The understanding, acceptability, and relevance of personalised multidimensional physical activity feedback among urban adults: evidence from a qualitative feasibility study in Sri Lanka

BackgroundWearable technologies are being used to provide personalised feedback across multiple physical activity dimensions in countries such as the UK, but their feasibility has not been tested in South Asia, where physical inactivity is increasing. This study assessed the understanding, acceptability, and relevance of personalised multidimensional physical activity feedback in urban dwellers in Colombo, Sri Lanka.MethodsA qualitative feasibility study was conducted among 35 adults to assess a community-based approach to provide multidimensional physical activity feedback. Healthy adults, adults at risk of non-communicable diseases and community-based primary healthcare professionals wore a physical activity monitor for 7 days and were then guided through their personalised multidimensional physical activity feedback. One-to-one interviews were conducted, transcribed verbatim and analysed using framework analysis.ResultsFour themes were generated: understanding of personalised physical activity feedback, perceived novelty of the feedback, motivation, and consideration of the multidimensional nature of physical activity. A majority of participants required guidance initially to understand the feedback, following which most were quickly able to interpret the data shown, and were willing to use the feedback as a basis for identifying goals to improve physical activity. Participants perceived the feedback and its delivery as novel because it provided new knowledge about physical activity guidelines and awareness on their own behaviour through graphics. Comparisons of personal performance against recommended physical activity levels and information on sedentary time were the most commonly motivating aspects of the feedback, prompting talk about behaviour change. All three groups showed poor planning on goal achievement, with some noticeable differences between those with and without health risk of non-communicable diseases. Following the feedback, most participants understood that physical activity is composed of several dimensions, while around half could recognise more suitable options to change behaviour. Of the physical activity dimensions, calorie burn received more attention than others.ConclusionsMultidimensional physical activity feedback was considered understandable and acceptable and has the potential to support behaviour change among urban Sri Lankans with or without identified health risk. These findings highlight the feasibility of this technology-enabled approach as a personalised intervention to improve knowledge and motivation for physical activity behaviour

Training materials and participant handouts for "Multidimensional individualised physical activity (Mi-PACT): a technology-enabled randomised controlled trial to promote physical activity in primary care"

ABSTRACT Background: Low physical activity is a major public health problem. New cost-effective approaches that stimulate meaningful long-term changes in physical activity are required, especially within primary care settings. It is becoming clear that there are various dimensions to physical activity with independent health benefits. Advances in technology mean that it is now possible to generate multidimensional physical activity ‘profiles’ that provide a more complete representation of physical activity and offer a variety of options that can be tailored to the individual. Mi-PACT is a randomised controlled trial designed to examine whether personalised multidimensional physical activity feedback and self-monitoring alongside trainer-supportive sessions increases physical activity and improves health outcomes in at-risk men and women. Methods/design: We aim to recruit 216 patients from within primary care aged 40 to 70 years and at medium or high risk of cardiovascular disease and/or type II diabetes mellitus. Adopting an unequal allocation ratio (intervention: control) of 2:1, participants will be randomised to one of two groups, usual care or the intervention. The control group will receive usual care from their general practitioner (GP) and standardised messages about physical activity for health. The intervention group will receive physical activity monitors and access to a web-based platform for a 3-month period to enable self-monitoring and the provision of personalised feedback regarding the multidimensional nature of physical activity. In addition, this technology-enabled feedback will be discussed with participants on five occasions during supportive one-to-one coaching sessions across the 3-month intervention. The primary outcome measure is physical activity, which will be directly assessed using activity monitors for a 7-day period. Secondary measures include weight loss, fat mass, and markers of metabolic control, motivation and well-being. All measures will be performed at baseline, post intervention and at 12-month follow-up. Discussion: Results from this study will provide insight into the effects of integrated physical activity profiling and self-monitoring combined with in-person support on physical activity and health outcomes in patients at risk of future chronic disease. Trial registration: Current Controlled Trials ISRCTN18008011

