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Changes in the Perceptions of the Neighborhood Environment and Physical Activity Patterns Among Mexican Americans on the Texas-Mexico Border. 德克萨斯州与墨西哥边境的墨西哥裔美国人对邻里环境和体育活动模式的看法变化。
IF 2.9 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-07-27 Print Date: 2024-09-01 DOI: 10.1123/jpah.2023-0575
Natalia I Heredia, Soo Kyung Park, MinJae Lee, Lisa Mitchell-Bennett, Paul Yeh, Rose Gowen, Arturo Rodriguez, Miryoung Lee, Belinda M Reininger

Introduction: Little research on the association of neighborhood environment with physical activity in resource-poor communities has been done. This study assessed changes in perceptions of the neighborhood environment and the association between those perceptions and physical activity in Mexican Americans on the Texas-Mexico border in an area where there would be community efforts to enhance pedestrian and cycling infrastructure and programming.

Methods: We analyzed data from a population-based cohort of Mexican American individuals on the Texas-Mexico border. From 2008 to 2018, interviewer-administered questionnaires were used to collect perceptions of neighborhood environment and physical activity at baseline, 5- and 10-year follow-ups, and at other ancillary study visits, with an average of 3 data points per participant. We conducted multivariable longitudinal logistic regression analyses to assess if the changes in odds of positive perceptions of the neighborhood environment over the study years differed by physical activity patterns.

Results: The sample (n = 1036) was mostly female (71%), born in Mexico (70%), and had no health insurance (69%). We saw improvements in the perceptions of several neighborhood environment attributes from 2008 to 2018, though we saw different longitudinal trajectories in these perceptions based on an individual's longitudinal physical activity patterns. By 2014-2018, we saw significantly higher positive perceptions of the neighborhood environment for those who consistently met physical activity guidelines compared with those who did not (adjusted rate ratio = 1.12, P = .049).

Discussion: We found that perceptions of many neighborhood environment attributes improved between 2008 and 2018, and that overall positive perceptions were associated with consistently meeting physical activity guidelines over time.

简介在资源匮乏的社区,有关邻里环境与体育锻炼关系的研究很少。本研究评估了德克萨斯州与墨西哥边境地区墨西哥裔美国人对邻里环境认知的变化,以及这些认知与体育锻炼之间的关系:我们分析了来自德克萨斯州与墨西哥边境墨西哥裔美国人人群队列的数据。从 2008 年到 2018 年,在基线、5 年和 10 年随访以及其他辅助研究访问中,我们使用由访谈者主持的问卷调查来收集对社区环境和体育活动的看法,平均每位参与者有 3 个数据点。我们进行了多变量纵向逻辑回归分析,以评估在研究期间对邻里环境的积极认知几率的变化是否因体育锻炼模式而异:样本(n = 1036)大多为女性(71%),出生于墨西哥(70%),没有医疗保险(69%)。我们发现,从 2008 年到 2018 年,人们对几个邻里环境属性的感知有所改善,但根据个人的纵向体育锻炼模式,我们看到了这些感知的不同纵向轨迹。到 2014 年至 2018 年,我们发现,与未达到体育锻炼指南要求的人相比,持续达到体育锻炼指南要求的人对邻里环境的积极看法明显更高(调整后比率 = 1.12,P = .049):我们发现,在 2008 年至 2018 年期间,人们对许多邻里环境属性的看法都有所改善,而且总体上积极的看法与长期坚持符合体育锻炼指南有关。
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引用次数: 0
Physical Activity Among Utah Cancer Survivors: Analysis From a Population-Based Statewide Survey. 犹他州癌症幸存者的体育活动:基于人口的全州调查分析。
IF 2.9 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-06-12 Print Date: 2024-08-01 DOI: 10.1123/jpah.2023-0683
Morgan M Millar, Sandra L Edwards, Rachel R Codden, Blessing S Ofori-Atta, Kimberly A Herget, Marjorie E Carter, Anne C Kirchhoff, Adriana M Coletta, Carol Sweeney

Background: Regular physical activity improves cancer survivors' health-related quality of life and physical function. We estimated the proportion of Utah cancer survivors meeting U.S. Department of Health and Human Services guidelines for weekly physical activity (aerobic plus strength exercise) and identify sociodemographic, cancer, and health-related factors associated with meeting guidelines.

