Typologies of Greek inactive older adults based on reasons for abstaining from exercise and conditions for change

Abstract

The main purpose of this study was to examine typologies of non-exercisers based on reasons for physical inactivity and conditions reported to be necessary to change exercise behaviour. These typologies were then compared on psychological variables of interest and exercise history. Questionnaires were distributed to Greek older adults aged 60 and above who were recruited from social clubs and city cafés. Only individuals engaging in no regular exercise were recruited (n = 188). The results of hierarchical and k-means cluster analyses revealed two clusters for males (“approachable” and “unconvinced”) and three for females (“unconcerned”, “approachable”, and “unconvinced”). The clusters differed significantly on psychological variables not used in the cluster solution. Exercise history distinguished between clusters only among males. The results reveal that physically inactive older adults are not a homogeneous group of individuals. Implementers of physical activity interventions should probably use a range of strategies that take into consideration that some sedentary older adults are more amenable to consider taking up exercise than others.     

Adolescent physical fitness and activity as predictors of adulthood activity

A 25-year population-based study was conducted to determine how physical fitness and participation in leisure-time physical activity in adolescence (age 12-18 years) predict leisure-time physical activity in adulthood (age 37-43 years). In 1976, five field tests were conducted to measure muscular fitness, agility and aerobic capacity, and self-report weekly frequencies of activity were obtained by questionnaire. A modified questionnaire was repeated in 2001, when participants were age 37-43 years (N = 1525). On the basis of the questionnaire, a physical activity index was calculated both in 1976 and 2001. The odds ratios (OR) for being inactive in adulthood among those who were physically very active in adolescence compared with those who were inactive in adolescence was 0.13 for males (95%CI: 0.06-0.31) and 0.28 for females (95%CI: 0.13-0.59). The odds ratio for adult inactivity among males in the highest versus lowest fitness group in adolescence was 0.24 (95%CI: 0.07-0.81). Activity in adolescence predicted activity in adulthood in both males and females. The risk for adult inactivity was significantly lower for those who were physically active in adolescence. In addition, high fitness predicted adult activity among males but not among females.     

Trends in No Leisure-Time Physical Activity—United States, 1988–2010

Purpose: The aim of this study was to examine trends in the prevalence of no leisure-time physical activity (LTPA) from 1988 to 2010. Method: Using the Behavioral Risk Factor Surveillance System data, 35 states and the District of Columbia reported information on no LTPA from 1988 to 1994; all states reported no LTPA from 1996 to 2010. Results: No LTPA significantly declined over two decades. Prevalence for all states declined on an average of 0.6% per year from 29.1% in 1996 to 24.1% in 2004 and stabilized from 2005 to 2010, ranging from 24.0% to 25.4%. Prevalence declined for both sexes and all racial/ethnic groups. Conclusion: While the no LTPA trends improved over two decades, one in four U.S. adults still report they do not engage in LTPA.     

Typologies of Greek inactive older adults based on reasons for abstaining from exercise and conditions for change

The main purpose of this study was to examine typologies of non-exercisers based on reasons for physical inactivity and conditions reported to be necessary to change exercise behaviour. These typologies were then compared on psychological variables of interest and exercise history. Questionnaires were distributed to Greek older adults aged 60 and above who were recruited from social clubs and city cafés. Only individuals engaging in no regular exercise were recruited (n = 188). The results of hierarchical and k-means cluster analyses revealed two clusters for males ("approachable" and "unconvinced") and three for females ("unconcerned", "approachable", and "unconvinced"). The clusters differed significantly on psychological variables not used in the cluster solution. Exercise history distinguished between clusters only among males. The results reveal that physically inactive older adults are not a homogeneous group of individuals. Implementers of physical activity interventions should probably use a range of strategies that take into consideration that some sedentary older adults are more amenable to consider taking up exercise than others.     

Higher screen time is associated with overweight,poor dietary habits and physical inactivity in Brazilian adolescents,mainly among girls

Objectives: To analyse the associations between high screen time and overweight, poor dietary habits and physical activity in adolescents according to sex. Methods: The study comprised 515 boys and 716 girls aged 14–17 years from Londrina, Brazil. Nutritional status (normal weight or overweight/obese) was assessed by calculating the body mass index. Eating habits and time spent in physical activity were reported using a questionnaire. The measurement of screen time considered the time spent watching television, using a computer and playing video games during a normal week. Associations between high screen time and dependent variables (nutritional status, eating habits and physical activity levels) were assessed by binary logistic regression, adjusted for sociodemographic and lifestyle variables. Results: Most adolescents (93.8% of boys and 87.2% of girls) spent more than 2 hours per day in screen-time activities. After adjustments, an increasing trend in the prevalence of overweight and physical inactivity with increasing time spent on screen activities was observed for both sexes. Screen times of >4 hours/day compared with <2 hours/day were associated with physical inactivity, low consumption of vegetables and high consumption of sweets only in girls and the consumption of soft drinks in both sexes. Conclusions: The frequency of overweight and physical inactivity increased with increasing screen time in a trending manner and independently of the main confounders. The relationship between high screen time and poor eating habits was particularly relevant for adolescent girls.     

