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1.
BMC Public Health ; 22(1): 618, 2022 03 29.
Artigo em Inglês | MEDLINE | ID: mdl-35351075

RESUMO

BACKGROUND: Many people do not meet the recommended health guidance of participation in a minimum of 150-300 min of moderate intensity physical activity per week, often promoted as at least 30 min of physical activity on 5 days of the week. This is concerning and highlights the importance of finding innovative ways to help people to be physically active each day. Snacktivity™ is a novel approach that aims to encourage people to do small, 2-5 min bouts of physical activity 'snacks' throughout the whole day, such that they achieve at least 150 min of moderate intensity activity per week. However, before it can be recommended, there is a need to explore whether the concept is acceptable to the public. METHODS: A survey to assess the views of the public about Snacktivity™ was distributed to adult patients registered at six general practices in the West Midlands, UK and to health care employees in the same region. RESULTS: A total of 5989 surveys were sent to patients, of which 558 were returned (9.3%). A further 166 surveys were completed by health care employees. A total of 85% of respondents liked the Snacktivity™ concept. The flexibility of the approach was highly rated. A high proportion of participants (61%) reported that the ability to self-monitor their behaviour would help them to do Snacktivity™ throughout their day. Physically inactive participants perceived that Snacktivity™ would help to increase their physical activity, more than those who were physically active (OR = 0.41, 95% CI: 0.25-0.67). Approximately 90% of respondents perceived that Snacktivity™ was easy to do on a non-working day compared to 60% on a working day. Aerobic activity 'snacks' were preferred to those which were strength based. CONCLUSIONS: The Snacktivity™ approach to promoting physical activity was viewed positively by the public and interventions to test the merits of such an approach now need to be developed and tested in a variety of everyday contexts.


Assuntos
Exercício Físico , Comportamento Sedentário , Adulto , Humanos , Inquéritos e Questionários
2.
Public Health ; 160: 108-115, 2018 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-29803185

RESUMO

OBJECTIVES: Fitness industry professionals (personal trainers, group instructors) may have a role in health promotion, particularly when working with subgroups with known health risks (e.g. older adults, obese). The aim of this study is to examine fitness professionals' level of interest in engaging with high-risk populations. STUDY DESIGN: Cross-sectional evaluation of a national survey. METHODS: In 2014, 9100 Australian registered exercise professionals were invited to complete an online survey. Respondents reported their level of interest in engaging with nine health-risk population subgroups. A multivariable logistic regression analysis assessed the odds of being classified as having a 'low level' of interest in training high health-risk subgroups, adjusting for demographic and fitness industry-related factors. RESULTS: Of 1185 respondents (aged 17-72 years), 31.1% reported having a 'high level' of interest in training high health-risk subgroups. The highest level of interest was among 'obese clients' and 'adults (18-64 years) with chronic health conditions'. In the adjusted analysis, males (odds ratio [OR], 1.55, 95% confidence interval [CI]: 1.06-2.25) and those in urban settings (OR, 2.26, 95% CI: 1.54-3.37) were more likely to have a 'low level' of interest. CONCLUSIONS: Fitness professionals have a modest level of interest in training high health-risk subgroups. In addition to the development of strategies to increase interest, research should examine whether fitness professionals are able to safely prescribe exercise to high health-risk subgroups.


Assuntos
Doença Crônica/terapia , Promoção da Saúde/organização & administração , Obesidade/terapia , Educação Física e Treinamento , Relações Profissional-Paciente , Adolescente , Adulto , Idoso , Austrália/epidemiologia , Doença Crônica/epidemiologia , Estudos Transversais , Terapia por Exercício , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Obesidade/epidemiologia , Fatores de Risco , Inquéritos e Questionários , Adulto Jovem
3.
Int J Behav Nutr Phys Act ; 15(1): 36, 2018 04 05.
Artigo em Inglês | MEDLINE | ID: mdl-29618384