Methods: Survivors randomly sampled from Utah Cancer Registry records were surveyed from 2018 to 2022 to ascertain physical activity. We calculated the percent of survivors meeting guidelines and conducted logistic regression to assess predictors of meeting guidelines. Analyses were weighted to account for complex survey sample design and nonresponse and age adjusted.

Results: Among Utah cancer survivors, 20.7% (95% CI, 18.5%-23.2%) met guidelines for both aerobic activity and strength exercise. 22.4% reported no aerobic exercise in a typical week, and 59.4% reported no strength exercise. Survivors 75 or older were less likely to meet physical activity guidelines than those under 55 (adjusted odds ratio: 0.40; 95% CI, 0.25-0.65). Survivors with a bachelor's degree or higher were more likely to meet physical activity guidelines than those without a college degree. Individuals with poorer overall health were less likely to report sufficient physical activity. Individuals treated with both chemotherapy and radiation had decreased odds of meeting guidelines compared to no treatment (adjusted odds ratio: 0.54; 95% CI, 0.29-0.99).

Conclusions: Most Utah cancer survivors, and particularly those who received multiple modes of adjuvant treatment, are not participating in sufficient physical activity to improve longevity and quality of life after cancer.

背景:有规律的体育锻炼可以提高癌症幸存者与健康相关的生活质量和身体机能。我们估算了犹他州癌症幸存者中符合美国卫生与公众服务部每周体育锻炼(有氧运动加力量锻炼)指南的比例,并确定了与符合指南相关的社会人口、癌症和健康相关因素:从 2018 年到 2022 年,我们对从犹他州癌症登记记录中随机抽样的幸存者进行了调查,以确定其体育锻炼情况。我们计算了符合指南的幸存者百分比,并进行了逻辑回归以评估符合指南的预测因素。考虑到复杂的调查样本设计和无响应情况,我们对分析进行了加权,并对年龄进行了调整:在犹他州癌症幸存者中,20.7%(95% CI,18.5%-23.2%)的有氧运动和力量锻炼均符合指南要求。22.4%的幸存者表示一周内没有进行过有氧运动,59.4%的幸存者表示没有进行过力量锻炼。与 55 岁以下的幸存者相比,75 岁或以上的幸存者达到体育锻炼指南要求的可能性较低(调整后的几率比:0.40;95% CI,0.25-0.65)。拥有学士学位或更高学位的幸存者比没有大学学位的幸存者更有可能达到体育锻炼指南的要求。总体健康状况较差的人较少报告有足够的体育锻炼。同时接受化疗和放疗的人与未接受治疗的人相比,达到指南要求的几率有所下降(调整后的几率比:0.54;95% CI,0.29-0.99):结论:大多数犹他州癌症幸存者,尤其是接受过多种辅助治疗的幸存者,都没有参加足够的体育锻炼来提高癌症后的寿命和生活质量。
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引用次数: 0
Is It Possible to Decolonize the Field of Physical Activity and Health? 体育锻炼与健康领域有可能非殖民化吗?
IF 3.1 4区 医学 Q1 Health Professions Pub Date : 2024-04-24 DOI: 10.1123/jpah.2024-0135
Alan G Knuth, Giulia Salaberry Leite, Sueyla Ferreira da Silva Dos Santos, I. Crochemore-Silva
Is it possible to decolonize the field of physical activity and health? Decoloniality presupposes a body-geopolitical location, such as in the Brazilian and Latin American context, where it is crucial to use social identity lenses related to race, gender, sexuality, and other social markers that affect the body. Understanding health and physical activity from a decolonial perspective would bring the oppressions that connect capitalism, patriarchy, and racism to the center of the discussion. For a "physical activity other," we challenged the general recommendation of physical activity in the 4 domains. Physical activity should be understood as an end in itself, as a right, and as human development. Approaches that advocate physical activity at work, at home, and while commuting use other human activities to relate these domains to health without considering the inequalities and oppressions that constitute them in most parts of the world. Is it fair to apply "global recommendations" for physical activity to scenarios such as Brazil and Latin America, using models that are inappropriate to the context and history of these places, people, and cultures? Perhaps it is time to socially reorient and reposition physical activity from a decolonial perspective. We need Black, Indigenous, Latino, African, and other people from the Global South to move the research agenda, recommendations, and policies on physical activity from "any" health to a fair health.
