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Leveraging continuous glucose monitoring as a catalyst for behaviour change: a scoping review 利用持续葡萄糖监测促进行为改变:范围界定审查
IF 8.7 1区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-07-10 DOI: 10.1186/s12966-024-01622-6
Michelle R. Jospe, Kelli M. Richardson, Ahlam A. Saleh, Lauren C. Bohlen, Jacob Crawshaw, Yue Liao, Kristin Konnyu, Susan M. Schembre
Amidst the escalating prevalence of glucose-related chronic diseases, the advancements, potential uses, and growing accessibility of continuous glucose monitors (CGM) have piqued the interest of healthcare providers, consumers, and health behaviour researchers. Yet, there is a paucity of literature characterising the use of CGM in behavioural intervention research. This scoping review aims to describe targeted populations, health behaviours, health-related outcomes, and CGM protocols in randomised controlled trials (RCTs) that employed CGM to support health behaviour change. We searched Ovid MEDLINE, Elsevier Embase, Cochrane Central Register of Controlled Trials, EBSCOhost PsycINFO, and ProQuest Dissertations & Theses Global from inception to January 2024 for RCTs of behavioural interventions conducted in adults that incorporated CGM-based biological feedback. Citation searching was also performed. The review protocol was registered ( https://doi.org/10.17605/OSF.IO/SJREA ). Collectively, 5389 citations were obtained from databases and citation searching, 3995 articles were screened, and 31 were deemed eligible and included in the review. Most studies (n = 20/31, 65%) included adults with type 2 diabetes and reported HbA1c as an outcome (n = 29/31, 94%). CGM was most commonly used in interventions to target changes in diet (n = 27/31, 87%) and/or physical activity (n = 16/31, 52%). 42% (n = 13/31) of studies provided prospective CGM-based guidance on diet or activity, while 61% (n = 19/31) included retrospective CGM-based guidance. CGM data was typically unblinded (n = 24/31, 77%) and CGM-based biological feedback was most often provided through the CGM and two-way communication (n = 12/31, 39%). Communication typically occurred in-person (n = 13/31, 42%) once per CGM wear (n = 13/31; 42%). This scoping review reveals a predominant focus on diabetes in CGM-based interventions, pointing out a research gap in its wider application for behaviour change. Future research should expand the evidence base to support the use of CGM as a behaviour change tool and establish best practices for its implementation. doi.org/10.17605/OSF.IO/SJREA.
在与血糖相关的慢性疾病发病率不断上升的背景下,连续血糖监测仪(CGM)的进步、潜在用途和日益普及引起了医疗保健提供者、消费者和健康行为研究人员的兴趣。然而,有关 CGM 在行为干预研究中的应用的文献却很少。本范围综述旨在描述采用 CGM 支持健康行为改变的随机对照试验 (RCT) 中的目标人群、健康行为、健康相关结果和 CGM 方案。我们检索了 Ovid MEDLINE、Elsevier Embase、Cochrane Central Register of Controlled Trials、EBSCOhost PsycINFO 和 ProQuest Dissertations & Theses Global(从开始到 2024 年 1 月)中有关成人行为干预的 RCT,其中纳入了基于 CGM 的生物反馈。同时还进行了引文检索。审查协议已注册 ( https://doi.org/10.17605/OSF.IO/SJREA )。通过数据库和引文检索共获得 5389 条引文,筛选出 3995 篇文章,其中 31 篇被认为符合条件并纳入综述。大多数研究(n = 20/31,65%)纳入了成年 2 型糖尿病患者,并将 HbA1c 作为结果进行了报告(n = 29/31,94%)。CGM 最常用于针对饮食变化(n = 27/31,87%)和/或体育锻炼(n = 16/31,52%)的干预。42%(13/31)的研究提供了基于 CGM 的前瞻性饮食或活动指导,61%(19/31)的研究提供了基于 CGM 的回顾性指导。CGM 数据通常是非盲的(n = 24/31,77%),基于 CGM 的生物反馈通常通过 CGM 和双向交流提供(n = 12/31,39%)。沟通通常是当面进行(n = 13/31,42%),每次佩戴 CGM 时进行一次(n = 13/31;42%)。本次范围界定审查显示,基于 CGM 的干预措施主要关注糖尿病,指出了在更广泛应用 CGM 改变行为方面存在的研究空白。未来的研究应扩大证据基础,以支持将 CGM 用作行为改变工具,并为其实施确立最佳实践。
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引用次数: 0
Behaviour change interventions to improve physical activity in adults: a systematic review of economic evaluations. 改变行为的干预措施,提高成年人的体育锻炼:经济评估系统回顾。
IF 5.6 1区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-07-09 DOI: 10.1186/s12966-024-01614-6
Stephen Barrett, Stephen Begg, Jack Lawrence, Gabrielle Barrett, Josh Nitschke, Paul O'Halloran, Jeff Breckon, Marina De Barros Pinheiro, Catherine Sherrington, Chris Doran, Michael Kingsley

Background: Behaviour change interventions can result in lasting improvements in physical activity (PA). A broad implementation of behaviour change interventions are likely to be associated with considerable additional costs, and the evidence is unclear whether they represent good value for money. The aim of this study was to investigate costs and cost-effectiveness of behaviour change interventions to increase PA in community-dwelling adults.

Methods: A search for trial-based economic evaluations investigating behaviour change interventions versus usual care or alternative intervention for adults living in the community was conducted (September 2023). Studies that reported intervention costs and incremental cost-effectiveness ratios (ICERs) for PA or quality-adjusted life years (QALYs) were included. Methodological quality was assessed using the Consensus Health Economic Criteria (CHEC-list). A Grading of Recommendations Assessment, Development and Evaluation style approach was used to assess the certainty of evidence (low, moderate or high certainty).

