Community Readiness for Increasing Older Adult Physical Activity Levels in Kazakhstan

Introduction: Physical activity is proven to be a significant element of successful aging, but many seniors worldwide fail to achieve the recommended levels. This study aimed to assess the readiness of the community in Nur-Sultan, Kazakhstan, to act on the issue of physical inactivity among older adults.Methods: In order to achieve this purpose, we conducted qualitative interviews with key informants in the community and applied a validated community readiness tool.Results: The results suggest that the local community is at early stages of readiness to act on the issue of older adult physical inactivity. We identified a number of barriers that prevented seniors from leading active lifestyles, which included community misconceptions about older adult physical activity, family centeredness in older adulthood, scarcity of resources, passive support from the leadership, and lack of efforts in the community. Research findings also highlighted the importance of conducting in-depth analysis of key informant responses in addition to calculating readiness scores, when using the community readiness tool.Conclusion: Community-specific strategies for enhancing the level of physical activity among seniors are required to offset the disease burden associated with aging and to prolong life expectancy in Kazakhstan, and it is of paramount importance to tailor potential efforts as to address the current readiness of the community and its needs.

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Increasing physical activity in people with COPD

Practice Nursing ◽

10.12968/pnur.2020.31.11.461 ◽

2020 ◽

Vol 31 (11) ◽

pp. 461-466

Author(s):

Matthew Armstrong

Keyword(s):

Physical Activity ◽

Pulmonary Rehabilitation ◽

Physical Inactivity ◽

Interdisciplinary Approach ◽

Complex Nature ◽

Chronic Obstructive ◽

Activity Levels ◽

Obstructive Pulmonary Disease ◽

Behavioural Interventions ◽

Extra Pulmonary

Levels of physical activity tend to be reduced in people with COPD. Matthew Armstrong discusses the benefits of improving activity levels in this group of patients It is well acknowledged that levels of physical activity in patients with chronic obstructive pulmonary disease (COPD) are considerably lower than healthy-age matched individuals, with physical inactivity recognised as a key predictor of hospitalisation and mortality. Pulmonary rehabilitation (PR) has become a major tool for managing symptoms of COPD and the associated extra-pulmonary effects. However, inconsistencies surrounding its effectiveness in terms of improving physical activity remain due to the complex nature of physical activity. To overcome these inconsistencies, both pharmacological and behavioural interventions have been documented to aid improvements in physical activity, with behavioural interventions alongside PR found to be the most effective tool to promote levels of physical activity. Health professionals must therefore look to incorporate an interdisciplinary approach in order to best achieve improvements in physical activity levels in patients with COPD.

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Trends in Self-Reported Sitting Time by Physical Activity Levels Among US Adults, NHANES 2007/2008–2017/2018

Journal of Physical Activity and Health ◽

10.1123/jpah.2021-0221 ◽

2021 ◽

Vol 18 (S1) ◽

pp. S74-S83

Author(s):

Emily N. Ussery ◽

Geoffrey P. Whitfield ◽

Janet E. Fulton ◽

Deborah A. Galuska ◽

Charles E. Matthews ◽

...

Keyword(s):

Physical Activity ◽

Sedentary Behavior ◽

Physical Inactivity ◽

Premature Mortality ◽

Linear Increase ◽

Sitting Time ◽

Point Estimate ◽

Activity Levels ◽

Physical Activity Levels ◽

Active Adults

Background: High levels of sedentary behavior and physical inactivity increase the risk of premature mortality and several chronic diseases. Monitoring national trends and correlates of sedentary behavior and physical inactivity can help identify patterns of risk in the population over time. Methods: The authors used self-reported data from the National Health and Nutrition Examination Surveys (2007/2008–2017/2018) to estimate trends in US adults’ mean daily sitting time, overall, and stratified by levels of leisure-time and multidomain physical activity, and in the joint prevalence of high sitting time (>8 h/d) and physical inactivity. Trends were tested using orthogonal polynomial contrasts. Results: Overall, mean daily sitting time increased by 19 minutes from 2007/2008 (332 min/d) to 2017/2018 (351 min/d) (Plinear < .05; Pquadratic < .05). The highest point estimate occurred in 2013/2014 (426 min/d), with a decreasing trend observed after this point (Plinear < .05). Similar trends were observed across physical activity levels and domains, with one exception: an overall linear increase was not observed among sufficiently active adults. The mean daily sitting time was lowest among highly active adults compared with less active adults when using the multidomain physical activity measure. Conclusions: Sitting time among adults increased over the study period but decreased in recent years.

