المؤلفون: Beatriz Rodriguez Roca, Mark A. Tully, Oriol Sansano-Nadal, Paolo Caserotti, Laura Coll-Planas, Marta Roqué, Jan Brønd, Nicole E. Blackburn, Jason J. Wilson, Dietrich Rothenbacher, Emma McIntosh, Manuela Deidda, Elena Andrade-Gómez, Maria Giné-Garriga

المصدر: Frontiers in Public Health, Vol 11 (2023)

مصطلحات موضوعية: older adults, sedentary behavior, education level, mentally active sedentary behavior, mentally passive sedentary behavior older adult, sedentary, Public aspects of medicine, RA1-1270

الوصف: BackgroundSedentary behavior (SB) is a determinant of health in older adult people. Educational level is a primary driver of health disparities and is demonstrated to be a reliable measure of socioeconomic position. We aimed to examine the associations between educational level and self-reported along with device-measured SB in older adults living in Europe and the association of mentally active and passive SB domains with the educational level and gender in these associations.MethodsThe design is cross-sectional. One thousand three hundred and sixty participants aged 65 and over (75.3±6.3 years old, 61.8% women) participated. Inclusion criteria were scored with the Short Physical Performance Battery. Variables that describe the sample were assessed with an interview, and device-measured SB was assessed with an accelerometer. SB was assessed with the Sedentary Behavior Questionnaire and an accelerometer. Multiple linear regression models were used to study the association between the level of education and SB.ResultsParticipants self-reported an average of 7.82 (SD: 3.02) daily waking hours of SB during weekend days, and the average of device-measured SB was 11.39 (1.23) h. Total mentally active SB (weekdays and weekends) was associated with the education level (p < 0.000). Participants were more sedentary during the week than during weekends, regardless of level of education (p < 0.000). Education level was significantly associated with self-reported mean hours per day in 46SB (p = 0.000; R=0.026; 95%CI).ConclusionLow education level in older adults is associated with self-reported SB but not with objective SB measures.

وصف الملف: electronic resource

Relation: https://www.frontiersin.org/articles/10.3389/fpubh.2023.1296821/full; https://doaj.org/toc/2296-2565

URL الوصول: https://doaj.org/article/d29dde91a489412789734f27d3d51162

المؤلفون: Nicole E. Blackburn, Jason J. Wilson, Ilona I. McMullan, Paolo Caserotti, Maria Giné-Garriga, Katharina Wirth, Laura Coll-Planas, Sergi Blancafort Alias, Marta Roqué, Manuela Deidda, Andrew T. Kunzmann, Dhayana Dallmeier, Mark A. Tully

المصدر: International Journal of Behavioral Nutrition and Physical Activity, Vol 17, Iss 1, Pp 1-18 (2020)

مصطلحات موضوعية: Sedentary behaviour, Systematic review, Meta-analysis, Complex interventions, Children, Adults, Nutritional diseases. Deficiency diseases, RC620-627, Public aspects of medicine, RA1-1270

