TY  - JOUR
AB  - BACKGROUND: Physical activity (PA) is a proven strategy to prevent chronic diseases and reduce falls. Furthermore, it improves or at least maintains performance of activities of daily living, and thus fosters an independent lifestyle in older adults. However, evidence on the association of PA with relevant subgroups, such as older adults with utilization of long-term care (LTC), is sparse. This knowledge would be essential for establishing effective, need-based strategies to minimize the burden on healthcare systems due to the increasing need for LTC in old age. METHODS: Data originate from the 2011/12 (t1) baseline assessment and 2016 (t2) follow-up of the population-based Cooperative Health Research in the Region of Augsburg (KORA-)Age study in southern Germany. In 4812 observations of individuals ≥65 years, the association between various types of PA (walking, exercise (i. e., subcategory of PA with the objective to improve or maintain one or more components of physical fitness), walking+exercise) and utilization of LTC (yes/no) was analyzed using generalized estimating equation logistic models. Corresponding models stratified by sex (females: 2499 observations; males: 2313 observations) examined sex-specific associations. Descriptive analyses assessed the proportion of individuals meeting the suggested minimum values in the German National Physical Activity Recommendations for older adults (GNPAR). RESULTS: All types of PA showed a statistically significant association with non-utilization of LTC in the entire cohort. "Walking+exercise" had the strongest association with non-utilization of LTC in the entire cohort (odds ratio (OR): 0.52, 95% confidence interval (CI): 0.39-0.70) and in males (OR: 0.41, CI: 0.26-0.65), whereas in females it was "exercise" (OR: 0.58; CI: 0.35-0.94). The proportion of individuals meeting the GNPAR was higher among those without utilization of LTC (32.7%) than among those with LTC (11.7%) and group differences were statistically significant (p ≤ 0.05). CONCLUSIONS: The GNPAR are rarely met by older adults. However, doing any type of PA is associated with non-utilization of LTC in community-dwelling older adults. Therefore, older adults should be encouraged to walk or exercise regularly. Furthermore, future PA programs should consider target-groups' particularities to reach individuals with the highest needs for support.
AU  - Steinbeisser, K.
AU  - Schwarzkopf, L.
AU  - Schwettmann, L.
AU  - Laxy, M.
AU  - Grill, E.*
AU  - Rester, C.*
AU  - Peters, A.
AU  - Seidl, H.
C1  - 65896
C2  - 52487
TI  - Association of physical activity with utilization of long-term care in community-dwelling older adults in Germany: Results from the population-based KORA-Age observational study.
JO  - Int. J. Behav. Nutr. Phys. Act.
VL  - 19
IS  - 1
PY  - 2022
ER  - 

TY  - JOUR
AB  - Background Levels of physical activity and variation in physical activity and sedentary time by place and person in European children and adolescents are largely unknown. The objective of the study was to assess the variations in objectively measured physical activity and sedentary time in children and adolescents across Europe. Methods Six databases were systematically searched to identify pan-European and national data sets on physical activity and sedentary time assessed by the same accelerometer in children (2 to 9.9 years) and adolescents (>= 10 to 18 years). We harmonized individual-level data by reprocessing hip-worn raw accelerometer data files from 30 different studies conducted between 1997 and 2014, representing 47,497 individuals (2-18 years) from 18 different European countries. Results Overall, a maximum of 29% (95% CI: 25, 33) of children and 29% (95% CI: 25, 32) of adolescents were categorized as sufficiently physically active. We observed substantial country- and region-specific differences in physical activity and sedentary time, with lower physical activity levels and prevalence estimates in Southern European countries. Boys were more active and less sedentary in all age-categories. The onset of age-related lowering or leveling-off of physical activity and increase in sedentary time seems to become apparent at around 6 to 7 years of age. Conclusions Two third of European children and adolescents are not sufficiently active. Our findings suggest substantial gender-, country- and region-specific differences in physical activity. These results should encourage policymakers, governments, and local and national stakeholders to take action to facilitate an increase in the physical activity levels of young people across Europe.