是否有可能实现体育活动与健康领域的非殖民化?非殖民化的前提是身体-地缘政治的位置,例如在巴西和拉丁美洲的背景下,使用与种族、性别、性和其他影响身体的社会标记相关的社会身份透镜至关重要。从非殖民化的角度来理解健康和体育活动,将把资本主义、父权制和种族主义的压迫带到讨论的中心。对于 "体育锻炼的他者",我们对 4 个领域中体育锻炼的一般建议提出了质疑。体育活动本身应被理解为目的、权利和人类发展。提倡在工作、家庭和通勤时进行体育锻炼的方法利用其他人类活动将这些领域与健康联系起来,却没有考虑到在世界大多数地区构成这些领域的不平等和压迫。将体育锻炼的 "全球建议 "应用于巴西和拉丁美洲等地,使用不适合这些地方、人民和文化的背景和历史的模式,这样做公平吗?也许现在是时候从非殖民化的角度对体育活动进行社会重新定位和重新定向了。我们需要黑人、土著人、拉丁裔人、非洲人和其他来自全球南部的人,将有关体育活动的研究议程、建议和政策从 "任何 "健康转向公平健康。
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引用次数: 0
Physical Activity at Different Life Stages and Its Consequence on the Initial Immunization and Inflammatory Response Against COVID-19. 不同生命阶段的体育锻炼及其对 COVID-19 的初始免疫和炎症反应的影响
IF 3.1 4区 医学 Q1 Health Professions Pub Date : 2024-04-24 DOI: 10.1123/jpah.2023-0370
P. A. Q. Rossi, R.B.B Gomes, Teresa Cristina do Nascimento Salazar, Esmeralda Maria Lustosa Barros, Silvia Vasconcelos, Adalberto Socorro da Silva, Ester Miranda Pereira, Vitoria Braga Melo, M. Fonseca, Clarissa Romero Teixeira, G. Furtado, Larissa Queiroz Pontes, Ricardo Khouri, Beatriz Vasconcelos, Sandro Soares Almeida, G. L. Werneck, F. E. Rossi, Marcos Antônio Pereira dos Santos
BACKGROUNDTo evaluate the influence of previous physical activity (PA) during childhood, adolescence, and current PA practice on the production of antibodies and inflammatory response between the first and second doses of the COVID-19 vaccine.METHODSFifty-nine men and 56 women were evaluated before the first vaccine, and 12 weeks later, blood samples were taken to quantify production of anti-severe acute respiratory syndrome coronavirus-2 immunoglobulin G antibodies and cytokines. Previous PA during childhood and adolescence was self-referred, and current PA was assessed using the International Physical Activity Questionnaire.RESULTSA positive and significant association was observed only between PA practice during adolescence and an increase in antibody production in adulthood (β = 2012.077, 95% confidence interval, 257.7953-3766.358, P = .025). Individuals who practiced PA during adolescence showed higher production of antibodies between the first and second vaccine dose compared to nonpractitioners (P = .025) and those that accumulated ≥150 minutes per week of current moderate-vigorous PA (MVPA), and presented higher antibody production in relation to who did <150 minutes per week of MVPA (P = .046). Individuals that were practitioners during childhood produced higher G-CSF (P = .047), and those that accumulated ≥150 minutes per week of current MVPA demonstrated lower IP-10 levels (P = .033). However, PA practitioners during adolescence presented higher G-CSF (P = .025), IL-17 (P = .038), IL-1RA (P = .005), IL-1β (P = .020), and IL-2 (P = .026) levels.CONCLUSIONOur results suggest that adults that accumulated at least 150 minutes of MVPA per week or practiced PA during adolescence developed an improved immune and inflammatory response against COVID-19 vaccination.
