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This study examined the developmental trajectories of light (LPA) and moderate-to-vigorous physical activity (MVPA) in fitness profiles derived from motor competence, perceived motor competence, health-related fitness, and MVPA behaviour. Locomotor, stability, and object-control skills, muscular and cardiovascular fitness, and physical activity were assessed in 510 (girls 285, boys 225) Finnish school-aged children (Mage = 11.26 ± .33 years) over three years. Physical activity was measured using hip-mounted accelerometers. Fitness profiles were identified using latent profile analysis and the development of physical activity levels across four assessments was analysed with latent growth curve models. Results showed that 1) three homogeneous profiles were identified: At-risk, Intermediate, and Desirable; 2) the Desirable group was more physically active than the other groups, the Intermediate group was more physical active than the At-risk group; and 3) LPA decreased similarly over time, while MVPA remained stable in all three profiles. Initial more advanced motor competence, perceived motor competence, health-related fitness, and higher MVPA behaviour were associated with higher levels of long-term LPA and MVPA. This finding supports the importance of motor competence skills acquisition in the early school years. Attention should also be paid to increasing engagement in light physical activities, especially in inactive or insufficiently active children with low motor competence skills.
Background: This study examined the distribution of objectively measured physical activity (PA) and sedentary time of fifth-grade students during school, leisure time, and physical education (PE) classes. Demographic, anthropometric, and PA data were collected from 17 representative Finnish schools. Methods: To estimate the PA and sedentary time, participants (N = 592) wore wGT3X-BT ActiGraphs for 7 consecutive days. Comparisons were made between genders and different BMI groups. Results: From the study sample, 43.7% met the moderate to vigorous PA (MVPA) guidelines. Participants spent 62.2% of the day sedentary and 8.2% in moderate and vigorous activities. Boys performed more MVPA than girls, and girls were more sedentary during school days. Boys had more MVPA than girls in leisure time, but there were no differences in sedentary time. However, an examination of PA assessed during PE classes revealed no differences between boys and girls. Normal-weight boys engaged in more MVPA than overweight and obese boys. No differences were found for girls. Conclusions: The PE levels differ between different BMI groups in leisure time and during school but not during PE lessons. PA for overweight children should be targeted and compulsory PE time should be increased to achieve the PA guidelines.
Background and aims: There is a growing body of evidence, that pain is common at school age. Less is known about the repeatability of pain questionnaires for children. This study aimed to assess the test-retest repeatability of the Finnish version of the electronic pain questionnaire for school-aged children. Methods: Primary (n = 79) and lower secondary (n = 127) schoolchildren aged 10–15 years from two schools from the Jyväskylä region of Finland, filled in an electronic questionnaire twice in an interval of 2 weeks. It captured the frequency of pain symptoms with a five-point Likert-scale questionnaire covering nine areas of the body for the last 3 months. The intraclass correlation coefficient (ICC) values 0.40–0.59 reflected fair and 0.60–0.74 good repeatability. Results: The highest prevalences of pain were in the head (29%) and neck and shoulder (NS) (23%) areas. ICC values showed good repeatability for questions about pain frequency in the head, NS and lower extremities. In primary school, these values were good in the lower extremities and fair in NS, lower back and the head. In lower secondary school, the ICC values were good in NS and the head, fair in the stomach and lower extremities. Conclusions: This electronic questionnaire was an acceptably repeatable indicator to measure the frequency of pain in the most prevalent pain areas: the head and NS. Implications: It is important to be aware of the impact of health-related outcomes on children’s ability to be successful in their lives. With the help of a simple electronic questionnaire, it is possible to cost-effectively capture, for example, the prevalence and frequency of pain during the school hours. The identification of children’s pain symptoms accurately provides more possibilities to prevent and to minimize the chronic pain among schoolchildren.
Problem statement: Insufficient PA is rising concern in modern society. Physical education as a compulsory subject allows all students to engage physical activity. However, the activity levels may vary during the physical education lesson depending on the motivation of students. Purpose: The purpose of this study was to determine the amount of time spent in light physical activity, moderate to vigorous physical activity and sedentary activity by a sample of Finnish fifth grade students during physical education lessons. Approach: A cohort of 407 Finnish students' (177 boys, 232 girls) participated to study. To determine activity, participants wore GTX3 Actigraphs for seven consecutive days. Participants' activity scores were grouped in quartiles based on their weekly average moderate to vigorous physical activity. Different activity group and gender comparisons were undertaken using MANOVA. Results: Contrasts regarding activity quartiles revealed that in the least active group quartile (Q1) boys had more sedentary time and less MVPA time than in the more active group quartiles (Q3&Q4). Among girls, Q1 girls had less moderate to vigorous physical activity than girls grouped in Q3-Q4, and had more sedentary time than all other quartile groups. Conclusions: Results demonstrated that during PE lessons differences in activity between children with different moderate to vigorous physical activity levels exist. Physical education teachers should consider developing lesson strategies to address the differences identified in ST and MVPA. Programs that foster consistency in student engagement at the moderate to vigorous physical activity level may also support a decrease in levels of sedentary time across the physical education lesson.
This study examined basic psychological need satisfactions for competence, autonomy, and social relatedness in physical education (PE) and their contributions to accelerometer-based in-class and total moderate to vigorous physical activity (MVPA) across a one-year follow-up (T1). Participants were 523 students (girls 280, boys 243; mean age = 11.26 ± 0.31) and the data were collected using self-reports and waist-worn accelerometers. The key findings were: (a) competence and social relatedness need satisfaction at baseline (T0) predicted total MVPA at T1 via total MVPA at T0; (b) in-class MVPA at T0 predicted total MVPA at T1 via total MVPA at T0; (c) in-class MVPA was directly associated with total MVPA at T0 and T1; and (d) boys scored higher than girls on competence and relatedness need satisfaction at T0. These findings indicate that the need satisfactions for competence and social relatedness in PE are central components facilitating the greatest increases in total MVPA participation. To improve student outcomes, it is essential that all children receive positive and satisfying PE experiences. Enhancing the readiness and capability of pre- and in-service teachers through teacher training programmes is vital to raising awareness of the basic psychological need satisfactions behind autonomous motivation and greater MVPA engagement.
