Research

16 pages, 629 KiB

Open AccessArticle

Underlying Factors Explaining Physical Behaviors among Office Workers—An Exploratory Analysis

by Viktoria Wahlström, David Olsson, Fredrik Öhberg, Tommy Olsson and Lisbeth Slunga Järvholm

Int. J. Environ. Res. Public Health 2020, 17(24), 9158; https://doi.org/10.3390/ijerph17249158 - 08 Dec 2020

Cited by 3 | Viewed by 1869

Studies using technical measurements of physical behavior show wide interindividual variations. This study aimed to explore underlying factors related to sitting, standing and walking among office workers. Cross-sectional data for background characteristics, work-related variables, and device-based measures for sitting, standing and walking were [...] Read more.

Studies using technical measurements of physical behavior show wide interindividual variations. This study aimed to explore underlying factors related to sitting, standing and walking among office workers. Cross-sectional data for background characteristics, work-related variables, and device-based measures for sitting, standing and walking were collected among office workers in either a cell office or a flex office with activity-based work. Data were analyzed by Factor Analysis of Mixed Data (FAMD) and multiple robust linear regression. The FAMD resulted in the combination of underlying factors describing six character types. The (1) harmonic and healthy, (2) disabled with poor health, (3) manager that spend a lot of time in meetings and has very high workload, (4) engaged with high workload, (5) employee with creative and computer intense work, with high workload and, (6) employee with high BMI with creative and collaborative work. Regression analysis showed that the character type that was “engaged with high workload” sat more and stood less, while the character type with ”high BMI and with creative and collaborative work” sat less. The results suggest that physical behavior among office workers is influenced by a complex combination of factors, which should be taken into account in the evaluation of future studies of larger cohorts. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

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14 pages, 306 KiB

Open AccessArticle

Personal and Environmental Contributors to Sedentary Behavior of Older Adults in Independent and Assisted Living Facilities

by Mary P. Kotlarczyk, Andrea L. Hergenroeder, Bethany Barone Gibbs, Flor de Abril Cameron, Megan E. Hamm and Jennifer S. Brach

Int. J. Environ. Res. Public Health 2020, 17(17), 6415; https://doi.org/10.3390/ijerph17176415 - 03 Sep 2020

Cited by 7 | Viewed by 3074

Abstract

Sedentary behavior is associated with negative health outcomes and unhealthy aging. Older adults are the most sedentary age group, and decreasing sitting time represents an intervention target for improving health. Determinants of sedentary behavior have been examined in older adults living in their [...] Read more.

Sedentary behavior is associated with negative health outcomes and unhealthy aging. Older adults are the most sedentary age group, and decreasing sitting time represents an intervention target for improving health. Determinants of sedentary behavior have been examined in older adults living in their own homes, yet less is known about sedentary behavior of older adults in residential care facilities. The purpose of this study was to explore factors contributing to sedentary behavior among residents of independent and assisted living facilities. We conducted eight focus groups with residents (n = 44) and semi-structured interviews with staff (n = 6) across four living facilities. Audio recordings were transcribed and analyzed using an iterative, inductive approach. Three salient themes were identified. Residents and staff both viewed sedentary behavior negatively unless it was in the context of social engagement. Additionally, fear of falling was discussed as a significant contributor to sedentary behavior. Finally, residents felt the community living environment contributed to their sedentary behavior while staff did not. Our findings provide valuable insight for designing targeted interventions for older adults in residential facilities and suggest thinking beyond the individual and considering environmental influences on sedentary behavior in the residential care setting. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

11 pages, 1017 KiB

Open AccessArticle

The Effect of Domain-Specific Sitting Time and Exercise Habits on Metabolic Syndrome in Japanese Workers: A Cross-Sectional Study

by Rina So and Tomoaki Matsuo

Int. J. Environ. Res. Public Health 2020, 17(11), 3883; https://doi.org/10.3390/ijerph17113883 - 30 May 2020

Cited by 5 | Viewed by 2646

Abstract

The effects of domain-specific (i.e., occupational, leisure-time on workday, and holiday) sitting time (ST), and exercise on metabolic syndrome (MetS) development are insufficiently studied. The present study aimed to examine the single and combined effects of each domain-specific ST and exercise habits on [...] Read more.

The effects of domain-specific (i.e., occupational, leisure-time on workday, and holiday) sitting time (ST), and exercise on metabolic syndrome (MetS) development are insufficiently studied. The present study aimed to examine the single and combined effects of each domain-specific ST and exercise habits on MetS. The total and domain-specific STs of 5530 participants were collected using a validated questionnaire. The multiple logistic regression analyses determined the effects of each domain-specific ST and exercise habit on MetS. Of all participants, 7.8% had MetS. Odds ratios (ORs) for MetS were significant only in the group with the longest leisure-time ST on holidays (OR, 1.43; 95% confidence interval [CI], 1.12–1.83); we found no significant associations with any other domain-specific ST after statistical adjustment for confounders. The no-habitual-exercise group clearly had a higher risk for MetS (OR, 1.44; 95% CI, 1.15–1.80). The significantly higher ORs for MetS was shown in only the combined longer total ST (OR, 1.64; 95% CI, 1.12–2.39) and holiday ST (OR, 1.83; 95% CI, 1.30–2.59) with no habitual exercise. These findings suggested that accumulated daily total ST, particularly leisure-time ST on holidays with no-habitual exercise, can increase the risk of MetS and it could possibly be mitigated by habitual exercise. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

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11 pages, 332 KiB

Open AccessArticle

Reducing Sedentary Time among Older Adults in Assisted Living: Perceptions, Barriers, and Motivators

by M. Lauren Voss, J. Paige Pope and Jennifer L. Copeland

Int. J. Environ. Res. Public Health 2020, 17(3), 717; https://doi.org/10.3390/ijerph17030717 - 22 Jan 2020

Cited by 12 | Viewed by 3206

Abstract

Older adults accumulate more sedentary time (ST) than any other age group, especially those in assisted living residences (ALRs). Reducing prolonged ST could help maintain function among older adults. However, to develop effective intervention strategies, it is important to understand the factors that [...] Read more.

Older adults accumulate more sedentary time (ST) than any other age group, especially those in assisted living residences (ALRs). Reducing prolonged ST could help maintain function among older adults. However, to develop effective intervention strategies, it is important to understand the factors that influence sedentary behavior. The purpose of this study was to explore perceptions of ST as well as barriers and motivators to reducing ST among older adults in assisted living, in the context of the Social Ecological Model (SEM). Using a qualitative description approach, we sought to learn about participants’ perceptions of sedentary time in their daily lives. Semi-structured focus groups were held at six ALRs with 31 participants (84% women, 83.5 ± 6.5 years). Data were transcribed and coded using an inductive thematic approach. Themes were categorized based on four levels of the SEM: individual, social, physical environment, and organization. Many reported barriers were at the individual level (e.g., lack of motivation, pain, fatigue) while others were associated with the organization or social environment (e.g., safety concerns, lack of activities outside of business hours, and social norms). These findings suggest that there are unique challenges and opportunities to consider when designing ST interventions for assisted living. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

15 pages, 953 KiB

Open AccessArticle

Lifestyle Habits Predict Academic Performance in High School Students: The Adolescent Student Academic Performance Longitudinal Study (ASAP)

by Marie-Maude Dubuc, Mylène Aubertin-Leheudre and Antony D. Karelis

Int. J. Environ. Res. Public Health 2020, 17(1), 243; https://doi.org/10.3390/ijerph17010243 - 29 Dec 2019

Cited by 23 | Viewed by 10705

Abstract

This study aimed to determine if lifestyle habits could predict changes in cognitive control and academic performance in high school students using a longitudinal approach. One hundred and eighty-seven grade seventh to ninth students (mean age: 13.1 ± 1.0 years old) completed a [...] Read more.

