This page has only limited features, please log in for full access.

Dr. Eun-Young Lee
School of Kinesiology and Health Studies, Queen’s University, Kingston, ON, Canada

Basic Info


Research Keywords & Expertise

0 Climate Change
0 Intersectionality
0 Population Health
0 Sustainability
0 Outdoor Play

Fingerprints

Climate Change
Intersectionality
24-hour movement behaviors
Population Health
Outdoor Play

Honors and Awards

The user has no records in this section


Career Timeline

The user has no records in this section.


Short Biography

The user biography is not available.
Following
Followers
Co Authors
The list of users this user is following is empty.
Following: 0 users

Feed

Review
Published: 17 August 2021 in Journal of Religion and Health
Reads 0
Downloads 0

The objective of this systematic review was to summarize the roles that religious communities played during the early stage of COVID-19 pandemic. Seven databases were searched and a total of 58 articles in English published between February 2020 and July 2020 were included in evidence synthesis. The findings of the literature showed diverse influences of religion as a double-edged sword in the context of COVID-19 pandemic. Religious communities have played detrimental and/or beneficial roles as a response to COVID-19 pandemic. A collaborative approach among religious communities, health science, and government is critical to combat COVID-19 crisis and future pandemics/epidemics.

ACS Style

Mikyung Lee; Heejun Lim; Merin Shobhana Xavier; Eun-Young Lee. “A Divine Infection”: A Systematic Review on the Roles of Religious Communities During the Early Stage of COVID-19. Journal of Religion and Health 2021, 1 -54.

AMA Style

Mikyung Lee, Heejun Lim, Merin Shobhana Xavier, Eun-Young Lee. “A Divine Infection”: A Systematic Review on the Roles of Religious Communities During the Early Stage of COVID-19. Journal of Religion and Health. 2021; ():1-54.

Chicago/Turabian Style

Mikyung Lee; Heejun Lim; Merin Shobhana Xavier; Eun-Young Lee. 2021. "“A Divine Infection”: A Systematic Review on the Roles of Religious Communities During the Early Stage of COVID-19." Journal of Religion and Health , no. : 1-54.

Journal article
Published: 11 June 2021 in Canadian Journal of Public Health
Reads 0
Downloads 0

This ecological study examined the relationship between neoliberal capitalist ideology (hereafter, neoliberal ideology) and non-communicable diseases (NCD) mortality in 124 countries, focusing on the degree to which climate culpability and physical inactivity are implicated in explaining that relationship. The economic freedom of the world index of the Fraser Institute (representing neoliberal ideology), CO2 emissions (metric tons/capita) from the World Bank (representing climate culpability), and the World Health Organization’s age-adjusted physical inactivity and NCD mortality data were used. Covariates included gross domestic product (GDP)/capita, the country-level prevalence of obesity (n = 123), tobacco smoking (n = 111), and alcohol consumption (n = 61). Neoliberal ideology was associated with NCD mortality after controlling for GDP/capita, physical inactivity, and obesity, and this association was most pronounced in less culpable countries. The association between neoliberal ideology and NCD mortality remained statistically significant even after further controlling for tobacco smoking and alcohol consumption. Neoliberal ideology was associated with NCD mortality, after controlling for GDP, climate culpability, and tobacco smoking, regardless of physical inactivity. When alcohol consumption was introduced, physical inactivity moderated the association between neoliberal ideology and NCD mortality. Neoliberal ideology was consistently associated with NCD mortality. Also, NCD mortality appears to be most severe in countries that are less culpable for global climate change. Our findings offer preliminary evidence-based support for a shift in thinking toward the fundamental determinants of health and calls for an upstream shift in climate change mitigation interventions to improve population health through the creation of equitable global political and economic systems.

ACS Style

Eun-Young Lee; Jeffrey Masuda. The ‘freedom’ to pollute? An ecological analysis of neoliberal capitalist ideology, climate culpability, lifestyle factors, and population health risk in 124 countries. Canadian Journal of Public Health 2021, 1 -11.