Background. This randomised controlled trial demonstrates the effectiveness of a value-based intervention program to encourage a physically more active lifestyle among physically inactive adults aged 30 to 50 years. The conceptual framework of the program is based on an innovative behavioural therapy called Acceptance and Commitment Therapy (ACT) that aims to increase an individual’s psychological flexibility and support behaviour change towards a higher quality and more meaningful life. Methods. Participants will be randomly allocated to a feedback group (FB) or an Acceptance and Commitment based (ACT + FB) group. Both the groups will receive written feedback about their objectively measured physical activity levels and offered an opportunity to attend a body composition analysis. In addition, the Acceptance and Commitment based group will attend six group sessions and be given a pedometer for self-monitoring of their daily physical activity throughout the 9-week intervention. The group sessions aim to clarify individual values and enhance committed actions towards the goal of achieving a more meaningful life. Participants will also be taught new skills to work on subjective barriers related to physical activity. Physical activity will be measured objectively by an accelerometer over seven consecutive days and by self-reported questionnaires at the baseline, as well as at 3, 6, 9 and 15 months after the baseline measures. In addition, psychological well-being will be measured through the questionnaires, which assess mindfulness skills, psychological flexibility, psychological distress and depressive symptoms. Discussion. This study’s objective is to demonstrate a research protocol for a randomized controlled study motivating a physically more active lifestyle based on one’s own values among physically inactive adults. The aim of the study is to evaluate the feasibility and intervention efficacy on physical activity and psychological well-being, and discuss challenges in motivating physically inactive adults towards physically more active lifestyles.
This study investigated the associations of accelerometer-measured physical activity, sedentary time and screen time with the incidence of neck and shoulder pain in school-aged children over a two-year follow-up. Children (aged 10–15) were measured at baseline 2013 (T0) (n = 970) and at follow-ups 2014 (T1) and 2015 (T2). Neck and shoulder pain frequency and screen time were determined with a web-based questionnaire. Daytime moderate to vigorous physical activity and sedentary time were measured with an accelerometer. Logistic regression was applied, and the results were adjusted for age, gender, body mass index and bedtime. Accelerometer-measured physical activity or sedentary time at baseline were not associated with the incidence of neck and shoulder pain at the two-year follow-up. Associations of neck and shoulder pain incidence with overall screen time (p = 0.020), and especially with passive gaming time (p = 0.036) and social media time (p = 0.023) were found at the first but not the second follow-up. The neck and shoulder pain incidence associated with overall screen time, passive gaming time and social media time at the first follow-up. The importance of limiting screen time, should be explored in order to find new approaches in preventing neck and shoulder pain in school-aged children.
Tutkimuksen tavoitteena oli kuvata fyysisen aktiivisuuden jakautumista varhaiskasvatusaikana ja vapaa-aikana 4–6-vuotiailla varhaiskasvatukseen osallistuvilla lapsilla Suomessa. Tutkimus perustuu vuosina 2020–2021 Piilo-tutkimushankkeessa kerättyyn varhaiskasvatukseen osallistuvien lasten aineistoon. Lasten (n = 777, tyttöjä 53 %) liikkumista mitattiin ranteessa pidettävällä liikemittarilla seitsemän vuorokauden ajan. Aineistosta tarkasteltiin eroja tyttöjen ja poikien, eri ikäisten sekä aktiivisten ja vähemmän aktiivisten lasten fyysisessä aktiivisuudessa varhaiskasvatuksen aikana ja vapaa-ajalla sekä arkena ja viikonloppuna. Lisäksi arvioitiin lasten fyysisen aktiivisuuden suositusten ja tavoitteiden saavuttamista. Lapset olivat fyysisesti aktiivisempia ja viettivät vähemmän aikaa paikoillaan varhaiskasvatuksessa ja arkena kuin vapaa-ajalla ja viikonloppuisin (p<0,001). Pojat ja vanhimmat lapset olivat aktiivisempia kuin tytöt ja nuorimmat lapset (p<0,001). Varhaiskasvatuksen aikana erot fyysisessä aktiivisuudessa ja paikallaanolossa tyttöjen ja poikien sekä nuorempien ja vanhempien lasten välillä olivat suurempia kuin vapaa-ajalla (p<0,01). Vähiten liikkuvien lasten varhaiskasvatuksen aikainen reipas ja raskas liikkuminen muodosti suuremman osan heidän koko päivän aikaisesta liikkumisesta kuin eniten liikkuvilla lapsilla (p<0,01). Liikkuva varhaiskasvatus -ohjelman tavoitteen, 2/3 päivittäisestä liikkumissuosituksesta varhaiskasvatuspäivän aikana, saavutti 62 prosenttia lapsista (tytöt 49 %, pojat 76 %, p<0,001). Varhaiskasvatus on lapselle liikkumisen kannalta merkittävä paikka. Varhaiskasvatus aktivoi enemmän poikia, vanhempia lapsia sekä vähiten liikkuvia lapsia muihin verrattuna. Suurin potentiaali aktiivisuuden lisäämiseen on kotiympäristössä vapaa-ajalla ja viikonloppuna sekä tytöillä varhaiskasvatusaikana.
