The Goldilocks Day for healthy adiposity measures among children and adolescents

BackgroundThe optimal balance of time spent on daily movement behaviors (“The Goldilocks Day”) associated with childhood obesity remains unknown.ObjectiveTo estimate the optimal durations of sleep, sedentary behavior (SB), light physical activity (LPA), and moderate-to-vigorous physical activity (MPVA) associated with excess adiposity in a paediatric population.MethodsAccelerometer-measured 24-h movement behaviors were obtained from 659 Czech children and adolescents (8-18-year-olds). Adiposity indicators were body mass index z-score, fat mass percentage, fat-free mass index, and visceral adipose tissue. Excess adiposity was defined as exceeding the 85th percentile for an adiposity indicator. Compositional regression analyses were used investigate the associations between movement behaviors and adiposity indicators and estimating “The Goldilocks Day.”ResultsThe movement behavior composition was associated with visceral adipose tissue (Fdf1 = 3,df2 = 317 = 3.672, p = 0.013) and fat mass percentage (Fdf1 = 3,df2 = 289 = 2.733, p = 0.044) among children and adolescents. The Goldilocks Day consisted of 8.5 h of sleep, 10.8 h of SB, 3.9 h of LPA, and 0.8 h of MVPA among children and 7.5 h of sleep, 12.4 h of SB, 3.6 h of LPA, and 0.5 h of MVPA among adolescents.ConclusionOptimizing the time spent sleeping, and in sedentary and physical activities appears to be important in the prevention of excess adiposity

Determining thresholds for spatial urban design and transport features that support walking to create healthy and sustainable cities:findings from the IPEN Adult study

An essential characteristic of a healthy and sustainable city is a physically active population. Effective policies for healthy and sustainable cities require evidence-informed quantitative targets. We aimed to identify the minimum thresholds for urban design and transport features associated with two physical activity criteria: at least 80% probability of engaging in any walking for transport and WHO's target of at least 15% relative reduction in insufficient physical activity through walking. The International Physical Activity and the Environment Network Adult (known as IPEN) study (N=11 615; 14 cities across ten countries) provided data on local urban design and transport features linked to walking. Associations of these features with the probability of engaging in any walking for transport and sufficient physical activity (≥150 min/week) by walking were estimated, and thresholds associated with the physical activity criteria were determined. Curvilinear associations of population, street intersection, and public transport densities with walking were found. Neighbourhoods exceeding around 5700 people per km(2), 100 intersections per km(2), and 25 public transport stops per km(2) were associated with meeting one or both physical activity criteria. Shorter distances to the nearest park were associated with more physical activity. We use the results to suggest specific target values for each feature as benchmarks for progression towards creating healthy and sustainable cities

International Physical Activity and Built Environment Study of Adolescents : IPEN Adolescent design, protocol and measures

Introduction: Only international studies can provide the full variability of built environments and accurately estimate effect sizes of relations between contrasting environments and health-related outcomes. The aims of the International Physical Activity and Environment Study of Adolescents (IPEN Adolescent) are to estimate the strength, shape and generalisability of associations of the community environment (geographic information systems (GIS)-based and self-reported) with physical activity and sedentary behaviour (accelerometer-measured and self-reported) and weight status (normal/overweight/obese). Methods and analysis: The IPEN Adolescent observational, cross-sectional, multicountry study involves recruiting adolescent participants (ages 11-19 years) and one parent/guardian from neighbourhoods selected to ensure wide variations in walkability and socioeconomic status using common protocols and measures. Fifteen geographically, economically and culturally diverse countries, from six continents, participated: Australia, Bangladesh, Belgium, Brazil, Czech Republic, Denmark, Hong Kong SAR, India, Israel, Malaysia, New Zealand, Nigeria, Portugal, Spain and USA. Countries provided survey and accelerometer data (15 countries), GIS data (11), global positioning system data (10), and pedestrian environment audit data (8). A sample of n=6950 (52.6% female; mean age=14.5, SD=1.7) adolescents provided survey data, n=4852 had 4 or more 8+ hours valid days of accelerometer data, and n=5473 had GIS measures. Physical activity and sedentary behaviour were measured by waist-worn ActiGraph accelerometers and self-reports, and body mass index was used to categorise weight status. Ethics and dissemination: Ethical approval was received from each study site's Institutional Review Board for their in-country studies. Informed assent by adolescents and consent by parents was obtained for all participants. No personally identifiable information was transferred to the IPEN coordinating centre for pooled datasets. Results will be communicated through standard scientific channels and findings used to advance the science of environmental correlates of physical activity, sedentary behaviour and weight status, with the ultimate goal to stimulate and guide actions to create more activity-supportive environments internationally

