Stephanie A Prince

Stephanie A Prince
Public Health Agency of Canada | PHAC · Centre for Surveillance and Applied Research

BSc Human Kinetics, MSc Epidemiology, PhD Population Health

About

112
Publications
84,400
Reads
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6,162
Citations
Introduction
Population health researcher interested in measurement of health behaviours and effects of built and social environments on the physical activity, sedentary behaviour and sleep of children, youth and adults.
Additional affiliations
September 2019 - present
Public Health Agency of Canada
Position
  • Epidemiologist
September 2017 - September 2019
Public Health Agency of Canada
Position
  • Fellow
September 2017 - present
University of Ottawa Heart Institute
Position
  • Fellow
Education
September 2006 - December 2011
University of Ottawa
Field of study
  • Population Health
September 2004 - August 2006
Queen's University
Field of study
  • Community Health and Epidemiology
September 1999 - June 2003
University of Ottawa
Field of study
  • Human Kinetics

Publications

Publications (112)
Article
Full-text available
Background Built environments have been implicated in the development of chronic disease, with physical activity (PA) considered one of the critical mechanisms for this relationship. Substantial growth in research on built environments and PA makes navigating the available evidence challenging. Objective To examine and describe the current state,...
Article
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Background The measurement of physical fitness has a history that dates back nearly 200 years. Recently, there has been an increase in international research and surveillance on physical fitness creating a need for setting international priorities that could help guide future efforts. Objective This study aimed to produce a list of the top 10 inte...
Article
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Background: Recently, the Canadian 24-Hour Movement Guidelines for Adults were released, and included a revised physical activity (PA) recommendation. The recommendation of 150 minutes per week of moderate-to-vigorous intensity PA (MVPA) was revised, from requiring that MVPA be accrued in bouts of 10 minutes or more (bouted) to having no bout requ...
Article
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Background: Built environments have shown to be associated with health, with physical activity (PA) considered one of the critical pathways for achieving benefits. Navigating available evidence on the built environment and PA is challenging given the number of reviews. Objective: Examine the current state and quality of research looking at assoc...
Article
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Background There is a need to explore common activity patterns undertaken by workers and the association between these activity profiles and cardiovascular disease (CVD). This study explored the number and type of distinct profiles of activity patterns among workers and the association between these profiles and predicted 10‐year risk for a first a...
Article
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Meeting the physical activity (PA) and recreational screen time recommendations for children and young people is associated with several health benefits. The purpose of this study was to compare the odds of meeting PA and recreational screen time recommendations between the Canadian youth living in urban versus rural communities. We analyzed nation...
Article
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Introduction L’objectif de cette étude était d’effectuer une revue systématique des relations entre, d’une part, l’horaire des comportements sédentaires et l’accès à des activités sédentaires dans la chambre et, d’autre part, la durée et la qualité du sommeil chez les enfants et les adolescents. Un objectif secondaire consistait à vérifier si ces r...
Article
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Background The purpose of this study was to systematically review the relationship between the timing of sedentary behaviours and access to sedentary activities in the bedroom with sleep duration and quality in children and youth. A secondary purpose was to examine whether these relationships differ when comparing screen-based and non-screen-based...
Article
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Background Using a nationally representative cohort of Canadian adults, we assessed associations between neighbourhood walkability and cause-specific mortality and investigated whether they differed by socioeconomic status. Methods The study population was drawn from the 2001 Canadian Census Health and Environment Cohort, which contains individual...
Article
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Background To determine the time spent completing moderate-to-vigorous intensity physical activity (MVPA) among adults with atrial fibrillation (AF). Secondary aims examined MVPA and sitting time (ST) by AF subtypes (i.e., paroxysmal, persistent, long-standing persistent and permanent) and associations between MVPA or ST and knowledge, task self-ef...
Article
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Regular physical activity prevents several non-communicable chronic conditions and premature mortality. The benefits of physical activity can be achieved through active transport, which refers to non-motorised/active means (e.g. walking, cycling, rollerblading) to move from one place to another. Active transport can be integrated into daily routine...
Article
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The novel coronavirus disease 2019 (COVID-19) is a global public health crisis that disproportionately affects those with pre-existing conditions. Cardiovascular disease (CVD) is the leading cause of death worldwide and many key CVD risk factors are modifiable (e.g., physical inactivity, sedentary behavior, obesity). To limit the spread of COVID-19...
Article
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Background 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 fro...
Article
