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1.
Breanne E. Kunstler Jill L. Cook Joanne L. Kemp Paul D. O’Halloran Caroline F. Finch 《Journal of Science and Medicine in Sport》2019,22(3):275-280
Objectives
To determine the factors that influence physiotherapists’ choice to promote non-treatment physical activity to patients with musculoskeletal conditions.Design
Cross sectional survey.Methods
A national, online self report survey was targeted at Australian registered physiotherapists primarily treating patients with musculoskeletal conditions in private practice and outpatient settings. Likert scale questions were used to measure the factors influencing non-treatment physical activity promotion by physiotherapists.Results
Two hundred and sixteen full responses were received. Most (56.6%) respondents irregularly promoted non-treatment physical activity, whereas 43.4% always promoted non-treatment physical activity. Promotion of non-treatment physical activity was bivariately associated with respondents’ own physical activity level (x2[2] = 7.670, p = 0.022) and exercise science education (x2[1] = 4.613, p = 0.032). Multivariable analysis identified that Knowledge (knowing how to promote non-treatment physical activity) (OR = 1.60, 95%CI 1.026–2.502), Goals (other patient problems are more important) (OR = 0.62, 95%CI 0.424–0.897) and Innovation (compatibility of non-treatment physical activity promotion with the clinical environment) (OR = 1.75, 95%CI 1.027–2.985) were significantly and independently associated with non-treatment physical activity promotion.Conclusions
The majority of surveyed Australian physiotherapists irregularly promoted non-treatment physical activity. Lack of knowledge of how to promote non-treatment physical activity, prioritising other patient problems before non-treatment physical activity promotion and using promotion methods that are not compatible with current practice might reduce non-treatment physical activity promotion frequency by physiotherapists. 相似文献2.
Breanne E. Kunstler Jill L. Cook Nicole Freene Caroline F. Finch Joanne L. Kemp Paul D. O’Halloran James E. Gaida 《Journal of Science and Medicine in Sport》2018,21(6):609-615
Objectives
Physiotherapists promote physical activity as part of their practice. This study reviewed the behaviour change techniques physiotherapists use when promoting physical activity in experimental and observational studies.Design
Systematic review of experimental and observational studies.Methods
Twelve databases were searched using terms related to physiotherapy and physical activity. We included experimental studies evaluating the efficacy of physiotherapist-led physical activity interventions delivered to adults in clinic-based private practice and outpatient settings to individuals with, or at risk of, non-communicable diseases. Observational studies reporting the techniques physiotherapists use when promoting physical activity were also included. The behaviour change techniques used in all studies were identified using the Behaviour Change Technique Taxonomy. The behaviour change techniques appearing in efficacious and inefficacious experimental interventions were compared using a narrative approach.Results
Twelve studies (nine experimental and three observational) were retained from the initial search yield of 4141. Risk of bias ranged from low to high. Physiotherapists used seven behaviour change techniques in the observational studies, compared to 30 behaviour change techniques in the experimental studies. Social support (unspecified) was the most frequently identified behaviour change technique across both settings. Efficacious experimental interventions used more behaviour change techniques (n = 29) and functioned in more ways (n = 6) than did inefficacious experimental interventions (behaviour change techniques = 10 and functions = 1).Conclusions
Physiotherapists use a small number of behaviour change techniques. Less behaviour change techniques were identified in observational studies compared to experimental studies, suggesting physiotherapists use less BCTs clinically than experimentally. 相似文献3.
