Background: In the context of increasing global focus on sustainability, it is critical to explore how various activities, such as sports, affect young people’s understanding of sustainability. Despite the recognized importance, there is a significant research gap regarding the impact of different sports practices especially their sociomotor components on adolescents’ sustainability awareness (SA) across environmental, social, and economic dimensions. Methods: This cross-sectional study assessed the relationship between the sociomotor component of sports practices and SA in 1157 adolescents, representing diverse genders, socioeconomic backgrounds, and educational levels. The Sustainability Consciousness Questionnaire was employed to measure aspects of sustainability, and sports practices were categorized by their sociomotor components to evaluate their influence on SA. Results: Analysis revealed a significant association between cooperative sports without opposition and SA, particularly within the social dimension. These sports practices, which emphasize team collaboration over competition, were linked to increased social SA among adolescents, suggesting the educational potential of incorporating such sports into academic and extracurricular programs. Conclusions: The findings underscore the potential role of cooperative sports in fostering a deeper understanding of sustainability among youth. By reducing ego-centric behavior and encouraging teamwork, these sports practices may contribute to developing a more socially conscious and sustainable mindset. This study points to the importance of including cooperative sports in educational curricula and suggests the need for further research to explore the long-term effects of sports on sustainability education, with the goal of leveraging sports as a tool for promoting a sustainable future.
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Influence of the Sociomotor Component of Sports Practice on Adolescent Sustainability Awareness
Salvador Boned-Gómez, Alberto Ferriz-Valero, José María Giménez Egido, and Salvador Baena-Morales
The British Preschool Children’s Play Survey: When, Where, and How Adventurously Do British Preschool-Aged Children Play?
Helen F. Dodd and Kathryn Hesketh
Background: Outdoor, adventurous play supports physical activity and might help to prevent mental health problems, yet data on preschool-aged children’s outdoor play are scarce. Method: Data were collected from a nationally representative sample of 1166 parents/caregivers of children aged 2–4 years (52% male; 88% white) living in Britain. Caregivers reported time children spent playing in 7 locations and corresponding adventure level. Responses were used to derive: total play time, outdoor play time, and adventurous play time (in hours per year). Associations between sociodemographic characteristics and play outcomes were examined, controlling for relevant confounding variables. Results: Outside of childcare, preschool-aged children spent approximately 4 hours per day playing, with 1 hour 45 minutes spent playing outdoors. Most outdoor play happened in gardens at home. Away from home, children most often played in playgrounds and green spaces. Levels of adventurous play were reported to be highest at indoor play centers, followed by playgrounds and green spaces. Total play differed significantly by location, with children in rural areas spending more time playing (vs urban areas). Child ethnicity was associated with play and outdoor play, with children belonging to minority ethnic groups (vs white) playing less. Child sex was also a significant predictor of outdoor play time: boys (vs girls) spent more time playing outdoors, driven primarily by time spent in green spaces. No associations were found for adventurous play. Conclusions: These results highlight how inequalities in access to outdoor space at home and good quality local play spaces may impact young children’s play opportunities and, in turn, exacerbate health inequalities.