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The coronavirus disease (COVID-19) pandemic disproportionately affects those with pre-existing conditions and has exacerbated gender inequalities. Cardiovascular disease (CVD) is the leading cause of death among Canadian women. Exercise improves physical and mental health and CVD management. Amid the pandemic, women are experiencing an increase in...
Poster
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Selected for poster presentation at the Canadian Women’s Heart Health Summit, Ottawa, Canada. * Postponed from April 2020 to February 10-13, 2021 due to COVID-19
Article
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Introduction To examine the effectiveness of universal suicide prevention interventions on reducing suicide mortality in high-income Organisation for Economic Co-operation and Development (OECD) member countries. Methods We implemented a comprehensive search strategy across three electronic databases: MEDLINE (Ovid), PsycINFO (Ovid) and Embase (Ov...
Article
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Background Exercise maintenance interventions are needed for cardiac rehabilitation (CR) graduates to maintain moderate and vigorous-intensity physical activity (MVPA). We tested an exercise facilitator intervention (EFI) to promote exercise maintenance compared to usual care (UC) separately in men and women. Methods This was a 3-site, randomized...
Article
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The purpose of this overview of systematic reviews was to determine the relationship between different types and patterns of sedentary behaviour and selected health outcomes in adults and older adults. Five electronic databases were last searched in May, 2019, with a 10-year search limit. Included reviews met the a priori population (community-dwel...
Article
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Background: Adults spend a large proportion of their day at work. Physical activity (PA) and sedentary behaviour (SB) have been shown to vary considerably between occupations. The objective of this study is to describe occupational differences in accelerometer-measured and self-reported PA and SB for Canadian full-time workers. Data and methods:...
Article
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Background: Canadians spend the majority of their days sedentary. Gender and education are important social determinants of health that impact health behaviours. There is evidence that gender and educational differences in sedentary behaviour exist. In Canada, while general trends suggest that leisure sedentary activities have changed; there has b...
Article
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Background: Canada recently adopted the 24-Hour Movement Guidelines for Children and Youth (24-Hour Guidelines) for young people aged 5 to 17 years—an international first, providing integrated recommendations for physical activity, sedentary time and sleep. Since the release of the guidelines, very few studies have examined the associations of adhe...
Article
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Background Historical changes in the nature of sedentary activities have been observed in other countries, but it is not clear if similar trends exist in Canada. It is also unclear how changes in the measurement of sedentary behaviour affects national estimates. Our objective is to document all sources and measures of sedentary behaviour from Canad...
Article
Background Cardiovascular disease remains a leading cause of death in women. Despite the well-known benefits of cardiac rehabilitation, it remains underutilized, especially among women. Physical activity programs in the community, however, attract a large female population, suggesting that they overcome barriers to physical activity encountered by...
Article
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Background: Sedentary behaviour (SB) is a risk factor for chronic disease and premature mortality. While many individual studies have examined the reliability and validity of various self-report measures for assessing SB, it is not clear, in general, how self-reported SB (e.g., questionnaires, logs, ecological momentary assessments (EMAs)) compare...
Article
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Background Research has suggested ideal combinations of sleep, physical activity (PA) and sedentary time (ST) (i.e., optimal sleep/high PA/low ST) are associated with better overall health. Previous research has shown nurses spend more than half their day sedentary, do not generally meet PA guidelines and have difficulty obtaining adequate sleep. T...
Article
Background Nurses’ suboptimal physical activity (PA) levels place them at high risk for cardiovascular diseases. Little is known about the motivational factors that influence their PA behavior. Purpose This study drew on the Self-Determination Theory (SDT) to investigate whether associations between nurses’ levels of mood disturbance, psychologica...
Article
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Background: While physical (in) activity surveillance has grown and continues to grow globally, surveillance of sedentary behaviour is in its infancy. As surveillance evolves to meet the changing nature of these behaviours, there is a need for the development of national health survey questions to provide accurate and consistent measures over time...
Article
Background Adults spend the majority of their waking hours sedentary. Sedentary behaviour (SB) includes any waking behaviour with low energy expenditure while sitting, lying or reclining (e.g., watching TV, sitting at a desk) and is associated with several chronic diseases and mortality. Social influence, namely SB norms may be a modifiable factor...
Article
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Objective Nurses comprise the largest professional group within the Canadian health care workforce. We aimed to assess the prevalence and correlates of smoking among nurses. Methods The Champlain Nurses’ Study was a multi-centre, observational study that evaluated the physical activity levels and health of hospital-based nurses. Participants compl...
Article