This study aimed to determine if lifestyle habits could predict changes in cognitive control and academic performance in high school students using a longitudinal approach. One hundred and eighty-seven grade seventh to ninth students (mean age: 13.1 ± 1.0 years old) completed a 3-year prospective study. Lifestyle habits, cognitive control, and academic performance were assessed every year during the 3-year study. Results show that in female students, screen time measures were negatively correlated with academic performance and cognitive control. Furthermore, changes (Δs) in sleeping habits were associated with Δs in academic performance in both genders, whereas Δs in eating habits and in studying time were correlated with Δs in academic performance only in male students. Moreover, in female students, screen time, social media use, and eating habits measures seem to predict the variance in the Δs of cognitive control measures (r² between 8.2% and 21.0%), whereas, in male students, studying time, eating, and sleeping habits appear to explain the variance in the Δs of academic performance measures (r² between 5.9% and 24.8%). In conclusion, results of the present study indicate that lifestyle habits were able to predict Δs in cognitive control and academic performance of high school students during a 3-year period. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

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18 pages, 557 KiB

Open AccessArticle

Should We Scale-Up? A Mixed Methods Process Evaluation of an Intervention Targeting Sedentary Office Workers Using the RE-AIM QuEST Framework

by Bradley MacDonald, Ann-Marie Gibson, Xanne Janssen, Jasmin Hutchinson, Samuel Headley, Tracey Matthews and Alison Kirk

Int. J. Environ. Res. Public Health 2020, 17(1), 239; https://doi.org/10.3390/ijerph17010239 - 29 Dec 2019

Cited by 3 | Viewed by 3751

Abstract

Background: Interventions targeting a reduction in sedentary behaviour in office workers need to be scaled-up to have impact. In this study, the RE-AIM QuEST framework was used to evaluate the potential for further implementation and scale-up of a consultation based workplace intervention [...] Read more.

Background: Interventions targeting a reduction in sedentary behaviour in office workers need to be scaled-up to have impact. In this study, the RE-AIM QuEST framework was used to evaluate the potential for further implementation and scale-up of a consultation based workplace intervention which targeted both the reduction, and breaking up of sitting time. Methods: To evaluate the Springfield College sedentary behaviour intervention across multiple RE-AIM QuEST indicators; intervention participant, non-participant (employees who did not participate) and key informant (consultation delivery team; members of the research team and stakeholders in workplace health promotion) data were collected using interviews, focus groups and questionnaires. Questionnaires were summarized using descriptive statistics and interviews and focus groups were transcribed verbatim, and thematically analysed. Results: Barriers to scale-up were: participant burden of activity monitoring; lack of management support; influence of policy; flexibility (scheduling/locations); time and cost. Facilitators to scale up were: visible leadership; social and cultural changes in the workplace; high acceptability; existing health and wellbeing programmes; culture and philosophy of the participating college. Conclusions: There is potential for scale-up, however adaptations will need to be made to address the barriers to scale-up. Future interventions in office workers should evaluate for scalability during the pilot phases of research. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

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15 pages, 1970 KiB

Open AccessArticle

Impact of Activity-Based Working and Height-Adjustable Desks on Physical Activity, Sedentary Behavior, and Space Utilization among Office Workers: A Natural Experiment

by Takashi Jindo, Yuko Kai, Naruki Kitano, Kyohsuke Wakaba, Mitsuru Makishima, Koji Takeda, Michitaka Iida, Kinji Igarashi and Takashi Arao

Int. J. Environ. Res. Public Health 2020, 17(1), 236; https://doi.org/10.3390/ijerph17010236 - 28 Dec 2019

Cited by 12 | Viewed by 5195

Abstract

It has been reported that office environment is an important determinant of physical activity (PA) and sedentary behavior (SB) in office workers. However, the effect of changes in office environment (office renovation) is unclear. The purpose of this study was to examine PA, [...] Read more.

It has been reported that office environment is an important determinant of physical activity (PA) and sedentary behavior (SB) in office workers. However, the effect of changes in office environment (office renovation) is unclear. The purpose of this study was to examine PA, SB, and space utilization changes among office workers in response to office renovation. This study was a natural experiment at three offices of a single company in Tokyo, Japan. The participants were, 13 workers from one office in the renovation group (mean age: 37.9 ± 10.8 years, percentage of females: 23.1%) and 29 from two offices in the control group (mean age: 42.3 ± 11.2 years, percentage of females: 31.0%). In the renovation, introduction of activity-based working (ABW) and installation of height-adjustable desks (HAD) were adopted. The ABW office was designed to provide various shared workstations, enabling the workers to choose workstations depending on their task or mood. Accelerometer measurement and object detection method using artificial intelligence (AI) technology for video images were used to assess behavior and space utilization before and after the renovation. Two weeks after the renovation, significant improvements in SB (pre- to post-renovation improvements: 346.8 ± 28.6 to 321.2 ± 17.8 min/working-hours) and PA (total PA: 173.2 ± 28.6 to 198.8 ± 17.8 min/working-hours; and light-intensity PA: 130.4 ± 27.1 to 150.7 ± 31.0 min/working-hours) were observed. In addition, the results of the object detection analysis showed that the central aisle of the office and shared HAD workstations near the entrance or window were utilized more frequently than the other spaces. This study suggested that office renovation could improve SB and PA immediately after the renovation. Moreover, utilized spaces and HAD workstations could play an important role to enhance employees’ activity in an ABW office. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

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13 pages, 1000 KiB

Open AccessArticle

Psychosocial Stress, Sedentary Behavior, and Physical Activity during Pregnancy among Canadian Women: Relationships in a Diverse Cohort and a Nationwide Sample

by Isabelle Sinclair, Myriane St-Pierre, Guillaume Elgbeili, Paquito Bernard, Cathy Vaillancourt, Sonia Gagnon and Kelsey Needham Dancause

Int. J. Environ. Res. Public Health 2019, 16(24), 5150; https://doi.org/10.3390/ijerph16245150 - 17 Dec 2019

Cited by 19 | Viewed by 4875

Abstract

Background: Past research shows that psychosocial stress and distress predict sedentary behavior and physical activity, but few studies focus on pregnant women. Our objective was to analyze relationships between psychosocial stress and distress with sedentary behavior and physical activity among pregnant women in [...] Read more.

Background: Past research shows that psychosocial stress and distress predict sedentary behavior and physical activity, but few studies focus on pregnant women. Our objective was to analyze relationships between psychosocial stress and distress with sedentary behavior and physical activity among pregnant women in Canada. Methods: We analyzed objectively-measured sedentary behavior and physical activity at 16–18, 24–26, and 32–24 weeks pregnancy in a sociodemographically diverse cohort of 70 women in Montreal, Canada. Participants completed the Perceived Stress Questionnaire and wore an accelerometer for 3 days that quantified sitting time and steps per day. We used univariate general linear models to analyze relationships between perceived stress with sedentary behavior and physical activity at each evaluation. To assess generalizability, we analyzed relationships between psychological distress with self-reported leisure-time sedentary behavior and daily energy expenditure in transportation and leisure physical activities among a sample representative of 166,095 women in the Canadian Community Health Survey. Results: In the Montreal cohort, we observed a positive association between perceived stress and sitting time, with small to moderate effect sizes (partial η² = 0.08–0.16). We observed negative relationships between perceived stress and steps per day at the first two evaluations only, with small to moderate effect sizes (partial η² = 0.08–0.11). Relationships for sedentary behavior were similar in the nationwide sample, but with smaller effect sizes (partial η² = 0.02). There were no relationships between distress and physical activity in the nationwide sample. Conclusion: Psychosocial stress represents one risk factor for sedentarity, with relationships evident throughout pregnancy and at the population level. Relationships with physical activity are less consistent, but stress might represent a risk factor for low physical activity in early to mid-pregnancy. Results might guide the development of more comprehensive interventions targeting stress, sedentarity, and physical activity. In particular, integrating psychosocial health into interventions to reduce sedentarity, and including concrete guidelines on sedentary behavior in psychosocial health interventions, might be prioritized. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

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12 pages, 982 KiB

Open AccessArticle

The SED-GIH: A Single-Item Question for Assessment of Stationary Behavior—A Study of Concurrent and Convergent Validity

by Lena V. Kallings, Sven J. G. Olsson, Örjan Ekblom, Elin Ekblom-Bak and Mats Börjesson

Int. J. Environ. Res. Public Health 2019, 16(23), 4766; https://doi.org/10.3390/ijerph16234766 - 28 Nov 2019

Cited by 12 | Viewed by 4927

Abstract

The unfavorable health consequences of prolonged time spent sedentary (stationary) make accurate assessment in the general population important. However, for many existing questionnaires, validity for identifying stationary time has not been shown or has shown low validity. This study aimed to assess the [...] Read more.

