scholarly journals Failure to Launch: Predictors of Unfavourable Physical Activity and Sedentary Behaviour Trajectories from Childhood to Adolescence: The Gateshead Millennium Study

2021 ◽  
Vol 18 (24) ◽  
pp. 13283
Author(s):  
Abdulaziz Farooq ◽  
Laura Basterfield ◽  
Ashley J. Adamson ◽  
Mark Pearce ◽  
Adrienne Hughes ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sedentary Behaviour ◽  
Multinomial Logistic Regression ◽  
Sports Participation ◽  
Childhood And Adolescence ◽  
Active Commuting ◽  
Factors Associated ◽  
Sports Club ◽  
Modifiable Factors ◽  
Trajectory Group

In a previous study based on this cohort, only 15% of the participants belonged to a favourable physical activity/sedentary behaviour trajectory group (characterised by relatively high moderate–vigorous intensity physical activity and relatively low sedentary behaviour across childhood and adolescence). Since this favourable trajectory is protective against obesity, we aimed to identify factors associated with membership of this group. In this longitudinal study, 671 participants were assessed at ages 7, 9, 12 and 15 years. Participants’ demographics, socio-economic status (SES) and physical activity environment such as, sports club participation and commuting school were assessed at ages 7, 9 and 12 and analysed with favourable trajectory membership as an outcome using multinomial logistic regression. Sex (male) and SES (higher) were the non-modifiable factors associated with favourable trajectory group. Of the modifiable factors, commuting to school at age 7, a safe environment to play at age 7 and sports club participation at age 12 were all associated with more than 2.0 times increased probability of being in the most favourable trajectory. Future interventions to promote a favourable trajectory could focus on girls and participants with low SES. Promoting active commuting, safe local spaces to play and sports participation should also help lead to a favourable trajectory for physical activity and sedentary behaviour across childhood and adolescence.

scholarly journals What Factors Explain Bicycling and Walking for Commuting by ELSA-Brasil Participants?

2017 ◽  
Vol 32 (3) ◽  
pp. 646-656 ◽  
Author(s):  
Sheila Maria Alvim de Matos ◽  
Francisco José Gondim Pitanga ◽  
Maria da Conceição C. Almeida ◽  
Ciro Oliveira Queiroz ◽  
Clarice Alves dos Santos ◽  
...  
Keyword(s):  
Physical Activity ◽  
Multinomial Logistic Regression ◽  
Active Commuting ◽  
Adult Health ◽  
Cross Sectional ◽  
Factors Associated ◽  
Perception Of Safety ◽  
Adult Participants ◽  
Negative Perceptions ◽  
Activity Questionnaire

Purpose: To analyze the factors associated with commuting by bicycling and walking in adult participants from ELSA-Brasil (Longitudinal Study of Adult Health). Design: Cross-sectional. Setting: Six teaching/research institutions throughout Brazil. Participants: A total of 15 105 civil servants. Measures: Commuting by bicycling and walking was analyzed using the long-form International Physical Activity Questionnaire. Analysis: A hierarchical model containing possible factors associated with commuting by bicycling and walking was constructed. Crude and adjusted odds ratios were calculated using multinomial logistic regression. Results: Considering the 2 forms of commuting, 66% of the participants were being considered inactive or insufficiently active. In women, being “heavier,” feeling unsafe practicing physical activity, and being a former smoker were factors negatively associated with commuting by bicycling and walking. In men, active commuting was less common among those who were overweight or had abdominal obesity, those with a negative perception of safety, and those reporting that there was nowhere suitable in the neighborhood to practice physical activity. Conclusion: Obesity and negative perceptions in the neighborhood are associated with inactive or insufficiently active commuting. The relevance of this finding for public health is reinforce developing policies aimed at promoting health in Brazil and in other countries with similar characteristics.