RESUMO

BACKGROUND: The interpretation of previous studies on the association of physical activity and sedentary behaviour with psychological health is limited by the use of mostly self-reported physical activity and sedentary behaviour, and a focus on Western populations. We aimed to explore the association of self-reported and devise-based measures of physical activity and sedentary behaviour domains on psychological distress in an urban multi-ethnic Asian population. METHODS: From a population-based cross-sectional study of adults aged 18-79 years, data were used from an overall sample (n = 2653) with complete self-reported total physical activity/sedentary behaviour and domain-specific physical activity data, and a subsample (n = 703) with self-reported domain-specific sedentary behaviour and accelerometry data. Physical activity and sedentary behaviour data were collected using the Global Physical Activity Questionnaire (GPAQ), a domain-specific sedentary behaviour questionnaire and accelerometers. The Kessler Screening Scale (K6) and General Health Questionnaire (GHQ-12) were used to assess psychological distress. Logistic regression models were used to calculate odds ratios (ORs) and 95% confidence intervals, adjusted for socio-demographic and lifestyle characteristics. RESULTS: The sample comprised 45.0% men (median age = 45.0 years). The prevalence of psychological distress based on the K6 and GHQ-12 was 8.4% and 21.7%, respectively. In the adjusted model, higher levels of self-reported moderate-to-vigorous physical activity (MVPA) were associated with significantly higher odds for K6 (OR = 1.47 [1.03-2.10]; p-trend = 0.03) but not GHQ-12 (OR = 0.97 [0.77-1.23]; p-trend = 0.79), when comparing the highest with the lowest tertile. Accelerometry-assessed MVPA was not significantly associated with K6 (p-trend = 0.50) nor GHQ-12 (p-trend = 0.74). The highest tertile of leisure-time physical activity, but not work- or transport-domain activity, was associated with less psychological distress using K6 (OR = 0.65 [0.43-0.97]; p-trend = 0.02) and GHQ-12 (OR = 0.72 [0.55-0.93]; p-trend = 0.01). Self-reported sedentary behaviour was not associated with K6 (p-trend = 0.90) and GHQ-12 (p-trend = 0.33). The highest tertile of accelerometry-assessed sedentary behaviour was associated with significantly higher odds for K6 (OR = 1.93 [1.00-3.75]; p-trend = 0.04), but not GHQ-12 (OR = 1.34 [0.86-2.08]; p-trend = 0.18). CONCLUSIONS: Higher levels of leisure-time physical activity and lower levels of accelerometer-based sedentary behaviour were associated with lower psychological distress. This study underscores the importance of assessing accelerometer-based and domain-specific activity in relation to mental health, instead of solely focusing on total volume of activity.


Assuntos
Acelerometria , Povo Asiático , Exercício Físico , Comportamento Sedentário , Estresse Psicológico/epidemiologia , População Urbana , Adolescente , Adulto , Idoso , Estudos Transversais , Etnicidade , Feminino , Humanos , Estilo de Vida , Modelos Logísticos , Masculino , Saúde Mental , Pessoa de Meia-Idade , Autorrelato , Singapura/epidemiologia , Estresse Psicológico/fisiopatologia , Inquéritos e Questionários , Adulto Jovem
4.
Int J Obes (Lond) ; 41(6): 909-916, 2017 06.
Artigo em Inglês | MEDLINE | ID: mdl-28262676

RESUMO

BACKGROUND: Bariatric surgery is effective for the treatment of stage II and III obesity and its related diseases, although increasing evidence is showing weight regain ~12-24 months postsurgery. Weight regain increases the risk of physical function decline, which negatively affects an individual's ability to undertake activities of daily living. The study assessed the effects of a 12-week supervised exercise intervention on physical function and body composition in patients between 12 and 24 months post bariatric surgery. METHODS: Twenty-four inactive adult bariatric surgery patients whose body mass index remained ⩾30 kg m2 12 to 24 months post surgery were randomised to an exercise intervention (n=12) or control group (n=12). Supervised exercise consisted of three 60-min gym sessions per week of moderate intensity aerobic and resistance training for 12 weeks. Control participants received usual care. The incremental shuttle walk test (ISWT) was used to assess functional walking performance after the 12-week exercise intervention, and at 24 weeks follow-up. Measures of anthropometric, physical activity, cardiovascular and psychological outcomes were also examined. Using an intention-to-treat protocol, independent t-tests were used to compare outcome measures between groups. RESULTS: Significant improvements in the exercise group were observed for the ISWT, body composition, physical function, cardiovascular and self-efficacy measures from baseline to 12 weeks. A large baseline to 12-week change was observed for the ISWT (exercise: 325.00±117.28 m; control: 355.00±80.62 m, P<0.001). The exercise group at 24 weeks recorded an overall mean improvement of 143.3±86.6 m and the control group recorded a reduction of -32.50±75.93 m. Findings show a 5.6 kg difference between groups in body mass change from baseline to 24 weeks favouring the exercise group. CONCLUSIONS: A 12-week supervised exercise intervention led to significant improvements in body mass and functional walking ability post intervention, with further improvements at the 24-week follow-up.