The unfavorable health consequences of prolonged time spent sedentary (stationary) make accurate assessment in the general population important. However, for many existing questionnaires, validity for identifying stationary time has not been shown or has shown low validity. This study aimed to assess the concurrent and convergent validity of the GIH stationary single-item question (SED-GIH). Data were obtained in 2013 and 2014 from two Swedish cohorts. A total of 711 men and women provided valid accelerometer data (Actigraph GT3X+) and were included for concurrent validity analyses. A total of 560 individuals answered three additional commonly used sedentary questions, and were included for convergent validity analysis. The SED-GIH displayed a significant correlation with total stationary time (r_s = 0.48) and time in prolonged stationary time (r_s = 0.44). The ROC analysis showed an AUC of 0.72 for identifying individuals with stationary time over 600 min/day. The SED-GIH correlated significantly with other previously used questions (r = 0.72–0.89). The SED-GIH single-item question showed a relatively high agreement with device-assessed stationary behavior and was able to identify individuals with high levels of stationary time. Thus, the SED-GIH may be used to assess total and prolonged stationary time. This has important implications, as simple assessment tools of this behavior are needed in public health practice and research. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

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15 pages, 329 KiB

Open AccessArticle

Relationships between Physical Activity, Sedentary Behaviour and Cognitive Functions in Office Workers

by Emil Bojsen-Møller, Carl-Johan Boraxbekk, Örjan Ekblom, Victoria Blom and Maria M. Ekblom

Int. J. Environ. Res. Public Health 2019, 16(23), 4721; https://doi.org/10.3390/ijerph16234721 - 27 Nov 2019

Cited by 13 | Viewed by 6421

Abstract

Increasing evidence from animal experiments suggests that physical activity (PA) promotes neuroplasticity and learning. For humans, most research on the relationship between PA, sedentary behaviour (SB), and cognitive function has relied on self-reported measures of behaviour. Office work is characterised by high durations [...] Read more.

Increasing evidence from animal experiments suggests that physical activity (PA) promotes neuroplasticity and learning. For humans, most research on the relationship between PA, sedentary behaviour (SB), and cognitive function has relied on self-reported measures of behaviour. Office work is characterised by high durations of SB combined with high work demands. While previous studies have shown that fitter office workers outperform their less fit colleagues in cognitive tests, the importance of PA and SB remains unknown. This study investigated associations between objectively measured PA and SB, using hip-worn accelerometers, and cognitive functions in 334 office workers. Time spent in moderate-to-vigorous PA (MVPA) was not associated with any cognitive outcome. However, time spent in SB tended to be positively associated with words recalled in free recall (β = 0.125). For the least fit participants, the average length of MVPA bouts was favourably related to Stroop performance (β = −0.211), while for the fitter individuals, a longer average length of MVPA bouts was related to worse recognition (β = −0.216). While our findings indicate that the length of MVPA bouts was associated with better Stroop performance in the least fit participants, our findings do not support the notion that more time spent in MVPA or less time in SB is associated with better cognitive function. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

15 pages, 691 KiB

Open AccessArticle

Does Sleep Mediate the Association between School Pressure, Physical Activity, Screen Time, and Psychological Symptoms in Early Adolescents? A 12-Country Study

by Ann Vandendriessche, Ariane Ghekiere, Jelle Van Cauwenberg, Bart De Clercq, Karlien Dhondt, Ann DeSmet, Jorma Tynjälä, Maïté Verloigne and Benedicte Deforche

Int. J. Environ. Res. Public Health 2019, 16(6), 1072; https://doi.org/10.3390/ijerph16061072 - 25 Mar 2019

Cited by 38 | Viewed by 8619

Abstract

This study examines the mediating role of sleep duration and sleep onset difficulties in the association of school pressure, physical activity, and screen time with psychological symptoms in early adolescents. Data were retrieved from 49,403 children (13.7 ± 1.6 years old, 48.1% boys) [...] Read more.

This study examines the mediating role of sleep duration and sleep onset difficulties in the association of school pressure, physical activity, and screen time with psychological symptoms in early adolescents. Data were retrieved from 49,403 children (13.7 ± 1.6 years old, 48.1% boys) from 12 countries participating in the World Health Organization (WHO) “Health Behaviour in School-aged Children” 2013/2014 study. A validated self-report questionnaire assessed psychological symptoms (feeling low, irritability or bad temper, feeling nervous), school pressure, physical activity (number of days/week 60 min moderate-to-vigorous), screen time, sleep duration on week- and weekend days, and perceived difficulties in getting asleep. Multilevel mediation analyses were conducted. School pressure and screen time were positively associated with psychological symptoms, whereas physical activity was negatively associated. With the exception of sleep duration in the association between physical activity and psychological symptoms, all associations were significantly mediated by sleep duration on week- and weekend days and sleep onset difficulties. Percentages mediated ranged from 0.66% to 34.13%. This study partly explains how school pressure, physical activity, and screen time are related to adolescents’ psychological symptoms. Future interventions improving adolescents’ mental well-being could target schoolwork, physical activity, and screen time, as these behaviours are directly and indirectly (through sleep) related to psychological symptoms. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

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15 pages, 493 KiB

Open AccessArticle

Barriers from Multiple Perspectives Towards Physical Activity, Sedentary Behaviour, Physical Activity and Dietary Habits When Living in Low Socio-Economic Areas in Europe. The Feel4Diabetes Study

by Vicky Van Stappen, Julie Latomme, Greet Cardon, Ilse De Bourdeaudhuij, Mina Lateva, Nevena Chakarova, Jemina Kivelä, Jaana Lindström, Odysseas Androutsos, Esther González-Gil, Pilar De Miguel-Etayo, Anna Nánási, László R. Kolozsvári, Yannis Manios, Marieke De Craemer and On behalf of the Feel4Diabetes-Study Group

Int. J. Environ. Res. Public Health 2018, 15(12), 2840; https://doi.org/10.3390/ijerph15122840 - 13 Dec 2018

Cited by 12 | Viewed by 4980

Abstract

This study investigated barriers towards health behaviours (physical activity, limiting sedentary behaviour and healthy dietary habits) experienced by young European families living in vulnerable areas, from multiple perspectives (parents, teachers, local community workers). Focus groups were conducted in six European countries (Belgium, Bulgaria, [...] Read more.

This study investigated barriers towards health behaviours (physical activity, limiting sedentary behaviour and healthy dietary habits) experienced by young European families living in vulnerable areas, from multiple perspectives (parents, teachers, local community workers). Focus groups were conducted in six European countries (Belgium, Bulgaria, Finland, Hungary, Greece and Spain). In each country, three focus groups were conducted with parents, one with teachers and one with local community workers. Data were analysed using a deductive framework approach with a manifest content analysis using the software NVivo. The present study identified barriers on four levels (individual, interpersonal, organisational and macro level) of a socio-ecological model of health behaviour. From parents’ perspectives, both general barriers (e.g., financial limitations and lack of time) and country-specific barriers (e.g., organisational difficulties and inappropriate work environment) were identified. Additional barriers (e.g., lack of parental knowledge and lack of parental skills) were provided by other stakeholders (i.e., teachers and local community workers). The results of this study demonstrate the additional value of including multiple perspectives when developing a lifestyle intervention aiming to prevent type 2 diabetes in vulnerable groups. Future lifestyle interventions are recommended to include multiple components (family, school, and community) and could be implemented across European countries if country-specific adaptations are allowed. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

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18 pages, 1274 KiB

Open AccessFeature PaperArticle

The Association between Children’s and Parents’ Co-TV Viewing and Their Total Screen Time in Six European Countries: Cross-Sectional Data from the Feel4diabetes-Study

by Julie Latomme, Vicky Van Stappen, Greet Cardon, Philip J. Morgan, Mina Lateva, Nevena Chakarova, Jemina Kivelä, Jaana Lindström, Odysseas Androutsos, Esther M. González-Gil, Pilar De Miguel-Etayo, Anna Nánási, László R. Kolozsvári, Yannis Manios and Marieke De Craemer

Int. J. Environ. Res. Public Health 2018, 15(11), 2599; https://doi.org/10.3390/ijerph15112599 - 21 Nov 2018

Cited by 21 | Viewed by 6022

Abstract

In many European children, high levels of screen time can be found, which is associated with several adverse health outcomes. Therefore, there is a need for identifying effective intervention strategies that reduce screen time in children. A factor that may contribute to excessive [...] Read more.

In many European children, high levels of screen time can be found, which is associated with several adverse health outcomes. Therefore, there is a need for identifying effective intervention strategies that reduce screen time in children. A factor that may contribute to excessive screen time in children may be “co-TV viewing” (i.e., the time that parents and children spend on watching TV together), as parents often recognize the importance of limiting children’s (individual) screen time, but often encourage TV viewing as a family because of its perceived benefits (e.g., educational purposes). The primary aim of this study was to investigate the (sex-specific) association between co-TV viewing and both children’s and parents’ screen time, and these associations were investigated across and within six European countries. In total, 10,969 parents (Mean_age = 40.7 ± 5.3 years, Mean_BMI = 24.4 ± 4.6) of primary school children (Mean_age = 8.2 ± 1.0 years, 49.0% boys, Mean_BMI = 17.3 ± 2.8) completed a questionnaire assessing co-TV viewing and screen time. Multilevel regression analyses were conducted. Across countries, positive associations were found between co-TV viewing and both children’s (β = 11.85, SE = 3.69, p < 0.001) and parents’ screen time (β = 14.47, SE = 4.43, p = 0.001). Similar associations were found in most (but not all) countries. The results suggest that targeting co-TV viewing might be a promising intervention strategy because of its potential to limit screen time of both children and parents. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

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11 pages, 339 KiB

Open AccessArticle

Parenting Practices as a Mediator in the Association Between Family Socio-Economic Status and Screen-Time in Primary Schoolchildren: A Feel4Diabetes Study

by Sara De Lepeleere, Ilse De Bourdeaudhuij, Vicky Van Stappen, Nele Huys, Julie Latomme, Odysseas Androutsos, Yannis Manios, Greet Cardon and Maïté Verloigne

Int. J. Environ. Res. Public Health 2018, 15(11), 2553; https://doi.org/10.3390/ijerph15112553 - 14 Nov 2018

Cited by 7 | Viewed by 4108

Abstract

The aim of this study was to examine the mediating effects of specific parenting practices on the association between family socio-economic status (SES) and screen-time of 6- to 9-year-old children from families with an increased risk of developing type 2 diabetes. This cross-sectional [...] Read more.

