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1.
  • Aaltonen, S, et al. (författare)
  • The Associations Between Leisure-Time Physical Activity and Academic Performance: A Twin Study
  • 2021
  • Ingår i: Journal of physical activity & health. - : Human Kinetics. - 1543-5474 .- 1543-3080. ; 18:8, s. 998-1003
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Both genetic and environmental influences have been shown to contribute to the association between physical activity and overall academic performance. The authors examined whether leisure-time physical activity (LTPA) shares genetic and environmental variances between spelling, essay writing, reading aloud, reading comprehension, and mathematics in early adolescence. Moreover, they investigated whether genetic polymorphisms associated with physical activity behavior affect these academic skills. Methods: Participants were 12-year-old Finnish twins (n = 4356–4370 twins/academic skill, 49% girls). Academic skills were assessed by teachers, and LTPA was self-reported. Polygenic scores for physical activity behavior were constructed from the UK Biobank. Quantitative genetic modeling and linear regression models were used to analyze the data. Results: The trait correlations between LTPA and academic skills were significant but weak (r = .05–.08). The highest trait correlation was found between LTPA and mathematics. A significant genetic correlation was revealed between LTPA and essay writing (rA = .14). Regarding polygenic scores of physical activity, the highest correlations were found with reading comprehension, spelling, and essay writing, but these results only approached statistical significance (P values = .09–.15). Conclusions: The authors’ results suggest that reading and writing are the academic skills that most likely share a common genetic background with LTPA.
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2.
  • Arvidsson, Daniel, 1974, et al. (författare)
  • A Longitudinal Analysis of the Relationships of Physical Activity and Body Fat With Nerve Growth Factor and Brain-Derived Neural Factor in Children
  • 2018
  • Ingår i: Journal of Physical Activity & Health. - : Human Kinetics. - 1543-3080 .- 1543-5474. ; 15:8, s. 620-625
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Nerve growth factor (NGF) and brain-derived neural factor (BDNF) are important for brain function and detectable in the blood. This study explored the longitudinal associations of physical activity and body fat with serum NGF and BDNF in children. Methods: Two waves of measurements were performed 2 years apart in 8- to 11-year-old children, including physical activity using the ActiGraph model 7164, body composition by dual-energy X-ray absorptiometry, and serum NGF and BDNF determined by multiplex immunoassay. The first wave included 248 children. Full information maximum likelihood estimation with robust standard errors was applied in structural equation modeling. Results: Vigorous physical activity showed a direct positive longitudinal relationship with NGF (standardized coefficient beta = 0.30, P = .01) but not with BDNF (beta = 0.04, P = .84). At the same time, body fat percentage was positively related to both NGF (beta = 0.59, P < .001) and BDNF (beta = 0.17, P = .04). There was an indication of an indirect relationship of vigorous physical activity with NGF (product of unstandardized coefficient beta = -0.18, P = .02) and BDNF (beta = -0.07, P = .05) through the negative relationship with body fat percentage (beta = -0.36, P < .001). Conclusions: Vigorous physical activity is directly related to serum NGF and indirectly through the level of body fat. The relationships with serum BDNF are more complex.
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3.
  • Arvidsson, Daniel, et al. (författare)
  • Vigorous Physical Activity may be Important for the Insulin Sensitivity in Immigrants From the Middle East and Native Swedes
  • 2015
  • Ingår i: Journal of Physical Activity & Health. - : Human Kinetics. - 1543-3080 .- 1543-5474. ; 12:2, s. 273-281
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose: To compare physical activity measures and their associations with insulin sensitivity, beta-cell function and body mass index (BMI) between Iraqi immigrants and native Swedes. Methods: A cross-sectional study of 493 Iraqis (58% men) and 469 Swedes (54% men) aged 30 to 75 years living in the city of Malmo, Sweden. Accelerometry was used for physical activity measures (sedentary time, breaks in sedentary time, moderate and vigorous physical activity, total counts). Insulin sensitivity index and oral disposal index were determined from an oral glucose tolerance test and BMI by body weight and height. Results: Iraqi men were less physically active than Swedish men, while the physical activity was more similar in the women. BMI was a strong predictor of insulin sensitivity and beta-cell function and frequently associated with the physical activity measures. BMI modified the associations of insulin sensitivity and beta-cell function with the physical activity measures to such extent that only VPA and total counts show direct associations with insulin sensitivity in addition to the indirect associations via BMI. Iraqi women demonstrated weaker associations compared with Swedish women. Conclusions: Physical activity and performed at vigorous intensity may be important mainly for the insulin sensitivity in Iraqi immigrants and native Swedes.
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4.
  • Aubert, Salome, et al. (författare)
  • Global Matrix 3.0 Physical Activity Report Card Grades for Children and Youth: Results and Analysis From 49 Countries
  • 2018
  • Ingår i: Journal of Physical Activity and Health. - : HUMAN KINETICS PUBL INC. - 1543-3080 .- 1543-5474. ; 15, s. S251-S273
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Accumulating sufficient moderate to vigorous physical activity is recognized as a key determinant of physical, physiological, developmental, mental, cognitive, and social health among children and youth (aged 5-17 y). The Global Matrix 3.0 of Report Card grades on physical activity was developed to achieve a better understanding of the global variation in child and youth physical activity and associated supports. Methods: Work groups from 49 countries followed harmonized procedures to develop their Report Cards by grading 10 common indicators using the best available data. The participating countries were divided into 3 categories using the United Nations human development index (HDI) classification (low or medium, high, and very high HDI). Results: A total of 490 grades, including 369 letter grades and 121 incomplete grades, were assigned by the 49 work groups. Overall, an average grade of "C-," "D+," and "C-" was obtained for the low and medium HDI countries, high HDI countries, and very high HDI countries, respectively. Conclusions: The present study provides rich new evidence showing that the situation regarding the physical activity of children and youth is a concern worldwide. Strategic public investments to implement effective interventions to increase physical activity opportunities are needed.
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5.
  • Aubert, S, et al. (författare)
  • Global Matrix 4.0 Physical Activity Report Card Grades for Children and Adolescents: Results and Analyses From 57 Countries
  • 2022
  • Ingår i: Journal of physical activity & health. - : Human Kinetics. - 1543-5474 .- 1543-3080. ; 19:11, s. 700-728
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: The Global Matrix 4.0 on physical activity (PA) for children and adolescents was developed to achieve a comprehensive understanding of the global variation in children’s and adolescents’ (5–17 y) PA, related measures, and key sources of influence. The objectives of this article were (1) to summarize the findings from the Global Matrix 4.0 Report Cards, (2) to compare indicators across countries, and (3) to explore trends related to the Human Development Index and geo-cultural regions. Methods: A total of 57 Report Card teams followed a harmonized process to grade the 10 common PA indicators. An online survey was conducted to collect Report Card Leaders’ top 3 priorities for each PA indicator and their opinions on how the COVID-19 pandemic impacted child and adolescent PA indicators in their country. Results: Overall Physical Activity was the indicator with the lowest global average grade (D), while School and Community and Environment were the indicators with the highest global average grade (C+). An overview of the global situation in terms of surveillance and prevalence is provided for all 10 common PA indicators, followed by priorities and examples to support the development of strategies and policies internationally. Conclusions: The Global Matrix 4.0 represents the largest compilation of children’s and adolescents’ PA indicators to date. While variation in data sources informing the grades across countries was observed, this initiative highlighted low PA levels in children and adolescents globally. Measures to contain the COVID-19 pandemic, local/international conflicts, climate change, and economic change threaten to worsen this situation.
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6.