Assuntos
Cirurgia Bariátrica , Composição Corporal , Manutenção do Peso Corporal/fisiologia , Terapia por Exercício , Exercício Físico , Obesidade/cirurgia , Cuidados Pós-Operatórios , Atividades Cotidianas , Índice de Massa Corporal , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Obesidade/fisiopatologia , Período Pós-Operatório , Qualidade de Vida , Fatores de Tempo , Resultado do Tratamento , Reino Unido , Aumento de Peso/fisiologia , Redução de Peso/fisiologia
5.
Scand J Med Sci Sports ; 27(12): 1842-1853, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28230924

RESUMO

The Finnish recommendations for health-enhancing physical activity (PA) for adults (≥18 years) recommend: (i) ≥150 minutes of moderate-to-vigorous-intensity physical activity (MVPA) and (ii) activities that develop muscle strength and balance ≥2 days/week. However, adherence to these recommendations among the Finnish adults is currently unknown. This study reports on the self-reported adherence to the PA recommendations and associations with sociodemographic factors among Finnish adults. Data were used from the Finnish "Regional Health and Well-being Study." In 2013-2014, postal questionnaires were sent to 132,560 persons, with 69,032 responding (response rate =52.1%). The weighted proportions adhering to the: (i) MVPA recommendation, (ii) sufficient muscle-strengthening activity (≥2 days/week), (iii) sufficient balance training (≥2 days/week), and (iv) Finnish health-enhancing PA recommendations (Finnish recommendations) were calculated. Associations with sociodemographic variables (eg, age, education level, self-rated health) were assessed using multiple logistic regression analyses. Of 69,032 respondents, 92.6% (n=64,380, response rate =48.6%, 18-98 years) reported on their physical activity levels. A total of 31.2% (95% CI: 30.8%-31.6%) met the aerobic MVPA recommendation, 17.2% (95% CI: 16.9%-17.6%) reported sufficient muscle-strengthening activity, 6.7% (95% CI: 6.4%-6.9%) reported sufficient balance training, and 10.8% (95% CI: 10.5%-11.1%) met the Finnish recommendations. In the adjusted analysis, those with poorer self-rated health, older age, lower education levels, and those classified overweight or obese were independently associated with lower odds of meeting the Finnish recommendations. The vast majority of Finnish adults do not meet the full PA recommendations. Public health action is needed to increase PA in Finland.


Assuntos
Exercício Físico , Cooperação do Paciente , Adolescente , Adulto , Idoso , Feminino , Finlândia , Humanos , Masculino , Pessoa de Meia-Idade , Força Muscular , Equilíbrio Postural , Autorrelato , Inquéritos e Questionários , Adulto Jovem
6.
BMC Public Health ; 15: 1219, 2015 Dec 09.
Artigo em Inglês | MEDLINE | ID: mdl-26646026

RESUMO

BACKGROUND: High levels of sedentary behaviour (i.e., sitting) are a risk factor for poor health. With high levels of sitting widespread in desk-based office workers, office workplaces are an appropriate setting for interventions aimed at reducing sedentary behaviour. This paper describes the development processes and proposed intervention procedures of Stand More AT (SMArT) Work, a multi-component randomised control (RCT) trial which aims to reduce occupational sitting time in desk-based office workers within the National Health Service (NHS). METHODS/DESIGN: SMArT Work consists of 2 phases: 1) intervention development: The development of the SMArT Work intervention takes a community-based participatory research approach using the Behaviour Change Wheel. Focus groups will collect detailed information to gain a better understanding of the most appropriate strategies, to sit alongside the provision of height-adjustable workstations, at the environmental, organisational and individual level that support less occupational sitting. 2) intervention delivery and evaluation: The 12 month cluster RCT aims to reduce workplace sitting in the University Hospitals of Leicester NHS Trust. Desk-based office workers (n = 238) will be randomised to control or intervention clusters, with the intervention group receiving height-adjustable workstations and supporting techniques based on the feedback received from the development phase. Data will be collected at four time points; baseline, 3, 6 and 12 months. The primary outcome is a reduction in sitting time, measured by the activPAL(TM) micro at 12 months. Secondary outcomes include objectively measured physical activity and a variety of work-related health and psycho-social measures. A process evaluation will also take place. DISCUSSION: This study will be the first long-term, evidence-based, multi-component cluster RCT aimed at reducing occupational sitting within the NHS. This study will help form a better understanding and knowledge base of facilitators and barriers to creating a healthier work environment and contribute to health and wellbeing policy. TRIAL REGISTRATION: ISRCTN10967042 . Registered 2 February 2015.


