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3101MCID_676f0872af95eba5d503de68 34176347 Pekka J Jousilahti[author] Jousilahti, Pekka J[Full Author Name] jousilahti, pekka j[Author] trying2...
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1651-19055022022MarScandinavian journal of public healthScand J Public HealthThe effects of long-term physical activity interventions in communities: Scoping review in the Nordic countries.272286272-28610.1177/14034948211020599Aims: Physical activity (PA) is an important part of maintaining good overall health. Currently, the number of insufficiently physically active adults and children is alarmingly high worldwide. To tackle the challenge, several interventions have been conducted, however, current knowledge on intervention effectiveness is still inconclusive. This scoping review aimed to summarize the effects of long-term PA interventions across all age groups in the Nordic countries. Methods: A scoping review was conducted by including all age groups and interventions lasting more than 12 months. The aims of the interventions had to focus on increasing PA and/or fitness. The Behaviour Change Wheel framework was used to describe components of the intervention functions. Results: Initially, 1937 studies were identified. Twelve intervention studies fulfilled the inclusion criteria and were included in the analysis. From the included studies, seven focused on children and/or their parents and five on working-age adult populations. Most of the studies built on theoretical backgrounds and included several behaviour change functions. A hindering factor for synthesis was variation in measurement methods: both subjective and objective outcome measures were reported. Among all age groups, intervention effects on PA were modest. Conclusions: There was no clear evidence of increased PA or fitness from long-term interventions in communities. However, even small improvements in PA are important for increasing PA at a population level and enhancing public health. More research is required for evidence-based community and public health planning.HaverinenElsi HEH0000-0003-4963-2845Department of Public Health Solutions, Finnish Institute for Health and Welfare, Helsinki, Finland.ElonheimoHanna MHM0000-0003-4441-3432Department of Public Health Solutions, Finnish Institute for Health and Welfare, Helsinki, Finland.TolonenHanna KHKDepartment of Public Health Solutions, Finnish Institute for Health and Welfare, Helsinki, Finland.JousilahtiPekka JPJDepartment of Public Health Solutions, Finnish Institute for Health and Welfare, Helsinki, Finland.WennmanHeini J CHJCDepartment of Public Health Solutions, Finnish Institute for Health and Welfare, Helsinki, Finland.engJournal ArticleReview20210628
SwedenScand J Public Health1008835031403-4948IMAdultChildExerciseHumansInfantScandinavian and Nordic CountriesUnited StatesPhysical activitybehaviour changecommunityfitnessinterventionDeclaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.20216296020222266020216285232022225ppublish34176347PMC887397110.1177/14034948211020599Lee IM, Shiroma EJ, Lobelo F, et al. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet 2012;380:219–29.PMC364550022818936World Health Organization (WHO). Global action plan for the prevention and control of NCDs 2013–2020. Report, WHO, Switzerland, 2013.Guthold R, Stevens GA, Riley LM, et al. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants. Lancet Glob Health 2018;6:e1077–86.30193830Guthold R, Stevens GA, Riley LM, et al. Global trends in insufficient physical activity among adolescents: a pooled analysis of 298 population-based surveys with 1.6 million participants. Lancet Child Adolesc Health 2020;4:23–35.PMC691933631761562World Health Organization, WHO. Global Action Plan on Physical Activity 2018–2030: more active people for a healthier world. Report, WHO, Switzerland, 2018.European Commission. Special Eurobarometer 472: sport and physical activity. Report, The European Commission, Brussels, March 2018.Marques A, Sarmento H, Martins J, et al. Prevalence of physical activity in European adults – compliance with the World Health Organization’s physical activity guidelines. Prev Med 2015;81:333–8.26449407World Health Organization, WHO. Global recommendations on physical activity for health. Report, WHO, Switzerland, 2010.26180873Matthiessen J, Andersen LF, Barbieri HE, et al. The Nordic Monitoring System 2011–2014 – status and development of diet, physical activity, smoking, alcohol and overweight. Report, Nordic Council of Ministers, Denmark, 2017.Matthiessen J, Andersen LF, Barbieri HE, et al. The Nordic monitoring of diet, physical activity, smoking, alcohol and overweight: 2011–2014. EJNFS 2017;7:128–30.World Health Organization, WHO. Iceland physical activity factsheet. Report, WHO Regional Office for Europe, Denmark, 2019.World Health Organization, WHO. Denmark physical activity factsheet. Report, WHO Regional Office for Europe, Denmark, Europe, 2018.World Health Organization, WHO. Finland physical activity factsheet. Report, WHO, Regional Office for Europe, Denmark, 2018.World Health