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Physical Activity and Sleepiness among Obese Youth
Abstracts / Can J Diabetes 39 (2015) S38eS74
Results: Data collection is ongoing. A sample size of 500 is targeted. Results will be presented at the conference. Discussion: This study aims to fill current gaps in the literature by examining how limiting a child’s independent mobility restricts their outdoor active play.
P8.06 What Men Want: Recommendations for Developing and Implementing Men Sensitive Weight Management Programs ALAIN P. GAUTHIER*1, JALILA JBILOU 2, SUZANNE SERRESSE 1, SARA-JANE VERMETTE 2, MIREILLE DEMERS 2 1 Laurentian University, Sudbury, ON, Canada 2 Université de Moncton, Moncton, NB, Canada Objective: Obesity rates among Canadian men are of growing concerns and research has shown that traditional weight management programs are seldom utilized by men. The purpose of this study was to identify factors affecting weight management program recruitment, attractiveness and adherence among men. Methods: A total of 31 men participated in 1 of 5 focus groups held in 2 Canadian cites. All men were above the age of 25, and with the exception of 2 participants, all men were either overweight or obese (i.e., BMI>25). All men expressed an eventual interest to participate in a weight management program. Results: Results from detailed thematic analyses were sorted by effective recruitment strategies (i: active recruitment of men where they are, ii: engage family members in recruiting men, iii: use simple and humorous messaging), factors influencing program attractiveness (i: social and friendly ambiance, ii: flexible meeting times, iii: non-judgemental approach, iv: lifestyle oriented which emphasizes all health benefits of the program, not just weight loss, v: family oriented/sensitive, vi: reward and/or results driven) and elements needed to ensure program adherence (i: an engaging leader that relates to his participants, ii: frequent contact and goals setting, iii: simple and straightforward delivery of program, iv: individualized/context specific programming, v: participant cohesion, vi: peer support/ motivation). Conclusions: Weight management programs aimed at men must be gender sensitive in order to be successful. Results from our research offer practical recommendations to do so.
P8.07 30 Day Physical Activity Challenge for Kids Using Daily SelfMonitoring LARRY KATZ*1, DWAYNE P. SHEEHAN 2, CYNTHIA WATSON 3, MEGAN HALLAM 1, JUSTIN GUENTHER 1 1 University of Calgary, Calgary, AB, Canada 2 Mount Royal University, Calgary, AB, Canada 3 Cardel Place, Calgary, AB, Canada The purpose of this research was to examine the effects of engaging children in a cooperative 30 day activity challenge that introduces them to physical activity concepts such as light, moderate, vigorous activity and the nature of physical activity (school based and non-school based activity). Two grade 4 classes from 1 school joined the study. Students participated in a variety of pursuits undertaken as an individual, with family members, or with peers. These challenges were designed to increase the individual student’s awareness of and long term engagement in physical activity. Each student monitored his/her ‘in school’ activity (using a pedometer) and ‘out of school’ activity (using a worksheet). Each morning students, working in teams, use tablet computers to enter the previous day’s out of school activity data. At the end of each school day, the students again
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used the tablets to enter their school activity data. Weekly activity reports were provided to each individual student and overall class performance was given to the teacher. Successful completion of the challenge resulted in a recreation day at Cardel Place, a family recreation centre. Results were measured on individual, team, and class basis. Student and teacher attitudes, accuracy of measurement, activity logs, and changes in activity were examined over the 30 day trial. Both classes achieved their goal. It was concluded that students could accurately measure their own performance and that monitoring of both in school and out of school activities can enhance student awareness of and participation in physical activities.