Amanda J.L. Watson Anna Timperio Helen Brown Kylie D. Hesketh 《Journal of Science and Medicine in Sport》2019,22(4):438-443
Objectives
To assess the feasibility and efficacy of a 6-week pilot active break program (ACTI-BREAK) on academic achievement, classroom behaviour and physical activity.Design
Pilot cluster randomised controlled trial.Methods
374 children in Year 3 and 4 (74% response) were recruited from six schools across Melbourne, Australia. Schools were randomised to the ACTI-BREAK intervention or usual teaching practice. The intervention involved teachers incorporating 3 × 5 min active breaks into their classroom routine daily. Academic achievement was assessed using 1-min tests in reading and mathematics; classroom behaviour at the individual and whole class level was observed by teachers; and physical activity levels were assessed using accelerometers. Multilevel mixed effects linear regression models were conducted using intention to treat (ITT) and per protocol (PP) analyses.Results
Significant intervention effects were found for classroom behaviour at the individual level (ITT B = 16.17; 95% CI: 6.58, 25.76); effects were stronger for boys (B = 21.42; 95% CI: 10.34, 32.49) than girls (B = 12.23; 95% CI: 1.52, 22.92). No effect was found for classroom behaviour at the whole class level, reading, math or physical activity. PP findings were similar.Conclusions
Implementing active breaks during class time may improve classroom behaviour, particularly for boys. There was no evidence to suggest that implementing active breaks had any adverse effect on academic achievement or classroom behaviour, which may encourage classroom teachers to incorporate active breaks into their routine. 相似文献4.
Iris F. Lagas Duncan E. Meuffels Edwin Visser Floor P. Groot Max Reijman Jan A.N. Verhaar Robert-Jan de Vos 《Journal of Science and Medicine in Sport》2019,22(2):164-168
Objective
To assess whether targeted neuromuscular exercises can decrease knee loading of adolescent pre-professional footballers with high knee loading as identified with the field-based Drop Vertical Jump Test (DVJT).Design
Prospective controlled trial, conducted between August and November 2016 at Erasmus Medical Centre, The Netherlands.Methods
Pre-professional football players (aged 14–21 years) were evaluated at baseline and after 12 weeks follow-up with the field-based DVJT. The field-based DVJT is a standardised test in which a player drops from a box and jumps up immediately after landing; knee load is calculated based on five parameters. Players with high knee load (probability ≥ 0.75) from one club performed regular training(control group), and players with high knee load from another other club performed targeted neuromuscular exercises for 12 weeks (intervention group). The difference of change in knee load between both groups after 12 weeks was the primary outcome measure.Results
Of 107 eligible players, 75 had a high knee loading. Knee loading decreased in both groups after 12 weeks of training, but change in probability of high knee load was not significantly different between both groups (95% Confidence Interval [?0.012–0.082], p = 0.139).Conclusion
Targeted neuromuscular exercises had no additional effect in decreasing knee loading of adolescent male pre-professional football players compared to regular training.Trial registration number: The Netherlands Trial Register (ID number: 6044). 相似文献5.
Braden L. Mitchell Ashleigh E. Smith Alex V. Rowlands Francois Fraysse Gaynor Parfitt Nicole R. Lewis James Dollman 《Journal of Science and Medicine in Sport》2019,22(1):70-75
Objectives
Rural Australian adults are consistently identified as insufficiently active, likely due to challenges implementing community-based physical activity programs in rural settings. On-line strategies to promote physical activity may be particularly effective in rural settings where isolation and scarcity of qualified support are potential barriers. The Rural Environments and Community Health (REACH) study evaluated the effectiveness of an online-delivered walking intervention among South Australian rural adults.Design
Randomised controlled study design.Methods
A twelve-week intervention, with six- and twelve-month follow-up, was conducted. Participants (n = 171; 50.6 ± 12.5 years), recruited through flyers, local newspapers and radio, were randomised to comparison or intervention groups and received a pedometer. The intervention group received access to the REACH website and personalised step goals based on ratings of perceived exertion and daily affect. The comparison group received a paper diary and generic step goals. Outcome measures were accelerometry-assessed sedentary, light (LPA) and moderate-to-vigorous (MVPA) physical activity. Linear mixed models assessed changes over the intervention and follow-ups.Results
Sedentary time decreased, and LPA and MVPA increased in both groups across the intervention (p < 0.05). The intervention group demonstrated a larger increase in LPA at six-month follow-up relative to comparison (p < 0.05). Both groups decreased sedentary time, overall and in bouts ≥30 min, between baseline and twelve-month follow-up (p < 0.05). From baseline to twelve-month follow-up, MVPA (total min and bouts ≥10 min) declined more in the comparison group than the intervention group (p < 0.05).Conclusion
While increased physical activity and decreased sedentary time were observed in both groups during the intervention period, maintenance was only observed for LPA at six-month follow-up in the intervention group. By twelve-month follow-up, post-intervention improvements had largely disappeared, suggesting that additional research is needed to identify ways to improve long-term adherence. 相似文献6.
