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This cross-sectional observational study sought to examine the environmental correlates of physical activity and screen-time among youth with autism spectrum disorder (ASD). Parents of youth with ASD (n = 1,165) from seven countries/regions provided responses to an online survey form measuring environmental correlates (i.e., physical activity neighborhood environment, social network, social trust and cohesion, bedroom media, social home environment) and outcomes (i.e., physical activity, screen-time). Multiple linear regression analyses were conducted to determine environmental predictors of the outcomes. Physical activity neighborhood environment (B = 0.15, p = 0.047), social network (B = 0.16, p = 0.02), and social home environment (B = 1.07, p < 0.001) were significantly associated with physical activity, whereas social trust and cohesion and bedroom media were not. Further, social trust and cohesion (B = -0.14, p = 0.001), bedroom media (B = 0.10, p = 0.001), and social home environment (B = -0.16, p < 0.001) were significantly associated with screen-time while neighborhood environment and social network were not. The identified environmental attributes of physical activity and screen-time behaviors should be targeted for health promotion among youth with ASD. [ABSTRACT FROM AUTHOR]

The European Journal of Adapted Physical Activity (EUJAPA) is celebrating its 16th volume and bidding farewell to its Editor-in-Chief, Professor Pauli Rintala. The journal has embraced the Open Science movement, allowing authors to submit papers without any fees and making its publications accessible to all. However, the DIAMOND OA model of EUJAPA faces challenges due to limited resources, and the journal relies on the active involvement of the EUFAPA community. Professor Florentina Hettinga from Northumbria University will be taking over as the new Editor-in-Chief, and she aims to further streamline the journal's templates and infrastructure and strengthen its commitment to research quality, integrity, and inclusivity. [Extracted from the article]

Physical activity (PA) is an important health-promoting behavior from which adolescents with long-term illnesses or disabilities (LTID) can benefit. It is important to monitor differences across countries in adherence with PA recommendations for health. The aim of this study was to compare PA levels among 15 European countries after disaggregating data by disability. Data from pupils (mean age= 13.6 years, SD = 1.64) participating in the 2013/2014 Health Behavior in School-aged Children study were analyzed to compare adolescents without LTID, with LTID, and with LTID that affects their participation (affected LTID). Logistic regression models adjusted for age and family affluence, stratified by gender and country group with PA recommendations for health as the outcome variable. With the data pooled, 15% (n = 9,372) of adolescents reported having LTID and 4% (n = 2,566) having affected LTID. Overall, fewer boys with LTID met PA recommendations for health than boys without LTID, although it was not statistically significant either at the national levels or for girls. [ABSTRACT FROM AUTHOR]

Background: We know very little about physical activity in children with long-term illness or disability compared with those children without disabilities. Previous studies indicate low physical activity levels among all adolescents. Methods: The sample consisted of Canadian (n = 2720) and Finnish pupils (n = 3459) approximately 13.5 and 15.5 years of age in general (mainstreamed) education. The study is a part of the Health Behavior in School-aged Children (HBSC) study. Nationally representative data were collected in 2002 using a standardized questionnaire. The moderate-to-vigorous intensity physical activity screening measure was used. Results: Approximately one-fifth of the pupils in both countries had a long-term disability, illness or medical condition. In both countries boys and girls with a long-term illness or disability were equally physically inactive, and adolescents with a long-term illness or disability were as physically active as those without disabilities. Conclusions: There is no difference between young people with and without long-term illness/disability, and between boys and girls, in relation to their physical activity. However, all of them fall short of recommended guidelines. This indicates that promoting a physically active lifestyle should be of high priority in the lives of young people. [ABSTRACT FROM AUTHOR]

Sufficient and regular physical activity is considered a protective factor, reducing the onset of secondary disability conditions in adolescents with chronic diseases and functional limitations. The aim of this study was to explore whether participation in organized sport may be associated to higher levels of physical activity in adolescents with functional limitations, based on a national representative sample. Data from the Health Behaviour in School-aged Children (HBSC) study collected in Finland from two data collection rounds (2002 and 2010)were conducted and pooled fromadolescents aged between 13 and 15 years old with functional limitations (n = 1041). Differences in self-reported physical activity over the past week and participation in organized sport activity were analysed for each function. Overall, four in ten (n = 413) participated in organized sport and were significantly (p < 0.001) more physically active (mean = 4.92 days, SD= 1.81) than their non-participating (mean = 3.29, SD = 1.86) peers with functional limitations. Despite low population prevalence, adolescents with epilepsy or visual impairments were the least active if they were not participating in organized sport, yet were the most active if they were involved in organized sport. Participating in organized sport appears to be an important factor promoting resources for maintaining recommended levels of physical activity in Finnish adolescents with functional limitations. [ABSTRACT FROM AUTHOR]