方法59名男性和56名女性在接种第一针疫苗前接受评估,12周后采集血液样本以量化抗严重急性呼吸系统综合征冠状病毒-2免疫球蛋白G抗体和细胞因子的产生。结果仅观察到青春期进行体育锻炼与成年后抗体生成增加之间存在显著的正相关(β = 2012.077,95% 置信区间,257.7953-3766.358,P = .025)。与不进行体育锻炼的人相比,青少年时期进行体育锻炼的人在第一剂和第二剂疫苗之间产生的抗体更高(P = .025),与每周进行中等强度体育锻炼(MVPA)时间累计≥150 分钟的人相比,每周进行 MVPA 时间<150 分钟的人产生的抗体更高(P = .046)。童年时期进行过体育锻炼的人产生的 G-CSF 较高(P = .047),每周进行中等强度体育锻炼的时间累计≥150 分钟的人的 IP-10 水平较低(P = .033)。结论我们的研究结果表明,每周积累至少 150 分钟 MVPA 或在青春期练习 PA 的成年人对 COVID-19 疫苗接种的免疫和炎症反应有所改善。
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引用次数: 0
Examining Ableism Through the Physical Activity Experiences of Blind and Visually Impaired Women. 通过盲人和视力受损妇女的体育活动经历审视能力主义。
IF 3.1 4区 医学 Q1 Health Professions Pub Date : 2024-04-17 DOI: 10.1123/jpah.2023-0757
Lindsey E Ball, Justin A. Haegele
PURPOSEThis study examined how ableism influences blind and visually impaired women's experiences accessing and engaging in exercise, physical activity, and sport.METHODSTen women between the ages of 27 and 45 years completed a one-on-one audio-recorded virtual interview where they reflected on the meaningfulness of their exercise, physical activity, and/or sport experiences, as well as described any experiences related to direct, indirect, systemic, or internalized ableism within or when attempting to access those physical activity experiences. The interview transcripts were analyzed using reflexive thematic analysis.FINDINGSThe analysis resulted in the construction of 2 themes that depicted the participants' experiences: (1) "It's exhausting": navigating inaccessibility and (2) "You feel like a fish out of water": internalized ableism.DISCUSSIONThe themes highlight the participants' experiences which were largely focused on being forced to navigate inaccessible environments which resulted in exhaustion and expressions of internalized ableism. These findings provide insight into what makes and does not make a physical activity space accessible and welcoming for blind and visually impaired adults.
本研究探讨了能力主义如何影响盲人和视障女性获得和参与锻炼、体育活动和运动的经历。方法十名年龄在 27 岁至 45 岁之间的女性完成了一对一的虚拟录音访谈,她们在访谈中反思了自己的锻炼、体育活动和/或运动经历的意义,并描述了在尝试获得这些体育活动经历时与直接、间接、系统或内化的能力主义相关的经历。我们采用反思性主题分析法对访谈记录进行了分析。结果分析得出了两个主题,描述了参与者的经历:(讨论这些主题突出了参与者的经历,主要集中在被迫在无障碍环境中穿行,这导致了疲惫和内化的能力主义的表达。这些发现让我们深入了解到,是什么让体育活动空间对盲人和视障成人无障碍且受欢迎,又是什么没有让体育活动空间对盲人和视障成人无障碍且受欢迎。
{"title":"Examining Ableism Through the Physical Activity Experiences of Blind and Visually Impaired Women.","authors":"Lindsey E Ball, Justin A. Haegele","doi":"10.1123/jpah.2023-0757","DOIUrl":"https://doi.org/10.1123/jpah.2023-0757","url":null,"abstract":"PURPOSE\u0000This study examined how ableism influences blind and visually impaired women's experiences accessing and engaging in exercise, physical activity, and sport.\u0000\u0000\u0000METHODS\u0000Ten women between the ages of 27 and 45 years completed a one-on-one audio-recorded virtual interview where they reflected on the meaningfulness of their exercise, physical activity, and/or sport experiences, as well as described any experiences related to direct, indirect, systemic, or internalized ableism within or when attempting to access those physical activity experiences. The interview transcripts were analyzed using reflexive thematic analysis.\u0000\u0000\u0000FINDINGS\u0000The analysis resulted in the construction of 2 themes that depicted the participants' experiences: (1) \"It's exhausting\": navigating inaccessibility and (2) \"You feel like a fish out of water\": internalized ableism.\u0000\u0000\u0000DISCUSSION\u0000The themes highlight the participants' experiences which were largely focused on being forced to navigate inaccessible environments which resulted in exhaustion and expressions of internalized ableism. These findings provide insight into what makes and does not make a physical activity space accessible and welcoming for blind and visually impaired adults.","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140694445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Barriers to Participation in Organized Physical Activity Among LGBTQ+ Youth: Differences by Sexual, Gender, and Racial Identities. LGBTQ+ 青少年参加有组织体育活动的障碍:性、性别和种族身份的差异。
