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Navigating Physical Activity Promotion and Policy in the Post-COVID-19-Pandemic Era. 后 COVID-19 流行病时代的体育活动推广和政策导航。
IF 2.9 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-09 DOI: 10.1123/jpah.2024-0206
Justin Richards, Katja Siefken, Michael Pratt, Adrian Bauman, Juliana Mejía-Grueso, Catherine B Woods, Wanda Wendel-Vos, Erica Hinckson, Deborah Salvo, Pedro C Hallal, Andrea Ramírez Varela

Background: There is limited evidence on the priorities and opportunities associated with promoting population physical activity (PA) participation for the post-COVID-19-pandemic future.

Purpose: This study assessed government-led PA promotion efforts before and during the COVID-19 pandemic, along with post-COVID-19-pandemic priorities and recommendations.

Methods: Two separate cross-sectional surveys conducted in 2023. Survey 1 was targeted at the Global Observatory for Physical Activity (GoPA!) Country Contacts. Survey 2 also included key international informants representing influential stakeholders in PA policy implementation.

Results: There were 68 respondents to Survey 1, collectively representing 61 countries. An additional 37 people, including representatives from 14 key international stakeholders responded to Survey 2. Eighty-two percent of countries had national PA policies. COVID-19 widely disrupted PA policy implementation. Less than 40% of countries integrated PA into their COVID-19 response plan and more than 75% reported policies that restricted PA participation. Although most respondents indicated that government PA priorities did not change due to the COVID-19 pandemic, one in five countries reported that cross-sectoral partnership had become more important during this period. Less than a third of postpandemic governments reported as highly engaged despite the widespread proliferation of PA policies and plans prior to the pandemic. There were variations according to country, region, and income.

Conclusions: Elevating PA promotion on the public health agenda is crucial for the post-COVID-19-pandemic era. At a policy level, it is critical to focus on adequate resourcing, cross-sectoral partnerships, integrated interventions, and inequities in participation. These factors have become increasingly important in the postpandemic PA policy landscape.

背景:在 COVID-19 大流行后的未来,有关促进全民体育锻炼(PA)的优先事项和机会的证据有限:目的:本研究评估了在 COVID-19 大流行之前和期间政府主导的体育锻炼促进工作,以及 COVID-19 大流行后的优先事项和建议:方法:在 2023 年进行了两次独立的横断面调查。调查 1 针对全球体育锻炼观察站 (GoPA!) 的国家联系人。调查 2 还包括代表在实施体育锻炼政策方面有影响力的利益相关者的主要国际信息提供者:调查 1 共有 68 位受访者,代表 61 个国家。另有 37 人(包括来自 14 个主要国际利益相关方的代表)对调查 2 作出了回应。82%的国家制定了国家保护区政策。COVID-19 广泛干扰了保护区政策的实施。不到 40% 的国家将巴勒斯坦权力机构纳入其 COVID-19 应对计划,超过 75% 的国家报告称其政策限制了巴勒斯坦权力机构的参与。尽管大多数受访者表示,政府 PA 的优先事项并未因 COVID-19 大流行而改变,但五分之一的国家报告称,在此期间,跨部门伙伴关系变得更加重要。尽管疫情发生前,公共行政政策和计划广泛传播,但疫情发生后报告高度参与的政府不到三分之一。不同的国家、地区和收入水平存在差异:结论:在后 COVID-19 大流行时代,将促进 PA 纳入公共卫生议程至关重要。在政策层面,关注充足的资源、跨部门伙伴关系、综合干预措施以及参与中的不平等现象至关重要。这些因素在后大流行病时期的公共卫生政策中变得越来越重要。
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引用次数: 0
Striving for Global Consensus: A Systematic Review of Social Return on Investment Applied to Physical Activity and Sport. 努力达成全球共识:体育活动和运动的社会投资回报系统回顾》。
IF 2.9 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-09 DOI: 10.1123/jpah.2024-0174
Inés Nieto, Xián Mayo, Larissa Davies, Lindsey Reece, Ben Strafford, Alfonso Jimenez

Background: Physical activity and sport (PAS) have been related to health and social benefits, but their monetary value remains unclear. This systematic review on the social return on investment of PAS aimed to find what are the social outcomes measured in previous PAS literature and how are these measured and valued.