Abstract MP018: Moderate-to-Vigorous Physical Activity: Evidence for a Displacement Effect on Sedentary Behaviour

Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Katya M Herman ◽  
Gilles Paradis ◽  
Marie-Eve Mathieu ◽  
Jennifer O'Loughlin ◽  
Angelo Tremblay ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sedentary Behaviour ◽  
Video Game ◽  
Parental Education ◽  
Vigorous Physical Activity ◽  
Sports Participation ◽  
Tanner Stage ◽  
Healthy Weight ◽  
Obese Children ◽  
Displacement Effect

Background: Sedentary behaviour has detrimental health consequences, distinct from those of physical inactivity. An individual can be both highly active and highly sedentary: While the displacement hypothesis proposes that time spent active displaces time that would otherwise be spent sedentary, the compensation hypothesis suggests that increased physical activity (PA) may be associated with increased sedentary behaviour (SED) in non-active time. Objectives: The aim was to assess whether higher levels of childhood participation in moderate to vigorous PA (MVPA) are associated with higher levels of SED, or whether time spent in SED is displaced by higher levels of MVPA. Methods: Participants were 290 boys and 245 girls aged 8–10 years in the QUebec Adipose and Lifestyle InvesTigation in Youth (QUALITY) study. PA and SED were assessed by accelerometer over a 1-week period (SED ≤ 100 cpm, MVPA ≥ 2296 cpm), and quantified as mean time spent per day. Total PA was the sum of light PA + MVPA. Self-reported data included sports participation (number of teams), television viewing and computer/video game use (hours/day). Spearman correlations and multiple linear regression (adjusting for age, sex, body mass index, Tanner stage, parental education, accelerometer wear-time) were used to assess associations between PA and SED variables. Results: Higher MVPA and VPA were negatively correlated with SED (r=−0.44 and −0.35; p<0.001), and positively correlated with total PA (r=0.58 and 0.45; p<0.001). SED was negatively correlated with TPA (r=−0.65, p<0.001). Only weak correlations were found between MVPA and sports participation, the latter not associated with SED. MVPA and VPA were not significantly correlated with TV, computer/video or total screen time; objectively measured SED was only weakly associated with specific sedentary behaviours. On average, for each additional 10 minutes of MVPA, children spent 14 minutes less in SED, or for each additional 5 minutes of VPA, 10 minutes less in SED. Associations were stronger in overweight/obese children compared to healthy weight children. Conclusions: Higher levels of MVPA in children displace SED, and are also associated with higher total PA over and above the additional amount of MVPA. The SED displacement benefits of higher MVPA may be greatest in overweight/obese children. Public health strategies should focus on both increasing PA and decreasing SED as essential targets to improve overall PA in children.

scholarly journals Group-Based Trajectory Analysis of Physical Activity Change in a US Weight Loss Intervention

2018 ◽  
Vol 15 (11) ◽  
pp. 840-846 ◽  
Author(s):  
Christopher C. Imes ◽  
Yaguang Zheng ◽  
Dara D. Mendez ◽  
Bonny J. Rockette-Wagner ◽  
Meghan K. Mattos ◽  
...  
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Weight Loss ◽  
Body Mass ◽  
Behavioral Treatment ◽  
Group Membership ◽  
Multinomial Logistic Regression ◽  
Step Count ◽  
Weight Loss Intervention ◽  
Trajectory Group

Background: The obesity epidemic is a global concern. Standard behavioral treatment including increased physical activity, reduced energy intake, and behavioral change counseling is an effective lifestyle intervention for weight loss. Purpose: To identify distinct step count patterns among weight loss intervention participants, examine weight loss differences by trajectory group, and examine baseline factors associated with trajectory group membership. Methods: Both groups received group-based standard behavioral treatment while the experimental group received up to 30 additional, one-on-one self-efficacy enhancement sessions. Data were analyzed using group-based trajectory modeling, analysis of variance, chi-square tests, and multinomial logistic regression. Results: Participants (N = 120) were mostly female (81.8%) and white (73.6%) with a mean (SD) body mass index of 33.2 (3.8) kg/m2. Four step count trajectory groups were identified: active (>10,000 steps/day; 11.7%), somewhat active (7500–10,000 steps/day; 28.3%), low active (5000–7500 steps/day; 27.5%), and sedentary (<5000 steps/day; 32.5%). Percent weight loss at 12 months increased incrementally by trajectory group (5.1% [5.7%], 7.8% [6.9%], 8.0% [7.4%], and 13.63% [7.0%], respectively; P = .001). At baseline, lower body mass index and higher perceived health predicted membership in the better performing trajectory groups. Conclusions: Within a larger group of adults in a weight loss intervention, 4 distinct trajectory groups were identified and group membership was associated with differential weight loss.