Results: Sixteen studies were included using a variety of economic perspectives. The behaviour change interventions were heterogeneous with 62% of interventions being informed by a theoretical framework. The median CHEC-list score was 15 (range 11 to 19). Median intervention cost was US$313 per person (range US$83 to US$1,298). In 75% of studies the interventions were reported as cost-effective for changes in PA (moderate certainty of evidence). For cost per QALY/gained, 45% of the interventions were found to be cost-effective (moderate certainty of evidence). No specific type of behaviour change intervention was found to be more effective.

Conclusions: There is moderate certainty that behaviour change interventions are cost-effective approaches for increasing PA. The heterogeneity in economic perspectives, intervention costs and measurement should be considered when interpreting results. There is a need for increased clarity when reporting the functional components of behaviour change interventions, as well as the costs to implement them.

背景:行为改变干预措施可以持久地改善身体活动(PA)。广泛实施行为改变干预措施可能会产生相当大的额外成本,而这些措施是否物有所值尚无明确证据。本研究旨在调查行为改变干预措施的成本和成本效益,以增加社区成年人的体育锻炼量:方法:对基于试验的经济评估进行了搜索(2023 年 9 月),这些经济评估调查了行为改变干预与常规护理或替代干预对社区成人的影响。纳入了报告干预成本和 PA 或质量调整生命年 (QALY) 的增量成本效益比 (ICER) 的研究。方法学质量采用健康经济学共识标准(CHEC-list)进行评估。采用建议评估、制定和评价分级法评估证据的确定性(低、中或高确定性):结果:共纳入了 16 项从不同经济角度进行的研究。行为改变干预措施多种多样,其中 62% 的干预措施有理论框架。CHEC-清单得分的中位数为 15(范围在 11 到 19 之间)。干预成本中位数为每人 313 美元(范围从 83 美元到 1298 美元不等)。在 75% 的研究中,干预对 PA 的变化具有成本效益(中度证据确定性)。就每 QALY/增加的成本而言,45% 的干预措施具有成本效益(中度证据确定性)。没有发现任何特定类型的行为改变干预更有效:结论:行为改变干预对增加运动量具有成本效益,这一点具有中等确定性。在解释结果时,应考虑经济学观点、干预成本和测量方法的异质性。在报告行为改变干预措施的功能成分以及实施成本时,需要更加明确。
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引用次数: 0
The role of playgrounds in promoting children's health - a scoping review. 游乐场在促进儿童健康方面的作用--范围界定审查。
IF 5.6 1区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-07-08 DOI: 10.1186/s12966-024-01618-2
Jasper Schipperijn, Cathrine Damsbo Madsen, Mette Toftager, Danielle Nørager Johansen, Ida Lousen, Thea Toft Amholt, Charlotte Skau Pawlowski

Background: Active outdoor play is important for children's health and development, and playgrounds provide good places for play. However, the importance of playground use for health and well-being is unclear. Our scoping review aims to create an overview of all research on playground use and health benefits for children.

Methods: Scopus, Web of Science, SportDiscus, and PsycInfo were searched using two search blocks, focusing on 'playground' and 'children' respectively, for publications from 2000 to November 2023. The primary inclusion criterion was examining the relationship between playground use and positive physical, mental, or social health outcomes. Only papers published in English were reviewed. For each publication, we synthesized and condensed the results, categorizing them by playground setting, reported health outcome, participant age group, study design, methodologies, publication's country, year, and 'stage of evidence'.

Results: Data from 247 studies were extracted and nearly 80% of these publications were descriptive or exploratory studies. Fifty-two were intervention studies. Adding playground markings to schoolyards led to increased physical activity. Greening schoolyards had mainly positive effects on social and mental health. In Early Childhood Education and Care, renewing play structures had a positive effect on physical activity in three publications. All Public Open Space interventions we found were different, with mixed effects on health outcomes.

Conclusions: The existing evidence provides good arguments for policy makers, city planners and school-leaders to invest in adding playground markings in schoolyards as this will likely result in more physical activity. The evidence for the health benefits of investing in new play structures indicated that tailoring the playground to local needs is important as 'one size does not fit all' and playgrounds need to be designed as engaging and interesting places for children's play if they are to generate health benefits. Investing in 'greening' playgrounds is likely to result in social and mental health benefits for children, but does not always result in more physical activity. The research field needs more efficacy and effectiveness studies, and in particular replication and scale-up studies to demonstrate which type of playground interventions are successful.

Protocol: The review protocol was registered at Open Science Framework ( https://doi.org/10.17605/OSF.IO/UYN2V ).

背景:积极的户外游戏对儿童的健康和发展非常重要,而游乐场则为游戏提供了良好的场所。然而,游乐场对健康和幸福的重要性尚不清楚。我们的范围综述旨在概述有关游乐场使用和儿童健康益处的所有研究:方法:使用两个检索模块,分别以 "游乐场 "和 "儿童 "为重点,对 Scopus、Web of Science、SportDiscus 和 PsycInfo 2000 年至 2023 年 11 月期间的出版物进行了检索。主要纳入标准是研究游乐场使用与积极的生理、心理或社会健康结果之间的关系。我们只审查了以英文发表的论文。我们对每篇出版物的结果进行了综合和浓缩,并按照游乐场环境、报告的健康结果、参与者年龄组、研究设计、方法、出版物的国家、年份和 "证据阶段 "进行了分类:从 247 项研究中提取了数据,其中近 80% 的出版物为描述性或探索性研究。其中 52 篇为干预研究。在学校操场上添加操场标记可增加体育活动。绿化校园主要对社会和心理健康产生了积极影响。在幼儿教育和保育方面,有三份出版物指出,更新游戏结构对体育活动有积极影响。我们发现的所有公共开放空间干预措施都不尽相同,对健康结果的影响参差不齐:现有证据为政策制定者、城市规划者和学校领导提供了很好的论据,投资在学校操场上增加操场标志,因为这可能会带来更多的体育活动。投资新建游乐设施对健康有益的证据表明,根据当地需求定制游乐场非常重要,因为 "一刀切 "是行不通的。投资 "绿化 "游乐场可能会给儿童带来社会和心理健康方面的益处,但并不总能带来更多的体育活动。研究领域需要更多的功效和有效性研究,特别是复制和推广研究,以证明哪类游乐场干预措施是成功的:综述协议已在开放科学框架(https://doi.org/10.17605/OSF.IO/UYN2V )上注册。
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引用次数: 0
Improving student diet and food security in higher education using participatory and co-creation approaches: a systematic review. 利用参与和共创方法改善高等教育中学生的饮食和食品安全:系统性综述。
IF 5.6 1区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-07-08 DOI: 10.1186/s12966-024-01613-7
Tamar Assilian, Henri Dehove, Hélène Charreire, Julia Baudry, Emmanuelle Kesse-Guyot, Sandrine Péneau, Chantal Julia, Olivia Gross, Jean-Michel Oppert, Alice Bellicha