Methods: A systematic search was conducted on WoS, PubMed, and EconLit. Articles in English, measuring the social value of any type of PAS in monetary terms and utilizing a social return on investment framework, were included. Risk of bias was evaluated using the Drummond checklist. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed.

Results: Fifty-five documents (2010-2022), from all continents except America, were included; only 8 were published in peer-reviewed journals, whereas 47 were reports. Most studies evaluated the benefits of specific programs, and 6 measured the engagement in PAS at the population level based on national or community surveys. The social outcomes identified were health (94.5%), crime (50.9%), education (83.6%), subjective well-being (89.1%), social capital (60%), and other (3.6%-23.6%). The valuation methods included willingness to pay, well-being valuation, the cost of an activity that could result in the same outcome, and cost databases associating outcomes with a monetary value.

Conclusions: This study updates a previous review and widens the scope by answering the question of how social outcomes are measured and valued in previous PAS literature. Given the heterogeneity found in the application of the method, this review will inform a Delphi study to reach a Global Consensus Statement on the measurement of social value and PAS.

背景:体育活动和运动(PAS)与健康和社会效益有关,但其货币价值仍不明确。这篇关于体育锻炼和运动的社会投资回报的系统性综述旨在了解以往的体育锻炼和运动文献中衡量了哪些社会成果,以及如何衡量和评估这些成果:方法:在 WoS、PubMed 和 EconLit 上进行了系统检索。方法:在 WoS、PubMed 和 EconLit 上进行了系统性检索,纳入了以货币形式衡量任何类型考绩制度的社会价值并使用社会投资回报框架的英文文章。采用 Drummond 检查表对偏倚风险进行评估。结果:共收录了 55 篇文献(2010-2022 年),这些文献来自除美洲以外的各大洲;其中只有 8 篇发表在同行评审期刊上,47 篇为报告。大多数研究评估了特定计划的益处,6 项研究根据国家或社区调查衡量了人口层面参与考绩制度的情况。确定的社会成果包括健康(94.5%)、犯罪(50.9%)、教育(83.6%)、主观幸福感(89.1%)、社会资本(60%)和其他(3.6%-23.6%)。估价方法包括支付意愿、福祉估价、可能产生相同结果的活动成本以及将结果与货币价值相关联的成本数据库:本研究更新了之前的综述,并通过回答之前的考绩制度文献中如何衡量和评价社会成果的问题,扩大了研究范围。鉴于在方法应用中发现的异质性,本综述将为德尔菲研究提供信息,以便就社会价值和考绩制度的衡量达成全球共识声明。
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引用次数: 0
Physical Activity Report Card Indicators and the United Nations Sustainable Development Goals: Insights From Global Matrix 4.0. 体育活动成绩单指标与联合国可持续发展目标:全球矩阵 4.0 的启示。
IF 2.9 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-08 DOI: 10.1123/jpah.2024-0442
Diego Augusto Santos Silva, Salomé Aubert, Taru Manyanga, Eun-Young Lee, Deborah Salvo, Mark S Tremblay

Background: The World Health Organization recognizes that physical activity (PA) during childhood is crucial for healthy development, aligning well with the achievement of several United Nations (UN) Sustainable Development Goals (SDGs). This study aimed to explore the associations between 10 key indicators of PA for children and adolescents assessed in the Global Matrix 4.0 project, and the UN SDGs.

Methods: Data from 57 countries/jurisdictions of the Global Matrix 4.0 project were used. The UN SDG indicators were sourced from the SDG Transformation Center, which publishes each country's performance on each of the 17 SDGs. Given the robust evidence supporting plausible links between PA and SDGs 3 (good health and well-being), 9 (industry, innovation, and infrastructure), 11 (sustainable cities and communities), 13 (climate action), and 16 (peace, justice, and strong institutions), these SDGs were investigated.