IF 3.1 4区 医学 Q1 Health Professions Pub Date : 2024-04-16 DOI: 10.1123/jpah.2023-0652
B. Parchem, Jonathan Poquiz, R. Rahm-Knigge, Elizabeth Panetta, Ryan J. Watson, G. Nic Rider
BACKGROUNDLGBTQ+ youth engage in organized physical activity to a lesser degree than their cisgender and heterosexual counterparts. Existing literature on this organized physical activity disparity is limited, particularly with LGBTQ+ youth samples. The current analysis examined individual and systemic barriers to organized physical activity for LGBTQ+ youth across sexual, gender, and racial identities.METHODSA subsample of LGBTQ+ students (N = 4566) from the 2021 Dane County Youth Assessment completed items that measured barriers to organized physical activity and systemic factors (ie, family money problems and bias-based bullying) associated with access to organized physical activity. Latent class analysis discerned patterns of individual and systemic barriers to organized physical activity. Latent class regression modeling tested gender, sexual, and racial identities as correlates of latent class membership.RESULTSMore than half of the sample did not participate in organized physical activity. Four profiles of LGBTQ+ youth were discerned based on self-reported barriers: high barrier (8%), bullied (16%), low interest or perceived skills (28%), and low barrier (48%). The low-barrier class included a greater proportion of LGBTQ+ youth who identified as White, or cisgender, or heterosexual as well as youth self-reporting higher organized physical activity. The high-barrier and bullied classes comprised more marginalized gender and sexual identities.CONCLUSIONSLGBTQ+ youth experience individual and systemic barriers to organized physical activity, including inequitable access and bullying, and barriers are uniquely experienced across sexual, gender, and racial identities. Physical activity promotion among LGBTQ+ youth would be strengthened by policies that address inequitable access to opportunities and bias-based bullying.
背景LGBTQ+青少年参与有组织体育活动的程度低于同性和异性青少年。关于这种有组织体育活动差异的现有文献很有限,尤其是针对 LGBTQ+ 青少年样本的文献。方法2021 年戴恩县青少年评估中的 LGBTQ+ 学生子样本(N = 4566)完成了一些项目,这些项目测量了有组织体育活动的障碍以及与获得有组织体育活动相关的系统因素(即家庭经济问题和基于偏见的欺凌)。潜类分析揭示了有组织体育活动的个人和系统障碍模式。潜类回归模型测试了作为潜类成员相关因素的性别、性和种族身份。根据自我报告的障碍,LGBTQ+ 青少年有四种特征:高障碍(8%)、受欺负(16%)、低兴趣或感知技能(28%)和低障碍(48%)。低障碍组中有更多的 LGBTQ+ 青少年自称为白人、顺性别者或异性恋者,他们自我报告的有组织体育活动也更多。结论LGBTQ+青少年在参加有组织体育活动时会遇到个人和系统性的障碍,包括不公平的机会和欺凌,而且不同性别、性取向和种族的青少年都会遇到不同的障碍。解决机会不平等和基于偏见的欺凌问题的政策将有助于促进 LGBTQ+ 青少年的体育锻炼。
{"title":"Barriers to Participation in Organized Physical Activity Among LGBTQ+ Youth: Differences by Sexual, Gender, and Racial Identities.","authors":"B. Parchem, Jonathan Poquiz, R. Rahm-Knigge, Elizabeth Panetta, Ryan J. Watson, G. Nic Rider","doi":"10.1123/jpah.2023-0652","DOIUrl":"https://doi.org/10.1123/jpah.2023-0652","url":null,"abstract":"BACKGROUND\u0000LGBTQ+ youth engage in organized physical activity to a lesser degree than their cisgender and heterosexual counterparts. Existing literature on this organized physical activity disparity is limited, particularly with LGBTQ+ youth samples. The current analysis examined individual and systemic barriers to organized physical activity for LGBTQ+ youth across sexual, gender, and racial identities.