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1.
Scand J Public Health ; : 14034948241253673, 2024 Jun 04.
Artigo em Inglês | MEDLINE | ID: mdl-38835192

RESUMO

BACKGROUND AND AIM: In climates with wintry conditions, slip and fall injuries of pedestrians during wintertime can result in high healthcare and societal costs. The aim of this study was to evaluate the effectiveness of early warnings about slipperiness in preventing such injuries in Finland. Since 2004, the Finnish Meteorological Institute (FMI) has been providing a weather service for pedestrians, which has been developed continuously over time. DATA AND METHODS: Time series of pedestrian slip and fall injuries in commuting on foot in the 19 regions of Finland in 2005-2022 was obtained from the Finnish Workers' Compensation Center and analysed for trends. We also analysed daily warnings about slippery sidewalks from the FMI archives for the period 2011-2022. To identify steps in the service chain that require improvement, we conducted a weather service chain analysis (WSCA) based on a slip and fall accident storyline. RESULTS: There was no significant trend in the number of slipping injuries during the study period. The exposure of the Finnish population to slippery conditions varies according to the climate of the region and characteristics of the winters. We found that the responses of the users of the warning information may be inadequate. CONCLUSIONS: Changes in the behaviour of individuals and more efficient winter maintenance of sidewalks are required. Furthermore, it is necessary to promote the role and safety of walking in the planning of traffic systems and urban planning. Further improvements to the pedestrian weather service are needed as well.

2.
Health Promot Pract ; : 15248399241255376, 2024 Jun 06.
Artigo em Inglês | MEDLINE | ID: mdl-38845227

RESUMO

Active school travel (AST) is an effective approach for increasing children's physical activity and independent mobility, but policy supporting AST is lacking. This study aims to explore children's experiences of AST to inform a policy recommendation. Photovoice methodology with a qualitative approach was applied, with children taking pictures on their way to school. This was followed by focus groups where the children explored their experiences of AST based on their photos. The data were analyzed using qualitative content analysis. The results show that the children valued independent mobility and wanted to be involved in decisions about their travels; they also expressed feelings of increased responsibility and personal growth as a consequence. Although the children recognized areas of improvement regarding infrastructure, especially regarding heavy traffic that jeopardized travel safety, they continued using AST. Finally, the children talked about the value of the health and environmental benefits of AST. Opportunities for friendship, play, and making decisions about their own time were highlighted as important incentives. The benefits from AST are many for children, as well as for society. The result has informed policy recommendations for AST, and the children's input will be used to communicate the recommendations. Listening to the voices of children could be a steppingstone toward forming future healthy mobility initiatives. In that process, it is key to include children's perspectives when formulating the AST policy for successful adoption and implementation.

3.
Sleep Health ; 2024 Jun 14.
Artigo em Inglês | MEDLINE | ID: mdl-38879398

RESUMO

OBJECTIVE: Although commuting time is an extension of working hours, few studies have examined the relationship between commuting time and insomnia symptoms in relation to working time. Thus, this study investigated the relationship between commuting time and working time and their link to sleep disturbance. METHODS: This study included employees with ≥35 weekly working hours (n = 30,458) using data from the Sixth Korean Working Conditions Survey conducted in Korea between October 2020 and April 2021. The association between commuting time (≤60, 61-120, and >120 minutes) and insomnia symptoms based on working hours (35-40, 41-52, and >52 h/wk) or shift work was investigated using survey-weighted logistic regression analysis. RESULTS: Long commuting time (>120 min/d) combined with >52 working hours/week (OR: 7.88, 95% CI: 2.51-24.71) or combined with 41-52 h/wk (OR: 3.64, 95% CI: 2.15-6.14) was associated with a higher risk of insomnia symptoms compared with the reference group (working hours: 35-40 h/wk; daily commuting time: ≤60 minutes), after controlling for sex, age, socioeconomic factors, and work-related factors. Among shift workers, those with daily commuting time ≤60 minutes (OR: 1.71, 95% CI: 1.39-2.09), 61-120 minutes (OR: 2.63, 95% CI: 1.21-5.74), and >120 minutes (OR: 5.16, 95% CI: 2.14-12.44) had higher odds of insomnia symptoms than nonshift workers with ≤60 minutes daily commuting time. CONCLUSION: Long working hours and shift work are associated with greater risk of insomnia symptoms.

