Search Results (512)

Background: With China’s rapidly aging population, frailty has become a growing concern among older adults. Physical activity (PA) is known to mitigate frailty-related decline, yet few studies have examined these associations longitudinally. Methods: Using five waves (2011–2020) of CHARLS data, we analyzed Chinese adults aged 60+ to assess the association between frailty—measured by a frailty index (FI)—and PA across various types (light, moderate, vigorous, total, and leisure). A generalized linear mixed-effects model was used, adjusting for demographic, socioeconomic, and health-related factors. Results: All PA types were significantly associated with lower odds of concurrent frailty, including light (OR = 0.37), moderate (OR = 0.37), vigorous (OR = 0.40), total (OR = 0.23), and leisure PA (OR = 0.56). Lagged PA also predicted reduced frailty risk over time, except for light PA. Conclusion: Regular PA is linked to a lower risk of frailty among older Chinese adults. These findings underscore the importance of sustained PA as a strategy to promote healthy aging and inform public health interventions for this population. Full article

Background/Objectives: Smartphone addiction (SA) and gaming addiction (GA) have become risk factors for individuals of all ages in recent years. Especially during adolescence, it has become very difficult for parents to control this situation. Physical activity and the effective use of free time are the most important factors in eliminating such addictions. This study aimed to test a new machine learning method by combining routine regression analysis with the gradient-boosting machine (GBM) and random forest (RF) methods to analyze the relationship between SA and GA with leisure time management (LTM) and the enjoyment of physical activity (EPA) among adolescents. Methods: This study presents the results obtained using our developed GBM + RF hybrid model, which incorporates LTM and EPA scores as inputs for predicting SA and GA, following the preprocessing of data collected from 1107 high school students aged 15–19 years. The results were compared with those obtained using routine regression results and the lasso, ElasticNet, RF, GBM, AdaBoost, bagging, support vector regression (SVR), K-nearest neighbors (KNN), multi-layer perceptron (MLP), and light gradient-boosting machine (LightGBM) models. In the GBM + RF model, probability scores obtained from GBM were used as input to RF to produce final predictions. The performance of the models was evaluated using the R², mean absolute error (MAE), and mean squared error (MSE) metrics. Results: Classical regression analyses revealed a significant negative relationship between SA scores and both LTM and EPA scores. Specifically, as LTM and EPA scores increased, SA scores decreased significantly. In contrast, GA scores showed a significant negative relationship only with LTM scores, whereas EPA was not a significant determinant of GA. In contrast to the relatively low explanatory power of classical regression models, ML algorithms have demonstrated significantly higher prediction accuracy. The best performance for SA prediction was achieved using the Hybrid GBM + RF model (MAE = 0.095, MSE = 0.010, R² = 0.9299), whereas the SVR model showed the weakest performance (MAE = 0.310, MSE = 0.096, R² = 0.8615). Similarly, the Hybrid GBM + RF model also showed the highest performance for GA prediction (MAE = 0.090, MSE = 0.014, R² = 0.9699). Conclusions: These findings demonstrate that classical regression analyses have limited explanatory power in capturing complex relationships between variables, whereas ML algorithms, particularly our GBM + RF hybrid model, offer more robust and accurate modeling capabilities for multifactorial cognitive and performance-related predictions. Full article

Recent research in the area of physical literacy has revealed that the early years are a period that has not been well studied. Our research team designed a deductive review with the aim of investigating how preschool children’s physical literacy manifests across affective, physical, cognitive and social domains. The review includes scientific publications from the last four years, which investigate the elements of physical literacy in preschool children: motivation, confidence, motor competence, knowledge, understanding and use of physical activity. The characteristics of the elements were systematised into four domains, affective, physical, cognitive and social, as engagement in physical activities. Results. The majority of the articles explained physical literacy behaviours in 4- to 5-year-old children. The physical domain was most frequently described, mainly including the three basic motor skills of postural stability, object control, and locomotion, as well as physical qualities of movement. The second most frequently described domain was the social domain of the application of physical activities in preschool stages, including the types and amounts of physical activity used in both organised and leisure time. Conclusions. Physical literacy of preschool children is a purposefully organised and guided process, during which a child is given the opportunity to try and apply age-appropriate movement skills, without being limited by the child’s gender, parental attitudes, sporting choices, or the traditions of sport culture. Full article

