Occupational health disorders among physical education teachers compared to classroom and subject specialist teachers.

During the course of their work, teachers may be subjected to conditions that cause different health problems. This study examines occupational health disorders in a representative sample of 858 teachers (528 female; age 44.0 ± 9.67 years) divided into three groups of teachers with specific occupational requirements: specialist physical education teachers (specialist PETs), classroom teachers, and specialist teachers. The number of health disorders in the last 12 months was recorded using the Chronic Health Disorders Questionnaire. The differences between the different types of teachers, controlled for sex and age, were analyzed using binary logistic regression. The results showed that 89% of teachers experienced colds as the most frequently reported health problem, followed by 58% for lower back problems, 57% for headaches, 51% for hoarseness, and 43% for neck problems. A binary logistic regression showed that specialist PETs were the group with the highest health risk. They were about twice as likely to have musculoskeletal or hearing disorders than the other two groups of teachers. They were also significantly more likely to suffer from hoarseness. Understanding these different health challenges is critical to developing targeted interventions and robust support systems. These interventions should include initiatives aimed at raising awareness of health risk factors, implementing injury interventions and vocal cord hygiene programs, making ergonomic adjustments, and promoting awareness of self-care (both mental and physical). Given that the teaching profession is currently struggling with an aging workforce and a shortage of teachers, addressing these challenges is critical to the continued well-being of the teaching professionals.

Challenges of social change: The 2021 Republic of Slovenia report card on physical activity of children and adolescents.

Background: Slovenian children are facing considerable health challenges from the rapid social changes that influence their opportunity to engage in daily physical activity. Objective: To overlay the social changes to the established Report Card model as a means of contextualising the extreme changes in physical activity and fitness observed over several years. Methods: Benchmarks were graded for 10 core indicators, plus two (Sleep, Seasonal Variations). Active Healthy Kids Slovenia members met (predominantly via zoom) liaising with team leader(s) on a flexible, individual basis, based on coronavirus disease 2019 (COVID-19) regulations, over the ∼2-year assessment period of the project. Data were separated to the years prior to, 'pre' 2018-2020, and 'during' the global pandemic (2020-2021). Where sufficient data existed for both timeframes, grades were averaged to produce an overall grade. Results: Grade results are expressed as pre/during/final grade, where the final grade (bolded) is a straight average of the two preceding time epochs: Overall Physical Activity (A-/A-/A-), Organized Sport and Physical Activity (C+/C/C), Active Play (D/C+/C), Active Transport (C/INC/C), Sedentary Behaviour (B/C/C+), Physical Fitness (A+/A-/A), Family and Peers (B+/INC/B+), Schools (A/A/A), Community and Environment (A+/A+/A+), Government (A/F/D), Sleep (D-/INC/D-), Seasonal Variations (D/C-/D+). Conclusion: Although Slovenia has some of the most consistently physically-active children in the world, the effects of the COVID-19 pandemic exerted significant reductions in physical activity opportunities, and especially when coupled with funding re-distributions, resulted in the steepest decline of child physical fitness observed within the >35-year history of Slovenia's well-established national fitness surveillance system.

Secular trends in skill-related physical fitness among Slovenian children and adolescents from 1983 to 2014.