The aim of this study was to examine the mediating effects of specific parenting practices on the association between family socio-economic status (SES) and screen-time of 6- to 9-year-old children from families with an increased risk of developing type 2 diabetes. This cross-sectional study, focusing on families with an increased risk of developing type 2 diabetes, used the Belgian baseline data of the Movie Models intervention, integrated within the European Feel4Diabetes intervention, and included 247 parents (57.6% lower SES family; 78.0% mothers) who completed a questionnaire. Mediating effects were tested using MacKinnon’s product-of-coefficients test via multilevel linear regression analyses. Being consistent concerning rules about gaming (β = 0.127; standard error = 0.055; 95% CI = 0.020; 0.234) and avoiding negative role modeling concerning TV-time (β = −0.082; standard error = 0.040; 95% CI = −0.161; −0.003) significantly mediated the inverse association between family SES and children’s screen-time. Parents from lower SES families were more consistent concerning rules about gaming and watched more TV nearby their child compared to parents from higher SES families, and these parenting practices were related to more screen-time. No other parenting practices were found to mediate this association. Thus, parents from lower SES families with a higher risk for developing type 2 diabetes might limit their own TV-time nearby their child to reduce their child’s screen-time. Future research should examine other possible mediating factors to develop effective interventions targeting this important at-risk group. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

14 pages, 601 KiB

Open AccessArticle

Comparisons in Screen-Time Behaviours among Adolescents with and without Long-Term Illnesses or Disabilities: Results from 2013/14 HBSC Study

by Kwok W. Ng, Lilly Augustine and Jo Inchley

Int. J. Environ. Res. Public Health 2018, 15(10), 2276; https://doi.org/10.3390/ijerph15102276 - 17 Oct 2018

Cited by 21 | Viewed by 5118

Abstract

Reducing sedentary behaviours can help prevent non-communicable diseases, particularly among young adolescents with long term illnesses or disabilities (LTID). Much of young people’s voluntary sedentary time is related to screen-time behaviours (STBs) such as TV viewing, playing computer games, and using the computer [...] Read more.

Reducing sedentary behaviours can help prevent non-communicable diseases, particularly among young adolescents with long term illnesses or disabilities (LTID). Much of young people’s voluntary sedentary time is related to screen-time behaviours (STBs) such as TV viewing, playing computer games, and using the computer for other activities. Although public health data on adolescents’ STB is growing, information about adolescents with LTID is currently lacking in a European context. The purpose of this study is to compare time on STBs between adolescents with and without LTID in European Countries through the HBSC 2013/14 study. Young adolescents (n = 61,329; boys 47.8%) from 15 European countries reported the time spent on TV viewing, playing computer games, and using the computer for other purposes on weekdays and the weekend. STBs were dichotomised based on international recommendations of less than 2 h per day, and Chi-square tests of independence were performed to investigate differences. STB time was combined to produce a sum score as dependent variable in multiple analysis of covariance with age and family affluence as covariates. There were statistically significant differences in computer gaming among boys and other computer use among girls for both weekdays and weekends, whereby adolescents with LTID reported higher use. In addition, both boys and girls with LTID spent more time on STBs than their same sex peers without LTID (Boys, F = 28.17, p < 0.001; Girls, F = 9.60, p = 0.002). The results of this study indicate a need for preventive strategies to address high levels of STB among young adolescents with LTID and reduce the risk of poor health outcomes associated with higher levels of sedentary behaviour. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

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12 pages, 652 KiB

Open AccessArticle

Differences in Context-Specific Sedentary Behaviors According to Weight Status in Adolescents, Adults and Seniors: A Compositional Data Analysis

by Sofie Compernolle, Delfien Van Dyck, Katrien De Cocker, Javier Palarea-Albaladejo, Ilse De Bourdeaudhuij, Greet Cardon and Sebastien F. M. Chastin

Int. J. Environ. Res. Public Health 2018, 15(9), 1916; https://doi.org/10.3390/ijerph15091916 - 03 Sep 2018

Cited by 7 | Viewed by 3829

Abstract

To develop effective sedentary behavior interventions aimed at people who are overweight/obese, detailed insight is needed into the contexts of sedentary behavior of these people. Therefore, the aims of this study were to describe the composition of sedentary behavior and to compare context-specific [...] Read more.

To develop effective sedentary behavior interventions aimed at people who are overweight/obese, detailed insight is needed into the contexts of sedentary behavior of these people. Therefore, the aims of this study were to describe the composition of sedentary behavior and to compare context-specific sedentary behaviors between different weight groups. Cross-sectional data were used from a study conducted in 2013–2014 among a Flemish sample of adolescents (n = 513), adults (n = 301), and seniors (n = 258). Sixteen context-specific sedentary behaviors were assessed using a validated questionnaire during the week and weekend. Compositional descriptive statistics were performed to determine the relative contribution of context-specific sedentary behaviors in the three age groups. Compositional multivariate analysis of covariance and pairwise comparisons were conducted to examine weight group differences in context-specific sedentary behaviors. The compositional means indicated that the highest proportion of sedentary time was spent at school, at work, and while watching television. Statistically significant differences were found in the composition of sedentary behaviors between healthy weight and overweight/obese participants. In all age groups, socially engaging sedentary behaviors were more prevalent in healthy weight people, whereas socially disengaging behaviors were more prevalent in overweight/obese people. Consequently, the findings of this study suggest that future overweight/obesity interventions should no longer focus on total sedentary time, as not all context-specific sedentary behaviors are associated with overweight/obesity. Instead, it might be better to target specific contexts of sedentary behaviors—preferably those less socially engaging—when aiming to reduce overweight/obesity. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

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11 pages, 1292 KiB

Open AccessArticle

Impact of Wearing Graduated Compression Stockings on Psychological and Physiological Responses during Prolonged Sitting

by Masahiro Horiuchi, Chieko Takiguchi, Yoko Kirihara and Yukari Horiuchi

Int. J. Environ. Res. Public Health 2018, 15(8), 1710; https://doi.org/10.3390/ijerph15081710 - 10 Aug 2018

Cited by 16 | Viewed by 5009

Abstract

We investigated the impact of wearing vs. not wearing graduated compression stockings on psychological and physiological responses in 18 healthy young people (12 men and six women) during 3 h prolonged sitting. Profiled of Mood States (POMS) scores did not show marked differences [...] Read more.

We investigated the impact of wearing vs. not wearing graduated compression stockings on psychological and physiological responses in 18 healthy young people (12 men and six women) during 3 h prolonged sitting. Profiled of Mood States (POMS) scores did not show marked differences between with and without stockings. A 3 h sit significantly decreased saliva cortisol in both conditions; with no differences between conditions. Wearing stockings suppressed a subjective uncomfortable sensation (e.g., pain; fatigue; swelling) in the lower limbs, as assessed by visual analogue scale (VAS). Increase in heart rate at 1 h and 3 h was significantly greater without than with stockings. In addition, high-frequency oscillations (HF: 0.15–0.4 Hz), used as an indicator of parasympathetic nerve activity, showed higher values with than without stockings throughout the 3 h sitting period—significantly higher at 1 h. When data for both conditions were pooled pre-to-post changes in saliva cortisol were positively associated with higher uncomfortable sensations of VAS in the lower limbs and negatively associated with changes in the Vigor subscale of POMS. Collectively, these findings suggest that wearing graduated compression stockings may benefit from subjective comfort and increased parasympathetic nerve activity. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

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10 pages, 300 KiB

Open AccessArticle

Does SuperPark Make Children Less Sedentary? How Visiting a Commercial Indoor Activity Park Affects 7 to 12 Years Old Children’s Daily Sitting and Physical Activity Time

by Arto J. Pesola, Martti Melin, Anssi Vanhala, Ying Gao and Taija Finni

Int. J. Environ. Res. Public Health 2018, 15(8), 1595; https://doi.org/10.3390/ijerph15081595 - 27 Jul 2018

Cited by 7 | Viewed by 5844

Abstract

Commercial indoor activity parks provide children with a variety of entertaining physical activities. This study examined whether visiting SuperPark affects total daily sitting and physical activity time. The participants (8 girls and 7 boys, aged 10.3 ± 1.9 years, height 144.5 ± 11.8 [...] Read more.