4.
J Occup Health ; 2024 May 24.
Artigo em Inglês | MEDLINE | ID: mdl-38782720

RESUMO

OBJECTIVE: The health benefits of active commuting have been reported. However, few studies have assessed commuting modes using objective methods. This study clarified the association between changes in objectively measured commuting modes and body weight among Japanese workers. METHODS: This longitudinal study used data from the annual health examinations and personnel records of a company with branches in all prefectures of Japan. Data from 2018 and 2019 were used as the baseline and follow-up data, respectively. The commuting mode was assessed using the commuting mode code included in the personnel records and classified into three types: walking, public transport, and car or motorcycle. The participants were classified into nine categories based on the combination of their commuting modes in 2018 and 2019. Body weight was measured objectively during health examinations. The 1-year changes in body weight were calculated for the nine categories and assessed using an analysis of covariance with adjustments for covariates. RESULTS: The analysis included 6,551 workers (men: 86.8%; mean age: 42.8 years). Overall, body weights tended to increase (+0.40 kg/year). The participants who switched to more active commuting, such as from car or motorcycle to walking (-0.13 kg/year), from car or motorcycle to public transport (+0.10 kg/year), and from public transport to walking (-0.07 kg/year), exhibited small weight gains or losses. A similar trend was observed even after adjustment. CONCLUSIONS: Changing to a more active commuting mode may prevent weight gain among workers.

5.
Environ Pollut ; 349: 123974, 2024 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-38615837

RESUMO

PM2.5 concentrations are higher during rush hours at background stations compared to the average concentration across these stations. Few studies have investigated PM2.5 concentration and its spatial distribution during rush hours using machine learning models. This study employs a geospatial-artificial intelligence (Geo-AI) prediction model to estimate the spatial and temporal variations of PM2.5 concentrations during morning and dusk rush hours in Taiwan. Mean hourly PM2.5 measurements were collected from 2006 to 2020, and aggregated into morning (7 a.m.-9 a.m.) and dusk (4 p.m.-6 p.m.) rush-hour mean concentrations. The Geo-AI prediction model was generated by integrating kriging interpolation, land-use regression, machine learning, and a stacking ensemble approach. A forward stepwise variable selection method based on the SHapley Additive exPlanations (SHAP) index was used to identify the most influential variables. The performance of the Geo-AI models for morning and dusk rush hours had accuracy scores of 0.95 and 0.93, respectively and these results were validated, indicating robust model performance. Spatially, PM2.5 concentrations were higher in southwestern Taiwan for morning rush hours, and suburban areas for dusk rush hours. Key predictors included kriged PM2.5 values, SO2 concentrations, forest density, and the distance to incinerators for both morning and dusk rush hours. These PM2.5 estimates for morning and dusk rush hours can support the development of alternative commuting routes with lower concentrations.


Assuntos
Poluentes Atmosféricos , Poluição do Ar , Inteligência Artificial , Monitoramento Ambiental , Material Particulado , Taiwan , Material Particulado/análise , Poluentes Atmosféricos/análise , Monitoramento Ambiental/métodos , Poluição do Ar/estatística & dados numéricos , Meios de Transporte
6.
Environ Int ; 187: 108696, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38678934