Assuntos
Planejamento Ambiental , Comportamentos Relacionados com a Saúde , Postura , Comportamento Sedentário , Trabalho , Pesquisa Participativa Baseada na Comunidade , Computadores , Emprego , Grupos Focais , Humanos , Projetos de Pesquisa , Medicina Estatal , Local de Trabalho
7.
Obes Rev ; 15(8): 666-75, 2014 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-24844784

RESUMO

Physical activity and sedentary behaviour are associated with metabolic and mental health during childhood and adolescence. Understanding the inter-relationships between these behaviours will help to inform intervention design. This systematic review and meta-analysis synthesized evidence from observational studies describing the association between sedentary behaviour and physical activity in young people (<18 years). English-language publications up to August 2013 were located through electronic and manual searches. Included studies presented statistical associations between at least one measure of sedentary behaviour and one measure of physical activity. One hundred sixty-three papers were included in the meta-analysis, from which data on 254 independent samples was extracted. In the summary meta-analytic model (k = 230), a small, but significant, negative association between sedentary behaviour and physical activity was observed (r = -0.108, 95% confidence interval [CI] = -0.128, -0.087). In moderator analyses, studies that recruited smaller samples (n < 100, r = -0.193, 95% CI = -0.276, -0.109) employed objective methods of measurement (objectively measured physical activity; r = -0.233, 95% CI = -0.330, -0.137) or were assessed to be of higher methodological quality (r = -0.176, 95% CI = -0.215, -0.138) reported stronger associations, although effect sizes remained small. The association between sedentary behaviour and physical activity in young people is negative, but small, suggesting that these behaviours do not directly displace one another.


Assuntos
Comportamentos Relacionados com a Saúde , Atividade Motora , Comportamento Sedentário , Adolescente , Criança , Bases de Dados Factuais , Humanos , Obesidade/prevenção & controle
8.
Diabetologia ; 56(5): 1012-20, 2013 May.
Artigo em Inglês | MEDLINE | ID: mdl-23456209

RESUMO

AIMS/HYPOTHESIS: The study aimed to examine the associations between objectively measured sedentary time, breaks in sedentary time, moderate-to-vigorous physical activity (MVPA) and total physical activity with markers of cardiometabolic health in a population with known risk factors for type 2 diabetes mellitus. METHODS: This study reports data from two ongoing diabetes prevention programmes. Participants with known risk factors were recruited from primary care practices located within the East Midlands, UK, over the period 2010-2011. ActiGraph GT3X accelerometers (15 s epochs) were used to assess sedentary time (<25 counts per 15 s), MVPA (≥ 488 counts per 15 s) and total physical activity (total counts). A break was considered as any interruption in sedentary time (≥ 25 counts per 15 s). Linear regression examined the independent association of sedentary time, breaks in sedentary time, MVPA and total physical activity with markers of cardiometabolic health. RESULTS: The sample comprised 878 participants; 153 from Project STAND (Sedentary Time And Diabetes) (age 32.9 ± 5.6 years, 28.8% male) and 725 from Walking Away from Diabetes (age 63.7 ± 7.8 years, 64.8% male). Following adjustment for various covariates, including MVPA and BMI, there were detrimental linear associations of sedentary time with 2 h plasma glucose (standardised beta coefficient) (ß = 0.220, p < 0.001), triacylglycerol (ß = 0.206, p = 0.001) and HDL-cholesterol (ß = -0.123, p = 0.029). Breaks in sedentary time, total physical activity and MVPA were significantly inversely associated with measures of adiposity, but not with any other cardiometabolic variables after adjustment for sedentary time and BMI. CONCLUSIONS/INTERPRETATION: In adults at high risk of type 2 diabetes mellitus, time spent sedentary is strongly and adversely associated with cardiometabolic health and may be a more important indicator of poor health than MVPA.


Assuntos
Doenças Cardiovasculares/epidemiologia , Diabetes Mellitus Tipo 2/epidemiologia , Síndrome Metabólica/epidemiologia , Atividade Motora , Comportamento Sedentário , Acelerometria , Adiposidade , Adulto , Idoso , Biomarcadores/sangue , Glicemia/análise , Índice de Massa Corporal , Doenças Cardiovasculares/sangue , Doenças Cardiovasculares/etiologia , Doenças Cardiovasculares/prevenção & controle , HDL-Colesterol/sangue , Estudos de Coortes , Estudos Transversais , Diabetes Mellitus Tipo 2/sangue , Diabetes Mellitus Tipo 2/etiologia , Diabetes Mellitus Tipo 2/prevenção & controle , Inglaterra/epidemiologia , Feminino , Humanos , Masculino , Síndrome Metabólica/sangue , Síndrome Metabólica/etiologia , Síndrome Metabólica/prevenção & controle , Pessoa de Meia-Idade , Fatores de Risco , Triglicerídeos/análise
9.
Diabet Med ; 30(6): 671-5, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23506383

