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Kaseva K, Lounassalo I, Yang X, Kukko T, Hakonen H, Kulmala J, Pahkala K, Rovio S, Hirvensalo M, Raitakari O, Tammelin TH, Salin K. Associations of active commuting to school in childhood and physical activity in adulthood. Sci Rep 2023; 13:7642. [PMID: 37169787 PMCID: PMC10175542 DOI: 10.1038/s41598-023-33518-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Accepted: 04/13/2023] [Indexed: 05/13/2023] Open
Abstract
This study examined whether active commuting to school in childhood and adolescence predicted active commuting to work and overall physical activity (PA) in adulthood. Participants from the Young Finns Study (N = 2436) were aged 9-18 years in 1980 and followed up until 2018/2020. Their commuting modes to school were assessed with a self-reported questionnaire in 1980. Adulthood PA was assessed through self-reports regarding commuting modes to work (2001-2018), leisure-time physical activity (LTPA) (2001-2018), and objectively measured daily steps (2007-2018/2020). Associations between childhood commuting and adulthood PA were evaluated using regression analyses and multilevel models. Demographic, socioeconomic and environmental covariates were adjusted for in the analyses. Active commuting to school in childhood contributed favourably to LTPA in 2001 (B = .38, p < .001), in 2007 (B = .35, p < .001), and in 2018 (B = .28, p < .01). Active commuting in childhood was associated with higher number of daily aerobic steps (B = 299.00, p = .03) and daily aerobic steps during weekdays in 2011 (B = 312.15, p = .03). In 2018, active commuting associated favourably with daily aerobic steps (B = 370.42, p < .01), daily aerobic steps during weekdays (B = 347.65, p = .01), daily steps during weekends (B = 628.49, p = .02), and daily aerobic steps during weekends (B = 402.69, p = .03). Covariate adjustments attenuated the associations excluding the one between active commuting and LTPA in 2007 (B = .36, p = .01) and daily steps during weekends in 2018 (B = 782.25, p = .04). Active commuting to school in childhood might be one of the PA modes that contribute to PA in adulthood and is therefore encouraged to be promoted from an early age.
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Affiliation(s)
- Kaisa Kaseva
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
- Faculty of Education Sciences, University of Helsinki, Helsinki, Finland.
| | - Irinja Lounassalo
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Xiaolin Yang
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
- School of Health and Social Studies, Jamk University of Applied Sciences, Jyväskylä, Finland
| | - Tuomas Kukko
- School of Health and Social Studies, Jamk University of Applied Sciences, Jyväskylä, Finland
| | - Harto Hakonen
- School of Health and Social Studies, Jamk University of Applied Sciences, Jyväskylä, Finland
| | - Janne Kulmala
- School of Health and Social Studies, Jamk University of Applied Sciences, Jyväskylä, Finland
| | - Katja Pahkala
- Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland
- Centre for Population Health Research, University of Turku and Turku University Hospital, Turku, Finland
- Paavo Nurmi Centre & Unit for Health and Physical Activity, University of Turku, Turku, Finland
| | - Suvi Rovio
- Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland
- Centre for Population Health Research, University of Turku and Turku University Hospital, Turku, Finland
| | - Mirja Hirvensalo
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Olli Raitakari
- Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland
- Centre for Population Health Research, University of Turku and Turku University Hospital, Turku, Finland
- Department of Clinical Physiology and Nuclear Medicine, Turku University Hospital, Turku, Finland
| | - Tuija H Tammelin
- School of Health and Social Studies, Jamk University of Applied Sciences, Jyväskylä, Finland
| | - Kasper Salin
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
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Palomäki S, Kukko T, Kaseva K, Salin K, Lounassalo I, Yang X, Rovio S, Pahkala K, Lehtimäki T, Hirvensalo M, Raitakari O, Tammelin TH. Parenthood and changes in physical activity from early adulthood to mid-life among Finnish adults. Scand J Med Sci Sports 2022; 33:682-692. [PMID: 36577693 DOI: 10.1111/sms.14293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2022] [Revised: 12/16/2022] [Accepted: 12/20/2022] [Indexed: 12/30/2022]
Abstract
This study examined longitudinal associations between parenthood-related factors and physical activity from young adulthood to midlife over a 19-year follow-up period. Participants (n = 761) at the ongoing Cardiovascular Risk in Young Finns Study responded to a self-report questionnaire in their adulthood (in 1992, 2001, 2007, and 2011). Participants were classified as meeting or not meeting an aerobic physical activity recommendation. Parenthood-related factors included the age of having their first child and the number and age of the children. Analyses of generalized estimation equations were performed and adjusted for several demographic and health-related covariates. Both mothers and fathers with children under 6 years were less likely to be involved in physical activity than participants without children. However, meeting the aerobic physical activity recommendations did not differ between parents with a youngest child who was 6 years old or older as compared to the childless participants. The older the youngest child was, the more likely the parents were to be physically active. Participants who became a parent relatively late, at the age of 30 or older, seemed less likely to meet the aerobic physical activity recommendation during follow-up than those who had their first child at the age of 26-29. The results indicate that parenthood does not seem to have a long-lasting negative impact on adults' physical activity, and the individuals reached a similar level of physical activity in midlife than they had before parenthood.
