From Epidemiology to Psychology: Physical Activity Recommendations in Transition!?

2018 ◽  
Vol 66 (3) ◽  
Keyword(s):  
Physical Activity ◽  
Influencing Factor ◽  
Physical Activities ◽  
Affective Responses ◽  
Positive Health ◽  
Physically Active ◽  
Individual Preferences ◽  
Physical Activity Recommendations ◽  
Activity Recommendations

Current physical activity recommendations are based on epidemiological-medical findings. They define what doses of physical activity are necessary for positive health effects: adults should be physically active at least 2½ hours per week with moderate or 1¼ hours with high intensity. However, some people find it difficult to implement these recommendations and to be active in the longer term. For optimal long-term adherence, physical activity recommendations should also be based on psychology. Affective responses prove to be a relevant influencing factor: when individuals experience physical activities as pleasant, they will maintain it in the longer term. Consistently experiencing displeasure, dropout is a likely outcome. Choosing moderately intense activities that meet individual preferences can optimize affective responses.

It is never too late to start: adherence to physical activity recommendations for 11–22 years and risk of all-cause and cardiovascular disease mortality. The HUNT Study

2020 ◽  
pp. bjsports-2020-102350
Author(s):  
Trine Moholdt ◽  
Eivind Schjelderup Skarpsno ◽  
Børge Moe ◽  
Tom Ivar Lund Nilsen
Keyword(s):  
Physical Activity ◽  
Cardiovascular Disease ◽  
Population Based ◽  
Moderate Intensity ◽  
Physically Active ◽  
Cardiovascular Disease Mortality ◽  
Disease Mortality ◽  
All Cause Mortality ◽  
Physical Activity Recommendations ◽  
Activity Recommendations

ObjectivesTo examine associations between long-term (11–22 years) adherence to physical activity recommendations and mortality from all causes and from cardiovascular disease.DesignProspective population-based study with repeated assessments of self-reported physical activity (1984–86, 1995–97 and 2006–08) and follow-up until the end of 2013.SettingCounty of Nord-Trøndelag, Norway.ParticipantsMen and women aged ≥20 years; 32 811 who participated in 1984–86 and 1995–97; 22 058 in 1984–86 and 2006–08; 31 948 in 1995–97 and 2006–09 and 19 349 in all three examinations (1984–1986, 1995–95 and 2006–08).Main outcome measuresAll-cause mortality and cardiovascular disease mortality from the national Cause of Death Registry.ResultsCompared with the reference category comprising individuals who adhered to the physical activity recommendations (≥150 min of moderate intensity or ≥60 min of vigorous intensity physical activity per week) over time, individuals who remained inactive (reporting no or very little physical activity) from 1984–86 to 1995–97 had HRs (95% CI) of 1.56 (1.40 to 1.73) for all-cause mortality and 1.94 (1.62 to 2.32) for cardiovascular disease mortality. Individuals who were inactive in 1984–86 and then adhered to recommendations in 2006–08 had HRs of 1.07 (0.85 to 1.35) for all-cause mortality and 1.31 (0.87 to 1.98) for cardiovascular disease mortality. In a subsample of individuals who participated at all three time points, those who were inactive or physically active below the recommended level across three decades (1984–86, 1995–97 and 2006–2008) had an HR of 1.57 (1.22 to 2.03) for all-cause mortality and 1.72 (1.08 to 2.73) for cardiovascular disease mortality.ConclusionIndividuals who remained, or became, physically inactive had substantially greater risk of all-cause and cardiovascular disease mortality compared with those who met the physical activity recommendations throughout the lifespan.

Abstract 3547: Are U.S. Adults with Heart Disease Meeting Physical Activity Recommendations?

