlates of not meeting the recommendation for PA levels were female sex, depressive symptoms, and age. In conclusion, only one-fifth of diabetic people reached the recommended amount of PA, suggesting that more intervention is needed to increase PA levels in this population.

Author(s):  
Thaynã Alves Bezerra ◽  
Paulo Felipe Ribeiro Bandeira ◽  
Anastácio Neco de Souza Filho ◽  
Cain Craig Truman Clark ◽  
Jorge Augusto Pinto Silva Mota ◽  
...  

Background: The relationship between moderate to vigorous physical activity (MVPA) and fundamental motor skill (FMS) is inconsistent in early childhood, due to its complex and nonlinear characteristics. This study aimed to analyze the nonlinear relationships between MVPA, FMS, body mass index (BMI), sex, and age in preschoolers. Methods: This cross-sectional study with preschoolers (n = 204; 4.0 [0.8] y old; 99 boys), provided objective physical activity data, FMS assessments, and BMI. The associations between MVPA, FMS, BMI, sex, and age were explored using the network analysis (RStudio and qgraph). Results: Boys were more motor competent than girls in all FMS skills, while girls were more active than boys during the weekend. Older children were less active than their younger peers during these days. MVPA is weak and differently related to each FMS, and the leap skill emerged with the highest betweenness and strength values in the network. Conclusions: For the assessed preschoolers, when considering BMI, age, and sex, the relationships between MVPA and FMS are inconsistent, and leap emerged as the main variable. During early childhood, these variables are connected as part of a complex system in which each skill has a dynamic role within the emerging pattern.


Author(s):  
Russell R. Pate ◽  
Marsha Dowda ◽  
Ruth P. Saunders ◽  
Natalie Colabianchi ◽  
Morgan N. Clennin ◽  
...  

Background: The prevalence of childhood obesity is higher in economically and socially deprived areas. Higher levels of physical activity reduce the risk of excessive weight gain in youth, and research has focused on environmental factors associated with children’s physical activity, though the term “physical activity desert” has not come into wide use. Methods: This exploratory study operationalized the term “physical activity desert” and tested the hypothesis that children living in physical activity deserts would be less physically active than children who do not. A cross-sectional study design was applied with 992 fifth-grade students who had provided objectively measured physical activity data. Five of 12 possible elements of the built environment were selected as descriptors of physical activity deserts, including no commercial facilities, no parks, low play spaces, no cohesion, and the presence of incivilities. Results: Univariate and multivariate analyses showed that only the absence of parks was associated with less physical activity in children. Conclusion: Children living in a “no park” zone were less active than their counterparts who lived near a park. This study contributes preliminary conceptual and operational definitions of “physical activity desert.” Future studies of physical activity deserts should be undertaken in larger and more diverse samples.


2010 ◽  
Vol 22 (2) ◽  
pp. 254-265 ◽  
Author(s):  
Marc S. Mitchell ◽  
Catherine A. Gaul ◽  
Patti-Jean Naylor ◽  
Constadina Panagiotopoulos

The aim of this study was to explore the relationship between insulin resistance (IR) and objectively measured habitual moderate-to-vigorous physical activity (MVPA) in First Nations youth. A cross-sectional study was conducted in 2 rural villages in northern British Columbia, Canada. Thirty-nine healthy youth (16 males and 23 females; age = 11.8yrs ± 2.2; range = 8.8–18.5yrs) participated. PA was measured with ActiGraph GT1M accelerometers. The homeostasis model assessment estimate of IR (HOMA-IR) was used to define IR. Duration of MVPA was inversely related to HOMA-IR (r=−.44, p < .01). From the regression model, 30 min of habitual MVPA corresponded to HOMA-IR levels that were 15% lower. In conclusion, these findings suggest that active First Nations youth have lower HOMA-IR values.


2013 ◽  
Vol 10 (8) ◽  
pp. 1145-1152 ◽  
Author(s):  
Renata Moraes Bielemann ◽  
Andreia Morales Cascaes ◽  
Felipe Fossati Reichert ◽  
Marlos R. Domingues ◽  
Denise Petrucci Gigante

Background:The aim of this study was to assess physical activity (PA) patterns (intensity and prevalence) in children according to demographic, socioeconomic, and familiar characteristics.Methods:In 2010, a cross-sectional study of 239 children aged 4–11 was conducted, in Pelotas, Southern Brazil. PA was measured by accelerometry and classified in different intensities. Insufficient physical activity was defined as less than 60 min/day of moderate-to-vigorous PA. Descriptive analyses of accelerometry-related variables were presented. Multivariate Poisson regression models were used to estimate the association between physical insufficient PA and covariates.Results:For both sexes, around 65% of the registered time was spent in sedentary activities and less than 20 min/day in vigorous activity. Age and economic status were inversely associated to PA in all categories of PA. Moderate and vigorous activities means were higher in boys than in girls. The prevalence of insufficient PA was 34.5% in girls and 19.5% in boys.Conclusions:We found important differences in physical activity patterns according to sex and economic status, as well as a significant decline in time spent in moderate-to-vigorous PA with increasing age. Understanding the relationship between these sociodemographic factors is important to tackle low levels of PA.