江苏省省级机关公务员体力活动情况调查

目的:探讨江苏省机关公务员的体力活动水平和不同种类体力活动的分布情况。方法:用国际体力活动量表长卷来评价机关公务员的体力活动情况。共1224名机关公务员参加测试。结果;调查的机关公务员中有62.1%的人体力活动充足;女性体力活动充足的人(69.0%)明显高于男性(58.5%),差异有显著性(P<0.05)。交通行程体力活动是机关公务员体力活动的最主要形式,其次是闲暇时间体力活动。女性在交通和家务体力活动强度显著高于男性(P<0.01)。只有交通行程的体力活动随着年龄的增大,其活动强度在下降(P<0.01)。结论:调查的江苏省省级机关公务页人群中有37.9%的人体力活动不足;交通行程体力活动是公务员主要的体力活动形式;女性体力活动充足的比率和强度都比男性高。     

Physical inactivity and muscle oxidative capacity in humans

Abstract

Physical inactivity is associated with a high prevalence of type 2 diabetes and is an independent predictor of mortality. It is possible that the detrimental effects of physical inactivity are mediated through a lack of adequate muscle oxidative capacity. This short review will cover the present literature on the effects of different models of inactivity on muscle oxidative capacity in humans. Effects of physical inactivity include decreased mitochondrial content, decreased activity of oxidative enzymes, changes in markers of oxidative stress and a decreased expression of genes and contents of proteins related to oxidative phosphorylation. With such a substantial down-regulation, it is likely that a range of adenosine triphosphate (ATP)-dependent pathways such as calcium signalling, respiratory capacity and apoptosis are affected by physical inactivity. However, this has not been investigated in humans, and further studies are required to substantiate this hypothesis, which could expand our knowledge of the potential link between lifestyle-related diseases and muscle oxidative capacity. Furthermore, even though a large body of literature reports the effect of physical training on muscle oxidative capacity, the adaptations that occur with physical inactivity may not always be opposite to that of physical training. Thus, it is concluded that studies on the effect of physical inactivity per se on muscle oxidative capacity in functional human skeletal muscle are warranted.     

A Reply to Chromiak and Stone

Abstract

Influence from parents and friends on adolescents' self-reported level of leisure-time physical activity was examined through measures of (a) perceived leisure-time physical activity of parents and best friend, (b) perceived direct support for physical activity from parents and friends, (c) direct help from parents in exercising vigorously, and (d) perceived value of physical activity of parents and friends. The present analysis included 904 students in western Norway (M age 13.3 years, SD 0.3) who took part in a health behavior survey, which included questions regarding physical activity. Students completed a confidential questionnaire at school All four measures of influence were positively related to students' activity levels. None of the examined measures was clearly stronger than the other. Parental and peer physical activity level and parental and peer support for physical activity seem to influence the reported physical activity level of the respondents. The findings indicate that, by serving as models and supporters, significant others have an important impact in promoting physical activity in young adolescents.     

Differential item functioning analysis of the 2003-04 NHANES physical activity questionnaire

Using differential item functioning (DIF) analyses, this study examined whether there were any DF items in the National Health and Nutrition Examination Survey (NHANES) physical activity (PA) questionnaire. A subset of adult data from the 2003-04 NHANES study (n = 3,083) was used. PA items related to respondents' occupational, transportation, domestic, leisure-time, strength-related, and sedentary activities were analyzed for DIF using Mantel-Haenszel, SIBTEST, and analysis of variance procedures. Some items were identified as DF items, with the majority of those items favoring advantaged social groups. For example, items about domestic activity and moderate-intensity leisure-time activity were DF items favoring non-Hispanic Whites, and persons with higher levels of education (e.g., some college or more) or income (e.g, annual family income [AFI] > $34,999). The vigorous activity item was a DIF item favoring younger adults (ages 20-59 years) and persons with higher levels of education or income. Occupational PA presented DF favoring Hispanics and persons with lower levels of education (e.g., high school or less), and the transportation-related PA item presented DF favoring persons with lower incomes (e.g., AFI $34,999). These findings highlight the importance of conducting DF analysis in PA survey construction and emphasize the need to introduce DIF concepts and methods to PA researchers.     

