International Journal of Behavioral Nutrition and Physical Activity




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The effect of a cluster-randomized controlled trial on lifestyle behaviors among families at risk for developing type 2 diabetes across Europe: the Feel4Diabetes-study

Vicky Van Stappen, Greet Cardon, Marieke De Craemer, Christina Mavrogianni, Nataliya Usheva, Jemina Kivel?, Katja Wikstr?m, Pilar De Miquel-Etayo, Esther M. Gonz?lez-Gil, Anett S. Rad?, Anna N?n?si, Violeta Iotova, Yannis Manios & Ruben Brondeel

doi : 10.1186/s12966-021-01153-4

International Journal of Behavioral Nutrition and Physical Activity volume 18, Article number: 86 (2021)

This study investigated the effect of the Feel4Diabetes-intervention, a 2-year multilevel intervention, on energy balance-related behaviors among European families at risk for developing type 2 diabetes. Intervention effects on self-reported physical activity, sedentary behavior and eating behaviors were investigated across and within the participating countries: Belgium, Finland, Greece, Spain, Hungary and Bulgaria.

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Associations of park access, park use and physical activity in parks with wellbeing in an Asian urban environment: a cross-sectional study

Nicholas A. Petrunoff, Ng Xian Yi, Borame Dickens, Angelia Sia, Joel Koo, Alex R. Cook, Wee Hwee Lin, Ying Lu, Ann W. Hsing, Rob M. van Dam & Falk Müller-Riemenschneider

doi : 10.1186/s12966-021-01147-2

International Journal of Behavioral Nutrition and Physical Activity volume 18, Article number: 87 (2021)

Relationships between park access, park use, and wellbeing remain poorly understood. The objectives of this study were to investigate: (1) perceived and objective park access in relation to park use and physical activity in parks; and; (2) perceived and objective park access, park use and physical activity in parks and their associations with wellbeing.

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Cost-effectiveness analysis of a multiple health behaviour change intervention in people aged between 45 and 75?years: a cluster randomized controlled trial in primary care (EIRA study)

Ignacio Aznar-Lou, Edurne Zabaleta-Del-Olmo, Marc Casajuana-Closas, Alba S?nchez-Vi?as, Elizabeth Parody-R?a, Bonaventura Bol?bar, Montserrat Iracheta-Tod?, Oana Bulilete, Tomàs L?pez-Jiménez, Haizea Pombo-Ramos, Mar?a Victoria Mart?n Miguel, Rosa Magall?n-Botaya, Jose ?ngel Maderuelo-Fern?ndez, Emma Motrico, Juan Bell?n, Ruth Mart?-Lluch, Maria Rubio-Valera & Antoni Serrano-Blanco

doi : 10.1186/s12966-021-01144-5

International Journal of Behavioral Nutrition and Physical Activity volume 18, Article number: 88 (2021)

Multiple health behaviour change (MHBC) interventions that promote healthy lifestyles may be an efficient approach in the prevention or treatment of chronic diseases in primary care. This study aims to evaluate the cost-utility and cost-effectiveness of the health promotion EIRA intervention in terms of MHBC and cardiovascular reduction.

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Barriers and facilitators to successful implementation of sustainable school meals: a qualitative study of the OPTIMAT™-intervention

Patricia Eustachio Colombo, Liselotte Sch?fer Elinder, Emma Patterson, Alexandr Parlesak, Anna Karin Lindroos & Susanne Andermo

doi : 10.1186/s12966-021-01158-z

International Journal of Behavioral Nutrition and Physical Activity volume 18, Article number: 89 (2021)

There is an urgent need to align human diets with goals for environmental sustainability and population health. The OPTIMAT™-intervention study was developed to implement and evaluate a nutritionally adequate and climate-friendly 4-week lunch menu in Swedish primary schools. This study aimed to explore pupils’ and kitchen staff’s experiences of the intervention and to identify barriers and facilitators to successful implementation of sustainable school meals.