Objectives
To determine the efficacy of an ultrasound-guided platelet-rich plasma (PRP) injection in the treatment of patients with proximal hamstring tendinopathy (PHT).Design
Pilot prospective cohort studyMethods
Administration of a single PRP injection under ultrasound guidance to 29 patients with PHT confirmed on magnetic resonance imaging (MRI). Pain, function and sporting activity were measured via the Victorian Institute of Sport Assessment-Proximal Hamstring Tendons (VISA-H) questionnaire, administered before injection and at 8-weeks follow-up.Results
The study sample consisted of 22 females and 7 males with a mean age of 45.2 years (95% CI 40.8–49.5). When comparing pre-injection VISA-H scores (mean: 43.90; 95% CI 37.77–50.03) with 8-week post-injection VISA-H scores (mean: 51.14; 95% CI 43.39–58.88) in the total sample of patients, no statistically significant difference was found (p = 0.14). When performing separate analyses for patients with mild (n = 9), moderate (n = 16) or marked (n = 4) PHT, no statistically significant difference was found in pre-and post-injection VISA-H scores for any of the groups (p = 0.86, p = 0.13, p = 0.28 respectively). 69% of patients reported no change in their ability to undertake sport or other physical activity at 8-weeks follow-up.Conclusions
Patients with PHT receiving a PRP injection did not improve on clinical outcomes at 8-weeks follow-up. 相似文献7.
Pontus Henriksson Marja H. Leppänen Hanna Henriksson Christine Delisle Nyström Cristina Cadenas-Sanchez Anna Ek Jonatan R. Ruiz Francisco B. Ortega Marie Löf 《Journal of Science and Medicine in Sport》2019,22(5):574-579
Objectives
Although physical fitness is considered a marker of health in youth, little is known whether physical fitness in pre-school age is related to later body composition. Thus, this study investigated (i) associations of physical fitness at 4.5 years of age with body composition 12 months later and (ii) whether improvements in physical fitness during the 12-month follow-up were associated with changes in body composition.Design
This study included 142 children, measured at 4.5 and 5.5 years, from the control group of the MINISTOP trial.Methods
Physical fitness (cardiorespiratory fitness, lower- and upper-body muscular strength and motor fitness) was measured using the PREFIT test battery. Body composition was assessed using air-displacement plethysmography.Results
In adjusted regression analyses, greater cardiorespiratory fitness, lower-body muscular strength and motor fitness at 4.5 years were associated with a lower fat mass index at 5.5 years (standardized β= ?0.182 to ?0.229, p ≤ 0.028). Conversely, greater cardiorespiratory fitness, lower- and upper-body muscular strength as well as motor fitness at 4.5 years of age were associated with a higher fat-free mass index (standardized β = 0.255–0.447, p ≤ 0.001). Furthermore, improvements in cardiorespiratory fitness, lower-body muscular strength and motor fitness during the 12-month follow-up period were associated with decreases in fat mass index and/or % fat mass.Conclusions
In conclusion, the results of this study provide evidence of the importance of physical fitness early in life. Nevertheless, further studies are needed in order to clarify the influence of physical fitness in the pre-school age with later health outcomes. 相似文献8.
