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Physical Activity, Sedentary Behavior, and Educational Outcomes Among Australian University Students: Cross-Sectional and Longitudinal Associations

Lena Babaeer, Michalis Stylianou, and Sjaan R. Gomersall

their long-term success. Therefore, this study aimed to explore cross-sectional and longitudinal associations of PA, SB, and EO among first-year university students in an Australian higher education institution. In doing so, this study attempted to address gaps that have been identified in relevant

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Cross-Sectional Relationship Between Physical Activity and Falls in Older Adults, United States 2003

Susan A. Carlson, Judy Kruger, Harold W. Kohl III, and David M. Buchner

Background:

Falls are a major health problem for older adults. The purpose of this study is to examine the cross-sectional association between non-occupational physical activity and falls and fall-related injuries in US adults age 65 y or older.

Methods:

Respondents age 65 y or older were selected from the 2003 Behavioral Risk Factor Surveillance System (n = 47,619).

Results:

The age-adjusted incidence of falls was significantly higher among inactive respondents (16.3%, 95% CI: 15.2–17.6) than insufficiently active (12.3%, 95% CI: 11.4–13.2) or active (12.6%, 95% CI: 11.6–13.7) respondents. After controlling for sex, age, education, and body-mass index, active and insufficiently active respondents were significantly less likely to have fallen and were significantly less likely to have had a fall-related injury than their inactive peers.

Conclusion:

These results show that active and insufficiently active older adults experience a lower incidence of falls than their inactive peers.

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Prevalence of Physical Activity Among Lebanese Adults: A Cross-Sectional Study

Mohamad Al-Tannir, Samer Kobrosly, Taha Itani, Mariam El-Rajab, and Sawsan Tannir

Background:

This survey aims to assess the prevalence of physical activity among adult Lebanese, and to report the relationship between sociodemographic variables and physical activity behavior, highlighting the correlates discouraging people to carry out physical activity.

Methods:

A cross-sectional study using an anonymous self-reported questionnaire was conducted on 346 adults from four Lebanese districts. Demographic characteristics, physical activity, smoking status, alcohol consumption, and medical history were obtained.

Results:

Prevalence of physical activity among Lebanese adults was 55.5% (192/346). Age, BMI, marital status, medical history, occupation, educational level, and smoking were significantly associated with physical activity (P < .05). Inactive obese participants were about three times more likely to report hypertension and diabetes than inactive normal weight participants (P = .013). BMI was significantly higher among inactive participants (P = .014).

Conclusion:

Physical activity among Lebanese adults was comparable to other populations. Married, non–office workers, and smokers were the main correlates of physical inactivity in Lebanese adulthood.

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Physical Activity Profiles and Perceived Environmental Determinants in New Zealand: A National Cross-Sectional Study

Nick Garrett, Philip J. Schluter, and Grant Schofield

Background:

A minority of adults in developed countries engage in sufficient physical activity (PA) to achieve health benefits. This study aims to identify modifiable perceived resources and barriers to PA among New Zealand adults.

Methods:

Secondary analysis of a 2003 nationally representative cross-sectional mail survey, stratified by region, age, and ethnicity, and analyzed utilizing ordinal logistic regression.

Results:

Overall, n = 8038 adults responded to the survey, of whom 49% met updated guidelines for sufficient PA. Perceived accessibility of local resources was associated with PA; however, for some resources there was more awareness among individuals whose predominant activity was not commonly associated with that resource (eg, health clubs and walkers). Perceived local environmental barriers demonstrated negative (steep hills, crime, dogs) and positive (unmaintained footpaths) associations. The absence of perceived environmental barriers was strongly associated with increased activity, suggesting the number of barriers may be a critical factor.

Conclusion:

Complex relationships between perceptions of local environments and activity patterns among adults were found. Although complex, these results demonstrate positive associations between awareness of resources and perceived lack of barriers with being sufficiently physically active for health. Therefore, investments in provision and/or promotion of local resources have the potential to enable active healthy communities.

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Physical Activity Status in Patients With Coronary Heart Disease: Results From the Cross-Sectional EUROASPIRE Surveys

Delphine De Smedt, Els Clays, Christof Prugger, Johan De Sutter, Zlatko Fras, Guy De Backer, Dragan Lovic, Anneleen Baert, Kornelia Kotseva, and Dirk De Bacquer

Background:

The study aim was to assess the physical activity levels as well as the intention to become physically active in patients with stable coronary heart disease (CHD) with a special focus on the association with their risk profile.

Methods:

Analyses are based on the cross-sectional EUROASPIRE IV surveys. Information was available on 8966 patients in EUROASPIRE III and on 7998 patients in EUROASPIRE IV. Physical activity level according to patients risk profile and their medical management was assessed, the intention to become physically active was investigated and a time trend analysis was performed.

Results:

A better cardiovascular risk profile as well as receiving physical activity advice or weight loss advice was associated with better physical activity levels. The physical activity status improved significantly over time, the proportion of patients reporting vigorous physical activity for at least 20 minutes ≥ 3 times/week increased from 14.1% to 20.2% (P < .001). Similarly, a significantly greater proportion of patients are in the maintenance stage (36.6% vs. 27.4%) and a smaller proportion in the precontemplation stage (43.2% vs. 52.3%).

Conclusion:

Although an increase was seen in the proportion of patients being adequately physical active, physical activity levels remain suboptimal in many CHD patients.

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Exercise on Prescription: A Cross-sectional Study With Self-reported Outcome

Helene Buch Pedersen, Morten Helmer-Nielsen, Karin Brochstedt Dieperink, and Birte Østergaard

Background:

Exercise on prescription (EOP) is an attempt to increase physical activity among sedentary adults with signs of lifestyle diseases. Until now, no studies have focused on patients with chronic diseases and how they assess the long-term effect of participating in EOP consisting of supervised interventions of different intensities. This study aimed to describe and compare self-reported physical activity in the long term among participants in 3 EOP modules of different intensities.

