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Many Irish primary school children do not meet recommended physical activity (PA) guidelines. The Daily Mile (TDM) is a primary school initiative designed to increase children's PA output. This study evaluates TDM's perceived effect on Irish primary school children's health-related metrics. A mixed-methods study, comprising two data collection phases, used the RE-AIM framework to evaluate TDM. Phase One involved teachers, principals and classroom assistants (n = 191) from TDM-registered schools completing a questionnaire. Two TDM-registered schools participated in Phase Two, where (i) interviews were conducted with each principal, (ii) a teacher sub-sample (n = 4) participated in a focus group, and (iii) a child sub-sample (n = 14) participated in separate focus groups. TDM was perceived to positively impact the markers of children's health, including their PA behaviour, physical fitness and social well-being. Inclement weather (66.5%) and a lack of time (56.5%) were reported as the top-ranked implementation barriers. Moreover, TDM's repetitive nature often left children feeling disinterested and resulted in some teachers modifying the initiative to maintain engagement levels. Maintaining the long-term implementation of TDM and its health benefits in primary schools may require bespoke amendments to the original format to preserve children's engagement.
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ABSTRACT: Donnelly, S, Collins, K, Burns, C, O'Neill, C, and Mangan, S. A comparison of elite and sub-elite match-play running performance of Gaelic football players. J Strength Cond Res 38(5): 912-923, 2024-This research aimed to examine differences in match-play running performance between elite and sub-elite Gaelic football players. Global Positioning System devices were used to record the match-play running performance of sub-elite and elite players during the 2018 and 2019 seasons, respectively. In total, 783 samples were collected from 31 sub-elite and 30 elite players, from 1 elite and 1 sub-elite team. Comparisons were made on a team and positional level. Statistical significance was accepted at p ≤ 0.05. Significant positional differences were present between all positions with varying effect sizes (ESs) and p-values. Effect size was used to determine the magnitude of statistical difference. On a team level, the elite covered significantly more relative distance (p = 0.021, ES = 0.007) and elicited significantly higher average speed (p = 0.023, ES = 0.007) in quarters 2, 3, and 4 than the sub-elite. The elite covered significantly more relative distance high-intensity running (17-21.9 km·h-1; p = 0.002, ES = 0.012) in quarter 3 and performed significantly more power events per minute (p = 0.006, ES = 0.009) in quarter 4. In quarter 1, the sub-elite performed significantly more power events per minute (p = 0.006, ES = 0.009), relative high-speed running (≥17 km·h-1; p = 0.011, ES = 0.009), and relative distance high-intensity running (17-21.9 km·h-1; p = 0.002, ES = 0.012). Power events were defined as the estimation of the number of events that depend on anaerobic processes. The present study indicates that elite players possess superior conditioning, ability to read match-play, pacing, and anaerobic capacity. Sub-elite teams may use the present study to inform their training to potentially improve conditioning, pacing, and anaerobic capacity.
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Desempenho Atlético , Sistemas de Informação Geográfica , Corrida , Humanos , Corrida/fisiologia , Desempenho Atlético/fisiologia , Masculino , Adulto Jovem , Adulto , Futebol Americano/fisiologia , Atletas , Esportes de EquipeRESUMO
Currently, a high percentage of children globally fail to meet the World Health Organisation's (WHO) recommended daily physical activity (PA) guidelines. The Daily Mile (TDM) is a school-based PA initiative, designed to improve primary school children's PA behaviour. The purpose of this review was to evaluate the extant TDM implementation process and identify its impact on health-related metrics. Three databases were used to search for articles from the time TDM originated in 2012 until February 2022. The identification and screening process of articles for their ability to meet this review's eligibility criteria were facilitated by use of PRISMA and Rayyan. Sixteen articles from the initial search (n = 202) were deemed eligible for inclusion. An analysis of these articles identified five common outcome categories that permeated throughout the research articles: (1) cardiorespiratory fitness (CRF); (2) anthropometry and body composition; (3) PA; (4) cognition; and (5) process evaluation. Results presented from the included articles suggests TDM positively impacts markers of a variety of health-related metrics, namely CRF and PA. However, implementation barriers including TDM's repetitive nature, time constraints associated with competing curriculum demands and inadequate facilities regularly necessitate the adaptation and development of the original TDM format by schools and teachers.