Maria Reyes Beltran-Valls Xanne Janssen Abdulaziz Farooq Ashley J. Adamson Mark S. Pearce Jessica K. Reilly Laura Basterfield John J. Reilly 《Journal of Science and Medicine in Sport》2019,22(4):450-455
Objective
The aims of our study were to quantify levels and investigate sex-specific changes and trajectories in VPA longitudinally from age 7 to 15 years.Design
Longitudinal observational study.Methods
Participants were part of the Gateshead Millennium Study. Measures were taken at age 7 (n = 507), 9 (n = 510), 12 (n = 425) and 15 years (n = 310). Vigorous physical activity was quantified objectively using ActiGraph GT1 M accelerometers over 5–7 days at the four time-points. Multilevel linear spline random-effects model and trajectory analysis to identify sub-groups were performed.Results
In boys, average VPA declined across childhood followed by an increase at adolescence, while in girls, average VPA declined across the 8-year study period. In boys, daily VPA decreased from 9-12 years (1.70 minutes/year) and increased from 12-15 years (1.99 minutes/year) (all p < 0.05). In girls daily VPA decreased from 7-9 years (1.70 minutes/year) (p < 0.05). Three VPA trajectories were identified which differed between the sexes. In boys, one group decreased from an initial relatively high level, one group, initially relatively low, increased, whereas the third one was stable over the 8-year period. In girls, all three groups declined from baseline.Conclusions
Marked sex and age-specific trajectories in VPA change were observed. These novel findings should help sports and exercise medicine specialists, as well as policy makers, in their effort to maintain or increase VPA in childhood and adolescence. 相似文献9.
Pamela A. Shaw Robert McMurray Nancy Butte Daniela Sotres-Alvarez Hengrui Sun Mark Stoutenberg Kelly R. Evenson William W. Wong Ashley E. Moncrieft Lisa A.P. Sanchez-Johnsen Mercedes R. Carnethon Elva Arredondo Robert C. Kaplan Charles E. Matthews Yasmin Mossavar-Rahmani 《Journal of Science and Medicine in Sport》2019,22(3):300-306
Objectives
Usual physical activity (PA) is a complex exposure and typical instruments to measure aspects of PA are subject to measurement error, from systematic biases and biological variability. This error can lead to biased estimates of associations between PA and health outcomes. We developed a calibrated physical activity measure that adjusts for measurement error in both self-reported and accelerometry measures of PA in adults from the US Hispanic Community Health Study/Study of Latinos (HCHS/SOL), a community-based cohort study.Design
Total energy expenditure (TEE) from doubly labeled water and resting energy expenditure (REE) from indirect calorimetry were measured in 445 men and women aged 18–74 years in 2010–2012, as part of the HCHS/SOL Study of Latinos: Nutrition & Physical Activity Assessment Study (SOLNAS). Measurements were repeated in a subset (N = 98) 6 months later.Method
Calibration equations for usual activity-related energy expenditure (AEE = 0.90 × TEE-REE) were developed by regressing this objective biomarker on self-reported PA and sedentary behavior, Actical accelerometer PA, and other subject characteristics.Results
Age, weight and height explained a significant amount of variation in AEE. Actical PA and wear-time were important predictors of AEE; whereas, self-reported PA was not independently associated with AEE. The final calibration equation explained fifty percent of variation in AEE.Conclusions
The developed calibration equations can be used to obtain error-corrected associations between PA and health outcomes in HCHS/SOL. Our study represents a unique opportunity to understand the measurement characteristics of PA instruments in an under-studied Hispanic/Latino cohort. 相似文献10.