Background: Higher education students are an important target group for public health nutrition interventions. When designing tailored and contextually relevant interventions, participatory and co-creation approaches are increasingly recognized as promising but their use and effectiveness has not been assessed in this type of population. We systematically reviewed interventions aiming to improve dietary quality and/or food security in higher education settings with the aims 1) to identify and describe their participatory and co-creation approaches and 2) to compare the effectiveness of interventions using or not using participatory and co-creation approaches.

Methods: Our search in PubMed, Google Scholar, Web of Science, EMBASE was performed in January 2023 and yielded 3658 unique records, out of which 42 articles (66 interventions) were included. Effectiveness of interventions was assessed at the individual level (longitudinal evaluations) or at the group level (repeated cross-sectional evaluations). A five-level classification was used to describe a continuum of engagement from students and other partners in the intervention design and implementation: no participation (level one), consultation, co-production, co-design and co-creation (levels two to five). To synthetize effectiveness, comparisons were made between studies without participation (level one) or with participation (levels two-five).

Results: Ten (24%) out of 42 studies used a participatory and co-creation approach (levels two-five). Studies using a participatory and co-creation approach reported a positive finding on individual-level outcome (i.e. overall diet quality or food group intake or food security) in 5/13 (38%) intervention arms (vs 13/31 or 42% for those without participation). Studies using a participatory and co-creation approach reported a positive finding on group-level outcomes (i.e. food choices in campus food outlets) in 4/7 (57%) (vs 8/23 or 35% in those without participation).

Conclusions: Participatory and co-creation approaches may improve the effectiveness of nutrition interventions in higher education settings but the level of evidence remains very limited. More research is warranted to identify best co-creation practices when designing, implementing and evaluating nutritional interventions in the higher education setting.

Trial registration: PROSPERO registration number CRD42023393004.

背景:高校学生是公共卫生营养干预措施的重要目标群体。在设计有针对性的、与环境相关的干预措施时,参与式和共同创造的方法越来越被认为是有前景的,但其在这类人群中的使用和有效性尚未得到评估。我们系统地回顾了旨在改善高等教育环境中饮食质量和/或食品安全的干预措施,目的是:1)确定并描述其参与式和共同创造式方法;2)比较使用或未使用参与式和共同创造式方法的干预措施的有效性:我们于 2023 年 1 月在 PubMed、Google Scholar、Web of Science 和 EMBASE 中进行了搜索,共获得 3658 条唯一记录,其中 42 篇文章(66 项干预措施)被纳入其中。干预措施的有效性在个人层面(纵向评估)或群体层面(重复横向评估)进行评估。采用了五级分类法来描述学生和其他合作伙伴参与干预措施设计和实施的连续性:无参与(一级)、咨询、共同制作、共同设计和共同创造(二至五级)。为了对有效性进行综合,对没有参与(第一级)或有参与(第二至第五级)的研究进行了比较:在 42 项研究中,有 10 项(24%)采用了参与和共同创造方法(第二至第五级)。采用参与和共同创造方法的研究报告称,5/13(38%)项干预措施对个人层面的结果(即总体饮食质量或食物种类摄入量或食品安全)产生了积极影响(相对于 13/31 或 42% 的未参与干预措施)。采用参与和共同创造方法的研究报告称,4/7(57%)的研究对群体层面的结果(即校园食品店的食物选择)有积极的发现(未参与的研究报告为 8/23 或 35%):结论:参与和共同创造的方法可以提高高等教育环境中营养干预措施的有效性,但证据水平仍然非常有限。在设计、实施和评估高等教育环境中的营养干预措施时,有必要开展更多研究,以确定最佳的共同创造实践:试验注册:PROSPERO 注册号 CRD42023393004。
{"title":"Improving student diet and food security in higher education using participatory and co-creation approaches: a systematic review.","authors":"Tamar Assilian, Henri Dehove, Hélène Charreire, Julia Baudry, Emmanuelle Kesse-Guyot, Sandrine Péneau, Chantal Julia, Olivia Gross, Jean-Michel Oppert, Alice Bellicha","doi":"10.1186/s12966-024-01613-7","DOIUrl":"10.1186/s12966-024-01613-7","url":null,"abstract":"<p><strong>Background: </strong>Higher education students are an important target group for public health nutrition interventions. When designing tailored and contextually relevant interventions, participatory and co-creation approaches are increasingly recognized as promising but their use and effectiveness has not been assessed in this type of population. We systematically reviewed interventions aiming to improve dietary quality and/or food security in higher education settings with the aims 1) to identify and describe their participatory and co-creation approaches and 2) to compare the effectiveness of interventions using or not using participatory and co-creation approaches.</p><p><strong>Methods: </strong>Our search in PubMed, Google Scholar, Web of Science, EMBASE was performed in January 2023 and yielded 3658 unique records, out of which 42 articles (66 interventions) were included. Effectiveness of interventions was assessed at the individual level (longitudinal evaluations) or at the group level (repeated cross-sectional evaluations). A five-level classification was used to describe a continuum of engagement from students and other partners in the intervention design and implementation: no participation (level one), consultation, co-production, co-design and co-creation (levels two to five). To synthetize effectiveness, comparisons were made between studies without participation (level one) or with participation (levels two-five).</p><p><strong>Results: </strong>Ten (24%) out of 42 studies used a participatory and co-creation approach (levels two-five). Studies using a participatory and co-creation approach reported a positive finding on individual-level outcome (i.e. overall diet quality or food group intake or food security) in 5/13 (38%) intervention arms (vs 13/31 or 42% for those without participation). Studies using a participatory and co-creation approach reported a positive finding on group-level outcomes (i.e. food choices in campus food outlets) in 4/7 (57%) (vs 8/23 or 35% in those without participation).</p><p><strong>Conclusions: </strong>Participatory and co-creation approaches may improve the effectiveness of nutrition interventions in higher education settings but the level of evidence remains very limited. More research is warranted to identify best co-creation practices when designing, implementing and evaluating nutritional interventions in the higher education setting.</p><p><strong>Trial registration: </strong>PROSPERO registration number CRD42023393004.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"21 1","pages":"71"},"PeriodicalIF":5.6,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11232249/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Relative validity of an intelligent ordering system to estimate dietary intake among university students from a medical school in Shanghai, China. 智能点餐系统对中国上海某医学院校大学生膳食摄入量估算的相对有效性。
IF 5.6 1区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-07-04 DOI: 10.1186/s12966-024-01619-1
Yimeng Zhang, Dantong Gu, Mengyun Luo, Shaojie Liu, Hong Peng, Yingnan Jia

