Physical activity (PA) has a variety of well-established benefits for physical and mental health. However, there are PA disparities based on numerous sociodemographic characteristics, including sexual orientation. Mapping of PA interventions tailored to sexual minorities (ie, nonheterosexual) is currently absent from the literature. Purpose: The purpose of this scoping review was to summarize the existing interventions focused on promoting PA among sexual minority (SM) adults. Methods: A search strategy was developed in consultation with a research librarian for PubMed, Web of Science, SportDiscus, and CINAHL. The scoping review was conducted using the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews guidelines. Randomized and nonrandomized interventions that focused on increasing PA among SM adults were included. Data on study design, sample demographics, purpose of research, methodology, intervention components, theory-based constructs used, PA measures, and outcomes of the intervention were extracted. Results: Our search yielded 7289 articles, with 26 articles requiring full-text review. Four interventions were identified that focused on increasing PA among SM adults, with 2 focusing on lesbian/bisexual women, 1 focusing on lesbian/gay cancer survivors, and 1 focusing on men who have sex with men. Two of the 4 studies were successful at increasing PA, with varying psychosocial theories (ie, social cognitive theory and theory of reasoned action) and intervention strategies (ie, PA counseling, group meetings, and pedometers). Conclusion: Findings of this review demonstrate a clear lack of PA interventions targeting SM adults, limiting the available knowledge required for preventionists, practitioners, and health care professionals to effectively promote PA through behavioral modification among this group.
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A Scoping Review of Physical Activity Interventions Among Sexual Minority Adults: A Call to Action for Future Research
Keegan T. Peterson, Oliver W.A. Wilson, Shannon S.C. Herrick, Ginny M. Frederick, Michael V. Fedewa, Katherine Sullivan, and Melissa Bopp
Understanding the Increases in Physical Activity Publications From 1985 to 2022: A Global Perspective
Adrian Bauman, Karen C. Lee, and Michael Pratt
Background: A marked increase in physical activity (PA) publications has occurred since 1985. Increased publications reflect a globalization of publications and increase the difficulty of reviewing evidence and identifying effective PA strategies. Methods: Review of Scopus database publications with the title or keyword “physical activity” between 1985 and 2022, examining 193,335 PA publications. The choice of search strategy was standardized across the period and maximized relevant PA papers (high sensitivity). Results: The results showed 3 clear periods for increases in PA publications; an initial increase in period 1 between 1985 and 2000, a 9-fold increase in period 2 between 2001 and 2016 (from 645/y to 5876/y), and a further increase to 15,812 publications per year in period 3 between 2017 and 2022. The primary driver of this increase was the transition from publications in traditional subscription-model journals to open-access business model journals, which comprised 80% of PA publications by period 3. Although this trend was global, some countries showed greater increases through open-access publication. Discussion: These data identify a relatively unrecognized and urgent threat to the field: An exponential increase in PA publications may influence the quality of published work and increases the difficulty of finding and applying important research findings. The shift in publication patterns is contributed to by higher acceptance rates and rapid time to publication offered in open-access journals. This represents a “commercial determinant” of publications in the PA field, influencing the type and volume of publications without consideration of their contribution to evidence or impact.
Estimating the Reduction of Socioeconomic Inequalities for a More Physically Active Society: A Cross-Sectional Study of the European Union Country Members
Antonio Moreno-Llamas, Ernesto De la Cruz-Sánchez, and Jesús García-Mayor
Background: Socioeconomic inequalities significantly impact the accessibility of resources necessary for physical activity, thereby influencing overall physical activity levels and contributing to broader health disparities. Nevertheless, evidence is lacking on quantifying the increase of people who would be physically active through reducing inequalities by a higher socioeconomic position. Methods: We conducted secondary data analysis on the 2017 cross-sectional survey of the European Union’s population aged ≥18 years (n = 27,538). By estimating socioeconomic status percentages and odds ratios between socioeconomic status (education, occupational social class, and economic issues) and physical activity, we calculated age-standardized Prevented Fraction for Population and the total number of individuals that would meet physical activity guidelines by a higher socioeconomic status (eg, from low to middle or high socioeconomic status), along with scenarios of reduced socioeconomic disparities, controlling for age, gender, place of residence, and marital status. Results: A higher socioeconomic status could promote physical activity for a total of 93.0 (84.5–101.8) million people through university education, 28.5 million via high-ranked occupations (24.6–32.8), and 137.9 (129.5–146.2) million by less economic issues (compared with primary education, low-manual occupations, and having economic issues most of the time, respectively)—equivalent to 35.46%, 14.49%, and 55.42% of the Prevented Fraction for Population. Reducing socioeconomic inequalities by 50% could raise these estimations to 148.1 million (134.0–162.8) through education, 43.5 million (37.5–50.3) through occupation, and 223.6 million (209.3–237.8) through less economic issues. Conclusions: Enhancing access to university education, high-ranked occupations, and income impacts physical activity population levels in the European Union.