Commercial indoor activity parks provide children with a variety of entertaining physical activities. This study examined whether visiting SuperPark affects total daily sitting and physical activity time. The participants (8 girls and 7 boys, aged 10.3 ± 1.9 years, height 144.5 ± 11.8 cm, body mass index (BMI) 19.3 ± 3.0 kg/m²) wore a thigh-worn accelerometer during a normal week and were provided free tickets to visit SuperPark on at least one day. On average, the children spent 3.3 ± 1.2 h in SuperPark. During the visits the children had 0.9 h less sitting (0.7 ± 0.3 h, p = 0.000) and 0.9 h more moderate-to-vigorous physical activity (MVPA; 1.4 ± 0.6 h, p = 0.002) as compared to the reference periods on days without a SuperPark visit (1.6 ± 0.3 h sitting and 0.5 ± 0.4 h MVPA). During the days when visiting SuperPark, sitting time decreased 1.0 h (5.8 ± 0.9 h, p = 0.008) and MVPA increased 0.8 h (3.0 ± 1.0 h, p = 0.017) as compared to the reference days (6.8 ± 1.1 h sitting and 2.2 ± 0.8 h MVPA). The effects were more pronounced during weekdays than weekends. The children spent more than three hours in SuperPark on one visit, of which almost a half was MVPA. During the whole day, one hour of sitting was replaced with MVPA, suggesting that visiting SuperPark has the potential to improve health. Whether children continue visiting SuperPark and gain health benefits merits investigation. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

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10 pages, 651 KiB

Open AccessArticle

Reallocating Time from Sedentary Behavior to Light and Moderate-to-Vigorous Physical Activity: What Has a Stronger Association with Adiposity in Older Adult Women?

by Jana Pelclová, Nikola Štefelová, Jana Hodonská, Jan Dygrýn, Aleš Gába and Izabela Zając-Gawlak

Int. J. Environ. Res. Public Health 2018, 15(7), 1444; https://doi.org/10.3390/ijerph15071444 - 09 Jul 2018

Cited by 19 | Viewed by 4435

Abstract

This study is the first to use compositional data analysis to investigate movement behaviors of elderly women and their relationships with fat mass percentage (FM%). The focus of the study is on the associations of time reallocations from sedentary behavior (SB) to light [...] Read more.

This study is the first to use compositional data analysis to investigate movement behaviors of elderly women and their relationships with fat mass percentage (FM%). The focus of the study is on the associations of time reallocations from sedentary behavior (SB) to light physical activity (LIPA) or moderate-to-vigorous physical activity (MVPA) with adiposity. Over 400 older adult women were recruited as part of the cross-sectionally conducted measurements of older adults aged 60+ in Central European countries. An accelerometer was used to assess daily movement behaviors. Body mass index (BMI) and fat mass percentage (FM%) were assessed as adiposity indicators using InBody 720 MFBIA. Using LS-regression, we found positive relationships of BMI and FM% with SB (relative to remaining movement behaviors) (p < 0.001 for both), while their relationship with MVPA (relative to remaining movement behaviors) were negative (p < 0.001 for both). The estimated BMI and FM% associated with a 30-min SB-to-MVPA reallocation were reduced by 1.5 kg/m² and 2.2 percentage points, respectively, whereas they were not reduced significantly with the reallocation of 30 min from SB to LIPA. The findings highlight that SB and MVPA, but not LIPA, are significantly associated with adiposity in elderly women. The reallocation of time from SB to MVPA could be advocated in weight loss interventions in older women. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

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6 pages, 824 KiB

Open AccessFeature PaperCommunication

Data on Determinants Are Needed to Curb the Sedentary Epidemic in Europe. Lessons Learnt from the DEDIPAC European Knowledge Hub

by Marieke De Craemer, Sebastien Chastin, Wolfgang Ahrens, Claire Bernaards, Johannes Brug, Christoph Buck, Greet Cardon, Laura Capranica, Patricia Dargent-Molina, Sara De Lepeleere, Belinda Hoffmann, Aileen Kennedy, Jeroen Lakerveld, Nanna Lien, Fiona Ling, Anne Loyen, Ciaran MacDonncha, Julie-Anne Nazare, Grainne O’Donoghue, Donal O’Gorman, Camille Perchoux, Iris Pigeot, Chantal Simon, Annabel S. Mueller-Stierlin, Hidde Van der Ploeg, Jelle Van Cauwenberg and Jean-Michel Oppert Show full author list Hide full author list

Int. J. Environ. Res. Public Health 2018, 15(7), 1406; https://doi.org/10.3390/ijerph15071406 - 04 Jul 2018

Cited by 9 | Viewed by 5855

Abstract

Societal and technological changes have resulted in sitting being the dominant posture during most activities of daily living, such as learning, working, travelling and leisure time. Too much time spent in seated activities, referred to as sedentary behaviour, is a novel concern for [...] Read more.

Societal and technological changes have resulted in sitting being the dominant posture during most activities of daily living, such as learning, working, travelling and leisure time. Too much time spent in seated activities, referred to as sedentary behaviour, is a novel concern for public health as it is one of the key lifestyle causes of poor health. The European DEDIPAC (Determinants of Diet and Physical Activity) Knowledge Hub coordinated the work of 35 institutions across 12 European member states to investigate the determinants of sedentary behaviour. DEDIPAC reviewed current evidence, set a theoretical framework and harmonised the available epidemiological data. The main results are summarised. The conclusion is that there is a dire lack of data that is exploitable across Europe to inform policy and intervention. There is an urgent need to develop international data collection compliant with FAIR (Findable, Accessible, Interoperable, Re-usable) and standardised surveillance systems for sedentary behaviour. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

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11 pages, 325 KiB

Open AccessArticle

Activating Childcare Environments for All Children: the Importance of Children’s Individual Needs

by Jessica S. Gubbels, Dave H. H. Van Kann, Greet Cardon and Stef P. J. Kremers

Int. J. Environ. Res. Public Health 2018, 15(7), 1400; https://doi.org/10.3390/ijerph15071400 - 03 Jul 2018

Cited by 19 | Viewed by 6490

Abstract

Characteristics of the physical childcare environment are associated with children’s sedentary behavior (SB) and physical activity (PA) levels. This study examines whether these associations are moderated by child characteristics. A total of 152 1- to 3-year-old children from 22 Dutch childcare centers participated [...] Read more.

Characteristics of the physical childcare environment are associated with children’s sedentary behavior (SB) and physical activity (PA) levels. This study examines whether these associations are moderated by child characteristics. A total of 152 1- to 3-year-old children from 22 Dutch childcare centers participated in the study. Trained research assistants observed the physical childcare environment, using the Environment and Policy Assessment Observation (EPAO) protocol. Child characteristics (age, gender, temperament and weight status) were assessed using parental questionnaires. Child SB and PA was assessed using Actigraph GT3X+ accelerometers. Linear regression analyses including interaction terms were used to examine moderation of associations between the childcare environment and child SB and PA. Natural elements and portable outdoor equipment were associated with less SB and more PA. In addition, older children, boys and heavier children were less sedentary and more active, while more use of childcare and an anxious temperament were associated with more SB. There were various interactions between environmental factors and child characteristics. Specific physical elements (e.g., natural elements) were especially beneficial for vulnerable children (i.e., anxious, overactive, depressive/withdrawn, overweight). The current study shows the importance of the physical childcare environment in lowering SB and promoting PA in very young children in general, and vulnerable children specifically. Moderation by child characteristics shows the urgency of shaping childcare centers that promote PA in all children, increasing equity in PA promotion in childcare. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

10 pages, 1349 KiB

Open AccessArticle

Time Spent in Sedentary Behaviour as Discriminant Criterion for Frailty in Older Adults

by Venicius Dantas Da Silva, Sheilla Tribess, Joilson Meneguci, Jeffer Eidi Sasaki, Douglas De Assis Teles Santos, José Ailton Oliveira Carneiro and Jair Sindra Virtuoso Júnior

Int. J. Environ. Res. Public Health 2018, 15(7), 1336; https://doi.org/10.3390/ijerph15071336 - 26 Jun 2018

Cited by 26 | Viewed by 4907

Abstract

This paper aims to analyse whether time spent in sedentary behaviour was a discriminant criterion for frailty in older adults. This was a cross-sectional study conducted in a sample of 457 elderly individuals aged ≥60 years. Frailty was defined as the presence of [...] Read more.

