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Patel J, Katapally TR, Khadilkar A, Bhawra J. The interplay between air pollution, built environment, and physical activity: Perceptions of children and youth in rural and urban India. Health Place 2024; 85:103167. [PMID: 38128264 DOI: 10.1016/j.healthplace.2023.103167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/20/2023] [Revised: 12/05/2023] [Accepted: 12/06/2023] [Indexed: 12/23/2023]
Abstract
The role of physical inactivity as a contributor to non-communicable disease risk in children and youth is widely recognized. Air pollution and the built environment can limit participation in physical activity and exacerbate non-communicable disease risk; however, the relationships between perceptions of air pollution, built environment, and health behaviours are not fully understood, particularly among children and youth in low and middle-income countries. Currently, there are no studies capturing how child and youth perceptions of air pollution and built environment are associated with physical activity in India, thus, this study investigated the association between perceived air pollution and built environment on moderate-to-vigorous physical activity (MVPA) levels of Indian children and youth. Online surveys captured MVPA, perception of air pollution as a problem, built environment factors, as well as relevant sociodemographic characteristics from parents and children aged 5-17 years in partnership with 41 schools across 28 urban and rural locations during the Coronavirus disease lockdowns in 2021. After adjusting for age, gender, and location, a significant association was found between the perception of air pollution as a problem and MVPA levels (β = -18.365, p < 0.001). Similarly, the perception of a high crime rate was associated with lower MVPA levels (β = -23.383, p = 0.002). Reporting the presence of zebra crossings, pedestrian signals, or attractive natural sightings were associated with higher MVPA levels; however, this association varied across sociodemographic groups. These findings emphasize the importance of addressing air pollution and improving the built environment to facilitate outdoor active living, including active transportation, among children and youth - solutions that are particularly relevant not only for preventing non-communicable disease risk but also for climate change mitigation.
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Affiliation(s)
- Jamin Patel
- DEPtH Lab, Faculty of Health Sciences, Western University, London, Ontario, N6A 5B9, Canada; Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, Ontario, N6A 3K7, Canada
| | - Tarun Reddy Katapally
- DEPtH Lab, Faculty of Health Sciences, Western University, London, Ontario, N6A 5B9, Canada; Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, Ontario, N6A 3K7, Canada; Children's Health Research Institute, Lawson Health Research Institute, 750 Base Line Road East, Suite 300, London, Ontario, N6C 2R5, Canada; Hirabai Cowasji Jehangir Medical Research Institute, Pune, Maharashtra, 411 001, India
| | - Anuradha Khadilkar
- Hirabai Cowasji Jehangir Medical Research Institute, Pune, Maharashtra, 411 001, India
| | - Jasmin Bhawra
- Hirabai Cowasji Jehangir Medical Research Institute, Pune, Maharashtra, 411 001, India; School of Occupational and Public Health, Toronto Metropolitan University, Toronto, Ontario, M5B 2K3, Canada.
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Xu J, Liu Y, Liu Y, An R, Tong Z. Integrating street view images and deep learning to explore the association between human perceptions of the built environment and cardiovascular disease in older adults. Soc Sci Med 2023; 338:116304. [PMID: 37907059 DOI: 10.1016/j.socscimed.2023.116304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2023] [Revised: 08/10/2023] [Accepted: 10/05/2023] [Indexed: 11/02/2023]
Abstract
Understanding how built environment attributes affect health remains important. While many studies have explored the objective characteristics of built environments that affect health outcomes, few have examined the role of human perceptions of built environments on physical health. Baidu Street View images and computer vision technological advances have helped researchers overcome the constraints of traditional methods of measuring human perceptions (e.g., these methods are laborious, time-consuming, and costly), allowing for large-scale measurements of human perceptions. This study estimated human perceptions of the built environment (e.g., beauty, boredom, depression, safety, vitality, and wealth) by adopting Baidu Street View images and deep learning algorithms. Negative binomial regression models were employed to analyze the relationship between human perceptions and cardiovascular disease in older adults (e.g., ischemic heart disease and cerebrovascular disease). The results indicated that wealth perception is negatively related to the risk of cardiovascular disease. However, depression and vitality perceptions are positively associated with the risk of cardiovascular disease. Furthermore, we found no relationship between beauty, boredom, safety perceptions, and the risk of cardiovascular disease. Our findings highlight the importance of human perceptions in the development of healthy city planning and facilitate a comprehensive understanding of the relationship between built environment characteristics and health outcomes in older adults. They also demonstrate that street view images have the potential to provide insights into this complicated issue, assisting in the formulation of refined interventions and health policies.