Organization, WHO. Sweden physical activity factsheet. Report, WHO, Regional Office for Europe, Denmark, 2018.Sattelmair J, Pertman J, Ding EL, et al. Dose response between physical activity and risk of coronary heart disease: a meta-analysis. Circulation 2011;124:789–95.PMC315873321810663DeFina LF, Haskell WL, Willis BL, et al. Physical activity versus cardiorespiratory fitness: two (partly) distinct components of cardiovascular health? Prog Cardiovasc Dis 2015;57:324–9.25269066Lavie CJ, Arena R, Swift DL, et al. Exercise and the cardiovascular system: clinical science and cardiovascular outcomes. Circ Res 2015;117:207–19.PMC449377226139859Tomkinson GR, Lang JL, Tremblay MS. Temporal trends in the cardiorespiratory fitness of children and adolescents representing 19 high-income and upper middle-income countries between 1981 and 2014. Br J Sports Med 2019;53:478–86.29084727Lamoureux NR, Fitzgerald JS, Norton KI, et al. Temporal trends in the cardiorespiratory fitness of 2,525,827 adults between 1967 and 2016: a systematic review. Sports Med 2019;49:41–55.30390202Loyen A, Van der Ploeg HP, Bauman A, et al. European sitting championship: prevalence and correlates of self-reported sitting time in the 28 European Union member states. PLoS One 2016;11:e0149320.PMC477490926934701Jelsma JGM, Gale J, Loyen A, et al. Time trends between 2002 and 2017 in correlates of self-reported sitting time in European adults. PLoS One 2019;14:e0225228.PMC685069631714933Wennman H, Härkänen T, Hagströmer M, et al. Change and determinants of total and context specific sitting in adults: a 7-year longitudinal study. J Sci Med Sport 2020;23:596–602.31928882Cleary PD, Gross CP, Zaslavsky AM, et al. Multilevel interventions: study design and analysis issues. J Natl Cancer Inst Monogr 2012;44:49–55.PMC348296422623596MacQueen KM, McLellan E, Metzger DS, et al. What is community? An evidence-based definition for participatory public health. Am J Public Health 2001;91:1929–38.PMC144690711726368Lawman HG, Wilson DK. Associations of social and environmental supports with sedentary behavior, light and moderate-to-vigorous physical activity in obese underserved adolescents. Int J Behav Nutr Phys Act 2014;11:92.PMC414523725163029Eng JY, Moy FM, Bulgiba A. Impact of a workplace health promotion program on employees’ blood pressure in a public university. PLoS One 2016;11:e0148307.PMC473973226840508World Health Organization, WHO. Health promoting schools: an effective approach to early action on noncommunicable disease risk factors. Report, WHO, Switzerland, 2017.Michie S, West R, Sheals K, et al. Evaluating the effectiveness of behavior change techniques in health-related behavior: a scoping review of methods used. Transl Behav Med 2018;8:212–24.PMC606285729381786Howlett N, Trivedi D, Troop NA, et al. Are physical activity interventions for healthy inactive adults effective in promoting behavior change and maintenance, and which behavior change techniques are effective? A systematic review and meta-analysis. Transl Behav Med 2019;9:147–57.PMC630556229506209Brand T, Pischke CR, Steenbock B, et al. What works in community-based interventions promoting physical activity and healthy eating? A review of reviews. Int J Environ Res Public Health 2014;11:5866–88.PMC407855324886756Baker PRA, Francis DP, Soares J, et al. Community wide interventions for increasing physical activity. Cochrane Database Syst Rev 2015;1:CD008366.PMC9508615255569702018 Physical Activity Guidelines Advisory Committee. 2018 Physical Activity Guidelines Advisory Committee scientific report. Report, U.S. Department of Health and Human Services, Washington DC, USA, 2018.Michie S, van Stralen MM, West R. The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci 2011;6:42.PMC309658221513547Levac D, Colquhoun H, O’Brien KK. Scoping studies: advancing the methodology. Implement Sci 2010;5:69.PMC295494420854677Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol 2005;8:19–32.Andersen TM, Holmström B, Honkapohja S, et al. The Nordic model – embracing globalization and sharing risks. Report, The Research Institute of the Finnish Economy (ETLA), Finland, 2007.Laukkanen A, Pesola AJ, Heikkinen R, et al. Family-based cluster randomized controlled trial enhancing physical activity and motor competence in 4–7 year-old children. PLoS One 2015;10:e0141124.PMC462105626502183Pesola AJ, Laukkanen A, Heikkinen R, et al. Accelerometer-assessed sedentary work, leisure time and cardio-metabolic biomarkers during one year: effectiveness of a cluster randomized controlled trial in parents with a sedentary occupation and young children. PLoS One 2017;12:e0183299.PMC557031628837598Gråsten A, Yli-Piipari S, Watt A, et al. Effectiveness of school-initiated physical activity program on secondary school students’ physical activity participation. J Sch Health 2015;85:125–34.25564981Kokkonen J, Yli-Piipari S, Kokkonen M, et al. Effectiveness of a creative physical education intervention on elementary school students’ leisure-time physical activity motivation and overall physical activity in Finland. Eur Phy Educ Rev 2019;25:796–815.Christiansen