RESUMO

AIMS: Rising rates of obesity have led to an increasing prevalence of Type 2 diabetes mellitus in young people. Uncertainty exists over the utility of screening younger adults for Type 2 diabetes, as existing data sets have focused on mature (> 40 years) cohorts. The aim of this study was to determine the prevalence of impaired glucose metabolism in higher risk younger adults. METHODS: Overweight (with an additional risk factor) or obese adults (18-40 years) were recruited for the Sedentary Time And Diabetes (STAND) randomized controlled trial. Measures included an oral glucose tolerance test, HbA1c , biochemical and anthropometric data. RESULTS: One hundred and ninety-three individuals (68% female; median age 33.8 years; median BMI 33.9 kg/m²) were recruited. Forty-three per cent had a first-degree family history of Type 2 diabetes. Previously undiagnosed Type 2 diabetes was present in 4.7% (n = 9). Of participants, 18.1% (n = 35) had impaired glucose metabolism: 4.7% (n = 9) HbA1c ≥ 48 mmol/mol (6.5%); 9.3% (n = 18) HbA1c 42-46 mmol/mol (6.0-6.4%); 3.1% (n = 6) Type 2 diabetes on oral glucose tolerance test; 6.2% (n = 12) isolated impaired glucose tolerance; 2.1% (n = 4) isolated impaired fasting glucose; 1% (n = 2) both impaired fasting glucose and impaired glucose tolerance. Of participants, 58.5% (n = 113) had dyslipidaemia, 28.0% (n = 54) had hypertension, 31.1% (n = 60) were vitamin D deficient and 7.3% (n = 14) had abnormal liver function. CONCLUSIONS: This study identified a high prevalence of Type 2 diabetes and impaired glucose regulation in overweight and obese younger adults. These findings require confirmation in a larger, representative, population.


Assuntos
Diabetes Mellitus Tipo 2/epidemiologia , Transtornos do Metabolismo de Glucose/epidemiologia , Obesidade/epidemiologia , Sobrepeso/epidemiologia , Adolescente , Adulto , Índice de Massa Corporal , Estudos de Coortes , Comorbidade , Diabetes Mellitus Tipo 2/etiologia , Dislipidemias/epidemiologia , Dislipidemias/etiologia , Saúde da Família , Feminino , Transtornos do Metabolismo de Glucose/etiologia , Insuficiência Hepática/epidemiologia , Insuficiência Hepática/etiologia , Humanos , Hiperglicemia/epidemiologia , Hiperglicemia/etiologia , Hipertensão/epidemiologia , Hipertensão/etiologia , Masculino , Obesidade/sangue , Obesidade/fisiopatologia , Sobrepeso/sangue , Sobrepeso/fisiopatologia , Prevalência , Fatores de Risco , Reino Unido/epidemiologia , Deficiência de Vitamina D/epidemiologia , Deficiência de Vitamina D/etiologia , Adulto Jovem
10.
Diabetologia ; 55(11): 2895-905, 2012 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-22890825

RESUMO

AIMS/HYPOTHESIS: Sedentary (sitting) behaviours are ubiquitous in modern society. We conducted a systematic review and meta-analysis to examine the association of sedentary time with diabetes, cardiovascular disease and cardiovascular and all-cause mortality. METHODS: Medline, Embase and the Cochrane Library databases were searched for terms related to sedentary time and health outcomes. Cross-sectional and prospective studies were included. RR/HR and 95% CIs were extracted by two independent reviewers. Data were adjusted for baseline event rate and pooled using a random-effects model. Bayesian predictive effects and intervals were calculated to indicate the variance in outcomes that would be expected if new studies were conducted in the future. RESULTS: Eighteen studies (16 prospective, two cross-sectional) were included, with 794,577 participants. Fifteen of these studies were moderate to high quality. The greatest sedentary time compared with the lowest was associated with a 112% increase in the RR of diabetes (RR 2.12; 95% credible interval [CrI] 1.61, 2.78), a 147% increase in the RR of cardiovascular events (RR 2.47; 95% CI 1.44, 4.24), a 90% increase in the risk of cardiovascular mortality (HR 1.90; 95% CrI 1.36, 2.66) and a 49% increase in the risk of all-cause mortality (HR 1.49; 95% CrI 1.14, 2.03). The predictive effects and intervals were only significant for diabetes. CONCLUSIONS/INTERPRETATION: Sedentary time is associated with an increased risk of diabetes, cardiovascular disease and cardiovascular and all-cause mortality; the strength of the association is most consistent for diabetes.