Circulation ◽  
2007 ◽  
Vol 116 (suppl_16) ◽  
Author(s):  
Guixiang Zhao ◽  
Earl S Ford ◽  
Chaoyang Li ◽  
Ali H Mokdad
Keyword(s):  
Physical Activity ◽  
Heart Rate ◽  
Heart Disease ◽  
Sports Medicine ◽  
Vigorous Physical Activity ◽  
Physical Activities ◽  
Behavioral Risk ◽  
Diabetes Status ◽  
Physical Activity Recommendations ◽  
Activity Recommendations

The benefits of physical activity on risk of cardiovascular disease have led to recommendations to increase its levels in patients with heart disease. We investigated the degree of compliance with national physical activity recommendations, issued by the Centers for Disease Control and Prevention and the American College of Sports Medicine as well as the U.S. Surgeon General, among U.S. adults with coronary heart disease (heart disease) in comparison with people without heart disease using data from 2005 Behavioral Risk Factor Surveillance Survey. Information on heart disease or physical activity was self-reported. Moderate physical activities were those that cause small increases in breathing or heart rate (e.g., brisk walking) while vigorous physical activities were those that cause large increases in breathing or heart rate (e.g., running). Total physical activity was defined as participation in either moderate or vigorous physical activity. A total of 297,145 participants aged 18 years or older were included in our analyses and 24,496 people had heart disease. The age-adjusted prevalence and the odds ratios (ORs) for meeting total, moderate or vigorous physical activity recommendations were calculated in people with or without heart disease. People with heart disease were less likely to engage in physical activity at recommended levels than those without heart disease (41%, 32% and 22% versus 49%, 37% and 29%, respectively, for meeting total, moderate or vigorous physical activity recommendations, P<0.01 for all). The unadjusted ORs for adults with heart disease who met total, moderate or vigorous physical activity were 0.61 [95% confidence interval (CI): 0.58–0.65], 0.76 (95% CI: 0.72–0.80), and 0.45 (95% CI: 0.42–0.49), respectively. These ORs were attenuated but remained significant after adjustment for demographic variables, or after further adjustment for diabetes status and limitations for physical activity performance [The ORs were 0.92 (95% CI: 0.87–0.97), 0.95 (95% CI: 0.89–1.00) and 0.88 (95% CI: 0.81–0.95), respectively]. Our findings demonstrate the need for continuing efforts to promote physical activity in patients with heart disease who do not have limitations for performing physical activity.

Barriers and Enablers to Physical Activity Among Older Australians Who Want to Increase Their Physical Activity Levels

2014 ◽  
Vol 11 (7) ◽  
pp. 1420-1429 ◽  
Author(s):  
Rona Macniven ◽  
Victoria Pye ◽  
Dafna Merom ◽  
Andrew Milat ◽  
Claire Monger ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Program Planning ◽  
Binary Logistic Regression ◽  
Falls Prevention ◽  
Activity Levels ◽  
Physically Active ◽  
Barriers And Enablers ◽  
Physical Activity Recommendations ◽  
Activity Recommendations

Background:Physical activity interventions targeting older adults are optimized if barriers and enablers are better understood. This study identified barriers and enablers of physical activity and examined whether these were associated with meeting physical activity recommendations.Methods:2225 adults aged 65 years and above who perceived themselves to be insufficiently active but would like to be more physically active self-reported their barriers and enablers to physical activity in the 2009 New South Wales Falls Prevention Survey. Binary logistic regression analyses examined associations between barriers and enablers and meeting the physical activity recommendation.Results:After adjusting for gender, age, BMI, and education, people who listed ill health (52%; OR = 0.56, 95% CI 0.45 to 0.70) as a barrier or who listed people to exercise with (4%; OR = 0.49, 95% CI 0.27 to 0.88) as an enabler had significantly lower odds of meeting recommendations. Those citing too expensive (3%) as a barrier (OR = 2.07, 95% CI 1.11 to 3.87) or who listed nothing will help (29%; OR = 1.40, 95% CI 1.10 to 1.77) and making time to be active (9%; OR = 1.78, 95% CI 1.23 to 2.58) as enablers had significantly higher odds of meeting physical activity recommendations.Conclusions:These findings give insights into older adults’ perceptions of factors that influence their physical activity, which could assist physical activity program planning in this population.

scholarly journals Organized Sports and Physical Activities as Sole Influencers of Fitness: The Homeschool Population