It is vital from the public health and educational perspective to be familiar with changes in the fitness levels of individuals and populations since fitness is associated with several health outcomes and cognition. Skill-related physical fitness refers to performance in sports or occupation and is associated with motor skill performance. The aim of the present study was to examine secular trends in skill-related physical fitness of 16 678 participants in four youth generations of Slovenian children and adolescents in years 1983 (n = 3128), 1993/94 (n = 3413), 2003/04 (n = 5497), and 2013/14 (n = 4640). Using repeated cross-sectional design, we observed fitness level of all participants divided into three age groups: 6-10, 11-14, and 15-19 years. Skill-related physical performance was measured with seven fitness tests for speed, coordination, balance, and flexibility. Analysis of covariance was used to compare differences in fitness performance between decades in each age and sex group, adjusted for body height, body weight, and body mass index. Overall, large but inconsistent changes in coordination, a small improvement in speed, and a decline in flexibility were seen. The trends over the whole examined period were not linear throughout decades. Generally, positive trends were noticed in periods 1983-1993 (range 1.4%-17.9%; except flexibility) and 2003/04-2013/14 (range 0.2%-36.4%; except age group 15-19 years) while in the period 1993/94-2003/04 there are some particularities in secular trends according to individual components as well as age groups. In general, the secular trend showed a positive direction for both genders (p < 0.05), except for gross motor coordination, which demonstrated positive trends in 1993 and 2013 compared with a decade earlier (p < 0.05) and from 1983 to 2013/14, except for the youngest boys in 2003 and the youngest girls from 1993 to 2003 (p < 0.05). Our findings call for exercise programs aimed at improving speed and gross motor coordination in both sexes and all age groups, especially in the group of 15-19 years old.

The dynamics of burnout among Slovenian primary school teachers over the school year in relation to their perceptions of various predictors of burnout in the school context.

This study examined the dynamics of teacher burnout over the course of the school year in relation to individual and environmental factors in the school context based on a three-wave panel design using an MBI-ES questionnaire and a self-constructed inventory to measure individual and environmental factors of burnout. The sample consisted of 718 teachers from 32 Slovenian primary schools; 163 of them participated in all measurements. The major limitation of this study is the high attrition rate. However, attrition analysis showed no significant differences between the initial sample and the panel group on background variables and burnout dimensions or on environmental and individual factors. Burnout was present but not pronounced among participating teachers: Emotional exhaustion was moderately high and depersonalization and personal accomplishment were low. Over the course of the school year, burnout did not increase consistently and gradually; we found only a statistically significant increase in personal accomplishment in the middle of the school year and a statistically significant greater sense of burnout at the end of the school year. As stress accumulates over time, we would expect burnout to increase. We hypothesize that participants reduced the effects of stress through various coping strategies and/or replenish their resources. We believe that the school year is not long enough for burnout to develop. The number of stressors perceived by teachers was significantly related to burnout rates. Teachers experience stress, especially in work not directly related to teaching, and from their own performance expectations. Multivariate regression analyses yielded three different but similar models of predictors of burnout that explained 25 to 50% of the variance in teacher burnout. Regardless of the instability of the models, the time and energy demands of working with students, teacher characteristics, and classroom management are the stable antecedents in the predictor models of teacher burnout.

SLOfit Lifelong: A model for leveraging citizen science to promote and maintain physical fitness and physical literacy across the lifespan.

SLOfit Lifelong is a public health initiative which was created to upgrade a well-established, national physical fitness surveillance system for Slovenian schoolchildren that has been collecting annual fitness and health data for over three decades. The ultimate objective of creating SLOfit Lifelong was to build a modern societal infrastructure with the capacity and ability to detect future causal associations between childhood physical fitness trends and future health outcomes based on the lifelong surveillance of one's own fitness status. By instilling citizens with an ambition to test, understand, and follow-up their own physical fitness and health status (including related health risk factors), this initiative provides the technical support and expert feedback needed to engender greater individual control over understanding (and thus modulating), one's own physical fitness status as they progress into older adulthood. This perspective paper details the extensive approach taken to devise appropriate fitness test batteries for adults and older adults which can also relate to the student version of the original SLOfit test database, including establishing criterion health risk zones and a public approach to establish this national, citizen-driven health feedback framework. Through its sophisticated online web applications, social media, print media, and outreach workshops, SLOfit Lifelong provides the expert support for public health engagement by fostering positive lifelong physical literacy experiences an individual can enjoy across their aging journey.

Secular trends in muscular fitness from 1983 to 2014 among Slovenian children and adolescents.

