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Toowoomba Healthy Towns: A Citizen Science Initiative on Active Transport in Regional South East Queensland, Australia

Tracy Kolbe-Alexander, Paul A. Gardiner, Ann Banchoff, Adam Schmidt, Melinda Covey-Hansen, and Abby C. King

Background: Engaging in active transport will enable individuals across the life course to increase their habitual levels of physical activity. The aim of this study was to engage citizen scientists (CS) to identify factors that influence active transport in their community. Methods: The Our Voice citizen science methodology developed at Stanford University was employed. CS completed a “discovery walk,” taking photos of things that help or hinder active transport. Three groups were recruited: children aged 10–12 years (n = 11), adults (n = 12), and older adults >65 years (n = 10). CS rated each photo and provided a narrative explaining their reason for taking the photo. Once all CS in a specific age group had completed the walk, they met for a group discussion. The CS worked together to analyze the data, arranging them into themes and identifying priority actions. Two CS representatives from each age group presented their findings to the local council decision makers. Results: Children highlighted the need for safer crossings, especially from their school to the local park, and suggested zebra crossings as a solution. The adults highlighted that road signs prioritized vehicles, not pedestrians, and requested that this be reversed. Older adults noted that the poor condition of the pavements made it harder for people in wheelchairs to navigate. The CS recommendations have informed the council’s walking and cycling network program. Conclusion: Engaging with citizen science provided the community with an opportunity to advocate for meaningful yet realistic improvements in the built environment that could promote neighborhood active transport and physical activity across the lifespan.

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Amplifying Student Viewpoints on Inclusive Student Experiences for Inclusive Excellence in Kinesiology

DeAnne Davis Brooks, Helen Yolisa Duley, Laura M. Pipe, Carla C. Fullwood, and Christopher A. Aiken

The purpose of this paper is to share how the American Kinesiology Association’s Diversity, Equity and Inclusion Committee envisioned, planned, and created an opportunity to show how inclusive excellence can be implemented as a strategy for transformation and change. This was achieved by listening to and intentionally responding with positive outcomes to students who voice their lived experiences in an institution of higher education. The Viewpoints on Inclusive Student Experiences (VOISES) model of student/faculty engagement is explained, along with reflections from two faculty members who participated in VOISES panels—one as an audience member and the other as a panel moderator. The discussion includes suggestions for incorporating student voices generally and the VOISES model specifically as part of a comprehensive diversity, equity, and inclusion strategy.

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Essential Improvements in Fat Percentage and Cardiometabolic Fitness After a Residential Stay for Socially Vulnerable Children—With and Without the “11 for Health” Concept

Trine K. Møller, Peter Krustrup, Jan C. Brønd, Nina R.W. Geiker, and Malte N. Larsen

The Danish Christmas Seal Homes offer a 10-week residential stay for socially vulnerable children. We aimed to examine the effects on body composition and cardiometabolic fitness variables of the standard program (SG) and whether substituting physical activity sessions with sessions from a football-based health education program is beneficial for the participants (“11 for Health”; SG+). Three hundred and nine children participated in SG (12.4 [1.6] y) and 305 in SG+ (12.4 [1.4] y). Fat percentage was lowered by 6% for females (from 37% to 31%) and 8% for males (from 36% to 28%), with no between-group differences. We observed improvements in systolic and diastolic blood pressure (3 and 5 mm Hg, respectively), resting heart rate (10 beats/min), aerobic fitness, jump performance, and relative muscle mass with no between-group differences. Furthermore, there were between-group differences in insulin levels for females (1.7 pmol/L; 95% CI, 0.3 to 3.0) and postural balance for males (1.0 s; 95% CI, 0.0 to 2.0), both in favor of SG+, and covered distance in the Andersen test for females (26 m; 95% CI, 3 to 49) in favor of SG. In conclusion, a 10-week stay at the Danish Christmas Seal Home resulted in clinically relevant improvement in fat percentage and cardiometabolic fitness in socially vulnerable children, regardless of the program type.

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Relationship Between Supporting Leg Stiffness and Trunk Kinematics of the Kicking Leg During Soccer Kicking

Akihiro Tamura, Keita Shimura, and Yuri Inoue

The stiffness of the supporting leg may alter the energy transfer to the trunk and lower extremities of the kicking leg, which may affect kick performance. This study aimed to clarify whether the stiffness of the supporting leg affects the trunk kinematics during kicking and kicking performance in soccer players. Twenty-two male collegiate soccer players participated in the study. The data for the stiffness properties of the supporting leg and trunk kinematics were obtained and calculated using a 3-dimensional motion analysis system. The results showed that a greater leg stiffness of the supporting leg was associated with a lower trunk rotation angle during kicking. There were no significant correlations between the maximum swing speed and the stiffness of the supporting leg (P < .05). These results suggest that stiffness of the supporting leg may restrain trunk rotation during the kicking motion. However, the lack of a relationship with swing speed indicates the need for further investigation into its effects on kicking performance.