Results: Countries/jurisdictions with good and moderate performance in achieving SDG 3, SDG 9, SDG 11, and SDG 16 had higher grades than countries/jurisdictions with fair performance in achieving these SDGs for the following indicators: Organized Sports and PA, Community and Environment, and Government Investments and Strategies. However, countries/jurisdictions with good performance in achieving SDG 13 had lower grades than countries/jurisdictions with fair performance in achieving SDG 13 for the following indicators: Organized Sports and PA, Community and Environment, and Government Investments and Strategies.

Conclusions: Organized Sports and PA, Community and Environment, and Government Investments and Strategies were the indicators that demonstrated differences between countries/jurisdictions with good and poor performance in achieving the SDGs.

背景:世界卫生组织认为,儿童时期的体育活动(PA)对健康成长至关重要,这与实现联合国(UN)的几项可持续发展目标(SDGs)是一致的。本研究旨在探讨全球矩阵 4.0 项目评估的 10 项儿童和青少年体育活动关键指标与联合国可持续发展目标之间的关联:研究使用了来自全球矩阵 4.0 项目 57 个国家/地区的数据。联合国可持续发展目标指标来自可持续发展目标转化中心,该中心公布了各国在 17 项可持续发展目标中的每项目标上的表现。鉴于有可靠证据支持 PA 与可持续发展目标 3(良好的健康和福祉)、9(工业、创新和基础设施)、11(可持续城市和社区)、13(气候行动)和 16(和平、正义和强有力的机构)之间存在合理联系,因此对这些可持续发展目标进行了调查:结果:在实现可持续发展目标 3、可持续发展目标 9、可持续发展目标 11 和可持续发展目标 16 方面表现良好和中等的国家/辖区,在以下指标方面的成绩高于在实现这些可持续发展目标方面表现一般的国家/辖区:在实现可持续发展目标方面,有组织的体育运动和表演艺术、社区和环境以及政府投资和战略的等级高于表现一般的国家/地区。然而,在实现可持续发展目标 13 方面表现良好的国家/辖区在以下指标的评分低于实现可持续发展目标 13 方面表现一般的国家/辖区:结论:在实现可持续发展目标方面,有组织的体育运动和表演艺术、社区和环境以及政府投资和战略这三个指标在实现可持续发展目标方面表现出好与差的国家/辖区之间的差异。
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引用次数: 0
Associations of Working From Home Frequency With Accelerometer-Measured Physical Activity and Sedentary Behavior in Japanese White-Collar Workers: A Cross-Sectional Analysis of the Meiji Yasuda LifeStyle Study. 日本白领在家工作的频率与加速计测量的体力活动和久坐行为的关系:明治安田生活方式研究的横断面分析》(Meiji Yasuda LifeStyle Study)。
IF 2.9 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-08 Print Date: 2024-11-01 DOI: 10.1123/jpah.2024-0147
Naruki Kitano, Yuya Fujii, Aya Wada, Ryoko Kawakami, Kaori Yoshiba, Daisuke Yamaguchi, Yuko Kai, Takashi Arao

Background: The association of working from home (WFH) with physical activity (PA) and sedentary behavior (SB) has been explored; however, this association during periods without stringent measures to combat coronavirus disease 2019 is undercharacterized. Particularly, few studies have evaluated the potential effect modification on its associations. Therefore, this study aimed to investigate the associations of WFH frequency with accelerometer-measured PA and SB, along with its effect modifiers, among Japanese white-collar workers during the later pandemic period.

Methods: A cross-sectional study involving 1133 white-collar workers residing in the Tokyo metropolitan area was conducted between April 2022 and March 2023. WFH frequency was evaluated through a self-report questionnaire, while SB and PA during weekdays were measured using a triaxial accelerometer. Linear regression models adjusting for potential confounders were used to examine the association of WFH frequency with PA and SB.

Results: Regardless of activity intensity, individuals who worked at home, even for 1 to 2 days per week, demonstrated lower levels of PA and higher levels of SB as compared with those who did not (P < .05). For example, difference between never and ≥5 days per week WFH was approximately 70 minutes/day for total PA and about 4000 steps/day for step counts. Associations between WFH and decreased PA were more pronounced in workers who were older, female, less educated, in sales and service work, nonregular staff, and precontemplating changes in exercise and eating habits.