2019 ◽  
Vol 4 (1) ◽  
pp. 13 ◽  
Author(s):  
Laura Kabiri ◽  
Augusto Rodriguez ◽  
Amanda Perkins-Ball ◽  
Cassandra Diep
Keyword(s):  
Physical Activity ◽  
Physical Fitness ◽  
Cardiorespiratory Fitness ◽  
Aerobic Capacity ◽  
Physical Activities ◽  
Current Investigation ◽  
Organized Sports ◽  
Physical Activity Recommendations ◽  
Upper Abdominal ◽  
Activity Recommendations

Homeschool children may rely solely on organized sports and physical activities to achieve recommended levels of physical activity and fitness. The purpose of this study was to investigate differences in fitness levels between homeschool children who did, and did not, participate in organized sports or physical activities, and then examine relationships between hours per week in sports or physical activities and cardiorespiratory fitness as measured by portions of the FitnessGram® test battery. Organized sports/physical activity participation information was gathered on 100 children ages 10–17 years who completed tests of upper, abdominal, and cardiorespiratory fitness. The current investigation revealed that participation alone was not associated with higher levels of physical fitness as assessed by the 90° push-up test or curl-up test nor was time in participation related to cardiorespiratory fitness as assessed by the Progressive Aerobic Capacity Endurance Run (PACER). These activities alone may be insufficient for meeting physical activity recommendations and improving physical fitness. Therefore, children and adolescents educated at home may need additional opportunities to participate in unstructured daily physical activity.

Perceived barriers to and facilitators of physical activity in people living with HIV: A qualitative study in a French sample

2019 ◽  
pp. 174239531982663
Author(s):  
Laura Gray ◽  
Laura Schuft ◽  
Alessandro Bergamaschi ◽  
Valentine Filleul ◽  
Serge S Colson ◽  
...  
Keyword(s):  
Physical Activity ◽  
Activity Level ◽  
People Living With Hiv ◽  
Structured Interviews ◽  
Physically Active ◽  
Physical Activity Recommendations ◽  
Living With Hiv ◽  
Beliefs And Attitudes ◽  
Activity Questionnaire ◽  
Activity Recommendations

ObjectivesThe benefits of physical activity in people living with HIV (PLHIV) are numerous and are largely reported in the literature. Understanding why PLHIV engage or not in physical activity is key to better accompanying health behaviors. Through a qualitative approach, our study sought to identify barriers to and facilitators of physical activity participation in PLHIV.MethodsPLHIV were recruited by purposive sampling. Semi-structured interviews were carried-out in Center and Southern France. The data were analyzed following the principals of thematic analysis. Physical activity level was assessed through questions related to physical activity recommendations and a physical activity questionnaire.ResultsFifteen semi-structured interviews (seven men and eight women; Mage = 46.6; SD = 10.3) were analyzed. Only a third of our sample was considered physically active with almost half being considered inactive according to recommendations. A multidimensional perspective of physical activity barriers and facilitators emerged. Barriers to and facilitators of physical activity were related to the physical, psychological and socio-environmental domains.DiscussionOur research sought to better understand the beliefs and attitudes of PLHIV towards physical activity. Physical activity was overall viewed as beneficial by both active and less active PLHIV; however, PLHIV remain insufficiently active. This is discussed through our multidimensional approach of the barriers to and facilitators of physical activity.

scholarly journals Adherence to physical activity recommendations and its associated factors: an interregional population-based study

2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Ala'a Alkerwi ◽  
Barbara Schuh ◽  
Nicolas Sauvageot ◽  
Faiez Zannad ◽  
Arnaud Olivier ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Status ◽  
Tertiary Education ◽  
Perceived Health ◽  
Health Perception ◽  
Positive Health ◽  
Related Factors ◽  
Morbidity Score ◽  
Physical Activity Recommendations ◽  
Activity Recommendations