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Assessment of the Relationship Between Physical Performance and Percentage Change-of-Direction Deficit in Highly Trained Female Football Players

Alberto Roso-Moliner, Elena Mainer-Pardos, Chris Bishop, and Oliver Gonzalo-Skok

Purpose: Different studies indicate that female players in team sports such as soccer tend to have a lower change-of-direction (COD) deficit (CODD) than their male counterparts and that players who performed better in linear and curved sprints tended to have a worse CODD, suggesting that maximum speed does not equate to a faster COD. This study assessed how performance variables related to speed and jumping influence the variability of %CODD among adult highly trained female soccer players. Methods: Fifty-two highly trained female soccer players (age 23.1 [3.25] y; height 163.6 [5.49] cm; weight 59.7 [5.71] kg) participated in this study and performed 180COD, 40-m sprint, countermovement jump, and standing broad jump tests. Results: Significant correlations were found between 180CODL, %CODDR, %CODDL, and between-limbs standing broad jump asymmetry (r = .28–.74). A very large correlation existed between %CODDR and %CODDL (r = .91). Regression analyses indicated a strong inverse relationship between the 10-m sprint time and %CODDR and %CODDL. No predictive models were found for 180COD in either limb. Differences in performance variables such as 180CODR, 180CODL, and asymmetry %CODD were significant between the high- and low-%CODD groups, with moderate to large effect sizes. Conclusion: The present study suggests that specific physical-performance variables, particularly acceleration and unilateral horizontal jumping, are vital to improving COD in highly trained female soccer players, highlighting the need for specific training interventions.

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The ESCAPE Trial for Older People With Chronic Low Back Pain: A Feasibility Study of a Clinical Trial of Group-Based Exercise in Primary Health Care

Hytalo de Jesus Silva, Júlio Pascoal de Miranda, Camila Silva de Melo, Leticia Soares Fonseca, Rodrigo de Oliveira Mascarenhas, Nathalia Soares Veloso, Whesley Tanor Silva, Alessandra de Carvalho Bastone, and Vinícius Cunha Oliveira

Low back pain is a highly disabling health condition that generates high costs for patients and healthcare systems. For this reason, it is considered a serious public health problem worldwide. This pilot study aimed to assess the feasibility of a future randomized controlled trial (RCT) by evaluating adherence to treatment, contamination between groups, satisfaction with treatment, and understanding of the exercise instructions provided by the physiotherapist. Additionally, we sought to identify and implement necessary modifications to the exercise protocol for better suitability in older people. We conducted a prospective, registered pilot RCT comparing an 8-week group-based exercise program with a waiting list in older people (≥60 years old) with chronic low back pain. Sixty participants were recruited through social media, pamphlets, and invitations at community referral centers. The study demonstrated the feasibility of a full RCT. Participants reported high satisfaction with the treatment (i.e., 100% indicated willingness to return for future services) and a high understanding of the exercise instructions (i.e., 81.8% reported “very easy” comprehension). Adherence to the exercise program exceeded the average reported for group exercise interventions in older adults (i.e., 82.58%). Dropout was associated solely with preexisting physical activity levels. The exercise protocol was successfully adapted to better suit the needs of the older adult population. This pilot RCT demonstrates the feasibility of a full-scale RCT to evaluate the effectiveness of group exercise in improving pain intensity and disability in older adults with chronic low back pain. The implemented adjustments to the exercise protocol and overall study approach strengthen the methodological foundation and expected accuracy of the future RCT.

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The Impact of Physical Activity and Lifestyle on Mental Health: A Network Analysis

Victor Matheus Lopes Martinez, Maiara da Silva Martins, Fernanda Capra, Felipe Barreto Schuch, Luis Eduardo Wearick-Silva, and Ana Maria Pandolfo Feoli

Aim: This study aimed to investigate the association between physical activity (PA), lifestyle, and symptoms of depression, anxiety, and stress. Methods: A cross-sectional study was carried out using an online questionnaire. PA (International Physical Activity Questionnaire), lifestyle (Short Multidimensional Inventory Lifestyle Evaluation), and mental health (Depression, Anxiety, and Stress Scale-21) were assessed. Mean scores were compared between groups of physically active and inactive participants, controlling for gender, education, and income. Furthermore, associations were made between the variables, and individual network analyses were carried out for each mental health domain. The sample consisted of 353 individuals (age = 33.8 [12.2], 59.2% women). Results: In network analyses, PA was indirectly related to depression and stress through the relationship with other lifestyle domains such as diet and nutrition or through stress management and social support. The same path was observed for anxiety; however, a direct partial correlation was also observed between PA and anxiety, suggesting that PA seems to intervene more directly in this aspect of mental health. Conclusion: It is concluded that PA is indirectly (via stress management, diet and nutrition, and social support) associated with depression and stress and has direct and indirect associations (via stress management and social support) with anxiety.