scholarly journals Prevalence of prediabetes and modifiable factors in an ethnic group of Mexico: the Comcáac Project

2017 ◽  
Vol 21 (2) ◽  
pp. 333-338 ◽  
Author(s):  
Monica Daniela Robles-Ordaz ◽  
Ana Cristina Gallegos-Aguilar ◽  
Rene Urquidez-Romero ◽  
Rolando Giovanni Diaz-Zavala ◽  
Marcos Gerardo Lavandera-Torres ◽  
...  
Keyword(s):  
Physical Activity ◽  
Insulin Resistance ◽  
Plasma Glucose ◽  
Fruits And Vegetables ◽  
Protective Factor ◽  
Cross Sectional Study ◽  
Model Assessment ◽  
Cross Sectional ◽  
Factors Associated ◽  
Modifiable Factors

AbstractObjectiveTo determine the prevalence of and modifiable factors associated with prediabetes in the Comcáac Indians.DesignCross-sectional study where prediabetes was defined using fasting plasma glucose, 2 h plasma glucose and glycated Hb (HbA1c). Physical, anthropometric and biochemical measurements, medical record, socio-economic, dietary and physical activity information were collected. The modifiable factors associated with prediabetes were assessed using multiple logistic regression.SettingsComcáac Indian communities of Punta Chueca and El Desemboque, Sonora, Mexico.SubjectsAdults (n227) aged 20 years or older.ResultsThe sex- and age-adjusted prevalence (95 % CI) of prediabetes was 47·1 (40·8, 53·5) % in the overall population; age-adjusted prevalence was 47·3 (35·6, 59·0) % in men and 46·7 (39·1, 54·3) % in women. The modifiable factors associated with a risk of prediabetes (OR; 95 % CI) were light-intensity physical activity (per 1 h/week increase: 1·04; 1·01, 1·07) and insulin resistance (homeostasis model assessment of insulin resistance score >6·1v. <4·1: 4·62; 1·37, 15·51). Increased consumption of a traditional dietary pattern based on fish and seafood, low-fat cereals, fruits and vegetables was a protective factor (0·49; 0·31, 0·79). All variables were modelled together and adjusted for age and sex.ConclusionsThe high prediabetes prevalence found in the Comcáac community is alarming because it represents a large number of people who are at risk for type 2 diabetes. The identification of modifiable factors associated with prediabetes that are specific to this population may be useful for designing effective strategies to prevent prediabetes.

scholarly journals Modifiable Factors Associated with Non-adherence to Antihypertensive or Antihyperlipidemic Drugs Are Dissimilar: a Multicenter Study Among Patients with Diabetes in Indonesia

2020 ◽  
Vol 35 (10) ◽  
pp. 2897-2906
Author(s):  
Sofa D. Alfian ◽  
Nurul Annisa ◽  
Fajriansyah Fajriansyah ◽  
Dyah A. Perwitasari ◽  
Rizky Abdulah ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Antihypertensive Drugs ◽  
Multinomial Logistic Regression ◽  
Cross Sectional Survey ◽  
Related Factors ◽  
Patient Counselling ◽  
Medication Beliefs ◽  
Factors Associated ◽  
Modifiable Factors