LB, Toftager M, Boyle E, et al. Effect of a school environment intervention on adolescent adiposity and physical fitness. Scand J Med Sci Sports 2013;23:381–9.23730899Christiansen LB, Toftager M, Pawlowski CS, et al. Schoolyard upgrade in a randomized controlled study design – how are school interventions associated with adolescents’ perception of opportunities and recess physical activity. Health Educ Res 2017;32:58–68.PMC591434928115424Haapala HL, Hirvensalo MH, Kulmala J, et al. Changes in physical activity and sedentary time in the Finnish Schools on the Move Program: a quasi-experimental study. Scand J Med Sci Sports 2017;27:1442–53.27781314Rexen CT, Ersbøll AK, Møller NC, et al. Effects of extra school-based physical education on overall physical fitness development – the CHAMPS DK study. Scand J Med Sci Sports 2015;25:706–15.25048668Kettunen O, Vuorimaa T, Vasankari T. 12-mo intervention of physical exercise improved work ability, especially in subjects with low baseline work ability. Int J Environ Res Public Health 2014;11:3859–69.PMC402501424714059Kettunen O, Vuorimaa T, Vasankari T. A 12-month exercise intervention decreased stress symptoms and increased mental resources among working adults – results perceived after a 12-month follow-up. Int J Occup Med Environ Health 2015;28:157–68.26159956Aittasalo M, Rinne M, Pasanen M, et al. Promoting walking among office employees – evaluation of a randomized controlled intervention with pedometers and e-mail messages. BMC Public Health 2012;12:403.PMC344431722672576Hemmingsson E, Uddén J, Neovius M, et al. Increased physical activity in abdominally obese women through support for changed commuting habits: a randomized clinical trial. Int J Obes 2009;33:645–52.19417772Müller-Riemenschneider F, Reinhold T, Nocon M, et al. Long-term effectiveness of interventions promoting physical activity: a systematic review. Prev Med 2008;47:354–68.18675845Rudolf K, Dejonghe LAL, Froböse I, et al. Effectiveness studies in health promotion: a review of the methodological quality of studies reporting significant effects on physical activity in working age adults. Int J Environ Res Public Health 2019;16:813.PMC642759730845673Ding D, Ramirez Varela A, Bauman AE, et al. Towards better evidence-informed global action: lessons learnt from the Lancet series and recent developments in physical activity and public health. Br J Sports Med 2020;54:462–8.PMC714693231562122Moore LL, Lombardi DA, White MJ, et al. Influence of parents’ physical activity levels on activity levels of young children. J Pediatr 1991;118:215–19.1993947Jiménez-Pavón D, Fernández-Alvira JM, Te Velde SJ, et al. Associations of parental education and parental physical activity (PA) with childern’s PA: the ENERGY cross-sectional study. Prev Med 2012;55:310–14.22846500Crutzen R. Adding effect sizes to a systematic review on interventions for promoting physical activity among European teenagers. Int J Behav Nutr Phys Act 2010;7:29.PMC286419420398361Temple M, Robinson JC. A systematic review of interventions to promote physical activity in the preschool setting. J Spec Pediatr Nurs 2014;19:274–84.24888784Torp S, Vinje HF. Is workplace health promotion research in the Nordic countries really on the right track? Scand J Public Health 2014;42:74–81.25416577Ory MG, Lee Smith M, Mier N, et al. The science of sustaining health behavior change: the health maintenance consortium. Am J Health Behav 2010;34:647–59.PMC375340320604691Ásgeirsdóttir TL, Gerdtham U-G. Health behavior in the Nordic countries. Nord J Health Econ 2016;4:28–40.Stewart G, Anokye NK, Pokhrel S. What interventions increase commuter cycling? A systematic review. BMJ Open 2015;5:e007945.PMC453825026275902Kelly P, Williamson C, Baker G, et al. Beyond cycle lanes and large-scale infrastructure: a scoping review of initiatives that groups and organisations can implement to promote cycling for the Cycle Nation Project. Br J Sports Med 2020;54:1405–15.PMC767746832269057307534232020100520201005
1464-360X2942019Aug01European journal of public healthEur J Public HealthPreventable premature deaths (PYLL) in Northern Dimension partnership countries 2003-13.626630626-63010.1093/eurpub/cky278Objective was to measure preventable premature loss of life in countries from same geographical area but with considerable differences in social and economic development. By comparing inter-country differences and similarities in premature mortality, acceleration of health-in-all-policies is enhanced.Preventable premature deaths were described by Potential Years of Life Lost (PYLL). Data consisted of death registers for 2003, 2009 and 2013. PYLL-rates were age-standardized by using standard OECD population from 1980 and expressed as sum of lost life years per 100 000 citizens.In Northern Dimension area, PYLL-rates had declined from 2003 to 2013. In 2013, worst PYLL-rate was in Belarus 9851 and best in Sweden 2511. PYLL-rates among men were twice as high as among women. Most premature losses (1023) were due to external causes. Malignant neoplasms came second (921) and vascular diseases third (816). Alcohol was also an important cause (270) and country differences were over 10-fold.In ND-area, the overall development of public health has been good during 2003-13. Nevertheless, for all countries foci for public health improvement and learning from each other could be identified. Examining the health of populations in countries from relatively similar geographical area with different social history and cultures can provide them with evidence-based tools for health-in-all-policies to advocate health promotion and disease prevention. Gender differences due to preventable premature deaths are striking. The higher the national PYLL-rate, the bigger the PYLL-rate difference between men and women and the loss of human capital.