الوصف: Abstract Background Evidence suggests that sedentary behaviour (SB) is associated with poor health outcomes. SB at any age may have significant consequences for health and well-being and interventions targeting SB are accumulating. Therefore, the need to review the effects of multicomponent, complex interventions that incorporate effective strategies to reduce SB are essential. Methods A systematic review and meta-analysis were conducted investigating the impact of interventions targeting SB across the lifespan. Six databases were searched and two review authors independently screened studies for eligibility, completed data extraction and assessed the risk of bias and complexity of each of the included studies. Results A total of 77 adult studies (n=62, RCTs) and 84 studies (n=62, RCTs) in children were included. The findings demonstrated that interventions in adults when compared to active controls resulted in non-significant reductions in SB, although when compared to inactive controls significant reductions were found in both the short (MD -56.86; 95%CI -74.10, -39.63; n=4632; I2 83%) and medium-to-long term (MD -20.14; 95%CI -34.13, -6.16; n=4537; I2 65%). The findings demonstrated that interventions in children when compared to active controls may lead to relevant reductions in daily sedentary time in the short-term (MD -59.90; 95%CI -102.16, -17.65; n=267; I2 86%), while interventions in children when compared to inactive controls may lead to relevant reductions in the short-term (MD -25.86; 95%CI -40.77, -10.96; n=9480; I2 98%) and medium-to-long term (MD -14.02; 95%CI -19.49, -8.55; n=41,138; I2 98%). The assessment of complexity suggested that interventions may need to be suitably complex to address the challenges of a complex behaviour such as SB, but demonstrated that a higher complexity score is not necessarily associated with better outcomes in terms of sustained long-term changes. Conclusions Interventions targeting reductions in SB have been shown to be successful, especially environmental interventions in both children and adults. More needs to be known about how best to optimise intervention effects. Future intervention studies should apply more rigorous methods to improve research quality, considering larger sample sizes, randomised controlled designs and valid and reliable measures of SB.

وصف الملف: electronic resource

Relation: http://link.springer.com/article/10.1186/s12966-020-00957-0; https://doaj.org/toc/1479-5868

URL الوصول: https://doaj.org/article/acbf4595860d4e4c9f9d521d371314ad

المؤلفون: Jason J. Wilson, Nicole E. Blackburn, Rachel O’Reilly, Frank Kee, Paolo Caserotti, Mark A. Tully

المصدر: BMC Research Notes, Vol 12, Iss 1, Pp 1-6 (2019)

مصطلحات موضوعية: Sedentary behaviour, Accelerometer, Self-rated health, Older adults, Medicine, Biology (General), QH301-705.5, Science (General), Q1-390

الوصف: Abstract Objective Reducing sedentary behaviour (SB) might improve the health of older adults. However, we know little about how objectively measured SB impacts on self-rated health in older adults. We aimed to explore the associations between objectively measured SB and self-rated health in English older adults. Results A random sub-sample of older adults (≥ 65 years old) from the 2008 Health Survey for England wore an ActiGraph GT1M accelerometer for 7 days. Self-rated health was measured using an item from the General Health Questionnaire. Linear regression and analysis of covariance were used to test the associations between percentage time spent in SB and mean daily minutes in SB and self-rated health (very good/good; fair; bad/very bad), adjusting for covariates. Valid accelerometry datasets were returned by 578 individuals. Significant negative associations between percentage time and mean daily minutes in SB and self-rated health were found. In particular, individuals spending reduced percentages of time being sedentary had higher self-rated health. In conclusion, SB appears to be associated with self-rated health in older people independently from MVPA. If longitudinal research could determine how changes in SB influence self-rated health as individuals’ age, this might be an important lifestyle variable to target for health improvement.

وصف الملف: electronic resource

Relation: http://link.springer.com/article/10.1186/s13104-019-4050-5; https://doaj.org/toc/1756-0500

URL الوصول: https://doaj.org/article/fc28b79c47054c698e30d3c172ad47be

المؤلفون: Sarah Nally, Angela Carlin, Nicole E. Blackburn, Judith S. Baird, Jo Salmon, Marie H. Murphy, Alison M. Gallagher

المصدر: Children, Vol 8, Iss 6, p 489 (2021)

مصطلحات موضوعية: physical activity, sedentary behaviour, systematic review, meta-analysis, nutrition, school-based interventions, Pediatrics, RJ1-570

