scholarly journals Sedentary Behaviour and Physical Activity of People with Stroke in Rehabilitation Hospitals

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Anna Sjöholm ◽  
Monica Skarin ◽  
Leonid Churilov ◽  
Michael Nilsson ◽  
Julie Bernhardt ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sedentary Behaviour ◽  
Stroke Rehabilitation ◽  
Sedentary Time ◽  
Stroke Survivors ◽  
Physically Active ◽  
Sedentary Bouts ◽  
Rehabilitation Hospitals ◽  
Lying Down ◽  
Sedentary Activities

Background. Sedentary behaviour is associated with health risks, independent of physical activity. This study aimed to investigate patterns of sedentary behaviour and physical activity among stroke survivors in rehabilitation hospitals.Methods. Stroke survivors admitted to four Swedish hospital-based rehabilitation units were recruited ≥7 days since stroke onset and their activity was measured using behavioural mapping. Sedentary behaviour was defined as lying down or sitting supported.Results. 104 patients were observed (53% men). Participants spent an average of 74% (standard deviation, SD 21%) of the observed day in sedentary activities. Continuous sedentary bouts of ≥1 hour represented 44% (SD 32%) of the observed day. A higher proportion (30%, SD 7%) of participants were physically active between 9:00 AM and 12:30 PM, compared to the rest of the observed day (23%, SD 6%,P<0.0005). Patients had higher odds of being physically active in the hall (odds ratio, OR 1.7,P=0.001) than in the therapy area.Conclusions. The time stroke survivors spend in stroke rehabilitation units may not be used in the most efficient way to promote maximal recovery. Interventions to promote reduced sedentary time could help improve outcome and these should be tested in clinical trials.

scholarly journals Impact of the Home Confinement Related to COVID-19 on the Device-Assessed Physical Activity and Sedentary Patterns of Spanish Older Adults

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Ángel I. Fernández-García ◽  
Jorge Marin-Puyalto ◽  
Alba Gómez-Cabello ◽  
Ángel Matute-Llorente ◽  
Jorge Subías-Perié ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Sedentary Behaviour ◽  
Repeated Measures ◽  
Sedentary Time ◽  
Exercise Program ◽  
Sedentary Behaviours ◽  
Home Based ◽  
Phase 0 ◽  
Sedentary Bouts

The main objective of this study was to device-assess the levels of physical activity and sedentary behaviour patterns of older adults during the situation prior to the COVID-19 pandemic, home confinement, and phase-0 of the deescalation. We also aimed to analyse the effectiveness of an unsupervised home-based exercise routine to counteract the potential increase in sedentary behaviour during the periods within the pandemic. A total of 18 noninstitutionalized older adults( 78.4 ± 6.0  y.), members of the Spanish cohort of the EXERNET-Elder 3.0 project, participated in the study. They were recommended to perform an exercise prescription based on resistance, balance, and aerobic exercises during the pandemic. Wrist triaxial accelerometers (ActiGraph GT9X) were used to assess the percentage of sedentary time, physical activity, sedentary bouts and breaks of sedentary time. An ANOVA for repeated measures was performed to analyse the differences between the three different periods. During home quarantine, older adults spent more time in sedentary behaviours ( 71.6 ± 5.3 % ) in comparison with either the situation prior to the pandemic ( 65.5 ± 6.7 % ) or the ending of isolation ( 67.7 ± 7.1 % ) (all p < 0.05 ). Moreover, participants performed less bouts of physical activity and with a shorter duration during home quarantine (both p < 0.05 ). Additionally, no differences in the physical activity behaviours were found between the situation prior to the pandemic and the phase-0 of deescalation. According to our results, the home confinement could negatively affect health due to increased sedentary lifestyle and the reduction of physical activity. Therefore, our unsupervised exercise program does not seem to be a completely effective strategy at least in this period.

scholarly journals Using Intervention Mapping to Develop and Facilitate Implementation of a Multifaceted Behavioural Intervention Targeting Physical Activity and Sedentary Behaviour in Stroke Survivors: Physical Activity Routines After Stroke (PARAS)

2021 ◽  
Author(s):  
Sarah Moore ◽  
Darren Flynn ◽  
Christopher Price ◽  
Leah Avery
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Sedentary Behaviour ◽  
Behaviour Change ◽  
Stroke Rehabilitation ◽  
Intervention Mapping ◽  
Behavioural Intervention ◽  
Behaviour Change Techniques ◽  
Stroke Survivors ◽  
Face To Face

