Intergenerational physical activity programs hold promise for increasing (co-)physical activity in children and older adults. Many programs, however, lack effectiveness, potentially due to insufficient evidence-based development and limited addressing of both groups' needs, which could result in a lack of fit. Co-creation and tailored approaches could improve program fit and effectiveness.
View Article and Find Full Text PDFBackground: The optimal moment to deliver digital prompts for reducing sedentary behavior (SB) is when individuals are susceptible to prolonged SB (vulnerability) and open to behavior change (opportunity). This study aims to examine both vulnerability and opportunity.
Methods: A 14-day ecological momentary assessment study was conducted with 105 older adults.
Background: Research about the engagement of adolescents with mobile health (mHealth) interventions is scarce, while it is generally assumed that the engagement affects the intervention efficacy.
Objective: Using an mHealth intervention that targets the general population of adolescents to promote healthy behaviors (physical activity, low sedentary time, adequate sleep, and taking breakfast) and mental health, we aimed to investigate (1) how adolescents engage with the intervention, (2) which engagement styles can be identified and how these differ according to personal characteristics, and (3) which style of engagement predicts behavior change. The intervention used, #LIFEGOALS, includes self-regulation techniques, a support chatbot, narrative videos, and gamification, brought together in an app coupled to an activity tracker.
Objectives: Reducing sedentary behaviour (SB) in older adults is a promising strategy to promote healthy ageing. However, to develop more effective interventions, more in-depth information is needed on how existing interventions work. The present realist review aims to identify the working mechanisms and contextual preconditions to guide the development of future interventions.
View Article and Find Full Text PDFObjectives: When co-creating school-based public health interventions, it is crucial to involve teachers alongside students as they are often deliverers of the school-based intervention (components), and fulfil a key role in the implementation of the intervention. This study investigates teachers' experiences during the co-creation process of developing an implementation plan of a healthy sleep intervention.
Study Design: Qualitative observational study.
Background: Curbing the rise in overweight and obesity in childhood is of top priority in the public health agenda.
Objective: To examine the effectiveness of a 2-year school-based intervention on children's body mass index (BMI) z-score, considering children's baseline weight status, as well as to identify socio-demographic factors that could predict a positive weight outcome.
Methods: Data were collected from 9255 children 5-12 years, from six European countries, participating in the Feel4Diabetes study.
Eur Rev Aging Phys Act
May 2025
Objectives: To identify the modifiable determinants targeted in interventions involving older adults, and to determine which of these interventions effectively increased physical activity (PA) and/or reduced sedentary behaviour (SB). Additionally, to explore whether the effects of these interventions vary based on the implementation setting.
Methods: A search of randomized controlled trials (RCTs) and controlled trials (CTs) was performed in Medline, APA PsycArticles, SPORTDiscus, and Web of Science.
Promoting healthy aging through physical activity (PA) is crucial as the global population grows older. Traditional interventions often fail to engage older adults, underlining the need for personalized, timely approaches. Smartphone-delivered PA interventions can offer personalized support during opportune moments for behavioral change.
View Article and Find Full Text PDFBackground: Implementing public health interventions in schools requires active involvement of multiple stakeholders and adaptation of interventions to fit local contexts, to account for successful design, implementation, and consequently effectiveness of these interventions. Active collaboration, preferably in a co-creation process, with school staff is needed to enhance the implementation of school-based public health interventions. However, involving them in research through a co-creation process is challenging due to competing demands on their time.
View Article and Find Full Text PDFUnlabelled: This study assessed the dietary intake of European children by country, gender, and obesity degree across six European countries participating in the Feel4Diabetes study. It also compared food group intakes with European food-based dietary guidelines. The Feel4Diabetes study included 9,847 children (50.
View Article and Find Full Text PDFObjectives: Co-adaptation is a collaborative process to adapt existing interventions to new contexts and offers a promising way to scale (co-created) public health interventions. However, there is limited understanding of how co-adaptation processes are experienced. This study examined whether a robust co-creation process can be maintained when adapting a previously co-created intervention to promote adolescents' healthy sleep.
View Article and Find Full Text PDFBackground: Adapting co-creation research processes and/or public health interventions improves the fit between the intervention and population of interest, potentially resulting in more relevant and effective interventions. Mode 2 research approaches (e.g.
