levels. A growing body of literature has consistently reported a positive association between neighborhood socioeconomic deprivation (SED) and numerous health outcomes in adults, including cardiovascular disease, mortality, and related cardiometabolic risk factors. 10 – 18 More specifically, existing
Morgan N. Clennin and Russell R. Pate
Sven Schneider, Adriana D’Agostino, Simone Weyers, Katharina Diehl and Johannes Gruber
The “deprivation amplification” hypothesis states that individuals who are already socially disadvantaged experience a further contextual disadvantage regarding their access to health relevant facilities. This hypothesis is investigated for the first time for Germany, led by the question as to whether deprived neighborhoods experience worse access to physical activity facilities than affluent ones. We differentiate between facilities for children and adolescents vs. for adults, and between free vs. fee-based facilities.
We identified all physical activity facilities by traversing each neighborhood by foot or bicycle in the framework of a systematic audit. Number, location, and type of facilities were recorded and visualized. The investigation area encompassed 18 social areas in a major German city with 92,000 inhabitants and an area of 12.0 km2.
A lower socioeconomic area status was related to a higher availability of physical activity facilities for children and adolescents (7.11/1000 minors in deprived social areas versus 4.46/1000 minors in affluent social areas; P < .05). For adults, the pattern was similar but not significant (P ≥ .05). These results were also shown in analyses in which only free facilities were taken into consideration.
Our study cannot support the “deprivation amplification” hypothesis regarding the availability of physical activity facilities.
Mohamed Romdhani, Nizar Souissi, Yassine Chaabouni, Kacem Mahdouani, Tarak Driss, Karim Chamari and Omar Hammouda
Despite sleep being acknowledged as an important factor for optimal athletic performance, poor sleep and/or partial sleep deprivation (PSD) are common prior to major competitions. 1 As reported in several studies, PSD deteriorates athletes’ short-term high-intensity exercise and cognitive
Hannah M. Badland, Rosanna Keam, Karen Witten and Robin Kearns
Public open spaces (POS) are recognized as important to promote physical activity engagement. However, it is unclear how POS attributes, such as activities available, environmental quality, amenities present, and safety, are associated with neighborhood-level walkability and deprivation.
Twelve neighborhoods were selected within 1 constituent city of Auckland, New Zealand based on higher (n = 6) or lower (n = 6) walkability characteristics. Neighborhoods were dichotomized as more (n = 7) or less (n = 5) socioeconomically deprived. POS (n = 69) were identified within these neighborhoods and audited using the New Zealand-Public Open Space Tool. Unpaired 1-way analysis of variance tests were applied to compare differences in attributes and overall score of POS by neighborhood walkability and deprivation.
POS located in more walkable neighborhoods have significantly higher overall scores when compared with less walkable neighborhoods. Deprivation comparisons identified POS located in less deprived communities have better quality environments, but fewer activities and safety features present when compared with more deprived neighborhoods.
A positive relationship existed between presence of POS attributes and neighborhood walkability, but the relationship between POS and neighborhood-level deprivation was less clear. Variation in neighborhood POS quality alone is unlikely to explain poorer health outcomes for residents in more deprived areas.
Angela Devereux-Fitzgerald, Rachael Powell and David P. French
living in a deprived or lower socioeconomic status (SES) area are twice as likely to be inactive as those in higher SES areas ( Public Health England, 2014 ). Deprivation has been defined as a lack of resources resulting in unmet basic needs, measured across several socioeconomic factors, for example
Cheryl Kelly, Min Lian, Jim Struthers and Anna Kammrath
There are few studies that aimed to find a relationship between transportation-related physical activity and neighborhood socioeconomic condition using a composite deprivation index. The purpose of this study is to assess the relationship of neighborhood walkability and socioeconomic deprivation with percentage of adults walking to work.
A walkability index and a socioeconomic deprivation index were created at block group-level. The outcome variable, percentage of adults who walk to work was dichotomized as < 5% of the block group walking to work low and ≥ 5% of the block group walking to work as high and applied logistic regression to examine the association of walkability and socioeconomic deprivation with walking to work.
Individuals in the most walkable neighborhoods are almost 5 times more likely to walk to work than individuals in the least walkable neighborhoods (OR = 4.90, 95% CI = 2.80–8.59). After adjusting for neighborhood socioeconomic deprivation, individuals in the most walkable neighborhoods are almost 3 times more likely to walk to work than individuals in the least walkable neighborhoods (OR = 2.98, 95% CI = 1.62–5.49).
Walkability (as measured by the walkability index) is a very strong indicator of walking to work even after controlling for neighborhood socioeconomic disadvantage.