Abstract BackgroundThe benefits of increased physical activity for stroke survivors include improved walking ability, balance and mood. However, less than 30% achieve recommended levels of physical activity, and high levels of sedentary behaviour are reported. We engaged stroke survivors, informal carers and healthcare professionals (HCPs) in a co-design process to develop an evidence-informed behavioural intervention targeting physical activity and sedentary behaviour for use by stroke rehabilitation teams. MethodsIntervention Mapping was used as a framework for intervention development. Step 1 involved a systematic review, focus group discussions and a review of existing care pathways. Step 2 involved identification of social cognitive determinants of behavioural change and behavioural outcomes of the intervention. Step 3 involved linking the determinants of behavioural outcomes with specific behaviour change techniques to target the behaviours of interest. Step 4 involved the development of the intervention informed by steps 1 to 3. Subsequently, an implementation plan was developed (Step 5) followed by an evaluation plan (Step 6). ResultsSystematic review findings informed selection of nine ‘promising’ behaviour change techniques (e.g. goal setting-behaviour; problem-solving). Focus groups with stroke survivors (n=18) and HCPs (n=24) identified the need for an intervention that could be delivered at different time points within the rehabilitation pathway, tailored to individual needs and circumstances with training for HCPs delivering the intervention. Intervention delivery was considered feasible within local community stroke services. The target behaviours for the intervention were physical activity and sedentary behaviour of stroke survivors. Assessment of acceptability and usability with 11 HCPs and 21 stroke survivors/relatives identified issues around self-monitoring tools; the need for a repository of local services for physical activity; and the need for face-to-face feedback provision to HCPs following delivery of the intervention for optimisation purposes. Face-to-face training for HCPs was delivered to support faithful delivery of the intervention within community settings. A feasibility study protocol was designed to evaluate the intervention.ConclusionsA systematic development process using intervention mapping resulted in a multi-faceted evidence- and theory-informed intervention (Physical Activity Routines After Stroke - PARAS) for delivery by community stroke rehabilitation teams. Trial registration: Trial identifier: ISRCTN35516780, date of registration: 24/10/2018, URL http://www.isrctn.com/ISRCTN35516780

scholarly journals Dose-response association between physical activity and sedentary time categories on ageing biomarkers

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Asier Mañas ◽  
Borja del Pozo-Cruz ◽  
Irene Rodríguez-Gómez ◽  
Javier Leal-Martín ◽  
José Losa-Reyna ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Physical Function ◽  
Sedentary Behaviour ◽  
Dose Response ◽  
Sedentary Time ◽  
Movement Patterns ◽  
World Health ◽  
Physically Active ◽  
Physically Inactive

Abstract Background Physical activity and sedentary behaviour have been suggested to independently affect a number of health outcomes. To what extent different combinations of physical activity and sedentary behaviour may influence physical function and frailty outcomes in older adults is unknown. The aim of this study was to examine the combination of mutually exclusive categories of accelerometer-measured physical activity and sedentary time on physical function and frailty in older adults. Methods 771 older adults (54% women; 76.8 ± 4.9 years) from the Toledo Study for Healthy Aging participated in this cross-sectional study. Physical activity and sedentary time were measured by accelerometry. Physically active was defined as meeting current aerobic guidelines for older adults proposed by the World Health Organization. Low sedentary was defined as residing in the lowest quartile of the light physical activity-to-sedentary time ratio. Participants were then classified into one of four mutually exclusive movement patterns: (1) ‘physically active & low sedentary’, (2) ‘physically active & high sedentary’, (3) ‘physically inactive & low sedentary’, and (4) ‘physically inactive & high sedentary’. The Short Physical Performance Battery was used to measure physical function and frailty was assessed using the Frailty Trait Scale. Results ‘Physically active & low sedentary’ and ‘physically active & high sedentary’ individuals had significantly higher levels of physical function (β = 1.73 and β = 1.30 respectively; all p < 0.001) and lower frailty (β = − 13.96 and β = − 8.71 respectively; all p < 0.001) compared to ‘physically inactive & high sedentary’ participants. Likewise, ‘physically inactive & low sedentary’ group had significantly lower frailty (β = − 2.50; p = 0.05), but significance was not reached for physical function. Conclusions We found a dose-response association of the different movement patterns analysed in this study with physical function and frailty. Meeting the physical activity guidelines was associated with the most beneficial physical function and frailty profiles in our sample. Among inactive people, more light intensity relative to sedentary time was associated with better frailty status. These results point out to the possibility of stepwise interventions (i.e. targeting less strenuous activities) to promote successful aging, particularly in inactive older adults.

