Psychosocial wellbeing in active older adults: A systematic review of qualitative literature

Physical activity and wellbeing in older adults is a global priority in combating negative economic consequences associated with population aging. Quantitative research using a medicalized model clearly associates physical activity with physiological health benefits. However, it is argued that a review of qualitative literature exploring individual experiences of active older adults can provide important insights into physical activity, aging, and wellbeing – specifically, how discourses of ageing and self-identity may interact with physical activity levels. A literature search on electronic databases PsycARTICLES, PsycINFO, SPORTDiscus, and ProQuest was used to identify qualitative studies of older adults who exercise or engage in competitive sport. Findings reveal that both groups tend to resist dominant negative stereotypes of ageing and view physical activity as central to self- identity. Yet approaches to ageing varied with the competitive sport group adopting a more negative view of the ageing process. Whilst results suggest that different levels of physical activity may impact on the psychosocial wellbeing of older adults, inconsistent definitions of exercise and competitive sport make it impossible to group these differences according to specific physical activity levels. More precise definitions of physical activity constructs in future research may provide a better understanding of these differences.     

The evidence for the impact of policy on physical activity outcomes within the school setting: A systematic review

BackgroundDespite the well-established health benefits of physical activity (PA) for young people (aged 4–19 years), most do not meet PA guidelines. Policies that support PA in schools may be promising, but their impact on PA behavior is poorly understood. The aim of this systematic review was to ascertain the level and type of evidence reported in the international scientific literature for policies within the school setting that contribute directly or indirectly to increasing PA.MethodsThis systematic review is compliant with Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines. Six databases were searched using key concepts of policy, school, evaluation, and PA. Following title and abstract screening of 2323 studies, 25 progressed to data synthesis. Methodological quality was assessed using standardized tools, and the strength of the evidence of policy impact was described based on pre-determined codes: positive, negative, inconclusive, or untested statistically.ResultsEvidence emerged for 9 policy areas that had a direct or indirect effect on PA within the school setting. These were whole school PA policy, physical education, sport/extracurricular PA, classroom-based PA, active breaks/recess, physical environment, shared use agreements, active school transport, and surveillance. The bulk of the evidence was significantly positive (54%), 27% was inconclusive, 9% was significantly negative, and 11% was untested (due to rounding, some numbers add to 99% or 101%). Frequency of evidence was highest in the primary setting (41%), 34% in the secondary setting, and 24% in primary/secondary combined school settings. By policy area, frequency of evidence was highest for sport/extracurricular PA (35%), 17% for physical education, and 12% for whole school PA policy, with evidence for shared use agreements between schools and local communities rarely reported (2%). Comparing relative strength of evidence, the evidence for shared use agreements, though sparse, was 100% positive, while 60% of the evidence for whole school PA policy, 59% of the evidence for sport/extracurricular PA, 57% of the evidence for physical education, 50% of the evidence for PA in classroom, and 50% of the evidence for active breaks/recess were positive.ConclusionThe current evidence base supports the effectiveness of PA policy actions within the school setting but cautions against a “one-size-fits-all” approach and emphasizes the need to examine policy implementation to maximize translation into practice. Greater clarity regarding terminology, measurement, and methods for evaluation of policy interventions is needed.     

Fundamental motor skills: A systematic review of terminology

The three aims of this systematic review are to describe: (1) use of the term fundamental motor/movement skills (FMS) in published articles; (2) the quality of definitions; and (3) relative use of process- and product- oriented assessments to measure FMS. The inclusion criteria included: (a) peer-reviewed article, (b) printed in English, (c) published between January 2000 and 31 December 2015, (d) presence of either the term “fundamental motor or movement skill” in the title and/or abstract, and (e) FMS were a measured outcome. There has been an increase in the number of publications on FMS in recent years, with the majority of studies conducted in Australia (n = 41, 33%). Approximately 24% of studies (n = 30) did not provide any explicit definition of FMS. A majority of studies reported the use of process-oriented measures (n = 98, 79%) compared to product-oriented measures (n = 23, 19%), and few studies used both (n = 6, 5%). We recommend that researchers provide: (1) an operational definition of FMS that states FMS are the “building blocks” (or similar terminology) of more advanced, complex movements; (2) specific categories of skills that compose FMS; and (3) at least one specific example of a FMS.     