This paper aims to analyse whether time spent in sedentary behaviour was a discriminant criterion for frailty in older adults. This was a cross-sectional study conducted in a sample of 457 elderly individuals aged ≥60 years. Frailty was defined as the presence of three or more of the following criteria: Unintentional weight loss, low walking speed at a 4.57 m course, reduced manual grip strength, exhaustion and insufficient physical activity level. Participants were classified into two groups: Non-frail or frail. Exposure to sedentary behaviour was assessed by the time spent sitting during a typical week, according to the adapted version of the International Physical Activity Questionnaire. Descriptive (mean, frequency) and inferential statistics (Poisson regression, Pearson’s Chi-square, Receiver Operating Characteristic Curve) were used to analyse the data, comparing them to the time-related areas exposed to sedentary behaviour by gender and the presence of fragility. The prevalence of frailty was 22.1% (n = 101). The most accurate cut-off points of sitting time for predicting frailty were >495 min/day (men) or >536 min/day (women). Time spent in sedentary behaviour can be used to indicate fragility in the elderly of both sexes. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

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15 pages, 1248 KiB

Open AccessArticle

A US/Mexico Study of Joint Associations of Physical Activity and Sedentary Behavior on Anthropometric Indicators, Migration Status, Country of Birth and Country of Residence

by Katia Gallegos-Carrillo, Britni R. Belcher, Genevieve F. Dunton, Jonathan M. Samet and Lourdes Baezconde-Garbanati

Int. J. Environ. Res. Public Health 2018, 15(6), 1283; https://doi.org/10.3390/ijerph15061283 - 17 Jun 2018

Cited by 1 | Viewed by 4740

Abstract

Background: This study examined the influence of migration status, nativity and country of residence on joint associations of physical activity (PA) and sedentary behavior (SB) in anthropometric indicators of Mexicans and Mexican-Americans living in the US and in Mexico. Methods: We examined data [...] Read more.

Background: This study examined the influence of migration status, nativity and country of residence on joint associations of physical activity (PA) and sedentary behavior (SB) in anthropometric indicators of Mexicans and Mexican-Americans living in the US and in Mexico. Methods: We examined data from two large national surveys, the National Health and Nutrition Examination Survey from the US (NHANES, 2011–2012) and Mexico (ENSANUT, 2012). Using self-reported minutes of moderate to vigorous physical activity and SB, we calculated four categories for analyses. Anthropometric measures consisted of body mass index (BMI) and waist circumference (WC). We used data of migration status, nativity and country of residence. Linear regression models examined how joint categories of PA and SB were associated with BMI and WC according to migration status, nativity and country of residence, controlling for health risk behaviors. Results: Analyses showed that even among those in the category with the lowest risk behavior, “physically active and low sedentary”, there were differences in BMI and WC by migration status, nativity and country of residence. Within this lower risk category, Mexican immigrants living in the US had the greatest association with high BMI, while US-born Mexican-Americans living in the US had the highest WC values when compared with the group of Mexicans living in Mexico. Conclusions: Joint categories of PA and SB were associated with BMI and WC by migration status, nativity and country of residence among populations with Mexican ethnicity. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

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12 pages, 599 KiB

Open AccessArticle

Screen Time, Physical Activity and Self-Esteem in Children: The Ulm Birth Cohort Study

by Stefanie Braig, Jon Genuneit, Viola Walter, Stephanie Brandt, Martin Wabitsch, Lutz Goldbeck, Hermann Brenner and Dietrich Rothenbacher

Int. J. Environ. Res. Public Health 2018, 15(6), 1275; https://doi.org/10.3390/ijerph15061275 - 16 Jun 2018

Cited by 29 | Viewed by 10440

Abstract

Screen time is a central activity of children’s daily life and jeopardizes mental health. However, results appear inconclusive and are often based on small cross-sectional studies. We aimed to investigate the temporal sequence of the association between screen time and self-esteem taking into [...] Read more.

Screen time is a central activity of children’s daily life and jeopardizes mental health. However, results appear inconclusive and are often based on small cross-sectional studies. We aimed to investigate the temporal sequence of the association between screen time and self-esteem taking into account further indirect effects through family or friendship relationship. In our population-based birth cohort study (baseline November 2000–November 2001, Ulm, Germany), these relationships were explored in n = 519 11- and 13-year-old children and their parents who both provided information on children’s screen time: time spent watching television or videos (TV), time spent on computers, video game consoles, mobile devices, or cell phones; so called “other screen time”, and children’s self-esteem (KINDL-R). Time watching TV (self-reported) at age 11 was negatively associated with girls’ self-esteem at the same age but positively with an increase of self-esteem between age 11 and 13. However, the latter association was restricted to low to moderate TV viewers. In boys, a higher increase of other screen time between age 11 and age 13 was associated with lower self-reported self-esteem at age 13. Additionally, friendship relationship mediated the association between watching TV and self-esteem in girls. For parental reports similar associations were observed. These findings indicate that time sequence and potential mediators need further investigation in cohort studies with multiple assessments of screen time and self-esteem. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

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11 pages, 765 KiB

Open AccessCommunication

From Evidence-Based Research to Practice-Based Evidence: Disseminating a Web-Based Computer-Tailored Workplace Sitting Intervention through a Health Promotion Organisation

by Katrien De Cocker, Greet Cardon, Jason A. Bennie, Tracy Kolbe-Alexander, Femke De Meester and Corneel Vandelanotte

Int. J. Environ. Res. Public Health 2018, 15(5), 1049; https://doi.org/10.3390/ijerph15051049 - 22 May 2018

Cited by 5 | Viewed by 4885

Abstract

Prolonged sitting has been linked to adverse health outcomes; therefore, we developed and examined a web-based, computer-tailored workplace sitting intervention. As we had previously shown good effectiveness, the next stage was to conduct a dissemination study. This study reports on the dissemination efforts [...] Read more.

Prolonged sitting has been linked to adverse health outcomes; therefore, we developed and examined a web-based, computer-tailored workplace sitting intervention. As we had previously shown good effectiveness, the next stage was to conduct a dissemination study. This study reports on the dissemination efforts of a health promotion organisation, associated costs, reach achieved, and attributes of the website users. The organisation systematically registered all the time and resources invested to promote the intervention. Website usage statistics (reach) and descriptive statistics (website users’ attributes) were also assessed. Online strategies (promotion on their homepage; sending e-mails, newsletters, Twitter, Facebook and LinkedIn posts to professional partners) were the main dissemination methods. The total time investment was 25.6 h, which cost approximately 845 EUR in salaries. After sixteen months, 1599 adults had visited the website and 1500 (93.8%) completed the survey to receive personalized sitting advice. This sample was 38.3 ± 11.0 years, mainly female (76.9%), college/university educated (89.0%), highly sedentary (88.5% sat >8 h/day) and intending to change (93.0%) their sitting. Given the small time and money investment, these outcomes are positive and indicate the potential for wide-scale dissemination. However, more efforts are needed to reach men, non-college/university educated employees, and those not intending behavioural change. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

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22 pages, 350 KiB

Open AccessArticle

Do Young People Ever Sit Still? Variations in Accelerometer Counts, Muscle Activity and Heart Rate across Various Sedentary Activities in Youth

by Evi Van Ekris, Mai J. M. Chinapaw, Joost Rotteveel and Teatske M. Altenburg

Int. J. Environ. Res. Public Health 2018, 15(5), 1009; https://doi.org/10.3390/ijerph15051009 - 17 May 2018

Cited by 2 | Viewed by 3850

Abstract

Evidence of adverse health effects of TV viewing is stronger than for overall sedentary behaviour in youth. One explanation may be that TV viewing involves less body movement than other sedentary activities. Variations in body movement across sedentary activities are currently unknown, as [...] Read more.