AMA Style

Eun-Young Lee, Jeffrey Masuda. The ‘freedom’ to pollute? An ecological analysis of neoliberal capitalist ideology, climate culpability, lifestyle factors, and population health risk in 124 countries. Canadian Journal of Public Health. 2021; ():1-11.

Chicago/Turabian Style

Eun-Young Lee; Jeffrey Masuda. 2021. "The ‘freedom’ to pollute? An ecological analysis of neoliberal capitalist ideology, climate culpability, lifestyle factors, and population health risk in 124 countries." Canadian Journal of Public Health , no. : 1-11.

Review article
Published: 30 April 2021 in SSM - Population Health
Reads 0
Downloads 0

Participation in and opportunities for physical activity (PA) and sports (PA inclusively hereafter) are known to vary across individuals with different social positions. Intersectionality theory may help us to better understand the complex processes of multiple interlocking systems of oppression and privilege shaped by intersections of individuals’ social categories. The objectives of this systematic scoping review were (1) to summarize the findings of articles examining PA claimed operationalization of intersectionality and (2) to identify the scope and gaps pertaining to the operationalization of intersectionality in PA research. A search was conducted in September 2019 in seven electronic databases (e.g., SPORTDiscus, Scopus, Web of Science) for relevant research articles written in English. Key search terms included “intersectionality” AND “physical activity” OR “sport”. Database searches, data screening and extraction, and narrative synthesis were conducted between September 2019 and May 2020. Of 16564 articles identified, 45 articles were included in this review. The majority of included articles used qualitative methods (n = 41), with two quantitative and two mixed-methods articles. The most frequently observed intersectional social position was sex/gender + race/ethnicity (n = 11), followed by sex/gender + race/ethnicity + sexuality (n = 6) and sex/gender + race/ethnicity + religion (n = 6). Most qualitative studies (n = 38) explicitly claimed operationalization of intersectionality as a key theoretical framework, and over half of these studies (n = 27) implicitly used intra-categorical intersectionality. Two quantitative studies were identified which examined a number of intersections simultaneously using inter-categorical intersectionality. Complex processes of individual and social-structural level factors that drive inequalities in PA opportunities and participation could be better elucidated with the operationalization of intersectionality theory. Intersectionality theory may serve as a useful framework in both qualitative and quantitative investigations. Advancement in quantitative intersectionality is critical in order to produce knowledge that could inform more inclusive PA promotion efforts.

ACS Style

Heejun Lim; Eun Jung; Kaila Jodoin; Xiaowei Du; Lee Airton; Eun-Young Lee. Operationalization of intersectionality in physical activity and sport research: A systematic scoping review. SSM - Population Health 2021, 14, 100808 .

AMA Style

Heejun Lim, Eun Jung, Kaila Jodoin, Xiaowei Du, Lee Airton, Eun-Young Lee. Operationalization of intersectionality in physical activity and sport research: A systematic scoping review. SSM - Population Health. 2021; 14 ():100808.

Chicago/Turabian Style

Heejun Lim; Eun Jung; Kaila Jodoin; Xiaowei Du; Lee Airton; Eun-Young Lee. 2021. "Operationalization of intersectionality in physical activity and sport research: A systematic scoping review." SSM - Population Health 14, no. : 100808.

Review
Published: 29 April 2021 in Global Health Research and Policy
Reads 0
Downloads 0