Purpose: This study aimed to determine the relationships between objectively measured and self-reported physical activity, sedentary behavior, and academic performance in Finnish children. Methods: Two hundred and seventy-seven children from five schools in the Jyväskylä school district in Finland (58% of the 475 eligible students, mean age = 12.2 yr, 56% girls) participated in the study in the spring of 2011. Self-reported physical activity and screen time were evaluated with questions used in the WHO Health Behavior in School-Aged Children study. Children’s physical activity and sedentary time were measured objectively by using an ActiGraph GT1M/GT3X accelerometer for seven consecutive days. A cutoff value of 2296 counts per minute was used for moderate-to-vigorous physical activity (MVPA) and 100 counts per minute for sedentary time. Grade point averages were provided by the education services of the city of Jyväskylä. ANOVA and linear regression analysis were used to analyze the relationships among physical activity, sedentary behavior, and academic performance. RESULTS: Objectively measured MVPA (P = 0.955) and sedentary time (P = 0.285) were not associated with grade point average. However, self-reported MVPA had an inverse U-shaped curvilinear association with grade point average (P = 0.001), and screen time had a linear negative association with grade point average (P = 0.002), after adjusting for sex, children’s learning difficulties, highest level of parental education, and amount of sleep. Conclusions: In this study, self-reported physical activity was directly, and screen time inversely, associated with academic achievement. Objectively measured physical activity and sedentary time were not associated with academic achievement. Objective and subjective measures may reflect different constructs and contexts of physical activity and sedentary behavior in association with academic outcomes.
Background Physically active lifestyle prevents and contributes to managing non-communicable diseases. Childhood physical activities have shown to associate with physically active lifestyle in adulthood. More research on which childhood physical activity modes associate with physical activity in later life is still needed. Within the present study, we examined how physically active commuting to school in childhood contributed to overall physical activity in adulhood. Methods The participants (N = 3596) were from the population-based, longitudinal Cardiovascular Risks in Young Finns Study. Questionnaires were used in assessing subjects' childhood (1980) and adulthood (2001-2018) physical activity. ActiGraph accelerometers were also applied in the adulthood measurements (2018-2020). The results were analyzed using logistic and linear regression models. Participants' age, sex, parents' educational background, parents' income level, childhood living area, participants' educational background, adulthood income level, and adulthood living area were adjusted for in the models. Results Based on the preliminary examinations, childhood commuting was not associated with self-reported commuting to work (2001-2018) or accelerometer-measured overall physical activity (2018-2020) in adulthood (p>.05). Active commuting in childhood associated with increased self-reported leisure-time physical activity in the year 2001 (b=.38, p>.001), 2007 (b=.35, p>.001), and 2018 (b=.28, p=.012), but the association between childhood commuting and self-reported physical activity in the years 2001 and 2018 attenuated after adjusting for all covariates (p>.05). Conclusions Physically active commuting in childhood (1980) was associated with higher levels of self-reported leisure-time physical activity in adulthood (2001-2018). The associations attenuated after adjusting for covariates excluding the one between active commuting and leisure-time physical activity assessed in 2007. Physically active commuting can be regarded as recommendable with respect to the development of physically active lifestyle, if supportive evidence for the causality between childhood commuting and leisure-time physical activity in adult age can be found. Future research should also focus on assessing whether active commuting in childhood contributes to adulthood activities parallel to active commuting in childhood.
The purpose of this study was to investigate reciprocal relationships among students’ motor competence (MC) (leaping, throwing, catching, jumping skills), perceived physical competence, health‐related fitness (HRF) (20 m shuttle run, push‐up, abdominal muscles endurance tests) and objectively measured moderate‐to‐vigorous physical activity (MVPA). Participants included 422 Grade 5 Finnish children (246 girls). Two separate structural equation models investigated paths (a) from MC through both perceived physical competence and HRF to MVPA, and (b) from MVPA through both perceived physical competence and HRF to MC. Model 1 demonstrated an indirect path from MC through HRF to MVPA and a direct path from MC to perceived physical competence for both boys and girls. Additionally, model 1 revealed a direct path from perceived physical competence to MVPA for the girls and from MC to MVPA for the boys. MC, perceived physical competence, and HRF explained 13% of variance in MVPA for the girls and 25% for the boys. Model 2 indicated indirect paths from MVPA through perceived physical competence to MC and from MVPA through HRF to MC for both boys and girls. Additionally, a direct path from MVPA to MC was found in the boys’ group. MVPA, perceived physical competence, and HRF explained 48% of variance in MC for the girls and 53% for the boys. Results of this study provide preliminary support for the reciprocal nature of relationships among MC development, perceived physical competence, HRF and MVPA.
This study examined the predictive strength of selected physical education (PE)-centered physical literacy indicators on elementary school students’ accelerometer-measured moderate to vigorous intensity physical activity (PA). The study was a cross-sectional study with a sample of 450 Finnish children (M = 11.26 [0.32]; nfemales = 194; nmales = 256). Data on a set of predictor variables (motor competence, in-class PE moderate- to vigorous-intensity PA [MVPA], health-related fitness, and PE motivation and enjoyment) and total MVPA as a single outcome variable were collected. The entire model explained almost 30% of MVPA (R2adj = .298). Cardiorespiratory endurance (β = 0.42, 95% confidence interval [0.22, 0.62], p < .001) and MVPA in PE (β = 0.27, 95% confidence interval [0.09, 0.44], p = .004) were statistically significant predictors of MVPA. It can be concluded that, of all included variables, cardiorespiratory endurance and MVPA in PE were the most important factors contributing to healthy levels of total MVPA in childhood.
Regular physical activity (PA) has been found to be important for cardiovascular health and longevity. However, notable proportion of adult population does not meet the national PA recommendations. Active transport is one domain of physical activity, that could be a time-efficient way to increase PA and reach the national recommendations. Additionally, it could have a positive effect to body composition.
Schools are in a unique position to ensure that all students meet the current physical activity (PA) recommendations. This study aimed to examine 1st to 3rd grade elementary students’ accelerometer measured school day PA in the United States (U.S.) and Finland. Methods: The sample consisted of 200 students (107 girls, 93 boys; ages 6 to 8) and their school day PA was monitored with hip-worn ActiGraph GT3X+ accelerometers across a 5-day school week and the thresholds 100 and 2296 count per minute were used to separate sedentary time, light PA, and moderate-to-vigorous PA (MVPA). Results: On an average school day, students were engaged in MVPA for 20.0 min in the U.S. and 24.1 min in Finland. Students’ school-day MVPA was 9 to 16 minutes higher during physical education (PE) days compared with non-PE days (U.S: 25.8 vs. 16.6 min/day; Finland: 36.3 vs. 20.1 min/day). Girls had less MVPA and more sedentary time compared with boys in both samples. Conclusion: This study highlights both the role of PE and other school day physical activities in meeting PA guidelines. Policy measures are needed to change the structure of the school day and enhance PA to ensure that students meet the PA recommendations.