Tara Reilly Evan Walsh Barry Stockbrugger 《Journal of Science and Medicine in Sport》2019,22(5):591-595
Objectives
The Canadian Army fitness objective is FORCE COMBAT?. This consists of a 5 km march (35 kg) between 50–60 min, and the annual FORCE physical employment standard as a circuit without the usual 5 min rest intervals (FORCE circuit) in full fighting order (25 kg). The objective of this research was to determine the number of practice attempts required to establish reliability of FORCE COMBAT?. Additionally, this study aims to identify the minimal detectable change once reliability is established.Design
The study used a within participant design.Methods
33 Canadian Army members were divided into two groups. Group 1 performed four maximum effort attempts of FORCE COMBAT? completely. Group 2 performed only the FORCE circuit component, not the loaded march. On the fifth trial, the tasks of the groups were switched. Variability within and between trials of the FORCE circuit of FORCE COMBAT? were analysed based on six statistical factors of reliability.Results
Four statistical factors indicated that one maximal effort practice attempt of FORCE COMBAT? is required, as reflected in the variability of performance between trials 1 and 2. The minimum detectable change, highlighting inherent measurement error of the test was 89.18 s with 95% confidence.Conclusions
Results suggest that Canadian Army members should complete one FORCE COMBAT? in completion at maximal effort, before formal assessment. Further, members performing within 89 s of the recommended completion time, on FORCE COMBAT? should be offered a re-attempt (in its entirety). 相似文献11.
Objectives
To identify temporal trends in muscular fitness of English children using allometric scaling for height and weight to adjust for the influence of body size.Design
Repeated cross-sectional study.Methods
We measured; height, weight, standing broad-jump, handgrip, sit-ups and bent-arm hang in 10-year-old boys and girls from Chelmsford, England in: 2014 (n = 306), 2008 (n = 304) and 1998 (n = 310). Physical activity was (PAQ-C) was assessed in 2008 and 2014. Muscular fitness was allometrically scaled for height and weight. We assessed temporal trends using General Linear Models (fixed factors: wave and sex) and reported effect sizes using partial eta squared (ηP2). We compared percentage change per year 1998–2008 with 2008–2014.Results
Ten-year-olds in 2014 were taller and heavier than in 2008 and 1998 but there were no differences in BMI. Compared with 2008, physical activity was lower in boys (ηP2 = 0.012) and girls (ηP2 = 0.27) assessed in 2014. There were significant main effects of wave for handgrip (ηP2 = 0.060), sit-ups (ηP2 = 0.120) and bent-arm hang (ηP2 = 0.204). Pairwise comparisons showed muscular fitness of both sexes was significantly lower in 2014 than in 1998. From 2008 to 2014 percent change per year in handgrip (1.6%) and sit-ups (3.9%) were greater than for the preceding decade (handgrip 0.6%, sit-ups 2.6%).Conclusions
Downward temporal trends in muscular fitness appear independent of secular changes in body size. We found a decrease in self-reported physical activity concurrent with the accelerated declines in fitness from 2008 to 2014. These findings suggest the declines in children are not engaging in physical activities which support development of muscular fitness. 相似文献12.
Objective
To examine the association between sedentary leisure-time and all-cause mortality and differences in survival time.Design
Prospective cohort study.Methods
Information on sedentary leisure-time, defined as TV viewing and/or sitting reading, was collected from 72 003 Swedish adults who were 45–83 (median 60) years of age and completed a self-administered questionnaire at baseline and were followed up for 17 years through linkage with the Swedish Death Register.Results
The association between sedentary leisure-time and all-cause mortality was modified by age with a more pronounced association in middle-aged (<60 years of age) than in older adults (≥60 years of age) (p-interaction < 0.001). During follow-up, 3358 and 15 217 deaths occurred in the middle-aged and older age group, respectively. The multivariable-adjusted hazard ratios for the highest (>6 h/day) versus lowest category (<1 h/day) of sedentary leisure-time were 1.72 (95% confidence interval [CI] 1.29–2.30) in middle-aged adults and 1.19 (95% CI 1.05–1.36) in older adults. This corresponded to a difference in survival time of respectively 2.4 (95% CI ?4.1 to ?0.8) years and 1.5 (95% CI ?2.2 to ?0.7) years.Conclusions
Prolonged sedentary leisure-time was associated with a significantly decreased survival time up to 2.4 years in middle-aged adults. 相似文献13.