Objectives To improve understanding of how individuals at high risk of type 2 diabetes experience the risk of diabetes and how these experiences relate to the adoption of physical activity as a protective behaviour. Design A qualitative study using semi-structured interview with individuals identified by screening as at high risk of type 2 diabetes. Methods Fourteen individuals, aged 40-64, were interviewed twice, with a 2-year interval between. Participants' experiences of their risk of diabetes and physical activity were assessed. The transcribed interview data were analysed using inductive qualitative content analysis. Results Two themes emerged from the data: a threatening risk perception and a rejected risk perception. The threatening risk perception occurred when the risk was unexpected by the participant, but became internalized through the screening procedure. The threatening perception also involved a commitment to increase physical activity to prevent diabetes. However, short-term anxiety and subsequently emerging hopelessness were also part of this perception. The rejected risk perception involved indifference and scepticism regarding the risk. Here, physical activity behaviour and cognitions appeared to remain unchanged. Rejection also involved difficulties in accepting one's high-risk identity. The rejecting group lacked motivation for increased physical activity, while the other group showed determination regarding increased physical activity, often leading to success. Conclusion Perceptions of the risk of diabetes emerged as threatening or as rejected. Participants' perceptions reflected varying and intertwining emotional, cognitive, and behavioural mechanisms for coping with the risk, all of which should be recognized in promoting physical activity among high-risk individuals. [ABSTRACT FROM AUTHOR]

Background: The International Classification of Functioning, Disability and Health (ICF) is recognised as the common language in disability research. However, personal factors in the ICF are not explicitly coded because of cultural differences that influence physical activity (PA) participation. The ICF suggests using fitness as a personal factor, as well as other psychological assets. Intentions may serve as such psychological assets and studies on the antecedents to intentions which prompts PA behaviours is lacking in adolescent long term illness or disability (LTID) populations. Objective: The purpose of this study was to report how ICF personal factors can influence participation in PA. Perceived fitness (FIT), global self-esteem (GSE), and PA intentions (INT) are hypothesised to positively predict PA behaviours among adolescents with LTID after controlling for age. Methods: The data from Finnish 13 and 15 years old adolescents from the self-reported Health Behaviour in School-aged Children study from 2002 and 2010 were pooled. Those with LTID as stated by a medical doctor were included (N = 1,059). Serial mediation with ordinary least squares path analysis was used. Boys and girls were separately analysed, FIT was the independent variable, GSE and INT as mediators, and age controlled moderate-to-vigorous PA (MVPA) the dependent variable. Bias-corrected bootstrap confidence intervals were used to test for significance of the direct and indirect paths. Results: FIT was positively related to GSE and INT for boys and girls. Furthermore, INT were positively related to MVPA for boys and girls. These relationships were statistically significant. Therefore, INT can be seen to mediate the relationship between FIT and MVPA after controlling for age. GSE also acted as a statistically significant mediator for boys, between FIT and INT. Therefore serial mediation was presented with boy's MVPA, whereas in the girl's model, only INT mediated FIT and MVPA. Conclusions: Personal factors influence PA participation in adolescents with LTID. Support for increasing self-esteem for boys seems to be important and it should be taken into account when different PA promotion strategies are planned for boys. Differences in PA between genders suggest overall more promotion of PA for girls is still needed. [ABSTRACT FROM AUTHOR]

Physical activity (PA) of adolescents with long term illnesses or disabilities (LTID) in general education is examined to provide evidence of PA levels from specific population groups. This study describes the PA levels of adolescents with LTID based on recommendations of daily 60mins of moderate-to-vigorous PA (MVPA) and vigorous leisure time PA (VPA) of at least two times a week for at least one hour per week. Finnish data from the Health Behaviour in School-aged Children (HBSC) study was pooled from 2002 and 2010 surveys. 1126 respondents (14.6%) self-reported as having a LTID and details of main categories of LTID were used to examine PA behaviours. Overall, 15.6% of adolescents with LTID reported daily MVPA. In their leisure time, 74.0% of adolescents with LTID had met the VPA recommendation. These figures are lower than other reported literature on PA amongst adolescents. PA of adolescents with LTID in general education can be seen as a complex collection of different categories. Boys were more active than girls. Younger adolescents were more active than older. A closer look into the many domains of LTID demonstrated how various LTID groups differ and share similar PA patterns. [ABSTRACT FROM AUTHOR]