Health benefits of hard martial arts in adults: a systematic review

Participation in organized sports is promoted as a means of increasing physical activity levels and reducing chronic disease risk in adults. Hard martial arts practice (i.e. using body contact techniques), has gained in popularity over time. This review explores the evidence for health benefits of “hard” martial arts practice within the adult population. A systematic electronic database search was conducted, and quality assessments applied the Effective Public Health Practice Project tool. Twenty-eight studies met the inclusion criteria, examining balance, cognitive function, muscular skeletal status, psychological, cardiovascular fitness, and metabolic effects. The majority of studies reported positive effects resulting from hard martial arts practice, showing some improvement and maintenance of balance, cognitive function and psychological health. Benefits may be obtained regardless of the age of practice commencement. However, quality of the evidence is affected by methodological weaknesses across the studies. “Hard” martial arts seem to have potential to improve balance and cognitive functions that decline with age, which can lead to poorer health outcomes among the elderly (e.g. cognitive decline, falls and fractures). Benefits should be further investigated with improved intervention studies, representative samples and longer follow-up periods in order to establish associations with morbidity and mortality in the long term.     

Sport event legacy: A systematic quantitative review of literature

The study of sport event legacies has grown rapidly since 2000 across a number of disciplines related to planning and hosting large-scale sport events. However, to date, there have been limited attempts to systematically review and synthesise extant sport event legacy research, reflect on existing knowledge, and identify key gaps for future research. In this article, the authors reviewed the state of sport event legacy research through a systematic quantitative review of 305 original, peer-reviewed research articles published in English language journals between 2000 and 2016. Results demonstrate that a small group of academics concentrated in particular countries are driving the publication of studies on sport event legacy in predominately specialised sport and event journals. There is a clear research interest in legacy outcomes realised through hosting sport events in areas of public life, politics, and culture, as well as mass participation sport. The authors identify key areas for future research and make recommendations for empirical research designs to progress scholarship and better inform policy and practice pertaining to sport event legacy.     

A systematic review of sport for development interventions across six global cities

Recently published reviews have begun the process of synthesizing the knowledge within the growing Sport for Development (SfD) field, but there is a need to critically evaluate the research on which these findings are based. This systematic review is a critical appraisal of both quantitative and qualitative evidence in academic and grey literature in the SfD field. The strength and quality of the research is assessed to provide a more nuanced understanding of the reported evidence of SfD interventions in six global cities (Cape Town, Hong Kong, London, Mumbai, Nairobi, and New Orleans). The results include several key findings: (a) there is a limited number of academic and grey literature with enough methodological details for critical appraisal; (b) the quality of methods and evidence in individual studies is largely classified as weak; and (c) there is a need for more rigorous, systematic research and evaluation efforts that are openly shared and assessed. These findings provide a foundation from which to suggest ‘next steps’ for SfD organisations and researchers.     

Organisational factors and non-accidental violence in sport: A systematic review

The objective of the current systematic review was to investigate the organisational factors that enable and motivate non-accidental violence towards athletes in the sport context. The authors identified and reviewed 43 qualitative studies investigating psychological, physical, and sexual abuse of athletes, and developed a framework of organisational factors (i.e., structural, social, and stress factors) related to non-accidental violence. Athletes were the key informants, yet some studies included athletes’ entourages. The authors independently coded the findings sections of the primary research, using the developed framework. Organisational tolerance for abuse and conformity to dominant values within sports were related to all three types of non-accidental violence. Power imbalance appeared as a relevant factor in both psychological and sexual abuse, while isolation was also relevant in sexual abuse. Believing that non-accidental violence had instrumental effects appeared related to both psychological and physical abuse, whereas a winner-take-all reward system was related to physical abuse. Based on this systematic review, the authors proposed an integrated perspective of the organisational factors driving non-accidental violence in sport and conclude by proposing a whole-of-system approach to the prevention and management of non-accidental violence.     