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Affiliation(s)
- Sanna Palomäki
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.,Likes, School of Health and Social Studies, Jamk University of Applied Sciences, Jyväskylä, Finland
| | - Tuomas Kukko
- Likes, School of Health and Social Studies, Jamk University of Applied Sciences, Jyväskylä, Finland
| | - Kaisa Kaseva
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.,Faculty of Educational Sciences, University of Helsinki, Helsinki, Finland
| | - Kasper Salin
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Irinja Lounassalo
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Xiaolin Yang
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.,Likes, School of Health and Social Studies, Jamk University of Applied Sciences, Jyväskylä, Finland
| | - Suvi Rovio
- Centre for Population Health Research, University of Turku and Turku University Hospital, Turku, Finland.,Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland
| | - Katja Pahkala
- Centre for Population Health Research, University of Turku and Turku University Hospital, Turku, Finland.,Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland.,Paavo Nurmi Centre, Sports & Exercise Medicine Unit, Department of Physical Activity and Health, University of Turku, Turku, Finland
| | - Terho Lehtimäki
- Department of Clinical Chemistry, Fimlab Laboratories, and Finnish Cardiovascular Research Center - Tampere, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland
| | - Mirja Hirvensalo
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Olli Raitakari
- Centre for Population Health Research, University of Turku and Turku University Hospital, Turku, Finland.,Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland.,Department of Clinical Physiology and Nuclear Medicine, Turku University Hospital, Turku, Finland
| | - Tuija H Tammelin
- Likes, School of Health and Social Studies, Jamk University of Applied Sciences, Jyväskylä, Finland
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Kaseva K, Tervaniemi M, Heikura E, Kostilainen K, Pöyhönen-Alho M, Shoemaker JK, Petrella RJ, Peltonen JE. Identifying Personality Characteristics and Indicators of Psychological Well-Being Associated With Attrition in the Motivation Makes the Move! Physical Activity Intervention: Randomized Technology-Supported Trial. JMIR Form Res 2022; 6:e30285. [PMID: 36427239 PMCID: PMC9736762 DOI: 10.2196/30285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2021] [Revised: 03/01/2022] [Accepted: 06/02/2022] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND Data attrition has been a common problem in longitudinal lifestyle interventions. The contributors to attrition in technology-supported physical activity interventions have not been thoroughly studied. OBJECTIVE The present study examined the roles of personality characteristics and indicators of psychological well-being in data attrition within a technology-supported, longitudinal intervention study with overweight adults. METHODS Participants (N=89) were adults from the Motivation Makes the Move! intervention study. Data attrition was studied after a 3-month follow-up. Participants' personality characteristics were studied using the Short Five self-report questionnaire. Psychological well-being indicators were assessed with the RAND 36-item health survey, Positive and Negative Affect Schedule, and Beck Depression Inventory. Logistic regression analyses were conducted to assess the risk of discontinuing the study. The analyses were adjusted for sex, age, study group, and educational status. RESULTS At the 3-month follow-up, 65 of 89 participants (73% of the initial sample) had continued in the study. Participants' personality characteristics and indicators of psychological well-being were not associated with the risk of dropping out of the study (all P values >.05). The results remained the same after covariate controls. CONCLUSIONS Participant attrition was not attributable to personality characteristics or psychological well-being in the Motivation Makes the Move! study conducted with overweight adults. As attrition remains a challenge within longitudinal, technology-supported lifestyle interventions, attention should be paid to the potentially dynamic natures of personality and psychological well-being, as well as other elements beyond these. TRIAL REGISTRATION ClinicalTrials.gov NCT02686502; https://clinicaltrials.gov/ct2/show/NCT02686502.
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Affiliation(s)
- Kaisa Kaseva
- Department of Sport and Exercise Medicine, Clinicum, Faculty of Medicine, University of Helsinki, Helsinki, Finland
- Cicero Learning, Faculty of Educational Sciences, University of Helsinki, Helsinki, Finland
| | - Mari Tervaniemi
- Cicero Learning, Faculty of Educational Sciences, University of Helsinki, Helsinki, Finland
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland
| | - Enni Heikura
- Cicero Learning, Faculty of Educational Sciences, University of Helsinki, Helsinki, Finland
| | - Kaisamari Kostilainen
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland
| | - Maritta Pöyhönen-Alho
- Obstetrics and Gynecology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
| | - J Kevin Shoemaker
- Neurovascular Research Laboratory, School of Kinesiology, Western University, London, ON, Canada
| | - Robert J Petrella
- Division of Sport and Exercise Medicine, Department of Family Practice, University of British Columbia, Vancouver, BC, Canada
- Center for Studies in Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada
| | - Juha E Peltonen
- Department of Sport and Exercise Medicine, Clinicum, Faculty of Medicine, University of Helsinki, Helsinki, Finland
- Clinic for Sports and Exercise Medicine, Foundation for Sports and Exercise Medicine, Helsinki, Finland
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Yang X, Kukko T, Kaseva K, Biddle SJH, Rovio SP, Pahkala K, Kulmala J, Hakonen H, Hirvensalo M, Hutri-Kähönen N, Raitakari OT, Tammelin TH. Associations of parental physical activity trajectories with offspring's physical activity patterns from childhood to middle adulthood: The Young Finns Study. Prev Med 2022; 163:107211. [PMID: 35995104 DOI: 10.1016/j.ypmed.2022.107211] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/10/2021] [Revised: 08/12/2022] [Accepted: 08/17/2022] [Indexed: 11/18/2022]
Abstract
We investigated the association of parental physical activity (PA) trajectories with offspring's youth and adult PA. Self-reported PA data were extracted from the Young Finns Study with three follow-ups for parents between 1980 and 1986 and nine follow-ups for their offspring in youth between 1980 and 2011 (aged 9-39 years, n = 2402) and in adulthood in 2018. Accelerometer-derived PA was quantified in 2018-2020 (aged 43-58 years, n = 1134). Data were analyzed using mixture models and conducted in 2022. We identified three trajectories for fathers and mothers (high-stable activity, 20.2%/16.6%; moderate-stable activity, 50.5%/49.6%; and low-stable activity, 29.4%/33.7%) and four for youth male and female offspring (persistently active, 13.4%/5.1%; increasingly active, 32.1%/43.1%; decreasingly active, 14.4%/12.6%; and persistently low-active, 40.1%/39.1%). Compared to low-stable active parents, high-stable active fathers had a higher probability of having their sons and daughters classified as persistently active, increasingly active, and decreasingly active in youth (Brange = 0.50-1.79, all p < 0.008), while high- and moderate-stable active mothers had significantly increased likelihood of having their daughters classified as persistently active and decreasingly active in youth (Brange = 0.63-1.16, all p < 0.009). Fathers' and mothers' high-stable activity was associated with higher self-reported PA of adult offspring than parental low-stable activity. Persistently active and increasingly active offspring in youth accumulated more adult total PA, moderate-to-vigorous PA, step counts, and self-reported PA than persistently low-active ones (all p < 0.036). Parental persistent PA, particularly paternal persistent PA, predicts offspring's PA concurrently and prospectively. Increasing and maintaining PA in youth predicts higher PA levels in midlife.