  • Aubert, Salome, et al. (författare)
  • Report Card Grades on the Physical Activity of Children and Youth Comparing 30 Very High Human Development Index Countries
  • 2018
  • Ingår i: Journal of Physical Activity and Health. - : HUMAN KINETICS PUBL INC. - 1543-3080 .- 1543-5474. ; 15, s. S298-S314
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: To better understand the childhood physical inactivity crisis, Report Cards on physical activity of children and youth were prepared concurrently in 30 very high Human Development Index countries. The aim of this article was to present, describe, and compare the findings from these Report Cards. Methods: The Report Cards were developed using a harmonized process for data gathering, assessing, and assigning grades to 10 common physical activity indicators. Descriptive statistics were calculated after converting letter grades to interval variables, and correlational analyses between the 10 common indicators were performed using Spearmans rank correlation coefficients. Results: A matrix of 300 grades was obtained with substantial variations within and between countries. Low grades were observed for behavioral indicators, and higher grades were observed for sources of influence indicators, indicating a disconnect between supports and desired behaviors. Conclusion: This analysis summarizes the level and context of the physical activity of children and youth among very high Human Development Index countries, and provides additional evidence that the situation regarding physical activity in children and youth is very concerning. Unless a major shift to a more active lifestyle happens soon, a high rate of noncommunicable diseases can be anticipated when this generation of children reaches adulthood.
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7.
  • Barbieri, Dechristian, et al. (författare)
  • Effects of time in sitting and standing on pleasantness, acceptability, fatigue and pain when using a sit-stand table: an experiment on overweight and normal-weight subjects
  • 2020
  • Ingår i: Journal of Physical Activity and Health. - : Human Kinetics Journals. - 1543-3080 .- 1543-5474. ; 17:12, s. 1222-1230
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Sit-stand desks have been suggested as an initiative to increase posture variation among office workers. However, there is limited evidence of what would be preferable combinations of time sitting and standing. The aim of this study was to determine and compare perceived pleasantness, acceptability, pain and fatigue for five time patterns of sitting and standing at a sit-stand desk.Methods: Thirty post-graduate students were equally divided into a normal-weight (mean BMI 22.8 kg/m2) and an overweight/obese (mean BMI 28.1 kg/m2) group. They performed 3 hours of computer work at a sit-stand desk on five different days, each day with a different time pattern (A: 60-min sit/0-min stand; B: 50/10; C: 40/20; D: 30/30; E: 20/40). Pleasantness, acceptability, pain and fatigue ratings were obtained at the beginning and at the end of the 3-hour period.Results: High ratings of pleasantness were observed for time patterns B, C and D in both groups. All participants rated acceptability to be good for time patterns A to D. A minor increase in perceived fatigue and pain was observed in time pattern E.Conclusion: For new sit-stand desk users, regardless of BMI, 10-30 min of standing per hour appears to be an amenable time pattern.
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8.
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9.
  • Beets, MW, et al. (författare)
  • Pedometer-determined step-count guidelines for afterschool programs
  • 2012
  • Ingår i: Journal of physical activity & health. - : Human Kinetics. - 1543-5474 .- 1543-3080. ; 9:1, s. 71-77
  • Tidskriftsartikel (refereegranskat)abstract
    • Policies to require afterschool programs (ASPs, 3 PM to 6 PM) to provide children a minimum of 30 minutes of moderate-to-vigorous physical activity (MVPA) exist. With few low-cost, easy-to-use measures of MVPA available to the general public, ASP providers are limited in their ability to track progress toward achieving this policy-goal. Pedometers may fill this gap, yet there are no step-count guidelines for ASPs linked to 30 minutes of MVPA.Methods:Steps and accelerometer estimates of MVPA were collected concurrently over multiple days on 245 children (8.2 years, 48% boys, BMI-percentile 68.2) attending 3 community-based ASPs. Random intercept logit models and receiver operating characteristic (ROC) analyses were used to identify a threshold of steps that corresponded with attaining 30 minutes of MVPA.Results:Children accumulated an average of 2876 steps (standard error [SE] 79) and 16.1 minutes (SE0.5) of MVPA over 111 minutes (SE1.3) during the ASP. A threshold of 4600 steps provided high specificity (0.967) and adequate sensitivity (0.646) for discriminating children who achieved the 30 minutes of MVPA; 93% of the children were correctly classified. The total area under the curve was 0.919. Children accumulating 4600 steps were 25times more likely to accumulate 30 minutes of MVPA.Conclusions:This step threshold will provide ASP leaders with an objective, low-cost, easy-to-use tool to monitor progress toward policy-related goals.
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10.
  • Berglind, D, et al. (författare)
  • Levels and Patterns of Objectively Measured Physical Activity and Sedentary Time in 4-Year-Old Swedish Children
  • 2017
  • Ingår i: Journal of physical activity & health. - : Human Kinetics. - 1543-5474 .- 1543-3080. ; 14:2, s. 117-122
  • Tidskriftsartikel (refereegranskat)abstract
    • Levels of physical activity (PA) affect health already at 4 years of age. The aims of this study were to describe levels and patterns of PA and sedentary time (ST) in a sample of 4-year-old Swedish children and to assess the number of children achieving PA guidelines throughout the week.Methods:Data from 540 4-year-old children enrolled in the population-based PRIMROSE trial was used. PA was measured for a period of 1 week by the Actigraph GT3X+ accelerometer. Average PA, time spent in light PA, moderate-to-vigorous PA (MVPA) and ST were assessed.Results:On average children spent 6.7% of the day in MVPA and 45% of the day being sedentary and 33% (n = 178) of the children met the PA guidelines of 60 minutes of MVPA per day. Boys spent 56.8 (SD 21.8) minutes/day in MVPA, while girls spent 43.0 (SD 18.1) minutes/day in MVPA (P < .001).Conclusions:Four-year-old children spent almost half of the day being sedentary and only one-third meet the recommended PA guidelines. This finding is alarming as higher levels of PA, already at 4 years of age, seem to reduce the risk of childhood obesity and provides long-term health benefits.
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11.
  • Boisgontier, MP, et al. (författare)
  • Adverse Childhood Experiences, Depressive Symptoms, Functional Dependence, and Physical Activity: A Moderated Mediation Model
  • 2020
  • Ingår i: Journal of physical activity & health. - : Human Kinetics. - 1543-5474 .- 1543-3080. ; 17:8, s. 790-799
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Adverse childhood experiences, depressive symptoms, and functional dependence are interrelated. However, the mechanisms underlying these associations remain unclear. The authors investigated the potential of depressive symptoms to mediate the effect of adverse childhood experiences on functional dependence in older age and whether physical activity moderated this mediation. Method: Data from 25,775 adults aged 62 (9) years from the Survey of Health Ageing and Retirement in Europe were used in adjusted linear mixed-effects models to test whether depressive symptoms mediated the associations between adverse childhood experiences and functional dependence in activities of daily living (ADL) and instrumental ADL (IADL) and whether physical activity moderated these mediations. Results: The results showed a graded association between the number of adverse childhood experiences (0 vs 1 and 0 vs ≥2) and the number of functional limitations in both ADL (bs = 0.040 and 0.067) and IADL (bs = 0.046 and 0.076). These associations were mediated by depressive symptoms. Physical activity reduced the effect of adverse childhood experiences on depressive symptoms (bs = −0.179 and −0.515) and tempered the effect of depressive symptoms on functional dependence both in ADL (b = −0.073) and IADL (b = −0.100). As a result of these reductions, the effect of adverse childhood experiences and depressive symptoms on functional dependence in ADL (Ps > .081) and IADL (Ps > .528) was nonsignificant in physically active participants. Conclusions: These findings suggest that, after age 50, engaging in physical activity more than once a week protects functional independence from the detrimental effects of adverse childhood experiences and depression. In inactive individuals, the detrimental effects of adverse childhood experiences on functional dependence are mediated by depressive symptoms.
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12.