Abstract Background To develop targeted and tailored interventions for addressing medication non-adherence, it is important to identify underlying factors. Objective To identify factors associated with non-adherence as well as subtypes of non-adherence to antihypertensive or antihyperlipidemic drugs among patients with type 2 diabetes in Indonesia. Design An observational multicenter cross-sectional survey. Participants Patients with type 2 diabetes using either antihypertensive or antihyperlipidemic drugs in four regions in Indonesia. Main Measures Non-adherence and its subtypes of intentional and unintentional non-adherence were assessed using the Medication Adherence Report Scale. Necessity and concern beliefs were assessed with the Beliefs about Medicines Questionnaire. We applied binary and multinomial logistic regression to assess associations of medication beliefs, sociodemographic factors, and clinical-related factors to non-adherence and report odds ratios (OR) with 95% confidence intervals (CI). Key Results Of 571 participating patients (response rate 97%), 45.5% and 52.7% were non-adherent to antihypertensive and antihyperlipidemic drugs, respectively. Older age was associated with non-adherence to antihypertensive drugs (60–69 years) (OR, 5.65; 95% CI, 2.68–11.92), while higher necessity beliefs (OR, 0.92; 95% CI, 0.88–0.95) were associated with less non-adherence. Factors associated with non-adherence to antihyperlipidemic drugs were female gender (OR, 1.84; 95% CI, 1.03–3.27) and higher concern beliefs (OR, 1.10; 95% CI, 1.03–1.18), while higher necessity beliefs (OR, 0.89; 95% CI, 0.83–0.96) were associated with less non-adherence. Conclusions The main factors associated with non-adherence to antihypertensive and antihyperlipidemic drugs are modifiable. In general, beliefs about the necessity of the drug are important but for antihyperlipidemic drugs concerns are important as well. Healthcare providers should pay attention to identify and address medication beliefs during patient counselling.

scholarly journals Clustering of noncommunicable disease risk factors among adolescents attending higher secondary schools in Kasaragod District, Kerala, India

2021 ◽  
Vol 6 ◽  
pp. 145
Author(s):  
Thekke Veedu Sreena ◽  
Elezebeth Mathews ◽  
Prakash Babu Kodali ◽  
Kavumpurathu Raman Thankappan
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Secondary Schools ◽  
Urban Areas ◽  
Salt Intake ◽  
Disease Risk ◽  
Vegetable Consumption ◽  
Multinomial Logistic Regression ◽  
Noncommunicable Disease ◽  
Factors Associated

Background: Limited evidence exists on the presence of collective non-communicable disease (NCD) risk factors among adolescents in Kerala, India. We aimed to assess the prevalence and factors associated with multiple NCD risk factors and clustering of these risk factors among adolescents in Kasaragod District, Kerala. Methods: We selected 470 adolescents (mean age 16.6 years, male 53.8%) through multi-stage cluster sampling from higher secondary schools of Kasaragod district. Self-administered questionnaires were used, and anthropometric measurements were taken using standard techniques and protocols. Tobacco use, alcohol consumption, low fruits and vegetable consumption, inadequate physical activity, extra salt intake, overweight, consumption of soft drinks and packed foods were the eight NCD risk factors included. Multinomial logistic regression analysis was done to find out the factors associated with one, two and three or more NCD risk factors. Results: Risk factor clusters with two risk factors (dyads) and three risk factors (triads) were observed in 163 (34.7%) and 102 (21.7%) of the sample, respectively. Adolescents residing in urban areas (odds ratio (OR) = 3.55; 95% confidence interval (CI) = 1.45-8.73), whose father’s education level was lower (OR = 3.54;  95% CI = 1.24-10.10), whose mother’s education was lower (OR= 4.13; 95% CI = 1.27-13.51), who had restrictions on physical activity (OR = 5.41; 95% CI = 1.20-24.30) and who did not have a kitchen garden (an area where fruits and vegetables are grown for domestic use) (OR=4.51;95%  CI = 1.44-14.12) were more likely to have three or more NCD risk factors compared to their counterparts.   Conclusions: Clustering of NCD risk factors was prevalent in more than half of the adolescents. Efforts are warranted to reduce multiple risk factors, focussing on children of low educated parents and urban residents. Parents of adolescents may be encouraged to have kitchen gardens and not to restrict adolescent’s physical activity.

scholarly journals Factors associated with different patterns of weight change after bariatric surgery: A longitudinal study