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The active living gender’s gap challenge: 2013–2017 Eurobarometers physical inactivity data show constant higher prevalence in women with no progress towards global reduction goals

BMC Public Health ◽

10.1186/s12889-019-8039-8 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 4

Author(s):

X. Mayo ◽

G. Liguori ◽

E. Iglesias-Soler ◽

R. J. Copeland ◽

I. Clavel San Emeterio ◽

...

Keyword(s):

Physical Activity ◽

Physical Inactivity ◽

International Physical Activity Questionnaire ◽

World Health ◽

Activity Levels ◽

The World ◽

Health Organization ◽

Global Reduction ◽

Activity Questionnaire ◽

The Eu

Abstract Background The World Health Organization (WHO) considers physical inactivity (PIA) as a critical noncommunicable factor for disease and mortality, affecting more women than men. In 2013, the WHO set a 10% reduction of the PIA prevalence, with the goal to be reached by 2025. Changes in the 2013–2017 period of physical inactivity prevalence in the 28 European Union (EU) countries were evaluated to track the progress in achieving WHO 2025 target. Methods In 2013 and 2017 EU Special Eurobarometers, the physical activity levels reported by the International Physical Activity Questionnaire of 53,607 adults were analyzed. Data were considered as a whole sample and country-by-country. A χ2 test was used to analyze the physical inactivity prevalence (%) between countries, analyzing women and men together and separately. Additionally, PIA prevalence was analyzed between years (2013–2017) for the overall EU sample and within-country using a Z-Score for two population proportions. Results The PIA prevalence increased between 2013 and 2017 for the overall EU sample (p < 0.001), and for women (p = 0.04) and men (p < 0.001) separately. Data showed a higher PIA prevalence in women versus men during both years (p < 0.001). When separately considering changes in PIA by gender, only Belgium’s women and Luxembourg’s men showed a reduction in PIA prevalence. Increases in PIA prevalence over time were observed in women from Austria, Croatia, Germany, Lithuania, Malta, Portugal, Romania, and Slovakia and in men from Bulgaria, Croatia, Czechia, Germany, Italy, Lithuania, Portugal, Romania, Slovakia, and Spain. Conclusions PIA prevalence showed an overall increase across the EU and for both women and men between 2013 and 2017, with higher rates of PIA reported for women versus men during both years. PIA prevalence was reduced in only Belgium’s women and Luxembourg’s men. Our data indicate a limited gender-sensible approach while tacking PIA prevalence with no progress reaching global voluntary reductions of PIA for 2025.

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Trends of low physical activity among Iranian adolescents across urban and rural areas during 2006–2011

Scientific Reports ◽

10.1038/s41598-020-78048-0 ◽

2020 ◽

Vol 10 (1) ◽

Author(s):

Parisa Amiri ◽

Parisa Naseri ◽

Golnaz Vahedi-Notash ◽

Sara Jalali-Farahani ◽

Yadollah Mehrabi ◽

...

Keyword(s):