(Two) Wheels on the Bus: Road User Perceptions of a Bike Bus and How This Links to Addressing Global Health Challenges
Deirdre M. Harrington, Farid Bardid, Katherine Cory, James Dixon, Sarah Dodd, Neil Ferguson, Jennifer J. Roberts, and James Bonner
Background: Excessive car use hampers progress toward tackling global health challenges, including climate and sustainability issues, and is linked to lower physical activity. Local communities have been developing solutions through bike buses. This paper, one of the first on bike buses, explores how a bike bus is perceived by other road and place users. Methods: An interdisciplinary survey instrument with dialogic-style questions was distributed on flyers to road and place users on 1 bike bus route including when the bike bus was passing. Responses were thematically analyzed using analytic framing to identify themes and subthemes. This paper focuses on 2 domains related to physical activity’s link to the global health challenges of climate change and sustainability issues of excess car traffic: climate actions and community-level activism. Results: Overall, 172 responses were received from 542 distributed flyers (31.8%). The climate actions domain identified a bike bus as a solution that creates a transport mode shift, reduces emissions, and improves air quality. Themes associated with community-level activism domain include perception that a bike bus is a form of activism or a protest and that it is a disruption to the status quo on the roads. Conclusions: Our findings indicate that this active mobility practice goes beyond the utility of getting children to school and being a way to promote physical activity. A bike bus is seen as local community action that could create a transport mode shift, draw attention to road space allocation, and help tackle global health challenges.
Identifying Trajectories of Change in Burnout Symptoms of Gaelic Games Athletes Over Two Consecutive Seasons
Siobhán Woods, Simon Dunne, Pamela Gallagher, and Andrew McCarren
Athlete burnout is conceptualized as an enduring multidimensional syndrome, and longitudinal research is essential to understanding its development over time. However, much of the existing work has been limited to a small number of timepoints (≤3) or short intervals between waves (≤3 weeks), which fail to account for the chronic and complex nature of the syndrome. This study aimed to address these limitations by tracking burnout in adult athletes at 6 timepoints over a 21-month period for the first time. Data from 207 Gaelic games athletes were included in latent growth analysis to compare burnout trajectories of increasing complexity. A linear model best described all burnout symptoms. On average over the 21-month period, feelings of exhaustion declined, sport devaluation increased, and reduced accomplishment remained stable. Findings provide important insight into potential high-risk periods in the season and can help to inform targeted intervention or prevention efforts.
What’s in a Message? Effects of Mental Fatigue and Message Framing on Motivation for Physical Activity
Sheereen Harris, Jade Mardlin, Rebecca Basset-Gunter, and Steven R. Bray
Many adults worldwide do not meet current physical activity (PA) guidelines. Mental fatigue decreases the likelihood of choosing to engage in PA. Message framing may enhance PA motivation when fatigued. We examined the effects of mental fatigue and message framing on PA motivation with additional focus on the messaging “congruency effect.” Three hundred and twenty undergraduates completed measures of dispositional motivational orientation and were exposed to either gain-framed or loss-framed messages before completing an effort discounting questionnaire. Results showed lower motivation to engage in PA of higher intensities and longer durations. Direct effects of message framing on PA motivation were not significant. Interaction effects revealed that participants receiving messages congruent with their dominant motivational orientation showed increased motivation for light-intensity PA and decreased motivation for vigorous-intensity PA as mental fatigue increased. Findings suggest that providing messages congruent with one’s dominant motivational orientation may increase motivation for engaging in light-intensity PA when fatigued.
Abolishing Amateurism: Reimagining the Future of U.S. College Football
Kirsten Hextrum and Howard Croom III
Recently, college athletes have won new rights to their name, image, and likeness; to educational benefits; to transfer; and to earn compensation based on the revenue their labor produces. Using critical race theories, we review the desegregation of college football alongside the legal protections for National Collegiate Athletic Association amateurism, as it was practiced from the 1950s through recent days. We argue that such amateurism still structures a racialized property relationship that grants ontological, monetary, and educational benefits to white stakeholders at the expense of Black football players. Throughout, we offer legal and historical insights about the limitations of the law for social change. We conclude with suggestions to dismantle amateurism and establish a labor market for college football players through which athletes can secure just compensation and workplace protections.
