This study investigates the effectiveness of two fall-prevention exercise interventions targeting physical performance, activity level, fall-related self-efficacy, health-related quality of life, and falls: the Otago Exercise Programme (OEP) with and the OEP without behavior change support. In this randomized controlled trial, 175 participants were randomized into two intervention groups and one control group. A total of 124 community-dwelling older adults aged 75 and older who needed walking aids or home support participated in the 2-year follow-up. The OEP with and without support for behavior change displayed no long-term benefits on physical performance, fall-related self-efficacy, health-related quality of life, and falls compared with a control group. Although no significant differences were detected between the groups, the results implied the control group’s physical activity level decreased compared with the intervention groups at 2-year follow-up.
Marina Arkkukangas, Susanna Tuvemo Johnson, Karin Hellström, Elisabeth Anens, Michail Tonkonogi, and Ulf Larsson
Margareta I. Hellgren, Charlotte A. Larsson, Bledar Daka, Max Petzold, Per-Anders Jansson, and Ulf Lindblad
We aimed to explore the association between self-reported leisure time physical activity (LTPA) and C-reactive protein (CRP) concentrations in men and women with and without impaired glucose tolerance (IGT).
In a cross-sectional study, a random sample (n = 2,816) was examined with an oral glucose tolerance test, CRP and information about LTPA. Those with IGT or normal glucose tolerance (NGT) and CRP value ≤10 mg/L were selected (n = 2,367) for the study.
An inverse association between LTPA and CRP concentrations was observed in the population (P < .001), though, only in men with IGT (P = .023) and in women with NGT. Men with IGT, reporting slight physical activity up to 4 hours a week presented significantly higher CRP concentrations than normoglycemic men (∆0.6 mg/L, P = .004). However, this difference could not be found in men with IGT reporting more intense physical activity (∆0.01 mg/L, P = .944).
Physical inactivity seems to have greater inflammatory consequences for men (vs. women) with IGT. More importantly, although 4 hours of physical activity per week is more than the usual minimum recommendation, an even greater intensity of LTPA appears to be required to limit subclinical inflammation in men with IGT.
Christine Delisle Nyström, Christel Larsson, Christina Alexandrou, Bettina Ehrenblad, Ulf Eriksson, Marita Friberg, Maria Hagströmer, Anna Karin Lindroos, Gisela Nyberg, and Marie Löf
Christine Delisle Nyström, Christel Larsson, Bettina Ehrenblad, Hanna Eneroth, Ulf Eriksson, Marita Friberg, Maria Hagströmer, Anna Karin Lindroos, John J. Reilly, and Marie Löf
The 2016 Swedish Report Card on Physical Activity (PA) for Children and Youth is a unique compilation of the existing physical and health related data in Sweden. The aim of this article is to summarize the procedure and results from the report card.
Nationally representative surveys and individual studies published between 2005–2015 were included. Eleven PA and health indicators were graded using the Active Healthy Kids Canada grading system. Grades were assigned based on the percentage of children/youth meeting a defined benchmark (A: 81% to 100%, B: 61% to 80%, C: 41% to 60%, D: 21% to 40%, F: 0% to 20%, or incomplete (INC).
The assigned grades were Overall Physical Activity, D; Organized Sport Participation, B+; Active Play, INC; Active Transportation, C+; Sedentary Behaviors, C; Family and Peers, INC; School, C+; Community and the Built Environment, B; Government Strategies and Investments, B; Diet, C-; and Obesity, D.
The included data provides some support that overall PA is too low and sedentary behavior is too high for almost all age groups in Sweden, even with the many national policies as well as an environment that is favorable to the promotion of PA.