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Background: Poor health in passenger rail drivers, resulting from perceived highly sedentary work and leisure time, has implications for public safety. To date, no studies have described the physical behaviors of passenger rail drivers. This study aimed to characterize the physical behaviors of passenger rail drivers by investigating the volume, pattern, variation, and composition of behaviors at and outside of work. Methods: A convenience sample of 31 rail drivers (77% male, median age 51.0 [12.5] y) in South Australia wore an activity monitor on their right thigh for 8 days and completed a work logbook. Physical behaviors (sitting, standing, light-intensity physical activity, moderate- to vigorous-intensity physical activity [MVPA], and steps) were recorded for workdays and nonworkdays, and work and nonwork time on workdays. The volume, bouts, between-participants variation, and 3-way composition were compared across the 4 time periods. Results: Drivers sat for 10.6 (1.5) hours, did 76.3 (38.8) minutes of MVPA, and took 9727.3 (4088.4) steps daily. At work, drivers were sitting 369.3 (41.8) minutes (187.1 [54.2] min in prolonged bouts) and doing MVPA 31.7 (10.0) minutes. Between-participants variation in sitting time during work (11%) was lower than both nonwork on a workday (19%) and on a nonworkday (24%; P <.001). Compositions at work differed from nonwork on workdays (F = 27.7, P <.001), as did compositions on workdays compared with nonworkdays (F = 6.8, P =.002). Conclusions: Passenger rail drivers were highly sedentary, but also surprisingly active. At work, drivers were more sedentary and had lower variation in behaviors, suggesting work constraints play an important role. Therefore, work may be the most appropriate domain to intervene for promoting healthy physical behavior profiles among these passenger rail drivers. [ABSTRACT FROM AUTHOR]

Background: Low rates of participation and quality of life (QoL) and high rates of psychological distress are common in spinal cord injury (SCI) population. Research has supported the mediating role of self-efficacy and functionality in improving psychosocial outcomes. Furthermore, evidence supports the impact of physical activity (PA) on psychosocial variables, but little is known about the types and intensities of PA. The objective of this study was to determine whether functionality and/or general self-efficacy (GSE) mediate the relationships between the various types of PA: (1) lifestyle and (2) leisure-time physical activity (LTPA); and various intensities of PA: (1) mild, (2) moderate, and (3) heavy PA with participation, psychological distress, and perception of QoL. Methods: The Physical Activity Recall Assessment for SCI, and measures of functionality, GSE, participation, psychological distress, and perception of QoL were administered to 159 participants. Path analysis was performed using Jeffrey's Amazing Statistics Program. Results: GSE significantly mediated, and functionality partially significantly mediated, the relationship between LTPA and psychosocial outcomes. GSE and functionality did not mediate the relationship between lifestyle activity and psychosocial outcomes. Conclusions: It is recommended that people with SCI perform LTPA on a regular basis to achieve psychosocial benefits. These programs should be accompanied by strategies to improve GSE. [ABSTRACT FROM AUTHOR]

Aim: To examine whether changes in public open spaces (POS) were associated with leisure-time walking (LTW) between 2014 and 2021. Methods: The sample comprised a prospective cohort of individuals living in São Paulo City, Brazil. The baseline sample was collected in 2014/2015 (4042 people aged 12 y or older) and the second wave in 2020/2021 (1431 people aged 18 y or older, 35.4% of total). Changes in POS scores in 500-m network buffers were based on household address, including positive or negative maintenance and increases or decreases in parks, public squares, and bike paths between 2015 and 2020. The International Physical Activity Questionnaire was used to evaluate LTW in the baseline and second wave. To examine the association of LTW with changes in POS, we used multilevel models in 4 levels: health administration areas, census tracts, individuals, and observations of individuals. The exposure was the POS tertiles, and the outcome was LTW. Results: Changes in LTW prevalence were observed in both periods and according to POS tertiles distributions. When adjusted for time (baseline/second wave), gender, education, and age, the highest POS tertile was significantly associated with a high likelihood for LTW (odds ratio = 1.44; 95% confidence interval, 1.03–2.02). Conclusion: The results showed that people in São Paulo who lived within 500-m buffers with the highest access to POS were more likely to practice LTW between 2014/2015 and 2020/2021. These results have important implications for policies that were implemented in 2014, including the New Master Plan to contribute to São Paulo's good ranking among healthy cities. [ABSTRACT FROM AUTHOR]

This study aimed to investigate the relationship between leisure-time physical activity and academic burnout among college students, and the mediating roles of mindfulness and self-esteem in the relationship, so as to provide a reference for alleviating academic burnout among college students. The study used the Physical Activity Rating Scale, the Mindful Attention Awareness Scale, the Self-Esteem Scale, and the Academic Burnout Scale to conduct a questionnaire survey to 629 college students (M = 19.6) through a convenience sampling method. The constructed chained mediation model was tested for path analysis, and mediation effects using SPSS 29.0. The results showed that leisure-time physical activity, mindfulness, self-esteem and academic burnout were significantly correlated with each other. The direct effect of leisure-time physical activity on college students' academic burnout was not significant, but the indirect effect was significant. Mindfulness and self-esteem had significant mediating effects between leisure-time physical activity and academic burnout among college students, and the mediating effects consisted of the independent mediation of mindfulness and self-esteem and the chain mediating effect between them. Thus, enhancing leisure-time physical activity as an intervention to alleviate academic burnout among college students should focus on the effects on mindfulness perception and self-esteem. By enhancing the levels of mindfulness perception and self-esteem, leisure-time physical activity may play an important role in alleviating the growing academic burnout among college students. [ABSTRACT FROM AUTHOR]

Purpose: The benefits of leisure-time physical activity (LTPA) in reducing mortality are well-known, while the relationship between work-related physical activity (WRPA) and mortality remains controversial. The study aimed to investigate the association between WRPA and mortality, and to determine whether LTPA should be recommended in a population with a high level of WRPA. Method: Data were obtained from a sample of adults aged 20–80 years included in the National Health and Nutrition Examination Survey (NHANES) cohort from 2007 to 2018. Hazard ratios (HRs) for the association between WRPA and all-cause mortality were estimated using Cox proportional regression models. All analyses were performed in accordance with NHANES guidelines, in which data were complex-weighted first and then analyzed in the next step, Statistical significance was defined as a two-sided P-value < 0.05. Results: A total of 27,567 participants were included in the study. Over a median follow-up period of 78 months, a total of 2,553 (weighted ratio, 6.5%) participants were assumed dead. The mean age (SD) of this cohort was 47.5 (16.7), and 48.5% were men. Compared to participants without WRPA (as the reference group), participants engaged in WRPA exhibited a significantly reduced risk of all-cause mortality over different time periods. Specifically, the HR for participants with less than 17.5 h of weekly participation were 0.70 (95% CI: 0.62–0.78). For those participating between 17.5 and 35 h per week, the HR was 0.80 (95% CI: 0.64–1.00), while participants engaging in more than 35 h of weekly participation had an HR of 0.71 (95% CI: 0.56–0.91). Conclusions: WRPA is a protective factor that reduces the risk of all-cause death, especially in people without LTPA. [ABSTRACT FROM AUTHOR]

Background: Non-alcoholic fatty liver disease (NAFLD) is the most common chronic liver disease in the world. The increasingly sedentary lifestyle in recent years may have accelerated the development of NAFLD, independent of the level of physical activity. Objective: The purpose of this cross-sectional study was to determine the association between leisure-time physical activity (LTPA) and time spent sitting (TSS) and the likelihood of developing NAFLD in a sample of men and women aged 18–64 years, from southern Italy. Design: The study is based on two cohort studies, a randomized clinical trial and an observational cost-benefit study. Participants: A total of 1269 participants (51.5% women) drawn from 3992 eligible subjects were enrolled in this study. Exposures: Leisure-time physical activity (LTPA) and time spent sitting (TSS) were assessed using the Italian long form of the International Physical Activity Questionnaire (IPAQ-LF), designed for administration to adults aged 18 to 65 years. Main Measures: The association of exposures with the probability of belonging to a certain NAFLD degree of severity. Key Results: The probability of having mild, moderate, and severe NAFLD tends to decrease with increasing LTPA and decreasing TSS levels. We selected a combination of participants aged 50 years and older stratified by gender. Men had a statistically significant difference in the probability of developing moderate NAFLD if they spent 70 h per week sitting and had low LTPA, while among women there was a statistically significant difference in the probability of developing mild or moderate NAFLD if they had moderate LPTA and spent 35–70 h/week sitting. Conclusions: The study thus showed that the amount of LTPA and the amount of TSS are associated with development and progression of NAFLD, but this relationship is not a linear one—especially in women aged ≥ 50 years old. [ABSTRACT FROM AUTHOR]