Background/Objective: The impact that lifestyle has on someone’s health has been widely proven. And the lifestyle can also be highly influenced by the sociodemographic background; however, there is less literature that focuses on this matter. Hence, the objective of the present study is to analyze the influence of sociodemographic variables on the lifestyle of the adult population. Methods: A cross-sectional multicenter study was conducted in 20 health centers of the Community of Madrid (Spain). A total of 365 participants were scheduled for nursing consultations and recruited through systematic probabilistic sampling. Lifestyle was assessed using the “Ponte a 100” questionnaire; based on the total score achieved by the participants, these were categorized into four groups depending on their need to adopt healthier lifestyle habits: minimal need (80–100 points), mild need (60–79 points), moderate need (40–59 points), and high need (<39 points). Results: Values ranged from 23 to 98 points in the Lifestyle Index (ISEV), with an average of 71.8 (SD = 14.6 points). Older individuals had better eating habits (β = −1.982), while younger individuals had better physical activity habits and a higher consumption of toxic substances. Men consumed more alcohol (β = −2.307) and felt happier with their lives, while women took more active breaks. Being a student was associated with higher levels of stress and anxiety, lower physical activity and leisure time, and higher alcohol consumption. Retirees had better emotional well-being indices (β = 0.999). Lower income levels were associated with occasional drug use and poorer emotional well-being. People with university degrees had better emotional states (β = 0.861) and better eating habits (β = 1.652) and engaged in more intense physical activity. Having no chronic diseases was related to being more physically active (β = 1.789). Conclusions: The study population generally presents a healthy lifestyle. The dimension of emotional well-being was the most influenced by sociodemographic factors. This study contributes to understanding the impact of socioeconomic variables on lifestyle. Full article

Cerebral palsy (CP) is one of the most common disorders in childhood that significantly impacts quality of life. Background/Objectives: This study conducted a literature review of physical activity (PA)-based interventions for children and adolescents with CP, highlighting the physical, cognitive, and social benefits, as well as the factors and barriers that influence practice. Methods: The PRISMA methodology was used to identify and analyze the most relevant studies up to December 2024 through specific search equations and the databases Science Direct, Scopus, and Dialnet. Of the 707 articles identified, a total of 62 publications were selected for further analysis. These were subjected to a quality assessment through a checklist based on seven items. Results: The practice of PA guaranteed improvements in balance, postural control, strength, socialization, and self-confidence. On the other hand, some programs, such as Makey Makey, Ballet, aquatic PA, and Matrogymnasia, among others, were highlighted because they promoted an increase in physical practice among the population. However, there are still some barriers, such as sedentary lifestyles (90%), limited accessibility, and a lack of qualified professionals that hinder the intervention and ensure motivation and interest in its practice for those individuals who have not yet begun to practice it. Conclusions: PA is an effective tool to favor quality of life in children and adolescents, as it contributes to their integral development and social inclusion. The need for interdisciplinary strategies to reduce barriers and increase the benefits of PA is emphasized. A joint effort to promote integration in leisure time could promote optimal long-term results. Full article

The Second Time University Program is a federal government policy instituted in 2009. Given its importance, this study aimed to analyze the program’s contributions and limitations in promoting leisure-time physical activity and student health. The study is a retrospective longitudinal, qualitative–quantitative, exploratory and documentary study, analyzing the guidelines and public notices between 2009 and 2023. The program is predominantly focused on integral development, with the inclusion of objectives aimed at health promotion, relating leisure-time physical activities to a physically active lifestyle and a reduction in sedentary lifestyles in 2020. Its scope is low and selective, with a presence in only 47.82% of universities. Continuity is also low, with the majority of universities only being covered by the program in one call for proposals. In conclusion, although it promotes leisure-time physical activity and holistic health promotion, the public policy is limited and discontinuous. Full article