Background: Dietary assessment methods have limitations in capturing real-time eating behaviour accurately. Equipped with automated dietary-data-collection capabilities, the "intelligent ordering system" (IOS) has potential applicability in obtaining long-term consecutive, relatively detailed on-campus dietary records among university students with little resource consumption. We investigated (1) the relative validity of IOS-derived nutrient/food intakes compared to those from the 7-day food diary (7DFD); (2) whether including a supplemental food frequency questionnaire (SFFQ) improves IOS accuracy; and (3) sex differences in IOS dietary intake estimation.

Methods: Medical students (n = 221; age = 22.2 ± 2.4 years; 38.5% male and 61.5% female) completed the 7DFD and SFFQ. During the consecutive 7-day survey period, students weighed and photographed each meal before and after consumption. Then, students reviewed their 3-month diet and completed the SFFQ, which includes eight underprovided school-canteen food items (e.g., dairy, fruits, nuts). Meanwhile, 9385 IOS dietary data entries were collected. We used Spearman coefficients and linear regression models to estimate the associations among the different dietary intake assessment methods. Individual- and group-level agreement was assessed using the Wilcoxon signed-rank test, cross-classification, and Bland‒Altman analysis.

Results: IOS mean daily energy, protein, fat, and carbohydrate intake estimations were significantly lower (-15-20%) than those of the 7DFD. The correlation coefficients varied from 0.52 (for added sugar) to 0.88 (for soybeans and nuts), with fruits (0.37) and dairy products (0.29) showing weaker correlations. Sixty-two (milk and dairy products) to 97% (soybeans and nuts) of participants were classified into the same or adjacent dietary intake distribution quartile using both methods. The energy and macronutrient intake differences between the IOS + SFFQ and 7DFD groups decreased substantially. The separate fruit intake measurements from each assessment method did not significantly differ from each other (p > 0.05). IOS and IOS + SFFQ regression models generally yielded higher R2 values for males than for females.

Conclusion: Despite estimation differences, the IOS can be reliable for medical student dietary habit assessment. The SFFQ is useful for measuring consumption of foods that are typically unavailable in school cafeterias, improving the overall dietary evaluation accuracy. The IOS assessment was more accurate for males than for females.

背景:饮食评估方法在准确捕捉实时饮食行为方面存在局限性。智能点餐系统"(IOS)具有自动收集膳食数据的功能,可用于在消耗少量资源的情况下获得大学生长期连续、相对详细的校内膳食记录。我们研究了(1)与 7 天食物日记(7DFD)相比,IOS 得出的营养素/食物摄入量的相对有效性;(2)加入补充食物频率问卷(SFFQ)是否能提高 IOS 的准确性;以及(3)IOS 膳食摄入量估算的性别差异:医学生(n = 221;年龄 = 22.2 ± 2.4 岁;男生占 38.5%,女生占 61.5%)完成 7DFD 和 SFFQ。在连续 7 天的调查期间,学生们对每餐进食前后进行称重和拍照。然后,学生们回顾了自己 3 个月的饮食情况,并填写了 SFFQ,其中包括 8 种学校食堂供应不足的食品(如奶制品、水果、坚果)。同时,我们还收集了 9385 项 IOS 饮食数据。我们使用斯皮尔曼系数和线性回归模型来估计不同膳食摄入量评估方法之间的关联。使用 Wilcoxon 符号秩检验、交叉分类和 Bland-Altman 分析评估了个体和群体层面的一致性:结果:IOS的日平均能量、蛋白质、脂肪和碳水化合物摄入量估计值明显低于7DFD(-15%-20%)。相关系数从 0.52(添加糖)到 0.88(大豆和坚果)不等,水果(0.37)和奶制品(0.29)的相关性较弱。使用这两种方法,62%(牛奶和乳制品)到 97%(大豆和坚果)的参与者被归入相同或相邻的膳食摄入分布四分位数。IOS + SFFQ 组和 7DFD 组之间的能量和宏量营养素摄入量差异大幅缩小。每种评估方法分别测量的水果摄入量没有显著差异(P > 0.05)。IOS和IOS + SFFQ回归模型对男性的R2值普遍高于女性:结论:尽管存在估计差异,但 IOS 仍可用于医学生饮食习惯评估。SFFQ可用于测量学校食堂通常没有的食物的摄入量,从而提高整体饮食评估的准确性。与女生相比,男生的 IOS 评估更为准确。
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引用次数: 0
Device-measured sedentary time and intensity-specific physical activity in relation to all-cause and cardiovascular disease mortality: the UK Biobank cohort study. 设备测量的久坐时间和特定强度的体力活动与全因和心血管疾病死亡率的关系:英国生物库队列研究。
IF 5.6 1区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-07-03 DOI: 10.1186/s12966-024-01615-5
Leandro F M Rezende, Matthew Ahmadi, Gerson Ferrari, Borja Del Pozo Cruz, I-Min Lee, Ulf Ekelund, Emmanuel Stamatakis