Low physical fitness has been found to be associated with many chronic diseases and medical conditions. Knowledge of secular trends in physical fitness is important to initiate countermeasures for addressing negative trends. The aim of this study was to analyze secular trends in health-related muscular fitness in Slovenian children and adolescents between 1983 and 2014. Data were collected as part of "The Analysis of Children's Development in Slovenia (ACDSi)" study in 1983, 1993/94, 2003/04, and 2013/14. Anthropometry (body weight, height, BMI, and triceps skinfold) and muscular fitness (standing long jump, bent-arm hang, and sit-ups 60 s test) of 18730 (9168 female) students from primary and secondary schools were recorded. The secular trend was analyzed considering anthropometry. The results showed that anthropometric measures had an increasing trend and overall muscular fitness had a decreasing trend. Leg muscle power decreased over the decades in all age groups (relative difference between -1.5% and -2.6%), being more pronounced in boys. Arm muscle strength decreased in two younger age groups (range -21.1% to -42.7%, 6-10, and 11-14 years), but not in the oldest group (15-19 years), where the increase occurred in both genders (0.4% to 9.3%). In terms of decades, the largest negative changes (-30.1%) occurred from 1993/94 to 2003/04 and the smallest changes (-4.2%) from 2003/04 to 2013/14. The overall trend in repetitive core strength surprisingly increased (1.1% to 18.3%). There is a need to promote healthy lifestyles, raise parental awareness and use all government resources to redirect the negative trend in physical fitness.

A COVID-19 Crisis in Child Physical Fitness: Creating a Barometric Tool of Public Health Engagement for the Republic of Slovenia.

The Republic of Slovenia implements the largest longitudinal database of child physical fitness in the world-SLOfit. Slovenia has some of the most physically active children globally, and it has responded rapidly to incorporate national physical activity (PA) interventions throughout the COVID-19 pandemic. Despite aggressive campaigns to maintain PA at home, the country has seen a tremendous decrease in child physical fitness over the past several months as self-isolation measures have been mandated by national authorities. These trends prompted researchers to create a method of tracking and communicating government decisions which have a direct impact on child physical activity, fitness and overall health (i.e., the SLOfit Barometer). The research team assembled experts for consultation on creation of the SLOfit Barometer after processing preliminary data on 20,000 schoolchildren which found the greatest decline in child physical fitness since systematic testing began more than 30 years ago. Only 2 months of self-isolation erased over 10 years of hard-fought health gains acquired from national public health policies and PA interventions. This crisis in child fitness requires integrated community participation and a robust public health policy response, and with the SLOfit Barometer acting as a national bellwether system, it is envisioned that policy makers and the public will advocate for bold, progressive actions to combat this national health emergency. This surveillance tool tracks government action to combat the increasing child physical inactivity and obesity trends brought on as a direct result of COVID-19 isolation regulations.

Assessment of Secular Trends and Health Risk in Pediatric Cardiorespiratory Fitness From the Republic of Slovenia.

OBJECTIVES: Determine the temporal trends in cardiorespiratory fitness (CRF) and health risk of Slovenian schoolchildren across a 20-year span, assessed via 20-m shuttle run (20mSRT), including defining centile ranges and possible health risk(s) for each generation. METHODS: Nationally representative data from 9,426 healthy schoolchildren (6-14 years old) were used to determine changes in CRF across three generations, in 1993 (n = 3,174), 2003 (n = 3,457) and 2013 (n = 2,795) from a multistage, stratified, decennial study. RESULTS: 20mSRT performance declined ∼2.8% from 1993 to 2003, independent of age or sex of the child. This trend was reversed in 2013, increasing by ∼8.2% across all age groups, for both girls and boys, for a net increase of 5.4%. The magnitude of improvement was similar for both sexes. Moreover, girls in the 2013 generation (for ages 10-13 year) completed more stages than their 2003 male counterparts. Across all generations, children achieved CRF values corresponding to low cardiovascular risk for future health outcomes. Centile values ranged from "low" to "very high" depending on age, sex, and generation of the sample. CONCLUSION: Negative trends in CRF from Slovenian schoolchildren were reversed by 2013, indicating that Slovenia should continue implementing progressive national physical fitness strategies introduced between sampling periods (i.e., 2003-2013). Additionally, due to the universal nature of Slovenian schoolchildren achieving "healthy cut-off values" for 20mSRT (generation-inclusive), it is suggested that more specific cut-off criteria are developed, especially for younger children, and girls, so that future CRF results can be more accurately applied for both clinical and pedagogical users.