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Saúde da Criança , Serviços de Saúde Escolar , Criança , Humanos , Exercício Físico , Atividade Motora , CogniçãoRESUMO
BACKGROUND: In recent years, advances in technology have led to an influx of mental health apps, in particular the development of mental health and well-being chatbots, which have already shown promise in terms of their efficacy, availability, and accessibility. The ChatPal chatbot was developed to promote positive mental well-being among citizens living in rural areas. ChatPal is a multilingual chatbot, available in English, Scottish Gaelic, Swedish, and Finnish, containing psychoeducational content and exercises such as mindfulness and breathing, mood logging, gratitude, and thought diaries. OBJECTIVE: The primary objective of this study is to evaluate a multilingual mental health and well-being chatbot (ChatPal) to establish if it has an effect on mental well-being. Secondary objectives include investigating the characteristics of individuals that showed improvements in well-being along with those with worsening well-being and applying thematic analysis to user feedback. METHODS: A pre-post intervention study was conducted where participants were recruited to use the intervention (ChatPal) for a 12-week period. Recruitment took place across 5 regions: Northern Ireland, Scotland, the Republic of Ireland, Sweden, and Finland. Outcome measures included the Short Warwick-Edinburgh Mental Well-Being Scale, the World Health Organization-Five Well-Being Index, and the Satisfaction with Life Scale, which were evaluated at baseline, midpoint, and end point. Written feedback was collected from participants and subjected to qualitative analysis to identify themes. RESULTS: A total of 348 people were recruited to the study (n=254, 73% female; n=94, 27% male) aged between 18 and 73 (mean 30) years. The well-being scores of participants improved from baseline to midpoint and from baseline to end point; however, improvement in scores was not statistically significant on the Short Warwick-Edinburgh Mental Well-Being Scale (P=.42), the World Health Organization-Five Well-Being Index (P=.52), or the Satisfaction With Life Scale (P=.81). Individuals that had improved well-being scores (n=16) interacted more with the chatbot and were significantly younger compared to those whose well-being declined over the study (P=.03). Three themes were identified from user feedback, including "positive experiences," "mixed or neutral experiences," and "negative experiences." Positive experiences included enjoying exercises provided by the chatbot, while most of the mixed, neutral, or negative experiences mentioned liking the chatbot overall, but there were some barriers, such as technical or performance errors, that needed to be overcome. CONCLUSIONS: Marginal improvements in mental well-being were seen in those who used ChatPal, albeit nonsignificant. We propose that the chatbot could be used along with other service offerings to complement different digital or face-to-face services, although further research should be carried out to confirm the effectiveness of this approach. Nonetheless, this paper highlights the need for blended service offerings in mental health care.
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Exercício Físico , Saúde Mental , Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Software , Terapia por Exercício , Bem-Estar PsicológicoRESUMO
ABSTRACT: McGahan, JH, Mangan, S, Collins, K, Burns, C, Gabbett, T, and O'Neill, C. Match-play running demands and technical performance among elite Gaelic footballers: Does divisional status count? J Strength Cond Res 35(1): 169-175, 2021-The aim of the current study was to compare positional differences in running demands and technical performance variables among elite Gaelic football teams from separate divisions. Data were obtained from a division 1 (26.7 ± 2.9 years, 179.2 ± 21.3 cm, 89.9 ± 21.2 kg) and a division 3 (25.7 ± 3.5 years, 183.0 ± 4.7 cm, 84.4 ± 6.5 kg) team. Match-play running variables were collected using 4-Hz global positioning system (GPS) units (VX Sport; Visuallex Sport, Lower Hutt, New Zealand) (Match data sets; division 1: n = 107, division 3: n = 97). Selected variables assessed were high-speed running distance (HSR) (≥17 km·h-1), number of high-speed efforts (HSE) (≥17 km·h-1), relative high-speed distance (RHSD) (≥17 km·h-1; m·min-1), and percentage of time at high speed (%HS). Each variable was analyzed across the 5 positional groups in Gaelic football (full back, half back, midfield, half forward, full forward). The same 25 competitive games were analyzed using the GPS and the Sports Code video analysis system (Sports Code Elite V9; Sportstec, Warriewood, NSW, Australia). Technical performance variables selected for analysis were total kick/hand passes, tackles, shots, and percentage of time in possession. High-speed running distance running demands were differentiated between the divisions; the division 3 team demonstrated significantly greater HSR, HSE, RHSD, and %HS than the division 1 team (p ≤ 0.05). Positional-specific analysis found that the division 3 full back and midfield positional lines had significantly greater HSR, RHSD, and %HS than their division 1 counterparts. The division 1 team made a greater number of total tackles, with significantly more tackles in the middle third (p ≤ 0.05). The division 3 team performed a significantly greater number of hand passes and unsuccessful shots per game (p < 0.01). The results of this study indicate that overall technical proficiency, rather than high-speed running profiles, differentiate division 1 and 3 Gaelic football teams.
