| 1. |
- Raustorp, Anders, 1958, et al.
(författare)
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The Evolution of Physical Activity on Prescription (FaR) in Sweden
- 2014
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Ingår i: Schweizerische Zeitschrift für Sportmedizin und Sporttraumatologie. - 1422-0644. ; 62:2, s. 23-25
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Forskningsöversikt (refereegranskat)abstract
- In 1996, the first Report of the US Surgeon General on Phys- ical Activity and Health provided an extensive knowledge overview about the positive effects of physical activity (PA) on several health outcomes and PA recommendations. This contributed to an enhanced interest for PA in Sweden. The Swedish Professional Associations for Physical Activity (YFA) were appointed to form a Scientific Expert Group in the project “Sweden on the Move” and YFA created the idea of Physical Activity on Prescription (FaR) and the produc- tion of a handbook (FYSS) for healthcare professionals. In Swedish primary care, licensed healthcare professionals, i.e. physicians, physiotherapists and nurses, can prescribe PA if they have sufficient knowledge about the patient’s cur- rent state of health, how PA can be used for promotion, prevention and treatment and are trained in patient-centred counselling and the FaR method. The prescription is fol- lowed individually or by visiting local FaR providers. These include sport associations, patient organisations, municipal facilities, commercial providers such as gyms, sports clubs and walking clubs or other organisations with FaR educated staff such as health promoters or personal trainers. In clin- ical practice, the FaR method increases the level of PA in primary care patients, at 6 and at 12 months. Self-reported adherence to the prescription was 65% at 6 months, similar to the known compliance for medications. In a randomised controlled trial, FaR significantly improved body composi- tion and reduced metabolic risk factors. It is suggested that a successful implementation of PA in healthcare depends on a combination of a systems approach (socio-ecological model) and the strengthening of individual motivation and capability. General support from policymakers, healthcare leadership and professional associations is important. To lower barriers, tools for implementation and structures for delivery must be readily available. Examples include hand- books such as FYSS, the FaR system and the use of pe- dometers.
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| 2. |
- Sallnäs Pysander, Eva-Lotta, Professor, 1970-, et al.
(författare)
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Nature and digitalization challenging the traditional playground
- 2024
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Ingår i: Urban Forestry & Urban Greening. - : Elsevier BV. - 1618-8667 .- 1610-8167. ; 93
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Tidskriftsartikel (refereegranskat)abstract
- Playing outdoors in nature with peers has been attributed most importance for children's healthy development but is increasingly marginalized because of the attractiveness of screen-based play. Careful merging of digital technology into outdoor play environments rich on nature elements could potentially help bridge digital play with more traditional play activities outdoors. A systematic comparison was made of outdoor play in more or less green settings, with and without digital installations or traditional play equipment. The separate and combined role of digital artefacts, play equipment and natural elements, were investigated, with particular focus on the effects of merging digital materials into nature. A group of children aged 6-8 were involved in a field study in a three-week period playing in a traditional playground, a forest and in a forest with digitally enhanced play artefacts. Children ' s play behavior was evaluated using a behavioral tracking method, a questionnaire and a contextual interview with the children, and a physical activity measure, in combination with inventories including maps to document the design, and the ecological and physical status of the settings. The study documents differences in children's play behavior across the three settings. It differs most between the digital forest setting and the forest setting regarding the play categories imaginative play, physical play and rule play and the digital forest setting stands out when it comes to expressive play. It is discussed how particular attributes in the physical environment influence the overall play flow and the interactive effects of natural material and digital material. Ecologically, the forest and the forest with digitally enhanced artefacts were more diverse than the traditional playground, but the natural material present was important for play in all settings.
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| 3. |
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| 4. |
- Boldemann, Cecilia, et al.
(författare)
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Impact of preschool environment upon children's physical activity and sun exposure.