Conclusions: We report that WFH was associated with decreased PA and increased SB in Japanese white-collar workers with pronounced associated in several subgroups.

背景:人们已经探讨了在家工作(WFH)与体力活动(PA)和久坐行为(SB)之间的关系;但是,在没有采取严格措施防治冠状病毒疾病的时期,这种关系还没有得到充分说明。特别是,很少有研究对其关联的潜在影响变化进行评估。因此,本研究旨在调查大流行后期日本白领工人的WFH频率与加速度计测量的PA和SB的相关性,以及其影响修饰因素:在 2022 年 4 月至 2023 年 3 月期间,对居住在东京都地区的 1133 名白领进行了一项横断面研究。WFH频率通过自我报告问卷进行评估,而工作日的SB和PA则通过三轴加速度计进行测量。采用调整潜在混杂因素的线性回归模型来研究WFH频率与PA和SB的关系:无论活动强度如何,与不在家工作的人相比,在家工作的人,即使每周工作 1 到 2 天,其 PA 水平较低,SB 水平较高(P < .05)。例如,从不在家工作与每周在家工作≥5 天之间的差异在总 PA 方面约为 70 分钟/天,在步数方面约为 4000 步/天。在年龄较大、女性、受教育程度较低、从事销售和服务工作、非固定工作人员以及预先考虑改变运动和饮食习惯的工人中,WFH 与 PA 减少之间的关联更为明显:我们报告了日本白领工人的 WFH 与 PA 减少和 SB 增加有关,在几个亚群中相关性更明显。
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引用次数: 0
Prospective Association Between 24-Hour Movement Behaviors and Fundamental Movement Skills in Chinese Preschoolers During the COVID-19 Pandemic: A Compositional and Reallocation Analysis. COVID-19大流行期间中国学龄前儿童24小时运动行为与基本运动技能之间的前瞻性关联:构成与再分配分析》。
IF 2.9 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-30 Print Date: 2024-11-01 DOI: 10.1123/jpah.2024-0142
Huiqi Song, Patrick W C Lau, Jing-Jing Wang, Peng Zhou, Lei Shi

Background: This prospective observation study explored the association between 24-hour movement behaviors and fundamental movement skills (FMS) in Chinese preschoolers during the COVID-19 pandemic.

Methods: Four hundred and eighteen preschoolers (226 males; 4.0 [0.6] y old) from Zhuhai, China, completed the device-based physical activity (PA) and sedentary behavior measures, and sleep duration was reported by parents at baseline (October 2021 to December 2021). FMS was assessed using the Test of Gross Motor Development: Third Edition at 1-year follow-up (October 2022 to December 2022). The compositional analysis and isotemporal substitution were used.

Results: Moderate to vigorous PA (MVPA) was positively associated with locomotor skills and ball skills (P < .05), and light physical activity was negatively associated with locomotor skills (P < .05) during the COVID-19 pandemic. FMS improvements were linked to the addition of MVPA at the expense of light physical activity, sedentary behavior, and sleep. The estimated detriments to FMS were larger in magnitude than the estimated benefits of time reallocation from MVPA to light physical activity, sedentary behavior, and sleep.

Conclusions: This study provides evidence about 24-hour movement behaviors and FMS during the COVID-19 pandemic and highlights the importance of participating in MVPA to improve preschoolers' FMS development during the COVID-19 era.