Associations of mode and distance of commuting to school with cardiorespiratory fitness in Slovenian schoolchildren: a nationwide cross-sectional study.

BACKGROUND: It is unclear whether active commuting has the potential to improve children's health. This study examined the association of commuting mode and distance with children's cardiorespiratory fitness (CRF). METHODS: We conducted a cross-sectional study, including 713 Slovenian schoolchildren aged 12 to 15 years. Commuting modes were self-reported, and four commuting groups were constructed, while CRF was determined with a 20-m shuttle run test. The distance from home to school was calculated using the Geographic Information System. Effects of commuting mode and distance, controlling for age, gender and amount of total physical activity, were evaluated using general two linear models (one for each direction of commuting to/from school). RESULTS: The main effect of commuting group on CRF and its interaction with distance were significant in the direction from school to home (P = 0.013 and P = 0.028, respectively), but not in the opposite direction. Predicted differences in CRF between commuting groups were moderate and generally higher in males than in females. When comparing commuting group median distance from home to school, males driven by car had around 4 ml/min/kg lower predicted CRF than those who walked (P = 0.01) or used wheels commuting (e.g., bicycle, skateboard). CONCLUSIONS: The distance of commuting had a small effect on CRF, except in the Car group where children who live close to school had significantly lower CRF than those living further away. Children driven by car who live within wheels or walk distance from school should be targeted by interventions promoting active transport.

Children's Physical Activity, Academic Performance, and Cognitive Functioning: A Systematic Review and Meta-Analysis.

Researching the relationship between physical activity and academic performance is becoming an important research topic due to increasing evidence about the positive effect of physical activity on cognitive functioning. The present systematic review and meta-analysis (PROSPERO registration number: CDR132118) is a unique contribution to the recently published reviews since it only includes interventions longer than 6 weeks and acknowledges the influence of the qualifications of practitioners who deliver interventions. After identifying 14,245 records in five databases and selecting 247 full-text articles assessed for eligibility, 44 interventions passed all eligibility criteria. This meta-analysis uses validity generalization in a random effects model, which shows that academic performance itself is not solely caused by increased physical activity. The weighted mean population effect of all included interventions was rw = 0.181. Most of the studies had serious limitations since they did not report physical activity intensity, which is an essential component to achieving positive exercise effects on cognition. In addition, the qualifications of the staff who administer the interventions were largely ignored in existing literature. It was found that 13 out of 20 physical activity interventions with significant positive effects on academic performance were performed by practitioners who held higher qualifications in the field of physical education and exercise science, who could mediate higher physical activity intensities of the given interventions. The population effect in studies where interventions were administered by practitioners with lower qualifications in the field (rw = 0.14) was lower compared to interventions performed by staff with higher qualifications (rw = 0.22). There was also a significant difference in academic performance with regard to staff qualification level (χ = 4.464; p = 0.035). In addition to activity duration, future physical activity intervention studies including those investigating academic performance should focus on the importance of physical activity intensity and include measures of physical fitness as objective indicators to enable more reliable analyses to establish physical activity influence on academic performance.

Increasing trends in childhood overweight have mostly reversed: 30 years of continuous surveillance of Slovenian youth.

The aim of this study is to describe trends in overweight and obesity among Slovenian youth for the period 1989-2018. Nearly all schoolchildren in Slovenia had their height and weight measured annually, which lead to a total of 6,738,510 data-points during the 30-year period. The IOTF cut-off points and Joinpoint regression were used to examine annual percent change (APC) in overweight and obesity prevalence across 3 age groups (7-10, 11-14 and 15-18 years). Obesity approximately tripled, while overweight doubled between 1989 and late 2000s in both genders. Since then overweight has been steadily decreasing in all 3 age groups for boys and in 7-10-year-old girls. Obesity has also been declining since 2009, but only in the youngest boys and girls (APC = - 1.9, 95% CI = - 3.2 to - 0.6 and APC = - 1.6, 95% CI = - 3.0 to - 0.2, respectively). Unfavourable trends were noted only in 15-18-year-old girls, with obesity rising at an unchanged rate over the past 30 years (APC = 4.8, 95% CI = 4.5-5.1). Overweight and obesity among Slovenian youth has increased dramatically over the last 3 decades. Still, during the last decade this rise has been reversed or at least stopped. This reversal of trends was more marked in boys than in girls, and in young children compared to adolescents.