  • Bonn, SE, et al. (författare)
  • Correlates of Leisure Time Physical Inactivity in a Scandinavian Population: A Basis for Interventions
  • 2016
  • Ingår i: Journal of physical activity & health. - : Human Kinetics. - 1543-5474 .- 1543-3080. ; 13:11, s. 1236-1242
  • Tidskriftsartikel (refereegranskat)abstract
    • Effective interventions are needed to increase physical activity in the general population. To target interventions, we need knowledge of insufficiently active groups in society. This study aims to identify demographic and health-related correlates of leisure-time physical inactivity in a general Scandinavian population.Methods:Study participants comprised 5734 control subjects, age 18 to 70 years, from 2 ongoing Swedish case-control studies. Participants self-reported their leisure-time physical activity level. The odds of being physically inactive were calculated using logistic regression.Results:A total of 42% of participants were classified as physically inactive during leisure time. A lower prevalence of inactivity was associated with middle age, higher education, having previous experience of sports participation, following a low glycemic index/Mediterranean diet and having a light physical workload. A high prevalence of inactivity was associated with greater age, high body mass index, smoking, never drinking alcohol, having children, having a weak social network or lower levels of emotional support, and a low vegetable intake.Conclusions:Several factors were associated with leisure-time physical inactivity. Directing interventions to target groups defined by specific factors associated with physical inactivity could be an efficient way to increase activity and improve health in the general population.
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13.
  • Castro-Pinero, J, et al. (författare)
  • Cardiorespiratory fitness and fatness are associated with health complaints and health risk behaviors in youth
  • 2012
  • Ingår i: Journal of physical activity & health. - : Human Kinetics. - 1543-5474 .- 1543-3080. ; 9:5, s. 642-649
  • Tidskriftsartikel (refereegranskat)abstract
    • We examined the association of cardiorespiratory fitness and fatness with health complaints and health risk behaviors in 691 (323 girls) Spanish children aged 6 to 17.9.Methods:Health complaints and health risk behaviors were self-reported using items of the Health Behavior in School-aged Children questionnaire. Weight and height were measured and body mass index was computed. Cardiorespiratory fitness was measured by the 20-m shuttle-run test, and youth categorized as fit/unfit.Results:Unfit youth were more likely to report health complaints sometime (OR: 2.556, 95% CI: 1.299–5.031; and OR: 1.997, 95% CI: 1.162–3.433, respectively) and health risk behaviors such as drinking alcohol sometime (OR: 5.142, 95% CI: 1.214–21.783; and OR: 2.413, 95% CI: 1.484–3.923) than their fit counterparts. Overweight-obese youth were more likely to report health complaints (OR: 1.732, 95% CI: 1.019–2.945; and OR: 1.983, 95% CI: 1.083–3.629, respectively). The analysis of the combined influence of fitness and fatness revealed that fit youth had lower health complaints index than the fat-unfit and unfat-unfit groups (all P < .05).Conclusions:Low fitness and overweight-obesity increased the risk of having health complaints in youth, yet high levels of cardiorespiratory fitness might overcome deleterious effects of overweight-obesity on health complaints.
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14.
  • Cook, TL, et al. (författare)
  • Psychosocial determinants and perceived environmental barriers as mediators of the effectiveness of a web-based tailored intervention promoting physical activity in adolescents: the HELENA Activ-O-Meter
  • 2014
  • Ingår i: Journal of physical activity & health. - : Human Kinetics. - 1543-5474 .- 1543-3080. ; 11:4, s. 741-751
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim was to examine if psychosocial determinants (attitudes, self-efficacy, social support from a sports partner) and perceived environmental barriers (PEB) of physical activity (PA) mediated the effect of a 3-month Internet-based intervention on PA in European adolescents.Methods:A sample of 536 adolescents (51% boys) aged 12–17 years were randomly assigned to intervention or control condition. Questionnaires were used to assess different PA behaviors, psychosocial determinants and PEB at baseline and at 3-month follow-up. Mediating effects were assessed with the bootstrapping method.Results:PEB regarding neighborhood safety mediated the effect of the intervention on all PA indices. PEB regarding sports facilities availability at neighborhood and PEB regarding sport-related facilities availability at school mediated the effect of the intervention on moderate to vigorous PA (MVPA) and moderate PA (in leisure time and at school, respectively). Social support from a sports partner suppressed the effect of the intervention on vigorous PA and MVPA. No other factor had a mediation effect.Conclusions:All PEB measures appear to mediate PA behaviors of different intensities and in different contexts. Interventions promoting PA in adolescents should also focus on improving the targeted PEB as mediators of engagement in PA to bring the desired effects in actual behaviors.
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15.
  • Cronholm, Felix, et al. (författare)
  • A physical activity intervention program in school is also accompanied by higher leisure-time physical activity : A prospective controlled 3-year study in 194 prepubertal children
  • 2017
  • Ingår i: Journal of Physical Activity and Health. - : Human Kinetics. - 1543-3080 .- 1543-5474. ; 14:4, s. 301-307
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: The activity-stat theory infers that total physical activity (PA) in children is constant, independent of environmental interventions. Methods: We conducted a 3-year prospective population-based controlled PA intervention study including, at baseline, 7- to 9-year-old children (66 boys, 40 girls in the intervention and 50 boys, 38 girls in the control group). PA was increased in the intervention group from 60 to 200 minutes/week, while the controls maintained 60 minutes/week. We registered weekly duration of total PA and leisure-time PA and daily duration of sedentary activities, through questionnaires at baseline and 2 and 3 years after baseline. Results: Between intervention and control groups PA was similar before intervention start. After intervention start, total PA in both genders was increased during the entire period (P-values adjusted for age and Tanner stage at follow-up between 0.001 and 0.002). Duration of sedentary activities was unchanged with no group differences. Children in the intervention group changed their behavior so that they also achieved more leisure-time PA. Conclusion: A 3-year school-based PA intervention program in prepubertal children increases the duration of total PA without increasing the duration of sedentary activities, and the program seems to initiate more PA during leisure-time. Our results refute the activity-stat theory.
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16.
  • Daugbjerg, SB, et al. (författare)
  • Promotion of physical activity in the European region: content analysis of 27 national policy documents
  • 2009
  • Ingår i: Journal of physical activity & health. - : Human Kinetics. - 1543-3080 .- 1543-5474. ; 6:6, s. 805-817
  • Tidskriftsartikel (refereegranskat)abstract
    • Over the past years there has been increasing interest in physical activity promotion and the development of appropriate policy. So far, there has been no comprehensive overview of the activities taking place in Europe in this area of public health policy.Methods:Using different search methods, 49 national policy documents on physical activity promotion were identified. An analysis grid covering key features was developed for the analysis of the 27 documents published in English.Results:Analysis showed that many general recommendations for policy developments are being followed, for example: general goals were formulated, an implementation plan was included, a timeframe and a responsible body for the implementation was often specified. However, limited evidence for intersectoral collaboration was found. Quantified goals for physical activity were the exception. Population groups most in need such as people with low levels of physical activity were rarely specifically targeted. Most policies emphasized the importance of an evaluation. However, only about half of them indicated a related intention or requirement.Conclusion:In recent years there has been a noticeable development of national policy documents on physical activity promotion. Following principles for policy development more closely could increase the effectiveness of their preparation and implementation further.
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17.
  • Ekblom Bak, Elin, 1981-, et al. (författare)
  • Physical Education and Leisure-Time Physical Activity in Youth Are Both Important for Adulthood Activity, Physical Performance, and Health.