Patricia Cheung Padra Franks Michael Kramer Carolyn Drews-Botsch Jean Welsh Christi Kay Paul Weiss Julie Gazmararian 《Journal of Science and Medicine in Sport》2019,22(2):191-195
Objectives
To assess the impact of Power Up for 30, a flexible, Comprehensive School Physical Activity Program-based state-wide elementary school initiative, on school physical activity opportunities (physical education, recess, in-class physical activity, before-school physical activity, and after-school physical activity) one year after Power Up for 30 training.Design
Quasi-experimental.Methods
In 2013, all 1333 public Georgia elementary schools were invited to complete the School Physical Activity Survey which assessed school physical activity opportunities. Upon survey completion, schools were invited to attend training. Of the 719 (54%) schools meeting survey response criteria, 300 schools attended training by 9/2014 and 419 schools did not. Between 3/2015–5/2015, 79 trained and 80 untrained schools were randomly selected to receive a follow-up survey assessing the frequency and duration of physical activity opportunities. Analyses, adjusted for baseline physical activity opportunities and school characteristics, compared weekly minutes of physical activity opportunities at follow-up between trained and untrained schools.Results
In adjusted analyses at follow-up, trained schools provided 36 more minutes of weekly physical activity opportunities than untrained schools (99% confidence interval: 16–56), particularly during recess (mean difference: 8 min per week; 99% confidence interval: 0–17), during in-class breaks (mean difference: 11 min per week, 99% confidence interval: 3–20), and before school (mean difference: 8 min per week, 99% confidence interval: 4–12).Conclusions
Flexible, multi-component interventions like Power Up for 30 increase physical activity opportunities. If future studies identify that school physical activity opportunities positively impact student physical activity, this model may be a feasible strategy for broad-scale implementation. 相似文献14.
Richard D. Telford Rohan M. Telford Marijke Welvaert 《Journal of Science and Medicine in Sport》2019,22(3):307-310
Objectives
Despite evidence suggesting caution, employment of body mass index (BMI, kg m?2) as a proxy for percentage of body fat (PFat) in longitudinal studies of children and adolescents remains commonplace. Our objective was to test the validity of change in BMI as a proxy for change in PFat measured by dual-energy X-ray absorptiometry (DXA) during adolescence.Design
Longitudinal study.Methods
Healthy, predominantly Australian youth of mainly Caucasian background (131 females and 115 males) underwent repeated measures at 12.0 (SD 0.3) and 16.0 (SD 0.3) years for height, weight and PFat (DXA).Results
There was no significant difference in the percentage changes in BMI and PFat for the females (β = 2.45, standard error (SE) = 1.39, 95% confidence interval (CI) = [?0.27; 5.17]) with their mean BMI increasing 15% as their mean PFat increased 18%. However, for the males, while their mean BMI also increased 15%, their mean PFat was reduced 25%; this change being highly significant (β = ?42.25, SE = 2.23, 95% CI = [?46.22, ?38.27]).Conclusions
While change in BMI is likely to be a rough proxy for change in PFat measured by DXA in longitudinal studies of adolescent females, this is not the case for adolescent males, where increased BMI is likely to correspond with decreased PFat. Consequently, inferences from longitudinal studies of adolescents which have assumed that an increase in BMI (or BMI Z-scores or percentiles) represents an increase in adiposity require reconsideration. 相似文献15.