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Affiliation(s)
- Jiwei Xu
- School of Resource and Environmental Sciences, Wuhan University, Wuhan, 430079, PR China
| | - Yaolin Liu
- School of Resource and Environmental Sciences, Wuhan University, Wuhan, 430079, PR China; Collaborative Innovation Center of Geospatial Technology, Wuhan University, Wuhan, 430079, PR China; Key Laboratory of Geographic Information System of Ministry of Education, Wuhan University, Wuhan, 430079, PR China; Duke Kunshan University, Kunshan, 215316, PR China.
| | - Yanfang Liu
- School of Resource and Environmental Sciences, Wuhan University, Wuhan, 430079, PR China; Collaborative Innovation Center of Geospatial Technology, Wuhan University, Wuhan, 430079, PR China; Key Laboratory of Geographic Information System of Ministry of Education, Wuhan University, Wuhan, 430079, PR China
| | - Rui An
- School of Resource and Environmental Sciences, Wuhan University, Wuhan, 430079, PR China
| | - Zhaomin Tong
- School of Resource and Environmental Sciences, Wuhan University, Wuhan, 430079, PR China
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Litsmark A, Rahm J, Mattsson P, Johansson M. Children's independent mobility during dark hours: a scoping review. Front Public Health 2023; 11:1110224. [PMID: 37361172 PMCID: PMC10288107 DOI: 10.3389/fpubh.2023.1110224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Accepted: 05/19/2023] [Indexed: 06/28/2023] Open
Abstract
Introduction Independent mobility is every child's right and has implications for their health, wellbeing, and development. This scoping review addresses children's needs and experiences of light conditions in their everyday outdoor life. The review examines peer-reviewed scientific literature that analyses associations between different light conditions and children's independent mobility (CIM) during dark hours. Methods By formulating a Boolean search string, including terms related to children independent mobility, light and outdoor environment, five scientific databases were searched. The search resulted in 67 eligible papers that were analyzed through an inductive, thematic analysis. Results Four overarching themes representing the researched topics of the effects of light conditions with importance for CIM during dark hours were identified: (1) physical activity (PA) and active travel, (2) outdoor activities and place use, (3) safety perception, and (4) outdoor risks. The findings highlight that darkness constitutes a major obstacle for CIM, and that fear of darkness is common among children. It restricts the degree of CIM and influences children's safety perception as well as how they navigate through public places outdoors. The findings show that the type and design of outdoor settings during dark hours and children's familiarity with places during daytime could play a role in the degree of CIM after dark. The presence of outdoor lighting is related to children's increased PA and active travel, and outdoor lighting seems to also influence children's place use and interaction with the environment. The presence and extent of outdoor lighting and lighting quality may play a role in children's safety perception, which in turn can influence CIM. Discussion The findings suggest that promoting CIM during dark hours might not only contribute to the accumulation of children's PA, confidence, and skills, but also support mental health. The understanding of children's perspectives on the quality of outdoor lighting needs to be deepened to support CIM. Highlighting the child perspective would aid the development of current recommendations for outdoor lighting and the implementation of the Agenda 2030 of ensuring healthy lives and promoting wellbeing for all at all ages, and making cities inclusive, safe, resilient and sustainable throughout the day and seasons.
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Wayas FA, Smith JA, Lambert EV, Guthrie-Dixon N, Wasnyo Y, West S, Oni T, Foley L. Association of Perceived Neighbourhood Walkability with Self-Reported Physical Activity and Body Mass Index in South African Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2449. [PMID: 36767815 PMCID: PMC9916213 DOI: 10.3390/ijerph20032449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Revised: 01/24/2023] [Accepted: 01/25/2023] [Indexed: 06/18/2023]
Abstract
Adolescence is a life stage critical to the establishment of healthy behaviours, including physical activity (PA). Factors associated with the built environment have been shown to impact PA across the life course. We examined the sociodemographic differences in, and associations between, perceived neighbourhood walkability, PA, and body mass index (BMI) in South African adolescents. We recruited a convenience sample (n = 143; 13-18 years; 65% female) of students from three high schools (middle/high and low-income areas). Participants completed a PA questionnaire and the Neighbourhood Environment Walkability Scale (NEWS)-Africa and anthropometry measurements. Multivariable linear regression was used to examine various relationships. We found that, compared with adolescents living in middle/high income neighbourhoods, those living in low-income neighbourhoods had lower perceived walkability and PA with higher BMI percentiles. The associations between neighbourhood walkability and PA were inconsistent. In the adjusted models, land use diversity and personal safety were associated with club sports participation, street connectivity was positively associated with school sports PA, and more favourable perceived walkability was negatively associated with active transport. Overall, our findings suggest that the perceived walkability of lower income neighbourhoods is worse in comparison with higher income neighbourhoods, though the association with PA and BMI is unclear.