背景:本前瞻性观察研究探讨了中国学龄前儿童在COVID-19大流行期间的24小时运动行为与基本运动技能(FMS)之间的关系:这项前瞻性观察研究探讨了中国学龄前儿童在COVID-19大流行期间的24小时运动行为与基本运动技能(FMS)之间的关联:方法:来自中国珠海的 418 名学龄前儿童(226 名男性;4.0 [0.6] 岁)完成了基于设备的体力活动(PA)和久坐行为测量,基线(2021 年 10 月至 2021 年 12 月)睡眠时间由家长报告。随访 1 年(2021 年 10 月至 2021 年 12 月)时,使用第三版粗大运动发育测试对 FMS 进行评估:在为期一年的随访中(2022 年 10 月至 2022 年 12 月),使用《粗大运动发育测试:第三版》对 FMS 进行评估。研究采用了成分分析法和等时替代法:结果:在COVID-19大流行期间,中度到剧烈的体育锻炼(MVPA)与运动技能和球类技能呈正相关(P < .05),而轻度体育锻炼与运动技能呈负相关(P < .05)。FMS的改善与MVPA的增加有关,而轻度体力活动、久坐行为和睡眠则是以MVPA为代价的。据估计,对 FMS 的不利影响要大于从 MVPA 到轻体力活动、久坐行为和睡眠的时间重新分配所带来的益处:本研究提供了有关 COVID-19 流行期间 24 小时运动行为和 FMS 的证据,并强调了参与 MVPA 对改善 COVID-19 期间学龄前儿童 FMS 发展的重要性。
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引用次数: 0
Implementation Evaluation of a Parks- and Faith-Based Multilevel Intervention to Promote Physical Activity Among Latinos. 对以公园和信仰为基础的多层次干预措施进行实施评估,以促进拉美裔人的体育锻炼。
IF 2.9 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-25 Print Date: 2024-11-01 DOI: 10.1123/jpah.2024-0290
Lilian G Perez, Tara Blagg, Alane Celeste-Villalvir, Gabriela Castro, Michael A Mata, Sergio Perez, Elva Arredondo, Steven Loy, Anne Larson, Kathryn P Derose

Background: Latinos in the United States face multiple barriers to engaging in physical activity (PA). We implemented a faith-based multilevel intervention to promote PA in parks for Latino adults, which was partially adapted to a virtual platform during the COVID-19 pandemic, and evaluated it using the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework.

Methods: We conducted in-depth semistructured interviews (83% in Spanish) with 24 intervention participants (75% women) participating in a cluster randomized controlled trial in 2019-2022 that linked 6 churches (3 intervention, 3 control) with parks in East Los Angeles, CA. The intervention included in-person, park-based fitness classes, which were adapted to Facebook during the pandemic; PA motivational text messages; and other activities. Interviews assessed Reach (participation), Effectiveness (perceived impacts), Implementation (participation barriers/facilitators), and Maintenance (plans for sustaining PA), as well as perceived pandemic impacts.

Results: About 80% of interviewees participated in ≥1 park class and 67% in ≥1 virtual class (Reach). Interviewees perceived positive intervention impacts across multiple health and well-being domains (Effectiveness) despite perceived negative pandemic impacts; several facilitators to participation (personal, social, program) and few barriers (personal, virtual, environmental; Implementation); and plans for maintaining PA (eg, revisiting intervention text messages and video recordings; Maintenance).

Conclusions: Findings support the utility of Reach, Effectiveness, Adoption, Implementation, and Maintenance to understand the broad impacts of a faith-based PA intervention. Findings point to the adaptability and robustness of the intervention during a public health crisis. Overall, findings may help inform the translation of the intervention to other communities to advance health equity.