Background: The association between chronotype and leisure-time physical activity (LTPA) remains unclear. We investigated the difference in regular LTPA and for a sufficient duration between those with evening-type (ET) and morning-type chronotypes (MT). Methods: We conducted a cross-sectional analysis using the data of the Aichi Workers' Cohort Study. It included 3,221 men (mean [standard deviation] age: 45.0 [11.6] years) and 1,294 women (39.8 [11.2] years). Chronotypes were determined with the reduced version of the Morningness-Eveningness Questionnaire. We calculated the metabolic equivalents (METs) consumed per week based on the four types of LTPA: strolling, brisk walking, light- and moderate-intensity PA, and vigorous-intensity PA. Regular LTPA and for a sufficient duration was defined as doing once or more per week and for 30 min or longer per session, respectively. Logistic regression analysis was conducted separately by sex to calculate odds ratios of ET for regular LTPA and for a sufficient duration, adjusted for age and other factors, for each type of LTPA. Results: ET men consumed fewer total METs per week than MT men (p <.001), although this pattern is not found in women. Compared to MT men, ET men were less likely to be engaged in regular LTPA in all types of LTPA (prevalence and adjusted odds ratio [95% confidence interval]: strolling: 39.1% vs. 28.7%, 0.685 [0.524–0.895]; brisk walking: 23.9% vs. 14.4%, 0.639 [0.454–0.899]; light- and moderate-intensity PA: 15.4% vs. 8.4%, 0.613 [0.404–0.929]; vigorous-intensity PA: 21.4% vs. 16.8%, 0.715 [0.518–0.989]). They were less likely to spend a sufficient duration in brisk walking (25.9% vs. 16.5%, 0.635 [0.461–0.875]), light- and moderate-intensity PA (37.1% vs. 26.8%, 0.684 [0.521–0.899]), and vigorous-intensity PA (35.3% vs. 35.8%, 0.741 [0.568–0.968]). Compared with MT women, ET women were less likely to be engaged in strolling (30.5% vs. 22.2%, 0.629 [0.398–0.995]), and less likely to spend a sufficient duration in light- and moderate-intensity PA (27.3% vs. 15.3%, 0.561 [0.335–0.937]). Conclusions: ET was inversely associated with LTPA in men and partly in women. [ABSTRACT FROM AUTHOR]

Abstract Background Understanding participation in sport is important for sport policy, strategy and management. Most research regarding participation in sport report general trends in participation rates. However, as societies trends in leisure-time activities are changing, we need to also understand the settings of sport participation. The aim of this study was to investigate the settings of sport participation of children and adults across 13 major sports in Victoria, Australia. Methods This study utilised data about sport participation collected in the AusPlay survey from a representative sample of adults and children in Victoria, Australia. For each of the 13 sports, the settings of participation were identified for 2020, 2021 and 2022. Respondents can report participation in a particular activity in more than one setting. Therefore, we use the term “instance of participation” to refer to a person playing a particular sport in a particular setting. We calculated the weighted frequencies and prevalences pertaining to sport participation instances in each setting. Results In 2022 compared to 2020, overall participation was 1.1% higher for children and 1.2% higher for adults. For children and adults, the most popular sport for each year was swimming. In 2022, the next most popular sports for children were Australian football, basketball, gymnastics and soccer, and for adults’ tennis, basketball, golf and Australian football. For children, approximately half of participation took place within a sports club or association setting (56-60%). For adults, approximately one third of participation took place within a sports club or association setting (36%). Much of the adult participation took place in non-organised settings. The largest increases in participation in clubs and associations in 2022 compared to 2020 for children was for, hockey, soccer, gymnastics, and Australian football. The adult participation in sports clubs or associations did not fair as well, with 8 sports decreasing the proportion of participation in this setting. Conclusion As a society, we continue to evolve in how we consume participation in sport, and sport policy, infrastructure and opportunities to play need to be directed towards those particular settings and modes of delivery of sport where and how individuals want to play.

Abstract To investigate the relationship between Leisure time physical activity (LTPA) patterns and PhenoAgeAccel in patients with Type 2 diabetes (T2D), emphasizing the role of regular LTPA in mitigating biological aging. This study utilized data from the National Health and Nutrition Examination Survey (NHANES) from 1999 to 2018, including 4,134 adults with T2D. Multivariable linear regression models and restricted cubic spline (RCS) methods were employed to assess the relationship between LTPA and Phenotypic age acceleration (PhenoAgeAccel), with segmented likelihood ratio tests to detect nonlinear thresholds. Stratified regression and interaction tests were conducted for robust analysis. Compared to individuals with no LTPA patterns, those with regular LTPA patterns had significantly lower PhenoAgeAccel scores (β = -1.164, 95% CI: -1.651 to -0.677, P

Abstract Background The association between chronotype and leisure-time physical activity (LTPA) remains unclear. We investigated the difference in regular LTPA and for a sufficient duration between those with evening-type (ET) and morning-type chronotypes (MT). Methods We conducted a cross-sectional analysis using the data of the Aichi Workers’ Cohort Study. It included 3,221 men (mean [standard deviation] age: 45.0 [11.6] years) and 1,294 women (39.8 [11.2] years). Chronotypes were determined with the reduced version of the Morningness-Eveningness Questionnaire. We calculated the metabolic equivalents (METs) consumed per week based on the four types of LTPA: strolling, brisk walking, light- and moderate-intensity PA, and vigorous-intensity PA. Regular LTPA and for a sufficient duration was defined as doing once or more per week and for 30 min or longer per session, respectively. Logistic regression analysis was conducted separately by sex to calculate odds ratios of ET for regular LTPA and for a sufficient duration, adjusted for age and other factors, for each type of LTPA. Results ET men consumed fewer total METs per week than MT men (p

Leisure walking has been found to be positively associated with increased mental health. However, the benefits of leisure walking of varying intensities on the mental health of older adults (>50 years old) with mild cognitive impairment are not clear. This study employed 2020 Health and Retirement Study data to investigate the benefits of leisure walking for three groups based on levels of participation (low, mid, and high). We conducted a multivariate analysis of covariance (n = 834) to examine the group mean differences (MDs). The respondents in the high and mid groups presented higher life satisfaction and happiness than those in the low group. The high group had lower loneliness and stress scores than those in the low and mid groups. These findings indicate that older adults with mild cognitive impairment gained more mental health benefits and life satisfaction through moderate and vigorous leisure walking than through light leisure walking. [ABSTRACT FROM AUTHOR]

Supplemental Digital Content is Available in the Text. Analyses revealed that levels of leisure-time physical activity and occupational physical activity are oppositely related to pain. Aggregating physical activity levels indicate a different pattern. Paradoxical associations have been observed for leisure-time physical activity (LTPA) and occupational physical activity (OPA) and several health-related outcomes. Typically, higher LTPA is associated with health benefits and high OPA with health hazards. Using data from the Tromsø Study (2015-2016), we assessed how questionnaire-based LTPA and OPA (n = 21,083) and accelerometer-measured physical activity (PA) (n = 6778) relate to pain outcomes. Leisure-time physical activity and OPA were categorized as inactive PA, low PA, and moderate-to-vigorous PA and then aggregated into 9 levels, eg, inactive LTPA/inactive OPA. Accelerometer-measured PA included counts/minute, steps/day, and WHO PA recommendations from 2010 to 2020. Three binary pain outcomes (any pain, any chronic pain, and moderate-to-severe chronic pain) were constructed based on pain location, intensity, duration, and impact on daily activities. By using Poisson regression to estimate absolute and relative associations, we found that high LTPA was associated with lower pain prevalence and vice versa for OPA. Compared to inactive LTPA, prevalence ratio (PR) with 95% confidence intervals was lowest for moderate-to-vigorous LTPA, 0.93 (0.89-0.96) for any pain, 0.88 (0.84-0.93) for any chronic pain, and 0.66 (0.59-0.75) for moderate-to-severe chronic pain. Compared to sedentary OPA, the ratio was highest for moderate-to-vigorous OPA, 1.04 (1.01-1.07) for any pain, 1.06 (1.02-1.10) for any chronic pain, and 1.33 (1.21-1.46) for moderate-to-severe chronic pain. Aggregated LTPA and OPA showed lower outcomes for moderate-to-vigorous LTPA combined with lower levels of OPA. Higher levels of accelerometer-measured PA were associated with less pain. To summarize, we found inverse associations for LTPA and OPA. Benefits from LTPA seem to depend on low levels of OPA. [ABSTRACT FROM AUTHOR]