Physical Activity ◽

Rural Areas ◽

Urban Areas ◽

Physical Inactivity ◽

Multinomial Logistic Regression ◽

Prevalence Ratio ◽

Sample Survey ◽

Activity Levels ◽

Urban Girls ◽

Urban And Rural Areas

AbstractIt is well documented that physical inactivity is related to weight gain and a whole host of chronic diseases. This study investigated trends of low physical activity among Iranian adolescents in urban and rural areas between 2006–2011. A total of 12,178 adolescents, aged between 15 and 19 years, participated in National Surveys of Risk Factors for Non-Communicable Diseases. Data on physical activity was obtained using the global physical activity questionnaire. A complex sample survey and multinomial logistic regression were used to model physical activity levels. The percentage of adolescents who had low levels of physical activity increased from 2006 to 2011 in both urban and rural areas. Low and moderate levels of physical activity were lower in rural girls as compared with urban girls, with a prevalence ratio of 0.59 (95% CI 0.47–0.74) and 0.59 (95% CI 0.47–0.74), respectively. The corresponding values for boys residing in rural areas compared with boys in urban areas were 0.56 (95% CI 0.43–0.75) and 0.60 (95% CI 0.48–0.74), respectively. The adolescents' lifestyles showed an increasing trend for physical inactivity in both genders; however, in rural areas, only girls had a rising affinity for a sedentary lifestyle throughout the 2006–2011 years.

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Policy Prescriptions for Healthier Communities

American Journal of Health Promotion ◽

10.4278/0890-1171-18.1.109 ◽

2003 ◽

Vol 18 (1) ◽

pp. 109-113 ◽

Cited By ~ 16

Author(s):

Trip Pollard

Keyword(s):

Public Health ◽

Physical Activity ◽

Built Environment ◽

Physical Inactivity ◽

Motor Vehicle ◽

Health Problems ◽

Health Impacts ◽

Activity Levels ◽

Vehicle Pollution ◽

Laws And Policies

Evidence of the health impacts of the built environment has increased rapidly. Studies have linked physical inactivity and motor-vehicle pollution to a range of health problems and have shown that activity levels and air quality are influenced by community design, land use, and transportation patterns. There is comparatively little awareness, however, of the role that laws and policies play in spurring sprawl and driving and of the opportunities to reorient current provisions to promote public health. This article summarizes the findings connecting the built environment to a variety of health problems. It then describes how current policies present barriers to physical activity and increase pollution by encouraging sprawl development and by offering few transportation choices. Finally, the article suggests ways to overcome these barriers by examining policies that can promote public health by making it easier to incorporate greater physical activity into our everyday lives and to reduce driving. Multidisciplinary partnerships are needed to pursue these policy prescriptions for healthier communities.

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Pedometer Assessed Physical Activity in Urban Pubertal Children: First Report From India

Journal of Physical Activity and Health ◽

10.1123/jpah.2012-0502 ◽

2014 ◽

Vol 11 (8) ◽

pp. 1475-1481

Author(s):

Aashish Contractor ◽

Aparna Bhanushali ◽

Jyotsna Changrani ◽

Siddhartha Angadi ◽

Bibhu R. Das

Keyword(s):

Physical Activity ◽

Physical Inactivity ◽

Activity Levels ◽

Indian Children ◽

Urban Indian ◽

Children First ◽

High Level ◽

Lifestyle Diseases ◽

The Relationship ◽

Final Cohort

Background:Inadequate physical activity is a risk factor for several lifestyle diseases. In the current study we have tried to evaluate the physical activity levels in urban Indian pubertal children as well as investigate the relationship between step counts and body composition.Methods:A total of 1032 children aged 12 to 15 years wore pedometers for 2 weekdays and 2 weekend days, the final cohort included 910 subjects with 467 boys and 443 girls.Results:Mean weekday steps were 11,062 ± 4741 for boys and 9619 ± 4144 for girls; weekend steps were 10,842 ± 5034 for boys and 9146 ± 5159 for girls, which were both significantly different. The weekend steps were consistently lower in both genders. Analysis of children not meeting a cut-off of 10,000 steps indicated that 45% of the boys aged 12; 54% aged 13; 43% to 48% aged 14 and 50% in the aged 15 did not meet the cut-off. In girls higher levels of inactivity were seen with 58% to 65% aged 12; 69% to 73% aged 13; 49% to 58% aged 14 and 50% to 100% in age-group 15 did not meet the cut-off on weekdays and weekends respectively.Conclusions:The high level of physical inactivity in the representative urban Indian children is a cause of grave concern and necessitates urgent intervention strategies to be formulated.