- 2006
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Ingår i: Preventive medicine. - : Elsevier BV. - 0091-7435. ; 42:4, s. 301-8
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Tidskriftsartikel (refereegranskat)abstract
- The physical qualities of outdoor environments are important to trigger healthy behavior in children. We studied the impact of outdoor environments upon spontaneous physical activity and exposure to ultraviolet (UV) radiation in 4- to 6-year-old children at 11 preschools in Stockholm county.
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| 5. |
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| 6. |
- Conger, Scott, et al.
(författare)
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Time Trends in Physical Activity Using Wearable Devices: A Systematic Review and Meta-analysis of Studies from 1995 to 2017.
- 2021
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Ingår i: Medicine & Science in Sports & Exercise. - 0195-9131. ; 54:2, s. 288-298
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Conflicting evidence exists on whether physical activity (PA) levels of humans have changed over the last quarter-century. The main objective of this study was to determine if there is evidence of time trends in PA, from cross-sectional studies that assessed PA at different time points using wearable devices (e.g., pedometers, accelerometers). A secondary objective was to quantify the rate of change in PA. Methods: A systematic literature review was conducted of English language studies indexed in PubMed, SPORTDiscus, and Web of Science (1960-2020) using search terms (time OR temporal OR secular) AND trends AND (steps per day OR pedometer OR accelerometer OR MVPA). Subsequently, a meta-analytic approach was used to aggregate data from multiple studies, and to examine specific factors (i.e. sex, age group, sex-and-age group, and PA metric). Results: Based on 16 peer-reviewed scientific studies conducted between 1995 and 2017, levels of ambulatory PA are trending downward in developed countries. Significant declines were seen in both males and females (p < 0.001) as well as in children (p = 0.020), adolescents (p < 0.001) and adults (p = 0.004). The average study duration was 9.4 yrs (accelerometer studies: 5.3 yrs, pedometer studies: 10.8 yrs). For studies that assessed steps, the average change in PA was -1,118 steps/day over the course of the study (p < 0.001) and adolescents had the greatest change in PA at -2,278 steps/day (p < 0.001). Adolescents also had the steepest rate of change over time, expressed in steps/day/decade. Conclusion: Evidence from studies conducted in eight developed nations over a 22-yr period indicates that PA levels have declined overall, especially in adolescents. This study emphasizes the need for continued research tracking time trends in PA using wearable devices.
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| 7. |
- Fröberg, Andreas, 1985, et al.
(författare)
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Accelerometer-measured physical activity among adolescents in a multicultural area characterized by low socioeconomic status
- 2018
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Ingår i: International Journal of Adolescent Medicine and Health. - : Walter de Gruyter GmbH. - 0334-0139 .- 2191-0278. ; 30:3
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: The aim of this cross-sectional study was to describe and analyze accelerometer-measured sedentary time and physical activity (PA) among adolescents in a multicultural area characterized by low socioeconomic status (SES). METHOD: Seventh-graders (n=114 (girls n=66), mean age: 12.8±0.5 y) were recruited from three schools in a multicultural area of the city of Gothenburg, Sweden. Sedentary time and PA were measured with ActiGraph™ accelerometers. RESULT: Of total wear-time, 70 (±6)% was sedentary, with girls being more sedentary than boys. Girls had less light PA (LPA) and moderate-to-vigorous PA (MVPA) than boys. Similar patterns were shown during in-school and out-of-school hours. During wear-time, 53% had a mean of ≥60 min of MVPA per day, but only 6% of the girls and 24% of the boys were sufficiently physically active every day. Girls had more sedentary bouts of ≥10 min and fewer MVPA bouts of ≥5 min per day than boys. Those who participated in organized sports spent a mean of 15 more minutes of MVPA per day compared to those who did not. No association was observed between body mass index (BMI) and sedentary time and PA. CONCLUSION: Only a few adolescents from a Swedish multicultural area characterized by low SES met the PA recommendations every day, and girls were more sedentary and less physically active than boys. Adolescents involved in organized sports had more of MVPA per day than their non-involved peers. Sedentary time and PA were not related to BMI.