Background: Before pregnancy is recognized, ovulation, fertilization, and implantation must all occur. Physical activity and sedentary behavior may impact pregnancy success by altering each or all of these processes. The aim of this review was to review the association between physical activity and sedentary behavior with spontaneous female and male fertility. Method: PubMed/MEDLINE, Web of Science, CINAHL, SPORTDiscus, and Embase were searched from inception to August 9, 2021. Eligible studies included randomized controlled trials or observational studies, published in English, describing an association between physical activity or sedentary behavior (exposures) and spontaneous fertility (outcome) among women or men. Results: Thirty-four studies from 31 unique populations were included in this review (12 cross-sectional studies, 10 cohort studies, 6 case–control studies, 5 randomized controlled trials, and one case–cohort study). Of the 25 studies among women, the majority identified mixed results (n = 11) or no association (n = 9) between physical activity and female fertility. Seven studies reported on female fertility and sedentary behavior, and 2 found sedentary behavior was associated with decreased female fertility. Of the 11 studies among men, most of the studies (n = 6) found that physical activity was associated with increased male fertility. Two of the studies reported on male fertility and sedentary behavior, and neither identified an association. Conclusions: The association between spontaneous fertility and physical activity in both men and women remains unclear, and the association with sedentary behavior remains largely unexplored. [ABSTRACT FROM AUTHOR]

Background/Objectives: With the accelerating global population aging, delaying aging and promoting healthy aging have become focal points in public health and clinical medicine. Phenotypic age acceleration (PhenoAgeAccel) is an important indicator of biological aging speed. This study aims to explore the relationship between different leisure-time physical activity (LTPA) patterns and PhenoAgeAccel, analyzing the association and dose-response relationship. Methods: This study utilized data from the National Health and Nutrition Examination Survey (NHANES) from 1999 to 2018, including 14,868 adults. Multivariable linear regression models and restricted cubic spline methods were used to assess the relationship between LTPA and PhenoAgeAccel, with segmented likelihood ratio tests to detect non-linear thresholds. Stratified regression and interaction tests explored potential modifications by sex, age, race, and socioeconomic status. Results: Compared to individuals with no LTPA, those with inactive and regular LTPA patterns had significantly lower PhenoAgeAccel scores (P 0.05). A non-linear threshold effect was found; below 560 min of weekly LTPA, a significant negative correlation existed (β = −0.001, 95 % CI: 0.001 to −0.0003, P

Abstract Background Mortality from physical inactivity-related non-communicable diseases (NCDs) is projected to surpass deaths from communicable diseases by 2030 in Africa. Monitoring physical activity (PA) is important for planning public health interventions addressing NCDS and planetary health, but there is a dearth of evidence on PA trends in Africa. This study explored the secular trends in overall and domains of PA (leisure, occupation, and transport), and examined the gender, age, and education disparities in PA trends across African countries. Methods We utilized data from the STEPwise approach to NCDs risk factor surveillance in eleven African countries (Algeria, Benin, Botswana, Cabo Verde, Eritrea, Eswatini, Malawi, Mali, Central Africa Republic, Sao Tome and Principe, and Zambia) with at least two surveys conducted between 2003/2010 (first-wave) and 2010/2020 (second-waves). A total of 29,282 and 40,147 adults (18–69 years) in the first and second waves, respectively, completed PA interviews using the Global Physical Activity Questionnaire. Gender, age, and education status were self-reported. Weighted individual-country PA prevalence and 95% confidence interval (95%CI) were obtained. Random-effect meta-analysis was conducted to assess pooled estimates of PA trends across countries. Gender, age, and education disparities in PA trends were also investigated. Results Country-specific results showed significant upward trends in total PA in eight countries. Seven countries showed significant increasing trends in some leisure-time PA (2.0% − 13.9% increase) and ≥ 150 min/week transport PA (4.0% − 24.5% increase), while five countries recorded significant increasing trends in occupational PA (6.6% − 56.9% increase). Gender, age and education disparities in meeting the WHO PA guidelines remained relatively stable over time, but disparities in leisure, transport and occupational PA increased in most countries. Conclusions The prevalence of overall PA among African adults has marginally increased over 17 years. There are still many adults, especially women and people with lower education, not doing well in domain specific PA. Policy and environmental interventions are needed to improve PA and to reduce gender, age, and education disparities in leisure, transport, and occupational PA in African countries.

Abstract Aligned with global goals for healthy and sustainable cities, urban compactness significantly promotes residents’ transport-related physical activity and health. In Japan, amid demographic changes, municipalities have begun formulating Location Normalization Plans focused on making cities more compact. This study examines the associations between health and transport-related physical activity considerations in urban plans, including Location Normalization Plans, the demographic characteristics of municipalities, and the development of infrastructure that supports leisure-time physical activity. Analyzing responses from 725 of 1,374 Japanese municipalities, our research reveals that 38% of urban plans integrated health and physical activity in goals/visions, and 28% recognized these as challenges. The development of physical activity infrastructure such as sports facilities (48%), metropolitan parks (21%), and bicycle paths (14%) was more prevalent in larger municipalities. However, the incorporation of health and physical activity in planning goals/visions or challenges was not exclusive to larger municipalities; smaller ones also demonstrated this capability. Logistic regression analyses revealed that municipalities that included health considerations in their plans’ goals/visions and challenges were more likely to develop or renovate physical activity infrastructure. Prioritizing health and physical activity in planning has the potential to support leisure-time and transport-related physical activity, helping to create healthy and sustainable cities.

Background: Mortality from physical inactivity-related non-communicable diseases (NCDs) is projected to surpass deaths from communicable diseases by 2030 in Africa. Monitoring physical activity (PA) is important for planning public health interventions addressing NCDS and planetary health, but there is a dearth of evidence on PA trends in Africa. This study explored the secular trends in overall and domains of PA (leisure, occupation, and transport), and examined the gender, age, and education disparities in PA trends across African countries. Methods: We utilized data from the STEPwise approach to NCDs risk factor surveillance in eleven African countries (Algeria, Benin, Botswana, Cabo Verde, Eritrea, Eswatini, Malawi, Mali, Central Africa Republic, Sao Tome and Principe, and Zambia) with at least two surveys conducted between 2003/2010 (first-wave) and 2010/2020 (second-waves). A total of 29,282 and 40,147 adults (18–69 years) in the first and second waves, respectively, completed PA interviews using the Global Physical Activity Questionnaire. Gender, age, and education status were self-reported. Weighted individual-country PA prevalence and 95% confidence interval (95%CI) were obtained. Random-effect meta-analysis was conducted to assess pooled estimates of PA trends across countries. Gender, age, and education disparities in PA trends were also investigated. Results: Country-specific results showed significant upward trends in total PA in eight countries. Seven countries showed significant increasing trends in some leisure-time PA (2.0% − 13.9% increase) and ≥ 150 min/week transport PA (4.0% − 24.5% increase), while five countries recorded significant increasing trends in occupational PA (6.6% − 56.9% increase). Gender, age and education disparities in meeting the WHO PA guidelines remained relatively stable over time, but disparities in leisure, transport and occupational PA increased in most countries. Conclusions: The prevalence of overall PA among African adults has marginally increased over 17 years. There are still many adults, especially women and people with lower education, not doing well in domain specific PA. Policy and environmental interventions are needed to improve PA and to reduce gender, age, and education disparities in leisure, transport, and occupational PA in African countries. [ABSTRACT FROM AUTHOR]

Job strain is a major concern in the workplace. Work‐related stress is an increasing challenge worldwide as it is the leading cause of long‐term sickness absences, disability pensions and lower productivity. Rarely studied simultaneously, both leisure‐time physical activity (LTPA) and physical fitness (PF), which comprises cardiorespiratory fitness (CRF) and muscular fitness (MF), may have potential in preventing and managing job strain. The current study aimed to investigate whether LTPA, CRF and MF predict perceived job strain. In addition, the study examines reverse associations, that is, whether job strain predicts LTPA, CRF and MF. We used longitudinal population‐based data from a Northern Finland birth cohort of 1966 (n = 5363) to analyse LTPA, CRF and MF as well as job strain and its components, job demands and job control, at age 31 years (1997) and 46 years (2012). Leisure‐time physical activity was measured with a self‐reported questionnaire whereas CRF and MF were measured as part of clinical examination. Linear regression analyses were used to analyse the data. In both men (n = 2548) and women (n = 2815), higher baseline MF predicted lower job strain and job demands 15 years later. In women, higher baseline total LTPA predicted higher job demands, whereas in men, higher CRF predicted lower job strain and higher job control. These associations remained significant, also when adjusted for education and occupational status. In the analyses on reverse associations, higher job control and higher job demands were linked to higher leisure‐time moderate‐to‐vigorous physical activity (MVPA) and total LTPA 15 years later among both men and women, except for the association between job demands and total LTPA among women. These associations remained significant after adjustment for education and occupational status, except for the association of job control with MVPA and total LTPA among men. The association of higher job demands and total LTPA became significant in women. We conclude that LTPA and PF seem beneficial in preventing and managing job strain. [ABSTRACT FROM AUTHOR]