AU  - Steene-Johannessen, J.*
AU  - Hansen, B.H.*
AU  - Dalene, K.E.*
AU  - Kolle, E.*
AU  - Northstone, K.*
AU  - Møller, N.C.*
AU  - Grøntved, A.*
AU  - Wedderkopp, N.*
AU  - Kriemler, S.*
AU  - Page, A.S.*
AU  - Puder, J.J.*
AU  - Reilly, J.J.*
AU  - Sardinha, L.B.*
AU  - van Sluijs, E.M.F.*
AU  - Andersen, L.B.*
AU  - van der Ploeg, H.*
AU  - Ahrens, W.*
AU  - Flexeder, C.
AU  - Standl, M.
AU  - Schulz, H.
AU  - Moreno, L.A.*
AU  - de Henauw, S.*
AU  - Michels, N.*
AU  - Cardon, G.*
AU  - Ortega, F.B.*
AU  - Ruiz, J.*
AU  - Aznar, S.*
AU  - Fogelholm, M.*
AU  - Decelis, A.*
AU  - Olesen, L.G.*
AU  - Hjorth, M.F.*
AU  - Santos, R.*
AU  - Vale, S.*
AU  - Christiansen, L.B.*
AU  - Jago, R.*
AU  - Basterfield, L.*
AU  - Owen, C.G.*
AU  - Nightingale, C.M.*
AU  - Eiben, G.*
AU  - Polito, A.*
AU  - Lauria, F.*
AU  - Vanhelst, J.*
AU  - Hadjigeorgiou, C.*
AU  - Konstabel, K.*
AU  - Molnár, D.*
AU  - Sprengeler, O.*
AU  - Manios, Y.*
AU  - Harro, J.*
AU  - Kafatos, A.*
AU  - Anderssen, S.A.*
AU  - Ekelund, U.*
C1  - 58710
C2  - 48307
CY  - Campus, 4 Crinan St, London N1 9xw, England
TI  - Variations in accelerometry measured physical activity and sedentary time across Europe - harmonized analyses of 47,497 children and adolescents.
JO  - Int. J. Behav. Nutr. Phys. Act.
VL  - 17
IS  - 1
PB  - Bmc
PY  - 2020
ER  - 

TY  - JOUR
AB  - BACKGROUND: Low levels of physical activity (PA) are a global concern and increasing PA engagement is becoming a priority in current public health policies. Despite the large number of studies and reviews available, the evidence regarding the behavioral determinants of PA is still inconclusive. Thus, the aim of this umbrella systematic literature review (SLR) was to summarize the evidence on the behavioral determinants of PA across the life course. METHODS: A systematic online search was conducted on MEDLINE, ISI Web of Science, Scopus, and SPORTDiscus databases. The search was limited to studies published in English from January, 2004 to April, 2016. SLRs and meta-analyses (MAs) of observational studies that investigated the behavioral determinants of PA were considered eligible. The extracted data were assessed based on the importance of the determinants, the strength of evidence, and the methodological quality. The full protocol is available from PROSPERO (PROSPERO 2014:CRD42015010616). RESULTS: Seventeen reviews on 35 behavioral determinants of PA were eligible for this umbrella SLR. Regardless of age, the most investigated determinants were those related with 'screen use' and 'smoking'. For youth, probable positive evidence emerged for 'previous PA' and 'independent mobility and active transport' among children and adolescents. For the adult population, 'transition to university' and 'pregnancy/having a child' showed probable negative associations. CONCLUSIONS: Although the majority of the evidence was limited and most of the determinants were not associated with PA, this umbrella SLR provided a comprehensive overview of the associations between behavioral determinants and PA. Youth should be physically active in the early years and increase active transportation to/from school, independent mobility, and 'free-range activities' without adult supervision, whilst adult PA behaviors are mostly influenced by the life events. Finally, more research is needed that incorporates prospective study designs, standardized definitions of PA, objective measurement methods of PA assessment, and the use of interactionist and mediational approaches for the evaluation of different behavioral determinants influencing PA behaviors.