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Desempenho Atlético , Corrida , Humanos , Austrália , Sistemas de Informação Geográfica , Nova Zelândia , Esportes de EquipeRESUMO
Competence in fundamental motor skills (FMS) facilitates physical activity participation and is important for children's holistic development. This study aimed to systematically review the FMS levels of children worldwide, using the Test of Gross Motor Development-2 (TGMD-2). In accordance with PRISMA guidelines, studies were identified from searches across 7 databases. Studies were required to: (i) include typically developing children (3-10 years), (ii) be published in English, (iii) have been published between 2004 and 2019 and, (iv) report ≥1 TGMD-2 outcome scores. Extracted data were evaluated based on importance of determinants, strength of evidence, and methodological quality. Data from 64 articles were included. Weighted mean (and standard deviation) scores were calculated for each FMS outcome score. Analyses revealed FMS competence increases across age during childhood, with greater proficiency in locomotor skills than object control skills. Additionally, boys exhibit higher object control skill proficiency than girls. Compared to TGMD-2 normative data, children demonstrate "below average" to "average" FMS levels. This review highlights the scope for FMS development among children worldwide. These findings reinforce the necessity for FMS interventions in early educational settings, as FMS competence is positively associated with physical activity and other health outcomes.
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Exercício Físico/fisiologia , Destreza Motora/fisiologia , Fatores Etários , Criança , Desenvolvimento Infantil/fisiologia , Pré-Escolar , Feminino , Saúde Global , Humanos , Masculino , Atividade Motora/fisiologia , Corrida/fisiologia , Fatores SexuaisRESUMO
McGahan, J, Burns, C, Lacey, S, Gabbett, T, and Neill, CO. Investigation in to the positional running demands of elite Gaelic football players: How competition data can inform training practice. J Strength Cond Res 34(7): 2040-2047, 2020-This study investigated the positional running demands of elite Gaelic football players during match play and compared these demands with typical training activities used to prepare players for competition. Global positioning system (GPS) data were obtained from 30 elite Gaelic football players (26.9 ± 3.5 years, 182.8 ± 6.1 cm, 84.6 ± 8.1 kg) across a full season (13 competitive games and 78 training sessions). Only players who completed the full match and respective training sessions were included (n = 107 match files and n = 1,603 training files). Data were collected using 4-Hz GPS units (VX Sport, Lower Hutt, New Zealand). Mean high speed (≥17 km·h; m·min), mean speed (m·min), percentage at high speed (%), and mean sprint efforts (≥17 km·h; no.·min) were recorded. Running variables were analyzed across the 5 outfield positional lines in Gaelic football (full back [FB], half back [HB], midfield [MF], half forward, and full forward [FF]). For mean high-speed running and mean speed, significant relationships (range r = 0.811-0.964 and r = 0.792-0.998, respectively) were found between competition and game-based training for players in the FB, HB, MF, and FF lines (p ≤ 0.05). Analyses of mean sprint efforts and percentage at high speed found positive correlations between competition and training activities across each of the positional lines. Appropriately designed training activities can ensure that the position-specific demands of elite Gaelic football competition are met using a game-based training approach. Collectively, these findings demonstrate the value of and provide support for the use of a game-based training approach as a method of preparing players for the physical demands of competition in elite Gaelic football.