The effect of exercise interventions on resting metabolic rate: A systematic review and meta-analysis

ABSTRACT

The systematic review and meta-analysis evaluated the effect of aerobic, resistance and combined exercise on RMR (kCal·day^-1) and performed a methodological assessment of indirect calorimetry protocols within the included studies. Subgroup analyses included energy/diet restriction and body composition changes. Randomized control trials (RCTs), quasi – RCTs and cohort trials featuring a physical activity intervention of any form and duration excluding single exercise bouts were included. Participant exclusions included medical conditions impacting upon RMR, the elderly (≥65 years of age) or pregnant, lactating or post-menopausal women. The review was registered in the International Prospective Register of Systematic Reviews (CRD 42,017,058,503). 1669 articles were identified; 22 were included in the qualitative analysis and 18 were meta-analysed. Exercise interventions (aerobic and resistance exercise combined) did not increase resting metabolic rate (mean difference (MD): 74.6 kCal·day^-1[95% CI: ?13.01, 161.33], P = 0.10). While there was no effect of aerobic exercise on RMR (MD: 81.65 kCal·day^-1[95% CI: ?57.81, 221.10], P = 0.25), resistance exercise increased RMR compared to controls (MD: 96.17 kCal·day^-1[95% CI: 45.17, 147.16], P = 0.0002). This systematic review effectively synthesises the effect of exercise interventions on RMR in comparison to controls; despite heterogenous methodologies and high risk of bias within included studies.     

Typologies of Greek inactive older adults based on reasons for abstaining from exercise and conditions for change

Abstract

The main purpose of this study was to examine typologies of non-exercisers based on reasons for physical inactivity and conditions reported to be necessary to change exercise behaviour. These typologies were then compared on psychological variables of interest and exercise history. Questionnaires were distributed to Greek older adults aged 60 and above who were recruited from social clubs and city cafés. Only individuals engaging in no regular exercise were recruited (n = 188). The results of hierarchical and k-means cluster analyses revealed two clusters for males (“approachable” and “unconvinced”) and three for females (“unconcerned”, “approachable”, and “unconvinced”). The clusters differed significantly on psychological variables not used in the cluster solution. Exercise history distinguished between clusters only among males. The results reveal that physically inactive older adults are not a homogeneous group of individuals. Implementers of physical activity interventions should probably use a range of strategies that take into consideration that some sedentary older adults are more amenable to consider taking up exercise than others.     

Handgrip strength and health outcomes: Umbrella review of systematic reviews with meta-analyses of observational studies

PurposeThe aim of the present study was to assess both the credibility and strength of evidence arising from systematic reviews with meta-analyses of observational studies on handgrip strength and health outcomes.MethodsAn umbrella review of systematic reviews with meta-analyses of observational studies was conducted. We assessed meta-analyses of observational studies based on random-effect summary effect sizes and their p values, 95% prediction intervals, heterogeneity, small-study effects, and excess significance. We graded the evidence from convincing (Class I) to weak (Class IV).ResultsFrom 504 articles returned in a search of the literature, 8 systematic reviews were included in our review, with a total of 11 outcomes. Overall, nine of the 11 of the outcomes reported nominally significant summary results (p < 0.05), with 4 associations surviving the application of the more stringent p value (p < 10⁻⁶). No outcome presented convincing evidence. Three associations showed Class II evidence (i.e., highly suggestive): (1) higher handgrip values at baseline were associated with a minor reduction in mortality risk in the general population (n = 34 studies; sample size = 1,855,817; relative risk = 0.72, 95% confidence interval (95%CI): 0.67–0.78), (2) cardiovascular death risk in mixed populations (n = 15 studies; relative risk = 0.84, 95%CI: 0.78–0.91), and (3) incidence of disability (n = 7 studies; relative risk = 0.76, 95%CI: 0.66–0.87).ConclusionThe present results show that handgrip strength is a useful indicator for general health status and specifically for early all-cause and cardiovascular mortality, as well as disability. To further inform intervention strategies, future research is now required to fully understand mechanisms linking handgrip strength scores to these health outcomes.     