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Affiliation(s)
- Feyisayo A. Wayas
- Research Centre for Health through Physical Activity, Lifestyle and Sport (HPALS), Division of Physiological Sciences, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town 7700, South Africa
| | - Joanne A. Smith
- Caribbean Institute for Health Research, Epidemiology Research Unit, The University of the West Indies, Mona, Kingston 7, Jamaica
| | - Estelle V. Lambert
- Research Centre for Health through Physical Activity, Lifestyle and Sport (HPALS), Division of Physiological Sciences, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town 7700, South Africa
| | - Natalie Guthrie-Dixon
- Caribbean Institute for Health Research, Epidemiology Research Unit, The University of the West Indies, Mona, Kingston 7, Jamaica
| | - Yves Wasnyo
- Health of Populations in Transition (HoPiT), Research Group, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé P.O. Box 8046, Cameroon
| | - Sacha West
- Department of Sport Management, Cape Peninsula University of Technology, Cape Town 7705, South Africa
| | - Tolu Oni
- Medical Research Council Epidemiology Unit, University of Cambridge, Cambridge CB2 0QQ, UK
- Research Initiative for Cities Health and Equity (RICHE), School of Public Health and Family Medicine, University of Cape Town, Cape Town 7925, South Africa
| | - Louise Foley
- Medical Research Council Epidemiology Unit, University of Cambridge, Cambridge CB2 0QQ, UK
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Will the Construction of Sports Facilities Nudge People to Participate in Physical Exercises in China? The Moderating Role of Mental Health. Healthcare (Basel) 2023; 11:healthcare11020219. [PMID: 36673586 PMCID: PMC9858653 DOI: 10.3390/healthcare11020219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2022] [Revised: 01/05/2023] [Accepted: 01/09/2023] [Indexed: 01/13/2023] Open
Abstract
This study aims to examine the nudging effect of the sports facility construction on physical exercise (PE) participation with consideration of the moderating role of mental health in China. Multiple linear regression models are used in this study. The subjects are 4634 from the 2014 China Family Panel Studies (CFPS) data, which is a nationally representative longitudinal survey of Chinese individuals. We find that the construction of sports facilities nudges people to participate in PE, and gender, age, and education significantly influence people's participation in PE. Young, female, and better-educated people compose the "neo-vulnerable" population, who participate less in PE in China and need more interventions. Mental health status has no significant effect on people's PE participation, while it negatively moderates the nudging effect of the construction of sports facilities on PE. The results of this study suggest that only building sporting facilities is insufficient to encourage PE participation. Policies and interventions should be given to mentally disturbed individuals to guarantee and magnify the nudging effect of sports facilities on PE.
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Wang Y, Liu Y, Song S, Gittelsohn J, Ouellette M, Ma Y, Wen D. Individual, parental and built environmental features as influencing factors of active travel to school in northeast China: findings from a cross-sectional study. BMJ Open 2022; 12:e047816. [PMID: 35074806 PMCID: PMC8788196 DOI: 10.1136/bmjopen-2020-047816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
OBJECTIVES Active travel to school (ATS)-associated factors had been studied in some developed countries but rarely in China. We studied the associated factors of ATS at individual, parental and built environment domains in northeast China. DESIGN AND PARTICIPANTS A cross-sectional survey was conducted among 4-6 grade students in 2017. Sociodemographic features and information of parents were collected using questionnaires, and SuperMap (a geographical information system software) was used to catch built environment features. Logistic regression models were used to examine the relationship between multilevel factors and ATS. RESULTS Our study sample comprised 3670 primary school students aged from 8 to 15 (boys=51.0%, ATS=48.8%). Perceived to be fat (OR 1.25, 95% CI 1.00 to 1.55, p<0.05), feeling easy to walk for a short distance (OR 1.63, 95% CI 1.21 to 2.20, p<0.05), mother unemployed (OR 1.52, 95% CI 1.13 to 2.06, p<0.05), higher land use mix (OR 1.23, 95% CI 1.11 to 1.37, p<0.001) and higher density of public transport stations (OR 1.22, 95% CI 1.09 to 1.37, p<0.05) were positively associated with increased possibility of ATS, while higher household annual income (OR 0.60, 95% CI 0.44 to 0.83, p<0.05) and possession of private vehicles (OR 0.56, 95% CI 0.45 to 0.69, p<0.001) were negatively associated with possibility of ATS. CONCLUSIONS The significant factors associated with ATS were at every examined level, which implies multilevel interventions are needed to encourage ATS. Further interventions could focus on the children's willingness to lead students to opt for healthy behaviours, and children from wealthier families should be encouraged to choose ATS. Also, the government should improve built environment walkability so as to encourage ATS.