Stephen H. Boutcher and Michele Trenske
This study examined the effects of sensory deprivation and music on perceived exertion and affect. Volunteer women (N=24) performed three 18-min sessions on a cycle ergometer at light, moderate, and heavy workloads during which perceived exertion, affect, and heart rate were monitored. Each subject participated in a control, deprivation, and music condition. No significant differences where found in heart rate between conditions. In contrast, significantly lower perceived exertion existed during the music compared to the deprived condition at the low workload. Similarly, there was lower perceived exertion during the music compared to the control condition at the moderate workload. Also, significantly greater levels of affect were observed during the music compared to the deprived condition at the moderate and heavy workloads. It was concluded that the influence of music and deprivation on perceived exertion and affect was load dependent. These results are discussed with regard to informational processing models of sensory and psychological input.
Melissa Skein, Rob Duffield, Geoffrey M. Minett, Alanna Snape and Alistair Murphy
This study examined the effects of overnight sleep deprivation on recovery after competitive rugby league matches.
Eleven male amateur rugby league players played 2 competitive matches, followed by either a normal night’s sleep (~8 h; CONT) or a sleep-deprived night (~0 h; SDEP) in a randomized fashion. Testing was conducted the morning of the match, immediately postmatch, 2 h postmatch, and the next morning (16 h postmatch). Measures included countermovement-jump (CMJ) distance, knee-extensor maximal voluntary contraction (MVC) and voluntary activation (VA), venous-blood creatine kinase (CK) and C-reactive protein (CRP), perceived muscle soreness, and a word–color recognition cognitive-function test. Percent change between postmatch and 16-h postmatch was reported to determine the effect of the intervention the next morning.
Large effects indicated a greater postmatch to 16-h-postmatch percentage decline in CMJ distance after SDEP than in CONT (P = .10–.16, d = 0.95–1.05). Similarly, the percentage decline in incongruent word–color reaction times was increased in SDEP trials (P = .007, d = 1.75). Measures of MVC did not differ between conditions (P = .40–.75, d = 0.13–0.33), although trends for larger percentage decline in VA were detected in SDEP (P = .19, d = 0.84). Furthermore, large effects indicated higher CK and CRP responses 16 h postmatch in SDEP than in CONT (P = .11–.87, d = 0.80–0.88).
Sleep deprivation negatively affected recovery after a rugby league match, specifically impairing CMJ distance and cognitive function. Practitioners should promote adequate postmatch sleep patterns or adjust training demands the next day to accommodate the altered physical and cognitive state after sleep deprivation.
Alan Nevill, Paul Donnelly, Simon Shibli, Charlie Foster and Marie Murphy
The association between health and deprivation is of serious concern to many health promotion agencies. The purpose of the current study was to assess whether modifiable behaviors of physical activity (PA), sports participation, diet, smoking and body mass index (BMI) can help to explain these inequalities in a sample of 4653 respondents from Northern Ireland.
The study is based on a cross-sectional survey of Northern Irish adults. Responses to a self-rated health question were dichotomized and binary logistic regression was used to identify the health inequalities between areas of high, middle or low deprivation. These differences were further adjusted for other sociodemographic factors and subsequently for various modifiable behaviors of PA, sports participation, diet, smoking, and BMI.
Respondents from high and middle areas of deprivation are more likely to report poorer health. As soon as sociodemographic factors and other modifiable behaviors were included, these inequalities either disappeared or were greatly reduced.
Many inequalities in health in NI can be explained by the respondents’ sociodemographic characteristics that can be further explained by introducing information about respondents who meet the recommended PA guidelines, play sport, eat 5 portions of fruit and vegetables, and maintain an optimal BMI.
Gopal K. Singh, Michael D. Kogan, Mohammad Siahpush and Peter C. van Dyck
This study examines state and regional disparities in vigorous physical activity levels among US children age 6 to 17 years.
The 2003 National Survey of Children’s Health was used to calculate vigorous physical activity (VPA) and no days of vigorous physical activity (NVPA) prevalence by state and geographic region. Logistic and least squares regression were used to analyze geographic disparities.
Vigorous physical activity levels varied substantially across geographic areas, with the East Southcentral region of the US having the highest NVPA prevalence (13.4%) and the Pacific region the lowest prevalence (9.1%). Children in Georgia and Tennessee had 2.2 to 2.3 times higher odds and children in DC, Oklahoma, Arkansas, Indiana, Kentucky, Kansas, New Jersey, South Carolina, and Washington (adjusted prevalence >13.4%) had 1.8 to 2.0 times higher odds of NVPA than children in California (adjusted prevalence = 8.4%). Adjustment for race/ethnicity, socioeconomic status, social capital, television viewing, sleep behavior, and parental physical activity doubled the magnitude of geographic disparities in vigorous physical activity levels. Area poverty, income inequality, and violent crime rates were independent predictors of VPA and NVPA.
Although individual and area-level socioeconomic factors are important predictors, substantial geographic disparities remain, with children in several Southern states having particularly high risks of NVPA.