RESUMO

Ambient air ultrafine particles (UFP, particles with a diameter <100 nm) have gained significant attention in World Health Organization (WHO) air quality guidelines and European legislation. This review explores UFP concentrations and particle number size distributions (PNC-PNSD) in various transportation hotspots, including road traffic, airports, harbors, trains, and urban commuting modes (walking, cycling, bus, tram, and subway). The results highlight the lack of information on personal exposure at harbors and railway stations, inside airplanes and trains, and during various other commuting modes. The different lower particle size limits of the reviewed measurements complicate direct comparisons between them. Emphasizing the use of instruments with detection limits ≤10 nm, this review underscores the necessity of following standardized UFP measurement protocols. Road traffic sites are shown to exhibit the highest PNC within cities, with PNC and PNSD in commuting modes driven by the proximity to road traffic and weather conditions. In closed environments, such as cars, buses, and trams, increased external air infiltration for ventilation correlates with elevated PNC and a shift in PNSD toward smaller diameters. Airports exhibit particularly elevated PNCs near runways, raising potential concerns about occupational exposure. Recommendations from this study include maintaining a substantial distance between road traffic and other commuting modes, integrating air filtration into ventilation systems, implementing low-emission zones, and advocating for a general reduction in road traffic to minimize daily UFP exposure. Our findings provide important insights for policy assessments and underscore the need for additional research to address current knowledge gaps.


Assuntos
Poluentes Atmosféricos , Poluição do Ar , Monitoramento Ambiental , Tamanho da Partícula , Material Particulado , Meios de Transporte , Emissões de Veículos , Material Particulado/análise , Monitoramento Ambiental/métodos , Poluentes Atmosféricos/análise , Emissões de Veículos/análise , Poluição do Ar/estatística & dados numéricos , Humanos , Cidades
7.
BMC Health Serv Res ; 24(1): 468, 2024 Apr 13.
Artigo em Inglês | MEDLINE | ID: mdl-38614994

RESUMO

OBJECTIVES: This study explores the relationship among commuting, musculoskeletal (MS) pain, and burnout. METHODS: An observational and cross-sectional study was conducted at a medical university-affiliated hospital in Taichung, Taiwan in 2021. The two questionnaire was used and they included the Copenhagen Burnout Inventory (CBI) and the Nordic Musculoskeletal Questionnaire (NMQ). All participants were invited to complete the cross-sectional survey. A multiple linear regression was assessed correlations between commuting, MS pain, and burnout. RESULTS: After excluding those with missing data, 1,615 healthcare workers were deemed valid as research participants. In multiple linear regression, commuting time longer than 50 min was associated with personal burnout (PB) in the presence of adjusted confounders; however, long commuting time was not associated with work-related burnout (WB). Furthermore, the choice of commuting method did not affect PB or WB. Notably, both neck and shoulder pain (NBSP) and ankle pain (BAP) increase the risk of PB and WB. The mediation analysis demonstrated that NBSP is a mediating factor, increasing the level of PB and WB for commuting times longer than 50 min. CONCLUSIONS: Healthcare workers who commute for more than 50 min should be considered part of a high-risk group for burnout and musculoskeletal pain. They should also be provided with resources and programs focused on burnout prevention and MS pain relief.


Assuntos
Dor Musculoesquelética , Humanos , Estudos Transversais , Esgotamento Psicológico , Dor de Ombro , Pessoal de Saúde
8.
BMC Public Health ; 24(1): 722, 2024 Mar 06.
Artigo em Inglês | MEDLINE | ID: mdl-38448838

RESUMO

BACKGROUND: Active commuting to school can be a meaningful contributor to overall physical activity in children. To inform better micro-level urban design near schools that can support active commuting to school, there is a need for measures that capture these elements. This paper describes the adaptation of an observational instrument for use in assessing micro-scale environments around urban elementary schools in the United States. METHODS: The Micro-scale Audit of Pedestrian Streetscapes for Safe Routes to School (MAPS-SRTS) was developed from existing audit instruments not designed for school travel environments and modifications for the MAPS-SRTS instrument include the structure of the audit tool sections, the content, the observation route, and addition of new subscales. Subscales were analyzed for inter-rater reliability in a sample of 36 schools in Austin, TX. To assess reliability for each subscale, one-way random effects single-measure intraclass correlation coefficients (ICC) were used. RESULTS: Compared to the 30 original subscales, the adapted MAPS-SRTS included 26 (86.6%) subscales with revised scoring algorithms. Most MAPS-SRTS subscales had acceptable inter-rater reliability, with an ICC of 0.97 for the revised audit tool. CONCLUSIONS: The MAPS-SRTS audit tool is a reliable instrument for measuring the school travel environment for research and evaluation purposes, such as assessing human-scale determinants of active commuting to school behavior and documenting built environment changes from infrastructure interventions.