2012 ◽  
Vol 26 (11) ◽  
pp. 1048-1052 ◽  
Author(s):  
Nienke Cuperus ◽  
Thomas J Hoogeboom ◽  
Yvette Neijland ◽  
Cornelia HM van den Ende ◽  
Noël LW Keijsers

Objective: To gain insight into the relationship between activity pacing and physical inactivity. Design: A cross-sectional study. Setting: Outpatient clinic of a rheumatology department. Subjects: Men and women diagnosed with rheumatoid arthritis Main measures: Physical activity was assessed using self-reported measures and an accelerometer-based activity monitor. An occupational therapist and specialized nurse analysed the self-reported physical activity data and classified on the basis of consensus the pacing of activities of all patients as ‘adequate’ or ‘not adequate’. Results: Thirty rheumatoid arthritis patients participated in this study of whom nine were categorized as adequate activity pacers. None of these nine undertook sufficient exercise whereas 6 of the 20 people who did not pace activity appropriately did. Physical activity levels assessed by self-reported measures were significantly higher than when assessed by an accelerometer-based activity monitor. Conclusions: Activity pacing was associated with lower levels of physical activity. Since patients with rheumatoid arthritis are already at risk for inactivity, further inactivation by activity pacing might potentially be harmful.


Author(s):  
Kiera Lee-Pii ◽  
Hui Xie ◽  
Yufei Zheng ◽  
Linda Li ◽  
Diane Lacaille

The health benefits of regular physical activity have been well established. The Canadian Physical Activity Guidelines (CPAG) specify that adults should accumulate at least 150 minutes of moderate-to-vigorous intensity physical activity (MVPA) per week. Our study objectives were to: 1) determine the proportion of RA patients in British Columbia (BC) who meet the CPAG, 2) identify the determinants of meeting the recommendations, and 3) compare the duration of time spent in MVPA relative to general population controls using self-reported data. A cross-sectional study was conducted using 2015 data from an annual survey administered to an RA cohort in BC. Normative physical activity data was obtained from the Canadian Community Health Survey. Adjusting for age and sex, the proportion of RA patients who met the guidelines was compared to the general population. Multivariable logistic regression analysis was used to identify significant determinants of meeting these guidelines and an ordinary least squares (OLS) model evaluated differences in average MVPA time. A two-part model evaluated the overall amount of MVPA performed by both the RA sample and the general population. After standardization, the sample of 169 RA patients was 21% less likely to meet the CPAG than controls (p=0.028). Individuals who were Caucasian (p=0.019), had better physical function (p=0.003), were an ex-smoker (p=0.022), and had more pain (p=0.018) were more likely to meet guidelines. Although, overall, RA patients spent significantly (p<0.001) less time in MVPA per week than controls, there was no significant difference between the groups among those who exercised weekly.


BMJ Open ◽  
2019 ◽  
Vol 9 (Suppl 3) ◽  
pp. 136-146 ◽  
Author(s):  
François Fraysse ◽  
Anneke C Grobler ◽  
Josh Muller ◽  
Melissa Wake ◽  
Timothy Olds

ObjectivesTo describe the epidemiology and parent–child concordance of objectively measured physical activity in a population-based sample of Australian parent–child dyads.DesignCross-sectional study (Child Health CheckPoint) nested within the Longitudinal Study of Australian Children.SettingAssessment centres in seven Australian cities and eight regional towns or home visits; February 2015–March 2016.ParticipantsOf all CheckPoint families (n=1874), 1261 children (50% girls) and 1358 parent (88% mothers) provided objectively measured activity data, comprising 1077 parent–child dyads.Outcome measuresActivity behaviour was assessed by GENEActiv accelerometer. Duration of moderate-to-vigorous physical activity (MVPA) and vigorous physical activity and sedentary behaviour (SB) were derived using Cobra custom software, along with MVPA/SB fragmentation and mean daily activity. Pearson’s correlation coefficients and linear regression estimated parent–child concordance. Survey weights and methods accounted for the complex sample design and clustering.ResultsAlthough parents had average lower accelerometry counts than children (mean [SD] 209 [46] vs 284 [71] g.min), 93% of parents met MVPA daily duration guidelines on published cutpoints (mean [SD] 125 [63] min/day MVPA), compared with only 15% of children (mean 32 [27] min). Parents showed less daily SB duration (parents: 540 [101], children: 681 [69] minutes) and less fragmented accumulation of MVPA (parents: α=1.85, children: α=2.00). Parent–child correlation coefficients were 0.16 (95% CI 0.11 to 0.22) for MVPA duration, 0.10 (95% CI 0.04 to 0.16) for MVPA fragmentation, 0.16 (95% CI 0.11 to 0.22) for SB duration and 0.18 (95% CI 0.12 to 0.23) for SB fragmentation.ConclusionsStandardised cutpoints are needed for objective activity measures to inform activity guidelines across the lifecourse. This may reflect large amounts of time in non-shared environments (school and work).


2021 ◽  
pp. 003151252110284
Author(s):  
João Paulo de Aguiar Greca ◽  
Thomas Korff ◽  
Jennifer Ryan

Our aim in this study was to investigate the relationships between physical activity (PA), pain, and injury among children. Secondarily, we examined whether these relationships differed between children with normal versus excessive weight or obesity. This was a cross-sectional study of 102 children (57 girls) aged 8–12 years old. We assessed the prevalence of moderate and vigorous PA using accelerometry over a seven-day period. We examined the associations between moderate PA, vigorous PA, pain presence, and injury presence using generalized estimating equations with a logit link and binomial distribution. We adjusted the obtained models for potential confounders and explored the moderating effect of weight status. We found no association between moderate PA and pain, but time spent in vigorous PA was associated with pain. Neither moderate or vigorous PA were associated with injury, and there was no moderating effect of weight status in these relationships. In summary, we found that objectively measured vigorous PA is associated with pain among 8–12 year old children. While these results should be replicated in longitudinal studies, they suggest that an association between vigorous PA and pain should be considered when developing PA interventions for children.


Sign in / Sign up

Export Citation Format

Share Document