背景:美国拉美裔在参加体育活动(PA)方面面临多重障碍。我们实施了一项以信仰为基础的多层次干预措施,以促进拉丁裔成年人在公园进行体育锻炼,该干预措施在 COVID-19 大流行期间被部分调整为虚拟平台,并使用 "覆盖、效果、采用、实施和维持 "框架对其进行了评估:我们对参加 2019-2022 年群组随机对照试验的 24 名干预参与者(75% 为女性)进行了深入的半结构式访谈(83% 为西班牙语),该试验将加州东洛杉矶的 6 个教堂(3 个干预教堂,3 个对照教堂)与公园联系起来。干预措施包括面对面的公园健身课程,该课程在大流行期间被改编为 Facebook 课程;PA 激励短信;以及其他活动。访谈评估了覆盖范围(参与)、效果(感知的影响)、实施(参与障碍/促进因素)和维护(持续开展 PA 的计划),以及感知的大流行影响:约 80% 的受访者参加了≥1 次公园课程,67% 的受访者参加了≥1 次虚拟课程(Reach)。受访者认为,尽管大流行带来了负面影响,但干预措施在多个健康和福祉领域都产生了积极影响(有效性);参与的几个促进因素(个人、社会、项目)和很少的障碍(个人、虚拟、环境;实施);以及保持 PA 的计划(例如,重温干预短信和视频录像;保持):研究结果表明,"覆盖面"、"有效性"、"采纳"、"实施 "和 "维持 "对了解基于信仰的 PA 干预措施的广泛影响非常有用。研究结果表明,该干预措施在公共卫生危机期间具有适应性和稳健性。总之,研究结果可能有助于将该干预措施推广到其他社区,以促进健康公平。
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引用次数: 0
The Effect of the Mamanet Cachibol League on Psychosomatic Symptoms, Healthy Eating, and Social Support Among Arab Women: A Mixed-Methods Study. Mamanet Cachibol 联盟对阿拉伯妇女心身症状、健康饮食和社会支持的影响:混合方法研究。
IF 2.9 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-19 Print Date: 2024-11-01 DOI: 10.1123/jpah.2024-0029
Karin Eines, Inbal Halevi Hochwald, Gizell Green, Avivit Dolev, Shiran Bord, Yuval Paldi, Liora Shmueli, Sharon Levi, Riki Tesler

Background: The Mamanet Cachibol League (MCL), a community-based model developed in Israel, promotes physical activity and amateur team sports among women. Women in the Arab society have traditionally played few sports, especially team sports.

Aims: The study aimed to assess the differences in health indicators and well-being, including psychosomatic symptoms, self-reported health, healthy eating habits, and social support, by comparing Arab women MCL participants and nonparticipants and examines benefits and motivations of community-based team sports for participants.

Methods: An explanatory sequential mixed-methods approach included a cross-sectional study with intervention and control groups of Israeli Arab women aged 25-59 years. Two-way analyses of covariance and multiple regression models evaluated demographics, well-being, healthy eating, and social support. Quality in-depth interviews with 30 MCL participants further explained the quantitative findings.

Results: MCL participants reported higher self-assessed health (P < .001) and decreased psychosomatic symptoms (P < .001) than nonparticipants. Healthier eating and well-being were also linked to MCL participation. The women sense of belonging improved social interactions, personal and professional happiness, and group dedication. MCL attendees felt empowered because the group advocated equality and valued women. Women said their involvement helped their families.

Conclusions: Findings on the MCL community-based model suggest that team sports may serve as an effective tool for promoting health and well-being of Arab women and foster positive community relationships. The sense of belonging and personal empowerment derived from being part of a sports team may also contribute to positive mental health outcomes.

背景:Mamanet Cachibol 联盟(MCL)是以色列开发的一种基于社区的模式,旨在促进妇女的体育活动和业余团队运动。目的:本研究旨在通过比较阿拉伯妇女 MCL 参与者和非参与者,评估其在健康指标和幸福感方面的差异,包括心身症状、自我报告的健康状况、健康饮食习惯和社会支持,并研究社区团队运动对参与者的益处和动机:解释性顺序混合方法包括一项横截面研究,干预组和对照组均为 25-59 岁的以色列阿拉伯妇女。双向协方差分析和多元回归模型对人口统计学、幸福感、健康饮食和社会支持进行了评估。对 30 名 MCL 参与者进行的高质量深度访谈进一步解释了定量研究结果:结果:与非参与者相比,MCL 参与者的自我健康评估更高(P < .001),心身症状更少(P < .001)。更健康的饮食和幸福感也与参加多语种共融运动有关。女性的归属感改善了社会交往、个人和职业幸福感以及团体奉献精神。由于该团体倡导平等并重视女性,因此参加 MCL 的妇女感到自己有了力量。妇女们表示,她们的参与帮助了她们的家庭:关于 MCL 社区模式的研究结果表明,团队运动可以作为促进阿拉伯妇女健康和幸福的有效工具,并促进积极的社区关系。作为运动队的一员所产生的归属感和个人能力也可能有助于取得积极的心理健康成果。
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引用次数: 0
Sport Participation Trajectories and Loneliness: Evidence From the Longitudinal Study of Australian Children. 体育运动参与轨迹与孤独感:来自澳大利亚儿童纵向研究的证据。
IF 2.9 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-19 DOI: 10.1123/jpah.2024-0319
Katherine B Owen, Karine E Manera, Philip J Clare, Michelle H Lim, Ben J Smith, Philayrath Phongsavan, David R Lubans, Pamela Qualter, Rochelle Eime, Ding Ding