Assuntos
Pedestres , Criança , Humanos , Reprodutibilidade dos Testes , Algoritmos , Ambiente Construído , Instituições Acadêmicas
9.
Anxiety Stress Coping ; : 1-13, 2024 Mar 20.
Artigo em Inglês | MEDLINE | ID: mdl-38506311

RESUMO

BACKGROUND AND OBJECTIVES: The potential detrimental effects of commuting stress have gradually attracted scholars' interest in recent years. Going beyond the perspectives of prior studies (e.g., conservation of resources theory), this study offers a new explanatory framework for the relationship between employees' commuting stress and turnover intention based on the transactional theory of stress. Specifically, this study aims to investigate the mediating effect of hindrance appraisal and the moderating effect of trait mindfulness. DESIGN AND METHOD: To test the hypotheses, we collected two-wave data from 243 employees working in various Chinese firms. Path analysis was used for the analysis. RESULTS: The findings demonstrated that hindrance appraisal mediated the positive relationship between commuting stress and turnover intention. In addition, trait mindfulness buffered the relationship between commuting stress and turnover intention as well as the indirect effect of hindrance appraisal on this relationship. CONCLUSIONS: The findings highlight the stressor appraisal mechanism in the association between commuting stress and turnover intention and identify trait mindfulness as a key coping mechanism for reducing commuting stress.

10.
Urban Stud ; 61(3): 567-588, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38313681

RESUMO

The Covid-19 pandemic has highlighted the precarity of urban society, illustrating both opportunities and challenges. Teleworking rates increased dramatically during the pandemic and may be sustained over the long term. For transportation planners, these changes belie the broader questions of how the geography of work and commuting will change based on pandemic-induced shifts in teleworking and what this will mean for society and policymaking. This study focuses on these questions by using survey data (n = 2580) gathered in the autumn of 2021 to explore the geography of current and prospective telework. The study focuses on the Greater Golden Horseshoe, the mega-region in Southern Ontario, representing a fifth of Canadians. Survey data document telework practices before and during the pandemic, including prospective future telework practices. Inferential models are used to develop working-from-home scenarios which are allocated spatially based on respondents' locations of work and residence. Findings indicate that telework appears to be poised to increase most relative to pre-pandemic levels around downtown Toronto based on locations of work, but increases in teleworking are more dispersed based on employees' locations of residence. Contrary to expectations by many, teleworking is not significantly linked to home-work disconnect - suggesting that telework is poised to weaken the commute-housing trade-off embedded in bid rent theory. Together, these results portend a poor outlook for downtown urban agglomeration economies but also more nuanced impacts than simply inducing sprawl.

11.
medRxiv ; 2024 Feb 04.
Artigo em Inglês | MEDLINE | ID: mdl-38352613

RESUMO

Evaluating drug use within populations in the United States poses significant challenges due to various social, ethical, and legal constraints, often impeding the collection of accurate and timely data. Here, we aimed to overcome these barriers by conducting a comprehensive analysis of drug consumption trends and measuring their association with socioeconomic and demographic factors. From May 2022 to April 2023, we analyzed 208 wastewater samples from eight sampling locations across six wastewater treatment plants in Southern Nevada, covering a population of 2.4 million residents with 50 million annual tourists. Using bi-weekly influent wastewater samples, we employed mass spectrometry to detect 39 analytes, including pharmaceuticals and personal care products (PPCPs) and high risk substances (HRS). Our results revealed a significant increase over time in the level of stimulants such as cocaine (pFDR=1.40×10-10) and opioids, particularly norfentanyl (pFDR =1.66×10-12), while PPCPs exhibited seasonal variation such as peak usage of DEET, an active ingredient in insect repellents, during the summer (pFDR =0.05). Wastewater from socioeconomically disadvantaged or rural areas, as determined by Area Deprivation Index (ADI) and Rural-Urban Commuting Area Codes (RUCA) scores, demonstrated distinct overall usage patterns, such as higher usage/concentration of HRS, including cocaine (p=0.05) and norfentanyl (p=1.64×10-5). Our approach offers a near real-time, comprehensive tool to assess drug consumption and personal care product usage at a community level, linking wastewater patterns to socioeconomic and demographic factors. This approach has the potential to significantly enhance public health monitoring strategies in the United States.