Evidence of adverse health effects of TV viewing is stronger than for overall sedentary behaviour in youth. One explanation may be that TV viewing involves less body movement than other sedentary activities. Variations in body movement across sedentary activities are currently unknown, as are age differences in such variations. This study examined body movement differences across various sedentary activities in children and adolescents, assessed by hip-, thigh- and wrist-worn accelerometers, muscle activity and heart rate. Body movement differences between sedentary activities and standing were also examined. Fifty-three children (aged 10–12 years) and 37 adolescents (aged 16–18 years) performed seven different sedentary activities, a standing activity, and a dancing activity (as a control activity) in a controlled setting. Each activity lasted 10 minutes. Participants wore an Actigraph on their hip and both wrists, an activPAL on their thigh and a heart rate monitor. The muscle activity of weight-bearing leg muscles was measured in a subgroup (n = 38) by surface electromyography. Variations in body movement across activities were examined using general estimation equations analysis. Children showed significantly more body movement during sedentary activities and standing than adolescents. In both age groups, screen-based sedentary activities involved less body movement than non-screen-based sedentary activities. This may explain the stronger evidence for detrimental health effects of TV viewing while evidence for child sedentary behaviour in general is inconsistent. Differences in body movement during standing and sedentary activities were relatively small. Future research should examine the potential health effects of differences in body movement between screen-based versus non-screen based and standing versus sedentary activities. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

16 pages, 603 KiB

Open AccessArticle

The Impact of Activity Based Working (ABW) on Workplace Activity, Eating Behaviours, Productivity, and Satisfaction

by Lauren Arundell, Bronwyn Sudholz, Megan Teychenne, Jo Salmon, Brooke Hayward, Genevieve N. Healy and Anna Timperio

Int. J. Environ. Res. Public Health 2018, 15(5), 1005; https://doi.org/10.3390/ijerph15051005 - 17 May 2018

Cited by 51 | Viewed by 12705

Abstract

The redesign of the physical workplace according to activity-based working (ABW) principles has potential to influence employee health and workplace outcomes. This natural experiment examined changes in accelerometer-derived workplace activity, self-reported eating behaviours, productivity, workplace satisfaction before (March to November 2014) and six [...] Read more.

The redesign of the physical workplace according to activity-based working (ABW) principles has potential to influence employee health and workplace outcomes. This natural experiment examined changes in accelerometer-derived workplace activity, self-reported eating behaviours, productivity, workplace satisfaction before (March to November 2014) and six to nine months after moving to an ABW workplace compared to a comparison workplace (n = 146 at baseline (56% ABW, aged 40.1 ± 8.5 years, 72% female). Interviews were also conducted with 21 ABW participants. Between- and within-group differences were examined and mixed model analysis examined intervention effects over time. Effect sizes were calculated on change scores (Cohen’s d). Although not statistically significant, ABW participants had meaningful improvements in workday sedentary time, light-, and moderate-to-vigorous intensity physical activity, job satisfaction and relationship with co-workers (d = 0.379–0.577), and small declines in productivity (d = 0.278). There were significant, meaningful, and beneficial intervention effects on perceived organisational support for being active in the workplace, frequency of eating lunch with colleagues, and satisfaction with the physical environment in ABW compared to comparison participants (d = 0.501–0.839). Qualitative data suggested that ABW employees associated ABW with greater opportunities for movement and collaboration, but had mixed views on the impact on productivity. Future research with larger samples and over longer follow-up periods is warranted. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

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11 pages, 2986 KiB

Open AccessFeature PaperArticle

Experiences and Opinions of Adults with Type 2 Diabetes Regarding a Self-Regulation-Based eHealth Intervention Targeting Physical Activity and Sedentary Behaviour

by Louise Poppe, Geert Crombez, Ilse De Bourdeaudhuij, Celien Van der Mispel, Samyah Shadid and Maïté Verloigne

Int. J. Environ. Res. Public Health 2018, 15(5), 954; https://doi.org/10.3390/ijerph15050954 - 10 May 2018

Cited by 12 | Viewed by 5438

Abstract

Background: Online interventions targeting a healthy lifestyle in adults with type 2 diabetes are more effective when informed by behaviour change theories. Although these theories provide guidance in developing the content of an intervention, information regarding how to present this content in an [...] Read more.

Background: Online interventions targeting a healthy lifestyle in adults with type 2 diabetes are more effective when informed by behaviour change theories. Although these theories provide guidance in developing the content of an intervention, information regarding how to present this content in an engaging way is often lacking. Consequently, incorporating users’ views in the creation of eHealth interventions has become an important target. Methods: Via a qualitative interview study with 21 adults with type 2 diabetes who had completed an online self-regulation-based intervention (‘MyPlan 2.0’), we assessed participants’ opinions regarding the usefulness of the implemented self-regulation techniques, the design of the programme as well as their knowledge regarding physical activity and sedentary behaviour. A directed content analysis was performed to synthesize the interview data. Results: Participants experienced difficulties completing the coping planning component. The simple design of the website was considered helpful, and most participants were aware of the beneficial effects of an active lifestyle. Conclusions: ‘MyPlan 2.0’ was well-accepted by the majority of participants. However, the coping planning component will need to be adapted. Based on these findings, recommendations on how to tailor eHealth interventions to the population of adults with type 2 diabetes have been formulated. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

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16 pages, 1348 KiB

Open AccessArticle

Sedentary Behaviour in Swiss Children and Adolescents: Disentangling Associations with the Perceived and Objectively Measured Environment

by Bettina Bringolf-Isler, Kees De Hoogh, Christian Schindler, Bengt Kayser, L. Suzanne Suggs, Alain Dössegger, Nicole Probst-Hensch and The SOPHYA Study Group

Int. J. Environ. Res. Public Health 2018, 15(5), 918; https://doi.org/10.3390/ijerph15050918 - 04 May 2018

Cited by 11 | Viewed by 5603

Abstract

Identifying correlates of sedentary behaviour across all levels of the ecological model and understanding their interrelations is a promising method to plan effective interventions. The present study examined whether the objectively assessed and the perceived neighbourhood are associated with children’s sedentary behaviour time [...] Read more.

Identifying correlates of sedentary behaviour across all levels of the ecological model and understanding their interrelations is a promising method to plan effective interventions. The present study examined whether the objectively assessed and the perceived neighbourhood are associated with children’s sedentary behaviour time (SBT). A comprehensive set of factors at different levels of influence across the ecological model were taken into account and analysed for mediating and modifying effects. Analyses were based on 1306 children and adolescents (6–16 years) participating in the population-based SOPHYA-study. Accelerometers were used to assess SBT, the perceived environment was examined by a validated parental questionnaire, and objective environmental data were allocated using GIS (ArcMap 10.2, Esri, Redlands, CA, USA) for each family’s residential address. A high perceived safety was associated with less SBT. Boys, those whose residential neighbourhood was characterized by dead ends in urban areas, a low main street density in the neighbourhood of children and greenness were less likely to exhibit SBT. The association of the objective environment with the respective parental perceptions was low and no significant mediating effect was found for the perceived environment. We conclude for land-use planning to reduce sedentary behaviour objective environments should be complemented with efforts to increase parental sense of security. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

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8 pages, 456 KiB

Open AccessArticle

Common Perceived Barriers and Facilitators for Reducing Sedentary Behaviour among Office Workers

by Carla F. J. Nooijen, Lena V. Kallings, Victoria Blom, Örjan Ekblom, Yvonne Forsell and Maria M. Ekblom

Int. J. Environ. Res. Public Health 2018, 15(4), 792; https://doi.org/10.3390/ijerph15040792 - 18 Apr 2018

Cited by 40 | Viewed by 10960

Abstract

Qualitative studies identified barriers and facilitators associated with work-related sedentary behaviour. The objective of this study was to determine common perceived barriers and facilitators among office workers, assess subgroup differences, and describe sedentary behaviour. From two Swedish companies, 547 office workers (41 years [...] Read more.

Qualitative studies identified barriers and facilitators associated with work-related sedentary behaviour. The objective of this study was to determine common perceived barriers and facilitators among office workers, assess subgroup differences, and describe sedentary behaviour. From two Swedish companies, 547 office workers (41 years (IQR = 35–48), 65% women, 66% highly educated) completed questionnaires on perceived barriers and facilitators, for which subgroup differences in age, gender, education, and workplace sedentary behaviour were assessed. Sedentary behaviour was measured using inclinometers (n = 311). The most frequently reported barrier was sitting is a habit (67%), which was reported more among women than men (Χ² = 5.14, p = 0.03) and more among highly sedentary office workers (Χ² = 9.26, p < 0.01). The two other most reported barriers were that standing is uncomfortable (29%) and standing is tiring (24%). Facilitators with the most support were the introduction of either standing- or walking-meetings (respectively 33% and 29%) and more possibilities or reminders for breaks (31%). The proportion spent sedentary was 64% at the workplace, 61% on working days, and 57% on non-working days. This study provides a detailed understanding of office workers’ ideas about sitting and means to reduce sitting. We advise to include the supported facilitators and individualized support in interventions to work towards more effective strategies to reduce sedentary behaviour. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

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13 pages, 3554 KiB

Open AccessArticle

Domain-Specific Adult Sedentary Behaviour Questionnaire (ASBQ) and the GPAQ Single-Item Question: A Reliability and Validity Study in an Asian Population

by Anne H. Y. Chu, Sheryl H. X. Ng, David Koh and Falk Müller-Riemenschneider

Int. J. Environ. Res. Public Health 2018, 15(4), 739; https://doi.org/10.3390/ijerph15040739 - 12 Apr 2018

Cited by 33 | Viewed by 6419

Abstract

This study examined the validity and reliability of a domain-specific Adult Sedentary Behaviour Questionnaire (ASBQ) and the Global Physical Activity Questionnaire (GPAQ) single-item sitting question using self- and interviewer-administered modes of administration against the triaxial ActiGraph wGT3X-BT accelerometer. The ASBQ and the GPAQ [...] Read more.