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Desempenho Atlético , Corrida , Adulto , Humanos , Masculino , Adulto Jovem , Desempenho Atlético/fisiologia , Sistemas de Informação Geográfica , Projetos de Pesquisa , Corrida/fisiologia , Esportes de EquipeRESUMO
Mangan, S, Ryan, M, Shovlin, A, McGahan, J, Malone, S, O'Neill, C, Burns, C, and Collins, K. Seasonal changes in Gaelic football match-play running performance. J Strength Cond Res 33(6): 1686-1692, 2019-Time of season influences performance in many team sports; however, the anomaly has not yet been examined with regards to elite Gaelic football. Global positioning systems (4 Hz; VX Sport, Lower Hutt, New Zealand) were used to monitor 5 elite Gaelic football teams over a period of 5 years (2012-2016). In total, 95 matches equated to 780 full player data sets. Running performance was characterized by total distance (m) and high-speed distance (≥17 km·h; m). High-speed distance was further categorized into 4 match quarters. Time of season was determined by month of the year. Time of season had a significant effect on total distance (p ≤ 0.001 partial η = 0.148) and high-speed distance (p ≤ 0.001 partial η = 0.105). August and September were significantly different from every other month for total distance (p ≤ 0.001) and high-speed distance (p ≤ 0.002). Month of season and match quarter had a significant interaction with high-speed distance (p ≤ 0.001 partial η = 0.106). High-speed distances run in the fourth quarter in August (478 ± 237 m) and in September (500 ± 219 m) were higher than any other quarter in any other month. This is the first study to show that time of season influences running performance in Gaelic football. The findings have major implications for training practices in Gaelic football.
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Desempenho Atlético/fisiologia , Corrida/fisiologia , Adulto , Sistemas de Informação Geográfica , Humanos , Masculino , Esforço Físico , Esportes/fisiologia , Fatores de Tempo , Adulto JovemRESUMO
PURPOSE: This study aimed to investigate the relationship between fundamental movement skills (FMS) and markers of health among a cohort of Irish primary school children. METHODS: Participants (N = 296, mean age: 7.99 ± 2.02 years) were senior infant (n = 149, mean age: 6.02 ± 0.39 years) and 4th class (n = 147, mean age: 9.97 ± 0.40 years) students from three primary schools in Cork, Ireland. FMS proficiency (TGMD-2) and markers of health (BMI percentile, waist circumference percentile, blood pressure percentiles, resting heart rate, cardiorespiratory fitness, objectively measured physical activity; PA) measurements were recorded. Correlation and hierarchical stepwise multiple linear regression analyses were conducted to investigate the relationship between FMS and markers of health. RESULTS: A small, positive relationship was found between FMS (Gross Motor Quotient; GMQ) and cardiorespiratory fitness with small negative correlations between GMQ and 550 m time SDS among 6-year-olds (r(129) = -.286, p < .05) and 10-year-olds (r(132) = -.340, p < .05). A moderate, positive correlation was found between GMQ and light PA (r(71) = .400, p < .05). Small positive correlations were revealed between GMQ and moderate PA (r(71) = .259, p < .05) and between GMQ and total PA (r(71) = .355, p < .05). After adjusting for age, sex, the interaction effect of age and sex, and school attended, FMS explained 15.9% and 24.8% of the variance in 550 m time SDS among 6- and 10-year-olds, respectively, and 6% and 6.5% of the variance in light PA and moderate PA, respectively. After adjusting for age and sex, FMS explained 11.6% of the variance in total PA. CONCLUSION: A wide range of FMS is important for children's cardiorespiratory fitness and PA.