12.
Int J Epidemiol ; 53(1)2024 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-38219793

RESUMO

BACKGROUND: Previous studies have linked cycling with improved mental wellbeing but these studies tend to use cross-sectional survey data that have small sample sizes and self-reported health measures, and are potentially susceptible to omitted-variable bias and reverse causation. We use an instrumental variable approach and an objective measure of mental ill-health taken from linked administrative data to ask: 'Does cycle commuting reduce the risk of mental ill-health?' METHODS: Our study links data on commuting in Edinburgh and Glasgow from the Scottish population census with mental health prescriptions from the National Health Service Prescribing Information System records. We use road distance from home to nearest cycle path as an instrumental variable for cycle commuting. RESULTS: In total, 378 253 people aged 16-74 years living and working in the City of Edinburgh and Glasgow City council areas at the 2011 census were included in our study; 1.85% of commuters in Glasgow and 4.8% of commuters in Edinburgh cycled to work. Amongst cyclists, 9% had a prescription for mental health compared with 14% amongst non-cyclists. Using a bivariate probit model, we estimate a mean average reduction in prescriptions for antidepressants and/or anxiolytics in the 5 years following the census of -15.1% (95% CI: -15.3% to -15.0%) amongst cycle commuters compared with those who use any other mode to commute. CONCLUSIONS: This work suggests that cycle commuting is causally related to reduced mental ill-health and provides further evidence in support of the promotion of active travel to encourage commuters travelling shorter distances to shift to cycle commutes.


Assuntos
Saúde Mental , Medicina Estatal , Humanos , Estudos Transversais , Caminhada , Meios de Transporte
13.
Syst Rev ; 13(1): 47, 2024 01 30.
Artigo em Inglês | MEDLINE | ID: mdl-38291491

RESUMO

BACKGROUND: Over the last decades, the prevalence of AST has decreased significantly. Barriers to active school transport (AST) have been extensively examined in the literature, while psychosocial factors that facilitate AST have received less attention. To our best knowledge, there are currently no reviews on this subject. Therefore, the objective of this review was to scope the literature and identify published research about psychosocial factors related to AST. METHODS: Systematic searches conducted in PubMed, Web of Science, TRID, Scopus, and ERIC resulted in a total of 1933 publications, and 77 of them were considered eligible for this review. RESULTS: The results of the included articles were categorised into four psychosocial factors: confidence in ability, attitudes, social support, and social norms, which were all generally positively related to AST, with a few exceptions. CONCLUSION: The findings of this review indicate that these psychosocial factors may be important to consider when developing interventions and highlight that both children and parents should be involved in the process. This knowledge can serve as a valuable guide for developing interventions to promote AST. However, the evidence base supporting these psychosocial factors requires further investigation to fully understand how and when to incorporate them to maximise AST efficacy.


Assuntos
Instituições Acadêmicas , Meios de Transporte , Criança , Humanos , Meios de Transporte/métodos , Atitude
14.
Ind Health ; 62(2): 133-142, 2024 Apr 03.
Artigo em Inglês | MEDLINE | ID: mdl-37940545