The relationship between meeting of recommendations on physical activity for health and perceived work ability among white-collar workers

Objective: The aim of this study was to evaluate the association between meeting recommendations on physical activity for health in leisure-time and the ability to work among Polish white-collar workers. Methods: The study used a cross-sectional design with a convenience sample of 360 white-collar workers. Participants recorded 7-day physical activity logs, including form, duration and intensity of leisure-time physical activities. The results were compared to health recommendations. A standardized Work Ability Index (WAI) questionnaire was used in assessing the ability to work. Results: Participants who met health recommendations achieved higher scores of the WAI (mean score?=?41.93) in comparison to those who were not sufficiently physically active (mean score?=?39.35) (p?Conclusions: Meeting leisure-time physical activity recommendations (especially the criterion of vigorous physical activity) is significantly related to higher self-assessed ability to work among white-collar workers.     

体力活动不足、久坐行为与糖代谢异常检出率的关系

目的：探讨体力活动（PA）不足和久坐行为（SB）与糖代谢异常检出率的关系。方法：对30~69岁具有至少3项DM危险因素者进行糖耐量筛查,采用国际体力活动问卷（IPAQ-SF）调查PA水平和SB,并利用加速度计对问卷进行效度检验。结果：研究纳入195人,平均年龄（51.92±10.64）岁。糖代谢异常检出率为67.18%,检出率随DM危险因素数量的增多而升高。IPAQ-SF中MPA、MVPA以及SB时间与加速度计测量结果的相关系数r分别为0.35、0.37和0.43。受试者中75.9%属于PA不足,同时具有"PA不足+（年龄≥ 40岁）+超重/肥胖"三项的受试者最多（48.21%）。在调整了混杂因素之后,与SB ≤ 6h/d组相比,SB>6h/d组受试者的糖耐量异常检出率更高（OR=2.37,95% CI：1.12~5.02）。结论：多种DM危险因素聚集者中糖代谢异常检出率较高,PA不足者较多,SB增加糖代谢异常风险,IPAQ-SF适用于对该人群进行PA评价。建议对糖尿病多危险因素聚集者,尤其是PA不足、SB较多、超重/肥胖者及时筛查并重点关注,降低糖代谢异常发病率。     

Relationship between a 14-Day Recall Measure of Leisure-Time Physical Activity and a Submaximal Test of Physical Work Capacity in a Population Sample of Australian Adults

Abstract

This paper reports on the validity of a 14-day recall measure of leisure time physical activity (LTPA) in a sample of Australian adults (N = 986). Submaximal cycle ergometry was used to assess physical work capacity per kilogram of body mass (pwc75/kg). The self-report energy expenditure estimates were used to categorize respondents as vigorously active, moderately active, and low active/sedentary. Multiple regression analyses showed that pwc75/kg increased significantly across energy expenditure categories for adults aged less than 40 years; that the vigorous and moderate activity categories had greater mean pwc75/kg values than the low/sedentary category for 40 to 59-year-olds; and, that there were no differences in pwc75/kg between activity categories for those aged 60 years or older.     

Do generations differ in sports participation and physical activity over the life course? Evidence from multiple datasets

ABSTRACT

Generational differences in health-related factors will affect forecasts of future disease patterns and health care needs. We studied whether participation in sports activity and being physically active are different between 10-year generations over a part of their life course. We used three different datasets on Dutch adults: a cohort study running for 20 years, the Doetinchem Cohort Study (DCS), multiple yearly databases (2001–2015) from the Netherlands health interview study (HIS), and a retrospective cohort study on life time sports careers, the Sports Participation Monitor (SPM). Based on a different questionnaire in each study, frequencies of weekly sport participation and being physically active according to recommended levels were determined by generation and sex. All data sets showed that self-reported sport participation has been increasing with every 10-year generation already for many decades. Especially for those generations born in the 1930s up to the 1960s, sport participation is higher compared to their predecessors. For instance at age 50, 43% of those born in the 1940s engaged in sports activities compared to 55% of those born in the 1950s (DCS data). Physical activity according to recommended levels showed no systematic differences by generation.

In conclusion, favourable generation-specific trends in participation in sports activities are found: recent generations are doing better than the older generations. It is unclear whether this also reflects higher levels of physical activity or lower levels of inactivity. Future research may reveal whether these developments also hold for other countries, and whether these developments continue for the younger generations.     

Population physical activity behaviour change: A review for the European College of Sport Science

Abstract

The academic study of sport and exercise science has expanded greatly into the arena of public health over the past 20 years or more and Europe has played a significant role in this. It is opportune to review evidence concerning ways to change population levels of physical activity for health. This paper summarises such evidence by using a lifespan approach with physical activity behaviour change for children and adolescents, adults and older adults. Correlates of physical activity are identified and the outcome of interventions is discussed. Intervention success has been variable often due to weak fidelity and short-term implementation, and process evaluation is missing from many such studies. Nevertheless, evidence points to possible behaviour change across all age groups and through multiple settings, including schools, worksites and the community.     

