Physical activity profile of Old Order Amish, Mennonite, and contemporary children.
ABSTRACT This study explored the influence of modernity on the physical activity behaviors (e.g., intensity and timing) of children.
Children aged 8-13 yr living a traditional lifestyle (Old Order Amish [OOA], n = 68; Old Order Mennonite [OOM], n = 120) were compared with children living a contemporary lifestyle (rural Saskatchewan [RSK], n = 132; urban Saskatchewan [USK], n = 93). Physical activity was objectively assessed for seven consecutive days using Actigraph 7164 accelerometers. Custom software was used to reduce the raw accelerometer data into standardized outcome variables.
On weekdays, there were group differences in moderate physical activity between all lifestyle groups (OOA > OOM > USK > RSK). On the weekend, the group differences in moderate physical activity persisted between, but not within, lifestyle groups (OOA = OOM > USK = RSK). During school hours, all groups had similar activity and inactivity periods; however, they differed in magnitude, with the OOA and OOM being both more sedentary and more active. In comparison with the children in school, the OOA and the OOM children had 44% lower sedentary time out of school compared with only 15% lower for RSK and USK children.
Although cross sectional, these data suggest that contemporary/modern living is associated with lower levels of moderate- and vigorous-intensity physical activity compared with lifestyles representative of earlier generations. Analyzing the physical activity and inactivity patterns of traditional lifestyle groups such as the OOA and the OOM can provide valuable insight into the quantity and quality of physical activity necessary to promote health.
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ABSTRACT: Objectives: To determine whether, and to what extent, a relation exists between neighbourhood design and children's physical activity and sedentary behaviours in Saskatoon. Methods: Three neighbourhood designs were assessed: 1) core neighbourhoods developed before 1930 that follow a grid pattern, 2) fractured-grid pattern neighbourhoods that were developed between the 1930s and mid-1960s, and 3) curvilinear-pattern neighbourhoods that were developed between the mid-1960s through to 1998. Children aged 10-14 years (N=455; mean age 11.7 years), grouped by the neighbourhoods they resided in, had their physical activity and sedentary behaviour objectively measured by accelerometry for 7 days. ANCOVA and MANCOVA (multivariate analysis of covariance) models were used to assess group differences (p<0.05). Results: Group differences were apparent on weekdays but not on weekend days. When age, sex and family income had been controlled for, children living in fractured-grid neighbourhoods had, on average, 83 and 55 fewer accelerometer counts per minute on weekdays than the children in the core and curvilinear-pattern neighbourhoods, respectively. Further analyses showed that the children in the fractured-grid neighbourhoods accumulated 15 and 9 fewer minutes of moderate-to-vigorous physical activity per day and had a greater time spent in sedentary behaviour (23 and 17 minutes) than those in core and curvilinear-pattern neighbourhoods, respectively.
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ABSTRACT: Most patients expect an improvement of walking ability and an increase in activity levels after TKA. Unfortunately, few studies report qualitative and quantitative activity improvements after TKA.Clinical Orthopaedics and Related Research 07/2014; · 2.88 Impact Factor
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ABSTRACT: Objective To determine whether time spent outdoors was associated with increased moderate-to-vigorous physical activity (MVPA) and related health benefits in youth. Study design We performed a cross-sectional study of 306 youth aged 13.6 ± 1.4 years. The exposure of interest was self-reported time spent outdoors after school, stratified into three categories: none, some, and most/all of the time. The main outcome of interest was accelerometer-derived MVPA (Actical: 1500 to >6500 counts/min). Secondary outcomes included sedentary behavior, cardiorespiratory fitness, overweight status, and blood pressure. Results Among the 306 youth studied, those who reported spending most/all of their after-school time outdoors (n = 120) participated in more MVPA (61.0 ± 24.3 vs 39.9 ± 19.1 min/day; adjusted P < .001), were more likely to achieve the recommended minimum 60 min/day of MVPA (aOR 2.8; 95% CI, 1.3-6.4), spent less time in sedentary activities (539 ± 97 min/day vs 610 ± 146 min/day; adjusted P < .001), and had higher cardiorespiratory fitness (49 ± 5 vs 45 ± 6 mL/kg/min; adjusted P < .001) than youth who reported no time outdoors (n = 52). No differences in overweight/obesity or blood pressure were observed across the groups. Conclusions Time spent outdoors is positively associated with MVPA and cardiorespiratory fitness in youth and negatively associated with sedentary behavior. Experimental trials are needed to determine whether strategies designed to increase time spent outdoors exert a positive influence on physical activity and fitness levels in youth.Journal of Pediatrics 09/2014; 165(3). · 3.74 Impact Factor