  • 2018
  • Ingår i: Journal of Physical Activity and Health. - : Human Kinetics. - 1543-3080 .- 1543-5474. ; 15:9, s. 661-670
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: The importance of youth physical activity (PA) for adulthood PA, performance, and health was retrospectively evaluated. Methods: A total of 258,146 participants (49% women), aged 19–70, with a first-time health-profile assessment between 1982 and 2015, provided self-reported data on current perceived health, PA, lifestyle, and physical education class participation, and PA outside school hours before age 20. Data on anthropometrics, blood pressure, and estimated maximal oxygen consumption (VO2max) were obtained. Results: Women participating in physical education class, compared with those who did not, had significantly lower OR (range: 0.81–0.87) for perceiving poor overall health, general obesity, and high diastolic blood pressure after adjustment for potential confounders, and increased OR (range: 1.17–1.23) for exercising regularly and a normal/high VO2max in adulthood. For men, the ORs were significantly lower (range: 0.66–0.86) for poor perceived overall health, general, and abdominal obesity. These associations were seen for participants up to 70 years. Increased PA outside school hours revealed even stronger beneficial associations. In joint analyses, both youth and current PA were important for lower OR of poor health and being obese in adulthood. Conclusions: Physical education class participation and additional PA after school hours were both important for perceived health, PA, VO2max, and metabolic health in adulthood up to 70 years.
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18.
  • Ekblom-Bak, Elin, et al. (författare)
  • SCAPIS Pilot Study: Sitness, Fitness and Fatness-Is Sedentary Time Substitution by Physical Activity Equally Important for Everyone's Markers of Glucose Regulation?
  • 2016
  • Ingår i: Journal of Physical Activity & Health. - : Human Kinetics. - 1543-3080 .- 1543-5474. ; 13:7, s. 697-703
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Although moderate-to-vigorous physical activity (MVPA) is mainly recommended for glucose control, light physical activity (LIPA) may also have the potential to induce favorable changes. We investigated sedentary time (SED) substitution with equal time in LIPA and MVPA, and the association with markers of glucose regulation and insulin sensitivity after stratification by waist circumference, fitness and fasting glucose levels. Methods: A total of 654 men and women, 50 to 64 years, from the SCAPIS pilot study were included. Daily SED, LIPA and MVPA were assessed using hip-worn accelerometers. Fasting plasma glucose, insulin and HOMA-IR were determined. Results: Substituting 30 min of SED with LIPA was significantly associated with 3.0% lower fasting insulin values and 3.1% lower HOMA-IR values, with even lower levels when substituting SED with MVPA. Participants with lower fitness and participants with high fasting glucose levels benefited significantly more from substituting 30 min of SED with LIPA compared with participants with normal to high fitness levels and participants with normal glucose levels, respectively. Conclusions: LIPA, and not only MVPA, may have beneficial associations with glucose regulation. This is of great clinical and public health importance, not least because it may confer a higher compliance rate to regular PA.
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19.
  • Ekblom, Örjan, 1971-, et al. (författare)
  • Validity and comparability of a wrist-worn accelerometer in children.
  • 2012
  • Ingår i: Journal of Physical Activity and Health. - : Human Kinetics. - 1543-3080 .- 1543-5474. ; 9:3, s. 389-393
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND:Wrist-worn accelerometers may provide an alternative to hip-worn monitors for assessing physical activity as they are easier to wear and may thus facilitate long-term recordings. The current study aimed at a) assessing the validity of the Actiwatch (wrist-worn) for estimating energy expenditure, b) determining cut-off values for light, moderate, and vigorous activities, c) studying the comparability between the Actiwatch and the Actigraph (hip-worn), and d) assessing reliability.METHODS:For validity, indirect calorimetry was used as criterion measure. ROC-analyses were applied to identify cut-off values. Comparability was tested by simultaneously wearing of the 2 accelerometers during free-living condition. Reliability was tested in a mechanical shaker.RESULTS:All-over correlation between accelerometer output and energy expenditure were found to be 0.80 (P < .001).Based on ROC-analysis, cut-off values for 1.5, 3, and 6 METs were found to be 80, 262, and 406 counts per 15 s, respectively. Energy expenditure estimates differed between the Actiwatch and the Actigraph (P < .05). The intra- and interinstrument coefficient of variation of the Actiwatch ranged between 0.72% and 8.4%.CONCLUSION:The wrist-worn Actiwatch appears to be valid and reliable for estimating energy expenditure and physical activity intensity in children aged 8 to 10 years.
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20.
  • Eriksson, M, et al. (författare)
  • Associations between parents' and 12-year-old children's sport and vigorous activity: the role of self-esteem and athletic competence
  • 2008
  • Ingår i: Journal of physical activity & health. - : Human Kinetics. - 1543-3080 .- 1543-5474. ; 5:3, s. 359-373
  • Tidskriftsartikel (refereegranskat)abstract
    • The aims of this study were to investigate parent–child physical activity (PA) associations and whether children’s self-esteem or athletic competence mediates such associations.Methods:The study population comprised 1124 12-year-old children and their parents. Parents’ PA was assessed using the Baecke questionnaire and a question about sport participation. Children’s PA was assessed by questions about participation in sport and vigorous activities. The children’s self-esteem and athletic competence were assessed by Harter’s Self-Perception Profile for Adolescents.Results:Parents’ PA was strongly associated with their children’s PA. With 2 active parents, the odds ratio for their children to participate in sport was 3.9 (95% CI = 2.2–6.9, girls) and 8.8 (95% CI = 4.3–18.0, boys) compared with having inactive parents. Athletic competence partly mediated these associations.Conclusions:The family is an important target for interventions to increase PA among children, and it might be important to consider ways to reinforce children’s athletic competence.
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21.
  • Esteban-Cornejo, I, et al. (författare)
  • Objectively Measured Physical Activity During Physical Education and School Recess and Their Associations With Academic Performance in Youth: The UP&DOWN Study
  • 2017
  • Ingår i: Journal of physical activity & health. - : Human Kinetics. - 1543-5474 .- 1543-3080. ; 14:4, s. 275-282
  • Tidskriftsartikel (refereegranskat)abstract
    • This study examined the associations of objectively measured physical activity in Physical Education and recess with academic performance in youth.Methods:This cross-sectional study was conducted with 1,780 participants aged 6 to 18 years (863 girls). Physical activity was objectively measured by accelerometry and was also classified according to sex- and agespecific quartiles of physical activity intensities. Academic performance was assessed through school records.Results:Physical activity in physical education (PE) and recess was not associated with academic performance (β ranging from –0.038 to –0.003; all P > .05). Youth in the lowest quartile of physical activity in PE engaged in an average of 1.40 min of moderate-to-vigorous physical activity and those in the highest quartile engaged in 21.60 min (for recess: lowest quartile, 2.20 min; highest quartile, 11.15 min). There were no differences in academic performance between quartiles of physical activity in Physical Education and recess.Conclusions:Time spent at different physical activity intensities during PE and recess does not impair academic performance in youth.
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22.
  • Gilson, Nicholas, et al. (författare)
  • Sedentary and physical activity behaviour in ‘blue-collar’ workers: A systematic review of accelerometer studies
  • 2019
  • Ingår i: Journal of Physical Activity and Health. - : ISPAH International Society for Physical Activity and Health. - 1543-3080 .- 1543-5474. ; 16:11, s. 1060-1069
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: This systematic review assessed evidence on the accelerometer-measured sedentary and physical activity (PA) behavior of nonoffice workers in “blue-collar” industries.Methods: The databases CINAHL, Embase, MEDLINE, PubMed, and Scopus were searched up to April 6, 2018. Eligibility criteria were accelerometer-measured sedentary, sitting, and/or PA behaviors in “blue-collar” workers (≥10 participants; agricultural, construction, cleaning, manufacturing, mining, postal, or transport industries). Data on participants’ characteristics, study protocols, and measured behaviors during work and/or nonwork time were extracted. Methodologic quality was assessed using a 12-item checklist.Results: Twenty studies (representing 11 data sets), all from developed world economies, met inclusion criteria. The mean quality score for selected studies was 9.5 (SD 0.8) out of a maximum of 12. Data were analyzed using a range of analytical techniques (eg, accelerometer counts or pattern recognition algorithms). “Blue-collar” workers were more sedentary and less active during nonwork compared with work time (eg, sitting 5.7 vs 3.2 h/d; moderate to vigorous PA 0.5 vs 0.7 h/d). Drivers were the most sedentary (work time 5.1 h/d; nonwork time 8.2 h/d).Conclusions: High levels of sedentary time and insufficient PA to offset risk are health issues for “blue-collar” workers. To better inform interventions, research groups need to adopt common measurement and reporting methodologies.