少年儿童锻炼心理学研究述评

综述了少年儿童身体锻炼的心理前因、心理效益及与心理效益有关的身体锻炼方式,分析与讨论了该领域研究的现状与存在的问题,对我国少年儿童锻炼心理学的研究提出了建议。     

Self-rated wellbeing and physical activity associations in European older adults

Background: Physical activity and self-rated wellbeing have important benefits to health. However, scientific knowledge regarding their relationship among older adults is scarce. Thus, the aim of this study was to examine the associations between physical activity frequency and several dimensions of self-rated wellbeing, in a representative sample of European older adults from 28 countries. Methods: This study is based on the European Social Survey round 6, 2012. It had a total sample size of 12,341 older adults (5100 men, 7241 women) with mean age 73.8?±?6.6 years. Information was collected through a questionnaire, filled-in during an hour-long face-to-face interview. Physical activity was accessed using the question “On how many of the last 7 days you were physically active continuously for 20 minutes or longer?” and six dimensions of self-rated wellbeing were used. Results: Physical activity in the last 7 days was linearly related with all dimension of the self-rated wellbeing and with wellbeing total score for both sexes (men, β?=?0.09, 95% CI: 0.07 to 0.10, p?β?=?0.10, 95% CI: 0.09 to 0.11, p?Conclusions: Physical activity promotion should be stressed as a meaningful strategy to improve people's wellbeing overall. This strategy has special importance when considering the older adult population.     

Choking interventions in sports: A systematic review

ABSTRACT

Choking under pressure describes suboptimal sport performance in stressful situations, which has led to two fundamental ‘choking’ models: distraction and self-focus. The purpose of this review was to provide an overview of empirical studies that have tested interventions used to alleviate choking. The systematic review includes 47 empirical studies published up to April 2017, including experimental, quasi-experimental, and single-case studies with athletes. These studies encompassed a variety of interventions (n?=?13) that were either distraction based or self-focus based. In addition, a third group – acclimatisation interventions – was identified. The results indicate that, in general, choking interventions based on both choking models and on acclimatisation provide a benefit to performance under pressure. The most reported effective interventions were pre-performance routines, quiet eye training, left-hand contractions, and acclimatisation training. The use of dual task was beneficial for performance under pressure but harmful when used in training. Mixed evidence was found for analogy learning, and null effects were reported for goal setting, neurofeedback training, and reappraisal cues. These results may help athletes and coaches select and implement effective strategies and methods to improve performance under pressure.     

大众体育锻炼行为研究综述

对大众体育锻炼行为的研究进行综述和讨论,提出了该领域今后研究努力的方向:①尽量考虑政治、经济、文化等因素的综合作用和交叉作用对体育锻炼行为的影响;②依托“计划行为理论”对锻炼行为进行实证研究;③完善测量工具和规范测量方法。     

Exercise and inflammation in coronary artery disease: A systematic review and meta-analysis of randomised trials

ABSTRACT

Current evidence suggests that chronic inflammation contributes to the development of coronary artery disease (CAD). Interestingly, exercise may constitute a method of reducing inflammation in this patient population. As such, this systematic review and meta-analysis examined the evidence generated by randomised studies that investigated the effect of exercise on inflammatory biomarkers in CAD. Literature was sought from various sources. Outcomes were pooled in a random-effects model to calculate standardised mean differences (SMD) with 95% confidence intervals (CI). Twenty-five studies were reviewed; post-intervention C-reactive protein (SMD: ?0.55 (95% CI: ?0.93, ?0.16), P = 0.005), fibrinogen (SMD: ?0.52 (95% CI: ?0.74, ?0.29, P = <0.00001)), and von Willebrand factor (SMD: ?1.57 (95% CI: ?2.23, ?0.92), P = <0.00001) values were significantly lower in exercise groups compared to controls. In addition, qualitative analyses identified evidence that supports a beneficial effect of exercise on these acute-phase reactants. However, the impact of exercise on anti–inflammatory cytokines, adhesion molecules, and chemokines is equivocal, which may be attributed to a paucity of research. Nevertheless, the findings of this review suggest that exercise induces an anti–inflammatory effect in CAD patients. Although, the quality of evidence needs to be improved by further randomised studies with high methodological qualities and large sample sizes.     

The ABC of Physical Activity for Health: A consensus statement from the British Association of Sport and Exercise Sciences

