Exercise and health--new imperatives for public health policy in Hong Kong

Physical inactivity is an important and largely avoidable cause of incapacity. Regular physical activity protects against several chronic diseases, including cardiovascular diseaseԸ?one of the major causes of death in Hong Kong. Significant benefits can be achieved by regular participation in moderate amounts of either recreational or general lifestyle physical activities. Even more is gained from increasing the frequency, duration, and vigour of exercise. In Hong Kong, 59% of all adults lead a fairly sedentary lifestyle and only one in three exercise at levels that are thought to offer significant health benefits. An even more disturbing fact is that Hong Kong probably has the most inactive primary level schoolchildren in the world. The prevalence of these risk behaviours should make schoolchildren a priority for any public health prevention programme.published_or_final_versio

Associations between Moderate-to-Vigorous Physical Activity and Neighbourhood Recreational Facilities: The Features of the Facilities Matter

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Objective evaluation of recreational facilities: Development and reliability of the Recreational Facility Audit Tool

The characteristics of recreational facilities are determinants of facility use and physical activity, yet there are few validated and extensive audit tools gauging characteristics of recreational facilities. This study aimed to describe the development of a 111-item audit tool that objectively evaluates the characteristics of recreational facilities across 10 domains, including the availability of sports facilities, accessibility to the facility, availability of supportive amenities, conditions of changing rooms, conditions of toilets, management, policy, environmental safety, aesthetics, and social environment. The intra- and inter-rater reliability indices of the audit tool were also examined. In the intra-rater reliability tests, 20 recreational facilities were examined twice by the same auditor, with one week apart between each audit. The inter-rater reliability was assessed using data from 20 recreational facilities that were examined twice by two independent auditors. Kappa statistics, percent agreement and intra-class correlation coefficients were computed. The average intra- and inter-rater percent agreement was 96.9% and 90.6% respectively. The majority of items (n=107 and 101) showed either good percent agreement or acceptable kappa values in the intra- and interreliability tests respectively. The overall intra- and inter-rater reliability of the audit tool was acceptable. Subjective and time-sensitive audit items may need clearer descriptions and multiple repeated measures to improve their reliability. The audit tool can be used to reliably assess indoor sports centres, parks, sports grounds, playgrounds and swimming pools. The objective data collected by this audit tool would contribute to the understanding of relationships between characteristics of recreational facilities, usage and physical activity.published_or_final_versio

Raising activity levels as a health risk reduction intervention in Hong Kong children

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Validity and normative data for thirty-second chair stand test in elderly community-dwelling Hong Kong Chinese

It is important to establish valid field measures of lower body strength in the elderly, and to provide representative normative values that are culturally specific in order to help health professionals in the risk assessment of this group. A sample of 1,038 elderly Hong Kong Chinese undertook a 30-sec chair stand test (30CST), with a subsample of 143 completing isometric measures of maximal hip flexion and knee extension, plus a habitual physical activity questionnaire. The 30CST was significantly, yet only weakly, correlated with the isometric strength measures (r ∼ 0.3-0.4), but accurately discriminated between levels of habitual physical activity and across ages in decades. The normative values generated provide useful data for health screening in this elderly Hong Kong population, but do not compare well with their healthier US counterparts. © 2006 Wiley-Liss, Inc.postprin

Patterns of physical exercise and contributing factors among Hong Kong older adults

Key Messages 1. Studies suggest that regular physical activity and exercise offer a significant opportunity to enhance years of active independent life for older individuals. However, the majority of local respondents have a relatively sedentary lifestyle and were not getting adequate physical activity and exercise, though many recognised the health benefits of being active. 2. Compared with their relatively active American counterparts, in terms of strength, flexibility and agility, the respondents of this study fared unfavourably, with mean values in the 20-30 percentile score or lower. 3. More than 80% of elderly adults regularly participated in sports activities, the majority of whom engaged in only a low-to-moderate level of physical exercise mainly due to limited choices and time allocation for such activity. Nearly 17% of the respondents engaged in walking as a leisure activity; a substantial proportion included completion of their household activities (shopping, visiting friends) in what they termed ‘walking’. As walking confers many health benefits, its promotion in the immediate environments of the elderly is practical and undoubtedly health enhancing. 4. Findings suggested that cognitive-perceptual factors, ie perceived ‘pros’ and ‘cons’ of doing exercise, selfefficacy of exercise, stages of change and perceived barriers to exercise were all influential variables contributing to engagement in sports activity. Longitudinal studies are needed to understand the causal and temporal relations between these variables. 5. Health promotion programmes to educate older adults about the benefits of engaging in physical activity with respect to their self-efficacy are crucial. Education can enhance individual’s knowledge and/or awareness concerning the health benefits of physical activity and exercise. Those who are deprived and less educated should receive more attention from policymakers and service providers.published_or_final_versio

Agreement between bioelectrical impedance and dual energy X-ray absorptiometry in assessing fat, lean and bone mass changes in adults after a lifestyle intervention

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