This study examined the validity and reliability of a domain-specific Adult Sedentary Behaviour Questionnaire (ASBQ) and the Global Physical Activity Questionnaire (GPAQ) single-item sitting question using self- and interviewer-administered modes of administration against the triaxial ActiGraph wGT3X-BT accelerometer. The ASBQ and the GPAQ were administered twice, seven days apart. Participants were asked to put on the waist-worn accelerometer for seven days. Convergent validity was assessed using Spearman’s rho, mean absolute error (MAE), and Bland-Altman analysis (n = 78). Reliability was assessed using the Spearman’s rho and intraclass correlation coefficient (ICC) (n = 84). Participants were adults aged 20–65 years and identifying as Chinese, Malay, or Indian. Only the self-administered GPAQ was significantly correlated with accelerometry-based measures (rho: 0.46), but not the interviewer-administered version (rho: 0.12). MAE for GPAQ was 207.5–218.3 min/day in relation to the accelerometer and for ASBQ was 154.7–174.6 min/day. Bland-Altman plots demonstrated large limits of agreement between questionnaire and accelerometry-based measures. While the self-administered GPAQ demonstrated a moderate correlation with accelerometry, the mean bias and the limits of agreement were large. The GPAQ (rho: 0.68–0.79; ICC: 0.68–0.78) and the ASBQ (rho: 0.53–0.64; ICC: 0.66–0.74) showed moderate-to-good reliability for total sedentary time using either self- or interviewer-administration. Future research should incorporate accelerometers to generate useful sedentary behaviour measures. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

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Review

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15 pages, 323 KiB

Open AccessReview

Sedentary Behaviour in Hospitalised Older People: A Scoping Review

by Unyime Jasper, Lalit Yadav, Joanne Dollard, Agathe Daria Jadczak, Solomon Yu and Renuka Visvanathan

Int. J. Environ. Res. Public Health 2020, 17(24), 9359; https://doi.org/10.3390/ijerph17249359 - 14 Dec 2020

Cited by 8 | Viewed by 2622

Abstract

Background: Sedentary behaviour (SB) can delay hospitalised older adults’ recovery from acute illness and injuries. Currently, there is no synthesis of evidence on SB among hospitalised older people. This scoping review aimed to identify and map existing literature on key aspects of SB [...] Read more.

Background: Sedentary behaviour (SB) can delay hospitalised older adults’ recovery from acute illness and injuries. Currently, there is no synthesis of evidence on SB among hospitalised older people. This scoping review aimed to identify and map existing literature on key aspects of SB among hospitalised older adults, including the prevalence, measurement and intervention strategies for SB and sedentary behaviour bouts (SBBs) as well as healthcare professionals, patients and carers’ perspectives on interventions. Methods and analysis: Several electronic databases were searched between January 2001 and September 2020. The Joanna Briggs Institute (JBI) framework was used to conduct this scoping review. Results: Out of 1824 articles, 21 were included comprising 16 observational studies, 3 randomised controlled trials, 1 comparative study, and 1 phase-1 dose-response study. The sample size ranged from 13 to 393, with all 1435 participants community-dwelling before hospitalisation. Only two studies focused on measuring SB and SBBs as a primary outcome, with others (n = 19) reporting SB and SBB as a sub-set of physical activity (PA). Older adults spent an average of 86.5%/day (20.8 h) sedentary. Most studies (n = 15 out of 21) measured SB and SBB using objective tools. Conclusion: Hospitalised older people spent most of their waking hours sedentary. Studies explicitly focused on SB and SBB are lacking, and the perspectives of patients, carers and healthcare professionals are not clarified. Future hospital-based studies should focus on interventions to reduce SB and SBB, and the perspectives of healthcare professionals, patients and carers’ taken into account. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

Other

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20 pages, 918 KiB

Open AccessCommentary

Controversies in the Science of Sedentary Behaviour and Health: Insights, Perspectives and Future Directions from the 2018 Queensland Sedentary Behaviour Think Tank

by Stuart J.H. Biddle, Jason A. Bennie, Katrien De Cocker, David Dunstan, Paul A. Gardiner, Genevieve N. Healy, Brigid Lynch, Neville Owen, Charlotte Brakenridge, Wendy Brown, Matthew Buman, Bronwyn Clark, Ing-Mari Dohrn, Mitch Duncan, Nicholas Gilson, Tracy Kolbe-Alexander, Toby Pavey, Natasha Reid, Corneel Vandelanotte, Ineke Vergeer and Grace E. Vincent Show full author list Hide full author list

Int. J. Environ. Res. Public Health 2019, 16(23), 4762; https://doi.org/10.3390/ijerph16234762 - 27 Nov 2019

Cited by 25 | Viewed by 7033

Abstract

The development in research concerning sedentary behaviour has been rapid over the past two decades. This has led to the development of evidence and views that have become more advanced, diverse and, possibly, contentious. These include the effects of standing, the breaking up [...] Read more.

The development in research concerning sedentary behaviour has been rapid over the past two decades. This has led to the development of evidence and views that have become more advanced, diverse and, possibly, contentious. These include the effects of standing, the breaking up of prolonged sitting and the role of moderate-to-vigorous physical activity (MVPA) in the association between sedentary behaviour and health outcomes. The present aim is to report the views of experts (n = 21) brought together (one-day face-to-face meeting in 2018) to consider these issues and provide conclusions and recommendations for future work. Each topic was reviewed and presented by one expert followed by full group discussion, which was recorded, transcribed and analysed. The experts concluded that (a). standing may bring benefits that accrue from postural shifts. Prolonged (mainly static) standing and prolonged sitting are both bad for health; (b). ‘the best posture is the next posture’. Regularly breaking up of sitting with postural shifts and movement is vital; (c). health effects of prolonged sitting are evident even after controlling for MVPA, but high levels of MVPA can attenuate the deleterious effects of prolonged sitting depending on the health outcome of interest. Expert discussion addressed measurement, messaging and future directions. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

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8 pages, 302 KiB

Open AccessBrief Report

Sedentary Behaviour and Hair Cortisol Amongst Women Living in Socioeconomically Disadvantaged Neighbourhoods: A Cross-Sectional Study

by Megan Teychenne, Dana Lee Olstad, Anne I. Turner, Sarah A. Costigan and Kylie Ball

Int. J. Environ. Res. Public Health 2018, 15(4), 586; https://doi.org/10.3390/ijerph15040586 - 25 Mar 2018

Cited by 8 | Viewed by 4477

Abstract

Women living in socioeconomically disadvantaged neighbourhoods are at heightened risk of experiencing psychological stress. Therefore, identifying potential risk factors for stress is important to support positive mental health. A growing body of research has linked sedentary behaviour with mental ill-health (e.g., depression and [...] Read more.

Women living in socioeconomically disadvantaged neighbourhoods are at heightened risk of experiencing psychological stress. Therefore, identifying potential risk factors for stress is important to support positive mental health. A growing body of research has linked sedentary behaviour with mental ill-health (e.g., depression and anxiety); however, little research has specifically investigated potential linkages between sedentary behaviour and stress. Therefore, the aim of this study was to investigate the association between common types of sedentary behaviour and objectively-measured stress (as measured by hair cortisol levels) amongst women living in socioeconomically disadvantaged neighbourhoods. During 2012–2013, 72 women (aged 18–46 years) living in socioeconomically disadvantaged neighbourhoods self-reported sedentary behaviour (TV viewing, computer use, overall sitting time) and provided hair samples. Hair cortisol levels were measured using enzyme-linked immunosorbent assay. Linear regression models examined cross-sectional associations between sedentary behaviour and hair cortisol levels. There was no association between any type of sedentary behaviour (TV viewing, computer use, or overall sitting time) and hair cortisol levels in either crude or adjusted models. Sedentary behaviour may not be linked to hair cortisol level (stress) in women living in socioeconomically disadvantaged neighbourhoods. Further studies utilising objective measures of both sedentary behaviour and stress are required to confirm these findings. Full article

(This article belongs to the Special Issue Sedentary Behaviour and Health)

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