Background: Many studies examine young adolescents’ motivation for physical activity (PA), but few explore the problem in depth, considering the self-assessment of sport skills or the impact of additional PA. Insufficient PA among adolescents is a significant global issue. This study aimed to analyze the differences in types of motivation, the self-assessment of sports skills, and overall fitness among young adolescents with regard to additional PA. Material and Methods: A sample of high school students (n = 355) was assessed using an MPAM-R questionnaire, a self-developed sport skills competency test, and an IFIS questionnaire. Results: There are significant differences in types of motivation between genders: girls achieved higher results in terms of appearance, whereas boys were mostly focused on enjoyment and competence. Additionally, participants who reported engaging in additional PA, regardless of gender, achieved higher results in nearly all types of motivation, except for social. The findings consistently highlight a strong emphasis on appearance among young adolescents. The self-assessments of sports skills and overall fitness were also higher in the group of participants with additional PA. The study revealed further differences between boys and girls in the assessment of tactical and technical skills. Boys rated themselves higher in team sports, whereas girls in individual activities such as gymnastics. Conclusions: These results provide new insights into teenagers’ motivations and self assessment of sport skills and can serve as a solid foundation for further research for developing activities aimed at increasing leisure-time PA among youth. Full article

Background/Objectives: Physical activity (PA) during pregnancy presents health benefits for mother and child. The World Health Organization (WHO) recommends at least 150 min of moderate-intensity physical activity per week for a healthy pregnancy. The objectives of this study were to describe physical and sedentary activity patterns, estimate the proportion of women meeting PA recommendations, and identify associated sociodemographic and obstetric characteristics in a sample of pregnant women from southern Spain. Methods: For this cross-sectional study, a random sample of 385 pregnant women attending their 20th-week scheduled ultrasound at their referral hospital was selected. Inclusion criteria were being between 18 and 22 gestational weeks pregnant and communicating in Spanish. A face-to-face structured interview was used to collect demographic, obstetric, and PA data, as well as sedentary patterns. Indexes of weekly PA in various domains were computed. Bivariate analyses were conducted to assess the variability of physical and sedentary activities according to sociodemographic and obstetric variables. Statistical significance was set at p < 0.05. Results: A total of 84.4% of participants engaged in some type of PA and 73.7% met WHO PA requirements. Higher leisure PA was associated with higher education (p < 0.05) and first-time pregnancy (p < 0.01). Higher work PA was linked to lower education (p < 0.01), being born outside Spain (p < 0.05), and later pregnancy awareness (p < 0.01). Higher sedentary daily time was associated with higher education (p < 0.01), speaking Spanish as a child (p < 0.05), and first-time pregnancy (p < 0.05). Conclusions: Most pregnant women in this study met PA recommendations. Correlates of leisure PA differ from those regarding work PA. Full article

Background: Assessment of physical competencies is one way to enhance uptake and maintain participation in a leisure-time physical activity (LTPA) for manual wheelchair (MWC) users. Weineck’s model explains physical competencies through eight physical qualities. The use of this model may influence MWC users’ motivation for participation in LTPA. The aim of this study was to identify and categorize existing assessment tools designed for MWC users of physical qualities (strength, speed, power, muscular endurance, cardiovascular endurance, balance, and flexibility). Methods: A mapping review was conducted following the “Preferred reporting items for systematic reviews and meta-analyses (PRISMA)” guidelines. Two reviewers selected articles that documented assessment tools for the physical qualities of MWC users. Tools were extracted from each article to categorize them in a list. Results: A total of 149 articles that contained assessments of physical qualities were included in the review. A total of 97 assessment tools were extracted and categorized according to the eight physical qualities. Conclusions: These assessments are categorized into physical qualities that would facilitate the creation of test batteries aimed at assessing physical qualities in MWC users. This study is the first step in the construction of a test battery to assess the physical qualities of MWC users. Full article