Background The worsening climate change and alarming prevalence of communicable and non-communicable diseases continue to threat human life and existence. Accumulating evidence suggests that favorable patterns of 24-h movement behaviors, high physical activity, low sedentary behavior, and adequate sleep, may positively contribute to achieving dual benefits of climate change mitigation and disease prevention. The purposes of this mini umbrella review were to summarize the most up-to-date, high-level evidence exploring the relationships between climate change, 24-h movement behaviors, and health and elaborate on the mechanisms linking the three variables of interest. Methods A systematic search of electronic databases was performed in PubMed and Google Scholar during March–October 2020. Inclusion criteria were: (1) systematic review; (2) reviewed relationships between climate change and movement behaviors and/or health in any directions; (3) written in English; (4) published in 2010–2020. Narrative synthesis was conducted to highlight the main relationships observed and address the current state of knowledge and priorities for future research. In order to illustrate the potential mechanisms between climate change, movement behaviors, and health, the main results from included systematic reviews were summarized and a conceptual framework was developed for future research. Results Based on the evidence from eight systematic reviews published in the past decade, multi-directional (i.e., uni-, bi-, or U-shaped) links were observed between climate change and varying human health outcomes. However, little is understood about the association between climate change and 24-h movement behaviors. Two reviews suggested the negative impact of climate change on sleep and bi-directional relationships between climate change and physical activity/sport. One review included two studies suggesting the unfavorable impact of climate change on sedentary behavior; however, the evidence was limited. Finally, no reviews examined the mechanisms by which climate change, movement behaviors, and health impact one another. Based on the findings of this mini umbrella review, a conceptual framework is proposed that could guide future work to unpack mechanisms between climate change, movement behaviors, and health. Conclusions This mini umbrella review highlights the importance of better understanding the mechanisms between climate change, movement behaviors, and health in developing effective mitigation and adaptation strategies to climate change, while paying close attention to vulnerable countries/communities/population groups.

ACS Style

Evaline Zisis; Shawn Hakimi; Eun-Young Lee. Climate change, 24-hour movement behaviors, and health: a mini umbrella review. Global Health Research and Policy 2021, 6, 1 -14.

AMA Style

Evaline Zisis, Shawn Hakimi, Eun-Young Lee. Climate change, 24-hour movement behaviors, and health: a mini umbrella review. Global Health Research and Policy. 2021; 6 (1):1-14.

Chicago/Turabian Style

Evaline Zisis; Shawn Hakimi; Eun-Young Lee. 2021. "Climate change, 24-hour movement behaviors, and health: a mini umbrella review." Global Health Research and Policy 6, no. 1: 1-14.

Review
Published: 18 March 2021 in International Journal of Behavioral Nutrition and Physical Activity
Reads 0
Downloads 0

Background Due to the myriad of benefits of children’s outdoor play and time, there is increasing concern over its decline. This systematic review synthesized evidence on the correlates of outdoor play and outdoor time among children aged 3-12 years. Methods A total of 12 electronic databases in five different languages (Chinese, English, Korean, Spanish, Portuguese) were searched between October 28, 2019 and July 27, 2020. Covidence software was used for screening and Microsoft Excel with a predesigned coding form was used for data extraction. Evidence was synthesized and correlates were categorized using the socioecological model framework. Results Based on 107 studies representing 188,498 participants and 422 childcare centers from 29 countries, 85 studies examined potential correlates of outdoor play while 23 studies examined that of outdoor time (one examined both). The duration of outdoor play and outdoor time ranged between 60 and 165 min/d and 42-240 min/d, respectively. Out of 287 (outdoor play) and 61 (outdoor time) potential correlates examined, 111 correlates for outdoor play and 33 correlates for outdoor time were identified as significant correlates. Thirty-three variables were identified as key/common correlates of outdoor play/time, including eight correlates at the individual level (e.g., sex/gender, race/ethnicity, physical activity), 10 correlates at the parental level (e.g., parental attitude/support/behavior, parenting practice), nine at the microsystem level (e.g., proximal home/social environment such as residence type, peer influence), three at the macrosystem/community level (e.g., availability of space children can play), and three at the physical ecology/pressure for macrosystem change level (e.g., seasonality, rurality). No key correlates were found at the institutional level. Conclusions Individual, parental, and proximal physical (home) and social environments appear to play a role in children’s outdoor play and time. Ecological factors (i.e., seasonality, rurality) also appear to be related to outdoor play/time. Evidence was either inconsistent or lacking at institutional and macrosystem/community levels. Standardizing terminology and measures of outdoor play/time is warranted. Future work should investigate the interactions and processes of multiple variables across different levels of socioecological modelling to better understand the mechanisms through which outdoor play/time opportunities can be optimized for children while paying special attention to varying conditions in which children are born, live, and play.