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23.
  • Haerens, L, et al. (författare)
  • Formative research to develop the IDEFICS physical activity intervention component: findings from focus groups with children and parents
  • 2010
  • Ingår i: Journal of Physical Activity and Health. - Champaign, IL : HUMAN KINETICS PUBL INC. - 1543-3080 .- 1543-5474. ; 7:2, s. 246-256
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: The current study aimed at describing influencing factors for physical activity among young children to determine the best approaches for developing the IDEFICS community based intervention. METHODS: In 8 European sites a trained moderator conducted a minimum of 4 focus groups using standardized questioning guides. A total of 56 focus groups were conducted including 36 focus groups with parents and 20 focus groups with children, of which 74 were boys and 81 girls. Key findings were identified through independent reviews of focus group summary reports using content analysis methods. FINDINGS: Findings were generally consistent across countries. The greatest emphasis was on environmental physical (eg, seasonal influences, availability of facilities and safety), institutional (eg, length of breaks at school), and social factors (eg, role modeling of parents). Most cited personal factors by parents were age, social economical status, and perceived barriers. Both children and parents mentioned the importance of children's preferences. CONCLUSIONS: To increase physical activity levels of young children the intervention should aim at creating an environment (physical, institutional, social) supportive of physical activity. On the other hand strategies should take into account personal factors like age and social economical status and should consider personal barriers too.
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24.
  • Hagstromer, M, et al. (författare)
  • A checklist for evaluating the methodological quality of validation studies on self-report instruments for physical activity and sedentary behavior
  • 2012
  • Ingår i: Journal of physical activity & health. - : Human Kinetics. - 1543-5474 .- 1543-3080. ; 99 Suppl 1, s. S29-S36
  • Tidskriftsartikel (refereegranskat)abstract
    • The quality of methodological papers assessing physical activity instruments depends upon the rigor of a study’s design.Objectives:We present a checklist to assess key criteria for instrument validation studies.Process:A Medline/PubMed search was performed to identify guidelines for evaluating the methodological quality of instrument validation studies. Based upon the literature, a pilot version of a checklist was developed consisting of 21 items with 3 subscales: 1) quality of the reported data (9 items: assess whether the reported information is sufficient to make an unbiased assessment of the findings); 2) external validity of the results (3 items: assess the extent to which the findings are generalizable); 3) internal validity of the study (9 items: assess the rigor of the study design). The checklist was tested for interrater reliability and feasibility with 6 raters.Findings:Raters viewed the checklist as helpful for reviewing studies. They suggested minor wording changes for 8 items to clarify intent. One item was divided into 2 items for a total of 22 items.Discussion:Checklists may be useful to assess the quality of studies designed to validate physical activity instruments. Future research should test checklist internal consistency, test-retest reliability, and criterion validity.
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25.
  • Hagstromer, M, et al. (författare)
  • Comparison of a subjective and an objective measure of physical activity in a population sample
  • 2010
  • Ingår i: Journal of physical activity & health. - : Human Kinetics. - 1543-3080 .- 1543-5474. ; 7:4, s. 541-550
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this study was to compare physical activity components in the long, self-administrated version of IPAQ with an accelerometer in a population sample.Methods:In total 980 subjects (18-65 years) wore an accelerometer (Actigraph) for 7 consecutive days and thereafter filled in the IPAQ. Measures of total physical activity, time spent in moderate and in vigorous activity as well as time spent sitting as assessed by the IPAQ and the Actigraph were compared.Results:The results showed significant low to moderate correlations (Rs = 0.07−0.36) between the 2 instruments and significantly (P < .001) higher values for sitting and vigorous intensity physical activity from the IPAQ compared with the Actigraph. The higher the values reported by the IPAQ the bigger differences were seen between the instruments. Comparison between the tertiles of total physical activity by the 2 instruments showed significant overall association with consistent agreement in the low and the high tertiles.Conclusion:The long form of IPAQ is a valid measure of physical activity in population research. However, the IPAQ likely overestimates actual physical activity as shown by its limited ability to classify adults into low and high categories of physical activity based on accelerometer data.
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26.
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27.
  • Hellgren, Margareta, 1955, et al. (författare)
  • C-Reactive Protein Concentrations and Level of Physical Activity in Men and Women With Normal and Impaired Glucose Tolerance: A Cross-Sectional Population-Based Study in Sweden
  • 2016
  • Ingår i: Journal of Physical Activity & Health. - : Human Kinetics. - 1543-3080 .- 1543-5474. ; 13:6, s. 625-631
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: 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). Methods: 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. Results: 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 (Delta 0.6 mg/L, P = .004). However, this difference could not be found in men with IGT reporting more intense physical activity (Delta 0.01 mg/L, P = .944). Conclusions: 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.
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28.
  • Hemmingsson, Erik, et al. (författare)
  • Bicycling but not walking is independently associated with fasting insulin in abdominally obese women
  • 2011
  • Ingår i: Journal of physical activity & health. - : Human Kinetics. - 1543-5474 .- 1543-3080. ; 8:6, s. 820-823
  • Tidskriftsartikel (refereegranskat)abstract
    • The impact of walking and bicycling on insulin resistance (IR) in women with abdominal obesity is unclear.Methods:Pooled analysis of data from a randomized trial on physically active commuting (bicycling + walking vs walking only) in women with abdominal obesity [n = 98; age:47.3 ± 7.6 yrs; waist circumference (WC):103.1 ± 7.8 cm]. Bicycling and walking data were collected during 7 consecutive days by trip meters (Trelock FC-410) and pedometers (Yamax digiwalker SW-200) at baseline, 2, 4, and 6 months. Owing to a skew distribution we analyzed bicycling as a binary dummy variable with a 10 km/week cut-off. Fasting serum insulin and homeostatic model assessment – insulin resistance (HOMA-IR) were assessed at baseline and 6 months, as were body mass index (BMI), WC, and dual x-ray absorptiometry (DXA)-assessed % whole-body fat.Results:Increased bicycling by 10 km/wk was associated with reductions in fasting serum insulin at follow-up independent of age, treatment allocation, baseline phenotype, Δ walking, and Δ % body fat (β = −10.9, P = .042), but not HOMA-IR (β = −2.0, P = .13). Increased walking was not associated with fasting serum insulin (P = .33) or HOMA-IR (P = .44) at follow-up, after adjustment for the same covariates and Δ bicycling.Conclusion:Increased bicycling but not walking was associated with reduced insulin levels at follow-up. Bicycling may be more effective than walking for reducing insulin levels in abdominally obese women.
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29.
  • Hurtig-Wennlöf, Anita, 1958-, et al. (författare)
  • Changes in aerobic fitness in Swedish children and adolescents
  • 2006
  • Ingår i: Journal of Physical Activity and Health. - 1543-3080 .- 1543-5474. ; 3:1, s. 79-89
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Steadily declining physical activity, especially among children, and the possible adverse health outcomes such behavior could precede, is a general concern. We evaluated whether a presumed decrease in physical activity has been accompanied with a decrease in aerobic fitness of Swedish children. Methods: A maximum cycle ergometer test  was performed in 935 children age 9 and 15 y, and the results were compared with previously reported data. Results: Estimated peak oxygen uptake (mL · kg-1 · min-1) in 9-y-old subjects was 37.3 in girls and 42.8 in boys; and in 15-y-olds, 40.4 in girls and 51.5 in boys. In the 9-y-olds, aerobic fitness remained lower in the current study compared to earlier data, but in the 15-y-olds the result did not differ from the 1952 data after adjustment for methodological differences. Conclusion: Our results suggest a change towards decreased aerobic fitness in 9-y-old, but not in 15-y-old, Swedish children during a 50-y time span.