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Affiliation(s)
- Xiaolin Yang
- Likes, School of Health and Social Studies, Jamk University of Applied Sciences, Jyväskylä, Finland; Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
| | - Tuomas Kukko
- Likes, School of Health and Social Studies, Jamk University of Applied Sciences, Jyväskylä, Finland
| | - Kaisa Kaseva
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland; Faculty of Education Sciences, University of Helsinki, Helsinki, Finland
| | - Stuart J H Biddle
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland; Physically Active Lifestyles (PALs) Research Group, Centre for Health Research, University of Southern Queensland, Springfield, Queensland, Australia
| | - Suvi P Rovio
- Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland; Centre for Population Health Research, University of Turku and Turku University Hospital, Finland
| | - Katja Pahkala
- Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland; Centre for Population Health Research, University of Turku and Turku University Hospital, Finland; Paavo Nurmi Centre & Unit for Health and Physical Activity, University of Turku, Turku, Finland
| | - Janne Kulmala
- Likes, School of Health and Social Studies, Jamk University of Applied Sciences, Jyväskylä, Finland
| | - Harto Hakonen
- Likes, School of Health and Social Studies, Jamk University of Applied Sciences, Jyväskylä, Finland
| | - Mirja Hirvensalo
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Nina Hutri-Kähönen
- Department of Pediatrics, University of Tampere and Tampere University of Hospital, Finland
| | - Olli T Raitakari
- Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland; Centre for Population Health Research, University of Turku and Turku University Hospital, Finland; Department of Clinical Physiology and Nuclear Medicine, Turku University Hospital, Turku, Finland
| | - Tuija H Tammelin
- Likes, School of Health and Social Studies, Jamk University of Applied Sciences, Jyväskylä, Finland
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Kasper S, Kukko T, Kaseva K, Tammelin T, Yang X, Raitakari OT, Hakonen H. P06-11 Continuity and changes in commuting mode and influence on physical activity, BMI and waist circumference among Finnish adults. Eur J Public Health 2022. [PMCID: PMC9421826 DOI: 10.1093/eurpub/ckac095.096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
Background Regular physical activity (PA) has been found to be important for cardiovascular health and longevity. However, notable proportion of adult population does not meet the national PA recommendations. Active transport is one domain of physical activity, that could be a time-efficient way to increase PA and reach the national recommendations. Additionally, it could have a positive effect to body composition. Methods Based on longitudinal cohort study, active commuting modes and objectively measured PA were used to determine the influence of commuting mode to steps, aerobic steps, BMI and waist circumference. Linear regression models were fitted to test the associations between the change groups of commuting mode and the longitudinal changes of the response variables. Results When compared to passive commuters, participants with public transport (p = 0.09) and walking (p > 0.001-0.021) showed higher amounts of steps and aerobic during summertime and wintertime. Cyclers showed higher amounts of steps and aerobic steps only in wintertime (p = 0.001-0.002). Passive commuters had higher BMI than walkers (p = 0.05) and cyclers (p = 0.023) in summertime. Also, cyclers had lower waist circumference than passive commuters (p = 0.016-0.02). Among those who remained persistently active, number of steps did not change. When compared to persistently active, among those who changed from active to passive commuting, steps (-900 - -885) and aerobic steps (-500) declined (p = 0.010-0.036) while among those who changed from passive to active commuting steps (+900-1000) and aerobic steps (+650-750) increased (p = 0.023-0.011). Conclusions Commuting actively to work and changing passive mode to active mode has a positive effect to number of daily steps and aerobic steps. Since the active commuting is part of the daily routine, promoting active commuting could be one of the key factors tackling the obesity and insufficient PA among adults. Continuity of active commuting seemed to be effective way to maintain body weight in balance over the years.
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Affiliation(s)
- Salin Kasper
- Faculty of Sport & Health Sciences, University of Jyväskylä , Jyväskylä, Finland
| | - Tuomas Kukko
- JAMK University of Applied Sciences , Jyväskylä, Finland
| | - Kaisa Kaseva
- Faculty of Sport & Health Sciences, University of Jyväskylä , Jyväskylä, Finland
| | - Tuija Tammelin
- JAMK University of Applied Sciences , Jyväskylä, Finland
| | - Xiaolin Yang
- JAMK University of Applied Sciences , Jyväskylä, Finland
| | | | - Harto Hakonen
- JAMK University of Applied Sciences , Jyväskylä, Finland
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Kaseva K, Tammelin T, Yang X, Kulmala J, Hakonen H, Raitakari O, Salin K. P08-14 The association of childhood commuting modes and physical activity in adult age. Eur J Public Health 2022. [PMCID: PMC9436218 DOI: 10.1093/eurpub/ckac095.127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Background Physically active lifestyle prevents and contributes to managing non-communicable diseases. Childhood physical activities have shown to associate with physically active lifestyle in adulthood. More research on which childhood physical activity modes associate with physical activity in later life is still needed. Within the present study, we examined how physically active commuting to school in childhood contributed to overall physical activity in adulhood. Methods The participants (N = 3596) were from the population-based, longitudinal Cardiovascular Risks in Young Finns Study. Questionnaires were used in assessing subjects' childhood (1980) and adulthood (2001-2018) physical activity. ActiGraph accelerometers were also applied in the adulthood measurements (2018-2020). The results were analyzed using logistic and linear regression models. Participants' age, sex, parents' educational background, parents' income level, childhood living area, participants' educational background, adulthood income level, and adulthood living area were adjusted for in the models. Results Based on the preliminary examinations, childhood commuting was not associated with self-reported commuting to work (2001-2018) or accelerometer-measured overall physical activity (2018-2020) in adulthood (p>.05). Active commuting in childhood associated with increased self-reported leisure-time physical activity in the year 2001 (b=.38, p>.001), 2007 (b=.35, p>.001), and 2018 (b=.28, p=.012), but the association between childhood commuting and self-reported physical activity in the years 2001 and 2018 attenuated after adjusting for all covariates (p>.05). Conclusions Physically active commuting in childhood (1980) was associated with higher levels of self-reported leisure-time physical activity in adulthood (2001-2018). The associations attenuated after adjusting for covariates excluding the one between active commuting and leisure-time physical activity assessed in 2007. Physically active commuting can be regarded as recommendable with respect to the development of physically active lifestyle, if supportive evidence for the causality between childhood commuting and leisure-time physical activity in adult age can be found. Future research should also focus on assessing whether active commuting in childhood contributes to adulthood activities parallel to active commuting in childhood.