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Aptidão Cardiorrespiratória/fisiologia , Exercício Físico/fisiologia , Destreza Motora/fisiologia , Movimento/fisiologia , Pressão Sanguínea/fisiologia , Índice de Massa Corporal , Criança , Estudos Transversais , Feminino , Frequência Cardíaca/fisiologia , Humanos , Irlanda , Masculino , Estudos Retrospectivos , Instituições Acadêmicas , Razão Cintura-EstaturaRESUMO
BACKGROUND: Despite the large number of studies and reviews available, the evidence regarding the biological determinants of physical activity (PA) is inconclusive. In this umbrella review, we summarized the current evidence on the biological determinants of PA across the life course, by pooling the results of the available systematic literature reviews (SLRs) and meta-analyses (MAs). METHODS: We conducted an online search on MEDLINE, ISI Web of Science, Scopus, and SPORTDiscus databases up to January 2018. SLRs and MAs of observational studies that investigated the association between biological determinants of PA and having PA as outcome were considered eligible. The extracted data were assessed based on the importance of the determinants, the strength of evidence, and the methodological quality. RESULTS: We identified 19 reviews of which most were of moderate methodological quality. Determinants that were studied most frequently among all ages and demonstrated evidence suggesting a positive association to PA were younger age, being male, higher health status, and higher physical fitness levels. Among adults, normal birth weight was found to be positively associated to PA with convincing strength of evidence, while findings among adolescents were inconsistent and with limited strength of evidence. CONCLUSIONS: Different social or behavioral factors may contribute to the decrease of PA with age and among females versus males, and creating programmes targeted at diverse ages, female population, and adults with abnormal birth weight is recommended. Future studies should use prospective study designs, standardized definitions of PA, and objective measurement methods of PA assessment.
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BACKGROUND: Perceived movement competence is important in the relationship between actual competence and physical activity (PA). This study examines the accuracy of children's perceptions and investigates the relationship between perceived competence (PC) and PA. METHODS: Data collected were part of Project Spraoi, a PA and nutrition-based intervention. Participants (N = 419) were senior infant/first class (n = 202, mean age: 6.5 [0.6] y) and fourth/fifth class (n = 217, mean age: 10.4 [0.6] y) children from 3 schools in Cork, Ireland. The Test of Gross Motor Development-2 and Pictorial Scale of Perceived Movement Skill Competence for Young Children assessed actual and PC in 6 locomotor and 6 object-control fundamental movement skills. Moderate to vigorous PA levels were measured by accelerometry. Wilcoxon signed-rank tests assessed the accuracy of PC. Hierarchical regression analysis investigated relationships between PC and both actual competence and moderate to vigorous PA. RESULTS: Children had greater perceived overall and object-control competence than actual. Among younger children, there was no difference between perceived locomotor and actual, while older children had lower perceived locomotor competence than actual. PC did not predict actual competence. Perceived object-control and total PC were significant predictors of moderate to vigorous PA. CONCLUSIONS: Children have inflated perceptions of their overall and object-control movement skill competency. Perceived object-control and total FMS is associated with PA and thus, interventions aimed at increasing PA among children should target PC.
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BACKGROUND: To date, the scientific literature on socioeconomic correlates and determinants of physical activity behaviours has been dispersed throughout a number of systematic reviews, often focusing on one factor (e.g. education or parental income) in one specific age group (e.g. pre-school children or adults). The aim of this umbrella review is to provide a comprehensive and systematic overview of the scientific literature from previously conducted research by summarising and synthesising the importance and strength of the evidence related to socioeconomic correlates and determinants of PA behaviours across the life course. METHODS: Medline, Embase, ISI Web of Science, Scopus and SPORTDiscus were searched for systematic literature reviews and meta-analyses of observational studies investigating the association between socioeconomic determinants of PA and PA itself (from January 2004 to September 2017). Data extraction evaluated the importance of determinants, strength of evidence, and methodological quality of the selected papers. The full protocol is available from PROSPERO (PROSPERO2014:CRD42015010616). RESULTS: Nineteen reviews were included. Moderate methodological quality emerged. For adults, convincing evidence supports a relationship between PA and socioeconomic status (SES), especially in relation to leisure time (positive relationship) and occupational PA (negative relationship). Conversely, no association between PA and SES or parental SES was found for pre-school, school-aged children and adolescents. CONCLUSIONS: Available evidence on the socioeconomic determinants of PA behaviour across the life course is probable (shows fairly consistent associations) at best. While some evidence is available for adults, less was available for youth. This is mainly due to a limited quantity of primary studies, weak research designs and lack of accuracy in the PA and SES assessment methods employed. Further PA domain specific studies using longitudinal design and clear measures of SES and PA assessment are required.