2021 ◽  
Author(s):  
Diana Cristina Henao Carrillo ◽  
Ana María Gómez ◽  
Oscar Muñoz ◽  
Claudia Rubio ◽  
Natalia Rodríguez ◽  
...  
Keyword(s):  
Physical Activity ◽  
Bariatric Surgery ◽  
Weight Loss ◽  
Longitudinal Study ◽  
Estimating Equation ◽  
First Year ◽  
Factors Associated ◽  
Modifiable Factors ◽  
Over Time

Abstract Background Bariatric surgery is the most effective treatment for obesity. During long-term follow-up, weight loss (WL) is variable between subjects. The aim of this study is to assess the change in percentage of total weight loss (%TWL) and excess weight loss (%EWL) and to describe the factors associated with greater or lesser WL over time. Methods Longitudinal study including patients treated with laparoscopic Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (LSG) and followed at Hospital Universitario San Ignacio, Bogotá (Colombia). Baseline data was recorded before surgery. Follow-up was performed at 3 (n=192), 6 (n=190), 9 (n=188), 12 (n=186), 24 (n=99) and 36 (n=30) months. Generalized Estimating Equation (GEE) analysis was used to assess the change in %TWL and %EWL over time. Results 196 patients were included (82.4% female, BMI 41.3±5.2 kg/m2). The tendency to increase on %TWL (31.6±6.6) and %EWL (80.2 RIQ 70.7-97.3) was evident in the first year, stabilizing after that. Nutritionist follow-up, baseline BMI>40 kg/m2 and WL≥10kg before surgery were associated with an average higher increase of %TWL (2.39% p=0.014, 0.41% p<0.001 and 0.37% p=0.003, respectively). Subjects who performed physical activity >30 minutes/day after surgery reduced %TWL in 0.74% (p=0.009). Similar findings were described on %EWL. Conclusion Follow-up during the first year after bariatric surgery is critical to achieving %TWL and %EWL goals. This study suggests that modifiable factors such as nutritional follow-up, WL before surgery and time of physical activity are associated with a significant change in %TWL and %EWL during follow-up by a multidisciplinary team.

scholarly journals Patterns and correlates of active commuting in adults with type 2 diabetes: cross-sectional evidence from UK Biobank

BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e017132 ◽  
Author(s):  
Catherine L Falconer ◽  
Ashley R Cooper ◽  
Ellen Flint
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Sedentary Behaviour ◽  
Outcome Measures ◽  
Sedentary Time ◽  
Diabetes Diagnosis ◽  
Active Commuting ◽  
Uk Biobank ◽  
Cross Sectional

ObjectivesTo describe the active commuting (AC) patterns of adults with type 2 diabetes and how these relate to physical activity and sedentary behaviour in UK Biobank. Social and environmental correlates of AC will also be explored.DesignCross-sectional analysis of a cohort study.SettingsThis is a population cohort of over 500 000 people recruited from 22 centres across the UK. Participants aged between 37 and 73 years were recruited between 2006 and 2010.Participants6896 participants with a self-reported type 2 diabetes diagnosis who reported commuting to work and had complete covariate data were included in the analysis.Exposure measuresExposure measures were AC to work, measured as usual mode of transport.Outcome measuresOutcome measures were weekly minutes of moderate to vigorous physical activity (MVPA), hours/day of sedentary time and participation in active travel.ResultsAC (reporting walking or cycling to work only) was reported by 5.5% of participants, with the great majority using the car to commute (80%). AC was associated with an additional 73 (95% CI 10.8 to 134.9) and 105 (95% CI 41.7 to 167.2) weekly minutes of MVPA for men and women, respectively. AC was associated with reduced sedentary time (β −1.1, 95% CI −1.6 to –0.7 hours/day for men; and β −0.8, 95% CI −1.2 to –0.3 hours/day for women). Deprivation and distance from home to work were identified as correlates of AC behaviour.ConclusionsRates of AC are very low in adults with type 2 diabetes. However, AC offers a potentially sustainable solution to increasing physical activity and reducing sedentary behaviour. Therefore, strategies to improve the environment and encourage AC may help to increase population levels of physical activity and reduce the disease burden associated with type 2 diabetes.

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