Piilo-tutkimus selvitti 4–6-vuotiaiden lasten liikkumisen määrää ja laatua sekä niihin vaikuttavia tekijöitä Suomessa vuonna 2023. Tutkimukseen kutsuttiin mukaan lapsia ja heidän perheitään varhaiskasvatuksen kautta eri puolilta Suomea. Lasten liikkumista mitattiin liikemittarilla ja liikkumiseen liittyviä huoltajien käsityksiä kyselyn avulla. Koko päivän aikana 4–6-vuotiaat lapset liikkuivat keskimäärin 3,0 tuntia päivässä kevyesti sekä 74 minuuttia päivässä reippaasti tai rasittavasti. Paikallaanoloaikaa kertyi 9,4 tuntia vuorokaudessa. Varhaisvuosien fyysisen aktiivisuuden suosituksen mukaan koko päivän aikana tulisi liikkua kevyesti, reippaasti tai rasittavasti vähintään kolme tuntia päivässä ja siitä vähintään tunti reippaasti ja rasittavasti. Lapsista 76 prosenttia liikkui tämän suosituksen mukaisesti. Suositus toteutui pojilla yleisemmin kuin tytöillä (83 % vs. 68 %), vanhemmilla lapsilla yleisemmin kuin nuoremmilla ja kaupunkiympäristössä useammin kuin maaseudulla tai taajamassa. Liikkuvan varhaiskasvatuksen tavoite on, että varhaiskasvatuksen aikana kertyisi kaksi kolmasosaa koko päivän suosituksesta, eli kaksi tuntia liikkumista, josta 40 minuuttia olisi reipasta tai rasittavaa. Lapsista 61 prosenttia liikkui varhaiskasvatuksessa tämän tavoitteen mukaisesti, pojat yleisemmin kuin tytöt (72 % vs. 50 %). Tutkimus toteutettiin opetus- ja kulttuuriministeriön rahoituksella.
Piilo-tutkimus selvitti 4–6-vuotiaiden lasten liikkumisen määrää ja laatua sekä niihin vaikuttavia tekijöitä Suomessa vuonna 2023. Tutkimukseen kutsuttiin mukaan lapsia ja heidän perheitään varhaiskasvatuksen kautta eri puolilta Suomea. Lasten liikkumista mitattiin liikemittarilla ja liikkumiseen liittyviä huoltajien käsityksiä kyselyn avulla. Koko päivän aikana 4–6-vuotiaat lapset liikkuivat keskimäärin 3,0 tuntia päivässä kevyesti sekä 74 minuuttia päivässä reippaasti tai rasittavasti. Paikallaanoloaikaa kertyi 9,4 tuntia vuorokaudessa. Varhaisvuosien fyysisen aktiivisuuden suosituksen mukaan koko päivän aikana tulisi liikkua kevyesti, reippaasti tai rasittavasti vähintään kolme tuntia päivässä ja siitä vähintään tunti reippaasti ja rasittavasti. Lapsista 76 prosenttia liikkui tämän suosituksen mukaisesti. Suositus toteutui pojilla yleisemmin kuin tytöillä (83 % vs. 68 %), vanhemmilla lapsilla yleisemmin kuin nuoremmilla ja kaupunkiympäristössä useammin kuin maaseudulla tai taajamassa. Liikkuvan varhaiskasvatuksen tavoite on, että varhaiskasvatuksen aikana kertyisi kaksi kolmasosaa koko päivän suosituksesta, eli kaksi tuntia liikkumista, josta 40 minuuttia olisi reipasta tai rasittavaa. Lapsista 61 prosenttia liikkui varhaiskasvatuksessa tämän tavoitteen mukaisesti, pojat yleisemmin kuin tytöt (72 % vs. 50 %). Tutkimus toteutettiin opetus- ja kulttuuriministeriön rahoituksella.
The present study tested the motivational model of physical education (PE) including needs for competence, autonomy, social relatedness, intrinsic and extrinsic motivation, in-class moderate to vigorous physical activity (MVPA), and total MVPA. Participants were 490 (264 girls, 226 boys) Finnish elementary school students. The data were collected using accelerometers and questionnaires for a seven-day period during the fall semester 2017. The key findings were that 1) social relatedness associated with total MVPA via in-class MVPA in girls, whereas competence was linked to in-class MVPA through extrinsic motivation in boys, 2) competence was positively linked to extrinsic motivation in a similar way in both girls and boys, 3) social relatedness and in-class MVPA were positively associated with total MVPA in both girls and boys, 4) competence, autonomy, and relatedness were positively linked to intrinsic motivation in girls when only competence and autonomy were related to intrinsic motivation in boys, and 5) in-class MVPA contributed 36% of total weekly MVPA minutes in the present sample. Although the indirect relationships between study variables did not fully support the existing PE motivational model, the direct associations showed that needs of competence, autonomy, relatedness could be promoted in PE classes to support intrinsic motivation, and total MVPA.
Participating in competitive sport increases the risk for injuries and musculoskeletal pain among adolescent athletes. There is also evidence that the use of prescription drugs has increased among sport club athletes. The purpose of this study was to evaluate the use of painkillers among young male ice hockey players (IHP) in comparison to schoolboys (controls) and its relation to the prevalence of musculoskeletal pain and problems during activities and sleeping. Information was gathered through a questionnaire, completed by 121 IHP and compared to the responses of 618 age-matched controls. Results showed that monthly existing pain was at 82% for IHP, and 72% for controls, though IHP had statistically more musculoskeletal pain in their lower limbs (56% vs. 44%), lower back (54% vs. 35%), and buttocks (26% vs. 11%). There were no group differences in the neck, upper back, upper limb, or chest areas. The disability index was statistically similar for both groups, as musculoskeletal pain causing difficulties in daily activities and sleeping was reported by a minority of subjects. Despite this similarity, IHP used more painkillers than controls (18% vs. 10%). Further nuanced research is encouraged to compare athletes and non-athletes in relation to painkillers.