Gender Gap for Accelerometry-Based Physical Activity Across Different Age Groups in 5 Brazilian Cohort Studies
Luiza I.C. Ricardo, Andrea Wendt, Debora Tornquist, Helen Gonçalves, Fernando Wehrmeister, Bruna Gonçalves C. da Silva, Luciana Tovo-Rodrigues, Iná Santos, Aluisio Barros, Alicia Matijasevich, Pedro C. Hallal, Marlos Domingues, Ulf Ekelund, Renata M. Bielemann, and Inácio Crochemore-Silva
Objectives: This study aims to evaluate the gender inequalities in accelerometer-based physical activity (PA) across different age groups using data from 5 Pelotas (Brazil) cohorts. Methods: The data come from 4 birth cohort studies, covering all live births in the urban area of Pelotas for each respective year (1982, 1993, 2004, and 2015), and the Como vai? cohort study focusing on 60 years and above. Raw accelerometry data were collected on the nondominant wrist using GENEActive/ActiGraph devices and processed with the GGIR package. Overall PA was calculated at ages 1, 2, 4, 6, 11, 15, 18, 23, 30, and 60+ years, while moderate to vigorous PA was calculated from 6 years onward. Absolute (difference) and relative (ratio) gender inequalities were calculated and intersectionality between gender and wealth was also evaluated. Results: The sample sizes per cohort ranged from 965 to 3462 participants. The mean absolute gender gap was 19.3 minutes (95% confidence interval, 12.7–25.9), with the widest gap at 18 years (32.9 min; 95% confidence interval, 30.1–35.7) for moderate to vigorous PA. The highest relative inequality was found in older adults (ratio 2.0; 95% confidence interval, 1.92–2.08). Our intersectionality results showed that the poorest men being the most active group, accumulating around 60 minutes more moderate to vigorous PA per day compared with the wealthiest women at age 18. Conclusions: Men were more physically active than women in all ages evaluated. PA gender inequalities start at an early age and intensify in transition periods of life. Relative inequalities were marked among older adults.
Supporting People With Musculoskeletal Conditions From Underserved Communities in the United Kingdom to Engage With Physical Activity: A Realist Synthesis and Q-Methodology Study
Alice Berry, Terence Brady, Natasha Bradley, Nicky Harris, Caroline Flurey, Faatihah Niyi-Odumosu, Emma Dures, and Nicola Walsh
Background: In the United Kingdom, 20 million individuals suffer from a musculoskeletal condition, for which physical activity (PA) is a core treatment. Minority ethnic communities experience a disproportionate impact, experiencing higher levels of pain and engaging in less PA. Research has identified various factors that affect their participation in PA, including lack of access to support, limited knowledge of resources, language barriers, fear of racial harassment while exercising, and insufficient communication/information from healthcare professionals. Methods: This project adopted a realist perspective, aiming to understand “what works, in which circumstances, and for whom?” The project had 4 steps: (1) defining review scope with stakeholders; (2) searching and extracting literature, creation of initial program theories; (3) refining/validating initial program theories with stakeholders; and (4) adopting Q-methodology to highlight priority areas. Results: 17 papers were included. Three program theories were identified: (1) Lack of initial access to health service support; (2) Nature of musculoskeletal self-management support—the importance of the therapeutic relationship and value of shared conversations; and (3) Accessible long-term support for PA engagement. The Q-sort exercise highlighted priority areas: (1) complex booking procedures and inadequate translation services, (2) time constraints impact effective patient-centered care, (3) dismissive attitudes/mismatched expectations impact shared decision making, (4) rebuilding trust to strengthen therapeutic relationships, (5) cultural relevance in developing therapeutic relationships, and (6) clinician recommended PA opportunities increase knowledge of PA. Conclusions: Our findings shed light on inequities across the UK’s musculoskeletal pathways, specifically in relation to PA engagement. This points toward priority areas for future research and interventions.
24-Hour Movement Behaviors of LGBTQA+ Young People: A Systematic Review
Kathryn Fortnum, Sjaan R. Gomersall, Megan H. Ross, James Woodforde, George Thomas, Yu-Shu Wen, Francisco Perales, and Michalis Stylianou
Background: The movement behaviors of LGBTQA+ young people, who encounter specific health, and other, challenges are not well understood. This systematic review examines the 24-hour movement behaviors of LGBTQA+ young people compared with population estimates of meeting the 24-hour movement guidelines. Methods: Seven electronic databases were searched from inception to January 2024. Observational studies published in English and reporting quantitative data for physical activity, sedentary behavior, or sleep duration for LGBTQA+ individuals <24 years old were included. Data were narratively synthesized for children/adolescents (<18 years) and young adults (18–24 years), guided by the Cochrane Synthesis Without Meta-analysis guidelines. Results: Fifty-six studies were included; 46 were of “fair” quality and 37 were conducted in the United States. Physical activity, sedentary behavior, and sleep outcomes were reported in 46, 11, and 14 studies, respectively. Ninety unique LGBTQA+ terms were identified. Based on outcomes reported in ≥1 study, and compared to population estimates, LGBTQA+ young people were less likely to meet aerobic physical activity and strength/resistance training guidelines. LGBTQA+ children/adolescents were less likely to meet the sleep guidelines. Young adults demonstrated similar adherence to sleep guidelines as population estimates. Conclusions: Overall, our results suggest that LGBTQA+ young people have suboptimal 24-hour movement behaviors; in some cases, worse than population estimates. Utilization of more robust measures of exposure and outcome variables is recommended, with a focus on sleep and sedentary behavior.