The local star formation rate and radio luminosity density

We present a new determination of the local volume-averaged star formation rate from the 1.4 GHz luminosity function of star forming galaxies. Our sample, taken from the B<=12 Revised Shapley-Ames catalogue (231 normal spiral galaxies over effective area 7.1 sr) has ~100% complete radio detections and is insensitive to dust obscuration and cirrus contamination. After removal of known active galaxies, the best-fit Schechter function has a faint-end slope of -1.27+/-0.07 in agreement with the local Halpha luminosity function, characteristic luminosity L*=(2.6+/-0.7)*10^{22} W/Hz and density phi* = (4.8 +/-1.1)*10^{-4} / Mpc^3. The inferred local radio luminosity density of (1.73+/-0.37+/-0.03)*10^{19} W/Hz/Mpc^3 (Poisson noise, large scale structure fluctuations) implies a volume averaged star formation rate ~2 x larger than the Gallego et al. Halpha estimate, i.e. rho(1.4 GHz} = (2.10+/-0.45+/-0.04) *10^{-2}$ Msun/yr/Mpc^3 for a Salpeter initial mass function from 0.1-125 Msun and Hubble constant of 50 km/s/Mpc. We demonstrate that the Balmer decrement is a highly unreliable extinction estimator, and argue that optical-UV SFRs are easily underestimated, particularly at high redshift.Comment: MNRAS in press. 1 figure. Uses BoxedEPS and mn2e (included). Finally got round to the correction

Feedback from physical activity monitors is not compatible with current recommendations: A recalibration study

AbstractWearable devices to self-monitor physical activity have become popular with individuals and healthcare practitioners as a route to the prevention of chronic disease. It is not currently possible to reconcile feedback from these devices with activity recommendations because the guidelines refer to the amount of activity required on top of normal lifestyle activities (e.g., 150 minutes of moderate-to-vigorous intensity activity per week over-and-above normal moderate-to-vigorous lifestyle activities). The aim of this study was to recalibrate the feedback from self-monitoring.We pooled data from four studies conducted between 2006 and 2014 in patients and volunteers from the community that included both sophisticated measures of physical activity and 10-year risk for cardiovascular disease and type 2 diabetes (n=305). We determined the amount of moderate-to-vigorous intensity activity that corresponded to FAO/WHO/UNU guidance for a required PAL of 1.75 (Total Energy Expenditure/Basal Metabolic Rate).Our results show that, at the UK median PAL, total moderate-to-vigorous intensity physical activity will be around 735 minutes per week (~11% of waking time). We estimate that a 4% increase in moderate-to-vigorous intensity activity will achieve standardised guidance from FAO/WHO/UNU and will require ~1000 minutes of moderate-to-vigorous intensity activity per week.This study demonstrates that feedback from sophisticated wearable devices is incompatible with current physical activity recommendations. Without adjustment, people will erroneously form the view that they are exceeding recommendations by several fold. A more appropriate target from self-monitoring that accounts for normal moderate-to-vigorous lifestyle activities is ~1000 minutes per week, which represents ~15% of waking time

Developing non-exercise activity thermogenesis (NEAT) through building design

Purpose: Physical inactivity has a considerable negative impact on health. Physical activity has reduced partly due to workplace and lifestyle changes, causing people to spend more time in buildings and increasing sedentary behaviour. The purpose of this paper is to address a largely untapped opportunity for designers and managers to improve building users’ health by designing buildings that raise users’ Non-Exercise Activity Thermogenesis (NEAT) levels. In this research a conceptual model was developed to assess buildings’ performance in providing NEAT-promoting opportunities through building design features and management, in relation to building users’ propensity for NEAT behaviours. Design/methodology/approach: The conceptual model was developed by a multi-disciplinary team of researchers and data to populate the model was obtained through a survey of 75 buildings in Jakarta (Indonesia). Findings: The presented proof-of-concept shows that the model’s “meso-scale” approach to study physical activity and building design can lead to potential improvements of NEAT levels and physical activity in buildings. Originality/value: The review of precedent models shows that this subject has been researched at micro-scale (i.e. detailed monitoring of individuals’ movement) and macro-scale (i.e. epidemiological studies of populations’ health). The presented model is original, as it explores a “meso-scale”(i.e. building scale) that is unique.</p