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Affiliation(s)
- Kaisa Kaseva
- Faculty of Sport and Health Sciences, University of Jyväskylä , Jyväskylä, Finland
| | - Tuija Tammelin
- LIKES Research Centre for Physical Activity and Health, University of Jyväskylä , Jyväskylä, Finland
| | - Xiaolin Yang
- LIKES Research Centre for Physical Activity and Health , Jyväskylä, Finland
| | - Janne Kulmala
- LIKES Research Centre for Physical Activity and Health , Jyväskylä, Finland
| | - Harto Hakonen
- LIKES Research Centre for Physical Activity and Health , Jyväskylä, Finland
| | - Olli Raitakari
- Department of Clinical Physiology and Nuclear Medicine, Turku University Hospital , -, Turku, Finland
| | - Kasper Salin
- Faculty of Sport and Health Sciences, University of Jyväskylä , Jyväskylä, Finland
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Lehtonen E, Gagnon D, Eklund D, Kaseva K, Peltonen JE. Hierarchical framework to improve individualised exercise prescription in adults: a critical review. BMJ Open Sport Exerc Med 2022; 8:e001339. [PMID: 35722045 PMCID: PMC9185660 DOI: 10.1136/bmjsem-2022-001339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/26/2022] [Indexed: 11/04/2022] Open
Abstract
Physical activity (PA) guidelines for the general population are designed to mitigate the rise of chronic and debilitating diseases brought by inactivity and sedentariness. Although essential, they are insufficient as rates of cardiovascular, pulmonary, renal, metabolic and other devastating and life-long diseases remain on the rise. This systemic failure supports the need for an improved exercise prescription approach that targets the individual. Significant interindividual variability of cardiorespiratory fitness (CRF) responses to exercise are partly explained by biological and methodological factors, and the modulation of exercise volume and intensity seem to be key in improving prescription guidelines. The use of physiological thresholds, such as lactate, ventilation, as well as critical power, have demonstrated excellent results to improve CRF in those struggling to respond to the current homogenous prescription of exercise. However, assessing physiological thresholds requires laboratory resources and expertise and is incompatible for a general population approach. A case must be made that balances the effectiveness of an exercise programme to improve CRF and accessibility of resources. A population-wide approach of exercise prescription guidelines should include free and accessible self-assessed threshold tools, such as rate of perceived exertion, where the homeostatic perturbation induced by exercise reflects physiological thresholds. The present critical review outlines factors for individuals exercise prescription and proposes a new theoretical hierarchal framework to help shape PA guidelines based on accessibility and effectiveness as part of a personalised exercise prescription that targets the individual.
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Affiliation(s)
- Elias Lehtonen
- Department of Sports and Exercise Medicine, Clinicum, University of Helsinki, Helsinki, Finland.,Helsinki Clinic for Sports and Exercise Medicine, Foundation for Sports and Exercise Medicine, Helsinki, Finland
| | - Dominique Gagnon
- Department of Sports and Exercise Medicine, Clinicum, University of Helsinki, Helsinki, Finland.,Helsinki Clinic for Sports and Exercise Medicine, Foundation for Sports and Exercise Medicine, Helsinki, Finland.,School of Kinesiology, Laurentian University, Sudbury, Ontario, Canada.,Center for Research in Occupational Health and Safety, Laurentian University, Sudbury, Ontario, Canada
| | - Daniela Eklund
- Department of Sports and Exercise Medicine, Clinicum, University of Helsinki, Helsinki, Finland.,Helsinki Clinic for Sports and Exercise Medicine, Foundation for Sports and Exercise Medicine, Helsinki, Finland
| | - Kaisa Kaseva
- Department of Sports and Exercise Medicine, Clinicum, University of Helsinki, Helsinki, Finland.,Helsinki Clinic for Sports and Exercise Medicine, Foundation for Sports and Exercise Medicine, Helsinki, Finland
| | - Juha Evert Peltonen
- Department of Sports and Exercise Medicine, Clinicum, University of Helsinki, Helsinki, Finland.,Helsinki Clinic for Sports and Exercise Medicine, Foundation for Sports and Exercise Medicine, Helsinki, Finland
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8
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Virtanen N, Tiippana K, Tervaniemi M, Poikonen H, Anttila E, Kaseva K. Exploring body consciousness of dancers, athletes, and lightly physically active adults. Sci Rep 2022; 12:8353. [PMID: 35589727 PMCID: PMC9120170 DOI: 10.1038/s41598-022-11737-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2021] [Accepted: 04/12/2022] [Indexed: 11/24/2022] Open
Abstract
Body consciousness is associated with kinetic skills and various aspects of wellbeing. Physical activities have been shown to contribute to the development of body consciousness. Methodological studies are needed in improving the assessment of body consciousness in adults with distinct physical activity backgrounds. This study (1) examined whether dancers, athletes, and lightly physically active individuals differed regarding the level of their body consciousness, and (2) evaluated the usability of different methods in assessing body consciousness. Fifty-seven healthy adults (aged 20–37) were included in the study. Three experimental methods (aperture task, endpoint matching, and posture copying) and two self-report questionnaires (the Private Body Consciousness Scale, PBCS, and the Body Awareness Questionnaire, BAQ) were used in assessing body consciousness. Athletes outperformed the lightly physically active participants in the posture copying task with the aid of vision when copying leg postures. Dancers performed better than the athletes without the aid of vision when their back and upper body were involved, and better than the lightly active participants when copying leg postures. Dancers and athletes had higher self-reported cognitive and perceptual knowledge of their body than lightly physically active participants. To examine the role of different physical activities in developing body consciousness, experimental methods involving the use of the whole body might be most suitable. Subjective measures may provide complementary evidence for experimental testing.