Abolition or Reform? A Review of Historical Perspectives on Football Safety From the 1890s to 1950s and How They Shape Youth Football Debates Today
Kathleen Bachynski
This essay provides a synthesis of secondary literature and primary sources to trace debates about football’s safety and value. It examines ideas from the Progressive Era to the 1950s and shows that such perspectives inform how the American public grapples with increasing research on the risks of repetitive brain trauma and the acceptability of football for younger children in the 21st century. Whether football’s risks were celebrated as inherently good, treated as short-term nuisances that could be minimized through safety reforms, or decried as long-term calamities preventable only by abolishing the sport has always depended on deeply contested social values that remain in tension and unresolved.
Family Car Ownership: Driving Inactivity in Young People? Cross-Sectional and Longitudinal Analyses in the International Children’s Accelerometry Database
Esther M.F. Van Sluijs, Ulf Ekelund, Pedro C. Hallal, Bjorge H. Hansen, Jenna Panter, Jo Salmon, Stephen J. Sharp, Lauren B. Sherar, Andrew J. Atkin, and on behalf of the International Children’s Accelerometry Database (ICAD) Collaborators
Background: Ubiquitous car ownership may affect children’s activity and health. We assessed the cross-sectional and longitudinal associations between household car ownership and children’s daily time spent sedentary (SED) and in moderate to vigorous physical activity (MVPA). Methods: Pooled cohort data were from the International Children’s Accelerometry Database. Outcome measures were average daily accelerometer-measured SED and MVPA (in minutes per day). Exposures were household car ownership (none, 1, and ≥2) and change in car ownership. Associations were examined using multivariable mixed-effects linear regression. Results: Mean age of participants (N = 4193) was 10.4 years (SD = 2.0), 53.4% were girls, and mean follow-up duration (N = 1333) was 3.3 years (SD = 1.1). Cross-sectionally, household car ownership was associated with higher SED (vs none: 1 car: β = 14.1 min/d, 95% CI, 6.7–21.5; ≥2 cars: 12.8, 95% CI, 5.3–20.4) and lower MVPA (vs none: 1 car: β = –8.8, 95% CI, −11.9 to −5.7; ≥2 cars: β = –8.8, 95% CI, −12.0 to −5.7). Associations were stronger in boys than girls and in children from lower socioeconomic backgrounds (SED only). Prospectively, there were no associations with increased car ownership. Reductions in household car ownership (of which 93.1% had ≥ 2 cars at baseline) were associated with a greater reduction in MVPA (vs no change: β = −8.4, 95% CI, −13.9 to −3.0) but not SED. Conclusions: Children in households with car access were more SED and less active than those without. Losing access to a second car was associated with greater decreases in MVPA, potentially related to losing access to activity-enabling environments. Reducing car access and use are important public health targets (eg, reducing air pollution), but their potential impact on children’s activity opportunities should be mitigated.
Gender, Ethnicity, and Socioeconomic Inequalities in Physical Activity Throughout the Life Course: A Systematic Review of Cohort Studies
Giulia Salaberry Leite, Charles Philipe de Lucena Alves, Otavio Amaral de Andrade Leão, and Inácio Crochemore-Silva
Background: This study aimed to assess longitudinal changes in physical activity inequalities according to gender, socioeconomic status, and ethnicity throughout the life course. Methods: We searched PubMed, Embase, Web of Science, and Scopus databases for cohort studies addressing trajectories or monitoring physical activity at a minimum of 2 time points, presenting stratified estimates for at least 1 dimension of inequality (gender, socioeconomic status, or ethnicity). Main methodological characteristics and physical activity point estimates were extracted, enabling interpretation of the stability or increasing/decreasing inequalities over time. Results: Out of the 22 included studies in the review, none were designed or presented with specific aims addressing changes in physical activity according to the dimension of inequalities throughout the life course. Therefore, the main results and interpretation were performed according to available information. Males consistently showed a higher prevalence of physical activity than females. We observed both an increase and stability in gender inequality during childhood, followed by an increase in the transition from childhood to adolescence. During adolescence, both increase and stability in gender inequality were identified, with mixed results observed during adulthood, and in later life stages, in a limited number of studies. There is no or very limited evidence regarding ethnicity and socioeconomic status inequalities throughout the life course. Conclusion: Although none of the studies directly measured inequalities, an early emergence of gender inequalities was observed. Future research should include these dimensions as well as other social identities to enhance the understanding of inequalities throughout the life course.