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30.
  • Kahlin, Yvonne, et al. (författare)
  • A Physical Activity Program for Swedish Physically Inactive Female High School Students : A Controlled Intervention Study
  • 2014
  • Ingår i: Journal of Physical Activity and Health. - : Human Kinetics. - 1543-3080 .- 1543-5474. ; 11:6, s. 1162-1169
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Physical activity and sport participation often decline during adolescence. Aim: To investigate if physical exercise during 6 months could lead to a positive behavior of physical activity, improve physical fitness and self-related health in physically inactive female high school students. Methods: A prospective cluster-randomized controlled intervention study included 104 physically inactive female high school students, 60 in an intervention group and 44 controls. At baseline there were no group differences regarding self-related health. The intervention group exercised at least once per week. A questionnaire and physical fitness tests were used for evaluation, at baseline and 6 months later. Results: The intervention group improved their self-related health compared with the controls (P = .012). When divided into a regular (n = 27) and an irregular training group (n = 33) the regular training group improved their self-related health compared with the controls, while the irregular training group did not differ from the other groups. Maximal oxygen consumption was improved in the intervention group compared with the controls (P < .001). No group differences were found in muscle strength and endurance. Conclusion: Physical exercise at least once per week during 6 months improved physical fitness (maximal oxygen consumption) and self-related health in physically inactive female high school students. Keywords: adolescent,
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31.
  • Kallings, Lena Viktoria, et al. (författare)
  • Self-reported adherence : A method for evaluating prescribed physical activity in primary health care patients
  • 2009
  • Ingår i: Journal of Physical Activity and Health. - : Human Kinetics. - 1543-3080 .- 1543-5474. ; 6:4, s. 483-492
  • Tidskriftsartikel (refereegranskat)abstract
    • Physical activity on prescription, as a method for increasing physical activity, has attracted attention in recent years. However, few studies have examined adherence as a primary outcome variable. The aim of this article was to examine self-reported adherence to individualized prescribed physical activity in a routine primary health care setting. Methods: Patients receiving an individualized physical activity on prescription (FaR) for prevention or treatment of disease were recruited from 13 Swedish primary health care units. Self-reported adherence, physical activity level, readiness to change to a more physically active lifestyle, and well-being were measured with questions at baseline and after 6 months in 240 patients (mean age 51, range 12 to 80, 75% women). Results: At the 6-month follow-up a majority (65%) of the patients reported adherence to the prescription. Partial adherence was reported by 19% and nonadher- ence by 16%. There was a relationship between adherence and well-being and stages of action or maintenance. Conclusions: The results demonstrate that adherence to physical activity on prescription is as good as adherence to other treatments for chronic diseases. This is significant because even a small increase in physical activity is important both on an individual level and for public health.
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32.
  • Kulmala, J, et al. (författare)
  • Leisure-Time and Occupational Physical Activity in Early and Late Adulthood in Relation to Later Life Physical Functioning
  • 2016
  • Ingår i: Journal of physical activity & health. - : Human Kinetics. - 1543-5474 .- 1543-3080. ; 13:10, s. 1079-1087
  • Tidskriftsartikel (refereegranskat)abstract
    • Physical activity (PA) has beneficial effects on older age physical functioning, but longitudinal studies with follow-ups extending up to decades are few. We investigated the association between leisure-time PA (LTPA) and occupational PA (OPA) from early to late adulthood in relation to later life performance-based physical functioning.Methods:The study involved 1260 people aged 60 to 79 years who took part in assessments of physical functioning (Short Physical Performance Battery [SPPB] test, 10-m maximal walking test, and grip strength test). Participants’ data on earlier life LTPA/OPA (age range 25 to 74 years) were received from the previous studies (average follow-up 13.4 years). Logistic, linear, and censored regression models were used to assess the associations between LTPA/OPA earlier in life and subsequent physical functioning.Results:A high level of LTPA earlier in life was associated with a lower risk of having difficulties on the SPPB test (odds ratio [OR]: 0.37; 95% confidence interval [CI], 0.24–0.58) and especially on the chair rise test (OR: 0.42; 95% CI, 0.27–0.64) in old age. Heavy manual work predicted difficulties on SPPB (OR: 1.91; 95% CI, 1.22–2.98) and the chair rise test (OR: 1.75; 95% CI, 1.14–2.69) and poorer walking speed (β = .10, P = .005).Conclusions:This study highlights the importance of LTPA on later life functioning, but also indicates the inverse effects that may be caused by heavy manual work.
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33.
  • Kwak, L, et al. (författare)
  • Can the IPAQ-long be used to assess occupational physical activity?
  • 2012
  • Ingår i: Journal of physical activity & health. - : Human Kinetics. - 1543-5474 .- 1543-3080. ; 9:8, s. 1130-1137
  • Tidskriftsartikel (refereegranskat)abstract
    • To be able to draw any conclusions regarding the health effects of occupational physical activity (OPA), more information is needed regarding valid measures to assess OPA. Aims were to compare OPA as assessed with the International Physical Activity Questionnaire long version (IPAQ-L) with OPA assessed with an accelerometer and to assess the contribution of OPA to total PA.Methods:Working adults (n = 441; mean age = 49.4 yrs; 44% males) wore an accelerometer for 7 days in free-living situations and completed the IPAQ-L. Comparisons were made between IPAQ-L-work and accelerometer data limited to working time (Moderate and Vigorous PA (accelerometer-MVPA-work) and average intensity). Subgroup analyses were performed.Results:Spearman correlation was r = .46 (P < .01) between IPAQ-L-work and accelerometer-MVPA-work. Correlations ranged from r = .27 to r = .55 in respectively obese and overweight subjects. The contribution of IPAQ-L-work to IPAQ-total was 24.7%.Conclusions:The IPAQ-L work domain is a moderately good measure of time spent on MVPA at work and can be used to assess the contribution of OPA to total PA. This study provides valuable information regarding the use of the IPAQ-L in assessing work domain specific PA, and underscores the importance of assessing OPA, as it can contribute for a substantial part to total PA.
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34.
  • Milton, K, et al. (författare)
  • Eight Investments That Work for Physical Activity
  • 2021
  • Ingår i: Journal of physical activity & health. - : Human Kinetics. - 1543-5474 .- 1543-3080. ; 18:6, s. 625-630
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: The International Society for Physical Activity and Health (ISPAH) is a leading global organization working to advance research, policy, and practice to promote physical activity. Given the expanding evidence base on interventions to promote physical activity, it was timely to review and update a major ISPAH advocacy document—Investments that Work for Physical Activity (2011). Methods: Eight investment areas were agreed upon through consensus. Literature reviews were conducted to identify key evidence relevant to policymakers in each sector or setting. Results: The 8 investment areas were as follows: whole-of-school programs; active transport; active urban design; health care; public education; sport and recreation; workplaces; and community-wide programs. Evidence suggests that the largest population health benefit will be achieved by combining these investments and implementing a systems-based approach. Conclusions: Establishing consensus on ‘what works’ to change physical activity behavior is a cornerstone of successful advocacy, as is having appropriate resources to communicate key messages to a wide range of stakeholders. ISPAH has created a range of resources related to the new investments described in this paper. These resources are available in the ‘advocacy toolkit’ on the ISPAH website (www.ispah.org/resources).
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35.
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36.