Objectives
To determine if a history of exercise involving multiaxial loading, through soccer participation, influences tibial stains during incremented load carriage.Design
Cross-sectional study.Methods
20 female soccer players (20 ± 1 yr) and 20 mass- and height-matched healthy women (21 ± 1 yr) participated in walking tasks with 0 kg, 10 kg, 20 kg, and 30 kg loads on a force instrumented treadmill at 1.67 m/s. Subject-specific tibial CT models were combined with subject-specific musculoskeletal models for forward-dynamic simulations and finite element analyses. Strains from the middle third of the tibial shaft were analyzed. A mixed model repeated measures analysis of variance (ANOVA) and one-way ANOVAs were run with a Bonferroni correction setting significance at 0.0009.Results
Significant differences in tibial characteristics were found among loading conditions and between groups (all p < 0.0001). Tensile strains were 19.6%, 22.2%, 44.1%, and 20.7% lower in soccer players at 0 kg, 10 kg, 20 kg, and 30 kg of load carriage, respectively. Strain rates were 20.4%, 29.9%, 43.4%, and 18.9% lower, respectively, in soccer players. Lower compressive and shear strain magnitudes and rates were also observed in soccer players, with the only exception at the 30 kg loading condition in which controls had 2.4% lower strain magnitudes in compression, on average, compared to soccer players.Conclusions
A history of activity involving multiaxial loading was associated with generally lower estimated tibial strains during load carriage. Lower strain levels during repetitive physical activity may be protective from stress fracture. These findings suggest that physical training, such as participating in soccer, may be effective for preconditioning prior to entering military or endurance training. 相似文献16.
Samantha M. McDonald Jihong Liu Sara Wilcox Xuemei Sui Russell R. Pate 《Journal of Science and Medicine in Sport》2019,22(2):186-190
Objectives
Maternal body mass index (BMI) is a significant determinant of infant macrosomia. Given the strong metabolic effects of physical activity (PA), independent of body mass, it is unclear as to whether maternal PA may affect the risk of delivering a macrosomic infant. Thus, the purpose of this study was to determine if maternal PA moderates the relationship between maternal BMI and infant macrosomia.Design
Cross-sectional study using data from the National Maternal and Infant Health Survey (1988).Methods
Women with singleton pregnancies, delivering term (37–44 weeks), live-birth infants (n = 6390) were included in the analyses. Multiple logistic regression models were performed to determine the moderating effects of maternal self-reported PA in the preconception and prenatal periods on the risk of infant macrosomia after adjusting for maternal age, race/ethnicity, gestational age and weight gain, smoking and alcohol use, and infant sex.Results
Mothers were on average 25 years of age and nearly 25% were overweight or obese. Prevalence of macrosomia was 9%. Overweight or obese women had increased odds of delivering a macrosomic infant (OR = 1.69, p < 0.0001; OR = 1.67, p = 0.0032, respectively). Nearly 50% and 42% of mothers reported participating in at least 30 min of moderate PA, three times per week in the preconception and prenatal periods, respectively. Neither maternal PA in the preconception (OR = 0.98, p = 0.34) nor prenatal (OR = 1.00, p = 0.13) periods moderated the association between maternal BMI and infant macrosomia.Conclusions
Maternal BMI was a significant predictor of infant macrosomia. However, mothers participating in at least 90 min of PA per week in the preconception or prenatal periods did not moderate this association. More rigorous study designs and precise measurements of maternal PA and neonatal size are warranted. 相似文献17.
Kate E. Parker Jo Salmon Helen L. Brown Karen Villanueva Anna Timperio 《Journal of Science and Medicine in Sport》2019,22(3):319-323
Objectives
To identify typologies of activity-related behaviours and demographic characteristics of these typologies among Australian adolescents.Design
Cross-sectional study of 473 Secondary School students (41.4% boys, mean age 14.95 ± 1.61 years) conducted in 2014–15.Methods
Active travel to school, sport participation, leisure-time sedentary and demographic variables were self-reported in a survey. Duration of sedentary time and moderate-to-vigorous physical activity (mins/day) were accelerometer-derived. Latent class analysis (LCA) was conducted to identify typologies of activity-related health behaviours. One-way ANOVAs and chi-square tests were used to explore differences by demographic characteristics.Results
Three typologies were identified: (1) “Physically inactive, highly sedentary” (44%); (2) “Moderately active, high screen-time” (42%); and (3) “Highly active, low sedentary” (14%). Differences between typologies were evident for age, sex, body mass index (BMI), cultural identity, employment status and socioeconomic position (SEP). Those in typology 3 (optimal behaviour pattern) tended to be younger, of higher SEP and lower BMI.Conclusions
This study found that older adolescents have less active, more sedentary profiles than younger adolescents. The findings support the need for targeted interventions to improve adolescent activity-related behaviour engagement. 相似文献18.