AU  - Condello, G.*
AU  - Puggina, A.*
AU  - Aleksovska, K.*
AU  - Buck, C.*
AU  - Burns, C.*
AU  - Cardon, G.*
AU  - Carlin, A.*
AU  - Simon, C.*
AU  - Ciarapica, D.*
AU  - Coppinger, T.C.*
AU  - Cortis, C.*
AU  - D'Haese, S.*
AU  - De Craemer, M.*
AU  - di Blasio, A.M.*
AU  - Hansen, S.*
AU  - Iacoviello, L.*
AU  - Issartel, J.*
AU  - Izzicupo, P.*
AU  - Jaeschke, L.*
AU  - Kanning, M.*
AU  - Kennedy, A.*
AU  - Ling, F.C.M.*
AU  - Luzak, A.
AU  - Napolitano, G.*
AU  - Nazare, J.A.*
AU  - Perchoux, C.*
AU  - Pesce, C.*
AU  - Pischon, T.*
AU  - Polito, A.*
AU  - Sannella, A.*
AU  - Schulz, H.
AU  - Sohun, R.*
AU  - Steinbrecher, A.*
AU  - Schlicht, W.*
AU  - Ricciardi, W.*
AU  - MacDonncha, C.*
AU  - Capranica, L.*
AU  - Boccia, S.*
C1  - 51072
C2  - 42691
CY  - London
TI  - Behavioral determinants of physical activity across the life course: A "DEterminants of DIet and Physical ACtivity" (DEDIPAC) umbrella systematic literature review.
JO  - Int. J. Behav. Nutr. Phys. Act.
VL  - 14
IS  - 1
PB  - Biomed Central Ltd
PY  - 2017
ER  - 

TY  - JOUR
AB  - OBJECTIVE: Regular physical activity (PA) reduces the risk of disease and premature death. Knowing factors associated with PA might help reducing the disease and economic burden caused by low activity. Studies suggest that socio-cultural factors may affect PA, but systematic overviews of findings across the life course are scarce. This umbrella systematic literature review (SLR) summarizes and evaluates available evidence on socio-cultural determinants of PA in children, adolescents, and adults. METHODS: This manuscript was drafted following the recommendations of the 'Preferred Reporting Items for Systematic reviews and Meta-Analyses' (PRISMA) checklist. The MEDLINE, Web of Science, Scopus, and SPORTDiscus databases were searched for SLRs and meta-analyses (MAs) on observational studies published in English that assessed PA determinants between January 2004 and April 2016. The methodological quality was assessed and relevant information on socio-cultural determinants and any associations with PA was extracted. The available evidence was evaluated based on the importance of potential determinants and the strength of the evidence. RESULTS: Twenty SLRs and three MAs encompassing 657 eligible primary studies investigated potential socio-cultural PA determinants, with predominantly moderate methodological quality. Twenty-nine potential PA determinants were identified that were primarily assessed in children and adolescents and investigated the micro-environmental home/household level. We found probable evidence that receiving encouragement from significant others and having a companion for PA were associated with higher PA in children and adolescents, and that parental marital status (living with partner) and experiencing parental modeling were not associated with PA in children. Evidence for the other potential determinants was limited, suggestive, or non-conclusive. In adults, quantitative and conclusive data were scarce. CONCLUSIONS: A substantial number of SLRs and MAs investigating potential socio-cultural determinants of PA were identified. Our data suggest that receiving social support from significant others may increase PA levels in children and adolescents, whereas parental marital status is not a determinant in children. Evidence for other potential determinants was limited. This was mainly due to inconsistencies in results on potential socio-cultural determinants of PA across reviews and studies. TRIAL REGISTRATIONS: This umbrella SLR was recorded on PROSPERO (Record ID: CRD42015010616 ).