scholarly journals Physical activity and sedentary behaviour during the COVID-19 pandemic: An Australian population study

2020 ◽  
Author(s):  
Breanne Kunstler ◽  
Peter Slattery ◽  
Emily Grundy ◽  
Denise Goodwin ◽  
Alexander K Saeri
Keyword(s):  
Physical Activity ◽  
Sedentary Behaviour ◽  
Online Survey ◽  
Sedentary Time ◽  
Good Health ◽  
National Data ◽  
Cross Sectional ◽  
Physically Active ◽  
Sedentary Behaviours ◽  
Global Pandemic

BACKGROUND:Participating in physical activity (PA) and minimising time spent sedentary is important to achieve and maintain good health. Time spent being physically active and sedentary could be negatively influenced by the 2019 global pandemic where home confinement restrictions are commonplace internationally. The aim of this study was to identify the percentage of Australian adults meeting the PA and sedentary behaviour guidelines during the COVID-19 pandemic.METHODS:Australian adults participated in a cross-sectional online survey examining PA and sedentary behaviours during April, 2020. Descriptive statistics were produced for demographic, PA and sedentary behaviour variables.RESULTS:1,084 Australian adults responded to the survey. The majority of respondents did not meet the aerobic (n=756,70%) or strength (n=649,60%) components of the guidelines. The majority of respondents (n=609,58%) participated in low sedentary time (&lt;9hr/day). CONCLUSION:Compared to previous studies and national data, the percentage of Australian adults meeting the strength component of the guidelines increased while the percentage meeting the aerobic and sedentary time components decreased. The reduction in activity and increase in sedentary time could be due to the enforcement of home confinement restrictions. It is important to provide opportunities for people to maintain activity during pandemics to avoid poor health outcomes.

Is Physical Activity-Related Self-Efficacy Associated with Moderate to Vigorous Physical Activity and Sedentary Behaviour among Ambulatory Children with Cerebral Palsy?

2021 ◽  
pp. e20200064
Author(s):  
Felipe Ganz ◽  
Virginia Wright ◽  
Patricia J. Manns ◽  
Lesley Pritchard
Keyword(s):  
Physical Activity ◽  
Sedentary Behaviour ◽  
Motor Function ◽  
Self Efficacy ◽  
Sedentary Time ◽  
Vigorous Physical Activity ◽  
Linear Regression Models ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Gmfcs Level

Purpose: To determine how physical activity-related self-efficacy is associated with physical activity and sedentary behaviour time among ambulatory children with cerebral palsy (CP). Method: Children with CP, Gross Motor Function Classification System (GMFCS) Levels I-III ( N = 26; aged 9–18 y), completed the task self-efficacy component of a self-efficacy scale and wore Actigraph GT3X+ accelerometers for 5 days. Correlations (Pearson and Spearman’s rank-order; a = 0.050) were conducted to evaluate the relationships among age, GMFCS level, self-efficacy, and both daily moderate-to-vigorous physical activity (MVPA) and sedentary time. Linear regression models were used to determine the relationships among the independent variables and MVPA and sedentary time. Results: Self-efficacy was positively associated with MVPA time ( r = 0.428, p = 0.015) and negatively correlated with sedentary time ( r = –0.332, p = 0.049). In our linear regression models, gross motor function (β = –0.462, p = 0.006), age (β = –0.344, p = 0.033), and self-efficacy (β = 0.281, p = 0.080) were associated with MVPA time ( R2 = 0.508), while GMFCS level (β = 0.439, p = 0.003) and age (β = 0.605, p < 0.001) were associated with sedentary time ( R2 = 0.584). Conclusions: This research suggests that self-efficacy, age, and gross motor function are associated with MVPA in children with CP. Additional research is needed to confirm these findings and further explore the influence of self-efficacy on sedentary behaviour.

scholarly journals The types and levels of physical activity and sedentary behaviour of Senior Phase learners in Potchefstroom

2016 ◽  
Vol 21 ◽  
pp. 372-380 ◽  
Author(s):  
Johanna C.W. De Vos ◽  
Dorita Du Toit ◽  
Dané Coetzee
Keyword(s):  
Physical Activity ◽  
Sedentary Behaviour ◽  
Leisure Time ◽  
Leisure Activities ◽  
Physical Education Teachers ◽  
Activity Levels ◽  
Sedentary Behaviours ◽  
Physical Activity Levels ◽  
Intensity Physical Activity ◽  
Sedentary Activities