الوصف: School-based interventions are promising for targeting a change in obesity-related behaviours in children. However, the efficacy of school-based interventions to prevent obesity remains unclear. This review examined the effectiveness of school-based interventions at changing obesity-related behaviours (increased physical activity, decreased sedentary behaviour and improved nutrition behaviour) and/or a change in BMI/BMI z-score. Following PRISMA guidelines, seven databases were systematically searched from 1 January 2009 to 31 December 2020. Two review authors independently screened studies for eligibility, completed data extraction and assessed the risk of bias of each of the included studies. Forty-eight studies met the inclusion criteria and were included in a narrative synthesis. Thirty-eight studies were eligible for inclusion in a meta-analysis. The findings demonstrate that interventions in children when compared to controls resulted in a small positive treatment effect in the control group (2.14; 95% CI = 0.77, 3.50). There was no significant effect on sedentary behaviour, energy intake and fruit and vegetable intake. Significant reductions were found between groups in BMI kg/m2 (−0.39; 95% CI = −0.47, −0.30) and BMI z-score (−0.05; 95% CI = −0.08, −0.02) in favour of the intervention. The findings have important implications for future intervention research in terms of the effectiveness of intervention components and characteristics.

وصف الملف: electronic resource

Relation: https://www.mdpi.com/2227-9067/8/6/489; https://doaj.org/toc/2227-9067

URL الوصول: https://doaj.org/article/53f3c3bf9cf74cb19235f492ef54e131

المؤلفون: Maria Giné-Garriga, Laura Coll-Planas, Míriam Guerra, Àlex Domingo, Marta Roqué, Paolo Caserotti, Michael Denkinger, Dietrich Rothenbacher, Mark A. Tully, Frank Kee, Emma McIntosh, Carme Martín-Borràs, Guillermo R. Oviedo, Javier Jerez-Roig, Marta Santiago, Oriol Sansano, Guillermo Varela, Mathias Skjødt, Katharina Wirth, Dhayana Dallmeier, Jochen Klenk, Jason J. Wilson, Nicole E. Blackburn, Manuela Deidda, Guillaume Lefebvre, Denise González, Antoni Salvà

المصدر: Trials, Vol 18, Iss 1, Pp 1-14 (2017)

مصطلحات موضوعية: Sedentary behaviour, Physical activity, Behaviour change, Older adults, Self-management strategies, Medicine (General), R5-920

الوصف: Abstract Background Older adults are the fastest growing segment of the world‘s population. Recent evidence indicates that excessive sitting time is harmful to health, independent of meeting the recommended moderate to vigorous physical activity (PA) guidelines. The SITLESS project aims to determine whether exercise referral schemes (ERS) can be enhanced by self-management strategies (SMSs) to reduce sedentary behaviour (SB), increase PA and improve health, quality of life and function in the long term, as well as psychosocial outcomes in community-dwelling older European citizens from four countries, within a three-armed pragmatic randomised controlled trial, compared with ERS alone and also with general recommendations about PA. Methods A total of 1338 older adults will be included in this study, recruited from four European countries through different existing primary prevention pathways. Participants will be randomly allocated into an ERS of 16 weeks (32 sessions, 45–60 min per session), ERS enhanced by seven sessions of SMSs and four telephone prompts, or a control group. Outcomes will be assessed at baseline, month 4 (end of ERS intervention), month 16 (12 months post intervention) and month 22 (18 months post intervention). Primary outcomes will include measures of SB (time spent sedentary) and PA (counts per minute). Secondary outcomes will include muscle and physical function, health economics’ related outcomes, anthropometry, quality of life, social networks, anxiety and depressive symptoms, disability, fear of falling, executive function and fatigue. A process evaluation will be conducted throughout the trial. The full analysis set will follow an intention-to-treat principle and will include all randomised participants for whom a baseline assessment is conducted. The study hypothesis will be tested with mixed linear models with repeated measures, to assess changes in the main outcomes (SB and PA) over time (baseline to month 22) and between study arms. Discussion The findings of this study may help inform the design and implementation of more effective interventions to reduce SB and increase PA levels, and hence improve long-term health outcomes in the older adult population. SITLESS aims to support policy-makers in deciding how or whether ERS should be further implemented or restructured in order to increase its adherence, impact and cost-effectiveness. Trial registration ClinicalTrials.gov, NCT02629666 . Registered 19 November 2015.