AU  - Jaeschke, L.*
AU  - Steinbrecher, A.*
AU  - Luzak, A.
AU  - Puggina, A.*
AU  - Aleksovska, K.*
AU  - Buck, C.*
AU  - Burns, C.*
AU  - Cardon, G.*
AU  - Carlin, A.*
AU  - Chantal, S.*
AU  - Ciarapica, D.*
AU  - Condello, G.*
AU  - Coppinger, T.C.*
AU  - Cortis, C.*
AU  - De Craemer, M.*
AU  - D'Haese, S.*
AU  - di Blasio, A.M.*
AU  - Hansen, S.*
AU  - Iacoviello, L.*
AU  - Issartel, J.*
AU  - Izzicupo, P.*
AU  - Kanning, M.*
AU  - Kennedy, A.*
AU  - Ling, F.C.M.*
AU  - Napolitano, G.*
AU  - Nazare, J.A.*
AU  - Perchoux, C.*
AU  - Polito, A.*
AU  - Ricciardi, W.*
AU  - Sannella, A.*
AU  - Schlicht, W.*
AU  - Sohun, R.*
AU  - MacDonncha, C.*
AU  - Boccia, S.*
AU  - Capranica, L.*
AU  - Schulz, H.
AU  - Pischon, T.*
C1  - 52587
C2  - 44127
CY  - London
TI  - Socio-cultural determinants of physical activity across the life course: A 'Determinants of Diet and Physical Activity' (DEDIPAC) umbrella systematic literature review.
JO  - Int. J. Behav. Nutr. Phys. Act.
VL  - 14
IS  - 1
PB  - Biomed Central Ltd
PY  - 2017
ER  - 

TY  - JOUR
AB  - BACKGROUND: Elderly people obtain significant health benefits from physical activity (PA), but the role of activity patterns has scarcely been researched. The present study aims to describe the patterns of PA among different intensities of activity in elderly people. We assess how patterns differ between more and less active groups ('rare', 'average', and 'frequent'), and explore whether and how various PA parameters are associated with functional exercise capacity (FEC). METHODS: PA was measured in 168 subjects (78 males; 65-89 years of age), using a triaxial GT3X accelerometer for ten consecutive days. Subjects were divided into three groups by activity and the groups were compared. A multiple linear regression model was used to predict FEC. RESULTS: Participants greater than or equal to 80 years are most prone to being sedentary for long periods, while women and the obese are the groups most likely to spend insufficient time in moderate to vigorous PA (MVPA). Rarely active elderly people had a decreased proportion of long bouts of MVPA and light PA and of short bouts in sedentary behavior than frequently active subjects did (p < 0.001). As predictors of FEC, younger age, lower BMI, male sex, better lung function, absence of multimorbidity, longer times and longer bouts of MVPA emerged as significant parameters (r2 = 0.54). Patterns of MVPA explained most of the variance. CONCLUSIONS: PA patterns provide information beyond reports of activity alone. MVPA in elderly people may be increased by increasing the proportion of long bouts, in order to increase FEC as well as average PA. However, health conditions may limit PA. In rarely active people (often with reduced FEC, worse lung function, and diagnosis of multimorbidity or disability), longer periods of time in light PA may be sufficient to increase the overall level of activity.
AU  - Ortlieb, S.
AU  - Dias, A.*
AU  - Gorzelniak, L.*
AU  - Nowak, D.*
AU  - Karrasch, S.
AU  - Peters, A.
AU  - Kuhn, K.A.*
AU  - Horsch, A.*
AU  - Schulz, H.
C1  - 30795
C2  - 33875
CY  - London
TI  - Exploring patterns of accelerometry-assessed physical activity in elderly people.
JO  - Int. J. Behav. Nutr. Phys. Act.
VL  - 11
IS  - 1
PB  - Biomed Central Ltd
PY  - 2014
ER  -