© The Author(s) 2019. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.VienonenMikko AMAManagement Consulting Group, Finnish Consulting Group, Helsinki, Finland.JousilahtiPekka JPJDepartment of Public Solutions, National Institute for Health and Welfare, Helsinki, Finland.MackiewiczKarolinaKBaltic Region Healthy Cities Association, Turku, Finland.OganovRafael GRGDepartment of Comorbidity Prevention, National Research Centre for Preventive Medicine under the Ministry of Health, Moscow, Russian Federation.PisarykVital MVMRepublican Scientific and Practical Center for Medical Technologies, Minsk, Belarus.DenissovGleb RGREstonian Registry of Causes of Death, National Institute of Health Development, Tallinn, Estonia.NurmUlla-KarinUKNorthern Dimension Partnership of Public Health and Social Wellbeing Secretariat, Stockholm, Sweden.PuduleIvetaIDepartment of Health Statistics, Centre for Disease Prevention and Control, Riga, Latvia.GureviciusRomualdas JRJCenter for Health Statistics, Institute of Hygiene, Vilnus, Lithuania.ZabłockiBartosz MBMDepartment of Public Health, Ministry of Health, Warsaw, Poland.FribergMarita IMIDepartment of Health Statistics, Public Health Agency, Solna, Sweden.KrasilnikovIgor AIASociety for Organizational Responsibility, Strategic LLC, Saint Petersburg, Russian Federation.KoistinenVeli OVOManagement Consulting Group, Finnish Consulting Group, Helsinki, Finland.VohlonenIlkka JIJDepartment of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland.engComparative StudyJournal ArticleResearch Support, Non-U.S. Gov't
EnglandEur J Public Health92049661101-1262IMAdultAge FactorsAgedAged, 80 and overCause of DeathtrendsEstoniaepidemiologyFemaleFinlandepidemiologyForecastingGermanyepidemiologyHumansLatviaepidemiologyLife ExpectancytrendsLithuaniaepidemiologyMaleMiddle AgedMortality, PrematuretrendsPolandepidemiologyPreventive Medicinestatistics & numerical dataRepublic of BelarusepidemiologySex FactorsSwedenepidemiology201921360202010660201921360ppublish3075342310.1093/eurpub/cky2785310001150481742007092620220330
1658-31752532004MarSaudi medical journalSaudi Med JPrevalence and 10-year secular trend of obesity in Oman.346351346-51To determine the prevalence of overweight and obesity by age, gender and region and to assess the difference between rural and urban populations and determine the trends of the past decade.Analysis of nationally represented samples from 2 cross-sectional surveys conducted in 1991 and 2000, containing 5,086 and 6,400 Omani citizens aged >or=20 years. Body mass index (BMI) (weight in kg) divided by height (in meters squared) was calculated using measured height and weight data. Overweight was defined as BMI 25-29.9 kg/m2 and obesity as BMI >or= 30 kg/m2.In the year 2000, the age adjusted prevalence of obesity reached 16.7% in men, compared to 10.5% in 1991 (p<0.001). In women, the prevalence was 23.8% in 2000, compared to 25.1% in 1991 (p=0.231). Similarly, the prevalence of overweight increased among men, from 28.8-32.1% (p=0.011) and decreased among women, from 29.5-27.3% (p=0.053). When obesity and overweight were combined, there was a significant increase in men (9.5%; p for the change <0.001) and decrease in women (3.5%; p for the change <0.003). Obesity and overweight combined was markedly more common in the Southern part of Oman (70%) compared to Northern areas (32-57%). People living in urban areas were more obese (21.1%) than those living in the rural communities (13.1%) (p<0.001).The prevalence of obesity is high in Oman and has increased predominantly among men. Primary prevention programs are needed to counteract this condition and its cardiovascular and metabolic complications.Al-LawatiJawad AJADepartment of Non-Communicable Diseases Control, Ministry of Health, Sultanate of Oman. jallawat@omantel.net.omJousilahtiPekka JPJengJournal Article
Saudi ArabiaSaudi Med J79094410379-5284IMAdultAgedAged, 80 and overBody Mass IndexCultureFemaleHumansLife StyleMaleMiddle AgedObesityepidemiologyOmanepidemiologyPrevalenceRural Populationstatistics & numerical dataUrban Populationstatistics & numerical data200433050200792790200433050ppublish1504817420030379'trying2...
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The effects of long-term physical activity interventions in communities: Scoping review in the Nordic countries.
Elsi H Haverinen Hanna M Elonheimo Hanna K Tolonen Pekka J Jousilahti Heini J C Wennman