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Affiliation(s)
- Niia Virtanen
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland
| | - Kaisa Tiippana
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland
| | - Mari Tervaniemi
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland.,Cicero Learning, Faculty of Educational Sciences, University of Helsinki, P.O. Box 9, 00014, Helsinki, Finland
| | - Hanna Poikonen
- Professorship for Learning Sciences and Higher Education, ETH Zurich, Zurich, Switzerland
| | - Eeva Anttila
- Faculty of Arts, University of Helsinki, Helsinki, Finland
| | - Kaisa Kaseva
- Cicero Learning, Faculty of Educational Sciences, University of Helsinki, P.O. Box 9, 00014, Helsinki, Finland. .,Department of Sport and Exercise Medicine, Clinicum, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
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Ruiz A, Ng K, Rintala P, Kaseva K, Finni T. Physical activity intention and attendance behaviour in Finnish youth with cerebral palsy - results from a physical activity intervention: an application of the theory of planned behaviour. J Exerc Rehabil 2022; 17:370-378. [PMID: 35036385 PMCID: PMC8743605 DOI: 10.12965/jer.2142588.294] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2021] [Accepted: 10/19/2021] [Indexed: 12/02/2022] Open
Abstract
Physical activity is associated with better health in individuals with cerebral palsy (CP). Numerous physical activity interventions have been designed to promote physical activity among youth with CP. No previous studies have explored the factors contributing to the intention to participate and predicting attendance behaviour for these interventions. Using theory of planned behaviour (TPB), this study explored the prediction of physical activity intention and attendance behaviour in a physical activity intervention aiming to promote physical activity in a sample of young individuals with CP. Males with CP aged 9–21 years were asked to complete measures of attitude, subjective norms, perceived behavioural control and, intentions towards a physical activity intervention. Participants had no cognitive impairments to understand and follow instructions, were categorised into Gross Motor Function Classification System I–III, did not receive any specific lower limbs’ medical treatment, or did not participate in a strength training program for lower limbs within 6 months before the study. Subjective norms were found to be the only significant predictor of intention, accounting for 83% of variance in intention. Intention and perceived behaviour control were found to be a nonsignificant predictor of attendance behaviour in youth with CP. The results show that TPB is a relevant tool in the prediction of intention towards a physical activity intervention in Finnish youth with CP.
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Affiliation(s)
- Alfredo Ruiz
- Faculty of Sport and Health Sciences, University of Jyväskylä, Nokia, Finland
| | - Kwok Ng
- School of Educational Sciences and Psychology, University of Eastern Finland, Joensuu and Kuopio, Finland.,Department of Physical Education and Sport Sciences, University of Limerick, Ireland, Joensuu, Finland
| | - Pauli Rintala
- Faculty of Sport and Health Sciences, University of Jyväskylä, Nokia, Finland
| | - Kaisa Kaseva
- Cicero Learning, Faculty of Educational Sciences, University of Helsinki, Helsinki, Finland
| | - Taija Finni
- Faculty of Sport and Health Sciences, University of Jyväskylä, Nokia, Finland
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10
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Saarinen A, Keltikangas-Järvinen L, Viding E, Dobewall H, Kaseva K, Lehtimäki T, Raitakari O, Hintsanen M. Compassion protects against vital exhaustion and negative emotionality. Motiv Emot 2021; 45:506-517. [PMID: 34720257 PMCID: PMC8550749 DOI: 10.1007/s11031-021-09878-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/02/2021] [Indexed: 11/25/2022]
Abstract
We investigated (i) the predictive relationships of compassion with negative emotionality (a marker of susceptibility to stress) and vital exhaustion (a marker of chronic stress response) and (ii) the effect of compassion on the developmental courses of negative emotionality and vital exhaustion over a follow-up from early adulthood to middle age. We used the prospective Young Finns data (n = 1031-1495, aged 20-50). Compassion was evaluated in 1997, 2001, and 2012; and vital exhaustion and negative emotionality in 2001, 2007, and 2012. The predictive paths from compassion to vital exhaustion and negative emotionality were stronger than vice versa: high compassion predicted lower vital exhaustion and lower negative emotionality. The effect of high compassion on lower vital exhaustion and lower negative emotionality was evident from early adulthood to middle age. Overall, high compassion appears to protect against dimensions of stress from early adulthood to middle age, whereas this study found no evidence that dimensions of stress could reduce disposition to feel compassion for others' distress over a long-term follow-up. SUPPLEMENTARY INFORMATION The online version contains supplementary material available at 10.1007/s11031-021-09878-2.