Background and aims: Understanding the amounts of intensity-specific movement needed to attenuate the association between sedentary time and mortality may help to inform personalized prescription and behavioral counselling. Herein, we examined the joint associations of sedentary time and intensity-specific physical activity with all-cause and cardiovascular disease (CVD) mortality.

Methods: Prospective cohort study including 73,729 adults from the UK Biobank who wore an Axivity AX3 accelerometer on their dominant wrist for at least 3 days, being one a weekend day, between June 2013 and December 2015. We considered the median tertile values of sedentary time and physical activity in each intensity band to determine the amount of physical activity needed to attenuate the association between sedentary time and mortality.

Results: During a median of 6.9 years of follow-up (628,807 person-years), we documented 1521 deaths, including 388 from CVD. Physical activity of any intensity attenuated the detrimental association of sedentary time with mortality. Overall, at least a median of 6 min/day of vigorous physical activity, 30 min/day of MVPA, 64 min/day of moderate physical activity, or 163 min/day of light physical activity (mutually-adjusted for other intensities) attenuated the association between sedentary time and mortality. High sedentary time was associated with higher risk of CVD mortality only among participants with low MVPA (HR 1.96; 95% CI 1.23 to 3.14).

Conclusions: Different amounts of each physical activity intensity may attenuate the association between high sedentary time and mortality.

背景和目的:了解减少久坐时间与死亡率之间的关联所需的特定强度运动量有助于为个性化处方和行为咨询提供依据。在此,我们研究了久坐时间和特定强度的体育锻炼与全因死亡率和心血管疾病(CVD)死亡率之间的关系:前瞻性队列研究:研究对象包括英国生物库中的 73729 名成年人,他们在 2013 年 6 月至 2015 年 12 月期间,在主导手腕上佩戴 Axivity AX3 加速计至少 3 天,其中一天为周末日。我们考虑了每个强度段的久坐时间和体力活动的中位三分位值,以确定减少久坐时间与死亡率之间的关联所需的体力活动量:在中位数为 6.9 年(628 807 人年)的随访期间,我们记录了 1521 例死亡病例,其中 388 例死于心血管疾病。任何强度的体育锻炼都能减轻久坐时间与死亡率之间的不利联系。总体而言,每天至少进行中位数为 6 分钟的剧烈运动、每天 30 分钟的 MVPA、每天 64 分钟的中度运动或每天 163 分钟的轻度运动(根据其他运动强度相互调整)可减弱久坐时间与死亡率之间的关联。只有在 MVPA 较低的参与者中,久坐时间长才与较高的心血管疾病死亡风险有关(HR 1.96;95% CI 1.23 至 3.14):结论:不同强度的体力活动可能会减轻久坐时间长与死亡率之间的关系。
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引用次数: 0
Comparing national device-based physical activity surveillance systems: a systematic review. 比较基于设备的国家体育活动监测系统:系统综述。
IF 5.6 1区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-07-03 DOI: 10.1186/s12966-024-01612-8
Inge de Wolf, Anne Elevelt, Femke van Nassau, Vera Toepoel, Ellen de Hollander, Maaike E Kompier, Annemieke Luiten, Barry Schouten, G C Wanda Wendel-Vos, Hidde P van der Ploeg

Background: Physical activity surveillance systems are important for public health monitoring but rely mostly on self-report measurement of physical activity. Integration of device-based measurements in such systems can improve population estimates, however this is still relatively uncommon in existing surveillance systems. This systematic review aims to create an overview of the methodology used in existing device-based national PA surveillance systems.

Methods: Four literature databases (PubMed, Embase.com, SPORTDiscus and Web of Science) were searched, supplemented with backward tracking. Articles were included if they reported on population-based (inter)national surveillance systems measuring PA, sedentary time and/or adherence to PA guidelines. When available and in English, the methodological reports of the identified surveillance studies were also included for data extraction.

Results: This systematic literature search followed the PRISMA guidelines and yielded 34 articles and an additional 18 methodological reports, reporting on 28 studies, which in turn reported on one or multiple waves of 15 different national and 1 international surveillance system. The included studies showed substantial variation between (waves of) systems in number of participants, response rates, population representativeness and recruitment. In contrast, the methods were similar on data reduction definitions (e.g. minimal number of valid days, non-wear time and necessary wear time for a valid day).

Conclusions: The results of this review indicate that few countries use device-based PA measurement in their surveillance system. The employed methodology is diverse, which hampers comparability between countries and calls for more standardized methods as well as standardized reporting on these methods. The results from this review can help inform the integration of device-based PA measurement in (inter)national surveillance systems.