RESUMO

Long commuting times can induce work-related low back pain (LBP), which can be exacerbated by reduced sports and leisure activities. However, there is a lack of empirical research on commuting time and work-related LBP in Korea. In this study, we aimed to investigate the relationship between commuting time and work-related LBP as well as the effect of sports and leisure activities on Korean workers. We utilized data from the sixth Korean Working Conditions Survey to analyze the relationship between commuting time and work-related LBP using multivariable logistic regression. The total number of included workers was 28,202. Workers without sports and leisure activities, and long commuting times (40-59, 60-79, and ≥80 min) showed significantly higher odds ratios for work-related LBP (1.29 [95% Confidence intervals=1.12-1.49], 1.42 [1.22-1.65], and 1.96 [1.68-2.28], respectively). However, in workers with sports and leisure activities, the results were significant only for commuting times of 60-79 and ≥80 min (1.41 [1.13-1.75], 1.60 [1.28-1.99], respectively). Long commuting times were associated with work-related LBP, and engagement in sports and leisure activities was found to play a role in mitigating the impact among Korean wage workers.


Assuntos
Dor Lombar , Esportes , Humanos , Dor Lombar/epidemiologia , Atividades de Lazer , Inquéritos e Questionários , Meios de Transporte , República da Coreia/epidemiologia
15.
Asia Pac J Public Health ; 36(1): 119-122, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-37864305

RESUMO

Commuting accidents account for 48% of work-related accidents in Malaysia. However, commuting accidents among health care workers are understudied and formally reported commuting accident numbers among nurses are likely to be an underestimate of actual numbers. This is the first study in Malaysia to attempt to establish the true incidence and associated factors for commuting accidents among nurses in Malaysia. A cross-sectional study was conducted to determine the true incidence of commuting accidents and its associated factors among public hospital nurses in Selangor, Malaysia. A validated and pilot-tested self-reported questionnaires were distributed to all nurses via an online-based platform. This study found a significant difference between the incidence of formally reported and self-reported commuting accidents from 2018 to 2022, with incidence rates ranging between 0.3 and 8.6 per 1000 nurses. Multivariable logistic regression showed that nurses working in district hospitals had lower odds to be involved in commuting accidents, while nurses working in clinical departments and traveling longer distances between home and workplaces had increased odds of commuting accidents.


Assuntos
Acidentes , Meios de Transporte , Humanos , Malásia/epidemiologia , Estudos Transversais , Hospitais Públicos , Inquéritos e Questionários
16.
Work ; 77(2): 511-522, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-37718828

RESUMO

BACKGROUND: Road accidents are the leading type of work-related fatalities, but the impact of work-related travel on overall traffic safety has been scarcely studied. OBJECTIVE: The main objective of the present study was to assess drivers' relative road accident risk between work-related and personal journeys. METHODS: A responsible/non-responsible case-control study was performed on a sample of 7,051 road accidents in France from the VOIESUR project. Logistic regression determined odds-ratios according to work-related versus personal travel, and identified risk factors for responsibility, specific to each of the two sub-groups. RESULTS: Drivers traveling on duty or commuting home were significantly less often responsible for accidents than drivers on personal journeys: OR = 0.75 [0.63; 0.89] and 0.65 [0.53; 0.80] respectively. Responsibility was significantly more frequent in commuting to versus from work: OR = 1.38 [1.06; 1.78]. Among on-duty drivers, professional passenger-transport drivers had the lowest risk of responsibility (OR = 0.25 [0.11; 0.58]), while those on temporary or work/study contracts and professional light goods vehicle drivers had the highest risk (OR = 11.64 [2.15; 62.94] and OR = 29.83 [5.19; 171.38] respectively). When driving under the influence of alcohol, risk of responsibility was higher in commuting home than in personal journeys. CONCLUSION: On-duty drivers showed lower risk of responsibility for an accident than other drivers. However, on-duty drivers on temporary or work/study contracts, who are usually not subject to specific regulations, showed higher risk, and should be the subject of particular attention regarding occupational risk prevention.