Objectives This study aimed to investigate cross-lagged associations of leaping skill and throwing–catching skills with objectively measured moderate-to-vigorous physical activity (MVPA) and sedentary time (ST) during school transition from upper primary (Grade 6) to lower secondary school (Grade 7). Design This study is a one-year prospective follow-up study within Finnish school settings. Students’ MVPA, ST, leaping skill and throwing–catching skills were measured at Grade 6 and subsequently at Grade 7. Methods A sample of 336 students (163 girls, 173 boys; M age = 12.0 years, SD = 0.4 at Grade 6 participated in the study. Students’ MVPA and ST were measured objectively by hip-worn accelerometers. Leaping skill was measured by 5-leaps test. Throwing and catching skills were measured by throwing–catching combination test. Cross-lagged structural equation modeling was conducted to evaluate the associations between MVPA, ST, leaping skill, and throwing–catching skills at Grade 6 and Grade 7. Results Results demonstrated three significant cross-lagged associations among girls: (1) leaping skill measured at Grade 6 was negatively associated with ST at Grade 7; (2) objectively measured MVPA at Grade 6 associated positively with leaping skill at Grade 7; and (3) throwing–catching skills measured at Grade 6 associated positively with leaping skill measured at Grade 7. There were no statistically significant cross-lagged associations between the study variables for the sample of boys. Conclusions The results of this study indicated that supporting opportunities for girls’ engagement in both MVPA and leaping skill development activities during their primary school education is strongly recommended.
PURPOSE: This study aimed to examine both independent and dependent longitudinal associations of physical fitness (PF) components with academic achievement. METHODS: A total of 954 fourth to seventh graders (9-15 yr [Mage = 12.5 yr], 52% girls) from nine schools throughout Finland participated in a 2-yr follow-up study. Register-based academic achievement scores (grade point average [GPA]) and PF were assessed in the spring of 2013-2015. Aerobic fitness was measured with a maximal 20-m shuttle run test, muscular fitness with curl-up and push-up tests, and motor skills with a 5-leaps test and a throwing-catching combination test. Structural equation modeling was applied to examine the longitudinal associations adjusting for age, gender, pubertal stage, body fat percentage, learning difficulties, and mother's education. RESULTS: The changes in aerobic and muscular fitness were positively associated with the changes in GPA (B = 0.27, 99% confidence interval [CI] = 0.06-0.48; B = 0.36, 99% CI = 0.11-0.63, respectively), whereas the changes in motor skills were not associated with the changes in GPA. Better motor skills in year 2 predicted better GPA a year later (B = 0.06, 99% CI = 0.00-0.11; B = 0.06, 99% CI = 0.01-0.11), whereas aerobic and muscular fitness did not predict GPA. GPA in year 1 predicted both aerobic (B = 0.08, 99% CI = 0.01-0.15) and muscular (B = 0.08, 99% CI = 0.02-0.15) fitness, and motor skills (B = 0.08, 99% CI = 0.02-0.15) a year later. CONCLUSION: The changes in both aerobic and muscular fitness were positively associated with the changes in academic achievement during adolescence, whereas the changes in motor skills had only borderline significant association. However, better motor skills, although not systematically, independently predicted better academic achievement 1 yr later, whereas aerobic or muscular fitness did not. Better academic achievement predicted better motor skills, aerobic fitness, and muscular fitness. Developmental changes in adolescence may induce parallel and simultaneous changes in academic achievement and PF.
The aim of the Finnish Schools on the Move program is to create a more active and pleasant school day through physical activity (PA). In this quasi-experimental design, we compared changes in moderate-to-vigorous-intensity physical activity (MVPA) and sedentary time (ST) during the school day and outside school hours for Grades 1–9 over two academic years in four program schools and two reference schools. Altogether 319 girls and boys aged 7–15 participated in the study between 2010 and 2012. MVPA and ST were measured four times over the 1.5-year follow-up period for seven consecutive days, using a hip-worn ActiGraph accelerometer. Linear growth curve modeling was used to examine the effect of the program on MVPA and ST during follow-up. School day MVPA increased (P = 0.010) and school day ST decreased (P = 0.008) in program primary schools (Grades 1–6) more compared with the reference schools. The effect sizes (Cohen's d) for the difference in change (from the first to the last measurement) were small (d = 0.18 and d = −0.27, respectively). No differences in the changes of leisure-time or whole-day MVPA and ST between the program and reference schools were observed during follow-up. In conclusion, the changes in school day MVPA and ST did not translate into positive effects across the whole day. More effective and longer promotion actions are needed for positive changes in PA and ST, especially in lower secondary schools and for all daily segments.
This study identified movement profiles in childhood and tracked longitudinal changes in moderate‐to‐vigorous physical activity and sedentary time across identified profiles. A sample consisted of 491 Finnish 5th Grade children (girls 275, boys 216; Mage = 11.27 ± .32). A latent profile analysis strategy was used to identify homogenous movement profiles that included measures of motor competence, perceived competence, and cardiorespiratory and muscular fitness. To examine a one‐year changes in moderate‐to‐vigorous physical activity and sedentary time among movement profiles, a mixed between‐within subjects analysis of variance with Tukey's post hoc ‐tests was conducted. Results revealed three movement profiles; “At‐Risk Movement Profile” “Intermediate Movement Profile" and “Desirable Movement Profile”. Results demonstrated that moderate‐to‐vigorous physical activity among the Intermediate Movement Profile declined across one year (p < .01), whereas there was no change in sedentary time. To conclude, results of the study indicated remarkable differences in movement skill and physical fitness variables, and moderate‐to‐vigorous physical activity engagement between the at‐Risk Movement Profile and other two profiles. Special attention should be given to the lowest profile of children to promote their movement capabilities and physical activity engagement. It is noteworthy that At‐Risk Movement Profile included children more than one third of the sample.