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Physical inactivity and headache disorders: cross-sectional analysis in the Brazilian longitudinal study of adult health (ELSA-Brasil)

Headache Medicine ◽

10.48208/headachemed.2020.supplement.72 ◽

2020 ◽

pp. 72

Author(s):

Arao Oliveira ◽

Juliane Mercante ◽

Mario Peres ◽

Maria Molina ◽

Paulo Lotufo ◽

...

Keyword(s):

Physical Activity ◽

Longitudinal Study ◽

Physical Inactivity ◽

Activity Levels ◽

Adult Health ◽

Headache Disorders ◽

Cross Sectional ◽

Physical Activity Levels ◽

Probable Migraine ◽

Sectional Analysis

BackgroundPhysical inactivity has been linked to headache disorders, but data regarding the current recommended leisure-time (LTPA) and commuting physical activity (CPA) levels is unknown.ObjectiveTo test the associations between headache disorders (definite and probable migraine tension type headache-TTH) and physical inactivity in these domains (LTPA and CPA) in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).MethodsIn a cross-sectional analysis, logistic regression models computed the odds ratio (OR) for the relationship between headache disorders and physical activity (LTPA and CPA) in the following levels: “active” (Reference), “insuciently active”, and “inactive”. The full models were controlled for the effects of sociodemographic data, cardiovascular risk profile, and use of headache medication (migraine prophylaxis)ResultsOf 15,0105 participants, 14,847 (45.6 % of men and 54.4 % women) responded the baseline interviews regarding physical activity levels and headache disorders. Overall, most significant physical inactivity was observed in LTPA domain for definite migraine [OR: 1.32 (1.10-1.57)] and probable migraine [OR: 1.33 (1.17-1.50)]. Similar findings were replicated by sex. Physical inactivity (LTPA) was positively associated with definite migraine in women [OR: 1.29 (1.04-1.59)], probable migraine in both men [OR: 1.40 (1.15-1.69)] and women [OR: 1.29 (1.04-1.59)]. Physical inactivity in CPA domain was associated to increased OR for probable TTH in men [OR: 1.33 (1.01-1.75)], while CPA was inversely associated to definite migraine [OR: 0.79 (0.64-0.98)] and probable migraine [OR: 0.80 (0.67-0.96)] in women. Considering all headaches, unmet vigorous physical activity levels were associated to increased OR for definite migraine [OR: 1.36 (1.13-1.65)] and probable migraine [OR: 1.37 (1.20-1.57)]. Finally, we found higher odds for daily headaches among LTPA-inactive [OR: 1.73 (1.20-2.49)] and CPA-insufficiently active [ OR: 1.36 (1.04-1.79)] participants.ConclusionPhysical inactivity is associated with headache disorders in the ELSA-Brasil study, with distinct associations regarding headache subtype, sex, physical activity domain and intensity, and headache frequency.

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Risk Factors for Physical Inactivity Among Children With and Without Asthma Living in Peri-Urban Communities of Lima, Peru

Journal of Physical Activity and Health ◽

10.1123/jpah.2019-0553 ◽

2020 ◽

Vol 17 (8) ◽

pp. 816-822

Author(s):

Sathvik Namburar ◽

William Checkley ◽

Oscar Flores-Flores ◽

Karina M. Romero ◽

Katherine Tomaino Fraser ◽

...

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Urban Communities ◽

Physical Inactivity ◽

Activity Patterns ◽

Special Focus ◽

Activity Levels ◽

Physical Activity Levels ◽

Steps Per Day ◽

Demographic Risk

Background: The authors sought to examine physical activity patterns among children with and without asthma in 2 peri-urban communities in Lima, Peru, to identify socioeconomic and demographic risk factors for physical inactivity and examine the relationship between asthma and physical activity. Methods: The authors measured mean steps per day in 114 children (49 with asthma and 65 without) using pedometers worn over a 1-week period. They also used the 3-day physical activity recall to determine the most common activities carried out by children. Results: The authors found that 84.2% of the children did not meet the daily international physical activity recommendations. Girls took significantly fewer mean steps per day as compared with boys (2258 fewer steps, 95% confidence interval, 1042–3474), but no other factors, including asthma status, showed significant differences in the mean daily steps. Mean daily steps were positively associated with higher socioeconomic status among girls, and current asthma had a larger inverse effect on daily steps in boys when compared with girls. Conclusion: Physical activity levels were below recommended guidelines in all children. There is a need for policy and neighborhood-level interventions to address low physical activity levels among Peruvian youth. Special focus should be given to increasing the physical activity levels in girls.