Assuntos
Acidentes de Trânsito , Condução de Veículo , Humanos , Estudos de Casos e Controles , Fatores de Risco , Viagem
17.
Prev Med ; 179: 107825, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38128768

RESUMO

Transport-related physical activity levels differ across the lifecourse; however, the nature of these differences is poorly understood. This study examined the relationship between correlates of transport-related physical activity and how they differ in strength, pathway, and direction across the lifecourse. Structural Equation Modelling assessed relationships between correlates (e.g., age, smoking, education) and transport-related physical activity (assessed via the International Physical Activity Questionnaire) at four timepoints of the Australian Childhood Determinants of Adult Health study: childhood (7-15y; n = 6302), early-adulthood (26-36y; n = 2700), early/mid-adulthood (31-41y; n = 1649), and mid-adulthood (36-49y; n = 1794). Several pathways were consistent across the lifecourse. Self-rated health directly associated with transport-related physical activity across all timepoints. During adulthood greater body mass index and smoking frequency were indirectly associated with lower levels of transport-related physical activity via self-rated health; similarly, lower educated adults, who smoked more frequently, and had poorer health, had lower transport-related physical activity. Urban residence was directly associated with greater transport-related physical activity in childhood and early-adulthood; having more children in early/mid- and mid-adulthood was directly associated with less transport-related physical activity. This is the first study to report pathways of direct and indirect association between correlates and transport-related physical activity at key lifecourse stages. The pathways highlighted can inform policy and practice to aid in the development of age-specific lifecourse interventions.


Assuntos
Exercício Físico , Fumar , Adulto , Criança , Humanos , Análise de Classes Latentes , Austrália , Fumar/epidemiologia , Escolaridade
18.
Indian J Occup Environ Med ; 27(3): 271-273, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38047178

RESUMO

According to the American Industrial Hygiene Association (AIHA), tests of functional capacity evaluation (FCE) have an insignificant relationship with the actual tasks performed and the on-job assessment is required. Commuting accidents have been an increasing trend. A 34-year-old gentleman was referred following severe traumatic brain injury with cerebral edema and multiple fractures. He was evaluated with the Chessington Occupational Therapy Neurological Assessment Battery (COTNAB) where his visual perception performance has improved. The performance of visual and spoken instructions is within normal limits. He has improved on the upper extremity functional scale measure activities with an affected limb from 60 to 68 and also improved on the lower extremity functional scale from 43 to 51. He managed to cover a distance of 2 km in 42 minutes after a short break and accomplished to climb 200 steps after a mini-break through maximum capacity evaluation. The patient is fit as a clerk after going through various sessions to improve the cognition and function of extremities. FCE is precisely measured behavioral tests and should be inferred from the patient's personal and environmental setting.

19.
BMC Psychiatry ; 23(1): 927, 2023 12 11.
Artigo em Inglês | MEDLINE | ID: mdl-38082223

RESUMO

BACKGROUND: Smoking is harmful, which has become a major public health burden. Physical activity may be related to smoking. Physical activity is one of the current methods for smoking control and smoking cessation. Different types of physical activity may have different effect on smoking behavior. OBJECTIVE: The purpose of this study was to identify the direction and extent of the impact of different types of physical activity above moderate intensity (including work physical activity, recreational physical activity, commuter physical activity and sedentary behavior) on smoking behavior. MATERIALS AND METHODS: In this study, a total of 2,015 individuals (1,233 males and 782 females, mean age 54.02±17.31 years) was selected from the representative population aged 20 and above in the National Health and Nutrition Survey of the United States from 2017 to 2018. Physical activity was assessed using the Global Physical Activity Questionnaire (GPAQ) ; the tobacco use questionnaire (SMQ) was used to determine whether the sample had smoking behavior at this stage. Binary Logistic regression analysis was performed with various physical activities as independent variables and smoking behavior as dependent variables. All data were analyzed through Statistical Product and Service Solutions (SPSS) 26.0. RESULTS: After adjusted for all confounding variables, physical activity at work was close to significantly associated with smoking behavior (P=0.053), odds ratio (OR) =1.135 (95%Cl: 0.999-1.289). Recreational physical activity was significantly associated with smoking behavior (P < 0.001), OR=0.729 (95%Cl: 0.639-0.832). Commuting physical activity was significantly associated with smoking behavior (P < 0.001), OR=1.214 (95%Cl:1.048-1.405). Sedentary behavior was significantly associated with smoking behavior (P < 0.001), OR=1.363 (95%Cl: 1.154-1.611). CONCLUSIONS: Given that different types of physical activity have different associations with smoking behavior. Therefore, when physical activity is used as a tobacco control measurement, it is necessary to pay attention to the type and environment of physical activity. Recreational physical activities should be appropriately increased, sedentary behavior should be reduced, and smoking prohibit environment should be expanded as far as possible to achieve better clinical intervention effects.