Background: This study aimed to identify patterns of overall, team, and individual sport participation and examine the prospective associations between these patterns and loneliness in young people.

Methods: We analyzed data from 4241 young people, from waves 3 (8-9 y) to 9 (20-21 y) of the Longitudinal Study of Australian Children. We conducted latent class analyses to identify overall and team versus individual sport participation trajectories and used adjusted log-Poisson regression models to examine the associations between these trajectories and loneliness at wave 9.

Results: Latent class analyses identified 4 distinct overall sport participation classes which were labeled: nonparticipants (24%), dropouts (42%), initiators (7%), and consistent participants (27%). Compared with nonparticipants, consistent participants had a lower risk of loneliness (risk ratios = 0.69; 95% CIs, 0.59-0.81). Latent class analyses also identified 4 distinct team versus individual sport participation classes: team and individual sport nonparticipants (38%), individual sport participants (14%), moderate team sport participants (14%), and high team sport participants (34%). Compared with the team and individual sport nonparticipants, the high team sports participants had a lower risk of loneliness (risk ratios = 0.70; 95% CIs, 0.53-0.92).

Conclusions: Young people who continued participating in sport in general, and particularly in team sport, had a reduced risk of loneliness. Continued participation in sports should be promoted to improve a range of physical, mental, and social health benefits. Furthermore, team-based sport can provide additional health and well-being benefits, including reduced loneliness due to the group nature of participation.

背景:本研究旨在确定整体、团队和个人参与体育运动的模式,并研究这些模式与青少年孤独感之间的未来关联:本研究旨在确定整体、团队和个人参与体育运动的模式,并研究这些模式与青少年孤独感之间的前瞻性关联:我们分析了《澳大利亚儿童纵向研究》第 3 波(8-9 岁)至第 9 波(20-21 岁)的 4241 名青少年的数据。我们进行了潜类分析,以确定总体运动参与轨迹和团队与个人运动参与轨迹,并使用调整后的对数-泊松回归模型来研究这些轨迹与第 9 波时孤独感之间的关联:潜类分析确定了 4 个不同的总体运动参与类别,分别为:非参与者(24%)、辍学者(42%)、发起者(7%)和持续参与者(27%)。与非参与者相比,持续参与者的孤独风险较低(风险比 = 0.69;95% CIs,0.59-0.81)。潜类分析还确定了 4 个不同的团队运动与个人运动参与类别:团队和个人运动非参与者(38%)、个人运动参与者(14%)、中度团队运动参与者(14%)和高度团队运动参与者(34%)。与不参加团队运动和个人运动的人相比,参加团队运动程度高的人孤独的风险较低(风险比 = 0.70;95% CIs,0.53-0.92):结论:坚持参加体育运动,尤其是团队运动的青少年,其孤独的风险较低。应提倡继续参加体育运动,以改善一系列身体、心理和社会健康方面的益处。此外,以团队为基础的体育运动可以带来更多的健康和福利,包括由于参与的群体性而减少孤独感。
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引用次数: 0
Physical Activity as a Victim, a Perpetrator, or Part of the Solution to the Climate Crisis? 体育活动是受害者、加害者,还是气候危机解决方案的一部分?
IF 2.9 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-19 DOI: 10.1123/jpah.2024-0522
Peter Gelius, Sven Messing, Antonina Tcymbal, Leonie Birkholz, Karim Abu-Omar