Objective: The efficacy of effort appraisal exercise action plans was tested among underactive and inactive university students (N = 221). Methods: Students were randomized across three conditions (information, action planning, or realistic effort action planning (REAP)) and participated in psychoeducational small-group sessions. Students returned after a three-week pedometer tracking period and at two and six months to assess self-reported exercise. Results: Greater three-week step averages were observed for the action planning and REAP conditions compared to the information condition. The information condition showed small-sized exercise increases at two and six months (d =.26, d =.35, ps <.05); the action planning condition showed a small-sized increase at six months (d =. 36, p < 05); and the REAP condition showed medium-sized increases at two and six months (d =.40, d =. 46, ps <.05). Conclusions: The findings provide initial evidence showing exercise action plans for college students might be improved with explicit appraisals of prior effort and persistence. [ABSTRACT FROM AUTHOR]

With the accelerating global population aging, delaying aging and promoting healthy aging have become focal points in public health and clinical medicine. Phenotypic age acceleration (PhenoAgeAccel) is an important indicator of biological aging speed. This study aims to explore the relationship between different leisure-time physical activity (LTPA) patterns and PhenoAgeAccel, analyzing the association and dose-response relationship. This study utilized data from the National Health and Nutrition Examination Survey (NHANES) from 1999 to 2018, including 14,868 adults. Multivariable linear regression models and restricted cubic spline methods were used to assess the relationship between LTPA and PhenoAgeAccel, with segmented likelihood ratio tests to detect non-linear thresholds. Stratified regression and interaction tests explored potential modifications by sex, age, race, and socioeconomic status. Compared to individuals with no LTPA, those with inactive and regular LTPA patterns had significantly lower PhenoAgeAccel scores (P < 0.05), while the weekend warrior pattern showed no significant effect (P > 0.05). A non-linear threshold effect was found; below 560 min of weekly LTPA, a significant negative correlation existed (β = −0.001, 95 % CI: 0.001 to −0.0003, P < 0.001). Above this threshold, LTPA was positively correlated with PhenoAgeAccel, indicating a risk for accelerated aging (β = 0.0003, 95 % CI: 0.00002 to 0.001, P = 0.03). Similar non-linear threshold effects were found for both males and females. Regular LTPA significantly reduces phenotypic age acceleration, with a non-linear threshold effect indicating moderate physical activity is most beneficial. The weekend warrior pattern was less effective. These findings highlight the necessity of personalized physical activity recommendations and provide evidence for public health strategies to promote healthy aging. [ABSTRACT FROM AUTHOR]

Aligned with global goals for healthy and sustainable cities, urban compactness significantly promotes residents' transport-related physical activity and health. In Japan, amid demographic changes, municipalities have begun formulating Location Normalization Plans focused on making cities more compact. This study examines the associations between health and transport-related physical activity considerations in urban plans, including Location Normalization Plans, the demographic characteristics of municipalities, and the development of infrastructure that supports leisure-time physical activity. Analyzing responses from 725 of 1,374 Japanese municipalities, our research reveals that 38% of urban plans integrated health and physical activity in goals/visions, and 28% recognized these as challenges. The development of physical activity infrastructure such as sports facilities (48%), metropolitan parks (21%), and bicycle paths (14%) was more prevalent in larger municipalities. However, the incorporation of health and physical activity in planning goals/visions or challenges was not exclusive to larger municipalities; smaller ones also demonstrated this capability. Logistic regression analyses revealed that municipalities that included health considerations in their plans' goals/visions and challenges were more likely to develop or renovate physical activity infrastructure. Prioritizing health and physical activity in planning has the potential to support leisure-time and transport-related physical activity, helping to create healthy and sustainable cities. [ABSTRACT FROM AUTHOR]

Knowledge is needed regarding mechanisms acting between physical activity (PA) and chronic pain. We investigated whether cold pain tolerance mediates an effect of leisure-time physical activity on the risk of chronic pain 7 to 8 years later using consecutive surveys of the population-based Tromso Study. We included participants with information on baseline leisure-time PA (LTPA) and the level of cold pressor-assessed cold pain tolerance, who reported chronic pain status at follow-up as any of the following: chronic pain for ≥3 months, widespread chronic pain, moderate-to-severe chronic pain, or widespread moderate-to-severe chronic pain. We included 6834 participants (52% women; mean age, 55 years) in counterfactual mediation analyses. Prevalence decreased with severity, for example, 60% for chronic pain vs 5% for widespread moderate-to-severe chronic pain. People with one level higher LTPA rating (light to moderate or moderate to vigorous) at baseline had lower relative risk (RR) of 4 chronic pain states 7 to 8 years later. Total RR effect of a 1-level LTPA increase was 0.95 (0.91-1.00), that is, -5% decreased risk. Total effect RR for widespread chronic pain was 0.84 (0.73-0.97). Indirect effect for moderate-to-severe chronic pain was statistically significant at RR 0.993 (0.988-0.999); total effect RR was 0.91 (0.83-0.98). Statistically significantly mediated RR for widespread moderate-to-severe chronic pain was 0.988 (0.977-0.999); total effect RR was 0.77 (0.64-0.94). This shows small mediation of the effect of LTPA through pain tolerance on 2 moderate-to-severe chronic pain types. This suggests pain tolerance to be one possible mechanism through which PA modifies the risk of moderate-to-severe chronic pain types with and without widespread pain. [ABSTRACT FROM AUTHOR]

Within tbe theory of planned bebavion online social support from contacts on social networking sites bas shown significant effects on physical activitv bebaviors. However, tbe influence of sport-related short video pladorms on physical activity participation bas not been widely examined. Therefore, tbis study explores tbe impact of online social support from sport-related short video platforms on university students' leisure-time pbysical activity (LTPA) intention. Tms study collected 475 responses tbrougb C.bina's most popular socialmedia platforms. University students completed a questionnaireassessingperceivedonline social support, affectiue and instrumental attitudes, subjective norms, perceived bebavioral control, and LTPA intention. Results showed tbat onlinesocial support from sport-related short videoplatforms directly and indirectly predicted university students' LTPA intention tbrougb tbe mediation effects of affective attitude and subjective norm. Utilizing sport-relited short video platforms to provide online social support can be a promising strategy for promoting individuals' intention to engage in LTPA in future interventions. [ABSTRACT FROM AUTHOR]

Current research has shown promising associations between factors such as diet, total physical activity, and mental health outcomes, acknowledging the intricate interplay between these variables. However, the role of dietary intake of live microbes, coupled with leisure-time physical activity (LTPA), in their relationship to depressive symptoms necessitates further exploration. The present study examined a cohort of 25 747 individuals who participated in the National Health and Nutrition Examination Survey between the years 2007 and 2018. Patient's Health Questionnaire (PHQ-9) was employed, whereby individuals scoring ≥ 10 were classified as exhibiting symptoms of depression. LTPA status was reported by the Global Physical Activity Questionnaire and calculated by metabolic equivalent-minutes/week. Foods consumed by participants were evaluated by live microbes per gram, which were categorized into three groups: low, medium, and high. After controlling for all covariates, findings indicated that LTPA was negatively associated with depressive symptoms (OR (95% confidence interval (CI): 0.983 (0.976, 0.990), p < 0.001). Participating in more LTPA was positively correlated with consuming all three levels of dietary live microbes (low, β (95% CI): 0.086 (0.063, 0.109); medium, β (95% CI): 0.009 (0.007, 0.012); high, β (95% CI): 0.002 (0.001, 0.002)). Moreover, taking more foods with medium live microbes was associated with lower depressive likelihood (OR (95% CI): 0.931(0.882, 0.982), p = 0.010). Intake of medium and high levels of live microbes mediated the association between LTPA and depressive symptoms by 4.15% and 0.83%, respectively. Dietary intake of foods containing medium and high levels of live microbes may be a mediator of LTPA's negative association with depressive symptoms. [ABSTRACT FROM AUTHOR]