  • Nyström, Christine Delisle, et al. (författare)
  • Results From Sweden's 2016 Report Card on Physical Activity for Children and Youth.
  • 2016
  • Ingår i: Journal of physical activity & health. - : Human Kinetics. - 1543-5474 .- 1543-3080. ; 13:11 Suppl 2
  • Tidskriftsartikel (refereegranskat)abstract
    • 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.
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37.
  • Olaya-Contreras, Patricia, et al. (författare)
  • Colombian Children With Overweight and Obesity Need Additional Motivational Support at School to Perform Health-Enhancing Physical Activity
  • 2015
  • Ingår i: Journal of Physical Activity & Health. - : Human Kinetics. - 1543-5474 .- 1543-3080. ; 12:5, s. 604-609
  • Tidskriftsartikel (refereegranskat)abstract
    • Aims: The aim of this study is to investigate associations of screen-time and physical activity (PA) with self-efficacy for PA, intrinsic motivation to PA and health-related quality of life (HRQoL) in Colombian schoolchildren from socioeconomically disadvantaged neighborhoods, and to compare these variables among children with normal-weight (NW), overweight (OW) and obesity (OB). Methods: In 678 schoolchildren (age 10-14 years) screen-time (TV, video games, computer) and number of days being physically active >= 60 minutes were self-reported. Multi-item scales were used to assess self-efficacy to PA and intrinsic motivation to PA. The KIDSCREEN-27 was used to assess HRQoL. Results: Screen-time was associated with HRQoL in the school/learning environment dimension. Number of days being physically active was associated with self-efficacy for PA, intrinsic motivation for PA and with HRQoL concerning physical well-being, autonomy/parent relation and social support/peers. Group differences were found for days being physically active (OW = 2.8 and OB 7 2.7 vs. NW = 3.3) but not for screen-time (NW = 5.0,OW = 4.7 and OB = 5.7 hrs.d(-1)). OW and OB scored lower on intrinsic motivation to PA than NW (OW = 19.2 and OB = 17.9 versus NW = 20.1). All 3 groups differed in physical well-being scores (NW = 50.3, OW = 48.1, OB = 40.6, P < .001). Conclusions: Schoolchildren with overweight and obesity from socioeconomically disadvantaged neighborhoods need additional motivational support to perform health-enhancing PA to experience higher physical well-being.
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38.
  • Pagels, Peter, et al. (författare)
  • Influence of moderate, daily,physical activity upon body composition and blood lipid profile in swedish adults
  • 2012
  • Ingår i: Journal of Physical Activity and Health. - 1543-3080 .- 1543-5474. ; 9, s. 867-874
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Health organizations suggest that adults ought to engage in at least 30 minutes of moderate-intensity daily physical activity. This study investigated the effects of a 30-minute single daily bout of brisk walking upon risk factors for CHD with blood lipid profile in particular. Methods: Thirty-three (25-45 y) adults, were randomly assigned into an exercise group (EG) (n=16, (9w) and a control group (CG) (n=17 (6w). The EG walked briskly 30 minutes daily during the 3 weeks test period. Compliance/adherence was maximal throughout the 3-week intervention due to stringent daily monitoring. Results: The EG showed a significant decrease in concentrations of low density lipoprotein cholesterol (LDL-C) and total cholesterol (TC) during the intervention period. A significant inverse correlation between Δ energy expenditure/day and Δ LDL-C (r = -0.39, P<0.05) and an improvement in weight and BMI in the EG was found. Average steps during 30 minutes brisk walking bout was 3669 steps/bout generating a mean energy expenditure of 191 kcal/bout. Conclusions: The most unique findings were that daily single bouts of moderate-intensity physical activity for 30 minutes, during 3 weeks, induced favourable effects upon body weight, BMI and blood concentration of LDL-C and TC in healthy adults.
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39.
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40.
  • Raustorp, Anders, et al. (författare)
  • Accelerometer measured level of physical activity indoors and outdoors during preschool time in Sweden and the United States
  • 2012
  • Ingår i: Journal of Physical Activity and Health. - : Human Kinetics. - 1543-3080 .- 1543-5474. ; 9:6, s. 801-808
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: It is important to understand the correlates of physical activity (PA) to influence policy and create environments that promote PA among preschool children. We compared preschoolers' PA in Swedish and in US settings and objectively examined differences boys' and girls' indoor and outdoor PA regarding different intensity levels and sedentary behavior. Methods: Accelerometer determined PA in 50 children with mean age 52 months, (range 40-67) was recorded during preschool time for 5 consecutive weekdays at 4 sites. The children wore an Actigraph GTIM Monitor. Results: Raleigh preschool children, opposite to Malmo preschoolers spent significantly more time indoors than outdoors (P < .001). Significantly more moderate-to-vigorous intensity physical activity (MVPA) was observed outdoors (P < .001) in both settings. Malmo children accumulated significantly more counts/min indoors (P < .001). The percent of MVPA during outdoor time did not differ between children at Raleigh and Malmo. Conclusion: Physical activity counts/minutes was significantly higher outdoors vs. indoors in both Malmo and Raleigh. Malmo preschoolers spent 47% of attendance time outdoors compared with 18% for Raleigh preschoolers which could have influenced the difference in preschool activity between the 2 countries. Time spent in MVPA at preschool was very limited and predominantly adopted outdoors.
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41.
  • Raustorp, Anders, et al. (författare)
  • Eight-Year Secular Trends of Pedometer-Determined Physical Activity in Young Swedish Adolescents
  • 2009
  • Ingår i: Journal of Physical Activity and Health. - 1543-3080 .- 1543-5474. ; 7:3, s. 369-374
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: To explore the secular trends (time change) of pedometer-determined physical activity (steps per day) in Swedish young adolescents 13 to 14 years of age from 2000 to 2008. Methods: The study was analyzed between 2 cross-sectional cohorts carried out in October 2000 (235, 111 girls) and October 2008 (186, 107 girls) in the same school, using identical procedures. Data of mean steps per day were collected during 4 consecutive weekdays (sealed pedometer Yamax SW-200 Tokyo, Japan) and in addition height and weight were measured. Results: When comparing cohort 2000 with cohort 2008 no significant difference in physical activity were found neither among girls (12,989 vs 13,338 [t = –0.98, P < .325]) nor boys (15,623 vs 15,174 [t = 0.78, P = .436]). The share of girls and boys meeting weight control recommendations was none significantly higher in 2008 both among girls (68% versus 62%) and among boys (69% versus 65%). Conclusion: There was no significant difference of young adolescents’ physical activity during school weekdays in 2008 compared with 2000. This stabilized physical activity level, in an internationally comparison regarded as high, is promising. Enhanced focus on physical activity in society and at school might have influenced the result.
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42.
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43.
  • Raustorp, Anders, 1958, et al. (författare)
  • Tracking of Pedometer-Determined Physical Activity: A 10-Year Follow-Up Study From Adolescence to Adulthood in Sweden
  • 2013
  • Ingår i: Journal of physical activity & health. - : Human Kinetics. - 1543-5474 .- 1543-3080. ; 10:8, s. 1186-1192
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: Tracking refers to the tendency for an individual to maintain their rank within a group over time. AIM: To identify levels of pedometer determined physical activity and explore tracking over ten year follow up period. METHODS: In October of 2000, 2003, 2005 and 2010, data of physical activity as steps/day was measured with Yamax SW-200 Tokyo, Japan for four consecutive schooldays in 40 (19 females) Swedish individuals (mean age 12.7 in 2000). RESULTS: In boys a decrease of mean step/day occurred between baseline and the three year (p < 0.001), the five year (p < 0.001) and the ten year follow-up (p < 0.014). A significant moderate tracking occurred in those at baseline classified insufficient active, both over the 3-5 year (rs = 0.56, p = 0.005) and the 0-10 year span (rs = 0.47, p = 0.05). CONCLUSION: The significant decrease of physical activity, as steps/day, in males at early adolescent seems to level out during late adolescence and early adulthood. Further, youth classified insufficient active according to published BMI reference standards at the baseline measures showed a significant moderate tracking over the ten year follow-up period.
