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Shaping Policy and Practice: Analyzing the Reach of Highly Cited and High Altmetrics Publications for Broader Impact on Physical Activity

Andrea Ramírez Varela, Natalicio Serrano, Juliana Mejía Grueso, Anita Nguyen, Deborah Salvo, Ross C. Brownson, Adrian Bauman, Rodrigo Reis, Pedro Hallal, and Michael Pratt

Background: A significant gap remains between the availability of physical activity (PA) evidence-based interventions and their application in real-world settings in policy and practice areas. This study aims to describe highly cited and high altmetrics publications in PA research and explore their impact on PA policy and practice. Methods: Mixed-methods sequential explanatory study including the identification and description of the top highly cited and high altmetrics PA publications from the last 10 years (including study design, population, type of PA study, number of citations, and altmetrics score), and interviews with key informants regarding research dissemination and implications on PA policy and practice. Results: When considering publication type, the most frequent highly cited publications were health consequences (40%, altmetrics = 42%), measurement/trends (23%, altmetrics = 10%), and correlates/determinants (21%, altmetrics = 26%) studies. They were predominantly cross-sectional (50%, altmetrics = 28%), systematic reviews (38%, altmetrics = 18%), and longitudinal studies (8%, altmetrics = 37%). All authors who participated in the interviews agreed that the most important factors in disseminating findings and influencing PA policy and practice were the published peer-reviewed manuscript itself, the reputation of the journal, the communication strategy, and the use of online platforms. Conclusions: To have a real-world influence on PA policy and practice, it is not enough to publish the results in scientific journals and participate in media outreach. To successfully involve policymakers and communities in appropriating the evidence and evaluating the extent to which these findings affect policy and practice outcomes, it is critical to lead co-creation, co-dissemination, advocacy, and capacity building efforts.

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Volume 20 (2023): Issue 10 (Oct 2023)

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Erratum. Calling out for Change Makers to Move Beyond Disciplinary Perspectives

Journal of Physical Activity and Health

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Erratum. Better Late Than Never?! Five Compelling Reasons for Putting Physical Activity in Low- and Middle-Income Countries High Up on the Public Health Research Agenda

Journal of Physical Activity and Health

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Erratum. Science has no Borders, so Should Scientific Publishing: A Position Statement from the Journal of Physical Activity and Health

Journal of Physical Activity & Health

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Physical Inactivity Prevalence in the Islamic World: An Updated Analysis of 47 Countries

David Kahan

Background: Physical inactivity prevalence estimates for youth and adults have been published on a global scale and for various geographical and geopolitical permutations. Only one such study has presented estimates for adults in Muslim countries, and it is nearly 10 years old. I conducted an update of this study by incorporating newer data, refining methods, and including youth estimates. Methods: I identified 47 Muslim countries with physical inactivity data for youth, adults, or both. Data were extracted by country primarily from global estimates reported by Guthold et al in 2018 and 2020 and from World Health Organization surveillance data repositories. Weighted prevalence calculations for total prevalence and by sex, ethnicity (Arab vs non-Arab), and country income group accounted for country population, study sample size, and a country’s proportion of Muslims. Z tests and chi-square tests, and follow-up odds ratios and percentage deviations, respectively, were used to determine differences by sex, ethnicity, and country income group. Results: Overall physical inactivity prevalence was 84.2% (youth) and 29.6% (adults). Gaps favoring males over females were observed for youth (5.6% lower prevalence) and adults (9.6% lower prevalence). Gaps favoring non-Arabs over Arabs were observed for youth (3.9% lower) and adults (3.8% lower). No pattern emerged for country income group for youth; however, prevalence for adults trended upward across income groups from low (22.7%) to high (62.0%). Conclusions: Gaps by sex and ethnicity have narrowed since the original report and prevalence values are somewhat higher than current global estimates.