Cancer patients have a higher risk of depression and are associated with severe adverse prognosis. The relationship between leisure-time physical activity (LTPA) and depressive symptoms in cancer patients is currently unclear. Therefore, our study mainly explores the potential association between LTPA and the weekly cumulative time of LTPA with depressive symptoms in cancer patients. We included and analyzed 3368 cancer patients (aged >20 years) from the National Health and Nutrition Examination Survey (NHANES) of the United States from 1999 to 2018. The LTPA score was evaluated through a self-report questionnaire, while depressive symptoms were evaluated through the Health Questionnaire-9 (PHQ-9). Multiple logistic regression analysis was used to explore the relationship between LTPA duration and the occurrence of cancer-related depressiive symptoms. Linear correlation was studied using the restricted cubic spline method. According to a fully adjusted multivariate logistic regression model with confounding variables, the odds ratio (OR) between LTPA and depressive symptoms in cancer patients in this study was 0.59 (95 % confidence interval = 0.39, 0.92; P = 0.02). When the LTPA level was ≥300 min/week, the incidence of depressive symptoms was reduced by 59 % (OR = 0.41, 95 % CI = 0.21, 0.83). In addition, the cubic spline method was used to obtain a linear negative correlation between LTPA duration and tumor depressive symptoms. LTPA was negatively correlated with cancer-related depressive symptoms, and the cumulative time of LTPA/week was linearly correlated with depressive symptoms. The slope of the benefit curve changed significantly when the cumulative time of LTPA reached 600 min per week, suggesting that appropriately increasing LTPA had significant benefits on mental health of cancer patients. • This study had several key strengths. • Firstly, multi-stage probability sampling of the data improves the validity and generalizability of the results. • Secondly, adjustments were made for confounders such as basic status, dietary status and chronic disease. • Thirdly, stratified analyses to understand the relationship between the factors make the results more relevant. • Finally, the association between leisure-time physical activity and cancer-related depressive symptoms is novel. [ABSTRACT FROM AUTHOR]

Objective: To investigate barriers to leisure-time physical activity (LTPA) for physically active people with spinal cord injury (SCI). Design: Prospective cross-sectional. Setting: General community. Participants: One hundred and five physically active individuals with SCI. Interventions: Semi-structured interviews and surveys. Main Outcome Measure: Participants were surveyed and interviewed to determine barriers and determinants of LTPA participation. SCI-specific physical activity (PA) guideline adherence was documented. Barriers were categorized using the capability, opportunity, motivation, and behavior model, and regression statistics were used to determine relationships between LTPA volume and barriers. Results: Health problems, costs of equipment and programs, pain, and a lack of energy were the most common capability barriers, and a lack of accessible facilities, confidence in the knowledge and skill of a health professional, and a lack of time were common opportunity barriers. Motivation barriers pertained to self-consciousness in a fitness center and a lack of interest. Believing LTPA to be too difficult, uninteresting, and unable to improve health emerged as significant barriers to SCI-specific PA guideline adherence. Conclusion: SCI-specific PA guideline adherence was below 50% in physically active individuals. There are still numerous capability and opportunity barriers that physically active people with SCI must overcome when engaging in LTPA. Motivational barriers such as feeling self-conscious in a fitness center significantly influence PA guideline compliance in this population. Service providers should emphasize the benefit of LTPA to people with SCI while providing LTPA options that facilitate enjoyment, interest, and inclusivity, particularly for those who do not meet PA guideline recommendations.

Abstract Numerous studies have suggested that the perceived built environment is shaped by the objective built environment and influences human physical activity. However, the empirical examination of this pathway remains scant. Addressing this gap, our study investigates whether the built environment affects leisure-time physical activity through its impact on the perceived built environment, utilizing data collected from 760 residents in Fuzhou, China. Structural Equation Modeling results reveal a modest correlation between objective and perceived built environment elements, with the objective built environment being a stronger predictor of leisure-time physical activity. Notably, perceived recreational facilities significantly mediate the relationship between objective recreational facilities and leisure-time physical activity, accounting for 15% of the variance in physical activity due to objective recreational facilities. This mediation effect is consistent across subpopulations, irrespective of residential self-selection biases. These results highlight the imperative for urban planning and policy to extend beyond mere spatial allocation of amenities to enhancing both the actual and perceived accessibility of these facilities, thus underlining the study's profound implications for public health and urban development strategies.

Abstract Lifestyles maybe associated with the immune and inflammatory state of human body. We aimed to comprehensively explore the relationship between lifestyles and circulating immune-inflammatory markers in the general population. Data from NHANES 1999–2014 was used. Lifestyle factors included leisure-time physical activity (LTPA), diet quality (Healthy Eating Index-2015, HEI-2015), alcohol consumption, cigarettes smoking, sleep hour and sedentary time. Immune makers included C-reactive protein (CRP), neutrophil–lymphocyte ratio (NLR), systemic immune-inflammation index (SII), platelet–lymphocyte ratio (PLR) and monocyte–lymphocyte ratio (MLR). Generalized linear regression models were used to adjust confounders. Regressions of restricted cubic splines were utilized to evaluate the potentially non-linear relationships between exposures and outcomes. As results, HEI was negatively associated with CRP (P

Numerous studies have suggested that the perceived built environment is shaped by the objective built environment and influences human physical activity. However, the empirical examination of this pathway remains scant. Addressing this gap, our study investigates whether the built environment affects leisure-time physical activity through its impact on the perceived built environment, utilizing data collected from 760 residents in Fuzhou, China. Structural Equation Modeling results reveal a modest correlation between objective and perceived built environment elements, with the objective built environment being a stronger predictor of leisure-time physical activity. Notably, perceived recreational facilities significantly mediate the relationship between objective recreational facilities and leisure-time physical activity, accounting for 15% of the variance in physical activity due to objective recreational facilities. This mediation effect is consistent across subpopulations, irrespective of residential self-selection biases. These results highlight the imperative for urban planning and policy to extend beyond mere spatial allocation of amenities to enhancing both the actual and perceived accessibility of these facilities, thus underlining the study's profound implications for public health and urban development strategies. [ABSTRACT FROM AUTHOR]

Objectives: Adults with spinal cord injury (SCI) are often sedentary, increasing their risk of cardiometabolic diseases. Leisure-time Physical Activity (LTPA) is physical activity completed during recreation time for enjoyment. We aimed to quantify LTPA in people ≥45 years with SCI and to explore its relationship with participants' characteristics. Methods: This is a secondary analysis on a subset of the Australian International SCI Survey in participants ≥45 years, at least 12 months post-injury. We described levels of LTPA and used multivariable regressions to estimate the associations between participant characteristics and LTPA. Results: Of 1,281 participants (mean age: 62.7 years, mean time since injury: 18.7 years; 74% males) 44% reported no participation in LTPA. The average LTPA participation was 197 (SD 352) minutes per week (median: 50). Females (β = -62.3, 95% CI [-112.9, -11.7]), and participants with non-traumatic injuries (β = -105.2, 95% CI [-165.9, -44.6]) performed less LTPA. Time since injury was not associated with moderate-to-heavy LTPA (LR: Probability > F = 0.785). Conclusion: LTPA promotion in the SCI population ≥45 years focusing on females and non-traumatic injuries is warranted. [ABSTRACT FROM AUTHOR]

Residents' quality of life (QOL) is an important indicator of their well-being, both physically and mentally, along with their social relations. Improving their QOL is an important developmental goal for governments around the world. This study aims to provide a new perspective on the relationship between leisure-time physical activity and residents' QOL. It also seeks to provide theoretical references for improving residents' QOL through two mediating variables, sleep quality and depressed mood, and the chain mediation model formed between them. This study conducted a questionnaire survey on 538 residents based on the Physical Activity Rating Scale, the Pittsburgh Sleep Quality Index, the Depression Self-Rating Scale, and the World Health Organization Quality of Survival Measurement Scale in Chinese, with the actual situation taken into account in the design of the questionnaire. AMOS software was employed to construct a chain mediation model between leisure-time physical activity and residents' QOL, with Bootstrapping used to test the mediation effect. Leisure-time physical activity had a significant effect on residents' QOL; both sleep quality and depression showed significant individual mediation effects, as well as chain mediation effects, between leisure-time physical activity and residents' QOL. Depression and sleep quality play a significant role in better residents' QOL of life through leisure-time physical activity. Increased individual knowledge of leisure-time physical activity and improved leisure-time physical activity behaviors can effectively alleviate depression, improve sleep quality, and thus promote overall QOL. [ABSTRACT FROM AUTHOR]

Background: The purpose of this study was to investigate the longitudinal impact of different levels of leisure‐time physical activity (LTPA) participation on positive and negative affect among older foreign‐born adults with mild cognitive impairment (MCI). Methods: This study used 2012 to 2020 data from the Health and Retirement Study data (n = 1206) that was analyzed using repeated measured multivariate analysis of covariance. Results: The high‐level participation LTPA group reported higher positive affect and lower negative affect than the mid and low‐level participation groups. The mid‐level LTPA group also reported higher positive and lower negative affect than the low‐level LTPA group. Conclusions: This study provides evidence that high levels of LTPA participation contribute to an increase in positive affect and a reduction of negative affect among older foreign‐born adults with MCI. The findings of this study will help fill the gap in research on the longitudinal relationship between levels of LTPA participation and positive and negative affect among older foreign‐born adults. [ABSTRACT FROM AUTHOR]