Shaun Porter Noah D. Silverberg Naznin Virji-Babul 《Journal of Science and Medicine in Sport》2019,22(4):397-402
Objectives
To examine the neurophysiological correlates and brain network organization underlying physical and cognitive exertion in active young adults.Design
Repeated measures.Methods
Thirteen healthy adults completed three exertion tasks in a counterbalanced order: a graded working memory task (anti-saccade and serial addition task (ASAT)), a graded exercise task (cycling on a stationary bicycle) (EX) and a combined graded working memory and exercise task (ASAT + EX). All three tasks were performed under five levels of increasing difficulty. Continuous EEG was recorded in each session. Heart rate, perceived exertion and accuracy on the working memory task were recorded throughout. Power spectrum analysis and graph theoretical analysis was applied to the EEG data.Results
Heart rate and perceived exertion increased with exercise load and in both the EX only and ASAT + EX tasks. Overall accuracy was equally high for the ASAT and ASAT + EX tasks. Analysis of EEG data showed there was an increase in theta power associated with the ASAT + EX task and increase in functional connectivity in the frontal regions of the brain compared with ASAT only task. Accuracy decreased in the last two blocks when the task was most difficult. This decrease in accuracy was associated with a decrease in theta power and a decrease in functional connectivity.Conclusions
Combined physical and mental exertion results in significant changes in perceived exertion, EEG theta power and network organization in healthy adults and will be valuable in revealing residual neurocognitive deficits after sports related concussion. 相似文献19.
Feng Pan Karl Smith Byrne Rema Ramakrishnan Manuela Ferreira Terence Dwyer Graeme Jones 《Journal of Science and Medicine in Sport》2019,22(4):444-449
Objectives
To describe the cross-sectional association between musculoskeletal pain at multiple sites and physical work capacity (PWC) and objectively measured physical activity (PA).Design
Observational study.Methods
Data from a subsample of the UK Biobank were utilised (n = 9856; mean age 58.5 years, mean body mass index 30.2 kg/m2, 62% female). PWC was measured by a bicycle ergometer and PA by an accelerometer. Pain experienced in hip, knee, back and neck/shoulder was collected by questionnaire. Linear regression modelling was used with adjustment for potential confounders to estimate the association between pain and PWC and PA.Results
Increase in number of painful sites was associated with lower PWC, moderate and vigorous PA and increased low intensity PA in a dose-response relationship (all p-values for trend ≤0.001) before and after adjustment for confounders. In site specific analyses, hip pain was associated with an increased low intensity PA (β 52.8 min/week, 95% CI 2.3–103.2) and reduced moderate PA (β ?50.1 min/week, 95% CI ?98.5 to ?1.8). Knee pain was only associated with vigorous PA (β ?5.7 min/week, 95% CI ?10.0 to ?1.3). Pain at neck/shoulder pain and back were not independently associated with PWC and PA.Conclusions
Greater number of painful sites is consistently associated with poorer PWC, increased low intensity PA and reduced moderate to vigorous PA. Clinicians should address the critical role of being physically active in managing chronic musculoskeletal pain and interventions targeting musculoskeletal pain may be needed to increase PA levels. 相似文献20.
Joseph M. Northey Kate L. Pumpa Clare Quinlan Ashley Ikin Kellie Toohey Disa J. Smee Ben Rattray 《Journal of Science and Medicine in Sport》2019,22(5):580-585