Participating in competitive sport increases the risk for injuries and musculoskeletal pain among adolescent athletes. There is also evidence that the use of prescription drugs has increased among sport club athletes. The purpose of this study was to evaluate the use of painkillers among young male ice hockey players (IHP) in comparison to schoolboys (controls) and its relation to the prevalence of musculoskeletal pain and problems during activities and sleeping. Information was gathered through a questionnaire, completed by 121 IHP and compared to the responses of 618 age-matched controls. Results showed that monthly existing pain was at 82% for IHP, and 72% for controls, though IHP had statistically more musculoskeletal pain in their lower limbs (56% vs. 44%), lower back (54% vs. 35%), and buttocks (26% vs. 11%). There were no group differences in the neck, upper back, upper limb, or chest areas. The disability index was statistically similar for both groups, as musculoskeletal pain causing difficulties in daily activities and sleeping was reported by a minority of subjects. Despite this similarity, IHP used more painkillers than controls (18% vs. 10%). Further nuanced research is encouraged to compare athletes and non-athletes in relation to painkillers.
Physical activity improves health and may delay the onset of several chronic diseases. For women in particular, the rate of these diseases accelerates at middle age; therefore it is important to identify the determinants of health-enhancing physical activity during midlife in this population. In this study, we focused on determinants that are unique to the female sex, such as childbearing and menopause. The main objective was to characterize the level of physical activity and differences between active and inactive middle-aged Finnish women. In addition, we examined the association of physical activity with female reproductive factors at midlife. The study population consisted of 647 women aged 48 to 55 years who participated in our Estrogenic Regulation of Muscle Apoptosis (ERMA) study during the period from 2015 to 2016. Physical activity was measured objectively using hip-worn accelerometers for seven consecutive days. The outcome measures included the amounts of light intensity physical activity and moderate to vigorous intensity physical activity accumulated in bouts of at least 10 minutes (MVPA10). MVPA10 was used to determine whether women were placed in the active (≥150 min/week) or inactive (<150 min/week) group. Multiple linear regression models were performed with physical activity measures as dependent variables and cumulative reproductive history index, menopausal symptoms, and pelvic floor dysfunction as independent variables. We found that a large portion (61%) of Finnish middle-aged women did not meet the physical activity recommendations of 150 minutes of MVPA10 per week. In the studied cohort, 78% of women experienced menopausal symptoms, and 54% exhibited pelvic floor dysfunction. Perceived menopausal symptoms were associated with greater light physical activity. Perceived pelvic floor dysfunction was associated with lower MVPA10. According to the fully adjusted multiple linear regression models, reproductive factors explained 6.0% of the variation of MVPA10 and 7.5% of the variation of light physical activity. The results increase our knowledge of the factors related to physical activity participation among middle-aged women and indicate that menopausal symptoms and pelvic floor dysfunction should be identified and considered when promoting physical activity for women during midlife. The results emphasize that awareness of female reproductive factors, especially menopausal symptoms and pelvic floor dysfunction, is important for physical activity counseling to effectively help women in performing and sustaining health-enhancing amounts of physical activity. Specifically, the condition of the pelvic floor should be taken into account when identifying the proper activity type and intensity level so that health benefits of physical activity can still be attained without worsening symptoms.
Purpose: To investigate the validity and test–retest reliability of a single seven-level scale physical activity assessment question (SR-PA L7) and its three-level categorization (SR-PA C3). Methods: The associations of SR-PA L7 and C3 with accelerometer-measured leisure-time physical activity (ACC-LTPA) and with the results of four different physical performance tests (6-min walk [n = 733], knee extension [n = 695], vertical jump [n = 731], and grip force [n = 780]) were investigated among women aged 47–55 years participating in the Estrogenic Regulation of Muscle Apoptosis study (n = 795). The reliability was studied using Spearman correlations with 4-month test–retest period (n = 152). Results: SR-PA L7 and C3 had low correlations with ACC-LTPA (rs = .105–.337). SR-PA L7, SR-PA C3, and ACC-LTPA explained comparable but small amount of variance of the physical performance test results. The reliability analysis provided moderate agreement (rs = .707 and .622 for SR-PA L7 and C3, respectively). Conclusions: SR-PA L7 and C3 demonstrated limited validity and reasonable repeatability.
Abstract Background Participation in physical activities provides students with opportunities for social interaction and social skills development. The purpose of this study was to investigate the associations of students’ recess physical activity with school-related social factors. Methods Data were collected in 19 schools countrywide in autumn 2010, and 1463 students from grades 4 and 5 (primary school) and from grades 7 and 8 (lower secondary school) completed an anonymous questionnaire. Multiple linear regression analysis was used to investigate whether self-reported physical activity at recess was associated with peer relationships at school, relatedness to school and school climate. Analyses were adjusted for self-reported overall physical activity and conducted for primary and lower secondary schools. Multi-group analysis was used to test sex differences among the associations. Results In primary school, physical activity at recess was positively associated with peer relationships at school (boys: b = 0.17, p = 0.007 and girls: b = 0.21, p <0.001), relatedness to school (boys: b = 0.18, p = 0.002 and girls: b = 0.24, p <0.001) and school climate (girls: b = 0.17, p = 0.001), after adjusting for overall physical activity. In lower secondary school, physical activity at recess was positively associated with peer relationships at school (boys: b = 0.09, p = 0.006 and girls: b = 0.12, p = 0.010) but not with other school-related social factors. No sex differences were observed in these associations. Conclusions Our results suggest that students’ participation in physical activities during school recess is positively associated with students’ school-related social factors. In the future, it would be worthwhile to study how physical activity at recess should be organised in order to support the development of school-related social factors.