Humanity is facing a polycrisis, including climate change, loss of biodiversity, and economic inequalities. This commentary examines the role of physical activity (PA) research in the context of climate change, highlighting 3 perspectives: PA as a victim, as a perpetrator, and as part of the solution. The first perspective conceptualizes PA as a victim of climate change, as heat waves, extreme weather events, and high ozone levels pose a threat to health-enhancing PA and sports; adaptation strategies are needed and potentially lifesaving. The second perspective describes PA as a perpetrator to climate change due to the significant carbon footprint of some forms of PA and sport. The third perspective focuses on PA as a solution to climate change, as some forms of PA-such as active transport and urban gardening-have both individual and planetary health benefits. In addition, PA provides health benefits in extreme situations by reducing stress and maintaining health in times of crisis. Each of these 3 perspectives can guide future research in the field of PA and health.

人类正面临着多重危机,包括气候变化、生物多样性丧失和经济不平等。这篇评论探讨了体育活动(PA)研究在气候变化背景下的作用,强调了三个视角:体育锻炼是受害者,是施害者,也是解决方案的一部分。第一种观点认为,体育锻炼是气候变化的受害者,因为热浪、极端天气事件和高臭氧浓度对增进健康的体育锻炼和运动构成了威胁;需要制定适应战略,而且有可能挽救生命。第二种观点将体育活动描述为气候变化的肇事者,因为某些形式的体育活动和运动会产生大量碳足迹。第三种观点侧重于将体育活动作为气候变化的解决方案,因为某些形式的体育活动--如积极的交通和城市园艺--既有益于个人健康,也有益于地球健康。此外,在极端情况下,活动可以减轻压力,在危机时刻保持健康,从而为健康带来益处。这三个视角都可以指导未来在活动与健康领域的研究。
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引用次数: 0
The Impact of Physical Activity and Lifestyle on Mental Health: A Network Analysis. 体育锻炼和生活方式对心理健康的影响:网络分析
IF 3.1 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-17 DOI: 10.1123/jpah.2024-0198
Victor Matheus Lopes Martinez,Maiara da Silva Martins,Fernanda Capra,Felipe Barreto Schuch,Luis Eduardo Wearick-Silva,Ana Maria Pandolfo Feoli
AIMThis study aimed to investigate the association between physical activity (PA), lifestyle, and symptoms of depression, anxiety, and stress.METHODSA cross-sectional study was carried out using an online questionnaire. PA (International Physical Activity Questionnaire), lifestyle (Short Multidimensional Inventory Lifestyle Evaluation), and mental health (Depression, Anxiety, and Stress Scale-21) were assessed. Mean scores were compared between groups of physically active and inactive participants, controlling for gender, education, and income. Furthermore, associations were made between the variables, and individual network analyses were carried out for each mental health domain. The sample consisted of 353 individuals (age = 33.8 [12.2], 59.2% women).RESULTSIn network analyses, PA was indirectly related to depression and stress through the relationship with other lifestyle domains such as diet and nutrition or through stress management and social support. The same path was observed for anxiety; however, a direct partial correlation was also observed between PA and anxiety, suggesting that PA seems to intervene more directly in this aspect of mental health.CONCLUSIONIt is concluded that PA is indirectly (via stress management, diet and nutrition, and social support) associated with depression and stress and has direct and indirect associations (via stress management and social support) with anxiety.
本研究旨在调查体育锻炼(PA)、生活方式与抑郁、焦虑和压力症状之间的关系。该研究使用在线问卷对体力活动(国际体力活动问卷)、生活方式(生活方式评估多维短量表)和心理健康(抑郁、焦虑和压力量表-21)进行了评估。在控制性别、教育程度和收入的情况下,对参加体育锻炼和不参加体育锻炼人群的平均得分进行了比较。此外,还对各变量之间进行了关联分析,并对每个心理健康领域进行了个体网络分析。结果在网络分析中,通过与饮食和营养等其他生活方式领域的关系或通过压力管理和社会支持,体育锻炼与抑郁和压力间接相关。结论 PA 间接(通过压力管理、饮食和营养以及社会支持)与抑郁和压力相关,直接和间接(通过压力管理和社会支持)与焦虑相关。
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引用次数: 0
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Journal of physical activity & health
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