Background: Worldwide, the health risks of decreasing physical activity levels and increasing sedentary behaviour among adolescents are a raising concern.Objective: To determine the types and levels of physical activity as well as that of sedentary behaviour of a group Senior Phase learners in South Africa.Methods: The adapted Children's Leisure Activities Study Survey (CLASS) questionnaire was used for determining the types and levels of physical activity and sedentary behaviour of 230 Grade 7 learners, from three schools in Potchefstroom. Data were analysed by means of the SAS statistics programme, and descriptive statistics, as well as independent t-tests andeffect sizes (ES) were used.Results: Moderate to high-intensity physical activity levels of between 334 and 361 min per week were found, and sedentary behaviour of between 3077 and 3410 min per week, which implies that between 70.7% and 71.9% of the participants, did not meet the recommended health-based guidelines. Higher activity levels were shown during weekends, where the boys were significantly more active than girls (p < 0.001; ES between 0.21 and 0.56), and girls showed more sedentary behaviours than the boys (ES between 0.18 and 0.20). The leisure time physical activities with the highest participation were soccer, recreational swimming, jogging and dancing, while the sedentary activities were listening to music, riding a vehicle and being busy on the phone.Conclusion: Strategies need to be implemented to raise the physical activity levels of Senior Phase learners, especially during weekdays, and to decrease sedentary behaviour. With this view in mind, recommendations are made for Physical Education teachers.

scholarly journals New global guidelines on sedentary behaviour and health for adults: broadening the behavioural targets

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Paddy C. Dempsey ◽  
Stuart J. H. Biddle ◽  
Matthew P. Buman ◽  
Sebastien Chastin ◽  
Ulf Ekelund ◽  
...  
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
Systematic Review ◽  
Sedentary Behaviour ◽  
Systematic Reviews ◽  
Cancer Mortality ◽  
Sedentary Time ◽  
Vigorous Physical Activity ◽  
Public Health Practice ◽  
World Health

Abstract Background In 2018, the World Health Organisation (WHO) commenced a program of work to update the 2010 Global Recommendations on Physical Activity for Health, for the first-time providing population-based guidelines on sedentary behaviour. This paper briefly summarizes and highlights the scientific evidence behind the new sedentary behaviour guidelines for all adults and discusses its strengths and limitations, including evidence gaps/research needs and potential implications for public health practice. Methods An overview of the scope and methods used to update the evidence is provided, along with quality assessment and grading methods for the eligible new systematic reviews. The literature search update was conducted for WHO by an external team and reviewers used the AMSTAR 2 (Assessment of Multiple Systematic Reviews) tool for critical appraisal of the systematic reviews under consideration for inclusion. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) method was used to rate the certainty (i.e. very low to high) of the evidence. Results The updated systematic review identified 22 new reviews published from 2017 up to August 2019, 14 of which were incorporated into the final evidence profiles. Overall, there was moderate certainty evidence that higher amounts of sedentary behaviour increase the risk for all-cause, cardiovascular disease (CVD) and cancer mortality, as well as incidence of CVD, cancer, and type 2 diabetes. However, evidence was deemed insufficient at present to set quantified (time-based) recommendations for sedentary time. Moderate certainty evidence also showed that associations between sedentary behaviour and all-cause, CVD and cancer mortality vary by level of moderate-to-vigorous physical activity (MVPA), which underpinned additional guidance around MVPA in the context of high sedentary time. Finally, there was insufficient or low-certainty systematic review evidence on the type or domain of sedentary behaviour, or the frequency and/or duration of bouts or breaks in sedentary behaviour, to make specific recommendations for the health outcomes examined. Conclusions The WHO 2020 guidelines are based on the latest evidence on sedentary behaviour and health, along with interactions between sedentary behaviour and MVPA, and support implementing public health programmes and policies aimed at increasing MVPA and limiting sedentary behaviour. Important evidence gaps and research opportunities are identified.