Decline of physical activity in early adolescence: A 3-year cohort study.

This study analyses the changes of moderate-to-vigorous physical activity (MVPA) in a cohort of boys and girls aged 11 (n = 50) and 14 (n = 50). Physical activity was assessed with Bodymedia SenseWear Pro Armband monitor for 6 days in October 2013 and October 2016, considering 90% of daily wear time (21h and 40min). The initial sample (n = 160) included the children who wore the monitors at age 11 but the final analyzed sample included only those children from the initial sample (n = 50), whose data fulfilled the inclusion criteria at age 11 and 14. Physical fitness and somatic characteristics of the final sample (n = 50) were compared to a representative sample of Slovenian schoolchildren at ages 11 (n = 385) and 14 (n = 236) to detect possible bias. Changes in MVPA were controlled for maturity using the timing of adolescent growth spurt as its indicator. The average MVPA decreased more than one quarter (34.96 min) from age 11 to age 14. Children were significantly more active at age 11 than at age 14 (p < 0.01, d = 0.39). The timing of puberty onset in girls was significantly earlier (12.01 ± 1.0 years) (p < 0.01) than in boys (13.2 ± 0.75 years) (p < 0.01, d = 1.35). There was a significant gender difference in moderate-to vigorous physical activity at age 14 (p < 0.05, η2 = 0.12) and between moderate-to vigorous physical activity at age 11 and 14 (η2 = 0.11). After controlling for the timing of adolescent growth spurt the girls at age 11 showed significantly higher level of physical activity than at age 14 (p < 0.01, η2 = 0.17). Early adolescence is crucial for the development of physical activity behaviours, which is especially pronounced in girls. The significant decline of MVPA between ages 11 and 14 in Slovenia are likely influenced by environmental changes since the timing of adolescent growth spurt did not prove as a factor underlying the decline of MVPA.

Impact of prematurity on exercise capacity and agility of children and youth aged 8 to 18.

BACKGROUND: Preterm (PT) birth and low birth mass (LBW) can impair growth and development of children and may therefore affect their physical performance up to adulthood. AIMS: Our aim was to evaluate long-term consequences of prematurity, especially (an)aerobic exercise capacity and agility up to adulthood, by comparing premature and full-term (FT) individuals. STUDY DESIGN, SUBJECTS: From 474 subjects born in 1987, who were enrolled into a longitudinal study, 396 (178 PT and 218 FT (with 127 of them LBW)) were followed-up into their early adulthood. Their mass, respiratory status at birth, and results of SLOfit monitoring system (i.e. results of exercise capacity and agility) were monitored on a yearly basis from their age of 8 to 18years. Data were compared statistically with Student t-test or ANOVA. OUTCOME MEASURES, RESULTS: PT (or LBW) individuals performed aerobic (time of 600-meter run of females) and the majority of anaerobic tests (sit-ups, standing broad jump, and time of 60-meter run, but not bent arm hang) worse (p<0.05) than FT individuals. Before puberty, however, the agility and fine motor tests (arm plate tapping, polygon backwards, and standing reach touch) were performed better (p<0.05) by PT (or LBW) females, as compared to their FT peers, with no similar results in males. CONCLUSIONS: Our results clearly demonstrate that prematurity (especially extreme prematurity) diminishes exercise capacity and agility on the long-term scale, therefore, PT children should be encouraged towards more regular participation in physical activities from early childhood onwards.

Results From the Republic of Slovenia's 2016 Report Card on Physical Activity for Children and Youth.