Changes in Active Commuting to School in Czech Adolescents in Different Types of Built Environment across a 10-Year Period

Active commuting (AC) to school represents a great opportunity to incorporate walking or cycling into adolescents’ everyday routine. The objective of the study was to describe changes in AC in Czech adolescents across a 10-year period in different built environments. Data from the 2001 and 2011 Czech Census of Population and Housing were used to examine the mode of transportation taken to school in 6236 adolescents. Changes in AC over time were analyzed for low and high walkable areas separately in two Czech regional cities, Olomouc and Hradec Králové. Between 2001 and 2011, the proportion of adolescents actively commuting to school decreased by 47%, from an absolute rate of 49.1% to 26%. The proportion of active commuters fell in low walkable areas by 61% and in high walkable areas by 39%. The results indicated that adolescents in 2011 were 2.7 times less (OR = 0.365, p < 0.001) likely to actively commute than in 2001. The AC behavior in Czech adolescents has a negative tendency to replicate travel-to-school patterns in adolescents previously described in more developed countries. The findings might serve as a recommendation for municipal policy

Adaptation and validation of the Physical Activity Questionnaire for Older Children (PAQ-C) among Czech children.

The study aimed to adapt the standardized Physical Activity Questionnaire for Older Children (PAQ-C) into the Czech language and assess its psychometric properties. A forwards-and-backwards translation method was carried out to prepare the Czech PAQ-C version (PAQ-C/CZ), followed by adjustments based on socio-cultural aspects. In the next phase, participants (n = 169) wore accelerometers for seven days. On the 8th day, participants completed the PAQ-C/CZ in school so that it was possible to determine the concurrent validity (correlation between the accelerometer and PAQ-C/CZ data, Spearman's r), internal consistency (Cronbach's alpha), item/scale properties (corrected item-total correlations, CITCs), and factor structure (exploratory factor analysis, EFA) for PAQ-C/CZ. In the last phase, participants (n = 63) completed the PAQ-C/CZ twice on two consecutive school days in the morning to determine the test-retest reliability (intraclass correlation coefficient, ICC; independent sample T-test). The PAQ-C/CZ indicated moderate internal consistency (alpha = 0.77), acceptable item/scale properties (CITCs = 0.29-0.61), and good test-retest reliability (ICC = 0.73-0.94). The EFA findings suggested a single factor model (factor load = 0.32-0.73) for PAQ-C/CZ, with items 2, 3, and 4 contributing low to the total score. Results on concurrent validity showed low but significant association (r = 0.28, p < 0.05) between accelerometer and PAQ-C/CZ data. Considering the study results, the PAQ-C/CZ can be recommended as a tool for moderate-to-vigorous physical activity assessment in large-sample research studies only, but with an emphasis on the interpretation of the correct results

Accelerometry-based assessment of physical activity and sedentary behavior in adult survivors of childhood acute lymphoblastic leukemia and their healthy peers

Abstract Adult survivors of childhood acute lymphoblastic leukemia (ASALL) compose a specific group that faces an increased risk of experiencing late effects of their earlier treatment. Physical activity (PA) may be one of the appropriate means for preventing or minimizing the late effects of treatment. The main purpose of this study is to characterize device-measured PA and sedentary behavior (SB) among ASALL. The specific objective was to compare the movement behavior with a group recruited from the healthy population and to determine the degree of compliance with health recommendations for PA in the adult population. Twenty ASALL and 21 healthy control group (CG) members participated in the study. Participants were between 18 and 30 years old. Movement behavior was assessed for seven days using an Axivity AX3 accelerometer and a 24-h wearing protocol. Movement behavior was characterized by the amount of time spent in SB, light PA (LPA), moderate PA (MPA), and vigorous PA (VPA). There were no significant differences in movement behavior or compliance with PA recommendations between the ASALL and CG. During the week, the ASALL accumulated 711 min per day of SB vs. 636 min per day in the CG (p = 0.26); the ASALL had 186 min per day of LPA vs. 201 min per day in the CG (p = 0.47); the ASALL had 132 min per day of MPA vs. 147 min per day in the CG (p = 0.25); and the ASALL had 5 min per day of VPA vs. 4 min per day in the CG (p = 0.48). All research participants (ASALL and CG) met the PA recommendations of > 150 min per week for moderate PA. The results of our study suggest that ASALL, even after suffering from that disease in childhood, display comparable levels of PA and SB to their healthy peers. Both groups met the health recommendations for PA. The device-based monitoring of PA and SB should be an integral part of monitoring the late effects of treatment

