What they say and what they do: comparing physical activity across the USA, England and the Netherlands

Kapteyn, Arie; Banks, James; Hamer, Mark; Smith, James P.; Steptoe, Andrew; Soest, Arthur van; Koster, Annemarie; Wah, Saw Htay

doi:10.1136/jech-2017-209703

Cited by 61 publications

(46 citation statements)

References 19 publications

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“…For example, previous evidence has shown that men and those of lower education were more likely to overestimate their physical activity levels than women and those with higher education, respectively 49. Differential reporting bias across population sub groups50 could therefore bias our finding of effect modification. Insofar as objective measurements of physical activity are able to capture domain-specific activity, they may be useful to include in future studies to help verify our findings.…”

Section: Discussionmentioning

confidence: 87%

Educational differentials in key domains of physical activity by ethnicity, age and sex: a cross-sectional study of over 40 000 participants in the UK household longitudinal study (2013–2015)

et al. 2020

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ObjectivesTo assess whether educational differentials in three key physical activity (PA) domains vary by age, sex and ethnicity.DesignNational cross-sectional survey.SettingUK.ParticipantsAltogether 40 270 participants, aged 20 years and over, from the UK Household Longitudinal Study with information on education, PA and demographics collected in 2013–2015.Outcome measuresParticipation in active travel (AT), occupational activity (OA) and leisure time physical activity (LTPA) at the time of assessment.ResultsLower educational attainment was associated with higher AT and OA, but lower weekly LTPA activity; these associations were modified by sex, ethnicity and age. Education-related differences in AT were larger for women—the difference in predicted probability of activity between the highest and the lowest education groups was −10% in women (95% CI: −11.9% to 7.9%) and −3% in men (−4.8% to –0.4%). Education-related differences in OA were larger among men −35% (-36.9% to –32.4%) than women −17% (-19.4% to –15.0%). Finally, education-related differences in moderate-to-vigorous LTPA varied by ethnicity; for example, differences were 17% (16.2% to 18.7%) for white individuals compared with 6% (0.6% to 11.6%) for black individuals.ConclusionsEducational differences in PA vary by domain and are modified by age, sex and ethnicity. A better understanding of physically inactive subgroups may aid development of interventions to both increase activity levels and reduce health inequalities.

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Section: Discussionmentioning

confidence: 87%

Educational differentials in key domains of physical activity by ethnicity, age and sex: a cross-sectional study of over 40 000 participants in the UK household longitudinal study (2013–2015)

et al. 2020

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“…Physical activity levels in people with hip-related pain should be measured to determine their baseline activity, fluctuations with symptoms, and change over time, or in response to intervention. Substantial discrepancies exist between self-reported physical activity levels (using self-report questionnaires) and objective methods of measuring physical activity 25. Self-report data are hampered by reporting bias, and inadequate reliability and validity compared with objective methods, such as body-worn accelerometers 26.…”

Section: Discussionmentioning

confidence: 99%

“…However, the placement, location and design of an accelerometer may limit the type of physical activity that can be captured 27. Self-reported measures also capture different dimensions of physical activity than objective measures,25 28 as well as the person’s response to physical activity (eg, muscle soreness, general fatigue, and so on).…”

Section: Discussionmentioning

confidence: 99%

Standardised measurement of physical capacity in young and middle-aged active adults with hip-related pain: recommendations from the first International Hip-related Pain Research Network (IHiPRN) meeting, Zurich, 2018