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| 8. |
- Fröberg, Andreas, 1985, et al.
(författare)
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Combinations of Epoch Durations and Cut-Points to Estimate Sedentary Time and Physical Activity Among Adolescents
- 2017
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Ingår i: Measurement in Physical Education and Exercise Science. - : Taylor & Francis. - 1091-367X .- 1532-7841. ; 21:3, s. 154-160
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of the current study was to investigate how combinations of different epoch durations and cut-points affect the estimations of sedentary time and physical activity in adolescents. Accelerometer data from 101 adolescents were derived and 30 combinations were used to estimate sedentary time, light, moderate, vigorous, and combined moderate-to-vigorous physical activity. Data were analyzed with repeated measurement analyses of variance. Large differences of sedentary time and times of different physical activity intensities were observed between 1 s and longer epoch durations using virtually all cut-points. Generally, sedentary time, moderate physical activity, vigorous physical activity, and combined moderate-to-vigorous physical activity progressively decreased, whereas light physical activity increased with longer epoch durations. The extreme differences between cut-points were large and increased with longer epoch durations for sedentary time and for all physical activity intensities except for vigorous physical activity per epoch duration. Caution is required when cross-comparing studies using different epoch durations and cut-points. To accurately register adolescents’ spontaneous intermittent physical activity behavior, short epoch durations are recommended.
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| 9. |
- Fröberg, Andreas, 1985, et al.
(författare)
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Effects of an Empowerment-Based Health-Promotion School Intervention on Physical Activity and Sedentary Time among Adolescents in a Multicultural Area
- 2018
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Ingår i: International Journal of Environmental Research and Public Health. - Basel : MDPI. - 1661-7827 .- 1660-4601. ; 15:11
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Tidskriftsartikel (refereegranskat)abstract
- Physical activity (PA) decreases with age, and interventions are needed to promote PA during adolescence, especially, among those in low-socioeconomic status (SES) areas. The aim of this study was to investigate whether a two-year, empowerment-based health-promotion school intervention had any effects on changes in (a) moderate-to-vigorous PA (MVPA), (b) sedentary time (SED), (c) exercise training (ET) frequency, and (d) ET duration, among adolescents. Participants (aged 12-13 years at baseline) from one intervention school and two control schools, were recruited from a multicultural area of Sweden, characterized by low-SES. During the course of the two-year intervention, a total of 135 participants (43% boys) were included in the study. The intervention was developed and implemented as a result of cooperation and shared decision-making among the researchers and the participants. MVPA and SED were measured with accelerometers, and ET frequency and duration was self-reported at the beginning of the seventh, eighth, and ninth grade, respectively. There were no significant effects of the two-year, empowerment-based health-promotion school intervention on changes in the accelerometer-measured MVPA and SED, or the self-reported ET frequency and duration, among the adolescents. Overall, the intervention was unsuccessful at promoting PA and reducing SED. Several possible explanations for the intervention's lack of effects are discussed.
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| 10. |
- Fröberg, Andreas, 1985, et al.
(författare)
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Integrating the Pedometer Into Physical Education: Monitoring and Evaluating Physical Activity, Pedagogical Implications, Practical Considerations, and Recommendations
- 2019
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Ingår i: Physical Educator. - : Sagamore Publishing, LLC. - 2160-1682. ; 76:1, s. 135-155
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Tidskriftsartikel (refereegranskat)abstract
- The necessity for physical activity during physical education has gained increased and widespread attention during the last few decades. However, without monitoring mechanisms it is challenging for physical education teachers to (a) get a notion of the extent to which lessons are providing physical activity, (b) evaluate the effectiveness of efforts to increase physical activity, and (c) determine whether students are reaching the recommended 50% moderate-to-vigorous physical activity target. In this paper, we argue the advantage of physical education teachers monitoring and evaluating physical activity by integrating the pedometer into the physical education program. We also provide physical education teachers with the pedagogical implications, as well as the practical considerations and recommendations, of integrating the pedometer into physical education lessons.
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