Factors that influence pa of adult inhabitants in the Olomouc region

BACKGROUND: Regular physical activity has significant benefits for health. For instance, it can reduce the risk of cardiovascular disease, diabetes and osteoporosis, help control weight, and promote psychological well-being. There are many factors that can influence physical activity; socioeconomic status, family, size of place of residence, environmental conditions etc AIM: The aim of the study was to analyze physical activity and inactivity of adult population in the Olomouc region in terms of size of residence, type of housing, body weight status, smoking and participation in organized physical activity. METHODS: 1011 randomly selected residents of the Olomouc region (448 males and 563 females) aged 41.14 &#177; 8.63 years participated in this study. To obtain selected indicators of physical activity, we used the ANEWS questionnaire which was distributed by university students in Spring and Fall periods from 2005 to 2009. For healthy adults aged 18 to 65 years, the goal recommended by the WHO is to achieve a minimum of 30 minutes of moderateintensity physical activity 5 days a week or at least 20 minutes of vigorous-intensity physical activity 3 days a week. RESULTS: The most physically active were males aged 36-45 years. From the selected correlates, those with the highest influence on total weekly PA were the size of residence and type of house. On the other hand, factors that did not affect total weekly PA were smoking, participation in organized PA and body mass index. The most commonly performed type of PA is cycling; followed in males with soccer and tennis and in women with aerobic dance and fitness walking. CONCLUSION: In the Olomouc region there is a need to preserve and develop the conditions to perform PA. Due to the landscape in the Olomouc region and due to the popularity of cycling, we recommend focus on this type of PA

Changes in Active Commuting to School in Czech Adolescents in Different Types of Built Environment across a 10-Year Period

Active commuting (AC) to school represents a great opportunity to incorporate walking or cycling into adolescents’ everyday routine. The objective of the study was to describe changes in AC in Czech adolescents across a 10-year period in different built environments. Data from the 2001 and 2011 Czech Census of Population and Housing were used to examine the mode of transportation taken to school in 6236 adolescents. Changes in AC over time were analyzed for low and high walkable areas separately in two Czech regional cities, Olomouc and Hradec Králové. Between 2001 and 2011, the proportion of adolescents actively commuting to school decreased by 47%, from an absolute rate of 49.1% to 26%. The proportion of active commuters fell in low walkable areas by 61% and in high walkable areas by 39%. The results indicated that adolescents in 2011 were 2.7 times less (OR = 0.365, p &lt; 0.001) likely to actively commute than in 2001. The AC behavior in Czech adolescents has a negative tendency to replicate travel-to-school patterns in adolescents previously described in more developed countries. The findings might serve as a recommendation for municipal policy

Influence of education and socio-economic status on physical activity of adult residents of regions Eastern Bohemia and Vysocina between 2005-2009

BACKGROUND: Physical activity (PA) promotion is one of the most important factors in prevention of non-infectious civilization diseases. Other factors that may affect PA (economical, environmental, socio-cultural, etc.) are intensively monitored in relation to the quality of life. Regionally related conditions for the realization of leisure PA can improve the differences in the level of PA in different population groups. AIMS: The aim of this study was to analyze physical activity of the population of the Eastern Bohemian region (Hradec Králové, Pardubice and Vysočina) regarding the education and socioeconomic status. METHODS: Term "Eastern Bohemian" region was used to sum the data collected from regions of Hradec Králové, Pardubice and Vysočina. To determine the weekly level of PA we used a randomized data set of 1273 people from the Eastern Bohemian region (555 men and 718 women) aged 41.03 &#177; 9.16 years. All respondents were asked personally by educated distributors (university students) to participate in a research study using the Czech version of the IPAQ questionnaire. Data collection was carried out regularly in Spring (March-May) and Autumn (September-November) period from 2005 to 2009. RESULTS: People with higher education (university degree) have a lower amount of weekly PA than people with lower type of education (primary and secondary). People with secondary school education reported the highest amount of realized PA. There is diversified socioeconomic status (SES) in the Eastern Bohemian region. People with higher SES reported a lower level of realized PA than people with lower SES. CONCLUSIONS: The high loss of PA in university educated population is an alarming indicator of possible health complications. This group should be targeted in prevention health programs. Natural attractiveness should be maintained and opportunities made available for the realization of cultural, cycling and hiking trips. Programs motivating local people to carry out leisure PA should be adapted