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Affiliation(s)
- Yinuo Wang
- Institute of Health Science, China Medical University, Shenyang, Liaoning, China
| | - Yang Liu
- Institute of Health Science, China Medical University, Shenyang, Liaoning, China
| | - Shenzhi Song
- Institute of Health Science, China Medical University, Shenyang, Liaoning, China
| | - Joel Gittelsohn
- Center for Human Nutrition, Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA
| | - Miranda Ouellette
- Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA
| | - Yanan Ma
- Biostatistics and Epidemiology, China Medical University Department of Social Sciences, Shenyang, Liaoning, China
| | - Deliang Wen
- Institute of Health Science, China Medical University, Shenyang, Liaoning, China
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Failure to Launch: Predictors of Unfavourable Physical Activity and Sedentary Behaviour Trajectories from Childhood to Adolescence: The Gateshead Millennium Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182413283. [PMID: 34948891 PMCID: PMC8701380 DOI: 10.3390/ijerph182413283] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/14/2021] [Revised: 12/07/2021] [Accepted: 12/12/2021] [Indexed: 11/28/2022]
Abstract
In a previous study based on this cohort, only 15% of the participants belonged to a favourable physical activity/sedentary behaviour trajectory group (characterised by relatively high moderate–vigorous intensity physical activity and relatively low sedentary behaviour across childhood and adolescence). Since this favourable trajectory is protective against obesity, we aimed to identify factors associated with membership of this group. In this longitudinal study, 671 participants were assessed at ages 7, 9, 12 and 15 years. Participants’ demographics, socio-economic status (SES) and physical activity environment such as, sports club participation and commuting school were assessed at ages 7, 9 and 12 and analysed with favourable trajectory membership as an outcome using multinomial logistic regression. Sex (male) and SES (higher) were the non-modifiable factors associated with favourable trajectory group. Of the modifiable factors, commuting to school at age 7, a safe environment to play at age 7 and sports club participation at age 12 were all associated with more than 2.0 times increased probability of being in the most favourable trajectory. Future interventions to promote a favourable trajectory could focus on girls and participants with low SES. Promoting active commuting, safe local spaces to play and sports participation should also help lead to a favourable trajectory for physical activity and sedentary behaviour across childhood and adolescence.