Assuntos
Doenças Cardiovasculares/mortalidade , Diabetes Mellitus/mortalidade , Comportamento Sedentário , Adulto , Humanos , Fatores de Risco
12.
Scand J Med Sci Sports ; 17(5): 605-10, 2007 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-17316376

RESUMO

This study was designed to determine the effects of ingesting a carbohydrate (CHO) solution on affective states and rating of perceived exertion (RPE) during prolonged intermittent high-intensity exercise. Seventeen male soccer players completed a prolonged intermittent high-intensity exercise protocol for 90 min on two occasions, separated by at least 7 days. Participants consumed either a 6.4% CHO (0.6 g/kg body mass (BM)/h) or an artificially sweetened placebo (PLA) solution immediately before (8 mL/kg BM) and every 15 min (3 mL/kg BM) during exercise in a double-blind, counterbalanced design. Pleasure-displeasure, perceived activation, RPE and plasma glucose concentration was assessed. The results showed that compared with the CHO trial, perceived activation were lower in the placebo trial during the last 30 min of exercise and this was accompanied by lowered plasma glucose concentrations. In the CHO trial, RPE was maintained in the last 30 min of exercise but carried on increasing in the PLA trial. Therefore, CHO ingestion during prolonged high-intensity exercise appears to elicit an enhanced perceived activation profile that may impact upon task persistence and performance. This finding is in addition to the physiological and metabolic benefits of the exogenous energy supply.


Assuntos
Afeto , Carboidratos da Dieta/administração & dosagem , Exercício Físico/fisiologia , Músculo Esquelético/fisiologia , Resistência Física/fisiologia , Esforço Físico , Futebol/fisiologia , Adulto , Glicemia/fisiologia , Suplementos Nutricionais , Teste de Esforço , Humanos , Masculino , Estado Nutricional , Consumo de Oxigênio , Estudos Prospectivos , Fatores de Tempo
13.
Int J Obes Relat Metab Disord ; 28(10): 1238-46, 2004 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-15314635

RESUMO

OBJECTIVE: To review the empirical evidence of associations between television (TV) viewing, video/computer game use and (a) body fatness, and (b) physical activity. DESIGN: Meta-analysis. METHOD: Published English-language studies were located from computerized literature searches, bibliographies of primary studies and narrative reviews, and manual searches of personal archives. Included studies presented at least one empirical association between TV viewing, video/computer game use and body fatness or physical activity among samples of children and youth aged 3-18 y. MAIN OUTCOME MEASURE: The mean sample-weighted corrected effect size (Pearson r). RESULTS: Based on data from 52 independent samples, the mean sample-weighted effect size between TV viewing and body fatness was 0.066 (95% CI=0.056-0.078; total N=44,707). The sample-weighted fully corrected effect size was 0.084. Based on data from six independent samples, the mean sample-weighted effect size between video/computer game use and body fatness was 0.070 (95% CI=-0.048 to 0.188; total N=1,722). The sample-weighted fully corrected effect size was 0.128. Based on data from 39 independent samples, the mean sample-weighted effect size between TV viewing and physical activity was -0.096 (95% CI=-0.080 to -0.112; total N=141,505). The sample-weighted fully corrected effect size was -0.129. Based on data from 10 independent samples, the mean sample-weighted effect size between video/computer game use and physical activity was -0.104 (95% CI=-0.080 to -0.128; total N=119,942). The sample-weighted fully corrected effect size was -0.141. CONCLUSION: A statistically significant relationship exists between TV viewing and body fatness among children and youth although it is likely to be too small to be of substantial clinical relevance. The relationship between TV viewing and physical activity is small but negative. The strength of these relationships remains virtually unchanged even after correcting for common sources of bias known to impact study outcomes. While the total amount of time per day engaged in sedentary behavior is inevitably prohibitive of physical activity, media-based inactivity may be unfairly implicated in recent epidemiologic trends of overweight and obesity among children and youth. Relationships between sedentary behavior and health are unlikely to be explained using single markers of inactivity, such as TV viewing or video/computer game use.


Assuntos
Atividade Motora , Obesidade/etiologia , Televisão/estatística & dados numéricos , Jogos de Vídeo/estatística & dados numéricos , Adolescente , Comportamento do Adolescente/fisiologia , Criança , Comportamento Infantil/fisiologia , Pré-Escolar , Feminino , Humanos , Masculino , Fatores de Risco
14.
Ann Hum Biol ; 31(1): 75-86, 2004.
Artigo em Inglês | MEDLINE | ID: mdl-14742166

RESUMO

BACKGROUND: Assessing time spent in sedentary behaviours in relation to pubertal status, anthropometric differences, and body image will improve insight into the prevalence and determinants of such behaviours during adolescence. AIM: The study aimed to investigate the effects of age, puberty, gender, body composition, and sleep on sedentary behaviour. PARTICIPANTS AND METHODS: Participants were 64 boys and 55 girls in Year 6 (10.0-10.9 years of age), Year 8 (12.0-12.9 years) and Year 10 (14.0-14.9 years). Body mass index and percentage body fat were calculated from anthropometric measures. Sedentary behaviour and sleep time were computed using momentary-time sampling. Body image was measured using the Children's Physical Self-Perception Profile. Pubertal status was assessed from self-report of secondary sexual characteristics. RESULTS: After controlling for sleep time, no differences in sedentary time were seen for puberty onset or increased pubertal development. Correlations between pubertal status, body composition, and body image were stronger in girls than in boys. Correlations between body image and sedentary behaviour were not strong enough to infer behavioural choice differences. CONCLUSIONS: Reduced sleep time rather than changing body image and body composition during adolescence is associated with greater sedentary behaviour.