The impact of social influence on physical activity among adolescents – a longitudinal study

Abstract

Objectives: The purpose of the current study was to examine the impact of social support and negative social influence from various contexts on adolescents' current and intended physical activity (C&IPA) two years later. In addition, social influence related to C&IPA at baseline (16–17 years old) is compared to follow-up (18–19 years old). Methods: Questionnaire data was obtained from 404 students at the age of 16–17 and again at the age of 18–19. Relationships among variables were examined with structural equation modelling (SEM). Results: Social influence experienced by high-school students at 16–17 years of age had a direct suppressing effect and an indirect positive effect on their C&IPA two years later. Social support for physical activity was more complex and related to positive as well as negative relations at the age of 16–17 compared to two years later. Conclusions: The results imply that social support to adolescents should be offered over a longer period of time, with increased focus on its significance as a link from an initially external regulation to a more internal regulation of physical activity as students get older. Closer examination of maintaining, pro-activating and intervening effects of social support could enhance our understanding of direct and indirect effects of social support on physical activity.     

Validation of Using Fitness Center Attendance Electronic Records to Assess the Frequency of Moderate/Vigorous Leisure-Time Physical Activity Among Adults

The purpose of this study was to provide three construct validity evidence for using fitness center attendance electronic records to objectively assess the frequency of leisure-time physical activity among adults. One hundred members of a fitness center (45 women and 55 men; aged 18 to 64 years) completed a self-report leisure-time physical activity questionnaire. The theory of planned behavior constructs (e.g., intention and perceived behavioral control), VO₂max, and % BF were assessed. Fitness center attendance electronic records were expressed as the weekly mean number of mandatory check-in records retrieved from the fitness center's electronic database over a 12-week period prior to participant's physical fitness evaluation. A continuous (frequency) and categorical (“adherent” versus “non-adherent”) scores were computed. Results indicated that perceived behavioral control was associated with fitness center attendance electronic records and mediated the fitness center attendance electronic records–intention relationship. Fitness center attendance electronic records were associated with VO₂max and self-report leisure-time physical activity. Therefore, results provide three evidence of construct validity of using fitness center attendance electronic records scores to assess leisure-time physical activity behavior.     

How acceptable do older adults find the concept of being physically active? A systematic review and meta-synthesis

Despite the significant health benefits of regular physical activity for older adults, only a minority achieve recommended levels. To develop effective interventions, the reasons for the low levels of physical activity in this population must be understood. The present review identifies and synthesizes qualitative studies concerning the acceptability of physical activity to community dwelling older adults. A systematic search of four electronic databases identified 10 studies meeting inclusion criteria. These were appraised, and findings were combined and compared using thematic synthesis. Older adults construed physical activity as a by-product of other activities, rather than as a purposeful activity within itself. This seemed to be linked to their self-perception as an ageing member of society, with physical activity considered irrelevant, and competing roles and responsibilities (e.g., family) taking precedence. Additionally, older adults appeared to experience conflict between maintaining their autonomy and accepting the physical and social vulnerabilities associated with ageing. As older adults do not see physical activity as purposeful within itself, interventions promoting moderate or vigorous physical activity are likely to have limited success. As even small increases in physical activity benefit older adults, future interventions may wish to target the reduction of sedentary behaviour in this population.     

Factors Related to Rural Young Adolescents' Participation in Outdoor,Noncompetitive Physical Activity

Purpose: Young adolescents who have little interest in participating in competitive team sports are at an increased risk for physical inactivity. Noncompetitive outdoor physical activity can provide young adolescents with increased opportunities to participate in physical activities that appeal to them and have positive health effects. The purpose of this study was to examine factors related to rural young adolescents' participation in noncompetitive outdoor physical activity to inform intervention design. Method: Young adolescents aged 10 to 14 years old (N = 1,032) from 1 rural county completed a self-administered questionnaire assessing constructs from self-determination theory (SDT) and the theory of planned behavior (TPB) related to noncompetitive outdoor physical activity. Structural equation modeling was used to examine an integrated conceptual model of hypothesized relationships among constructs. Results: The hypothesized conceptual model provided a good fit to the data with greater perceptions of autonomy support and self-determined motivation having statistically significant positive indirect effects on participation in noncompetitive outdoor physical activity mediated by the constructs of the TPB. All direct paths in the model were statistically significant; however, the direct effect of attitudes on intention was weak (.08) and self-determined motivation had no indirect effect on intention through attitudes (.03). Conclusions: Constructs of SDT and TPB should be accounted for by interventions targeting noncompetitive outdoor physical activity among young adolescents. More research is needed to determine young adolescents' preferences for noncompetitive and competitive physical activity and the potential influence that noncompetitive outdoor physical activity may have on total daily physical activity.