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Sarmiento OL, Rubio MA, King AC, Serrano N, Hino AAF, Hunter RF, Aguilar-Farias N, Parra DC, Salvo D, Jáuregui A, Lee RE, Kohl B. [El entorno construido en los programas diseñados para promover la actividad física entre las niñas, niños y jóvenes latinos que viven en Estados Unidos y América Latina]. Obes Rev 2021; 22 Suppl 5:e13345. [PMID: 34708530 DOI: 10.1111/obr.13345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Accepted: 02/26/2021] [Indexed: 11/28/2022]
Affiliation(s)
- Olga L Sarmiento
- Facultad de Medicina, Universidad de los Andes, Bogotá, Colombia
| | | | - Abby C King
- Department of Epidemiology and Population Health, Stanford University School Medicine, Stanford, California, EE. UU.,Stanford Prevention Research Center, Department of Medicine, Stanford University School Medicine, Stanford, California, EE. UU
| | - Natalicio Serrano
- Prevention Research Center, Brown School at Washington University in St. Louis, San Luis, Misuri, EE. UU
| | - Adriano Akira F Hino
- Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina, Pontifícia Universidade Católica do Paraná, Curitiba, Brasil
| | - Ruth F Hunter
- Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, Reino Unido
| | - Nicolas Aguilar-Farias
- Departamento de Educación Física, Deportes y Recreación, Universidad de La Frontera, Temuco, Chile
| | - Diana C Parra
- Prevention Research Center, Brown School at Washington University in St. Louis, San Luis, Misuri, EE. UU
| | - Deborah Salvo
- Prevention Research Center, Brown School at Washington University in St. Louis, San Luis, Misuri, EE. UU.,Departamento de Actividad Física y Estilos de Vida Saludables, Centro de Investigación en Nutrición y Salud, Instituto Nacional de Salud Pública, Cuernavaca, México
| | - Alejandra Jáuregui
- Departamento de Actividad Física y Estilos de Vida Saludables, Centro de Investigación en Nutrición y Salud, Instituto Nacional de Salud Pública, Cuernavaca, México
| | - Rebecca E Lee
- Center for Health Promotion and Disease Prevention, Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, Arizona, EE. UU
| | - Bill Kohl
- School of Public Health in Austin Department of Epidemiology, Human Genetics and Environmental Sciences Michael and Susan Dell Center for Advancement of Health Living, Austin, Texas, EE. UU
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Sarmiento OL, Rubio MA, King AC, Serrano N, Hino AAF, Hunter RF, Aguilar-Farias N, Parra DC, Salvo D, Jáuregui A, Lee RE, Kohl B. Built environment in programs to promote physical activity among Latino children and youth living in the United States and in Latin America. Obes Rev 2021; 22 Suppl 3:e13236. [PMID: 33825294 PMCID: PMC8365655 DOI: 10.1111/obr.13236] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Accepted: 02/26/2021] [Indexed: 01/17/2023]
Abstract
To prevent obesity among Latino youth in the United States and Latin America, it is necessary to understand the specific context and interplay of physical activity (PA) and the built environment (BE). This paper aims to advance the research agenda of BE and PA for obesity prevention in Latin America and among Latino youth in the United States by (1) identifying environmental indicators to inform the design of interventions and policy, (2) identifying interdisciplinary methodological approaches for the study of the complex association between BE and PA, and (3) presenting case studies of PA-promoting BE programs. A group of U.S. and Latin American scientists collaboratively worked to propose innovative indicators of the BE, methodological approaches for the study of the complex association between BE and PA, and review case studies of PA-promoting BE programs in both regions. The results identified gaps in knowledge, proposed environmental indicators (e.g., landscape, street design, mobility patterns, and crime and safety), reviewed methodological approaches (social network analysis, citizen science methods), and case studies illustrating PA-promoting BE programs (i.e., play streets, active school transport, and school setting interventions). The obesity prevention among Latino and Latin American youth requires advanced research on BE and PA addressing context-specific priorities and exchanging lessons learned.
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Affiliation(s)
| | | | - Abby C King
- Department of Epidemiology and Population Health, Stanford University School Medicine, Stanford, California, USA.,Stanford Prevention Research Center, Department of Medicine, Stanford University School Medicine, Stanford, California, USA
| | - Natalicio Serrano
- Prevention Research Center, Brown School at Washington University in St. Louis, St. Louis, Missouri, USA
| | - Adriano Akira F Hino
- Health Sciences Graduate Program, School of Medicine, Pontifícia Universidade Católica do Paraná, Curitiba, Brazil
| | - Ruth F Hunter
- Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, UK
| | - Nicolas Aguilar-Farias
- Department of Physical Education, Sports and Recreation, Universidad de La Frontera, Temuco, Chile
| | - Diana C Parra
- Prevention Research Center, Brown School at Washington University in St. Louis Scholar Institute of Public Health, St. Louis, Missouri, USA
| | - Deborah Salvo
- Prevention Research Center, Brown School at Washington University in St. Louis, St. Louis, Missouri, USA.,Department of Physical Activity and Healthy Lifestyles, Center for Nutrition and Health Research, National Institute of Public Health, Cuernavaca, Mexico
| | - Alejandra Jáuregui
- Department of Physical Activity and Healthy Lifestyles, Center for Nutrition and Health Research, National Institute of Public Health, Cuernavaca, Mexico
| | - Rebecca E Lee
- Center for Health Promotion and Disease Prevention, Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, Arizona, USA
| | - Bill Kohl
- School of Public Health in Austin Department of Epidemiology, Human Genetics and Environmental Sciences Michael and Susan Dell Center for Advancement of Health Living, Austin, Texas, USA
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