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High-intensity activity is more strongly associated with metabolic health in children compared to sedentary time: a cross-sectional study of the I.Family cohort

Jonatan Fridolfsson, Christoph Buck, Monica Hunsberger, Joanna Baran, Fabio Lauria, Denes Molnar, Luis A. Moreno, Mats B?rjesson, Lauren Lissner & Daniel Arvidsson on behalf of the I.Family consortium

doi : 10.1186/s12966-021-01156-1

International Journal of Behavioral Nutrition and Physical Activity volume 18, Article number: 90 (2021) 

Physical activity (PA) during childhood is important for preventing future metabolic syndrome (MetS). To examine the relationship between PA and MetS in more detail, accurate measures of PA are needed. Previous studies have only utilized a small part of the information available from accelerometer measured PA. This study investigated the association between measured PA and MetS in children with a new method for data processing and analyses that enable more detailed interpretation of PA intensity level.

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Cross-sectional study of changes in physical activity behavior during the COVID-19 pandemic among US adults

Kathleen B. Watson, Geoffrey P. Whitfield, George Huntzicker, John D. Omura, Emily Ussery, Tiffany J. Chen & Robyn Neblett Fanfair

doi : 10.1186/s12966-021-01161-4

International Journal of Behavioral Nutrition and Physical Activity volume 18, Article number: 91 (2021)

Physical activity (PA) provides numerous health benefits relevant to the COVID-19 pandemic. However, concerns exist that PA levels may have decreased during the pandemic thus exacerbating health disparities. This study aims to determine changes in and locations for PA and reasons for decreased PA during the pandemic.

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Effectiveness of the mHealth intervention ‘MyDayPlan’ to increase physical activity: an aggregated single case approach

L. Degroote, A. De Paepe, I. De Bourdeaudhuij, D. Van Dyck & G. Crombez

doi : 10.1186/s12966-021-01163-2

International Journal of Behavioral Nutrition and Physical Activity volume 18, Article number: 92 (2021)

e- and mHealth interventions using self-regulation techniques like action and coping planning have the potential to tackle the worldwide problem of physical inactivity. However, they often use one-week self-regulation cycles, providing support toward an active lifestyle on a weekly basis. This may be too long to anticipate on certain contextual factors that may fluctuate from day to day and may influence physical activity. Consequently, the formulated action and coping plans often lack specificity and instrumentality, which may decrease effectiveness of the intervention. The aim of this study was to evaluate effectiveness of a self-regulation, app-based intervention called ‘MyDayPlan’. “MyDayPlan’ provides an innovative daily cycle in which users are guided towards more physical activity via self-regulation techniques such as goal setting, action planning, coping planning and self-monitoring of behaviour.

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Sleep duration, physical activity, and caloric intake are related to weight status in Mexican American children: a longitudinal analysis

S. M. Martinez, E. Blanco, J. M. Tschann, N. F. Butte, M. A. Grandner & L. A. Pasch

doi : 10.1186/s12966-021-01159-y

International Journal of Behavioral Nutrition and Physical Activity volume 18, Article number: 93 (2021)

Obesity is a serious issue, spanning all ages, and, in the U.S., disproportionately affects Latinos and African Americans. Understanding sleep, physical activity and dietary behaviors that may predict childhood obesity can help identify behavioral intervention targets.

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Association of daily composition of physical activity and sedentary behaviour with incidence of cardiovascular disease in older adults

Manasa S. Yerramalla, Duncan E. McGregor, Vincent T. van Hees, Aurore Fayosse, Aline Dugravot, Adam G. Tabak, Mathilde Chen, Sebastien F. M. Chastin & Séverine Sabia

doi : 10.1186/s12966-021-01157-0

International Journal of Behavioral Nutrition and Physical Activity volume 18, Article number: 83 (2021) 

Moderate-to-vigorous physical activity (MVPA) is proposed as key for cardiovascular diseases (CVD) prevention. At older ages, the role of sedentary behaviour (SB) and light intensity physical activity (LIPA) remains unclear. Evidence so far is based on studies examining movement behaviours as independent entities ignoring their co-dependency. This study examines the association between daily composition of objectively-assessed movement behaviours (MVPA, LIPA, SB) and incident CVD in older adults.