背景:体力活动监测系统对公共健康监测非常重要,但主要依赖于对体力活动的自我报告测量。将基于设备的测量纳入此类系统可提高人口估计值,但这在现有监测系统中仍较为少见。本系统性综述旨在概述现有基于设备的国家体育锻炼监测系统所使用的方法:对四个文献数据库(PubMed、Embase.com、SPORTDiscus 和 Web of Science)进行了检索,并辅以反向追踪。如果文章报道了以人口为基础的(跨)国家监测系统测量活动量、久坐时间和/或遵守活动量指南的情况,则被纳入其中。如果有英文版,还包括已确定监测研究的方法学报告,以便提取数据:这项系统性文献检索遵循了 PRISMA 准则,共检索到 34 篇文章和另外 18 份方法学报告,报告了 28 项研究,这些研究又报告了 15 个不同国家和 1 个国际监测系统的一次或多次监测结果。所纳入的研究显示,各(波)系统在参与者人数、回复率、人群代表性和招募方面存在很大差异。相比之下,在数据缩减定义(如有效天数的最小值、非穿戴时间和有效天数的必要穿戴时间)方面,研究方法是相似的:本综述的结果表明,很少有国家在其监测系统中使用基于设备的 PA 测量。采用的方法多种多样,妨碍了国家间的可比性,因此需要更多的标准化方法以及关于这些方法的标准化报告。本次审查的结果有助于为将基于设备的 PA 测量纳入(国家间)监测系统提供信息。
{"title":"Comparing national device-based physical activity surveillance systems: a systematic review.","authors":"Inge de Wolf, Anne Elevelt, Femke van Nassau, Vera Toepoel, Ellen de Hollander, Maaike E Kompier, Annemieke Luiten, Barry Schouten, G C Wanda Wendel-Vos, Hidde P van der Ploeg","doi":"10.1186/s12966-024-01612-8","DOIUrl":"10.1186/s12966-024-01612-8","url":null,"abstract":"<p><strong>Background: </strong>Physical activity surveillance systems are important for public health monitoring but rely mostly on self-report measurement of physical activity. Integration of device-based measurements in such systems can improve population estimates, however this is still relatively uncommon in existing surveillance systems. This systematic review aims to create an overview of the methodology used in existing device-based national PA surveillance systems.</p><p><strong>Methods: </strong>Four literature databases (PubMed, Embase.com, SPORTDiscus and Web of Science) were searched, supplemented with backward tracking. Articles were included if they reported on population-based (inter)national surveillance systems measuring PA, sedentary time and/or adherence to PA guidelines. When available and in English, the methodological reports of the identified surveillance studies were also included for data extraction.</p><p><strong>Results: </strong>This systematic literature search followed the PRISMA guidelines and yielded 34 articles and an additional 18 methodological reports, reporting on 28 studies, which in turn reported on one or multiple waves of 15 different national and 1 international surveillance system. The included studies showed substantial variation between (waves of) systems in number of participants, response rates, population representativeness and recruitment. In contrast, the methods were similar on data reduction definitions (e.g. minimal number of valid days, non-wear time and necessary wear time for a valid day).</p><p><strong>Conclusions: </strong>The results of this review indicate that few countries use device-based PA measurement in their surveillance system. The employed methodology is diverse, which hampers comparability between countries and calls for more standardized methods as well as standardized reporting on these methods. The results from this review can help inform the integration of device-based PA measurement in (inter)national surveillance systems.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"21 1","pages":"67"},"PeriodicalIF":5.6,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11223351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141499467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of a staff-led multicomponent physical activity intervention on preschooler's fundamental motor skills and physical fitness: The ACTNOW cluster-randomized controlled trial. 员工主导的多成分体育活动干预对学龄前儿童基本运动技能和体能的影响:ACTNOW 分组随机对照试验。
IF 5.6 1区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-07-03 DOI: 10.1186/s12966-024-01616-4
Elisabeth Straume Haugland, Ada Kristine Ofrim Nilsen, Kristoffer Buene Vabø, Caterina Pesce, John Bartholomew, Anthony David Okely, Hege Eikeland Tjomsland, Katrine Nyvoll Aadland, Eivind Aadland

Background: Fundamental motor skills (FMS) and physical fitness (FIT) play important roles in child development and provide a foundation for lifelong participation in physical activity (PA). Unfortunately, many children have suboptimal levels of PA, FMS, and FIT. The Active Learning Norwegian Preschool(er)s (ACTNOW) study investigated the effects of a staff-led PA intervention on FMS, FIT, and PA in 3-5-year-old children.

Methods: Preschools in Western Norway having ≥ six 3-4-year-old children were invited (n = 56). Of these, 46 agreed to participate and were cluster-randomized into an intervention (n = 23 preschools [381 children, 3.8 yrs., 55% boys]) or a control group (n = 23 [438, 3.7 yrs., 52% boys]). Intervention preschools participated in an 18-month PA intervention involving a 7-month staff professional development between 2019 and 2022, amounting to 50 h, including face-to-face seminars, webinars, and digital lectures. Primary outcomes in ACTNOW were cognition variables, whereas this study investigated effects on secondary outcomes. FMS was measured through 9 items covering locomotor, object control, and balance skills. FIT was assessed as motor fitness (4 × 10 shuttle-run test) and upper and lower muscular strength (handgrip and standing long jump). PA was measured with accelerometers (ActiGraph GT3X +). All measures took place at baseline, 7-, and 18-month follow-up. Effects were analysed using a repeated measures linear mixed model with child and preschool as random effects and with adjustment for baseline scores.

Results: Participants in the intervention preschools showed positive, significant effects for object control skills at 7 months (standardized effect size (ES) = 0.17) and locomotor skills at 18 months (ES = 0.21) relative to controls. A negative effect was found for handgrip strength (ES = -0.16) at 7 months. No effects were found for balance skills, standing long jump, or motor fitness. During preschool hours, sedentary time decreased (ES = -0.18), and light (ES = 0.14) and moderate-to-vigorous PA (ES = 0.16) increased at 7 months, whereas light PA decreased at 18 months (ES = -0.15), for intervention vs control. No effects were found for other intensities or full day PA.