Background/objectives: Early childhood is marked by rapid physical and cognitive development, underscoring the critical influence of parental choices in shaping habits, pastimes, and traditions. The World Health Organization highlights habits of physical activity, sleep, and screen use as modulators of healthy development and well-being in young children. As a first, this birth cohort study investigates the relationship between movement behaviors in toddlerhood and subsequent sport participation during middle childhood. Methods: Participants are 930 boys and 926 girls from the Quebec Longitudinal Study of Child Development. Using a population-based analytical approach, we examined the relationship between parent-reported active leisure, sleep, and sedentary screen time at age 2 years and trajectory of sport participation between ages 6 and 10 years using sex-stratified linear regressions that account for a range of pre-existing individual and family confounding factors. Results: Many child and family characteristics predicted early childhood movement behaviors, distinctly for boys and girls. Moreover, parental regulation of screen time during early childhood significantly influenced their decisions to enroll and encourage sport participation in sons during school age. Specifically, boys who spent more than 1 h/day on screens had 10% fewer chances of consistently participating in sport throughout middle childhood, even after accounting for adherence to other lifestyle habits. Conclusions: Our findings suggest that parental values regarding early childhood screen exposure are an effective potential target for intervention fostering healthy and active development. Future research should focus on parent and child motivations for sport involvement in the long-term. Full article

Objective: The purpose of this study was to investigate the association of built environment and intrapersonal factors with leisure-time physical activity (LTPA), and the possible moderating effect of intrapersonal factors on the association between the built environment and LTPA. Methods: A total of 514 older people in the village of Fuwen were included in this study. Data on LTPA, intrapersonal factors (social, fitness, medical, benefits/challenges, recognition), and the built environment (traffic safety, street connectivity, walking facilities, access to services, crime safety, aesthetics, residential density, land use mix diversity) were collected. Multivariate linear regression analysis with the “enter” method was conducted to analyze the association of perceived scores of built environment and intrapersonal factors with LTPA. Results: Among the intrapersonal factors, fitness was positively related to LTPA (p = 0.012). Among the built environment factors, traffic safety (p = 0.02) and crime safety (p = 0.047) were positively related to LTPA, while walking facilities was negatively associated with LTPA (p = 0.007). Additionally, fitness had a significant moderating effect on the association between walking facilities and LTPA (p = 0.025). Conclusions: Older people with higher fitness requirements and better perceived traffic safety and crime safety tend to engage in greater levels of LTPA. The findings provide valuable insights for policymakers, particularly in designing ecologically livable villages that promote physical activity among older populations. Full article

Migrant workers, vital for urban sustainable development, often exhibit leisure-time physical inactivity (LTPI). Few studies have examined LTPI and its constraints among migrant workers. This study aimed to identify the determinants of LTPI and its constraints among migrant workers. Guangzhou was used as a case study through a questionnaire survey of 26 communities (n = 1024). Logistic regression assessed the impact of household registration on LTPI and its interaction effects. The determinants of LTPI among migrant workers were compared with those of the other groups. The study found a link between LTPI and the living environment among residents and migrant workers. Household registration influences LTPI through interactions with factors such as the number of sports facilities and community greetings. The main barriers to leisure-time physical activity among migrant workers were insufficient education, social capital, and green open spaces. This study discusses the underlying mechanisms and proposes measures to address LTPI among migrant workers. Full article