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Later sleep timing predicts accelerated summer weight gain among elementary school children: a prospective observational study

Jennette P. Moreno, Javad Razjouyan, Houston Lester, Hafza Dadabhoy, Mona Amirmazaheri, Layton Reesor-Oyer, Teresia M. O’Connor, Daphne C. Hernandez, Bijan Najafi, Candice A. Alfano, Stephanie J. Crowley, Debbe Thompson & Tom Baranowski

doi : 10.1186/s12966-021-01165-0

International Journal of Behavioral Nutrition and Physical Activity volume 18, Article number: 94 (2021)

Social demands of the school-year and summer environment may affect children’s sleep patterns and circadian rhythms during these periods. The current study examined differences in children’s sleep and circadian-related behaviors during the school-year and summer and explored the association between sleep and circadian parameters and change in body mass index (BMI) during these time periods.

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Determinants of changes in women’s and men’s eating behavior across the transition to parenthood: a focus group study

Vickà Versele, F. Marijn Stok, Dirk Aerenhouts, Benedicte Deforche, Annick Bogaerts, Roland Devlieger, Peter Clarys & Tom Deliens

doi : 10.1186/s12966-021-01137-4

International Journal of Behavioral Nutrition and Physical Activity volume 18, Article number: 95 (2021) 

During the pregnancy and postpartum period, both women and men experience physiological and psychological changes, which may negatively impact their eating behavior. A clear understanding of determinants of changes in eating behavior during this period is needed to facilitate the development of targeted family-based interventions countering unfavorable dietary changes during this critical life period.

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Dynamics of the complex food environment underlying dietary intake in low-income groups: a systems map of associations extracted from a systematic umbrella literature review

Alexia D. M. Sawyer, Frank van Lenthe, Carlijn B. M. Kamphuis, Laura Terragni, Gun Roos, Maartje P. Poelman, Mary Nicolaou, Wilma Waterlander, Sanne K. Djojosoeparto, Marie Scheidmeir, Agnieszka Neumann-Podczaska & Karien Stronks on behalf of the PEN Consortium

doi : 10.1186/s12966-021-01164-1

International Journal of Behavioral Nutrition and Physical Activity volume 18, Article number: 96 (2021) 

Inequalities in obesity pertain in part to differences in dietary intake in different socioeconomic groups. Examining the economic, social, physical and political food environment of low-income groups as a complex adaptive system – i.e. a system of multiple, interconnected factors exerting non-linear influence on an outcome, can enhance the development and assessment of effective policies and interventions by honouring the complexity of lived reality. We aimed to develop and apply novel causal loop diagramming methods in order to construct an evidence-based map of the underlying system of environmental factors that drives dietary intake in low-income groups.

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A catalog of validity indices for step counting wearable technologies during treadmill walking: the CADENCE-Kids study

Zachary R. Gould, Jose Mora-Gonzalez, Elroy J. Aguiar, John M. Schuna Jr., Tiago V. Barreira, Christopher C. Moore, John Staudenmayer & Catrine Tudor-Locke

doi : 10.1186/s12966-021-01167-y

International Journal of Behavioral Nutrition and Physical Activity volume 18, Article number: 97 (2021) 

Wearable technologies play an important role in measuring physical activity (PA) and promoting health. Standardized validation indices (i.e., accuracy, bias, and precision) compare performance of step counting wearable technologies in young people.

