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Tarek Tawfik Amin, Waseem Suleman, Ayub Ali, Amira Gamal and Adel Al Wehedy

Objectives:

To determine patterns of physical activity (PA) along domains of work-transport-leisure among adult Saudis, sociodemographic correlates of PA and perceived personal barriers to leisure-time-related physical inactivity in Al-Hassa, KSA.

Methods:

A cross-sectional study in which 2176 adult Saudis attending urban and rural Primary Health centers were selected using multistage proportionate sampling method. Participants were personally interviewed to gather information regarding sociodemographics, PA pattern using Global Physical Activity Questionnaire (GPAQ), and perceived barriers toward recreation-related PA. Analysis was carried out along GPAQ protocol.

Results:

Median total physical activity was 2304 METs-minutes/week. Fifty-two percent of subjects were sufficiently active meeting the minimum recommendations when considering total PA and 21% of the subjects were sufficiently active in leisure-time-related activity with ≥ 5 days of any combination of walking, moderate or vigorous-intensity activities with a total of at least 600 METs-minutes/ week. Regression analyses showed that females, higher educational and occupational status were negative predictors to total and leisure-related PA. Barriers perceived toward leisure-related PA included weather, traditions, lack of facilities and time.

Conclusion:

A low PA pattern along the 3 domains of PA may impose a refection toward more sedentary life style in Saudi Arabia.

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Kelly S. Silva, Markus V. Nahas, Adriano F. Borgatto, Elusa S. Oliveira, Giovâni F. Del Duca and Adair S. Lopes

Background:

Active commuting has decreased substantially in recent decades and has been more frequent in specific demographic and socioeconomic profiles. The objective of this study was to describe the prevalence of active trips and the possible associations with demographic and socioeconomic variables.

Methods:

A questionnaire on lifestyle and risk behavior was administered to a sample population of 5028 adolescents, ages 15 to 19 years, attending public high schools in the state of Santa Catarina, Brazil. Logistic regressions (odds ratio—OR; 95% confidence interval) were used to test associations.

Results:

Active commuting to school was reported for 56.7% of students, and active commuting to work was reported for 70.0%. The likelihood of commuting passively was greater among girls (school: OR = 1.27; 1.10−1.45), older adolescents (school: OR = 1.17; 1.02−1.33; work: OR = 1.49; 1.22−1.82), those who lived in rural areas (school: OR = 12.1; 9.91−14.8), those who spent more time in commuting (school: OR = 2.33; 2.01−2.69; work: OR = 4.35; 3.52−5.38), and those from high-income families (school: OR = 1.40; 1.21−1.62; work: OR = 1.69; 1.37−2.08).

Conclusions:

The proportion of students taking active trips was higher when going to work than to school. All indicators were associated with the mode of commuting, except gender and place of residence for commuting to work.

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José Joaquín Muros, Mikel Zabala, María Jesús Oliveras-López, Paula Rodríguez Bouzas, Emily Knox, José Ángel Rufián-Henares and Herminia López-García de la Serrana

Background:

The aim of this study was to determine the effects of nutritional education and vigorous physical activity on health-related parameters.

Methods:

The sample group consisted of 134 children from 5 rurally located schools. Participants were divided between 5 different experimental groups: control group (CG), physical activity group (PA), nutritional education group (NE), combined intervention group (PA+NE), and a combined intervention group with additional substitution of normally used oil for extra virgin olive oil (EVOO; PA+NE+EVOO). The intervention consisted of 60 minute sessions of physical activity held twice a week as well as nutritional education sessions held over 6 months.

Results:

Students in the groups receiving physical activity reduced their fat percentage and increased their muscle mass post intervention. At posttest the lipid profile improved in all intervention groups. The proportion of macronutrients and dietary cholesterol improved in the groups receiving nutritional education. The posttest comparison showed significantly lower fat percentage, sum of skinfolds and waist circumference in NE relative to CG and PA relative to CG. Diastolic blood pressure and glycaemia were significantly lower in PA+NE+EVOO relative to CG.

Conclusion:

A school-based program consisting of nutritional education or nutritional education plus a physical activity program showed a positive effect on health-related parameters in children.

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Kim Jose and Emily Hansen

Background:

Leisure-time physical activity is a term used by physical activity researchers to describe physical activity undertaken during nonwork time. In this study we explore how young people speak about physical activity in relation to leisure.

Methods:

Eight focus groups and one group interview were conducted with 50 participants aged 16−26 years. Participants included males and females, rural and urban dwellers, and a mixture of active/inactive young people. Focus group transcripts underwent an iterative thematic analysis.

Results:

Participants found it difficult to recognize leisure time activities in their day to day lives and only rarely mentioned their physical activity involvement when asked about leisure time activities. When discussing physical activity study participants commonly focused on high intensity physical activity such as sport and gym use. Three major themes relating to leisure and physical activity were identified: the meanings ascribed to physical activity, the experience of physical activity, and routines of participation.

Conclusion:

These findings suggest that the relationship between physical activity and leisure is complex and the term leisure with its associated concepts of satisfaction, relaxation and pleasure may not accurately reflect the way young people view their participation in physical activity.

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Euna Han, Lisa Powell, Sandy Slater and Christopher Quinn

Background:

Secondary data are often necessary to assess the availability of commercial physical activity (PA) facilities and examine its association with individual behaviors and outcomes, yet the validity of such sources has been explored only in a limited number of studies.

Methods:

Field data were collected on the presence and attributes of commercial PA facilities in a random sample of 30 urban, 15 suburban, and 15 rural Census tracts in the Chicago metropolitan statistical area and surrounding area.