Background: Sedentary behavior is a considerable health risk, which is related to a variety of chronic diseases and a lower quality of life. Breathlessness, or dyspnea, is a significant barrier to physical exercise, especially in sedentary populations. This study aimed to assess the relationship between activity-related dyspnea and physical activity levels in women with sedentary behavior, while also identifying demographic and health factors that influence this association. Methods: This study used a cross-sectional design conducted in Saudi Arabia, utilizing an electronic survey for data collection. The participants were Saudi females aged 20–50 years with sedentary behavior, who reported sitting for 6 h or more each day. A self-administered online questionnaire was used to collect data, which examined sociodemographic information, breathlessness (assessed via the Modified Medical Research Council (mMRC) breathlessness scale and the Dyspnea-12 (D-12) questionnaire), and physical activity levels using the Godin Leisure-Time Exercise Questionnaire (GLTEQ). Only healthy volunteers without chronic or respiratory problems were included. Results: Among 646 participants, 95.2% reported breathlessness, with Grade 2 (32.2%) being most common. Physical activity levels were low, with 37.36% insufficiently active. Significant differences in dyspnea scores were observed across activity levels (H(2) = 50.43, p < 0.0001), with more active individuals reporting less dyspnea. Ordinal logistic regression showed that higher mMRC scores were strongly associated with lower activity (OR = 0.19, 95% CI [0.16, 0.23], p < 0.001). Dyspnea-12 physical domain scores also correlated inversely with activity (OR = 0.93, 95% CI [0.90, 0.96], p < 0.001), while the emotional domain was not significant. Conclusions: The study revealed a significant association between higher breathlessness severity and lower physical activity levels among Saudi women with sedentary behavior. Dyspnea was prevalent, with 95.2% of participants experiencing some degree of breathlessness. Future longitudinal or interventional studies are required to determine the direction of this relationship and explore whether interventions targeting breathlessness management could support increased physical activity or if greater activity itself may help alleviate dyspnea. Full article

Background/Objectives: Healthcare professions impose high physical and mental demands, potentially affecting health. Despite advocating for active lifestyles, many physiotherapists do not meet recommended physical activity levels (PALs). This study explores physical activity patterns and recreational engagement among practicing physiotherapists. Methods: A cross-sectional correlational design examined the relationship between physical activity and recreational participation among 60 physiotherapists (38 females, 22 males, mean age 38.62 ± 9.78 years). Data were collected using the International Physical Activity Questionnaire—Short Form (IPAQ-SF) and the Pittsburgh Enjoyable Activities Test (PEAT). The analysis focused on bivariate correlations between PAL, energy expenditure (MET), recreational habits (PEAT score), and sociodemographic and anthropometric variables. Results: The IPAQ-SF results indicated that 38.3% of participants had a low PAL, 40.0% a moderate level, and 21.7% a high level. Average energy expenditure was 1927.62 ± 1479.73 MET-minutes/week. PEAT data indicated moderate engagement in recreational activities (mean score: 22.63 ± 7.76), with participants predominantly involved in low-intensity, passive leisure. Significant positive correlations were observed between PEAT scores and both MET values (Kendall’s tau-b = 0.669, p ≤ 0.01) and PALs (Kendall’s tau-b = 0.804, p ≤ 0.01), indicating that higher engagement in recreational activities is associated with greater energy expenditure and overall physical activity levels. Conclusions: Despite the physical demands of their profession, many physiotherapists report low activity levels. The positive correlations between physical activity, energy expenditure, and recreational engagement highlight the need for structured exercise to support both personal health and professional integrity. Future research should include larger samples and objective assessments. Full article

Adolescence is a critical developmental stage marked by significant physical, emotional, and social changes that profoundly influence health behaviors. Public health plays a crucial role in promoting adolescent well-being, developing health education programs, community campaigns, and evidence-based prevention policies to mitigate risk factors associated with adolescent health, behavior, and lifestyle patterns. The aim of this study is to examine self-perceived health, mood, sleep patterns, substance use, dietary habits, and leisure activities among 120 adolescents aged 14 to 17 in a municipal school near Barcelona. The findings reveal that in the mood state distribution, boys are 2.34-times more likely to report a positive mood than girls. In the prevalence of addictive substance and alcohol use between male and female adolescents, 82.6% of girls reported an alcohol consumption that was significantly higher than the 56.9% of boys (p = 0.003). Similarly, 42.15% of girls had smoked at least once, compared to 19.83% of boys (p < 0.001). Physical inactivity was more prevalent among girls (17.4%) than boys (11.8%), indicating potential barriers to participation. The distribution of sleep hours between boys and girls shows notable differences in the 8.5 h sleep category (p = 0.0090). Skipping breakfast was more common among girls (33.3%) than boys (21.6%). Night-out frequency and return times have an identical proportion between boys and girls. This study underscores the necessity of implementing gender-sensitive public health strategies to address disparities in substance use, physical activity, and dietary habits, while promoting sleep hygiene and overall adolescent well-being through municipal and community-based initiatives. Full article