et al. 2019

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Hip-related pain can significantly impact quality of life, function, work capacity, physical activity and family life. Standardised measurement methods of physical capacity of relevance to young and middle-aged active adults with hip-related pain are currently not established. The aim of this consensus paper was to provide recommendations for clinical practice and research on standardised measurement methods of physical capacity in young and middle-aged active adults with hip-related pain. Four areas of importance were identified: (1) clinical measures (range of motion, muscle strength, functional impairments), (2) laboratory-based measures (biomechanics and muscle function (muscle activity, size and adiposity)), (3) physical activity, and (4) return to sport/performance. The literature was reviewed, and a summary circulated to the working group to inform discussion at the consensus meeting. The working group developed clinical and research recommendations from the literature review, which were further discussed and modified within the working group at the consensus meeting. These recommendations were then presented to all 38 International Hip-related Pain Research Network (IHiPRN) participants for further discussion, refinement and consensus voting. Therefore, the recommendations voted on were based on a combination of current evidence and expert opinion. The consensus meeting voted on 13 recommendations, six of which were clinically orientated, and seven more research specific. We recommended that clinicians working with young and middle-aged active adults with hip-related pain assess strength using objective methods of measurement, and clinically assess performance of functional tasks, including walking and running. Physical activity should be quantified using both self-reported and objective measures, and patient expectations of recovery should be quantified prior to treatment. It was recommended that return to physical activity (including sport and occupation) be quantified, and sport-specific activities should be assessed prior to return to sport. The IHiPRN participants were uncertain regarding recommendations for range of motion assessment. Research recommendations were that the measurement properties of range of motion, strength and functional performance tests be investigated, reported and improved in both clinical and research settings. Reporting of movement-related parameters (biomechanics and muscle function) should be standardised and the relationship among movement-related parameters, symptoms, function, quality of life, and intra-articular and imaging findings should be investigated. Quantification of return to physical activity (including sport and occupational demands) is required in future research, and the return to sport continuum should be used. Future research is required to determine the best criteria for rehabilitation progression and return to physical activity following hip-related pain management.

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“…In the present study, subjective physical activity correlated significantly with an objective assessment via actigraphy (see Appendix S1). However, subjective and objective assessment of physical activity might not always be in accordance with various between-person influences (Kapteyn et al, 2018;Prince et al, 2008). Therefore, research is needed examining the divergence and coherence between subjective and objective assessment of physical activity and the effects with stress and emotions (Pannicke et al, submitted).…”

Section: Limitationsmentioning

confidence: 99%

Bidirectional relationship of stress and affect with physical activity and healthy eating

Schultchen

Reichenberger

Mittl

et al. 2019

British J Health Psychol

202

135

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Objectives Physical activity and healthy eating seem to be protective against experiencing stress and negative affect as well as increase positive affect. At the same time, previous studies showed that people reduce salutogenic behaviours such as physical activity and healthy eating in the face of stress and negative affect while increasing such behaviours in the context of positive affect. Due to daily fluctuations of these behaviours, the present study examined these relationships in daily life using ecological momentary assessment (EMA). Design and methods Fifty‐one university students responded to six daily prompts during 7 days via smartphone‐based EMA. Items examined stress, emotional experience, physical activity duration, and healthy eating. Results Higher stress and negative affect, as well as lower positive affect, were related to a reduction in subsequent physical activity. Higher physical activity levels, in turn, were associated with less subsequent stress and negative affect, as well as more positive affect. No such effects for stress and affect on healthy eating or vice versa were found. Conclusions Engaging in physical activity is related to better mood and less stress/negative affect over the next several hours in daily life. Prevention efforts therefore may benefit by focusing on promoting physical activity, particularly when stress/negative affect is high to ‘break the cycle’ of inactivity, stress, and negative affect. Potential effects of healthy eating might be more subtle and characterized by interindividual differences or state effects. What is already known on this subject? Physical activity can reduce stress as well as negative emotions and can enhance positive emotions. People tend to eat less healthy food during stressful times, and healthy eating can increase general health. Physical activity and healthy eating have been mostly assessed separately and through retrospective methods. What does this study add? This is an EMA study investigating bidirectional effects of stress, emotions, and salutogenic behaviour. After physical activity, people felt less stressed/negative and more positive; feeling better and less stressed resulted in more physical activity. Healthy eating was not associated with stress or emotion level and vice versa.

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What they say and what they do: comparing physical activity across the USA, England and the Netherlands

Cited by 61 publications

References 19 publications

Educational differentials in key domains of physical activity by ethnicity, age and sex: a cross-sectional study of over 40 000 participants in the UK household longitudinal study (2013–2015)

Educational differentials in key domains of physical activity by ethnicity, age and sex: a cross-sectional study of over 40 000 participants in the UK household longitudinal study (2013–2015)

Standardised measurement of physical capacity in young and middle-aged active adults with hip-related pain: recommendations from the first International Hip-related Pain Research Network (IHiPRN) meeting, Zurich, 2018

Bidirectional relationship of stress and affect with physical activity and healthy eating

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