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A Qualitative Study Investigating Health Care Professionals’ Views on Barriers to Integrating Physical Activity Into Mild Cognitive Impairment/Dementia Care

Yan Lou, Sixue Hong, and Wei Li

This study aimed to investigate health care professionals’ (HCPs) views on barriers to integrating physical activity (PA) into mild cognitive impairment/dementia care. Semistructured online interviews form 16 HCPs were completed between November 2022 and December 2022. Data were subjected to thematic analysis and were later mapped deductively to the Theoretical Domains Framework. Four themes were identified: (1) “Dementia-inclusive infrastructure or PA recommendations have not yet been systematically developed and implemented;” (2) “Roles and challenges of the multidisciplinary team;” (3) “HCPs believe that patients’ PA participation is influenced by their disease or individual factors;” and (4) “HCPs’ thoughts on current practice and opinions.” Deductive mapping of these themes revealed that 13 of the 14 Theoretical Domains Framework domains influenced it. Integrating PA into mild cognitive impairment/dementia care is subject to several modifiable determinants. Policymakers should focus on improving the environmental context and resources to encourage PA in mild cognitive impairment/dementia.

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Relationships of Physical Activity and Type 2 Diabetes With Cognition in Mexican Americans and Non-Hispanic Whites

Fang Yu, Keenan Pituch, Molly Maxfield, Rodney P. Joseph, Jeremy J. Pruzin, Dev Ashish, David W. Coon, Gabriel Shaibi, and HABS-HD Study Team

Problem, Research Strategy, and Findings: Low physical activity (PA) and Type 2 diabetes are associated with cognitive aging and Alzheimer’s disease, but the evidence is inconsistent and particularly limited by ethnicity. The purpose of this study was to examine the relationships of PA and Type 2 diabetes with cognition in Mexican Americans and non-Hispanic Whites. The study was a cross-sectional analysis of the Health and Aging Brain Study-Health Disparities (n = 1,982–2,000 after removing outliers). Predictors included Rapid Assessment of Physical Activity and hemoglobin A1c (HbA1c). Episodic memory was assessed by Weschler Memory Scale–Third Edition Logical Memory and Spanish-English Verbal Learning Test, executive function by Weschler Memory Scale–Third Edition Digit Span and Digit Symbol Substitution Test, verbal fluency by FAS and animal naming, and global cognition by the Mini-Mental State Examination. Results show that aerobic PA and HbA1c were not associated with domain-specific, or global cognition, but strength/flexibility PA was associated with FAS (b = 0.404, 95% CI [0.023, 0.761]). Higher aerobic PA was associated with greater verbal fluency for Mexican Americans (b = 0.294, 95% CI [0.96, 0.497]) only. HbA1c was negatively associated with Mini-Mental State Examination (b = 0.838, 95% CI [0.008, 1.656]). For low HbA1c, the association between aerobic PA and Digit Symbol Substitution Test was significant for non-Hispanic Whites (b = 0.838, 95% CI [0.008, 1.656]) in comparison to Mexican Americans. Takeaway for Practice: The relationships between PA, Type 2 diabetes, and cognition vary by cognitive domains and ethnicity. Increasing aerobic activities may be particularly important for Mexican Americans who have elevated HbA1c to potentially improve fluency or executive function.

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Sitting, Standing, and Physical Activity in Australian Passenger Rail Drivers: On the Right Track for Better Health?

Stephanie E. Chappel, Charlotte L. Rasmussen, Corneel Vandelanotte, Janine Chapman, Andreas Holtermann, Anjum Naweed, and Leon Straker

Background: Poor health in passenger rail drivers, resulting from perceived highly sedentary work and leisure time, has implications for public safety. To date, no studies have described the physical behaviors of passenger rail drivers. This study aimed to characterize the physical behaviors of passenger rail drivers by investigating the volume, pattern, variation, and composition of behaviors at and outside of work. Methods: A convenience sample of 31 rail drivers (77% male, median age 51.0 [12.5] y) in South Australia wore an activity monitor on their right thigh for 8 days and completed a work logbook. Physical behaviors (sitting, standing, light-intensity physical activity, moderate- to vigorous-intensity physical activity [MVPA], and steps) were recorded for workdays and nonworkdays, and work and nonwork time on workdays. The volume, bouts, between-participants variation, and 3-way composition were compared across the 4 time periods. Results: Drivers sat for 10.6 (1.5) hours, did 76.3 (38.8) minutes of MVPA, and took 9727.3 (4088.4) steps daily. At work, drivers were sitting 369.3 (41.8) minutes (187.1 [54.2] min in prolonged bouts) and doing MVPA 31.7 (10.0) minutes. Between-participants variation in sitting time during work (11%) was lower than both nonwork on a workday (19%) and on a nonworkday (24%; P < .001). Compositions at work differed from nonwork on workdays (F = 27.7, P < .001), as did compositions on workdays compared with nonworkdays (F = 6.8, P = .002). Conclusions: Passenger rail drivers were highly sedentary, but also surprisingly active. At work, drivers were more sedentary and had lower variation in behaviors, suggesting work constraints play an important role. Therefore, work may be the most appropriate domain to intervene for promoting healthy physical behavior profiles among these passenger rail drivers.