Assuntos
Comportamento do Adolescente , Antropometria , Puberdade/fisiologia , Adolescente , Composição Corporal , Índice de Massa Corporal , Criança , Exercício Físico , Feminino , Humanos , Masculino , Autoimagem , Fatores Sexuais , Sono
15.
J Sports Sci ; 19(10): 777-809, 2001 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-11561674

RESUMO

Contemporary aspects of research methods in sport and exercise psychology are discussed in this wide-ranging review. After an introduction centred on trends in sport and exercise psychology methods, the review is organized around the major themes of quantitative and qualitative research. Our aim is to highlight areas that may be problematic or controversial (e.g. stepwise statistical procedures), underused (e.g. discriminant analysis), increasingly used (e.g. meta-analysis, structural equation modelling, qualitative content analysis) and emergent (e.g. realist tales of writing). Perspectives range from the technical and speculative to the controversial and critical. While deliberately not providing a 'cookbook' approach to research methods, we hope to provide enough material to help researchers to appreciate the diversity of potential methods and to adopt a more critical perspective in their own research consumption and production.


Assuntos
Exercício Físico/fisiologia , Projetos de Pesquisa , Esportes/psicologia , Análise Discriminante , Exercício Físico/psicologia , Humanos , Metanálise como Assunto , Modelos Estatísticos , Análise Multivariada , Sensibilidade e Especificidade , Esportes/fisiologia
16.
J Sports Sci ; 19(9): 711-25, 2001 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-11522147

RESUMO

The aim of the present study was to assess the influence of self-efficacy and past behaviour on young people's physical activity intentions using an augmented version of Ajzen's Theory of Planned Behaviour. We hypothesized that self-efficacy would exhibit discriminant validity with perceived behavioural control and explain unique variance in young people's intentions to participate in physical activity. We also expected that past physical activity behaviour would attenuate the influence of attitude, subjective norms, perceived behavioural control and self-efficacy on intention. The sample comprised 1,152 young people aged 13.5 +/- 0.6 years (mean +/- s) who completed inventories assessing their physical activity intentions, attitudes, subjective norms, perceived behavioural control, self-efficacy and past physical activity behaviour. A confirmatory factor analysis demonstrated that the constructs of the Theory of Planned Behaviour achieved discriminant validity. Furthermore, the measures of attitudes, subjective norms, perceived behavioural control and self-efficacy were significantly related to their respective belief-based measures, supporting the concurrent validity of the measures of the Theory of Planned Behaviour. A non-standard structural equation model demonstrated that attitude and self-efficacy were strong predictors of physical activity intention, but perceived behavioural control and subjective norms were not. Self-efficacy attenuated the influence of attitudes and perceived behavioural control on intention. Past behaviour predicted intention directly and indirectly through self-efficacy and attitude. The present findings demonstrate that young people with positive attitudes and high self-efficacy are more likely to form intentions to participate in physical activity. Furthermore, controlling for past physical activity behaviour revealed that the unique effects of self-efficacy and attitudes on young people's physical activity intentions were unaltered.


Assuntos
Comportamento do Adolescente , Atitude Frente a Saúde , Exercício Físico/psicologia , Comportamentos Relacionados com a Saúde , Motivação , Autoeficácia , Adolescente , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Modelos Psicológicos , Reprodutibilidade dos Testes , Autoimagem , Valores Sociais , Estatística como Assunto , Inquéritos e Questionários
17.
Ann Behav Med ; 23(4): 229-46, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11761340

RESUMO

The purpose of this study was to summarize findings from empirical applications of the transtheoretical model (TTM) (Prochaska & DiClemente, 1983) in the physical activity domain by using the quantitative method of meta-analysis. Ninety-one independent samples from 71 published reports were located that present empirical data on at least one core construct of the TTM applied to exercise and physical activity. In general, results support the application because core constructs differ across stages and most changes are in the direction predicted by the theory. Three general conclusions are offered. First, existing data are unable to confirm whether physical activity behavior change occurs in a series ofstages that are qualitatively different or along adjacent segments of an underlying continuum. Second, the growing number of studies that incorporate TTM concepts means that there is an increasing need to standardize and improve the reliability of measurement. Finally, the role ofprocesses of change needs reexamining because the higher order constructs are not apparent in the physical activity domain and stage-by-process interactions are not evident. There now are sufficient data to confirm that stage membership is associated with different levels of physical activity, self-efficacy, pros and cons, and processes of change. Further studies that simply stage participants or examine cross-sectional differences between core constructs of the TTM are of limited use. Future research should examine the moderators and mediators of stage transition.