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Affiliation(s)
- Aino Saarinen
- Research Unit of Psychology, University of Oulu, Oulu, Finland
- Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland
| | | | - Essi Viding
- Division of Psychology and Language Sciences, University College London, London, UK
| | - Henrik Dobewall
- Research Unit of Psychology, University of Oulu, Oulu, Finland
| | - Kaisa Kaseva
- Cicero Learning, Faculty of Educational Sciences, University of Helsinki, Helsinki, Finland
| | - Terho Lehtimäki
- Department of Clinical Chemistry, Fimlab Laboratories, and Finnish Cardiovascular Research Center, Tampere, Finland
- Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland
| | - Olli Raitakari
- Centre for Population Health Research, University of Turku and Turku University Hospital, Turku, Finland
- Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland
- Department of Clinical Physiology and Nuclear Medicine, Turku University Hospital, Turku, Finland
| | - Mirka Hintsanen
- Research Unit of Psychology, University of Oulu, Oulu, Finland
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11
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Leppänen MH, Kaseva K, Pajulahti R, Sääksjärvi K, Mäkynen E, Engberg E, Ray C, Erkkola M, Sajaniemi N, Roos E. Temperament, physical activity and sedentary time in preschoolers - the DAGIS study. BMC Pediatr 2021; 21:129. [PMID: 33726712 PMCID: PMC7962366 DOI: 10.1186/s12887-021-02593-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/26/2020] [Accepted: 02/28/2021] [Indexed: 11/10/2022] Open
Abstract
Background Identifying individual characteristics linked with physical activity (PA) and sedentary time (SED) can assist in designing health-enhancing interventions for children. We examined cross-sectional associations of temperament characteristics with 1) PA and SED and 2) meeting the PA recommendation in Finnish children. Methods Altogether, 697 children (age: 4.7 ± 0.9 years, 51.6% boys) within the Increased Health and Wellbeing in Preschools (DAGIS) study were included. Parents responded to the Very Short Form of the Children’s Behavior Questionnaire consisting of three temperament dimensions: surgency, negative affectivity, and effortful control. PA and SED were assessed for 7 days (24 h per day) using a hip-worn ActiGraph accelerometer, and the daily minutes spent in light PA (LPA), moderate PA (MPA), vigorous PA (VPA), and SED were calculated. The PA recommendation was defined as having PA at least 180 min/day, of which at least 60 min/day was in moderate-to-vigorous PA. Adjusted linear and logistic regression analyses were applied. Results Surgency was associated with LPA (B = 3.80, p = 0.004), MPA (B = 4.87, p < 0.001), VPA (B = 2.91, p < 0.001), SED (B = − 11.45, p < 0.001), and higher odds of meeting the PA recommendation (OR = 1.56, p < 0.001). Effortful control was associated with MPA (B = − 3.63, p < 0.001), VPA (B = − 2.50, p < 0.001), SED (B = 8.66, p < 0.001), and lower odds of meeting the PA recommendation (OR = 0.61, p = 0.004). Negative affectivity was not associated with PA, SED, or meeting the PA recommendation. Conclusion Children’s temperament should be considered when promoting PA in preschoolers. Special attention should be paid to children scoring high in the temperament dimension effortful control.
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Affiliation(s)
- Marja H Leppänen
- Folkhälsan Research Center, Topeliuksenkatu 20, 00250, Helsinki, Finland. .,Faculty of Medicine, University of Helsinki, Helsinki, Finland.
| | - Kaisa Kaseva
- Cicero Learning, Faculty of Educational Sciences, University of Helsinki, Helsinki, Finland.,Department of Sports and Exercise Medicine, Clinicum, University of Helsinki, Helsinki, Finland
| | - Riikka Pajulahti
- Folkhälsan Research Center, Topeliuksenkatu 20, 00250, Helsinki, Finland.,Department of Food and Nutrition, University of Helsinki, Helsinki, Finland
| | - Katri Sääksjärvi
- Cicero Learning, Faculty of Educational Sciences, University of Helsinki, Helsinki, Finland.,Department of Education, University of Helsinki, Helsinki, Finland
| | - Ella Mäkynen
- Cicero Learning, Faculty of Educational Sciences, University of Helsinki, Helsinki, Finland.,Department of Education, University of Helsinki, Helsinki, Finland
| | - Elina Engberg
- Folkhälsan Research Center, Topeliuksenkatu 20, 00250, Helsinki, Finland.,Department of Education, University of Helsinki, Helsinki, Finland.,Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland
| | - Carola Ray
- Folkhälsan Research Center, Topeliuksenkatu 20, 00250, Helsinki, Finland.,Department of Food and Nutrition, University of Helsinki, Helsinki, Finland
| | - Maijaliisa Erkkola
- Department of Food and Nutrition, University of Helsinki, Helsinki, Finland
| | - Nina Sajaniemi
- Cicero Learning, Faculty of Educational Sciences, University of Helsinki, Helsinki, Finland.,Department of Education, University of Helsinki, Helsinki, Finland.,Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland.,Philosophical Faculty, School of Applied Educational Science and Teacher Education, University of Eastern Finland, Joensuu, Finland
| | - Eva Roos
- Folkhälsan Research Center, Topeliuksenkatu 20, 00250, Helsinki, Finland.,Department of Food and Nutrition, University of Helsinki, Helsinki, Finland.,Philosophical Faculty, School of Applied Educational Science and Teacher Education, University of Eastern Finland, Joensuu, Finland.,Department of Public Health Clinicum, University of Helsinki, Helsinki, Finland
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12
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Kaseva K, Dobewall H, Yang X, Pulkki-Råback L, Lipsanen J, Hintsa T, Hintsanen M, Puttonen S, Hirvensalo M, Elovainio M, Raitakari O, Tammelin T. Physical Activity, Sleep, and Symptoms of Depression in Adults-Testing for Mediation. Med Sci Sports Exerc 2019; 51:1162-1168. [PMID: 30694979 DOI: 10.1249/mss.0000000000001896] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
PURPOSE Physical activity, sleep problems, and symptoms of depression contribute to overall well-being. The factors are reciprocally associated, but the nature of these associations remains unclear. The present study examined whether sleep problems mediated the association between physical activity and depressive symptoms. METHODS The eligible population (n = 3596) consisted of adults from the ongoing, population-based Cardiovascular Risk in Young Finns Study started in 1980. Participants' leisure-time physical activity was assessed with physical activity index (2007) and sleep problems with Jenkins' Sleep Questionnaire in 2007 and 2011. Depressive symptoms were measured using modified Beck Depression Inventory in 2007 and 2012, from which the items reflecting sleep problems were excluded. Mediation analyses, through which the associations between the variables were examined, were adjusted for sex and a set of health-related covariates assessed in 2007 and 2011. RESULTS Physical activity was associated with decreased levels of sleep problems and depressive symptoms (P < 0.05). The association between physical activity and depressive symptoms (b = -0.10, P < 0.01) was partly mediated by sleep problems (proportion mediated = 0.36, P < 0.01). The adjustment for depressive symptoms at baseline attenuated the mediation effect (proportion mediated = 0.30, P > 0.05). CONCLUSIONS Physical activity's favorable contribution to depressive symptoms was mediated partly by sleep, but the mediation effect disappeared after adjusting for the previous depressive symptoms in adulthood.