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Why Are Individuals With Diabetes Less Active? The Mediating Role of Physical, Emotional, and Cognitive Factors

Annals of Behavioral Medicine ◽

10.1093/abm/kaaa120 ◽

2021 ◽

Author(s):

Boris Cheval ◽

Silvio Maltagliati ◽

Stefan Sieber ◽

David Beran ◽

Aïna Chalabaev ◽

...

Keyword(s):

Physical Activity ◽

Depressive Symptoms ◽

Physical Inactivity ◽

Sleep Problems ◽

Cognitive Factors ◽

Activity Levels ◽

Cognitive Disability ◽

Cognitive Changes ◽

Linear Evolution

Abstract Background Despite the key role of physical activity in the management of diabetes, many individuals with diabetes do not engage in the recommended levels of physical activity. However, our knowledge of the mechanisms underlying the relationship between diabetes and physical inactivity is limited. Purpose To investigate the associations between diabetes and the levels and evolution of physical activity across aging, and to determine whether physical, emotional, and cognitive factors mediate these associations. Methods Data from 105,622 adults aged 50–96 years from the Survey of Health, Ageing and Retirement in Europe (SHARE) were used in adjusted linear mixed models to examine whether diabetes was associated with physical activity levels and variations across aging. The potential mediators were subjective energy, muscle strength, physical and cognitive disability, sleep problems, depressive symptoms, and cognitive functions. The variables were measured up to seven times over a 13-year period. Results Individuals with diabetes demonstrated a lower level and a steeper decrease in physical activity across aging than individual without diabetes. Mediators explained ~53% and 94% of the association of diabetes with the level of physical activity and with the linear evolution of physical activity across aging, respectively. All mediators were significantly associated with physical activity. Physical and cognitive disability as well as depressive symptoms were the strongest mediators, while sleep was the lowest one. Conclusions These findings suggest that the etiology of physical inactivity in individuals with diabetes can result from several physical, emotional, and cognitive changes associated with the emergence of this disease.

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Social isolation during the COVID-19 pandemic can increase physical inactivity and the global burden of cardiovascular disease

AJP Heart and Circulatory Physiology ◽

10.1152/ajpheart.00268.2020 ◽

2020 ◽

Vol 318 (6) ◽

pp. H1441-H1446 ◽

Cited By ~ 33

Author(s):

Tiago Peçanha ◽

Karla Fabiana Goessler ◽

Hamilton Roschel ◽

Bruno Gualano

Keyword(s):

Physical Activity ◽

Cardiovascular Disease ◽

Cardiovascular Risk ◽

Sedentary Behavior ◽

Social Isolation ◽

Physical Inactivity ◽

Global Burden ◽

Activity Levels ◽

Home Based ◽

Physical Activity Levels

Emerging data indicate a substantial decrease in global physical activity levels during the period of social isolation adopted worldwide to contain the spread of the coronavirus disease 2019 (COVID-19). Confinement-induced decreases in physical activity levels and increases in sedentary behavior may provoke a rapid deterioration of cardiovascular health and premature deaths among populations with increased cardiovascular risk. Even short-term (1–4 wk) inactivity has been linked with detrimental effects in cardiovascular function and structure and increased cardiovascular risk factors. In this unprecedented and critical scenario, home-based physical activity programs arise as a clinically relevant intervention to promote health benefits to cardiac patients. Many studies have demonstrated the feasibility, safety, and efficacy of different models of home-based exercise programs in the primary and secondary prevention of cardiovascular diseases and major cardiovascular events among different populations. This body of knowledge can inform evidence-based policies to be urgently implemented to counteract the impact of increased physical inactivity and sedentary behavior during the COVID-19 outbreak, thereby alleviating the global burden of cardiovascular disease.

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