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Outcomes Associated With Translating Evidence-Based Research Into Practice: The Physical Activity for Lifelong Success Program

Erin E. Eggert, Will Palmer, Lourdes I. Shanjani, Kimberlee Gretebeck, and Jane E. Mahoney

Background: Few programs assess for outcomes once translated into practice. The Physical Activity for Lifelong Success program was developed as a center-based public health intervention and shown to improve walking speed and distance among older adults with type 2 diabetes. We adapted the program for community-based delivery by lay leaders to physically inactive older adults. Methods: We followed the Replicating Effective Programs framework to identify community stakeholders, adapt, implement, and evaluate fidelity of delivery in community settings, and plan for maintenance and evolution. Sixteen community sites enrolled 184 adults (mean age 73.5 y, 85% female, 93% White) in 21 workshops. Baseline and postworkshop measures assessed participants’ health-related quality of life, physical function, and physical fitness. Data were analyzed using Fisher exact tests, Student t test, and paired linear regression with fixed effects. Results: Fidelity testing indicated leader training was sufficient to maintain key elements with delivery. Data from 122 participants showed improvements in chair stands (P < .001), arm curls (P < .001), 2-minute step test (P < .001), sit-and-reach (P = .001), 8-foot up-and-go (P < .001), and 10-m walk (P < .001). Conclusions: Adaptation of Physical Activity for Lifelong Success for implementation by community organizations for physically inactive older adults demonstrates that fidelity and effectiveness can be maintained after program translation.

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Why Do Romantic Relationships Affect Physical Activity? An Analysis of the Time Use of Couples and Singles Over a 3-Day Period

Ingmar Rapp, Jonathan Gruhler, and Benjamin Ambiel

Background: Several studies have found that individuals with a partner were less physically active than those without. To better understand the reasons for this association, we examine whether the existence of a relationship or the current presence of a partner influences physical activity (PA). Methods: We use data from the most recent German Time Use Survey 2012/13 to examine leisure-time PA. All leisure-time activities reported in the time diaries are classified according to their metabolic equivalent of task (MET) to calculate the mean MET scores. First, we use ordinary least square regressions and logistic regressions to examine the effects of living together with a partner or not on mean daily MET scores and on exercise. Second, we apply person-day fixed effects models to estimate the impact of current partner presence on current PA levels. Results: Having a partner is negatively associated with exercising but is not correlated with mean leisure-time MET scores for both women and men. For those with a partner, current MET levels are substantially lower when the partner is present than when the partner is absent. When partners spend leisure-time activities apart, their MET levels are higher than those of individuals without a partner. Conclusions: The results suggest that it is not the mere existence of a romantic relationship but the current copresence with a partner that affects PA behavior. Therefore, interventions to increase PA may be promising if they can encourage couples to be active together.

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A Quick Guide for Becoming a Better Peer Reviewer

Ding Ding, Pedro C. Hallal, Loretta DiPietro, and Harold W. (Bill) Kohl III

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Time Reallocations From Sedentary Behavior to Physical Activity and Cardiovascular Risk Factors in Children and Adolescents: A Systematic Review

Leonardo Alex Volpato, Julio Cesar Costa, Wendell Arthur Lopes, Jeffer Eidi Sasaki, Catiana Leila Possamai Romanzini, Enio Ricardo Vaz Ronque, and Marcelo Romanzini

Background: Recent statistical approaches have allowed consideration of the integrated relationships between sedentary behavior (SB) and physical activity (PA) with different health outcomes. The present paper aimed to systematically review the literature and synthesize evidence about associations between hypothetical reallocations from SB to different PA intensities and cardiovascular risk factors in youth. Methods: A systematic search of 8 databases was performed. Observational studies with a population of children and/or adolescents and based on statistical analysis that investigated the associations between time reallocations from SB to PA and cardiovascular risk factors were included. Results: Twenty-eight studies met the inclusion criteria. Level of evidence (derived from cross-sectional studies) indicated that the reallocation from SB to moderate to vigorous PA was beneficially associated with adiposity, cardiorespiratory fitness, and cardiometabolic biomarkers in youth. Reallocation from SB to light PA was not associated with the analyzed outcomes. Associations derived from longitudinal studies were mostly inconclusive. Conclusion: Cardiovascular risk factors could be improved by increasing moderate to vigorous PA at the expense of time spent in SB in pediatric populations. Prospective studies or studies investigating the effects of reallocating sedentary bouts to PA are needed.