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Affiliation(s)
- Kaisa Kaseva
- Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, FINLAND
| | - Henrik Dobewall
- Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, FINLAND.,Faculty of Social Sciences, Health Sciences, Tampere University, Tampere, FINLAND
| | - Xiaolin Yang
- LIKES Research Centre for Physical Activity and Health, Jyväskylä, FINLAND
| | - Laura Pulkki-Råback
- Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, FINLAND.,Helsinki Collegium for Advanced Studies, University of Helsinki, Helsinki, FINLAND
| | - Jari Lipsanen
- Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, FINLAND
| | - Taina Hintsa
- Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, FINLAND.,School of Educational Sciences and Psychology, University of Eastern Finland, FINLAND
| | - Mirka Hintsanen
- Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, FINLAND.,Unit of Psychology, University of Oulu, Oulu, FINLAND
| | - Sampsa Puttonen
- Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, FINLAND
| | - Mirja Hirvensalo
- Department of Sport Sciences, University of Jyväskylä, Jyväskylä, FINLAND
| | - Marko Elovainio
- Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, FINLAND
| | - Olli Raitakari
- Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, FINLAND.,Department of Clinical Physiology and Nuclear Medicine, Turku University Hospital, Turku, FINLAND
| | - Tuija Tammelin
- LIKES Research Centre for Physical Activity and Health, Jyväskylä, FINLAND
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13
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Kaseva K, Rosenström T, Hintsa T, Pulkki-Råback L, Tammelin T, Lipsanen J, Yang X, Hintsanen M, Hakulinen C, Pahkala K, Hirvensalo M, Hutri-Kähönen N, Raitakari OT, Keltikangas-Järvinen L. Trajectories of Physical Activity Predict the Onset of Depressive Symptoms but Not Their Progression: A Prospective Cohort Study. J Sports Med (Hindawi Publ Corp) 2016; 2016:8947375. [PMID: 27795983 PMCID: PMC5067320 DOI: 10.1155/2016/8947375] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/01/2016] [Revised: 08/12/2016] [Accepted: 08/31/2016] [Indexed: 12/26/2022]
Abstract
This prospective, community-based study examined trajectories of physical activity from childhood to adulthood and whether these trajectories contributed to depressive symptoms in adulthood to a greater degree than adulthood physical activity. Participants (n = 3596) were from the ongoing Cardiovascular Risk in Young Finns Study which started in 1980. Depressive symptoms were measured with Beck Depression Inventory (BDI-II) in 2012, and physical activity was assessed from 1980 to 2011 with self-reports. Analyses were adjusted for age, sex, childhood negative emotionality, socioeconomic factors, previous depressive symptoms, social support, body mass index, and smoking status (1980-2007). Highly, moderately, and lightly physically active trajectory groups were identified. Highly active participants reported lower levels of depressive symptoms compared to lightly active ones (p < 0.001) and compared to moderately active ones (p = 0.001). Moderately active participants had less symptoms than lightly active ones (p < 0.001). High levels of adulthood physical activity associated with lower levels of depressive symptoms (p < 0.001). The findings did not withstand adjustment for previous depressive symptoms (p > 0.05). Lifelong physical activity trajectories or adulthood physical activity was not associated with the progression of depressive symptoms in adulthood. Thus, physical activity history does not contribute to the progression of the depressive symptoms to a greater degree than adulthood physical activity.