To prospectively investigate the associations of longitudinal changes in sleep score and LTPA and their combination with all-cause mortality. Among 12,543 participants (mean age: 66.1 years) from the Dongfeng-Tongji cohort, we calculated sleep score (range, 0–4, integrating bedtime, sleep duration, sleep quality, and midday napping, higher score indicating healthier sleep) and LTPA at baseline (2008–2010) and the first follow-up (2013) surveys and their 5-year changes (defining stable sleep score as no change and stable LTPA as change within 150 min/week). We prospectively documented deaths from the first follow-up survey (2013) through December 31, 2018. During a mean 5.5-year follow-up, 792 deaths occurred. The 5-year changes in sleep score and LTPA were inversely associated with all-cause mortality risk, regardless of their initial values. When assessing 5-year changes in sleep score and LTPA jointly, compared with the stable sleep score-stable LTPA group, the decreased sleep score-decreased LTPA group had a 40 % (5–85 %) higher all-cause mortality risk, whereas the increased sleep score-increased LTPA group had a 34 % (9–52 %) lower risk. The direction of the joint association was mainly driven by sleep score change. Participants maintaining sleep scores ≥ 3 and LTPA ≥ 150 min/week over 5 years had a 44 % (28–56 %) lower all-cause mortality risk. Promoting sleep hygiene and LTPA together may benefit efforts in reducing mortality risk, with particular attention to monitoring long-term sleep health. • The 5-year changes in sleep score and LTPA were inversely associated with all-cause mortality risk. • Decreased sleep scores combined with decreased LTPA were associated with a higher all-cause mortality risk. • Increased sleep scores combined with increased LTPA were associated with a lower all-cause mortality risk. • The joint association of changes in sleep score and LTPA with all-cause mortality was driven by the sleep score change. • Maintaining healthy sleep habits and sufficient LTPA together over time may benefit reducing mortality risk. [ABSTRACT FROM AUTHOR]

Objectives Leisure-time physical activity (LTPA) can reduce the risk of incident diabetes, whereas the role of occupational physical activity (OPA) in developing diabetes is still unclear due to conflicting evidence. Moreover, the joint associations of OPA and LTPA with incident diabetes among US workers have not yet been systematically examined. The objective of this study was to assess the independent and joint associations of OPA and LTPA with incident diabetes. Methods This prospective cohort study included 1406 workers free from diabetes at baseline (2004–2006) from the national, population-based Mid-life in the United States (MIDUS) study. Associations of OPA and LTPA at baseline with incident diabetes during 9 years of follow-up were examined using Poisson regression models. High OPA was defined based on engagement in physical demands at work, and high LTPA was defined as participation in moderate or vigorous LTPA at least once per week. Results High OPA was associated with an increased risk of diabetes compared to low OPA (adjusted risk ratios and 95% confidence interval = 1.52 [1.04, 2.22]), while high LTPA was associated with a decreased risk of diabetes compared to low LTPA (0.66 [0.44, 0.97]). Diabetes risk was the highest among workers with high OPA and low LTPA (2.30 [1.30, 4.07]). Conclusions In a national, population-based prospective cohort study of US workers, high OPA was associated with an elevated risk of diabetes, while high LTPA was associated with a decreased diabetes risk. The combination of high OPA and low LTPA exhibited the greatest risk of diabetes. [ABSTRACT FROM AUTHOR]

Objective Whether physical activity could reduce the risk of atrial fibrillation (AF) remains unclear. This study was to investigate the relationship of leisure-time physical activity (LTPA) with AF incidence among Chinese older adults. Methods A total of 3253 participants aged ≥60 years from the Guangzhou Heart Study were successfully followed between March 2018 and September 2019. LTPA was assessed using a modified Global Physical Activity Questionnaire. AF was ascertained by 12-lead electrocardiograms, 24-hour single-lead Holter and clinical examination. The Cox proportional hazards model was used to the estimate hazard ratio (HR) and 95% confidence interval (CI) after adjustment for confounders, and the population-attributable fraction (PAF) was estimated. Results A total of 76 (2.34%) new-onset cases of AF were identified during a median of 31.13 months of follow-up. After adjustment for confounders, subjects who had LTPA at least 10.0 metabolic equivalent (MET)-hours/week had a 55% lower risk of developing AF (HR: 0.45, 95%CI: 0.25–0.81), and at least 20 MET-hours/week reduced the risk by 45% (HR: 0.55, 95%CI: 0.34–0.92). At least 11% (PAF: 11%, 95%CI: 0%–20%) or 14% (PAF: 14%, 95%CI: 0%–26%) of AF cases could be avoided, respectively, if the subjects do LTPA at least 10 MET-hours/week or 20 MET-hours/week. A significant exposure-response trend was also observed between LTPA and AF risk (P linear-trend = 0.002). For a specific LTPA, doing housework was associated with a 43% reduced risk, while engaging in ball games was associated with an increased risk. Conclusion This prospective cohort study indicated that a higher LTPA volume was associated with a lower AF risk in Chinese older adults. [ABSTRACT FROM AUTHOR]

This cross-sectional study aimed to examine the association of various aspects of physical activity, including intensity, duration, type, and purpose, with the phase angle (PhA), an objective indicator of health, in Korean adults after stratification by sex. Data from the 2022 Korean National Health and Nutrition Examination Survey, a nationwide, representative, population-based survey, were used. In total, 3996 participants were included in the study. Participants self-reported their weekly intensity, frequency, duration of engagement in physical activity. PhA was categorized into two groups on the basis of sex-specific averages. Multiple logistic regression analysis was used to investigate the relationship between physical activity and PhA, and proportional odds logistic regression analysis was performed to determine the association between physical activity and different subclasses of PhA. A positive association was found between sufficiently active aerobic physical activity and PhA compared with inactive physical activity (sufficiently active, male: odds ratio = 1.952, 95% confidence interval = 1.373–2.776; female: odds ratio = 1.333, 95% confidence interval = 1.019–1.745). This association was further strengthened when aerobic physical activity was accompanied by muscle-strengthening activity (sufficiently active with muscle-strengthening activity, male: aOR = 2.318, 95% CI = 1.512–3.554; female: aOR = 1.762, 95% CI = 1.215–2.556) and vigorous-intensity activities (sufficiently active with sufficient vigorous-intensity activity, male: aOR = 2.785, 95% CI = 1.647–4.709; female: aOR = 2.505, 95% CI = 1.441–4.356) and when there was more leisure-time physical activity than occupational physical activity (sufficiently active with more leisure-time physical activity, male: aOR = 2.158, 95% CI = 1.483–3.140; female: aOR = 1.457, 95% CI = 1.078–1.969). Furthermore, the inclusion of muscle-strengthening activity made a significant difference in the values of PhA for males with insufficiently active physical activity (aOR = 2.679, 95% CI = 1.560–4.602). For females with highly active physical activity (aOR = 1.521, 95% CI = 1.068–2.166), the inclusion of muscle-strengthening and vigorous-intensity activities were significantly associated with higher values for PhA. This study can be utilized to provide specific suggestions for better health programs and can change perception that only occupational physical activity is enough. This study also indicated that PhA can be used for personalized health assessments. [ABSTRACT FROM AUTHOR]

Lifestyles maybe associated with the immune and inflammatory state of human body. We aimed to comprehensively explore the relationship between lifestyles and circulating immune-inflammatory markers in the general population. Data from NHANES 1999–2014 was used. Lifestyle factors included leisure-time physical activity (LTPA), diet quality (Healthy Eating Index-2015, HEI-2015), alcohol consumption, cigarettes smoking, sleep hour and sedentary time. Immune makers included C-reactive protein (CRP), neutrophil–lymphocyte ratio (NLR), systemic immune-inflammation index (SII), platelet–lymphocyte ratio (PLR) and monocyte–lymphocyte ratio (MLR). Generalized linear regression models were used to adjust confounders. Regressions of restricted cubic splines were utilized to evaluate the potentially non-linear relationships between exposures and outcomes. As results, HEI was negatively associated with CRP (P < 0.001), SII (P < 0.001), and NLR (P < 0.001). Cigarettes per day was positively associated with CRP (P < 0.001), SII (P < 0.001), and NLR (P = 0.008). Alcohol consumption was negatively associated with CRP (P < 0.001), but positively associated with PLR (P = 0.012) and MLR (P < 0.001). Physical activity was negatively associated with CRP (P < 0.001), SII (P = 0.005), and NLR (P = 0.002), but positively associated with PLR (P = 0.010). Participants with higher healthy lifestyle score had significantly lower CRP, SII and NLR (all P values < 0.05). Most of the sensitivity analyses found similar results. In conclusion, we found significant associations between lifestyles and immune markers in the general population, which may reflect a systemic inflammatory response to unhealthy lifestyles. [ABSTRACT FROM AUTHOR]

