A Psychological-Behavioral Intervention to Improve Physical Activity in Midlife Adults With Low Baseline Physical Activity

Background:This study investigated parental and peer influences on physical activity, examining gender and developmental differences during early-mid adolescence.Methods:A 5-year longitudinal study tracking physical activity (measured by PAQ-C) among adolescents (n = 641) from final year of primary (P7) to fourth year of secondary school (S4). Peer support, peer socializing, parental support, and independent play were assessed. Logistic regression predicted physical activity, by year and gender, in relation to social influences.Results:Boys reported higher physical activity, peer support, paternal support, and independent play than girls. Among both genders, peer, paternal, and maternal support decreased with age, whereas independent play increased. Time with friends was particularly important. Among high socializers (P7), odds of being active were over 3 times those of low socializers [boys: 3.53 (95% CI 1.77, 7.04), girls: 3.27 (95% CI 1.80, 5.92)]. Baseline physical activity was also a strong predictor among early secondary boys (OR 3.90 95% CI 2.10, 7.24) and girls (OR 4.15, 95% CI 2.00, 8.62). Parental support was less important than peer influences; only same-sex parental support remained significant in multivariables models.Conclusions:Parents and peers have important influences on adolescent physical activity. Significant gender and developmental effects are apparent through early-mid adolescence.

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Behavioral Intervention in the Overweight and ObeseEmployee: The Challenge of Promoting Weight Lossand Physical Activity

Journal of Rural Medicine ◽

10.2185/jrm.7.25 ◽

2012 ◽

Vol 7 (1) ◽

pp. 25-32 ◽

Cited By ~ 1

Author(s):

Rumi Maniwa ◽

Mamiko Iwamoto ◽

Akiko Nogi ◽

Masayuki Yamasaki ◽

Jian-jun Yang ◽

...

Keyword(s):

Physical Activity ◽

Behavioral Intervention

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Well-being and Long-term Physical Activity Participation in Midlife Adults: A Latent Class Analysis

Annals of Behavioral Medicine ◽

10.1093/abm/kay016 ◽

2018 ◽

Vol 53 (1) ◽

pp. 53-64 ◽

Cited By ~ 4

Author(s):

Jerrald L Rector ◽

Sharon L Christ ◽

Elliot M Friedman

Keyword(s):

Physical Activity ◽

Latent Class Analysis ◽

Latent Class ◽

Well Being ◽

Physical Activity Participation ◽

Activity Participation ◽

Class Analysis ◽

Midlife Adults

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Physical activity and prodromal features of Parkinson disease

Neurology ◽

10.1212/wnl.0000000000008567 ◽

2019 ◽

Vol 93 (23) ◽

pp. e2157-e2169 ◽

Cited By ~ 6

Author(s):

Katherine C. Hughes ◽

Xiang Gao ◽

Samantha Molsberry ◽

Linda Valeri ◽

Michael A. Schwarzschild ◽

...

Keyword(s):

Physical Activity ◽

Parkinson Disease ◽

Bodily Pain ◽

Rem Sleep Behavior Disorder ◽

Behavior Disorder ◽

Health Study ◽

Older Individuals ◽

Sleep Behavior ◽

Physically Active ◽

Baseline Physical Activity

ObjectiveTo investigate the relationship between physical activity and prodromal features of Parkinson disease that often precede the clinical diagnosis.MethodsIncluded are participants in 2 well-established cohorts: the Nurses' Health Study and the Health Professionals Follow-up Study. Physical activity was assessed using validated questionnaires at baseline (1986) and every 2 years until 2008. Prodromal features (e.g., constipation, hyposmia, and probable REM sleep behavior disorder [pRBD]) were assessed in 2012–2014.ResultsThe multivariable-adjusted odds ratio (OR) for having ≥3 prodromal features vs none comparing the highest to the lowest quintile were 0.65 (95% confidence interval [CI] 0.53–0.79; ptrend = 0.0006) for baseline physical activity and 0.52 (95% CI 0.35–0.76; ptrend = 0.009) for cumulative average physical activity. Considering each feature independently, baseline physical activity was associated with lower odds of constipation (OR 0.78, 95% CI 0.73–0.83; ptrend < 0.0001), excessive daytime sleepiness (OR 0.72, 95% CI 0.60–0.86; ptrend = 0.002), depressive symptoms (OR 0.82, 95% CI 0.69–0.97; ptrend = 0.13), and bodily pain (OR 0.81, 95% CI 0.68–0.96; ptrend = 0.03). Similar or stronger associations were observed for cumulative average physical activity, which, in addition, was associated with pRBD (OR 0.85, 95% CI 0.77–0.95; ptrend = 0.02). In contrast, neither hyposmia nor impaired color vision was associated with physical activity. Early life physical activity was associated with constipation and, in men only, with the co-occurrence of ≥3 features.ConclusionsThe reduced prevalence of prodromal features associated with Parkinson disease in older individuals who were more physically active in midlife and beyond is consistent with the hypothesis that high levels of physical activity may reduce risk of Parkinson disease.