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Exercício Físico , Classe Social , Adolescente , Adulto , Feminino , Humanos , Masculino , Adulto JovemRESUMO
Mangan, S, Malone, S, Ryan, M, Mc Gahan, J, Warne, J, Martin, D, O'Neill, C, Burns, C, and Collins, K. Influence of team rating on running performance in elite Gaelic football. J Strength Cond Res 32(9): 2584-2591, 2017-It is currently unknown how team rating influences running performance in Gaelic football. Global positioning system technologies were used to quantify match-running performance within 5 elite Gaelic football teams over a period of 5 years (2012-2016). In total 780 player data sets were collected over 95 matches. Running performance variables included total distance, high-speed distance (≥17 km·h), and the percentage of high-speed distance. Team ratings were determined objectively using the Elo rating system for Gaelic football. Reference team rating had trivial effects on total distance (p = 0.011, partial η = 0.008) and high-speed distance (p = 0.011, partial η = 0.008). Opposition team rating had small effects on total distance (p = 0.005, partial η = 0.016) and high-speed distance (p = 0.001, partial η = 0.020). Top-tier teams cover greater total distances and high-speed distance than lower tier teams. Players cover considerably less total distance and high-speed distance against tier-3 and tier-4 teams. Tier-1 players ran a significantly higher percentage of distance at high speed than players who played for tier-2 teams (p = 0.020). The competitive advantage of top-tier Gaelic football teams is closely linked with their ability to demonstrate a higher physical intensity than lower tier teams.
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Desempenho Atlético/fisiologia , Futebol Americano/fisiologia , Corrida/fisiologia , Adolescente , Adulto , Sistemas de Informação Geográfica , Humanos , Irlanda , Masculino , Adulto JovemRESUMO
Background: Despite the large number of studies and reviews available, the evidence regarding the policy determinants of physical activity (PA) is inconclusive. This umbrella systematic literature review (SLR) summarizes the current evidence on the policy determinants of PA across the life course, by pooling the results of the available SLRs and meta-analyses (MAs). Methods: A systematic online search was conducted on MEDLINE, ISI Web of Science, Scopus and SPORTDiscus databases up to April 2016. SLRs and MAs of observational studies investigating the association between policy determinants of PA and having PA as outcome were considered eligible. The extracted data were assessed based on the importance of the determinants, the strength of evidence and the methodological quality. Results: Fourteen reviews on 27 policy determinants of PA were eligible for this umbrella SLR. The majority of the reviews were of moderate quality. Among children, a clear association between time spent outdoors and PA emerged. Among adults, working hours were negatively associated with PA, though evidence was limited. At the population level, community- and street-scale urban design and land use policies were found to positively support PA levels, but levels of evidences were low. Conclusions: With this umbrella SLR the policy determinants of PA at individual-level and population-level have been summarized and assessed. None of the investigated policy determinants had a convincing level of evidence, and very few had a probable level of evidence. Further research is needed, preferably by using prospective study designs, standardized definitions of PA and objective measurement of PA.