Background: Increased physical activity is a cornerstone of type 2 diabetes prevention. The perception of a need to change is considered essential in behaviour change processes. However, the existing literature on individuals' perceived need to change health behaviour is limited. In order to improve understanding of diabetes prevention through increased physical activity levels (PAL), we assessed factors associated with perceiving a need to increase PAL among adults at high risk of diabetes. Methods: Opportunistic screening was used within a primary-care based lifestyle intervention covering 10 149 men and women at high risk of type 2 diabetes. Data were obtained at baseline visits. The explored determinants were demographic, anthropometric/clinical, behavioural and psychosocial characteristics, along with four categories of PAL awareness. Logistic regression was used in the analysis. Results: 74% of men (n = 2 577) and 76% of women (n = 4 551) perceived a need to increase their PAL. The participants most likely to perceive this need were inactive, had a larger waist circumference, rated their PAL as insufficient, and were at the contemplation stage of change. Smoking, elevated blood pressure, dyslipidaemia, and a family history of diabetes were not associated with this perception. The likelihood was also greater among women with less perceived fitness and less education. Demographic factors other than education did not determine participants' perceived need to increase PAL. PAL overestimators were less likely to perceive the need to increase their PAL than realistic inactive participants. Conclusions: Subjective rather than objective health factors appear to determine the perception of a need to increase PAL among adults at high risk of diabetes. Client perceptions need to be evaluated in health counselling in order to facilitate a change in PAL. Practical descriptions of the associations between metabolic risk factors, PAL, and diabetes are needed in order to make the risk factors concrete for at-risk individuals. [ABSTRACT FROM AUTHOR]

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This study was conducted using five focus groups with 24 public health nurses from regional child health clinics in order to explore health professionals' perceptions concerning physical activity. Participants were professionally experienced (mean 13.9 years), female (mean 46.2 years) nurses with some training in health-enhancing physical activity. Frame analysis of verbatim transcripts resulted in four frames: the environmental frame, the family frame, the natural frame and the wellbeing and health frame. The importance of physical and social environment, especially the role of parents, was highlighted as determinants of physical activity. Furthermore, the natural characteristics of physical activity in early childhood and the benefits of physical activity for wellbeing and health were focused on within these frames. According to the findings, the sample of Finnish nurses approached physical activity multidimensionally. Further research is warranted to ascertain how these approaches come true in health care settings in Finland as well as elsewhere. [ABSTRACT FROM AUTHOR]

Background: In 2010, the WHO made a recommendation that adolescents should have one hour of moderate to vigorous physical activity (MVPA) every day for health benefits. Throughout the years, studies have often reported children with long-term illnesses or disabilities (LTID) do not meet these recommendations. It is therefore important to see if there are changes in the MVPA of adolescents with LTID. Aims: We investigated the trends of cross-sectional data since 2002 to see how the amounts of MVPA differed over time after taking into account membership of a sports club, age and gender. Methods: 2319 Finnish adolescents with long-term illnesses or disabilities (56% girls, mean age=14,8, SD = 1.05) took part in the self-report survey, Health Behaviours in School-Aged Children (HBSC), between 2002 and 2014. Adolescents were divided into groups of active sports club members and others. The dependent variable was the number of days in a week of MVPA for 60 minutes in a linear contrast analysis. Results: There is a statistically significant increase (F = 75.39, p > .001) in the number of days of MVPA for all children with LTID over time (2002, mean=3.54 days; 2006, mean=4.07 days; 2010, mean=4.39 days; 2014, mean=4.56 days). 13-year-old boys in sports clubs reported the highest number of days of MVPA (5.42 days, SD = 1.48). Discussion and Conclusions: Over time, adolescents with LTID have become more active. One possible way to increase the amount of MVPA is to encourage adolescents to become active members of sports clubs. [ABSTRACT FROM AUTHOR]

Although the benefits of exercise are well documented, an international problem of physical inactivity exists. More research, especially theory based, has been recommended. One promising approach for studying exercise behavior is that proposed in the Transtheoretical Model (TTM) of behavior change. This mode, however, has received minimal cross-cultural attention and, relative to the current study, measurement instruments have only recently been translated into the Finnish language. The purpose of this study was to assess American and Finnish college students' exercise behaviors on the basis of TTM. Participants were American (n = 169) and Finnish (n = 168) college students who completed language-specific measures of exercise behavior, stage of change, processes of change, decisional balance, self-efficacy, and temptation. The only cultural difference observed was that the American participants rated themselves higher on barrier self-efficacy relative to the Finnish participants. Regardless of nationality or gender, participants classified by their stage of change differed on all the core constructs assessed. These results generally support the utility of TTM for understanding American and Finnish college students' exercise behavior. [ABSTRACT FROM AUTHOR]