The decline in adolescents’ physical fitness (PF) in recent decades has raised concerns about current population’s possible future challenges with health and physical functional capacity. This study explored the associations between body composition, physical activity, maturation, and PF development in adolescents. Furthermore, PF development of adolescents with low initial PF was assessed. A 2‐year observational study was conducted between spring 2013 and 2015. Nine comprehensive schools and their 10‐ to 13‐year‐old students were invited to participate in the study (1778), and a total of 971 students (54.6%) agreed. Cardiorespiratory fitness (20‐metre shuttle run), muscular fitness (push‐ups), fundamental movement skills (5‐leaps test), body composition (bioelectrical impedance analysis), moderate‐to‐vigorous physical activity (accelerometer) and pubertal status (self‐assessment questionnaire) were measured at 1‐year intervals. Latent growth curve modeling (LGM) was used to study PF development over time. Change in fat mass had the strongest and most coherent associations with PF development during adolescence. Fat‐free mass, moderate‐to‐vigorous physical activity and pubertal status were associated with PF development, although not systematically. Subgroup analyses showed that PF development in the low fitness group followed a similar pattern as the whole population. However, their PF remained significantly lower throughout the 2‐year period. The findings suggest that fat accumulation is an essential detrimental factor for PF development during adolescence. Actions to prevent excessive fat accumulation might help to prevent future declines in functional capacity. Indications that low fitness levels sustain during adolescence highlight the relevance of detecting these individuals and providing interventions already before adolescence.
Background and Aims Neck and shoulder pain (NSP) is common in school age, but preventative factors have not been identified. The purpose was to study whether a fitness test could be used to predict the incidence of NSP and determine whether good physical fitness characters would be associated with lower NSP incidence in school-aged children at 2-year follow-up. Methods After the invitation to nine schools, 970 children (10–15 years old) agreed to participate. Flexibility, fundamental movement skills, musculoskeletal fitness, and cardiorespiratory fitness measurements included in Finnish Schools on the Move! monitoring system for physical functional capacity were measured at baseline in 2013. The NSP incidence was assessed by an online survey during school hours after 1 and 2 years. Logistic regression was used to analyze associations between physical fitness characteristics and NSP incidence. Results The mean prevalence of NSP was 26% at baseline. The NSP incidence was 15% in the first and 18% in the second follow-up year. Good physical fitness was not associated with lower NSP incidence in the 2-year follow-up. Successful lower back extension (odds ratio [OR] = 2.83) and good scores in curl-up (OR = 1.80) adjusted with age, gender, and body mass index, were associated with higher NSP incidence between T0 and T2. Throwing–catching combination (OR = 0.55) was associated with a lower NSP incidence in unadjusted analysis, but the association did not remain after adjustments. Conclusion Good physical fitness characteristics were not consistently associated with a lower NSP incidence in school-aged children in a 2-year follow-up. The role of general field-based physical fitness test as a screening tool for NSP incidence remains unconfirmed. More longitudinal studies are needed to detect the factors underlying NSP incidence in school-aged children.
Purpose The purpose of this study was to examine whether physical activity, fitness and motor skills have indirect association with math performance via cognitive outcomes and if so, through which aspects of cognition? Methods This study comprised 311 6th–9th grade adolescents (12–17y [M age=14.0y], 59% girls) from seven schools throughout Finland in 2015. Math performance was measured via a teacher-rated math achievement and the Basic Arithmetic test. Cognitive functions were measured by broad cognitive test battery. Physical activity was assessed with a self-reported questionnaire and a hip-worn accelerometer. Aerobic fitness was estimated using a maximal 20-m shuttle run test, muscular fitness with curl-up and push-up tests, and motor skills with a 5-leaps test and a throwing-catching combination test. Structural equation modeling was applied to examine the associations. Results In both boys and girls, motor skills had a positive indirect association with math outcomes through visuospatial working memory. Among girls, muscular fitness had a positive indirect association with math outcomes through visuospatial working memory. Aerobic fitness was positively associated with math achievement, but the indirect path via cognition was not observed. Self-reported physical activity had a borderline indirect positive association with math outcomes through visuospatial working memory. Accelerometer-based physical activity did not correlate with math performance. Conclusion Motor skills and muscular fitness had indirect, positive associations with math performance, mediated by visuospatial working memory. The results give support to the viewpoints that the connections between motor skills, fitness and physical activity to academic skills are mediated via specific cognitive skills.
Purpose: This study aimed to investigate the tracking and changes of steps per day in adults and their determinants over 13 yr. Methods: A total of 2195 subjects (1236 women) 30–45 yr of age were randomly recruited from the ongoing Cardiovascular Risk in Young Finns Study in 2007 and were followed up in 2020. Steps per day, including both total and aerobic steps per day, were monitored for seven consecutive days with a pedometer in 2007–2008 and 2011–2012 and with an accelerometer in 2018–2020. Tracking was analyzed using Spearman’s correlation. Stability and changes of steps per day over time in both low-active and high-active groups (based on median values) were described by percentage agreements, kappa statistics, and logistic regression. Associations of sex, age, and body mass index with the initial number and changes in steps per day were analyzed using linear growth curve modeling. Results: Tracking correlations of total steps per day at 4-, 9-, and 13-yr intervals were 0.45–0.66, 0.33–0.70, and 0.29–0.60, while corresponding correlations for aerobic steps per day were 0.28–0.55, 0.23–0.52, and 0.08–0.55, respectively. Percentage agreements were higher than 54%, and kappa statistics ranged from slight to fair over time. Compared with the low-active group, the high-active group at baseline had a higher probability of being active later in adulthood. Female sex and higher age were associated directly with the initial number of steps per day and inversely with changes in the number of steps per day. Body mass index was inversely associated with the initial number of steps per day and changes in the number of total steps per day. Conclusion: The 13-yr tracking of steps per day in adulthood was found to be low to moderately high. Daily ambulatory activity is essential to maintaining an active lifestyle throughout adulthood. Changes in the amount of adult steps per day vary by sex, age, and BMI.