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Exercício Físico , Política de Saúde , Adolescente , Adulto , Fatores Etários , Criança , Pré-Escolar , Europa (Continente) , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto JovemRESUMO
OBJECTIVE: Regular physical activity (PA) reduces the risk of disease and premature death. Knowing factors associated with PA might help reducing the disease and economic burden caused by low activity. Studies suggest that socio-cultural factors may affect PA, but systematic overviews of findings across the life course are scarce. This umbrella systematic literature review (SLR) summarizes and evaluates available evidence on socio-cultural determinants of PA in children, adolescents, and adults. METHODS: This manuscript was drafted following the recommendations of the 'Preferred Reporting Items for Systematic reviews and Meta-Analyses' (PRISMA) checklist. The MEDLINE, Web of Science, Scopus, and SPORTDiscus databases were searched for SLRs and meta-analyses (MAs) on observational studies published in English that assessed PA determinants between January 2004 and April 2016. The methodological quality was assessed and relevant information on socio-cultural determinants and any associations with PA was extracted. The available evidence was evaluated based on the importance of potential determinants and the strength of the evidence. RESULTS: Twenty SLRs and three MAs encompassing 657 eligible primary studies investigated potential socio-cultural PA determinants, with predominantly moderate methodological quality. Twenty-nine potential PA determinants were identified that were primarily assessed in children and adolescents and investigated the micro-environmental home/household level. We found probable evidence that receiving encouragement from significant others and having a companion for PA were associated with higher PA in children and adolescents, and that parental marital status (living with partner) and experiencing parental modeling were not associated with PA in children. Evidence for the other potential determinants was limited, suggestive, or non-conclusive. In adults, quantitative and conclusive data were scarce. CONCLUSIONS: A substantial number of SLRs and MAs investigating potential socio-cultural determinants of PA were identified. Our data suggest that receiving social support from significant others may increase PA levels in children and adolescents, whereas parental marital status is not a determinant in children. Evidence for other potential determinants was limited. This was mainly due to inconsistencies in results on potential socio-cultural determinants of PA across reviews and studies. TRIAL REGISTRATIONS: This umbrella SLR was recorded on PROSPERO (Record ID: CRD42015010616 ).
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Dieta , Exercício Físico , Meio Social , Características da Família , Humanos , Estilo de Vida , Metanálise como Assunto , Estudos Observacionais como Assunto , Fatores SocioeconômicosRESUMO
BACKGROUND: Participation in regular physical activity is associated with a multitude of health benefits across the life course. However, many people fail to meet PA recommendations. Despite a plethora of studies, the evidence regarding the environmental (physical) determinants of physical activity remains inconclusive. OBJECTIVE: To identify the physical environmental determinants that influence PA across the life course. METHODS: An online systematic literature search was conducted using MEDLINE, ISI Web of Science, Scopus and SPORTDiscus. The search was limited to studies published in English (January 2004 to April 2016). Only systematic literature reviews (SLRs) and meta-analyses (MAs) of observational studies, that investigated the association between physical determinants and physical activity outcomes, were eligible for inclusion. The extracted data were assessed on the importance of determinants, strength of evidence and methodological quality. RESULTS: The literature search identified 28 SLRs and 3 MAs on 67 physical environmental characteristics potentially related to physical activity that were eligible for inclusion. Among preschool children, a positive association was reported between availability of backyard space and outdoor toys/equipment in the home and overall physical activity. The availability of physical activity programs and equipment within schools, and neighbourhood features such as pedestrian and cyclist safety structure were positively associated with physical activity in children and adolescents. Negative street characteristics, for example, lack of sidewalks and streetlights, were negatively associated with physical activity in adults. Inconsistent associations were reported for the majority of reviewed determinants in adults. CONCLUSION: This umbrella SLR provided a comprehensive overview of the physical environment determinants of physical activity across the life course and has highlighted, particularly amongst youth, a number of key determinants that may be associated with overall physical activity. Given the limited evidence drawn mostly from cross-sectional studies, longitudinal studies are needed to further explore these associations. REGISTRATION: PROSPERO CRD42015010616.
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Meio Ambiente , Exercício Físico , Envelhecimento , HumanosRESUMO
Low levels of physical activity (PA) are reported to contribute to the occurrence of non-communicable diseases over the life course. Although psychological factors have been identified as an important category concerning PA behavior, knowledge on psychological determinants of PA is still inconclusive. Therefore, the aim of this umbrella systematic literature review (SLR) was to summarize and synthesize the scientific evidence on psychological determinants of PA behavior across the life course. A systematic online search was conducted on MEDLINE, ISI Web of Science, Scopus, and SPORTDiscus databases. The search was limited to studies published in English from January 2004 to April 2016. SLRs and meta-analyses (MAs) of observational studies investigating the association of psychological variables and PA were considered eligible. Extracted data were evaluated based on importance of determinants, strength of evidence, and methodological quality. The full protocol is available from PROSPERO (Record ID: CRD42015010616). Twenty reviews (14 SLRs and 6 MAs), mostly of moderate methodological quality, were found eligible. Convincing evidence was found for self-efficacy (positive association with PA) in children and adolescents, and stress (negative association with PA) regardless of age. Most of the evidence revealing an association between psychological determinants and PA is probable and limited, mainly due to differences in the definition of PA and of psychological determinants across reviews. Thus, scholars are urged to reach a consensus on clear definitions of relevant psychological determinants of PA, subsuming cultural biases and allowing the possibility to obtain clear interpretations and generalizability of findings. Finally, most psychological determinants should be considered within a larger framework of other multi-level determinants that may interact or mediate some of the effects.