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The Utility of Head-Mounted Eye Gaze Tracking for Vision-in-Action Assessments to Enhance Skill Acquisition and Sport Performance: A Strengths, Weaknesses, Opportunities, and Threats Analysis

Nikki Aitcheson-Huehn and Adam W. Kiefer

Mobile eye tracking technology enables the objective evaluation of what, when, and how athletes use visual information from the environment to control action in service of skilled performance. This review highlights the strengths, weaknesses, opportunities, and threats (SWOT) to consider before adopting this technology to evaluate visual–motor control for enhanced skill acquisition and performance in sport. Strengths include increased ecological validity by recording the athlete within their natural performance environment. Weaknesses include diminished tracking fidelity based on the eye’s morphology or squinting, eye tracker movement, and lens fogging. Opportunities consist of novel assessments around research themes such as combatting the negative effects of pressure and performance enhancement through personalized training. The formfitting technologies also introduce recording opportunities during standard practices. Data processing time, synchronization of video streams, and hand coding of variables comprise the threats in addition to the hardware cost and the fees associated with crowdsourcing data coding. Currently, it is also not feasible to provide coaches with a report of their athletes’ data in a timeline suitable to create player-specific drills. Evaluating portable eye tracking technology with a SWOT framework helps translate scientific knowledge to practitioners considering implementing this technology for athlete assessment and development.

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Wii Fit Exercise’s Effects on Muscle Strength and Fear of Falling in Older Adults With Alzheimer Disease: A Randomized Controlled Trial

Fatma Uğur and Meral Sertel

Purpose: This study aimed to investigate how Wii Fit exercises affect muscle strength and fear of falling in older adults with Alzheimer’s disease. Method: The study included a total of 32 volunteers with Alzheimer’s disease, aged 65–80 years. These participants were divided into two groups: the exercise group and the control group. The exercise group received a 30-min (one session) twice-weekly exercise program for 6 weeks with games selected from different categories, such as balance and aerobic exercises, with the Nintendo Wii virtual reality device. During this period, the control group did not receive any treatment, and routine medical treatments continued. At baseline and 6 weeks later, Mini-Mental State Examination, knee extension muscle strength, Timed Up and Go Test, and Tinetti Fall Efficacy Scale results were recorded in the exercise and control groups. Results: In intragroup comparison, a statistically significant difference was found in all tests (muscle strength, Timed Up and Go Test, and Tinetti Fall Efficacy Scale) in the exercise group after the exercise program (p < .05), while no significant difference was found in the control group (p > .05). According to the interaction of group and time in the intergroup comparison, there was no difference between the groups (exercise and control group) in muscle strength and Timed Up and Go Test (p > .05), but there was a difference in Tinetti Fall Efficacy Scale (p < .05). Conclusions: This randomized controlled trial supports the claim that Wii Fit exercises can reduce the fear of falling in older adults with Alzheimer’s disease.

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Volume 32 (2024): Issue 5 (Oct 2024)

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Volume 21 (2024): Issue 10 (Oct 2024)

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Volume 46 (2024): Issue 5 (Oct 2024)

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Motor Competence as Key to Support Healthy Development of 3- to 5-Year-Old Children: An Expert Statement on Behalf of the International Motor Development Research Consortium

Clarice Martins, Nadia C. Valentini, Arja Sääkslahti, Eileen K. Africa, E. Kipling Webster, Glauber Nobre, Leah E. Robinson, Michael Duncan, Patrizia Tortella, Paulo F. Bandeira, and Lisa M. Barnett

The first years of life are an optimal time for developing motor competence. However, the evidence regarding motor competence in early childhood is fragmented and needs to be clearly synthesized and presented. To establish effective evidence-based decision making in research, practice, and policy for the early years, this expert statement, on behalf of the International Motor Development Research Consortium, draws together what is currently known about 3- to 5-year-old children on (a) how skilled are children around the world, (b) the link between motor competence and healthy developmental outcomes, and (c) the capacity to improve children’s motor competence through intervention. This expert statement presents a summary of recent evidence for each of these specific points, followed by recommendations for researchers, practitioners, and policymakers.

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Prospective Association Between 24-Hour Movement Behaviors and Fundamental Movement Skills in Chinese Preschoolers During the COVID-19 Pandemic: A Compositional and Reallocation Analysis

Huiqi Song, Patrick W.C. Lau, Jing-Jing Wang, Peng Zhou, and Lei Shi

Background: This prospective observation study explored the association between 24-hour movement behaviors and fundamental movement skills (FMS) in Chinese preschoolers during the COVID-19 pandemic. Methods: Four hundred and eighteen preschoolers (226 males; 4.0 [0.6] y old) from Zhuhai, China, completed the device-based physical activity (PA) and sedentary behavior measures, and sleep duration was reported by parents at baseline (October 2021 to December 2021). FMS was assessed using the Test of Gross Motor Development: Third Edition at 1-year follow-up (October 2022 to December 2022). The compositional analysis and isotemporal substitution were used. Results: Moderate to vigorous PA (MVPA) was positively associated with locomotor skills and ball skills (P < .05), and light physical activity was negatively associated with locomotor skills (P < .05) during the COVID-19 pandemic. FMS improvements were linked to the addition of MVPA at the expense of light physical activity, sedentary behavior, and sleep. The estimated detriments to FMS were larger in magnitude than the estimated benefits of time reallocation from MVPA to light physical activity, sedentary behavior, and sleep. Conclusions: This study provides evidence about 24-hour movement behaviors and FMS during the COVID-19 pandemic and highlights the importance of participating in MVPA to improve preschoolers’ FMS development during the COVID-19 era.