Are the Relationships of Physical Activity and Television Viewing Time With Mortality Robust to Confounding? A Study, Utilizing E-Values, From the Melbourne Collaborative Cohort Study
Baldwin Pok Man Kwan, Brigid M. Lynch, Lara Edbrooke, Allison Hodge, and Christopher T.V. Swain
Background: Physical activity and sedentary behavior are associated with health outcomes. However, evidence may be affected by confounding bias. This study aimed to examine the relationships of physical activity and television (TV) viewing time with all-cause, cardiovascular, and cancer mortality in a cohort of Australian adults, and determine the robustness of these relationships to residual and unmeasured confounding. Methods: Data from 27,317 Melbourne Collaborative Cohort Study participants (mean age = 66) were used. Physical activity was assessed using the International Physical Activity Questionnaire—Short Form and categorized as insufficient, sufficient, or more than sufficient. TV viewing time was categorized as low, moderate, or high. Multivariable Cox regression models were used to evaluate associations of interest. E-values were calculated to assess the strength of unmeasured confounders required to negate the observed results. Results: For highest versus lowest physical activity category, the hazard ratio was 0.67 (95% confidence interval, 0.56–0.81) for all-cause mortality; E-values ranged between 1.79 and 2.44. Results were similar for cardiovascular mortality; however, hazard ratios were lower (0.72; 95% confidence interval, 0.51–1.01) and E-values much smaller (1.00–2.12) for cancer mortality. For highest versus lowest TV viewing time category, the hazard ratio was 1.08 (1.01–1.15) for all-cause mortality; E-values ranged between 1.00 and 1.37. Results were similar for cardiovascular and cancer mortality. Conclusions: Physical activity and TV viewing time were associated with mortality. The robustness to unmeasured/residual confounding was moderate for physical activity (all-cause and cardiovascular mortality), but weaker for physical activity (cancer mortality) and TV viewing time in this study of Australian adults.
Erratum. Are the Relationships of Physical Activity and Television Viewing Time With Mortality Robust to Confounding? A Study, Utilizing E-Values, From the Melbourne Collaborative Cohort Study
Journal of Physical Activity and Health
Understanding the Relationships Between Physical Activity and Climate Change: An Umbrella Review
Milena Franco Silva, Ana Luiza Favarão Leão, Áine O’Connor, Pedro C Hallal, Ding Ding, Erica Hinckson, Tarik Benmarhnia, and Rodrigo Siqueira Reis
Background: Physical activity is crucial for maintaining health and preventing chronic diseases. However, climate conditions can impact physical activity patterns, and conversely, physical activity can impact climate change. This umbrella review aims to summarize the existing evidence regarding the relationships between physical activity and climate change, as revealed in previous reviews. Methods: Systematic reviews and meta-analyses were analyzed. Searches were conducted across GreenFILE, PubMed, and Web of Science databases for peer-reviewed articles published in English. A 2-stage independent screening process was conducted, and methodological quality was assessed using the JBI framework. Standardized data extraction methods were then applied. Results: Out of 1292 articles retrieved, 7 met all eligibility criteria and were included in the review. Three articles examined physical activity as a primary exposure, 3 focused on the impacts of climate change, and one considered both physical activity and climate change as primary exposures. Conclusions: Findings reveal an interplay between climate change and physical activity. While rising temperatures may prompt outdoor activities up to a certain temperature threshold, air pollution and extreme heat can have harmful effects. Active transportation and improved logistics around large-scale sporting events can mitigate climate change by reducing greenhouse gas emissions, but transportation systems linked to sports venues may increase emissions. Research on the reciprocal relationship between climate change and physical activity domains, and integrating the community into climate discussions, is crucial for equity, especially for marginalized communities. Incorporating climate adaptation and mitigation strategies in physical activity infrastructure to minimize environmental impacts is critical.