Models for the Clustering of Far-Infrared and Sub-millimetre selected Galaxies

We discuss and compare two alternative models for the two-point angular correlation function of galaxies detected through the sub-millimetre emission using the Herschel Space Observatory. The first, now-standard Halo Model, which represents the angular correlations as arising from one-halo and two-halo contributions, is flexible but complex and rather unwieldy. The second model is based on a much simpler approach: we incorporate a fitting function method to estimate the matter correlation function with approximate model of the bias inferred from the estimated redshift distribution to find the galaxy angular correlation function. We find that both models give a good account of the shape of the correlation functions obtained from published preliminary studies of the HerMES and H-ATLAS surveys performed using Herschel, and yield consistent estimates of the minimum halo mass within which the sub-millimetre galaxies must reside. We note also that both models predict an inflection in the correlation function at intermediate angular scales, so the presence of the feature in the measured correlation function does not unambiguously indicate the presence of intra-halo correlations. The primary barrier to more detailed interpretation of these clustering measurements lies in the substantial uncertainty surrounding the redshift distribution of the sources.Comment: 5 pages, 6 figures, 1 table, accepted for publication in MNRA

Ketone monoester ingestion alters metabolism and simulated rugby performance in professional players:Ketones, metabolism and elite rugby performance

Ketone ingestion can alter metabolism but effects on exercise performance are unclear, particularly with regard to the impact on intermittent-intensity exercise and team-sport performance. Nine professional male rugby union players each completed two trials in a double-blind, randomized, crossover design. Participants ingested either 90 ± 9 g carbohydrate (CHO; 9% solution) or an energy matched solution containing 20 ± 2 g CHO (3% solution) and 590 mg/kg body mass β-hydroxybutyrate monoester (CHO + BHB-ME) before and during a simulated rugby union-specific match-play protocol, including repeated high-intensity, sprint and power-based performance tests. Mean time to complete the sustained high-intensity performance tests was reduced by 0.33 ± 0.41 s (2.1%) with CHO + BHB-ME (15.53 ± 0.52 s) compared with CHO (15.86 ± 0.80 s) placebo (p = .04). Mean time to complete the sprint and power-based performance tests were not different between trials. CHO + BHB-ME resulted in blood BHB concentrations that remained &gt;2 mmol/L during exercise (p &lt; .001). Serum lactate and glycerol concentrations were lower after CHO + BHB-ME than CHO (p &lt; .05). Coingestion of a BHB-ME with CHO can alter fuel metabolism (attenuate circulating lactate and glycerol concentrations) and may improve high-intensity running performance during a simulated rugby match-play protocol, without improving shorter duration sprint and power-based efforts.</p

Ketone monoester ingestion alters metabolism and simulated rugby performance in professional players:Ketones, metabolism and elite rugby performance

Ketone ingestion can alter metabolism but effects on exercise performance are unclear, particularly with regard to the impact on intermittent-intensity exercise and team-sport performance. Nine professional male rugby union players each completed two trials in a double-blind, randomized, crossover design. Participants ingested either 90 ± 9 g carbohydrate (CHO; 9% solution) or an energy matched solution containing 20 ± 2 g CHO (3% solution) and 590 mg/kg body mass β-hydroxybutyrate monoester (CHO + BHB-ME) before and during a simulated rugby union-specific match-play protocol, including repeated high-intensity, sprint and power-based performance tests. Mean time to complete the sustained high-intensity performance tests was reduced by 0.33 ± 0.41 s (2.1%) with CHO + BHB-ME (15.53 ± 0.52 s) compared with CHO (15.86 ± 0.80 s) placebo (p = .04). Mean time to complete the sprint and power-based performance tests were not different between trials. CHO + BHB-ME resulted in blood BHB concentrations that remained &gt;2 mmol/L during exercise (p &lt; .001). Serum lactate and glycerol concentrations were lower after CHO + BHB-ME than CHO (p &lt; .05). Coingestion of a BHB-ME with CHO can alter fuel metabolism (attenuate circulating lactate and glycerol concentrations) and may improve high-intensity running performance during a simulated rugby match-play protocol, without improving shorter duration sprint and power-based efforts.</p