وصف الملف: electronic resource

Relation: http://link.springer.com/article/10.1186/s13063-017-1956-x; https://doaj.org/toc/1745-6215

URL الوصول: https://doaj.org/article/97ac0dc9a40c441d95a3d58157a7a015

المؤلفون: Nicole E. Blackburn, Ian Cleland, Chris Nugent, Joseph G. McVeigh, Eilis M. McCaughan, Iseult M. Wilson

المصدر: Proceedings of the International Conference on Ubiquitous Computing & Ambient Intelligence (UCAmI 2022) ISBN: 9783031213328

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_________::5a45de8af273152ff5f961fc32c6efc4
https://doi.org/10.1007/978-3-031-21333-5_2

المؤلفون: Mark A. Tully, Brendan Bunting, Lee Smith, Connor Cunningham, Nicole E Blackburn, Annette Burns, Ilona I. McMullan, Roger O’Sullivan, Jason J Wilson

المصدر: Journal of Aging and Physical Activity. 29:562-572

مصطلحات موضوعية: Gerontology, Aging, Longitudinal study, Psychological intervention, Physical activity, Physical Therapy, Sports Therapy and Rehabilitation, 03 medical and health sciences, 0302 clinical medicine, Irish, medicine, Humans, Longitudinal Studies, 030212 general & internal medicine, Social isolation, Path analysis (statistics), Exercise, Aged, Loneliness, Rehabilitation, 030229 sport sciences, language.human_language, Social Isolation, Ageing, language, Geriatrics and Gerontology, medicine.symptom, Psychology

الوصف: Social relationships are central to the health and well-being of older adults. Evidence exploring the association of physical activity (PA) with social isolation and loneliness is limited. This study uses a path analysis to investigate the longitudinal association between loneliness and social isolation with PA using the Irish Longitudinal Study on Ageing. Higher levels of social isolation measured using the Berkman–Syme Social Network Index were directly and indirectly associated with lower levels of walking, moderate PA, and vigorous PA over 6 years. Additionally, higher levels of walking were associated with lower levels of loneliness measured using a modified version of the University of California, Los Angeles loneliness scale over a 3-year period. Future interventions should target individuals who are more socially isolated and explore the effects of different types of PA on loneliness over time.

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::762d1448bf82c663ce5aa8fb82e42d6f
https://doi.org/10.1123/japa.2020-0159

المؤلفون: Louis Jacob, Natalie Klempel, Anita Yakkundi, Nicola C. Armstrong, Ilona I. McMullan, Laurie T. Butler, Jason J Wilson, Lee Smith, Nicole E Blackburn, Yvonne Barnett, Colette Brolly, Ai Koyanagi, Mark A. Tully

المصدر: Journal of Public Health (Oxford, England)

مصطلحات موضوعية: Adult, Coronavirus disease 2019 (COVID-19), Cross-sectional study, Nutrition Education, COVID-19 pandemic, 03 medical and health sciences, 0302 clinical medicine, Environmental health, Pandemic, Humans, cross-sectional study, Medicine, AcademicSubjects/MED00860, 030212 general & internal medicine, Pandemics, Depression (differential diagnoses), SARS-CoV-2, business.industry, Social distance, social distancing, Public Health, Environmental and Occupational Health, COVID-19, General Medicine, Dietary Fats, Mental health, United Kingdom, fat intake, Mental Health, Anxiety, Original Article, medicine.symptom, business, 030217 neurology & neurosurgery

الوصف: BackgroundConsumption of unhealthy foods may have changed during the COVID-19 pandemic. This study explored how dietary fat intake was impacted in a sample of the UK public who were social distancing during the COVID-19 pandemic.MethodsData were collected from a UK COVID-19 online survey. Fat intake was measured using the Dietary Instrument for Nutrition Education questionnaire. Anxiety and depressive symptoms were assessed using Becks’ Anxiety and Depression Inventories, while the short-form Warwick-Edinburgh Mental Well-being Scale assessed mental well-being. Differences between individuals who increased versus decreased fat intake were explored using chi-square or independent sample t-tests. Association between fat intake and mental health was explored using adjusted linear regression models.ResultsEight hundred and eighty-seven adults were included. Approximately, 34% recorded medium-to-high levels of fat consumption during social distancing. Around 48% reported decreased fat intake during social distancing compared to usual levels, while 41.3% documented increased fat intake. Fat intake was not significantly associated (P > 0.05) with any measures of mental health.ConclusionsA higher proportion of a sample of UK adults social distancing during the COVID-19 pandemic recorded decreased fat intake when compared to levels prior to social distancing. There appeared to be no associations between fat intake and mental health.