Absract

Our understanding of the relationship between physical activity and health is constantly evolving. Therefore, the British Association of Sport and Exercise Sciences convened a panel of experts to review the literature and produce guidelines that health professionals might use. In the ABC of Physical Activity for Health, A is for All healthy adults, B is for Beginners, and C is for Conditioned individuals. All healthy adults aged 18–65 years should aim to take part in at least 150 min of moderate-intensity aerobic activity each week, or at least 75 min of vigorous-intensity aerobic activity per week, or equivalent combinations of moderate- and vigorous-intensity activities. Moderate-intensity activities are those in which heart rate and breathing are raised, but it is possible to speak comfortably. Vigorous-intensity activities are those in which heart rate is higher, breathing is heavier, and conversation is harder. Aerobic activities should be undertaken in bouts of at least 10 min and, ideally, should be performed on five or more days a week. All healthy adults should also perform muscle-strengthening activities on two or more days a week. Weight training, circuit classes, yoga, and other muscle-strengthening activities offer additional health benefits and may help older adults to maintain physical independence. Beginners should work steadily towards meeting the physical activity levels recommended for all healthy adults. Even small increases in activity will bring some health benefits in the early stages and it is important to set achievable goals that provide success, build confidence, and increase motivation. For example, a beginner might be asked to walk an extra 10 min every other day for several weeks to slowly reach the recommended levels of activity for all healthy adults. It is also critical that beginners find activities they enjoy and gain support in becoming more active from family and friends. Conditioned individuals who have met the physical activity levels recommended for all healthy adults for at least 6 months may obtain additional health benefits by engaging in 300 min or more of moderate-intensity aerobic activity per week, or 150 min or more of vigorous-intensity aerobic activity each week, or equivalent combinations of moderate- and vigorous-intensity aerobic activities. Adults who find it difficult to maintain a normal weight and adults with increased risk of cardiovascular disease or type 2 diabetes may in particular benefit from going beyond the levels of activity recommended for all healthy adults and gradually progressing towards meeting the recommendations for conditioned individuals. Physical activity is beneficial to health with or without weight loss, but adults who find it difficult to maintain a normal weight should probably be encouraged to reduce energy intake and minimize time spent in sedentary behaviours to prevent further weight gain. Children and young people aged 5–16 years should accumulate at least 60 min of moderate-to-vigorous-intensity aerobic activity per day, including vigorous-intensity aerobic activities that improve bone density and muscle strength.     

Temporal trends in 6-minute walking distance for older Japanese adults between 1998 and 2017

BackgroundThe 6-minute walking distance (6MWD) is an excellent measure of both functional endurance and health. The primary aim of this study was to estimate temporal trends in 6MWD for older Japanese adults between 1998 and 2017; the secondary aim was to estimate concurrent trends in body size (i.e., height and mass) and self-reported participation in exercise/sport.MethodsAdults aged 65–79 years were included. Annual nationally representative 6MWD data (n = 103,505) for the entire period were obtained from the Japanese Ministry of Education, Culture, Sports, Science and Technology. Temporal trends in means (and relative frequencies) were estimated at the gender–age level by best-fitting sample-weighted linear/polynomial regression models, with national trends estimated by a post-stratified population-weighting procedure. Temporal trends in distributional variability were estimated as the ratio of coefficients of variation.ResultsBetween 1998 and 2017 there was a steady, moderate improvement in mean 6MWD (absolute = 45 m (95% confidence interval (95%CI): 43–47); percent = 8.0% (95%CI: 7.6%–8.4%); effect size = 0.51 (95%CI: 0.48–0.54)). Gender- and age-related temporal differences in means were negligible. Variability in 6MWD declined substantially (ratio of coefficients of variation = 0.89, 95%CI: 0.87–0.92), with declines larger for women compared to men, and for 75–79-year-olds compared to 65–74-year-olds. Correspondingly, there were moderate and negligible increases in mean height and mass, respectively, and negligible increases in the percentage who participated in exercise/sport at least 3 days per week and at least 30 min per session.ConclusionThere has been a steady, moderate improvement in mean 6MWD for older Japanese adults since 1998, which is suggestive of corresponding improvements in both functional endurance and health. The substantial decline in variability indicates that the temporal improvement in mean 6MWD was not uniform across the distribution. Trends in 6MWD are probably influenced by corresponding trends in body size and/or participation in exercise/sport.     

科学健身素养的相关研究述评

在全面提高青少年科学素质,青少年体育健身意识、科学健身素养普遍增强的社会背景下,本文采用文献资料法,以科学健身素养为切入点,从科学素养的理论视角、青少年科学素养的现状视角,以及从青少年参与体育健身现状等视角出发,对青少年科学健身素养的相关研究进行分析。研究了解到,研究青少年科学素养和参与体育健身的相关学者较多,但是至今还鲜有学者以科学健身素养为切入点,研究青少年的科学健身素养。而且在已有的相关研究中,理论研究多于实证研究;研究对象单一;研究方法局限化,多为文献资料法和问卷调查法。