View Article and Find Full Text PDFEcological Momentary Assessment (EMA) enables the real-time capture of health-related behaviours, their situational contexts, and associated subjective experiences. This study aimed to evaluate the feasibility of an EMA targeting physical and eating behaviours, optimise its protocol, and provide recommendations for future large-scale EMA data collections. The study involved 52 participants (age 31±9 years, 56% females) from Czechia, France, Germany, and Ireland completing a 9-day free-living EMA protocol using the HealthReact platform connected to a Fitbit tracker.
View Article and Find Full Text PDFBackground And Objectives: Most studies examining combined cognitive and physical activity are conducted in laboratory settings. This randomized controlled trial (RCT) examines the effects of a real-life cognitively enriched walking program on cognitive functioning and moderate-to-vigorous physical activity (MVPA) in adults aged ≥65 years.
Research Design And Methods: A three-arm RCT was conducted, comparing the cognitively enriched walking program (WALK+, doing cognitive tasks while walking) with a walking program without enrichment (WALK-only) and a passive control condition (CONT).
Introduction: The relationship between 24-h movement behaviours (i.e. sleep, sedentary behaviour and physical activity) and adiposity in preschoolers remains unclear.
View Article and Find Full Text PDFBackground: The long-term effects of breakfast on childhood z-BMI remain inconclusive.
Objective: To prospectively assess the impact of stable and altered breakfast consumption habits on z-BMI change over two years, in school-aged children across six European countries.
Methods: Data of 6,528 children (8.
Public Health
January 2025
Objectives: This scoping review aimed to summarise available evidence relating to co-creation experiences among adults in diverse contexts. Understanding how participation in co-creation processes shapes experiences is important as it can offer insights into the improved development and effective use of such processes. Co-creation has increasingly gained attention due to its many claimed advantages and benefits to participants.
View Article and Find Full Text PDFBackground: There is a lack of studies evaluating longitudinal changes in adiposity indicators and the association with 24-hour movement behavior guidelines in preschoolers. Therefore, this study aimed to investigate associations between changes in Body Mass Index (BMI) z-scores, waist circumference and waist-to-height ratio, and compliance with the 24-hour movement behavior guidelines in three- to six-year-old children from a European sample.
Methods: In total, data from a European sample of 719 preschoolers (50.
This study aimed to evaluate the feasibility and effectiveness of an injury prevention programme for Physical Education Teacher Education (PETE) students, consisting of an injury awareness module and implementing prevention strategies during intracurricular lessons. Participants from four PETE programmes formed the intervention group ( = 4 programme directors, = 38 sports lecturers, = 859 students), while those from four other programmes were the controls ( = 4 programme directors, = 34 sports lecturers, = 721 students). Programme directors and sports lecturers received a three-hour workshop on sports injury prevention.
View Article and Find Full Text PDFBackground: There is a growing investment in the use of co-creation, reflected by an increase in co-created products, services, and interventions. At the same time, a growing recognition of the significance of co-creators' experience can be detected but there is a gap in the aggregation of the literature with regard to experience. Therefore, the purpose of this scoping review is to uncover the breadth of existing empirical research on co-creation experience, how it has been defined and assessed, and its key emotional and psychological characteristics in the context of co-created products, services, or interventions among adults.
View Article and Find Full Text PDFDiabetes Obes Metab
September 2024
Aim: To examine physical activity levels in association with metabolic health and estimate the stability of metabolically healthy obese (MHO) phenotypes over a 2-year period.
Methods: In total, 2848 men and women from families at risk of the development of diabetes were recruited. Participants were classified as obese or non-obese and metabolic health was defined using five existing definitions.
Promoting healthy snacking is important in addressing malnutrition, overweight and obesity among an ageing population. However, little is known about the factors underlying snacking behaviour in older adults. The present study aimed to explore within- and between-person associations between determinants (i.
View Article and Find Full Text PDFGiven the aging population, finding solutions to retain optimal cognitive capacity is a research priority. The potential of physical activity to reduce the risk of cognitive decline and to enhance cognitive functioning is established. Combining physical with cognitive activity has been put forward as a potentially even more effective way to promote healthy cognitive aging.
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