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Validity, reliability, and calibration of the physical activity unit 7 item screener (PAU-7S) at population scale

Helmut Schr?der, Isaac Subirana, Julia W?rnberg, Mar?a Medrano, Marcela Gonz?lez-Gross, Narcis Gusi, Susana Aznar, Pedro E. Alcaraz, Miguel A. Gonz?lez-Valeiro, Lluis Serra-Majem, Nicol?s Terrados, Josep A. Tur, Marta Seg?, Clara Homs, Alicia Garcia-?lvarez, Juan C. Benavente-Mar?n, F. Javier Bar?n-L?pez, Idoia Labayen, Augusto G. Zapico, Jes?s S?nchez-G?mez, Fabio Jiménez-Zazo, Elena Mar?n-Cascales, Marta Sevilla-Sanchez, Estefan?a Herrera-Ramos, Susana Pulgar, Mar?a del Mar Bibiloni, Clara Sistac-Sorigué & Santiago F. G?mez -Show fewer authors

doi : 10.1186/s12966-021-01169-w

International Journal of Behavioral Nutrition and Physical Activity volume 18, Article number: 98 (2021)

Validation of self-reported tools, such as physical activity (PA) questionnaires, is crucial. The aim of this study was to determine test-retest reliability, internal consistency, and the concurrent, construct, and predictive validity of the short semi-quantitative Physical Activity Unit 7 item Screener (PAU-7S), using accelerometry as the reference measurement. The effect of linear calibration on PAU-7S validity was tested.

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Improving children’s fundamental movement skills through a family-based physical activity program: results from the “Active 1?+?FUN” randomized controlled trial

Amy S. Ha, Chris Lonsdale, David R. Lubans, Florrie F. Ng & Johan Y. Y. Ng

doi : 10.1186/s12966-021-01160-5

International Journal of Behavioral Nutrition and Physical Activity volume 18, Article number: 99 (2021) 

Physical activity is related to many positive health outcomes, yet activity levels of many children are low. Researchers have suggested that family-based interventions may improve physical activity behaviors of both children and their parents. In this study, we evaluated the “Active 1?+?FUN” program, which was designed based on tenets of self-determination theory. Intervention components included free sporting equipment, ten coach-led workshops and activity sessions, and one booster session.

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The effect of leisure time physical activity and sedentary behaviour on the health of workers with different occupational physical activity demands: a systematic review

Stephanie A. Prince, Charlotte Lund Rasmussen, Aviroop Biswas, Andreas Holtermann, Tarnbir Aulakh, Katherine Merucci & Pieter Coenen

doi : 10.1186/s12966-021-01166-z

International Journal of Behavioral Nutrition and Physical Activity volume 18, Article number: 100 (2021)

Although it is generally accepted that physical activity reduces the risk for chronic non-communicable disease and mortality, accumulating evidence suggests that occupational physical activity (OPA) may not confer the same health benefits as leisure time physical activity (LTPA). It is also unclear if workers in high OPA jobs benefit from LTPA the same way as those in sedentary jobs. Our objective was to determine whether LTPA and leisure time sedentary behaviour (LTSB) confer the same health effects across occupations with different levels of OPA.

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Using food network analysis to understand meal patterns in pregnant women with high and low diet quality

Carolina Schwedhelm, Leah M. Lipsky, Grace E. Shearrer, Grace M. Betts, Aiyi Liu, Khalid Iqbal, Myles S. Faith & Tonja R. Nansel

doi : 10.1186/s12966-021-01172-1

International Journal of Behavioral Nutrition and Physical Activity volume 18, Article number: 101 (2021)

Little is known about how meal-specific food intake contributes to overall diet quality during pregnancy, which is related to numerous maternal and child health outcomes. Food networks are probabilistic graphs using partial correlations to identify relationships among food groups in dietary intake data, and can be analyzed at the meal level. This study investigated food networks across meals in pregnant women and explored differences by overall diet quality classification.

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Is occupational physical activity associated with mortality in UK Biobank?

Matthew Pearce, Tessa Strain, Katrien Wijndaele, Stephen J. Sharp, Alexander Mok & S?ren Brage

doi : 10.1186/s12966-021-01154-3

International Journal of Behavioral Nutrition and Physical Activity volume 18, Article number: 102 (2021)

Current physical activity guidelines do not distinguish between activity accumulated in different behavioural domains but some studies suggest that occupational physical activity (OPA) may not confer health benefits and could even be detrimental. The purpose of this study was to investigate associations between OPA and mortality outcomes.

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