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Dieta/psicologia , Exercício Físico/psicologia , Autoeficácia , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
BACKGROUND: Low levels of physical activity (PA) are a global concern and increasing PA engagement is becoming a priority in current public health policies. Despite the large number of studies and reviews available, the evidence regarding the behavioral determinants of PA is still inconclusive. Thus, the aim of this umbrella systematic literature review (SLR) was to summarize the evidence on the behavioral determinants of PA across the life course. METHODS: A systematic online search was conducted on MEDLINE, ISI Web of Science, Scopus, and SPORTDiscus databases. The search was limited to studies published in English from January, 2004 to April, 2016. SLRs and meta-analyses (MAs) of observational studies that investigated the behavioral determinants of PA were considered eligible. The extracted data were assessed based on the importance of the determinants, the strength of evidence, and the methodological quality. The full protocol is available from PROSPERO (PROSPERO 2014:CRD42015010616). RESULTS: Seventeen reviews on 35 behavioral determinants of PA were eligible for this umbrella SLR. Regardless of age, the most investigated determinants were those related with 'screen use' and 'smoking'. For youth, probable positive evidence emerged for 'previous PA' and 'independent mobility and active transport' among children and adolescents. For the adult population, 'transition to university' and 'pregnancy/having a child' showed probable negative associations. CONCLUSIONS: Although the majority of the evidence was limited and most of the determinants were not associated with PA, this umbrella SLR provided a comprehensive overview of the associations between behavioral determinants and PA. Youth should be physically active in the early years and increase active transportation to/from school, independent mobility, and 'free-range activities' without adult supervision, whilst adult PA behaviors are mostly influenced by the life events. Finally, more research is needed that incorporates prospective study designs, standardized definitions of PA, objective measurement methods of PA assessment, and the use of interactionist and mediational approaches for the evaluation of different behavioral determinants influencing PA behaviors.
Assuntos
Exercício Físico , Comportamento Sedentário , Adolescente , Comportamento do Adolescente , Adulto , Criança , Comportamento Infantil , Dieta , Feminino , Humanos , Acontecimentos que Mudam a Vida , Masculino , Gravidez , Instituições Acadêmicas , Meios de TransporteRESUMO
BACKGROUND: Recent evidence predicts that by 2030, Ireland will have the highest rate of obesity in Europe. Consequently, there are concerns that health problems associated with this condition will present in childhood. Studies have shown that interventions based on increasing physical activity (PA) levels, reducing sedentary lifestyles and improving nutritional habits all pose protective mechanisms against obesity and its related disorders in youth. Yet, to date, there are no interventions being delivered in Ireland that concurrently target PA, nutritional habits and sedentary time amongst school children. PURPOSE: The purpose of this study is to implement and evaluate an intervention that targets PA, nutritional habits and sedentary time in primary school children. METHODS: 'Project Spraoi' is a school based health promotion intervention, based on 'Project Energize,' which has been in operation in New Zealand since 2004. Measures of PA, nutritional knowledge/behaviours and health parameters including body composition, blood pressure (BP) and fitness will be gathered before and after the programme completion (24 months). For comparative purposes, we will compare these scores to a separate group who will not participate in the intervention and to counterparts partaking in Project Energize, NZ. CONCLUSIONS: There is strong evidence that quality multi-component school-based programmes can increase PA, improve weight status and promote healthier dietary habits. Due to the increasing obesity levels, the implementation of such a programme that is rigorously evaluated is warranted in Ireland.