Purpose This study aimed to investigate the tracking and changes of steps per day in adults and their determinants over 13 yr. Methods A total of 2195 subjects (1236 women) 30-45 yr of age were randomly recruited from the ongoing Cardiovascular Risk in Young Finns Study in 2007 and were followed up in 2020. Steps per day, including both total and aerobic steps per day, were monitored for seven consecutive days with a pedometer in 2007-2008 and 2011-2012 and with an accelerometer in 2018-2020. Tracking was analyzed using Spearman's correlation. Stability and changes of steps per day over time in both low-active and high-active groups (based on median values) were described by percentage agreements, kappa statistics, and logistic regression. Associations of sex, age, and body mass index with the initial number and changes in steps per day were analyzed using linear growth curve modeling. Results Tracking correlations of total steps per day at 4-, 9-, and 13-yr intervals were 0.45-0.66, 0.33-0.70, and 0.29-0.60, while corresponding correlations for aerobic steps per day were 0.28-0.55, 0.23-0.52, and 0.08-0.55, respectively. Percentage agreements were higher than 54%, and kappa statistics ranged from slight to fair over time. Compared with the low-active group, the high-active group at baseline had a higher probability of being active later in adulthood. Female sex and higher age were associated directly with the initial number of steps per day and inversely with changes in the number of steps per day. Body mass index was inversely associated with the initial number of steps per day and changes in the number of total steps per day. Conclusion The 13-yr tracking of steps per day in adulthood was found to be low to moderately high. Daily ambulatory activity is essential to maintaining an active lifestyle throughout adulthood. Changes in the amount of adult steps per day vary by sex, age, and BMI.
This study examined whether active commuting to school in childhood and adolescence predicted active commuting to work and overall physical activity (PA) in adulthood. Participants from the Young Finns Study (N = 2436) were aged 9–18 years in 1980 and followed up until 2018/2020. Their commuting modes to school were assessed with a self-reported questionnaire in 1980. Adulthood PA was assessed through self-reports regarding commuting modes to work (2001–2018), leisure-time physical activity (LTPA) (2001–2018), and objectively measured daily steps (2007–2018/2020). Associations between childhood commuting and adulthood PA were evaluated using regression analyses and multilevel models. Demographic, socioeconomic and environmental covariates were adjusted for in the analyses. Active commuting to school in childhood contributed favourably to LTPA in 2001 (B = .38, p < .001), in 2007 (B = .35, p < .001), and in 2018 (B = .28, p < .01). Active commuting in childhood was associated with higher number of daily aerobic steps (B = 299.00, p = .03) and daily aerobic steps during weekdays in 2011 (B = 312.15, p = .03). In 2018, active commuting associated favourably with daily aerobic steps (B = 370.42, p < .01), daily aerobic steps during weekdays (B = 347.65, p = .01), daily steps during weekends (B = 628.49, p = .02), and daily aerobic steps during weekends (B = 402.69, p = .03). Covariate adjustments attenuated the associations excluding the one between active commuting and LTPA in 2007 (B = .36, p = .01) and daily steps during weekends in 2018 (B = 782.25, p = .04). Active commuting to school in childhood might be one of the PA modes that contribute to PA in adulthood and is therefore encouraged to be promoted from an early age.
The aim of this systematic review, meta-analysis, and meta-regression was to examine the effects of virtual reality–based training on global cognition and executive function compared with conventional training or information-based treatment in older adults, regardless of cognitive level. A systematic literature search was conducted using four databases. A total of 31 randomized controlled trials were identified. Pooled effect sizes were calculated, the risk of bias was assessed, and evidence was graded. The primary analyses showed a small but statistically significant effect of virtual reality–based training compared with control on global cognition (Hedges’ g 0.42, 95% confidence interval [0.17, 0.68], I 2 = 70.1%, n = 876, 20 randomized controlled trials, low evidence) and executive function (Hedges’ g 0.35, 95% confidence interval [0.06, 0.65], I 2 = 68.4%, n = 810, 16 randomized controlled trials, very low evidence). Meta-regression yielded inconclusive results. Virtual reality–based training may be more effective than control in improving cognition in older adults; however, more high-quality studies are needed.
Introduction: This study identified the trajectories of organized youth sports over 9 years in youths aged 9−18 years and examined whether the trajectories predicted physical activity, sedentary behavior, and obesity in midlife. Methods: Self-reported organized youth sports trajectories were identified for participants between 1980 and 1989 (N=3,474). Accelerometer-derived physical activity was quantified for participants (n=1,349) in 2018−2020. Sociodemographic, physical activity, and TV viewing data were collected through questionnaires either at baselines or follow-up. Adult BMI was calculated to clarify obesity. Asso ciations of organized youth sports trajectories with adult physical activity, sedentary behavior, and obesity were evaluated using mixture models, which were stratified by sex and conducted in 2022. Results: Three organized youth sports trajectories were identified for boys and girls (sustained high-sports participation, 12.0%/7.5%; sustained moderate-sports participation, 14.0%/13.3%; and low-sports/nonparticipation, 74.0%/79.2%). Boys sustaining both moderate- and high-sports partic ipation had higher levels of adult self-reported physical activity (b=0.59, p=0.007; b=0.69, p<0.001) than low-sports/nonparticipating boys. Girls sustaining both moderate- and high-sports participa tion accumulated more total physical activity (b=113.4, p=0.009; b=144.3, p=0.002), moderate-to vigorous physical activity (b=7.86, p=0.016; b=14.01, p<0.001), step counts (b=1,020, p=0.003; b=1,045, p=0.005), and self-reported physical activity (b=0.79, p<0001; b=0.63, p=0.003) in midlife than their low-sports/nonparticipating counterparts. Girls sustaining moderate-sports participation accumulated more light-intensity physical activity (b=19.79, p=0.012) and less sedentary time (b= 27.65, p=0.002), and those sustaining high-sports participation had lower obesity prevalence (OR=0.41, p=0.009) 40 years later than low-sports/nonparticipating girls. Conclusions: Sustained participation in organized youth sports is independently predictive of physical activity patterns, sedentary time, and obesity in midlife, especially in girls, thus contribut ing to the development of a healthy and active lifestyle across the life course.