P8.08 Physical Activity and Sleepiness among Obese Youth ADAM MCKILLOP*, INDRA NARANG, CEDRIC MANLHIOT, BRIAN MCCRINDLE The Hospital for Sick Children, Toronto, ON, Canada Objective: Obesity has reached dangerous levels among youth. Obese youth are at an increased risk of developing diabetes, heart disease, sleep apnea, and depression. A volatile cycle may occur between obesity, physical activity, and feeling “sleepy”, such that increased feelings of sleepiness may result in reduced physical activity participation. This reduced physical activity may perpetuate the cycle by further increasing one’s sleepiness. This study aimed to characterize a population of obese youth with regards to their anthropometry, sleepiness, and moderate-to-vigorous physical activity (MVPA). Methods: The following anthropometric measures were completed: height, weight, body mass index (BMI), waist, hip and neck circumference, waist-to-height ratio, and the Epworth Sleepiness Scale. Participants were also asked to wear an accelerometer around their waist for 7-days to assess physical activity. Results: Data is reported as meanstandard deviation. Participants (N¼37; 143 years) had the following anthropometric measures: height (16113cm), weight (9326kg), BMI (357 kg/ m2), waist circumference (10218cm), hip circumference (11023cm), neck circumference (376cm), and waist-to-height ratio (0.630.11). The mean Epworth Sleepiness Scale score was 95 points while the mean MVPA was 107min/day. Conclusions: Obese youth were classified as “normal” on the Epworth Sleepiness Scale (indicated by a score between 0-9) but approached the cut-point (score10) at which expert advice should be sought to address their sleepiness. This group achieved less than 20% of the current daily physical activity recommendation for children (60 minutes of MVPA per day). Efforts should focus on increasing MVPA to reduce obesity and mitigate the sleepiness-low activity cycle.
P8.09 Determining Thresholds for Activity Intensity with Philips Actiwatch2 Accelerometer BOLETTE S. RAFN*, SARAH E. NEIL-SZTRAMKO, CECILIA MOREIRA, KRISTIN L. CAMPBELL University of British Columbia, Vancouver, BC, Canada Purpose: Emerging evidence points to the important contribution of sleep to appetite control and energy expenditure. Obtaining an accurate, objective measure of both sleep and physical activity is critical to epidemiologic and interventional obesity research. The Philips Actiwatch2 is a gold standard wrist-worn sleep-monitoring device that also measures physical activity. Currently, interpretation of physical activity data is limited by a lack of published thresholds for exercise intensity, which limits the ability to collect
Results: Data collection is ongoing. A sample size of 500 is targeted. Results will be presented at the conference. Discussion: This study aims to fill current gaps in the literature by examining how limiting a child’s independent mobility restricts their outdoor active play.
P8.06 What Men Want: Recommendations for Developing and Implementing Men Sensitive Weight Management Programs ALAIN P. GAUTHIER*1, JALILA JBILOU 2, SUZANNE SERRESSE 1, SARA-JANE VERMETTE 2, MIREILLE DEMERS 2 1 Laurentian University, Sudbury, ON, Canada 2 Université de Moncton, Moncton, NB, Canada Objective: Obesity rates among Canadian men are of growing concerns and research has shown that traditional weight management programs are seldom utilized by men. The purpose of this study was to identify factors affecting weight management program recruitment, attractiveness and adherence among men. Methods: A total of 31 men participated in 1 of 5 focus groups held in 2 Canadian cites. All men were above the age of 25, and with the exception of 2 participants, all men were either overweight or obese (i.e., BMI>25). All men expressed an eventual interest to participate in a weight management program. Results: Results from detailed thematic analyses were sorted by effective recruitment strategies (i: active recruitment of men where they are, ii: engage family members in recruiting men, iii: use simple and humorous messaging), factors influencing program attractiveness (i: social and friendly ambiance, ii: flexible meeting times, iii: non-judgemental approach, iv: lifestyle oriented which emphasizes all health benefits of the program, not just weight loss, v: family oriented/sensitive, vi: reward and/or results driven) and elements needed to ensure program adherence (i: an engaging leader that relates to his participants, ii: frequent contact and goals setting, iii: simple and straightforward delivery of program, iv: individualized/context specific programming, v: participant cohesion, vi: peer support/ motivation). Conclusions: Weight management programs aimed at men must be gender sensitive in order to be successful. Results from our research offer practical recommendations to do so.