Conclusions: The ACTNOW intervention improved some FMS outcomes and increased PA short-term. Further research is needed to investigate how to improve effectiveness of staff-led PA interventions and achieve sustainable improvements in children's PA, FMS, and FIT.

Trial registration: Clinicaltrials.gov, identifier NCT04048967 , registered August 7, 2019.

Funding: ACTNOW was supported by the Research Council of Norway (grant number 287903), the County Governor of Sogn og Fjordane, the Sparebanken Sogn og Fjordane Foundation, and the Western Norway University of Applied Sciences.

背景:基本运动技能(FMS)和体能(FIT)在儿童发展中发挥着重要作用,并为终身参与体育活动(PA)奠定了基础。遗憾的是,许多儿童的体育活动、基本运动技能和体适能水平并不理想。挪威学龄前儿童主动学习(ACTNOW)研究调查了由工作人员主导的体育锻炼干预对3-5岁儿童的FMS、FIT和体育锻炼的影响:研究邀请了挪威西部拥有≥6名3-4岁儿童的幼儿园(n = 56)。其中,46 所幼儿园同意参加,并被随机分组为干预组(n = 23 所幼儿园[381 名儿童,3.8 岁,55% 为男孩])或对照组(n = 23 所幼儿园[438 名儿童,3.7 岁,52% 为男孩])。干预组幼儿园参加了为期 18 个月的 PA 干预活动,其中包括 2019 年至 2022 年间为期 7 个月的员工专业发展,共计 50 个小时,包括面对面研讨会、网络研讨会和数字讲座。ACTNOW 的主要结果是认知变量,而本研究调查的是对次要结果的影响。FMS 通过 9 个项目进行测量,涵盖运动、物体控制和平衡技能。FIT评估为运动能力(4×10往返跑测试)和上下肌肉力量(握力和立定跳远)。加速度测量采用加速度计(ActiGraph GT3X +)。所有测量均在基线、7 个月和 18 个月的随访期间进行。采用重复测量线性混合模型对效果进行分析,将儿童和幼儿园作为随机效应,并对基线分数进行调整:与对照组相比,干预学龄前儿童在 7 个月时的物体控制技能(标准化效应大小 (ES) = 0.17)和 18 个月时的运动技能(ES = 0.21)方面表现出积极、显著的效果。在 7 个月时,手握强度(ES = -0.16)出现负效应。在平衡能力、立定跳远或运动健身方面没有发现任何影响。干预组与对照组相比,在学龄前时间,久坐时间减少(ES = -0.18),7 个月时轻度(ES = 0.14)和中强度 PA(ES = 0.16)增加,而 18 个月时轻度 PA 减少(ES = -0.15)。结论:ACTNOW干预措施改善了一些儿童的运动强度:结论:ACTNOW干预改善了FMS的一些结果,并增加了短期PA。需要进一步研究如何提高员工主导的 PA 干预的有效性,并实现儿童 PA、FMS 和 FIT 的可持续改善:Clinicaltrials.gov, identifier NCT04048967 , registered August 7, 2019.Funding:ACTNOW得到了挪威研究理事会(拨款号287903)、索恩峡湾郡郡长、Sparebanken Sogn og Fjordane基金会和挪威西部应用科学大学的支持。
{"title":"Effects of a staff-led multicomponent physical activity intervention on preschooler's fundamental motor skills and physical fitness: The ACTNOW cluster-randomized controlled trial.","authors":"Elisabeth Straume Haugland, Ada Kristine Ofrim Nilsen, Kristoffer Buene Vabø, Caterina Pesce, John Bartholomew, Anthony David Okely, Hege Eikeland Tjomsland, Katrine Nyvoll Aadland, Eivind Aadland","doi":"10.1186/s12966-024-01616-4","DOIUrl":"10.1186/s12966-024-01616-4","url":null,"abstract":"<p><strong>Background: </strong>Fundamental motor skills (FMS) and physical fitness (FIT) play important roles in child development and provide a foundation for lifelong participation in physical activity (PA). Unfortunately, many children have suboptimal levels of PA, FMS, and FIT. The Active Learning Norwegian Preschool(er)s (ACTNOW) study investigated the effects of a staff-led PA intervention on FMS, FIT, and PA in 3-5-year-old children.</p><p><strong>Methods: </strong>Preschools in Western Norway having ≥ six 3-4-year-old children were invited (n = 56). Of these, 46 agreed to participate and were cluster-randomized into an intervention (n = 23 preschools [381 children, 3.8 yrs., 55% boys]) or a control group (n = 23 [438, 3.7 yrs., 52% boys]). Intervention preschools participated in an 18-month PA intervention involving a 7-month staff professional development between 2019 and 2022, amounting to 50 h, including face-to-face seminars, webinars, and digital lectures. Primary outcomes in ACTNOW were cognition variables, whereas this study investigated effects on secondary outcomes. FMS was measured through 9 items covering locomotor, object control, and balance skills. FIT was assessed as motor fitness (4 × 10 shuttle-run test) and upper and lower muscular strength (handgrip and standing long jump). PA was measured with accelerometers (ActiGraph GT3X +). All measures took place at baseline, 7-, and 18-month follow-up. Effects were analysed using a repeated measures linear mixed model with child and preschool as random effects and with adjustment for baseline scores.</p><p><strong>Results: </strong>Participants in the intervention preschools showed positive, significant effects for object control skills at 7 months (standardized effect size (ES) = 0.17) and locomotor skills at 18 months (ES = 0.21) relative to controls. A negative effect was found for handgrip strength (ES = -0.16) at 7 months. No effects were found for balance skills, standing long jump, or motor fitness. During preschool hours, sedentary time decreased (ES = -0.18), and light (ES = 0.14) and moderate-to-vigorous PA (ES = 0.16) increased at 7 months, whereas light PA decreased at 18 months (ES = -0.15), for intervention vs control. No effects were found for other intensities or full day PA.</p><p><strong>Conclusions: </strong>The ACTNOW intervention improved some FMS outcomes and increased PA short-term. Further research is needed to investigate how to improve effectiveness of staff-led PA interventions and achieve sustainable improvements in children's PA, FMS, and FIT.</p><p><strong>Trial registration: </strong>Clinicaltrials.gov, identifier NCT04048967 , registered August 7, 2019.</p><p><strong>Funding: </strong>ACTNOW was supported by the Research Council of Norway (grant number 287903), the County Governor of Sogn og Fjordane, the Sparebanken Sogn og Fjordane Foundation, and the Western Norway University of Applied Sciences.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"21 1","pages":"69"},"PeriodicalIF":5.6,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11223439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141499469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Life's essential 8, genetic susceptibility, and risk of inflammatory bowel diseases: a population-based cohort study. 生活必需品 8、遗传易感性和炎症性肠病风险:一项基于人群的队列研究。
IF 5.6 1区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-07-02 DOI: 10.1186/s12966-024-01617-3
Honghao Yang, Qing Chang, Chao Ji, Gang Zheng, Zheng Ma, Liangkai Chen, Yang Xia, Yuhong Zhao