\u0000\u0000\u0000METHODS\u0000A subsample of LGBTQ+ students (N = 4566) from the 2021 Dane County Youth Assessment completed items that measured barriers to organized physical activity and systemic factors (ie, family money problems and bias-based bullying) associated with access to organized physical activity. Latent class analysis discerned patterns of individual and systemic barriers to organized physical activity. Latent class regression modeling tested gender, sexual, and racial identities as correlates of latent class membership.\u0000\u0000\u0000RESULTS\u0000More than half of the sample did not participate in organized physical activity. Four profiles of LGBTQ+ youth were discerned based on self-reported barriers: high barrier (8%), bullied (16%), low interest or perceived skills (28%), and low barrier (48%). The low-barrier class included a greater proportion of LGBTQ+ youth who identified as White, or cisgender, or heterosexual as well as youth self-reporting higher organized physical activity. The high-barrier and bullied classes comprised more marginalized gender and sexual identities.\u0000\u0000\u0000CONCLUSIONS\u0000LGBTQ+ youth experience individual and systemic barriers to organized physical activity, including inequitable access and bullying, and barriers are uniquely experienced across sexual, gender, and racial identities. Physical activity promotion among LGBTQ+ youth would be strengthened by policies that address inequitable access to opportunities and bias-based bullying.","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140697747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of Physical Literacy in the Association Between Weather and Physical Activity: A Longitudinal Multilevel Analysis With 951 Children. 体育素养在天气与体育活动之间的关联中的作用:对 951 名儿童的纵向多层次分析。
IF 3.1 4区 医学 Q1 Health Professions Pub Date : 2024-04-16 DOI: 10.1123/jpah.2022-0596
Johannes Carl, Paulina S Melby, M. Kurtzhals, Glen Nielsen, P. Bentsen, P. Elsborg
BACKGROUNDNumerous studies showed an effect of weather on physical activity (PA) levels in children. However, no study has yet examined the relevance of personal factors in this relationship. Therefore, this study analyzes (1) whether there are systematic interindividual differences in the extent to which weather affects the PA behavior and (2) whether physical literacy (PL) moderates the weather-PA association in children.METHODSA total of 951 children in 12 Danish schools (age 9.76 [1.59] y; 54.3% girls) completed objective PA assessments via accelerometry (moderate to vigorous PA, light PA, and sedentary behavior). Local weather data (precipitation, wind speed, temperature, and sunshine duration) were provided by the Danish Meteorological Institute. Participants' PL was measured employing the Danish version of the Canadian Assessment of Physical Literacy-2. The 4116 accelerometer days underwent longitudinal multilevel analyses while considering their nesting into pupils and school classes (n = 51).RESULTSFluctuations in all PA indicators were significantly explained by variations in weather conditions, especially precipitation (P ≤ .035). Significant interindividual differences were found for 9 of 12 analytical dimensions, suggesting that weather changes influence PA behavior differently across individuals (especially moderate to vigorous PA, χ2[4] ≥ 11.5, P ≤ .021). However, PL moderated the relationship between weather and PA in only 2 of the 48 analytical constellations.CONCLUSIONSDespite the varying impact of weather on PA across individuals, the present study favors a main effect model in which weather and PL exert independent effects on children's PA. The insufficient support for PL as a moderating factor calls for future studies to test alternative mechanisms in the weather-PA association.