As the U.S. population ages, park and recreation (P&R) professionals face increasing demand to provide age-appropriate and health-promoting programming for older adults. Recent qualitative research suggests older adults are interested in participating in sport programs tailored to their age group. Using socioecological theory as the guiding framework, and leisure constraint theory specifically, the current study explored participation and interest in recreational sport among older adults across the U.S. and their perceptions of how local P&R agencies currently meet, or fail to meet, their needs. Data, collected in 2019 via a nationwide online survey completed by 1,203 adults aged 50 and over, provided insights into the current population of older adults who are diverse in terms of health status, amount of discretionary time, and interest/experience with sport. Although most participants suggested they do not regularly participate in recreational sport, approximately half indicated they would be interested to try a new sport if opportunities were available, and they are motivated by health benefits, social opportunities, and enjoyment of recreational sport. Sports with the most interest were golf, pickleball, and softball. Additionally, participants expressed interest in bowling, hiking, tennis, volleyball, and swimming. Unfortunately, less than 20% of participants indicated they were satisfied or highly satisfied with the sport opportunities for older adults available through their local P&R department. Related to constraints, participants reported that constraints hindering their participation in recreational sport include physical or health-related factors (e.g., not being in good enough shape, not having the sport-related skills), lack of companions with whom to participate, lack of awareness of opportunities, lack of access to fields/facilities, and cost. The findings also relate to leisure facilitators within the constraint negotiation model, and suggests P&R agencies can facilitate sport participation among older adults by promoting the health, social, and fun aspects of participation; offering opportunities targeted at beginners with no skill/ experience required; ensuring programs are age-specific and modified to reduce risk of injury; facilitating introductions among players or providing opportunities for individuals to join teams; ensuring that low-cost options exist, and increasing awareness among older adults through channels effective for this age group (e.g., personal invitation, Facebook). The findings highlight the importance of making older adults a priority when planning sport opportunities and understanding their sport-related interests and unique needs. [ABSTRACT FROM AUTHOR]

Background: Patterns of physical activity and sedentary behavior among postmenopausal women are not well characterized. Objectives: To describe the patterns of accelerometer-assessed physical activity and sedentary behavior among postmenopausal women. Design: Cross-sectional study. Methods: Women 63–97 years (n = 6126) wore an ActiGraph GT3X + accelerometer on their hip for 1 week. Latent class analysis was used to classify women by patterns of percent of wake time in physical activity and sedentary behavior over the week. Results: On average, participants spent two-thirds of their day in sedentary behavior (62.3%), 21.1% in light low, 11.0% in light high, and 5.6% in moderate-to-vigorous physical activity. Five classes emerged for each single-component model for sedentary behavior and light low, light high, and moderate-to-vigorous physical activity. Six classes emerged for the multi-component model that simultaneously considered the four behaviors together. Conclusion: Unique profiles were identified in both single- and multi-component models that can provide new insights into habitual patterns of physical activity and sedentary behavior among postmenopausal women. Implications: The multi-component approach can contribute to refining public health guidelines that integrate recommendations for both enhancing age-appropriate physical activity levels and reducing time spent in sedentary behavior. [ABSTRACT FROM AUTHOR]

Abstract Background and objective Physical activity has benefits for the cardiovascular system, however, what levels and types of activity provide optimal cardiovascular health is unclear. We aimed to determine the level of physical activity that has the most benefits against cardiovascular diseases (CVD). Methods PubMed, Scopus, and Web of Science were searched for prospective cohort studies on leisure-time (LTPA) or occupational physical activity (OPA) as the exposure and major types of CVD (total CVD, coronary heart disease [CHD], stroke, and atrial fibrillation [AF]) incidence as the outcome. Risk of bias of studies was evaluated using the ROBINS-I tool. Summary hazard ratios (HR) were calculated using random-effects pairwise model. Results A total of 103 studies were included in the analysis. The highest versus the lowest LTPA was associated with a lower risk of overall CVD (HR = 0.81; 95% CI: 0.77–0.86), CHD (HR = 0.83; 0.79–0.88), and stroke (HR = 0.83; 0.79–0.88), but not AF (HR = 0.98; 0.92–1.05). Linear dose-response analyses showed a 10%, 12%, 9%, and 8% risk reduction in CVD, CHD, stroke, and AF incidence, respectively, for every 20 MET-hours/week increase in LTPA. In nonlinear dose-response analyses, there were inverse associations up to 20 MET-hours/week with 19% and 20% reduction in CVD and CHD risk, and up to 25 MET-hours/week with 22% reduction in stroke, with no further risk reduction at higher LTPA levels. For AF, there was a U-shaped nonlinear association with the maximum 8% risk reduction at 10 MET-hours/week of LTPA. Higher levels of OPA were not associated with risk of CVD, CHD, stroke, or AF. Conclusions Overall, results showed an inverse dose-response relationship between LTPA and risk of CVD, CHD, stroke, and AF. Running was the most beneficial LTPA but the risk was similar among various LTPA intensities. OPA showed no benefits in total or any type of CVD.

Background and objective: Physical activity has benefits for the cardiovascular system, however, what levels and types of activity provide optimal cardiovascular health is unclear. We aimed to determine the level of physical activity that has the most benefits against cardiovascular diseases (CVD). Methods: PubMed, Scopus, and Web of Science were searched for prospective cohort studies on leisure-time (LTPA) or occupational physical activity (OPA) as the exposure and major types of CVD (total CVD, coronary heart disease [CHD], stroke, and atrial fibrillation [AF]) incidence as the outcome. Risk of bias of studies was evaluated using the ROBINS-I tool. Summary hazard ratios (HR) were calculated using random-effects pairwise model. Results: A total of 103 studies were included in the analysis. The highest versus the lowest LTPA was associated with a lower risk of overall CVD (HR = 0.81; 95% CI: 0.77–0.86), CHD (HR = 0.83; 0.79–0.88), and stroke (HR = 0.83; 0.79–0.88), but not AF (HR = 0.98; 0.92–1.05). Linear dose-response analyses showed a 10%, 12%, 9%, and 8% risk reduction in CVD, CHD, stroke, and AF incidence, respectively, for every 20 MET-hours/week increase in LTPA. In nonlinear dose-response analyses, there were inverse associations up to 20 MET-hours/week with 19% and 20% reduction in CVD and CHD risk, and up to 25 MET-hours/week with 22% reduction in stroke, with no further risk reduction at higher LTPA levels. For AF, there was a U-shaped nonlinear association with the maximum 8% risk reduction at 10 MET-hours/week of LTPA. Higher levels of OPA were not associated with risk of CVD, CHD, stroke, or AF. Conclusions: Overall, results showed an inverse dose-response relationship between LTPA and risk of CVD, CHD, stroke, and AF. Running was the most beneficial LTPA but the risk was similar among various LTPA intensities. OPA showed no benefits in total or any type of CVD. [ABSTRACT FROM AUTHOR]

Introduction: Our study aimed to assess the independent and joint effects of leisure-time physical activity and sedentary behavior with urinary incontinence (UI). Methods: Data were obtained from the National Health and Nutrition Examination Survey 2011–2016. The primary endpoint was the risk of different subtypes of UI, including stress UI, urgency UI, and mixed UI. The primary exposures were leisure-time physical activity and sedentary behavior. Sedentary behavior was assessed by screen time. Weighted univariate and multivariate logistic regression models were used to observe the independent and joint relationship of leisure-time physical activity and sedentary behavior with UI risk (including stress UI, urgency UI, and mixed UI). Results: In total, 6,927 female participants were included in this analysis. 3,377 females did not have UI, 1,534 had stress UI, 836 had urgency UI, and 1,180 had mixed UI. Screen time with ≥5 h/day was associated with increased odds of urgency UI (odds ratio [OR] = 1.31, 95% confidence intervals (CI): 1.06–1.61), which indicated the relationship of sedentary behavior and urgency UI. Engaging in leisure-time physical activity with of ≥750 metabolic equivalent (MET)·min/week was found to be significantly associated with reduced likelihood of mixed UI (OR = 0.68, 95% CI: 0.55–0.85). Additionally, the interaction term of leisure-time physical activity<750 MET·min/week and screen time ≥5 h/day was observed to be linked with increased odds of urgency and mixed UI. Conclusion: Participants experiencing a lower level of leisure-time physical activity and a higher level of sedentary behavior together might enhance the urgency and mixed UI risk. [ABSTRACT FROM AUTHOR]