BACKGROUND: This is the first assessment of the Republic of Slovenia's efforts to synthesize and report physical activity (PA) standards for children and youth following the Active Healthy Kids Global Alliance grading system model. METHODS: The Republic of Slovenia Report Card relies on research findings published in peer-reviewed journals, data compiled from national databases, and government initiatives which have been monitoring physical fitness standards in schools for the past 34 years (SLOfit and ACDSi). The Report Card initiative has been jointly coordinated by the University of Primorska and the University of Ljubljana. A Research Work Group consisting of 12 representatives from various aspects of Slovenia's public, private, and government sectors convened to evaluate evidence and assign grades for each PA indicator. RESULTS: Grades (A, highest, to F, lowest; INC, incomplete) for Slovenia are as follows: Overall Physical Activity (A-), Organized Sport Participation (B-), Active Play (D), Active Transportation (C), Sedentary Behaviors (B+), Family and Peers (INC), Schools (A), Community and the Built Environment (INC), and Government (B+). CONCLUSIONS: This inclusive PA report indicates that overall physical activity minutes remain high in Slovenian children and youth; however, more research is needed to determine the effects of family life, peer influences, and the built environment on active play behaviors.

Some indicators of fatness and motor fitness in Slovenian and Serbian children / Algunos indicadores de obesidad y aptitud motriz en niños eslovenos y serbios

The purpose of this study was to identify sex and age specific differences in fatness and motor fitness levels of children in two western Balkan countries in south-eastern Europe: Slovenia and Serbia. The sample consisted of 1,659 subjects of both sexes, aged from 9 to 15 years. Body height, body mass, triceps skinfold thickness, bent arm hang and standing long jump were used in the analysis. Ordinal regression was used to test differences in body mass index (BMI) categories among the countries. MANOVA was used to test the differences in motor fitness level. There were statistically significant (p<0.001) differences between the countries for the entire set of tested variables. Boys and girls from both countries had similar body height, body mass and BMI, yet Slovenians had smaller triceps skinfold thickness. Children from both countries were superior in standing long jump compared to their counterparts elsewhere in Europe. However, Slovenian boys and girls performed better than Serbian ones in both performed motor tests. Differences between countries in motor tests results were larger at age 9 than at age 14. Apparent trend was detected: with similar morphological characteristics, Slovenian children, especially girls, are physically fitter than Serbian ones. Sex is the only significant parameter (p<0.001) of classifying into a BMI category. Boys have an approximate odds ratio of 1.75 for passing into a higher BMI category as girls. Among girls, the differences between countries were greater since the prevalence of overweight and obese girls in Slovenia decreases with age, while the reverse trend is observed in Serbia.

El propósito de este estudio fue identificar las diferencias específicas de sexo y edad en la aptitud y niveles de condición física en niños de dos países de los Balcanes occidentales en el sudeste de Europa: Eslovenia y Serbia. La muestra consistió en 1.659 sujetos de ambos sexos, con edades entre los 9 y 15 años. Para el análisis se utilizaron la altura corporal, masa corporal, espesor del pliegue cutáneo del tríceps, brazo doblado al colgar y de pie en salto largo. Se utilizó la regresión ordinal para probar las diferencias en el índice de masa corporal (IMC) categorías entre los países. El análisis MANOVA fue utilizado para probar las diferencias en el nivel de condición motriz física. El conjunto de variables analizadas (p<0,001) entre los países no fueron estadísticamente significativas. Los niños y niñas de ambos países tenían similar altura y masa corporal e IMC, pero en los eslovenos los pliegues cutáneos del triceps más pequeños. Los niños de ambos países fueron superiores en salto largo en comparación con sus homólogos de otras partes de Europa. Sin embargo, los niños y las niñas eslovenos obtuvieron mejores resultados que los serbios en ambas pruebas de motricidad. Las diferencias en los resultados de las pruebas de motricidad entre los países fueron mayores a los 9 años de edad, a los 14 años se detectó una tendencia aparente: con características morfológicas similares, los niños eslovenos, particularmente las niñas, se encontraban en mejores condiciones físicas que los niños serbios. El sexo es el único parámetro significativo (p<0,001) de clasificar en una categoría de IMC. Los niños tienen una probabilidad promedio aproximada de 1,75 para pasar a una categoría superior IMC tal como las niñas. Entre las niñas, las diferencias entre los países eran mayores, ya que la prevalencia de las niñas con sobrepeso y obesidad en Eslovenia disminuyen con la edad, mientras que se observó una tendencia inversa en Serbia.