背景众多研究表明,天气对儿童的体育锻炼(PA)水平有影响。然而,还没有研究探讨过个人因素在这种关系中的相关性。方法丹麦 12 所学校的 951 名儿童(年龄为 9.76 [1.59] 岁;54.3% 为女孩)通过加速度计完成了客观的 PA 评估(中度到剧烈 PA、轻度 PA 和久坐行为)。当地天气数据(降水、风速、温度和日照时间)由丹麦气象研究所提供。参与者的运动量采用丹麦版《加拿大运动素养评估-2》(Canadian Assessment of Physical Literacy-2)进行测量。对 4116 个加速度计日进行了纵向多层次分析,同时考虑了学生和学校班级(n = 51)的嵌套情况。结果所有活动量指标的波动都可以通过天气条件的变化,尤其是降水量的变化得到显著解释(P ≤ .035)。在 12 个分析维度中,有 9 个维度存在明显的个体间差异,这表明天气变化对不同个体的 PA 行为产生了不同的影响(尤其是中度到剧烈 PA,χ2[4] ≥ 11.5,P ≤ .021)。结论尽管天气对不同个体的 PA 的影响各不相同,但本研究倾向于采用主效应模型,即天气和 PL 对儿童 PA 产生独立的影响。由于 PL 作为调节因素的支持不足,因此未来的研究需要检验天气与 PA 关联的其他机制。
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引用次数: 0
Walking Activity and Physical Function Among Mexican American Older Adults Over 9 Years of Follow Up. 随访 9 年的墨西哥裔美国老年人的步行活动和身体功能。
IF 3.1 4区 医学 Q1 Health Professions Pub Date : 2024-04-16 DOI: 10.1123/jpah.2023-0266
Nicholas Tahmassi, Soham Al Snih
BACKGROUNDWalking activity has been associated with reduction in the development of chronic disease, cognitive and physical function impairment, disability, and mortality. The objective of this study was to examine the relationship between walking activity and physical function over 9 years of follow-up among Mexican Americans aged 78 years and older.METHODSParticipants (N = 998) were from the Hispanic Established Population for the Epidemiologic Study of the Elderly (2007-2016). Measures included walking activity duration and frequency, socio-demographics, body mass index, medical conditions, pain, depressive symptoms, limitation in activities of daily living, and the Mini-Mental State Examination. Low physical function was defined as scoring <7 on the Short Physical Performance Battery. At baseline, participants were grouped into nonwalkers (n = 653), walked <150 minutes/week (n = 144), and walked 150 minutes/week or more (n = 201). A Generalized Estimating Equation model was used to estimate the odds ratio and 95% CI of low physical performance as a function of walking activity status.RESULTSCompared with nonwalkers, participants walking < 150 minutes/week had lower odds (odds ratio = 0.66, 95% CI, 0.51-0.86) of low physical function over time, after controlling for all covariates, as did those walking ≥ 150 minutes/week (odds ratio = 0.54, 95% CI, 0.41-0.71).CONCLUSIONSMexican American older adults who engage in any walking activity are at reduced risk of low physical function, even those with disability. Interventions at the individual and community level are recommended to reduce physical function impairment, even in those with preexisting medical conditions or disability.
背景步行活动与减少慢性疾病、认知和身体功能损伤、残疾和死亡率的发生有关。本研究旨在对 78 岁及以上的墨西哥裔美国人进行为期 9 年的跟踪调查,以了解步行活动与身体功能之间的关系。方法参与者(N = 998)来自西班牙裔老年人流行病学研究的既定人群(2007-2016 年)。测量指标包括步行活动持续时间和频率、社会人口统计学、体重指数、医疗状况、疼痛、抑郁症状、日常生活活动受限程度以及迷你精神状态检查。体能低下的定义是在短期体能测试中得分低于 7 分。基线时,参与者被分为未步行者(n = 653)、步行时间小于 150 分钟/周者(n = 144)和步行时间大于等于 150 分钟/周者(n = 201)。结果与不步行者相比,步行 < 150 分钟/周的参与者随着时间的推移身体机能低下的几率较低(几率比 = 0.66,95% CI,0.51-0.86)。结论参与任何步行活动的墨西哥裔美国老年人身体功能低下的风险较低,即使是残疾老年人也是如此。建议在个人和社区层面采取干预措施,以减少身体功能损伤,即使是那些已有疾病或残疾的老年人。
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引用次数: 0
Celebrating 10 Years of the Global Observatory for Physical Activity-GoPA! 庆祝全球体育活动观察站(GoPA)成立 10 周年!