Background: Evidence has shown that the individual metrics in Life's Essential 8 (LE8), an updated cardiovascular health (CVH) concept proposed by the American Heart Association, play a role in the development of inflammatory bowel disease (IBD). However, epidemiological evidence on the overall LE8 on IBD risk remains limited. We aimed to assess the longitudinal associations of LE8-defined CVH and the risks of IBD and its subtypes, ulcerative colitis (UC) and Crohn's disease (CD). We also tested whether genetic susceptibility could modify these associations.

Methods: A total of 260,836 participants from the UK Biobank were included. LE8 scores were determined by 8 metrics (physical activity, diet, nicotine exposure, sleep, body mass index, blood pressure, blood glucose, and blood lipids), and were divided into three levels: low CVH (0-49), moderate CVH (50-79), and high CVH (80-100). Cox proportional hazards models were used to calculate the hazard ratios (HRs) and confidence intervals (CIs) of the risk of IBD in relation to CVH status.

Results: Over a median follow-up 12.3 years, we documented 1,500 IBD cases (including 1,070 UC and 502 CD). Compared to participants with low CVH, the HRs (95% CIs) of those with high CVH for IBD, UC, and CD were 0.67 (0.52, 0.83), 0.70 (0.52, 0.93), and 0.55 (0.38, 0.80), respectively. These associations were not modified by genetic susceptibility (all P for interactions > 0.05). The lowest HR (UC: 0.30, 95% CI: 0.20-0.45; CD: 0.33, 95% CI: 0.20-0.57) was observed in participants with both high CVH and low genetic risk.

Conclusions: Better CVH, defined by LE8, was associated with significantly lower risks of IBD, UC, and CD, irrespective of genetic predisposition. Our results underscore the importance of adherence to LE8 guidelines for maintaining CVH as a potential strategy in the prevention of IBD.

背景:有证据表明,美国心脏协会提出的最新心血管健康(CVH)概念--"生命必需8项指标"(LE8)中的各项指标在炎症性肠病(IBD)的发病中起着一定的作用。然而,有关 LE8 对 IBD 风险的总体影响的流行病学证据仍然有限。我们旨在评估 LE8 定义的 CVH 与 IBD 及其亚型--溃疡性结肠炎(UC)和克罗恩病(CD)--风险的纵向关联。我们还检测了遗传易感性是否会改变这些关联:方法:共纳入英国生物库中的 260 836 名参与者。LE8评分由8项指标(体力活动、饮食、尼古丁暴露、睡眠、体重指数、血压、血糖和血脂)决定,分为三个等级:低CVH(0-49)、中CVH(50-79)和高CVH(80-100)。采用 Cox 比例危险模型计算与 CVH 状态相关的 IBD 风险的危险比(HRs)和置信区间(CIs):在中位随访 12.3 年期间,我们记录了 1,500 例 IBD 病例(包括 1,070 例 UC 和 502 例 CD)。与低 CVH 参与者相比,高 CVH 参与者患 IBD、UC 和 CD 的 HRs(95% CIs)分别为 0.67(0.52,0.83)、0.70(0.52,0.93)和 0.55(0.38,0.80)。遗传易感性不会改变这些相关性(所有交互作用的 P 均大于 0.05)。同时具有高CVH和低遗传风险的参与者的HR最低(UC:0.30,95% CI:0.20-0.45;CD:0.33,95% CI:0.20-0.57):结论:无论遗传倾向如何,根据LE8定义的较好CVH与IBD、UC和CD风险的显著降低相关。我们的研究结果强调了遵守 LE8 指南以保持 CVH 作为预防 IBD 潜在策略的重要性。
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引用次数: 0
Correction to: Temporal features of sitting, standing and stepping changes in a cluster-randomised controlled trial of a workplace sitting-reduction intervention. 更正:在工作场所减少坐姿干预的分组随机对照试验中,坐姿、站姿和迈步变化的时间特征。
IF 5.6 1区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-06-24 DOI: 10.1186/s12966-024-01611-9
Samantha K Stephens, Elisabeth A H Winkler, Elizabeth G Eakin, Bronwyn K Clark, Neville Owen, Marj Moodie, Anthony D La Montagne, David W Dunstan, Genevieve N Healy
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引用次数: 0
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International Journal of Behavioral Nutrition and Physical Activity
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