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Affiliation(s)
- Kaisa Kaseva
- Unit of Personality, Work and Health Psychology, Institute of Behavioral Sciences, P.O. Box 9, University of Helsinki, 00014 Helsinki, Finland
| | - Tom Rosenström
- Unit of Personality, Work and Health Psychology, Institute of Behavioral Sciences, P.O. Box 9, University of Helsinki, 00014 Helsinki, Finland
| | - Taina Hintsa
- Unit of Personality, Work and Health Psychology, Institute of Behavioral Sciences, P.O. Box 9, University of Helsinki, 00014 Helsinki, Finland
| | - Laura Pulkki-Råback
- Unit of Personality, Work and Health Psychology, Institute of Behavioral Sciences, P.O. Box 9, University of Helsinki, 00014 Helsinki, Finland
- Helsinki Collegium for Advanced Studies, Fabianinkatu 24, P.O. Box 4, University of Helsinki, 00014 Helsinki, Finland
| | - Tuija Tammelin
- LIKES, Research Center for Sport and Health Sciences, Rautpohjankatu 8, 40700 Jyväskylä, Finland
| | - Jari Lipsanen
- Unit of Personality, Work and Health Psychology, Institute of Behavioral Sciences, P.O. Box 9, University of Helsinki, 00014 Helsinki, Finland
| | - Xiaolin Yang
- LIKES, Research Center for Sport and Health Sciences, Rautpohjankatu 8, 40700 Jyväskylä, Finland
| | - Mirka Hintsanen
- Unit of Personality, Work and Health Psychology, Institute of Behavioral Sciences, P.O. Box 9, University of Helsinki, 00014 Helsinki, Finland
- Unit of Psychology, University of Oulu, P.O. Box 8000, 90014 Oulu, Finland
| | - Christian Hakulinen
- Unit of Personality, Work and Health Psychology, Institute of Behavioral Sciences, P.O. Box 9, University of Helsinki, 00014 Helsinki, Finland
| | - Katja Pahkala
- Research Centre of Applied and Preventive Cardiovascular Medicine, Kiinamyllynkatu 10, University of Turku, 20520 Turku, Finland
- Paavo Nurmi Centre, Sports and Exercise Medicine Unit, Department of Physical Activity and Health, Kiinamyllynkatu 10, University of Turku, 20520 Turku, Finland
| | - Mirja Hirvensalo
- Department of Sport Sciences, P.O. Box 35 (L), University of Jyväskylä, 40014 Jyväskylä, Finland
| | - Nina Hutri-Kähönen
- Department of Pediatrics, P.O. Box 2000, University of Tampere and Tampere University Hospital, 33521 Tampere, Finland
| | - Olli T. Raitakari
- Research Centre of Applied and Preventive Cardiovascular Medicine, Kiinamyllynkatu 10, University of Turku, 20520 Turku, Finland
- Department of Clinical Physiology and Nuclear Medicine, Kiinamyllynkatu 4-8, Turku University Hospital, 20520 Turku, Finland
| | - Liisa Keltikangas-Järvinen
- Unit of Personality, Work and Health Psychology, Institute of Behavioral Sciences, P.O. Box 9, University of Helsinki, 00014 Helsinki, Finland
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14
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Kaseva K, Pulkki-Råback L, Elovainio M, Pahkala K, Keltikangas-Järvinen L, Hintsanen M, Hakulinen C, Lagström H, Jula A, Niinikoski H, Rönnemaa T, Viikari J, Simell O, Raitakari O. Psychological wellbeing in 20-year-old adults receiving repeated lifestyle counselling since infancy. Acta Paediatr 2015; 104:815-22. [PMID: 25939586 DOI: 10.1111/apa.13036] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/03/2014] [Revised: 01/09/2015] [Accepted: 04/28/2015] [Indexed: 11/30/2022]
Abstract
AIM This study examined whether there was an association between a repeated dietary and lifestyle intervention that began in infancy and participants' psychological wellbeing at the age of 20. METHODS We examined the psychological wellbeing of 457 young adults participating in the Special Turku Coronary Risk Factor Intervention Project (STRIP), a randomised controlled trial conducted in Finland between 1989 and 2011. We assessed potential differences in psychological wellbeing between the intervention and control groups by examining participants' satisfaction with life, how they rated their health, their experiences of stress and the consequences of experiencing stress and symptoms of depression at the age of 20. We also assessed socio-economic status during childhood as a potential confounding factor. RESULTS We found no association between the long-term dietary and lifestyle intervention and participants' psychological wellbeing in adulthood. Adjusting for sex and childhood socio-economic status did not affect the results and socio-economic status did not moderate the association between the intervention and psychological wellbeing. CONCLUSION Our findings showed no association between intensive dietary and lifestyle counselling that was initiated in infancy with psychological wellbeing in adulthood and the initiative did not appear to pose any psychological risks.
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Affiliation(s)
- Kaisa Kaseva
- Unit of Personality, Work and Health Psychology; Institute of Behavioural Sciences; University of Helsinki; Helsinki Finland
- Research Centre of Applied and Preventive Cardiovascular Medicine; University of Turku; Turku Finland
| | - Laura Pulkki-Råback
- Unit of Personality, Work and Health Psychology; Institute of Behavioural Sciences; University of Helsinki; Helsinki Finland
- Helsinki Collegium for Advanced Studies; University of Helsinki; Helsinki Finland
| | - Marko Elovainio
- Unit of Personality, Work and Health Psychology; Institute of Behavioural Sciences; University of Helsinki; Helsinki Finland
- National Institute for Health and Welfare; Helsinki Finland
| | - Katja Pahkala
- Research Centre of Applied and Preventive Cardiovascular Medicine; University of Turku; Turku Finland
- Sports and Exercise Medicine Unit; Paavo Nurmi Centre; Department of Physical Activity and Health; University of Turku; Turku Finland
| | - Liisa Keltikangas-Järvinen
- Unit of Personality, Work and Health Psychology; Institute of Behavioural Sciences; University of Helsinki; Helsinki Finland
| | - Mirka Hintsanen
- Unit of Personality, Work and Health Psychology; Institute of Behavioural Sciences; University of Helsinki; Helsinki Finland
- Unit of Psychology; Faculty of Education; University of Oulu; Oulu Finland
| | - Christian Hakulinen
- Unit of Personality, Work and Health Psychology; Institute of Behavioural Sciences; University of Helsinki; Helsinki Finland
| | - Hanna Lagström
- Turku Institute for Child and Youth Research; University of Turku; Turku Finland
| | - Antti Jula
- National Institute for Health and Welfare; Turku Finland
| | - Harri Niinikoski
- Department of Paediatrics; University of Turku and Turku University Hospital; Turku Finland
| | - Tapani Rönnemaa
- Department of Medicine; University of Turku and Division of Medicine; Turku University Hospital; Turku Finland
| | - Jorma Viikari
- Department of Medicine; University of Turku and Division of Medicine; Turku University Hospital; Turku Finland
| | - Olli Simell
- Research Centre of Applied and Preventive Cardiovascular Medicine; University of Turku; Turku Finland
- Department of Paediatrics; University of Turku and Turku University Hospital; Turku Finland
| | - Olli Raitakari
- Research Centre of Applied and Preventive Cardiovascular Medicine; University of Turku; Turku Finland
- Department of Clinical Physiology and Nuclear Medicine; Turku University Hospital; Turku Finland
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