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The objective of this study was to establish cut-points to help identify potential clustered cardiometabolic risk among children (9–13 years) and youth (14–17 years) using the modified Canadian Aerobic Fitness Test (mCAFT). Nationally representative cross-sectional data were obtained from cycles 1 and 2 (2007–11) of the Canadian Health Measures Sur...
Article
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Background Generally, correlation and agreement between self-reported and accelerometer-measured physical activity are low. The objective of this study is to compare estimates of physical activity from a newly developed Canadian questionnaire with measurements by accelerometer among 12- to 17-year-olds. Data and methods Physical activity was self-...
Article
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The Public Health Agency of Canada (PHAC) has modernized its approach to physical activity surveillance by broadening its scope to include sedentary behaviour and sleep. The first step was to develop a conceptual framework which covers the full spectrum of physical movement from moderate-to-vigorous intensity physical activity (MVPA) and light inte...
Article
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L’Agence de la santé publique du Canada a modernisé son approche en matière de sur¬veillance de l’activité physique en élargissant la portée de cette dernière de façon à englober le comportement sédentaire et le sommeil. La première étape a consisté à éla¬borer un cadre conceptuel couvrant toute la gamme de l’activité : activité physique d’intensit...
Article
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Background With approximately 8 hours of one’s waking day spent at work, occupational tasks and environments are important influencers on an individual’s physical activity (PA) and sedentary behaviours. Little research has compared device-measured physical activity, sedentary behaviour and cardiometabolic outcomes between occupational groups. Obje...
Article
This commentary provides a response to the call for papers that explore why public health matters today. We present our thoughts and experiences as members of the inaugural (2017) cohort of Canadian Institutes of Health Research (CIHR) Health System Impact Fellows, focused on population and public health projects within our respective health organi...
Article
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Introduction Les systèmes de géolocalisation par satellite (GPS) peuvent fournir un contexte supplémentaire sur les lieux où l’activité physique (AP) et les activités sédentaires (AS) sont pratiquées, surtout lorsque les données GPS sont superposées à celles de la mesure objective du mouvement. L’objectif de cet examen rapide était de résumer les d...
Article
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Introduction Geographical positioning systems (GPS) have the capacity to provide further context around where physical activity (PA) and sedentary time (ST) are accrued especially when overlaid onto objectively measured movement. The objective of this rapid review was to summarize evidence from location-based studies which employed the simultaneous...
Article
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Cardiac patients who engage in ≥150 min of moderate- to vigorous-intensity physical activity (MVPA)/week have lower mortality, yet MVPA declines even following cardiac rehabilitation (CR), and is lower in women. A randomized trial of nine socioecological theory-based exercise facilitation contacts over 50 weeks versus usual care (1:1 parallel arms)...
Article
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Background: Self-reported and accelerometer-measured physical activity levels generally exhibit low correlation and agreement. The objective of this study is to compare estimates of physical activity among adults from a newly developed Canadian questionnaire with those obtained objectively by accelerometry. Data and methods: Data for 18- to 79-year...
Article
Physical inactivity and obesity are modifiable risk factors for cardiovascular disease, particularly in women. eHealth interventions may increase physical activity and improve obesity‐related outcomes among women. The objective of this study was to review the evidence of the effectiveness of eHealth interventions to increase moderate‐to‐vigorous ph...
Article
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Objective To systematically review the literature and describe the discrepancies in achieving the 2009 Institute of Medicine (IOM) gestational weight gain (GWG) guidelines across cultures. Methods Ten databases were searched from inception to April 2018. Observational cohort studies were included that examined adult women; reported on a measure of...
Article
Purpose of review: This review focuses on recent literature examining and targeting the physical activity and sedentary behaviour of nurses. The role of physical activity and sedentary behaviour in preventing and managing cardiovascular disease (CVD) in women is also discussed. Recent findings: Nurses (most of whom are women) represent the large...
Article
Background Sedentary time (ST) is negatively associated with cardiometabolic health and fitness. Traditional cardiac rehabilitation (CR) programming may not significantly reduce ST. The objectives of the study were to assess the feasibility and practicality of activPAL devices for measuring ST in CR, and whether prompting cues to interrupt sedentar...
Article
Full-text available
Background: Atrial fibrillation (AF), the most common sustained cardiac arrhythmia, is associated with substantial morbidity and mortality. Clinical guidelines for managing patients with AF do not include a referral to cardiac rehabilitation (CR) at present, although it is routine for most other cardiovascular conditions. The number of studies eva...
Article
Objectives: To describe: (1) the amount of physical activity (PA) in cardiac rehabilitation (CR) graduates by sex, and (2) the correlates of their PA. Design: Secondary analysis of baseline data from a randomized trial was undertaken. Graduates were recruited from 3 CR programs. Participants completed a questionnaire which assessed constructs fr...