Accelerometer-measured physical activity among adolescents in a multicultural area characterized by low socioeconomic status

2016 ◽  
Vol 30 (3) ◽  
Author(s):  
Andreas Fröberg ◽  
Christel Larsson ◽  
Christina Berg ◽  
Cecilia Boldemann ◽  
Anders Raustorp
Keyword(s):  
Physical Activity ◽  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Sedentary Time ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Physically Active ◽  
Low Socioeconomic ◽  
Organized Sports ◽  
Wear Time

Abstract Purpose: The aim of this cross-sectional study was to describe and analyze accelerometer-measured sedentary time and physical activity (PA) among adolescents in a multicultural area characterized by low socioeconomic status (SES). Method: Seventh-graders (n=114 (girls n=66), mean age: 12.8±0.5 y) were recruited from three schools in a multicultural area of the city of Gothenburg, Sweden. Sedentary time and PA were measured with ActiGraph™ accelerometers. Result: Of total wear-time, 70 (±6)% was sedentary, with girls being more sedentary than boys. Girls had less light PA (LPA) and moderate-to-vigorous PA (MVPA) than boys. Similar patterns were shown during in-school and out-of-school hours. During wear-time, 53% had a mean of ≥60 min of MVPA per day, but only 6% of the girls and 24% of the boys were sufficiently physically active every day. Girls had more sedentary bouts of ≥10 min and fewer MVPA bouts of ≥5 min per day than boys. Those who participated in organized sports spent a mean of 15 more minutes of MVPA per day compared to those who did not. No association was observed between body mass index (BMI) and sedentary time and PA. Conclusion: Only a few adolescents from a Swedish multicultural area characterized by low SES met the PA recommendations every day, and girls were more sedentary and less physically active than boys. Adolescents involved in organized sports had more of MVPA per day than their non-involved peers. Sedentary time and PA were not related to BMI.

scholarly journals High Sedentary Behaviour and Low Physical Activity are Associated with Anxiety and Depression in Myanmar and Vietnam

2019 ◽  
Vol 16 (7) ◽  
pp. 1251 ◽  
Author(s):  
Supa Pengpid ◽  
Karl Peltzer
Keyword(s):  
Physical Activity ◽  
Chronic Disease ◽  
Sedentary Behaviour ◽  
Sedentary Time ◽  
Anxiety And Depression ◽  
Cross Sectional ◽  
High Physical Activity ◽  
Chronic Disease Patients ◽  
General Physical ◽  
Activity Questionnaire

The study aimed to estimate independent and combined associations of sedentary behaviour and physical activity with anxiety and depression among chronic disease patients in Myanmar and Vietnam. The cross-sectional sample included 3201 chronic disease patients (median age 51 years, interquartile range 25) systematically recruited from primary care facilities in 2015. Sedentary time and physical activity were assessed with the General Physical Activity Questionnaire (GPAQ). Overall, the prevalence of sedentary time per day was 51.3% < 4 h, 31.2% between 4 and 8 h, and 17.5% 8 or more hours a day), and 30.7% engaged in low physical activity, 50.0% moderate, and 23.6% high physical activity. The prevalence of anxiety and depression was 12.7% and 19.9%, respectively. In the final logistic regression model, adjusted for relevant confounders, higher sedentary time (≥8 h) did not increase the odds for anxiety or depression, but moderate to high physical activity decreased the odds for anxiety and depression. Combined regression analysis found that participants with both less than eight hours of sedentary time and moderate or high physical activity had significantly lower odds of having anxiety and depression. Findings suggest an independent and combined association between moderate or high physical activity and low sedentary time with anxiety and/or depression among chronic disease patients in Myanmar and Vietnam.

scholarly journals Invest in physical activity to protect and promote health: the 2020 WHO guidelines on physical activity and sedentary behaviour

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Hidde P. van der Ploeg ◽  
Fiona C. Bull
Keyword(s):  
Physical Activity ◽  
Sedentary Behaviour ◽  
Research Priorities ◽  
World Health ◽  
Paradigm Shifts ◽  
Physically Active ◽  
The Sustainable Development ◽  
Development Agenda ◽  
New Guidelines ◽  
Health Organization

AbstractIn this editorial we discuss the new 2020 World Health Organization guidelines on physical activity and sedentary behaviour and a series of related papers that are published simultaneously in IJBNPA. The new guidelines reaffirm that physical activity is a ‘best buy’ for public health and should be used to support governments to increase investment in policy and research to promote and ensure physical activity opportunities are available for everyone. New recommendations on sedentary behaviour and inclusion of specific guidelines for people living with disability and/or chronic disease and pregnant and postpartum women are major developments since 2010. We discuss research priorities, as well as policy implementation and the contribution to the sustainable development agenda. The new guidelines can catalyse the paradigm shifts needed to enable equitable opportunities to be physically active for everyone, everywhere, every day.

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