Results:

Approximately 40% of PA establishments in the field data were listed for both urban and nonurban tracts in both lists except for nonurban tracts in D&B (35%), which was significantly improved in the combined list of D&B and InfoUSA. Approximately one-quarter of the PA facilities listed in D&B were found on the ground, whereas 40% to 50% of PA facilities listed in InfoUSA were found on the ground. PA establishments that offered instruction programs or lessons or that had a court or pool were less likely to be listed, particularly in the nonurban tracts.

Conclusions:

Secondary commercial business lists on PA facilities should be used with caution in assessing the built environment.

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Bill Reger-Nash, Adrian Bauman, Linda Cooper, Tien Chey, Kenneth J. Simon, Maria Brann and Kevin M. Leyden

Background:

WV Walks replicated the Wheeling Walks community-wide campaign methodology to promote physical activity.

Methods:

A social marketing intervention promoted walking among insufficiently active 40- to 65-year-olds throughout the television media market in north-central West Virginia. The intervention included participatory planning, an 8-week mass media-based campaign, and policy and environmental activities. Pre and post random-digit-dial cohort telephone surveys were conducted at baseline and immediately postcampaign in intervention and comparison regions.

Results:

The campaign resulted in maximal message awareness in north-central WV and demonstrated a significant increase in walking behavior represented by an absolute shift of 12% of the target population from insufficiently active to active (≥30 minutes, 5 days per week), versus the comparison community (adjusted odds ratio 1.82, CI: 1.05−3.17). Policy and environmental changes were also evident.

Conclusions:

This replication study increases our confidence that the initial effects observed in the Wheeling Walks intervention are generalizable to other similar rural communities.

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Ana Henderson and Christine R. Fry

Background:

Improving parks in low income and minority neighborhoods may be a key way to increase physical activity and decrease overweight and obesity prevalence among children at the greatest risk. To advocate effectively for improved recreation infrastructure, public health advocates must understand the legal and policy landscape in which public recreation decisions are made.

Methods:

In this descriptive legal analysis, we reviewed federal, state, and local laws to determine the authority of each level of government over parks. We then examined current practices and state laws regarding park administration in urban California and rural Texas.

Results:

We identified several themes through the analysis: (1) multiple levels of governments are often involved in parks offerings in a municipality, (2) state laws governing parks vary, (3) local authority may vary substantially within a state, and (4) state law may offer greater authority than local jurisdictions use.

Conclusions:

Public health advocates who want to improve parks need to (1) think strategically about which levels of government to engage; (2) identify parks law and funding from all levels of government, including those not typically associated with local parks; and (3) partner with advocates with similar interests, including those from active living and school communities.

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Jorge Mota, José Carlos Ribeiro, Joana Carvalho, Maria Paula Santos and Júlio Martins

The aim of this study was twofold (1), to examine the prospective relationship of baseline TV viewing with BMI and CRF both at baseline and over a 2-year period, and (2) to examine the prospective relationship of baseline TV viewing and changes (Δ) on BMI and CRF over a 2-year period. Data were collected in a sample of 135 (64 girls) rural children ages 7 yr-old from elementary schools in Fundao, Portugal. Obesity status was obtained by the age-sex specific BMI cut points and CRF by a 9 min run test. TV viewing was also analyzed and children were assigned as one of two groups: the low TV watching (LTV), and high TV watching (HTV), users based upon them reported to spend less or more than 2 h/day watching TV, respectively. Logistic regression showed that those who were assigned to HTV group were 2.4 times (OR = 2.48; p = .04) more likely to be classified as unfit at time 1. Further the data showed that the LTV were more likely (OR = 0.36; p = .02) to be classified in high ΔCRF change over time. The findings of this study suggest that there was a significant inverse association between times spent watching TV and CRF but not BMI over a 2-yr period.

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Leanne C. Findlay, Rochelle E. Garner and Dafna E. Kohen

Background:

Few longitudinal studies of physical activity have included young children or used nationally representative datasets. The purpose of the current study was to explore patterns of organized physical activity for Canadian children aged 4 through 17 years.

Methods:

Data from 5 cycles of the National Longitudinal Survey of Children and Youth were analyzed separately for boys (n = 4463) and girls (n = 4354) using multiple trajectory modeling.

Results:

Boys' and girls' organized physical activity was best represented by 3 trajectory groups. For boys, these groups were labeled: high stable, high decreasing, and low decreasing participation. For girls, these groups were labeled: high decreasing, moderate stable, and low decreasing participation. Risk factors (parental education, household income, urban/rural dwelling, and single/dual parent) were explored. For boys and girls, having a parent with postsecondary education and living in a higher income household were associated with a greater likelihood of weekly participation in organized physical activity. Living in an urban area was also significantly associated with a greater likelihood of weekly participation for girls.

Conclusions:

Results suggest that Canadian children's organized physical activity is best represented by multiple patterns of participation that tend to peak in middle childhood and decline into adolescence.

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Sarahjane Belton, Wesley O’Brien, Eric E. Wickel and Johann Issartel

Background:

The primary purpose of this study was to investigate patterns of noncompliance in an adolescent field based accelerometer study. A further purpose was to investigate the effect of a cost efficient strategy (SMS reminder message) on the compliance of adolescents

Method:

The research carried out in 2010 involved 117 second level students (12.41 ± .53 yrs) from 4 schools in a rural Irish town. The Actigraph accelerometer data were processed over 7 days to determine compliance level.

Results:

Students were more likely to remove their monitor in the evening period than at any other time, however if students removed their monitor after school it remained unworn for a significantly longer duration than in any other time period. Students who received a SMS message were significantly more likely (P = .008) to wear their monitor in the morning than those that did not.

Conclusions:

Sending an SMS message each morning is effective for improving the number of students wearing monitors to school. The after school period is a critical period for nonwear time and should be targeted in future studies wishing to improve compliance.