Assuntos
Exercício Físico , Fumar , Masculino , Feminino , Humanos , Estados Unidos , Adulto , Pessoa de Meia-Idade , Idoso , Inquéritos e Questionários , Fumar/epidemiologia , Inquéritos Nutricionais , Comportamento Sedentário
20.
MHSalud ; 20(2): 88-102, Jul.-Dec. 2023. tab, graf
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1558377

RESUMO

Resumen: Objetivo: El objetivo del presente estudio fue evaluar los efectos de un programa escolar sobre la satisfacción de la competencia y la predisposición a participar en una Unidad Didáctica (UD) de bicicleta todo terreno (BTT) en Educación Física, así como el estado de la conducta de desplazarse en bicicleta. Método: Se realizó un diseño cuasiexperimental, sin grupo control, en el que participaron 98 estudiantes españoles (M=13.95±0.67; 50% chicas) de un centro educativo. El programa de intervención, basado en estrategias de apoyo a la competencia, consistió en una UD de BTT (12 sesiones), el plan de acción tutorial (4 sesiones) y una actividad extraescolar. Resultados: Se encontró un incremento en la satisfacción de competencia (únicamente en los chicos) y la predisposición hacia la UD de BTT en los dos géneros. Asimismo, se incrementó en un 39 % en los chicos y 43 % en las chicas, los estados de "Acción" y "Mantenimiento" en la conducta de desplazarse en bicicleta. Conclusión: Este programa multicomponente, basado en estrategias de apoyo a la competencia, parece ser efectivo para promover el desplazamiento activo en bicicleta entre los adolescentes.


Abstract: Objective: This study aimed to evaluate the effects of a school-based intervention program on competence satisfaction, the predisposition to participate in a cycling Didactic Unit (DU) in Physical Education, and the behavior of commuting by bicycle. Method: The study had a quasi-experimental design without a control group, in which 98 Spanish students (M=13.95±0.67; 50% girls) from a high school participated. The intervention program based on supporting competence consisted of a cycling DU (12 sessions), a tutorial action plan (4 sessions), and an extracurricular activity. Results: An increase in competence satisfaction was found only in boys, and the predisposition towards cycling DU was found in both genders. Likewise, the states of "Action" and "Maintenance" in the behavior of commuting by bicycle increased by 39% in boys and 43% in girls. Conclusion: This multi-component program based on strategies to support competence effectively promotes active bicycle commuting among adolescents.


Resumo: Objetivo: O objetivo do presente estudo era avaliar os efeitos de um programa escolar sobre a satisfação com a competição e a predisposição para participar de uma Unidade Didática (UD) relativa ao ciclismo de montanha (MTB) em Educação Física, bem como o estado do comportamento do ciclista. Métodos: noventa e oito estudantes espanhóis (M=13,95±0,67; 50% meninas) de uma escola participaram de um projeto quase experimental, sem grupo de controle. O programa de intervenção, baseado em estratégias de apoio à competência, consistiu em um MTB UD (12 sessões), o plano de ação tutorial (4 sessões) e uma atividade extracurricular. Resultados: Encontramos um aumento na satisfação com a competência (somente em meninos) e predisposição para a MTB em ambos os sexos. Além disso, os estados de "Ação" e "Manutenção" no comportamento ciclístico aumentaram em 39% nos meninos e 43% nas meninas. Conclusão: Este programa multicomponente, baseado em estratégias de apoio à competência, parece ser eficaz na promoção do ciclismo ativo entre os adolescentes.

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