Navigating Physical Activity Promotion and Policy in the Post-COVID-19-Pandemic Era
Justin Richards, Katja Siefken, Michael Pratt, Adrian Bauman, Juliana Mejía-Grueso, Catherine B. Woods, Wanda Wendel-Vos, Erica Hinckson, Deborah Salvo, Pedro C. Hallal, and Andrea Ramírez Varela
Background: There is limited evidence on the priorities and opportunities associated with promoting population physical activity (PA) participation for the post-COVID-19-pandemic future. Purpose: This study assessed government-led PA promotion efforts before and during the COVID-19 pandemic, along with post-COVID-19-pandemic priorities and recommendations. Methods: Two separate cross-sectional surveys conducted in 2023. Survey 1 was targeted at the Global Observatory for Physical Activity (GoPA!) Country Contacts. Survey 2 also included key international informants representing influential stakeholders in PA policy implementation. Results: There were 68 respondents to Survey 1, collectively representing 61 countries. An additional 37 people, including representatives from 14 key international stakeholders responded to Survey 2. Eighty-two percent of countries had national PA policies. COVID-19 widely disrupted PA policy implementation. Less than 40% of countries integrated PA into their COVID-19 response plan and more than 75% reported policies that restricted PA participation. Although most respondents indicated that government PA priorities did not change due to the COVID-19 pandemic, one in five countries reported that cross-sectoral partnership had become more important during this period. Less than a third of postpandemic governments reported as highly engaged despite the widespread proliferation of PA policies and plans prior to the pandemic. There were variations according to country, region, and income. Conclusions: Elevating PA promotion on the public health agenda is crucial for the post-COVID-19-pandemic era. At a policy level, it is critical to focus on adequate resourcing, cross-sectoral partnerships, integrated interventions, and inequities in participation. These factors have become increasingly important in the postpandemic PA policy landscape.
Striving for Global Consensus: A Systematic Review of Social Return on Investment Applied to Physical Activity and Sport
Inés Nieto, Xián Mayo, Larissa Davies, Lindsey Reece, Ben Strafford, and Alfonso Jimenez
Background: Physical activity and sport (PAS) have been related to health and social benefits, but their monetary value remains unclear. This systematic review on the social return on investment of PAS aimed to find what are the social outcomes measured in previous PAS literature and how are these measured and valued. Methods: A systematic search was conducted on WoS, PubMed, and EconLit. Articles in English, measuring the social value of any type of PAS in monetary terms and utilizing a social return on investment framework, were included. Risk of bias was evaluated using the Drummond checklist. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed. Results: Fifty-five documents (2010–2022), from all continents except America, were included; only 8 were published in peer-reviewed journals, whereas 47 were reports. Most studies evaluated the benefits of specific programs, and 6 measured the engagement in PAS at the population level based on national or community surveys. The social outcomes identified were health (94.5%), crime (50.9%), education (83.6%), subjective well-being (89.1%), social capital (60%), and other (3.6%–23.6%). The valuation methods included willingness to pay, well-being valuation, the cost of an activity that could result in the same outcome, and cost databases associating outcomes with a monetary value. Conclusions: This study updates a previous review and widens the scope by answering the question of how social outcomes are measured and valued in previous PAS literature. Given the heterogeneity found in the application of the method, this review will inform a Delphi study to reach a Global Consensus Statement on the measurement of social value and PAS.