Scand J Public Health

March 2022

Physical activity (PA) is an important part of maintaining good overall health. Currently, the number of insufficiently physically active adults and children is alarmingly high worldwide. To tackle the challenge, several interventions have been conducted, however, current knowledge on intervention effectiveness is still inconclusive.

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Preventable premature deaths (PYLL) in Northern Dimension partnership countries 2003-13.
Mikko A Vienonen Pekka J Jousilahti Karolina Mackiewicz Rafael G Oganov Vital M Pisaryk

Eur J Public Health

August 2019

Background: Objective was to measure preventable premature loss of life in countries from same geographical area but with considerable differences in social and economic development. By comparing inter-country differences and similarities in premature mortality, acceleration of health-in-all-policies is enhanced.

Methods: Preventable premature deaths were described by Potential Years of Life Lost (PYLL).

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Prevalence and 10-year secular trend of obesity in Oman.
Jawad A Al-Lawati Pekka J Jousilahti

Saudi Med J

March 2004

Objective: To determine the prevalence of overweight and obesity by age, gender and region and to assess the difference between rural and urban populations and determine the trends of the past decade.

Methods: Analysis of nationally represented samples from 2 cross-sectional surveys conducted in 1991 and 2000, containing 5,086 and 6,400 Omani citizens aged >or=20 years. Body mass index (BMI) (weight in kg) divided by height (in meters squared) was calculated using measured height and weight data.

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