Assuntos
Terapia Comportamental/estatística & dados numéricos , Exercício Físico/psicologia , Tomada de Decisões , Comportamentos Relacionados com a Saúde , Humanos , Modelos Teóricos , Autoeficácia
18.
Scand J Med Sci Sports ; 9(6): 315-32, 1999 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-10606097

RESUMO

Achievement goal orientation theory has been the subject of extensive research in recent years. In view of the importance of identifying the motivational antecedents of affect in physical activity, this study examined through meta-analysis the conflicting evidence regarding the links between different achievement goals and emotions. Using the formulas of Hunter and Schmidt (1), correlations were gathered from 41 independent samples and were corrected for both sampling and measurement errors. The results showed that task orientation and positive affect were moderately-to-highly correlated and in a positive fashion, whereas the relationship between task orientation and negative affect was negative and moderate to small. Both correlations were found to be heterogeneous, and so moderators were sought. The relationships between ego orientation and positive and negative affect were positive but very small, with the former being heterogeneous. Moderators coded were the time frame of affect (independent of context vs. after an athletic event), the physical activity setting (school physical education vs. recreation vs. competitive sport), age (university vs. school students), nationality (British vs. American), nature of negative affect (high vs. low arousal), and the publication status of the studies (published vs. unpublished). Lastly, a subset of the corrected correlations were inserted into a structural equation modelling analysis in order to look concurrently at the relationships among all the variables.


Assuntos
Logro , Afeto , Exercício Físico/psicologia , Objetivos , Interpretação Estatística de Dados , Ego , Humanos , Pesquisa , Análise e Desempenho de Tarefas
19.
Scand J Med Sci Sports ; 9(6): 344-52, 1999 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-10606099

RESUMO

Physical activity intentions were studied in 12- to 16-year-old Finnish girls (n= 186) and boys (n=215). Theoretical predictions were used to establish a model that was then tested separately for each sex using path analysis. Firstly, it was hypothesised that malleable conceptions of the nature of sport ability positively influence enjoyment in physical activity and intentions to participate in physical activity, mediated by a task-oriented achievement goal independent of variations in perceptions of competence. Secondly, it was hypothesised that fixed conceptions of the nature of ability decrease enjoyment in physical activity and intentions to participate, mediated by an ego-oriented achievement goal and by perceived competence. The modified models were shown to fit the data. Overall, the results showed that 63% (boys) and 45% (girls) of the variance in intentions was explained by the model. The motivational importance of task orientation and, among the boys, perceived physical competence was confirmed with their direct prediction of intentions.


Assuntos
Logro , Objetivos , Motivação , Autoimagem , Esportes/psicologia , Adolescente , Análise de Variância , Análise Fatorial , Feminino , Finlândia , Humanos , Masculino , Modelos Psicológicos , Fatores Sexuais , Inquéritos e Questionários
20.
Scand J Med Sci Sports ; 9(6): 353-7, 1999 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-10606100

RESUMO

Utilising a goal perspectives framework, a study predicting physical activity intentions in 12 to 16-year-old Hungarian adolescents was conducted with two samples. Theoretical predictions established a model that was tested through path analysis. Beliefs thought to underpin goal orientations were hypothesised to predict ego orientation (general and gift beliefs) and task orientation (learning and incremental beliefs). Task orientation was hypothesised to predict intentions directly, while ego orientation was hypothesised to predict intentions indirectly through perceived competence. Results from the first sample (n=301) suggested that the model could be improved by adding paths between general beliefs and perceived competence and between task orientation and perceived competence. This modified model was shown to fit data from a second sample (n=422) very well. Multi-group analysis confirmed a good fit and so the two samples were combined. The model fitted the data well for the total sample (n=723). Overall, results showed that 20.8% of the variance in intentions was explained by the model, and that sport ability beliefs were moderately associated with task orientation but only weakly associated with ego orientation. The motivational importance of a task orientation was confirmed with its direct prediction of intentions.


Assuntos
Logro , Objetivos , Motivação , Autoimagem , Esportes/psicologia , Adolescente , Ego , Análise Fatorial , Humanos , Hungria , Modelos Psicológicos
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