IF 3.1 4区 医学 Q1 Health Professions Pub Date : 2024-04-15 DOI: 10.1123/jpah.2024-0233
Michael Pratt, A. Ramírez Varela, P. Hallal
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引用次数: 1
Accelerometer-Based Estimates of Physical Activity and Sedentary Time Among Samoan Adults. 基于加速计的萨摩亚成年人体力活动和久坐时间估算。
IF 3.1 4区 医学 Q1 Health Professions Pub Date : 2024-04-15 DOI: 10.1123/jpah.2023-0590
Nicola L. Hawley, Parmida Zarei, S. Crouter, Mayur M Desai, A. Pomer, Anna C. Rivara, T. Naseri, M. Reupena, S. Viali, R. Duckham, S. McGarvey
BACKGROUNDThe prevalence of obesity-related cardiometabolic disease in Samoa is among the highest globally. While physical activity is a modifiable risk factor for obesity-related disease, little is known about physical activity levels among adult Samoans. Using wrist-worn accelerometer-based devices, this study aimed to characterize physical activity among Samoan adults.METHODSSamoan adults (n = 385; 55% female, mean [SD] age 52 [10] y) wore Actigraph GT3X+ devices for 7 to 10 days. General linear models were used to examine mean daily minutes of sedentary time, light physical activity, and moderate to vigorous physical activity by various participant characteristics.RESULTSTime spent in moderate to vigorous physical activity did not differ statistically between men (88 [5] min; 95% confidence interval [CI], 80-97) and women (78 [4] min; 95% CI, 70-86; P = .08). Women, however, spent more time than men in light physical activity: 380 (7) minutes (95% CI, 367-393) versus 344 (7) minutes (95% CI, 329-358; P < .001). While there were no differences in physical activity by census region, education, or occupation among women, men in urban areas spent significantly less time in moderate to vigorous physical activity than those in peri-urban and rural areas (P = .015). Women with class II/III obesity spent more time in sedentary activities than those with healthy weight or overweight/class I obesity (P = .048).CONCLUSIONSThis study characterizes physical activity among Samoan adults and highlights variation by sex, urbanicity, and weight status. In providing initial device-measured estimates of physical activity in Samoa, this analysis establishes a baseline from which the success of future attempts to intervene on physical activity may be assessed.
背景萨摩亚与肥胖相关的心脏代谢疾病的发病率是全球最高的。虽然体力活动是肥胖相关疾病的一个可调节风险因素,但人们对萨摩亚成年人的体力活动水平知之甚少。方法萨摩亚成年人(n = 385;55% 为女性,平均 [SD] 年龄为 52 [10] 岁)佩戴 Actigraph GT3X+ 设备 7-10 天。结果男性(88 [5] 分钟;95% 置信区间 [CI],80-97)和女性(78 [4] 分钟;95% 置信区间,70-86;P = .08)在中度到剧烈运动时间上没有统计学差异。不过,女性在轻体力活动上花费的时间比男性多:380 (7) 分钟 (95% CI, 367-393) 对 344 (7) 分钟 (95% CI, 329-358; P < .001)。虽然不同人口普查地区、教育程度或职业的女性在体力活动方面没有差异,但城市地区的男性花在中度到剧烈体力活动上的时间明显少于城郊和农村地区的男性(P = .015)。与体重健康或超重/I 级肥胖的女性相比,II/III 级肥胖的女性用于久坐不动活动的时间更长(P = .048)。结论:本研究描述了萨摩亚成年人体育活动的特点,并强调了性别、城市化程度和体重状况的差异。这项分析提供了通过设备测量的萨摩亚体育活动的初步估计值,从而建立了一个基线,可以据此评估未来干预体育活动的尝试是否成功。
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Journal of physical activity & health
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