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Accelerometer-based assessment of physical activity within the Fun For Wellness online behavioral intervention: protocol for a feasibility study

Pilot and Feasibility Studies ◽

10.1186/s40814-019-0455-0 ◽

2019 ◽

Vol 5 (1) ◽

Cited By ~ 4

Author(s):

Nicholas D. Myers ◽

Seungmin Lee ◽

André G. Bateman ◽

Isaac Prilleltensky ◽

Kimberly A. Clevenger ◽

...

Keyword(s):

Physical Activity ◽

Feasibility Study ◽

Behavioral Intervention ◽

Intervention Protocol

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AN MHEALTH BEHAVIORAL INTERVENTION FOR PROMOTING PHYSICAL ACTIVITY AND SLEEP IN COMMUNITY-DWELLING OLDER ADULTS

Innovation in Aging ◽

10.1093/geroni/igz038.603 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S169-S169

Author(s):

Junxin Li ◽

Sarah Szanton ◽

Minhui Liu ◽

Nada Lukkahatai ◽

Junxin Li ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Sleep Quality ◽

Behavioral Intervention ◽

Intervention Group ◽

Community Dwelling ◽

Control Group ◽

Post Intervention ◽

Tnf Α ◽

Community Dwelling Older Adults

Abstract Evidence suggests physical activity (PA) improves sleep in older adults. This study examined the preliminary effect of a personalized mHealth behavioral intervention on PA and sleep in older adults. We conducted a randomized controlled pilot trial in 21 community-dwelling older adults with sleep complaints. The 24-week mHealth behavioral intervention included a 2-hour in person training session, personalized exercise prescription, real time PA self-monitoring, interactive prompts, phone consultation, and weekly financial incentives. PA and sleep were measured objectively using Actiwatch 2.0 and subjectively using questionnaires. Peripheral blood was drawn for measuring Plasma inflammatory biomarkers [interleukin 1β, 6, 8, Tumor Necrosis Factor- alpha (TNF-α), and c-reactive protein (CRP)]. Data were collected at baseline, 8-week, 16-week, and post intervention. Repeated measures ANOVA (time*group) was used to examine differences of PA and sleep across times between the two groups. Majority of participants are women (71.4%) with mean age of 73.7 (SD = 6.9). Repeated measure ANOVA showed significant (p <0.05) improvement of objective and subjective PA, objective nocturnal sleep duration, self-report sleep quality (measured by Pittsburg Sleep Quality Index and Insomnia Severity Index) and decreasing of sedentary time over times in the intervention group (n=11), compared to the control group. The intervention group showed significant reduction of plasma TNF-α and CRP levels at 16-week and post intervention. Interventions combining personalized PA and mHealth strategies may positively affect physical activity and sleep in older adults. A larger study is needed to test the efficacy of this intervention and the mechanisms associated with it.

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Pilot Trial of a Social Cognitive Theory-Based Physical Activity Intervention Delivered by Nonsupervised Technology in Persons With Multiple Sclerosis

Journal of Physical Activity and Health ◽

10.1123/jpah.2014-0018 ◽

2015 ◽

Vol 12 (7) ◽

pp. 924-930 ◽

Cited By ~ 17

Author(s):

Yoojin Suh ◽

Robert W. Motl ◽

Connor Olsen ◽

Ina Joshi

Keyword(s):

Physical Activity ◽

Multiple Sclerosis ◽

Social Cognitive Theory ◽

Behavioral Intervention ◽

Social Cognitive ◽

Cognitive Theory ◽

Pilot Trial ◽

Intervention Group ◽

Self Report ◽

Phone Calls

Background:Physical inactivity is prevalent in people with multiple sclerosis (MS) and this highlights the importance of developing behavioral interventions for increasing physical activity (PA) in MS. This pilot trial examined the efficacy of a 6-week, behavioral intervention based on social cognitive theory (SCT) delivered by newsletters and phone calls for increasing PA in persons with MS who were physically inactive and had middle levels of self-efficacy.Methods:The sample included 68 persons with relapsing-remitting MS who were randomly assigned into intervention and control groups. The intervention group received SCT-based information by newsletters and phone calls, whereas the controls received information regarding topics such as stress management over 6 weeks. Participants completed self-report of PA and social cognitive variables.Results:The intervention group had a significant increase in self-reported PA (d = 0.56, P = .02) over the 6 weeks, but the controls had a nonsignificant change (d = –0.13, P = .45). Goal setting was changed in the intervention group (d = 0.68, P ≤ .01) and identified as a significant mediator of change in self-reported PA.Conclusions:This study provides initial evidence for the benefit of a theory-based behavioral intervention for increasing PA in MS.

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