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44.
  • Raustorp, Anders, 1958-, et al. (författare)
  • Tracking of pedometer-determined physical activity. A 16 year follow-up study.
  • 2018
  • Ingår i: Journal of Physical Activity and Health. - : Human Kinetics. - 1543-3080 .- 1543-5474. ; 15:1, s. 7-12
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: The aims of this study were to explore the effect of time and long-termed tracking on pedometer-determined physical activity (PA) from early adolescent to the 30s. Methods: PA was measured with pedometers [Yamax™ (SW-200)] during 2000 (time 1), 2003 (time 2), 2005 (time 3), 2010 (time 4), and 2016 (time 5). Anthropometric data were collected during time 1. Data from 59 participants (n = 32 males) were analyzed from early adolescent (time 1) to the 30s (time 5). Results:There was an effect of time for males (P = .005, η2 = .76) and females (P = .002, η2 = .50) where steps per day decreased. Males steps per day tracked between time 1 and time 2 (r = .41, P = .021), time 1 and time 3 (r = .38, P = .03), time 3 and time 4 (r = .42, P = .015), and time 4 and time 5 (r = .50, P = .003). Females steps per day tracked between time 4 and time 5 (r = .39, P = .04). Males took more steps per day than females during time 1 (P = .018), whereas females took more steps per day during time 2 (P = .043) and time 3 (P = .03). Conclusion: There was a significant effect of time, where steps per day decreased between the 5 times of measurement. Steps per day tracked low to moderate in the short time span, yet tracked nonsignificantly from early adolescent to the 30s.
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45.
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46.
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47.
  • Sodergren, M, et al. (författare)
  • Associations between health-enhancing physical activity and country of birth among women
  • 2010
  • Ingår i: Journal of physical activity & health. - : Human Kinetics. - 1543-3080 .- 1543-5474. ; 7:5, s. 613-621
  • Tidskriftsartikel (refereegranskat)abstract
    • The purpose of this study was to examine the association between total self-reported health-enhancing physical activity and country of birth among women living in Sweden.Methods:Women (age 18 to 65 years) born in Sweden, Finland, Chile, and Iraq were recruited for this cross-sectional study. Data were collected by means of a postal questionnaire including the International Physical Activity Questionnaire (IPAQ-long version). Self-reported physical activity data were converted to MET-minutes per week and analyzed as continuous or categorical scores. A total of 2649 women were included in the analyses. The association between physical activity and country of birth was explored using ordinal logistic regression assuming proportional odds.Results:The total physical activity differed significantly between the countries of birth (P < .001). Women from Finland had significant higher odds and women from Iraq had significantly lower odds for reporting higher levels of physical activity, compared with Swedish-born women.Conclusions:The direction of the associations between self-reported total health-enhancing physical activity varied by country of birth, which underlines the need to examine physical activity in each minority group separately.
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48.
  • Straker, Leon, et al. (författare)
  • Capturing the pattern of physical activity and sedentary behavior : Exposure Variation Analysis of accelerometer data
  • 2014
  • Ingår i: Journal of Physical Activity and Health. - : Human Kinetics. - 1543-3080 .- 1543-5474. ; 11:3, s. 614-625
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: Capturing the complex time pattern of physical activity (PA) and sedentary behavior (SB) using accelerometry remains a challenge. Research from occupational health suggests exposure variation analysis (EVA) could provide a meaningful tool. This paper (1) explains the application of EVA to accelerometer data, (2) demonstrates how EVA thresholds and derivatives could be chosen and used to examine adherence to PA and SB guidelines, and (3) explores the validity of EVA outputs.METHODS: EVA outputs are compared with accelerometer data from 4 individuals (Study 1a and1b) and 3 occupational groups (Study 2): seated workstation office workers (n = 8), standing workstation office workers (n = 8), and teachers (n = 8).RESULTS: Line graphs and related EVA graphs highlight the use of EVA derivatives for examining compliance with guidelines. EVA derivatives of occupational groups confirm no difference in bouts of activity but clear differences as expected in extended bouts of SB and brief bursts of activity, thus providing evidence of construct validity.CONCLUSIONS: EVA offers a unique and comprehensive generic method that is able, for the first time, to capture the time pattern (both frequency and intensity) of PA and SB, which can be tailored for both occupational and public health research.
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49.
  • Timmermans, EJ, et al. (författare)
  • The Influence of Weather Conditions on Outdoor Physical Activity Among Older People With and Without Osteoarthritis in 6 European Countries
  • 2016
  • Ingår i: Journal of physical activity & health. - : Human Kinetics. - 1543-5474 .- 1543-3080. ; 13:12, s. 1385-1395
  • Tidskriftsartikel (refereegranskat)abstract
    • Older adults with osteoarthritis (OA) often report that their disease symptoms are exacerbated by weather conditions. This study examines the association between outdoor physical activity (PA) and weather conditions in older adults from 6 European countries and assesses whether outdoor PA and weather conditions are more strongly associated in older persons with OA than in those without the condition.Methods:The American College of Rheumatology classification criteria were used to diagnose OA. Outdoor PA was assessed using the LASA Physical Activity Questionnaire. Data on weather parameters were obtained from weather stations.Results:Of the 2439 participants (65–85 years), 29.6% had OA in knee, hand and/or hip. Participants with OA spent fewer minutes in PA than participants without OA (Median = 42.9, IQR = 20.0 to 83.1 versus Median = 51.4, IQR = 23.6 to 98.6; P < .01). In the full sample, temperature (B = 1.52; P < .001) and relative humidity (B = –0.77; P < .001) were associated with PA. Temperature was more strongly associated with PA in participants without OA (B = 1.98; P < .001) than in those with the condition (B = 0.48; P = .47).Conclusions:Weather conditions are associated with outdoor PA in older adults in the general population. Outdoor PA and weather conditions were more strongly associated in older adults without OA than in their counterparts with OA.
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50.
  • Tudor-Locke, Catrine, et al. (författare)
  • BMI referenced cut points for pedometer determined steps/day in adults
  • 2008
  • Ingår i: Journal of Physical Activity and Health. - : Human Kinetics. - 1543-3080 .- 1543-5474. ; 5:Suppl 1, s. 126-139
  • Tidskriftsartikel (refereegranskat)abstract
    • Background:The goal of this study was to establish preliminary criterion-referenced cut points for adult pedometer-determined physical activity (PA) related to weight status defined by body mass index (BMI).Methods:Researchers contributed directly measured BMI and pedometer data that had been collected (1) using a Yamax-manufactured pedometer, (2) for a minimum of 3 days, (3) on ostensibly healthy adults. The contrasting groups method was used to identify age- and gender-specific cut points for steps/d related to BMI cut points for normal weight and overweight/obesity (defined as BMI <25 and ≥25 kg/m2, respectively).Results:Data included 3127 individuals age 18 to 94 years (976 men, age = 46.8 ± 15.4 years, BMI = 27.3 ± 4.9; 2151 women, age = 47.4 ± 14.9 years, BMI = 27.6 ± 6.4; all gender differences NS). Best estimated cut points for normal versus overweight/obesity ranged from 11,000 to 12,000 steps/d for men and 8000 to 12,000 steps/d for women (consistently higher for younger age groups).Conclusions:These steps/d cut points can be used to identify individuals at risk, or the proportion of adults achieving or falling short of set cut points can be reported and compared between populations. Cut points can also be used to set intervention goals, and they can be referred to when evaluating program impact, as well as environmental and policy changes.
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