School day and weekend patterns of physical activity in urban 11-year-olds: a cross-cultural comparison.

OBJECTIVES: This multi-center study was conducted to objectively evaluate energy expenditure and physical activity (PA) patterns on school days and weekends in urban 11-year-olds. METHODS: The sample consisted of 241 children from three cities: Zagreb, Ljubljana (both in Central Europe) and Ann Arbor (United States). Energy expenditure and PA were assessed during two school days and two weekend days using a multiple-sensor body monitor. RESULTS: Differences between the cities were observed for all PA variables. The highest level of moderate to vigorous PA (MVPA) was noted in Ljubljana boys [284 (98) min/day] and the lowest in Zagreb girls [179 (95) min/day]. In Zagreb and Ljubljana, boys were more physically active than girls, while in Ann Arbor the opposite was observed. In contrast, no gender difference in sedentary behavior was observed in any of the cities. A decline in PA from school days to weekends was noted in all city groups in both genders. However, the magnitude of the reduction in daily energy expenditure differed between the cities, with the largest differences being observed in Ljubljana and the smallest in Ann Arbor. In all three city groups, the great majority of boys and girls achieved current recommendations of 60 min of MVPA either during school days or weekends. CONCLUSIONS: Weekends seem to be an appropriate target when promoting PA in 11-year-olds in all the cities included in the study. Increasing vigorous activity on weekends seems to be of particular importance in Zagreb and Ljubljana.

Associations of objectively assessed sleep and physical activity in 11-year old children.

AIM: Objective methods were used to evaluate children's sleep and physical activity over several days in order to test the hypotheses that: (1) low average sleep duration and/or sleep efficiency are linked to a low amount of physical activity; and (2) a reduction in sleep quantity and/or sleep efficiency during the night is followed by a decrease in physical activity the following day. METHODS: This is a multi-centre, observational study involving 276 children, aged 10.5-12 years, from diverse urban settings in Croatia, Slovenia and the US. Sleep and activity were monitored for 2-6 days (median = 4) using the Sensewear Armband™ multi-sensor body monitor. RESULTS: While average sleep duration and efficiency were unrelated to physical activity, within-subjects associations revealed that an extra hour spent in bed during the night was followed by a 16-minute decrease in moderate-to-vigorous physical activity (p < 0.001). This was accompanied by a 4.5 kJ/kg and 5.9 kJ/kg lower total daily energy expenditure in boys and girls, respectively (p < 0.001). CONCLUSIONS: This study found no evidence for a link between short sleep and low or reduced physical activity.

Physical self-concept of adolescents in Western Balkan countries: a pilot study.

The aim of this study was to explore physical self-concept of adolescents of the Western Balkans (Serbia, Slovenia, Croatia, and Bosnia and Herzegovina) according to sex and country. The participants were 2,606 students, ages 13 and 14 years (M = 13.5, SD = 0.9). The Physical Self-Description Questionnaire (PSDQ) was used to assess multidimensional physical self-concept. The results show the interaction of sex and country for three dimensions of physical self-concept (Appearance, Global Physical Self-Concept, and Self-Esteem). It was shown that female and male adolescents' perception of physical appearance, self-esteem, and global physical self-concept is more susceptible to influences of socio-cultural factors in the monitored countries. In all other dimensions of Physical self-concept, sex differences were consistently manifested in favour of male adolescents, except in Flexibility. Regardless of adolescents' sex, under the increasing influence of Western culture in the Western Balkan countries, adolescents more critically evaluate their body and motor abilities.