Methods:

A cross-sectional survey was conducted among 1152 former participants in EOP between July 2005 and May 2007 in 2 Danish counties. Physical activity was measured as number of days with a minimum 30 minutes of moderate/vigorous activity.

Results:

Seventy-five percent (n = 854) returned the questionnaire. Of these, 36% reported being physically active ≥ 5 days/week. Comparing leisure-time activities before EOP 29% was sedentary vs. 15% (P < 0 .01) after, moderate + hard leisure-time activities was 7% before vs. 19% after EOP (P < 0 .01). Time postintervention did not influence the numbers reporting to be physical active negatively.

Conclusions:

This study in community-dwelling adults with chronic diseases participating in EOP finds that approximately one-third reported being physically active in the long term postintervention, but no differences between the modalities were found.

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Objectively Measured Sedentary Behavior, Obesity, and Psychological Well-Being: A Cross-Sectional Study of Japanese Schoolchildren

Kaori Ishii, Ai Shibata, Minoru Adachi, Yoshiyuki Mano, and Koichiro Oka

Background:

Sedentary behaviors (SB) are associated with health indicators; however, there are currently very few studies that have examined these associations, especially in conjunction with psychological factors, in children. The current study examined the independent relationship between objectively assessed SB, and indicators of obesity and psychological well-being, among Japanese children.

Methods:

A total of 967 elementary-school children completed a cross-sectional survey. SB was measured with accelerometers for 7 consecutive days. Psychological well-being data (eg, anxiety and behavior problems) were collected via a self-report questionnaire. To determine the relationship of SB with degree of obesity and psychological well-being, linear regression analyses were conducted to relate the indicators of obesity and psychological well-being on SB, adjusted by gender, grade, percentage of moderate-to-vigorous physical activity per day, duration spent wearing the accelerometer, and degree of obesity.

Results:

SB was significantly related to behavioral/emotional problems (β = .280, P = .010, R 2 = .015). There was a statistically significant relationship between SB and anxiety (β = .206, P = .059, R 2 = .007). No significant association with degree of obesity was found.

Conclusions:

Excess SB relates higher levels of behavioral/emotional problems and anxiety. These results can inspire the development of interventions that promote well-being and enhance psychological health, by focusing on SB in Japanese children.

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Cross-Sectional Associations Between Sitting Time and Several Aspects of Mental Health in Belgian Adults

Melinda Asztalos, Greet Cardon, Ilse De Bourdeaudhuij, and Katrien De Cocker

Background:

Sedentary behavior (including sitting) is negatively associated with physical health, independent from physical activity (PA). Knowledge on the associations with mental health is less elaborated. Therefore this study aims to investigate the relationship between sitting and 5 indices of mental health in adults (psychological distress, depression, anxiety, somatization, and sleeping problems), and between sitting interactions (sitting×gender, sitting×age, sitting×education, and sitting×PA) and these mental health indices.

Methods:

A cohort of Belgian adults (25–64 years; n = 4344) provided self-reported data on sitting and PA and on 5 mental health indices. Cross-sectional associations were examined using multiple linear regression analyses.

Results:

Analyses adjusted for gender, age, education, and PA showed significant positive associations between sitting and the 5 mental health indices (P < .05). All associations were true for both men and women, and for low and high educated individuals, while some were only found in older individuals (somatization, P < .001) and those being insufficiently active (psychological distress, P = .007; depression, P = .002; and anxiety, P = .014).

Conclusions:

More sitting seems to be associated with poorer mental health, independently of gender, age, education, and PA. Moderation analyses showed that these associations may differ according to age and PA levels.

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Cross-Sectional and Longitudinal Associations Between Physical Activity and Blood Pressure in Adolescence: Birth Cohort Study

Pedro C. Hallal, Samuel Carvalho Dumith, Felipe Fossati Reichert, Ana M.B. Menezes, Cora L. Araújo, Jonathan C.K. Wells, Ulf Ekelund, and Cesar G. Victora

Objectives:

To explore cross-sectional and longitudinal associations between self-reported and accelerometry-based physical activity (PA) and blood pressure (BP) between 11 and 14 years of age.

Methods:

Prospective birth cohort study in Pelotas, Brazil. Participants were 427 cohort members who were followed up with at 11, 12, and 14 years of age, and had questionnaire data on PA and BP at 11 and 14 years, as well as accelerometry and questionnaire data on PA at 12 years. Outcome measures were continuous systolic and diastolic BP at 14 years, and change in BP from 11 to 14 years.

Results:

PA was unrelated to systolic BP in any analyses. PA measured by accelerometry at 12 years, but not questionnaire-derived PA, was inversely associated with diastolic BP at 14 years of age in fully adjusted models. Those who exceeded the 300-minutes PA threshold at all 3 visits had a 2.6 mmHg lower mean increase in DBP from 11 to 14 years compared with those classified below the threshold in all visits.

Conclusions:

Accelerometry-based PA was longitudinally inversely associated with diastolic BP. This finding was not evident when analyzing self-reported PA at a given age, suggesting a possible underestimation of the association when using subjective data.

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Gender Differences in Caregivers’ Attitudes to Risky Child Play in Britain: A Cross-Sectional Study

Andrea D. Smith, Helen F. Dodd, Luiza Ricardo, and Esther van Sluijs

collapsed into a binary socioeconomic status variable grouping participants into “middle class (high/medium socioeconomic status)” or “working class (low socioeconomic status).” 31 Statistical Analyses Multiple linear regression models examined cross-sectional associations between parent gender and child