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Examining the Effects of a 24-Week Exercise Program on Functional Capacity, Cognitive Capacity, and Quality of Life in Individuals With Intellectual and Developmental Disabilities

Miguel Jacinto, Raul Antunes, Diogo Monteiro, Filipe Rodrigues, Nuno Amaro, Maria João Campos, José Pedro Ferreira, and Rui Matos

This study investigated the effects of two physical exercise programs for adults with intellectual and developmental disabilities. Twenty-one participants were assigned to an indoor group (IG, n = 7; 24-week gym intervention with machine), an outdoor group (OG, n = 7; 24-week outdoor intervention with low-cost materials) or a control group. The outcomes assessed included quality of life, dementia, and functional capacity. The IG significantly improved physical well-being compared with the control group (p = .017). There were no significant differences in dementia score between groups and moments. Postintervention, the IG showed improvements compared with the control group for the 30-s sit-to-stand test (p = .03), timed up-and-go (p = .00), and 6-min-walk test (p = .033) and between moments in the IG for 30-s sit-to-stand test (pre ≠ post; p = .007) and 6-min-walk test (pre ≠ post; p = .007). Outdoor interventions appeared effective for physical well-being, while indoor interventions using weight-training machines benefited functional capacity. No significant effects were observed for dementia/cognitive decline.

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Light-Intensity Physical Activity and Sedentary Behavior Are Associated With Blood Pressure Levels in Adolescents

Vanessa de Souza Vieira, Susana da Costa Aguiar, Maria Cristine Campos, Laís Coan Fontanela, Jaquelini Betta Canever, Melina Hauck, Lívia Arcêncio do Amaral, Viviane de Menezes Cáceres, Ione Jayce Ceola Schneider, and Danielle Soares Rocha Vieira

Purpose: To investigate the associations between physical activity (PA) intensities, sedentary behavior (SB), and blood pressure (BP) in adolescents, according to sex. Method: This cross-sectional study involved 95 male and female adolescents aged 15–18 years. Accelerometry was used to measure time spent in light-intensity PA (LPA), moderate to vigorous PA (MVPA), and vigorous PA, and SB. The BP was determined using an automated sphygmomanometer. Statistical analyses included multiple linear regression and command margins. Results: Significant associations were found between systolic BP (SBP) and time spent in LPA (B = −0.08; 95% CI, −0.15 to −0.01) and SB (B = 0.071; 95% CI, 0.004–0.138), albeit only in boys. Furthermore, an interaction was observed between time spent in SB and MVPA for SBP in boys (B = −0.002; 95% CI, −0.004 to −0.0008). The main interaction effect of increasing SBP was a combination of <75 minutes per day of MVPA and up to 600 minutes per day of SB. Conclusions: Increased time in LPA and reduced time spent in SB during the day are associated with lower SBP in male adolescents. Additionally, the relation between SB and SBP was attenuated by MVPA. These findings provide crucial insights for PA recommendations to promote cardiovascular health in adolescents.

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Secular Trends in Gross Motor Coordination: A Study of Peruvian Children Living at High Altitude

Alcibíades Bustamante, José Maia, Carla Santos, Fernando Garbeloto, Olga Vasconcelos, Go Tani, Donald Hedeker, Peter T. Katzmarzyk, and Sara Pereira

Purpose: To (1) describe secular trends in gross motor coordination (GMC) scores by sex and age; (2) investigate GMC trends adjusted for concomitant secular trends in height, weight, and overall physical fitness; and (3) examine trends in children’s frequencies within different GMC categories. Method: The sample comprises 1562 Peruvian children (690 in 2009 and 872 in 2019), aged 6–11 years, from Junín (a high-altitude region). GMC was assessed with the KörperkoordinationsTest für Kinder. Physical fitness was assessed with handgrip strength, standing long jump, and shuttle-run test. Height and weight were measured with standardized protocols. Analysis of variance, covariance, and logistic regression were used. Results: A negative secular trend in GMC (based on raw scores) for boys and girls aged 6–8 years was observed. However, a positive trend was observed at 11 years of age but only in boys. Finally, there were no significant changes in the likelihood of children having below-normal GMC from 2009 to 2019. Conclusions: Secular trends in GMC were negative in Peruvian children, especially at 6–8 years of age. Further, body size and physical fitness trends did not affect the negative secular trend. A high prevalence of children had below-normal GMC in both 2009 and 2019.