P8.07 30 Day Physical Activity Challenge for Kids Using Daily SelfMonitoring LARRY KATZ*1, DWAYNE P. SHEEHAN 2, CYNTHIA WATSON 3, MEGAN HALLAM 1, JUSTIN GUENTHER 1 1 University of Calgary, Calgary, AB, Canada 2 Mount Royal University, Calgary, AB, Canada 3 Cardel Place, Calgary, AB, Canada The purpose of this research was to examine the effects of engaging children in a cooperative 30 day activity challenge that introduces them to physical activity concepts such as light, moderate, vigorous activity and the nature of physical activity (school based and non-school based activity). Two grade 4 classes from 1 school joined the study. Students participated in a variety of pursuits undertaken as an individual, with family members, or with peers. These challenges were designed to increase the individual student’s awareness of and long term engagement in physical activity. Each student monitored his/her ‘in school’ activity (using a pedometer) and ‘out of school’ activity (using a worksheet). Each morning students, working in teams, use tablet computers to enter the previous day’s out of school activity data. At the end of each school day, the students again
S65
used the tablets to enter their school activity data. Weekly activity reports were provided to each individual student and overall class performance was given to the teacher. Successful completion of the challenge resulted in a recreation day at Cardel Place, a family recreation centre. Results were measured on individual, team, and class basis. Student and teacher attitudes, accuracy of measurement, activity logs, and changes in activity were examined over the 30 day trial. Both classes achieved their goal. It was concluded that students could accurately measure their own performance and that monitoring of both in school and out of school activities can enhance student awareness of and participation in physical activities.
P8.08 Physical Activity and Sleepiness among Obese Youth ADAM MCKILLOP*, INDRA NARANG, CEDRIC MANLHIOT, BRIAN MCCRINDLE The Hospital for Sick Children, Toronto, ON, Canada Objective: Obesity has reached dangerous levels among youth. Obese youth are at an increased risk of developing diabetes, heart disease, sleep apnea, and depression. A volatile cycle may occur between obesity, physical activity, and feeling “sleepy”, such that increased feelings of sleepiness may result in reduced physical activity participation. This reduced physical activity may perpetuate the cycle by further increasing one’s sleepiness. This study aimed to characterize a population of obese youth with regards to their anthropometry, sleepiness, and moderate-to-vigorous physical activity (MVPA). Methods: The following anthropometric measures were completed: height, weight, body mass index (BMI), waist, hip and neck circumference, waist-to-height ratio, and the Epworth Sleepiness Scale. Participants were also asked to wear an accelerometer around their waist for 7-days to assess physical activity. Results: Data is reported as meanstandard deviation. Participants (N¼37; 143 years) had the following anthropometric measures: height (16113cm), weight (9326kg), BMI (357 kg/ m2), waist circumference (10218cm), hip circumference (11023cm), neck circumference (376cm), and waist-to-height ratio (0.630.11). The mean Epworth Sleepiness Scale score was 95 points while the mean MVPA was 107min/day. Conclusions: Obese youth were classified as “normal” on the Epworth Sleepiness Scale (indicated by a score between 0-9) but approached the cut-point (score10) at which expert advice should be sought to address their sleepiness. This group achieved less than 20% of the current daily physical activity recommendation for children (60 minutes of MVPA per day). Efforts should focus on increasing MVPA to reduce obesity and mitigate the sleepiness-low activity cycle.
P8.09 Determining Thresholds for Activity Intensity with Philips Actiwatch2 Accelerometer BOLETTE S. RAFN*, SARAH E. NEIL-SZTRAMKO, CECILIA MOREIRA, KRISTIN L. CAMPBELL University of British Columbia, Vancouver, BC, Canada Purpose: Emerging evidence points to the important contribution of sleep to appetite control and energy expenditure. Obtaining an accurate, objective measure of both sleep and physical activity is critical to epidemiologic and interventional obesity research. The Philips Actiwatch2 is a gold standard wrist-worn sleep-monitoring device that also measures physical activity. Currently, interpretation of physical activity data is limited by a lack of published thresholds for exercise intensity, which limits the ability to collect