وصف الملف: application/pdf

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::547a8eead173362ff81ae1ec1ae1aeab
https://doi.org/10.1093/pubmed/fdab009

المؤلفون: Oriol Sansano-Nadal, Maria Giné-Garriga, Beatriz Rodríguez-Roca, Myriam Guerra-Balic, Kelly Ferri, Jason J. Wilson, Paolo Caserotti, Pia Øllgaard Olsen, Nicole E. Blackburn, Dietrich Rothenba

المصدر: MDPI, IJERPH. 18(24):1-11

الوصف: Human movement behaviours such as physical activity (PA) and sedentary behaviour (SB) during waking time have a significant impact on health-related quality of life (HRQoL) in older adults. In this study, we aimed to analyse the association between self-reported and device-measured SB and PA with HRQoL in a cohort of community-dwelling older adults from four European countries. A subsample of 1193 participants from the SITLESS trial (61% women and 75.1 ± 6.2 years old) were included in the analysis. The association between self-reported and objective measures of SB and PA with HRQoL were quantified using Spearman’s Rho coefficients. The strength of the associations between self-reported and device-measured PA and SB with self-rated HRQoL (mental composite score, MCS; physical composite score, PCS) were assessed through multivariate multiple regression analysis. Self-reported and device-measured PA and SB levels showed significant but poor associations with PCS ( p < 0.05). The association with MCS was only significant but poor with self-reported light PA (LPA) and moderate-to-vigorous PA (MVPA). In conclusion, the findings of this study suggest that both self-reported and device-measured PA of all intensities were positively and significantly associated, while SB was negatively and significantly associated with the PCS of the SF-12.

الإتاحة: https://ideas.repec.org/a/gam/jijerp/v18y2021i24p13252-d703652.html

المؤلفون: Nicole E. Blackburn, Mathias Skjodt, Mark A. Tully, Ilona Mc Mullan, Maria Giné-Garriga, Paolo Caserotti, Sergi Blancafort, Marta Santiago, Sara Rodriguez-Garrido, Gudrun Weinmayr, Ulrike Jo

المصدر: MDPI, IJERPH. 18(9):1-16

الوصف: Background: The SITLESS programme comprises exercise referral schemes and self-management strategies and has been evaluated in a trial in Denmark, Spain, Germany and Northern Ireland. The aim of this qualitative study was to understand the implementation and contextual aspects of the intervention in relation to the mechanisms of impact and to explore the perceived effects. Methods: Qualitative methodologies were nested in the SITLESS trial including 71 individual interviews and 12 focus groups targeting intervention and control group participants from postintervention to 18-month follow-up in all intervention sites based on a semi-structured topic guide. Results: Overarching themes were identified under the framework categories of context, implementation, mechanisms of impact and perceived effects. The findings highlight the perceived barriers and facilitators to older adults’ engagement in exercise referral schemes. Social interaction and enjoyment through the group-based programmes are key components to promote adherence and encourage the maintenance of targeted behaviours through peer support and connectedness. Exit strategies and signposting to relevant classes and facilities enabled the maintenance of positive lifestyle behaviours. Conclusions: When designing and implementing interventions, key components enhancing social interaction, enjoyment and continuity should be in place in order to successfully promote sustained behaviour change.

الإتاحة: https://ideas.repec.org/a/gam/jijerp/v18y2021i9p4730-d545855.html