African American (AA) women have disproportionately high physical inactivity and obesity prevalence rates in comparison to their gender and racial counterparts. AA women experience unique barriers to leisure-time physical activity (LTPA); however, methods to overcome these barriers are less developed. Therefore, this study used semistructured interviews to explore strategies of young, active AA women that support LTPA maintenance and to identify their psychosocial and behavioral characteristics. The International Physical Activity Questionnaire-long was also administered to provide descriptors of participants' LTPA. Ten women (age: M = 26.1, SD = 1.7 years) who met national guidelines for aerobic or muscle-strengthening LTPA at least 6 months (aerobic LTPA: M = 2,578.0, SD = 1,228.5 metabolic equivalent-minutes [MET-min]/week; muscle-strengthening physical activity: M = 4.0, SD = 1.9 days/week) completed the study. Four categories emerged from the interviews: (a) early-life contributors to LTPA participation, (b) characteristics of current LTPA, (c) initiating LTPA participation, and (d) maintaining LTPA participation. Findings revealed participants identified weightlifting as a preferred type of LTPA, identified various planning/preparation methods to overcome LTPA challenges, and relied on social media to initiate and maintain LTPA. This study identified several strategies used by young AA women to maintain regular LTPA and program preferences. These data are important in this understudied group as similar strategies may help inactive young AA women overcome LTPA challenges and promote long-term adherence. This could help prevent health and physical activity disparities in this population. [ABSTRACT FROM AUTHOR]

The acute heart rate response (AHRR) to physical activity, which refers to the change in heart rate during and after exercise, has been associated with cardiovascular and all-cause mortality. Previous studies have shown that AHRR is significantly determined by genetics in addition to environmental and lifestyle factors. The aim of this study was to investigate the genetic background of AHRR by analysing ten single nucleotide polymorphisms (SNPs) associated with leisure-time physical activity (LTPA) in 620 samples from the Hungarian population. The AHRR can be characterised as the difference between post-exercise and resting heart rate, i.e., the delta heart rate (ΔHR) defined by the YMCA 3 min step test, with a lower value indicating better cardiovascular fitness. The association of SNPs with ΔHR was analysed both separately and in combination using an optimised polygenic score (oPGS). The results showed that five SNPs (rs10252228, rs459465, rs6022999, rs8097348, and rs12405556) had at least nominally significant (p < 0.05) individual associations with ΔHR. After optimizing the PGS, a cumulative effect was observed for eight SNPs (rs6022999, rs12405556, rs459465, rs10252228, rs8097348, rs10887741, rs12612420, and rs7023003) that had a strong and statistically significant association with ΔHR (B = −2.51, 95% CI: −3.46–−1.76; p = 2.99 × 10−9). Of the four main domains of physical activity, the oPGS showed a significant positive association only with LTPA (B = 84.60; 95%CI: 25.23–143.98; p = 0.005). In conclusion, our results suggest that the SNPs we investigated influence individual leisure-time physical activity, mediated by their effects on the acute heart rate response. [ABSTRACT FROM AUTHOR]

Accumulating research shows that residential nature reliably promotes residents' subjective well-being (SWB) in complex ways. The present study investigates how self-reported proximity to different outdoor spaces relate to SWB in Norway. The effects of having proximity to recreation and hiking areas and the frequency of moderate-to-vigorous intensity leisure-time physical activity (MVLTPA) were estimated for five SWB measures (satisfaction with life, positive, and negative affect, mental well-being, and meaning in life). The study also estimated how outdoor spaces promote MVLTPA, and which of these relationships changed during the COVID-19 pandemic. Two Norwegian samples (collected in 2020 and 2021; N = 34,904) were explored using multiple linear and multinomial logistic regression analyses. Residential outdoor spaces predicted higher SWB across measures and MVLTPA frequency. Importantly, an inverted U-shaped relationship between MVLTPA and all SWB measures was found, with a tipping point coinciding with weekly MVLTPA. Last, during the pandemic, outdoor spaces became stronger predictors: hiking areas for mental well-being and meaning in life; and recreation areas for MVLTPA (p <.05). This study refines our understanding of these complex relations and contributes to setting these effects in perspective with other sociodemographic factors and SWB measures. Lastly, the importance of residential outdoor spaces upon the prospect of future pandemics is discussed. [ABSTRACT FROM AUTHOR]

Regular physical activity (PA) plays a crucial role in promoting overall health and preventing non-communicable diseases, with exercise both during and outside working hours reducing accumulated fatigue and stress caused by various job tasks. However, despite this, many people do not engage in sufficient levels of PA for various reasons. In line with this, this comprehensive research aimed to identify the barriers to physical exercise among the working population (WP). A search of literature was conducted using the following databases: Google Scholar, PubMed, Medline, and Mendeley, covering the period from 2002 to 2022. To potentially include in the study, all titles and abstracts were reviewed. A search of the databases based on keywords yielded 420 studies, then, through analysis and in accordance with the study's objectives, 50 studies were included for analysis. Through a detailed analysis of selected studies, various barriers to PA in the WP have been identified. All barriers can be divided into three main groups: i) Work schedule and workplace as barriers; ii) Marital and extramarital relationships, parenthood, family, and household obligations as barriers; iii) Time, behavioral, socio-economic, demographic, and ecological factors as barriers. The detected barriers suggest that interventions to overcome them should not be directed toward a single solution, given their diversity. In the context of the contemporary lifestyle where economic activities almost dominantly prevail, maintaining the health and adequate work level of employees is of utmost importance, further emphasizing the significance of PA and the identification of barriers of various kinds. Therefore, this research is of great value, as by determining the state and identifying different barriers to PA, it can serve as an initial step in devising various measures and solutions to eliminate these barriers and enable the WP to engage in physical activities for the improvement of their health and work potential. [ABSTRACT FROM AUTHOR]

ObjectivesAdults with spinal cord injury (SCI) are often sedentary, increasing their risk of cardiometabolic diseases. Leisure-time Physical Activity (LTPA) is physical activity completed during recreation time for enjoyment. We aimed to quantify LTPA in people ≥45 years with SCI and to explore its relationship with participants’ characteristics.MethodsThis is a secondary analysis on a subset of the Australian International SCI Survey in participants ≥45 years, at least 12 months post-injury. We described levels of LTPA and used multivariable regressions to estimate the associations between participant characteristics and LTPA.ResultsOf 1,281 participants (mean age: 62.7 years, mean time since injury: 18.7 years; 74% males) 44% reported no participation in LTPA. The average LTPA participation was 197 (SD 352) minutes per week (median: 50). Females (β = −62.3, 95% CI [−112.9, −11.7]), and participants with non-traumatic injuries (β = −105.2, 95% CI [−165.9, −44.6]) performed less LTPA. Time since injury was not associated with moderate-to-heavy LTPA (LR: Probability > F = 0.785).ConclusionLTPA promotion in the SCI population ≥45 years focusing on females and non-traumatic injuries is warranted.

Objectives: To investigate the amount of Leisure-Time Physical Activity (LTPA) that people over 45 years with a spinal cord injury (SCI) performed and to determine the frequency, duration, intensity, and modality of LTPA performed. Data Sources: We searched 5 major electronic databases (CINAHL, SCOPUS, EMBASE, MEDLINE, and PubMed) from inception to March 2023. Study Selection: Cross-sectional, longitudinal studies and control arm of controlled trials that assessed LTPA in participants over 45 years old, with a SCI. We included 19 studies in the review and 11 in the meta-analysis. Data Extraction: We followed the PRISMA checklist for Systematic Reviews. Two review authors independently assessed the risk of bias and extracted data on participants’ demographics, injury characteristics, and LTPA participation of the included studies. Risk of bias was assessed using the Joanne Briggs Institute critical appraisal tool for cross-sectional studies. Any conflicts were resolved by a third author. Data Synthesis: We found considerable variability in LTPA participation in adults 45 years and older with SCI. An estimated 27%-64% of participants did not take part in any LTPA. A random effects meta-analysis model was completed for studies that reported total or moderate-to-heavy LTPA scores in minutes per week. Overall, participants (n=1675) engaged in 260 [205;329] (mean [95% CI]) mins/week of total LTPA. Those participating in moderate-heavy intensity LTPA (n=364) completed 173 [118; 255] (mean [95% CI]) mins/week. LTPA modalities included walking, wheeling, hand-cycling, basketball, and swimming, among others. Conclusions: While many older adults with SCI seem to be meeting the recommended weekly physical activity volume, many still remain sedentary. There was significant variation in reporting of frequency, intensity, and duration of LTPA and reporting on modality was limited. Because of differences in reporting, it was challenging to compare results across studies. Data constraints prevented subgroup analysis of LTPA disparities between paraplegia and tetraplegia.