<em>Background</em>. Though the influence of physical activity in preventing cardiovascular diseases is well documented, only a few comparative studies have determined the degree of adherence to physical activity recommendations among populations and identified the demographic, socioeconomic, behavioural and health-related factors associated with good compliance. <br /><em>Design and methods</em>. Cross-sectional interregional NESCaV survey of 3133 subjects compared three populations, Luxembourg, Lorraine (France) and Wallonia (Belgium), by using the International Physical Activity Questionnaire. Age and gender prevalence rates of physical activity were standardized to the European population. <br /><em>Results</em>. The likelihood to meet the recommendations was higher in Luxembourg, after adjustment for age, gender, education, employment, weight status, morbidity score, health perception and level of importance attributed to the practice of physical activity (P&lt;0.0001). The odds for meeting the recommendations were significantly higher among those with secondary than tertiary education. Compared to good self-health perception, subjects with poor or fair self-perceived health were less likely to meet the recommendations; this also applied to those attributing little or enough importance to physical activity compared with great importance. <br /><em>Conclusions</em>. Region, education, self-perceived health and perception of importance of physical activity were emerged as independent determinants of meeting the recommendations. Awareness of the positive health effects of physical activity might thus be crucial for motivating the people to become more active. Further research is needed to explore potential region-specific factors which might explain the difference in population behaviours with respect to physical activity.

scholarly journals Physical Activity of Female Students in Secondary Schools in the Context of Physical Activity Recommendations Fulfilment

2017 ◽  
Vol 18 (3) ◽  
Author(s):  
Ján Junger ◽  
Peter Kačúr ◽  
Lenka Tlučáková ◽  
Pavol Čech ◽  
Viera Bebčáková
Keyword(s):  
Physical Activity ◽  
Secondary Schools ◽  
Female Students ◽  
Point Of View ◽  
Way Of Life ◽  
Physically Active ◽  
Movement Performance ◽  
Intensity Physical Activity ◽  
Physical Activity Recommendations ◽  
Activity Recommendations

AbstractPurpose. Increasing energy intake and decreasing movement performance are among the greatest population issues of mankind. Risk elimination consists in returning to physically active way of life. The aim of the paper was to analyse the physical activity of female in selected secondary schools in the Presov district region, Slovakia, from the point of view of physical activity recommendations fulfilment. Methods. The research group consisted of 353 female students from 14 selected secondary schools in the Presov district region. The students were distributed in four groups according to age (15-18 years). Results. More than half of the studied females did not perform movement activity of medium or high intensity. The highest percentage of success rate in the criteria fulfilment was achieved by females of all age categories in walking 5 times per week for the minimum of 30 minutes (W 5 × 30). Only 44.3% of the students aged 15 years and up to 70.8% of those at the age of 18 met at least one criterion of the physical activity recommendations. Conclusions. As for physical activity recommendations fulfilment, the most successful criterion was performing physical activity regardless of its intensity. Physical activity recommendations seem to be very hard to implement in this age category, especially those concerning intense physical activity.

scholarly journals Barriers and Facilitators for Adherence to Physical Activity Recommendations among Adults and Children in a Multi-Site Cross-Sectional Study

2019 ◽  
pp. 18-30
Author(s):  
Theresa Nicklas ◽  
Debbe Thompson ◽  
Yan Liu
Keyword(s):  
Physical Activity ◽  
Cross Sectional Study ◽  
Barriers And Facilitators ◽  
Sectional Study ◽  
Cross Sectional ◽  
Physically Active ◽  
Physical Activity Recommendations ◽  
Adults And Children ◽  
Children’S Physical Activity ◽  
Activity Recommendations

Qualitative research on barriers and facilitators to meeting the physical activity recommendations (PAR) among adults and children are limited. Most studies focused on correlates of children’s physical activity and sedentary behavior. The goal of this research was to examine the barriers and facilitators to following federal PAR among adults and children enrolled in a multi-site study. Adult’s reported barriers included lack of motivation (interest), time, and competing life demands. Although financial constraints were a reported barrier, the predominant barrier was chaotic life events that limited time available to adhere to the PAR. Children reported competing activities, health and psychological limitations as barriers to meeting the PAR. Adults perceived health benefits as a facilitator to being physically active. And children reported peer support and ways to be physically active as facilitators. Barriers and facilitators to following PAR reported by adults and children should be taken into consideration when designing interventions.

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