ACS Style

Eun-Young Lee; Ajaypal Bains; Stephen Hunter; Alyssa Ament; Javier Brazo-Sayavera; Valerie Carson; Shawn Hakimi; Wendy Y. Huang; Ian Janssen; Mikyung Lee; Heejun Lim; Diego Augusto Santos Silva; Mark S. Tremblay. Systematic review of the correlates of outdoor play and time among children aged 3-12 years. International Journal of Behavioral Nutrition and Physical Activity 2021, 18, 1 -46.

AMA Style

Eun-Young Lee, Ajaypal Bains, Stephen Hunter, Alyssa Ament, Javier Brazo-Sayavera, Valerie Carson, Shawn Hakimi, Wendy Y. Huang, Ian Janssen, Mikyung Lee, Heejun Lim, Diego Augusto Santos Silva, Mark S. Tremblay. Systematic review of the correlates of outdoor play and time among children aged 3-12 years. International Journal of Behavioral Nutrition and Physical Activity. 2021; 18 (1):1-46.

Chicago/Turabian Style

Eun-Young Lee; Ajaypal Bains; Stephen Hunter; Alyssa Ament; Javier Brazo-Sayavera; Valerie Carson; Shawn Hakimi; Wendy Y. Huang; Ian Janssen; Mikyung Lee; Heejun Lim; Diego Augusto Santos Silva; Mark S. Tremblay. 2021. "Systematic review of the correlates of outdoor play and time among children aged 3-12 years." International Journal of Behavioral Nutrition and Physical Activity 18, no. 1: 1-46.

Research article
Published: 19 January 2021 in Child: Care, Health and Development
Reads 0
Downloads 0

Background Cross‐cultural research can provide insight into whether levels and correlates of movement behaviors among early years children vary across different cultural contexts. This study 1) compared children’s physical activity (PA) and screen time (ST) and parental and environmental correlates of PA and ST between samples of Canadian and South Korean (Korean thereafter) early years children (2‐5 years), and 2) investigated parental and environmental correlates of PA and ST and whether country moderates the relationships. Methods Cross‐sectional data from 121 Canadian children (3.4 years; 49.6% girls) and 101 Korean children (3.4 years; 54.9% girls) who participated in the Parents’ Role in Establishing healthy Physical activity and Sedentary behavior habits (PREPS) study were used. Demographic information, children’s PA, ST, PA‐ or ST‐specific parental cognitions and behaviors, and home and neighborhood environments were measured using a proxy‐reported questionnaire. Two‐tailed independent samples T‐ or Mann Whitney U‐tests, Chi‐square tests, linear regression, and moderation analyses were performed. Results Canadian children spent more time in non‐organized PA compared to Korean children (111 vs 63 min/day), while time spent in organized PA was higher in Korean children than Canadian children (25 vs 9 min/day). Canadian children had more screen time than Korean children (159 vs 110 min/day). Similarly, Canadian parents reported higher screen (142 vs 116 min/day) and sitting time (317 vs 286 min/day) than Korean parents. Though children’s behaviors, as well as parental cognitions and behaviors, varied between the two samples, similar correlates of children’s PA and ST were observed. The relationship between presence of electronics in children’s bedrooms and children’s ST was moderated by country, with Canadian children showing a stronger relationship than Korean children. Conclusions Supporting parents to adopt cognitions and behaviors that are conducive to healthy PA and ST patterns of their own and their early years children may be important for both Canada and Korea.

ACS Style

Eun‐Young Lee; Yoon‐Kyung Song; Stephen Hunter; Justin Jeon; Nicholas Kuzik; Madison Predy; Valerie Carson. Levels and correlates of physical activity and screen time among early years children (2–5 years): Cross‐cultural comparisons between Canadian and South Korean data. Child: Care, Health and Development 2021, 1 .

AMA Style

Eun‐Young Lee, Yoon‐Kyung Song, Stephen Hunter, Justin Jeon, Nicholas Kuzik, Madison Predy, Valerie Carson. Levels and correlates of physical activity and screen time among early years children (2–5 years): Cross‐cultural comparisons between Canadian and South Korean data. Child: Care, Health and Development. 2021; ():1.

Chicago/Turabian Style

Eun‐Young Lee; Yoon‐Kyung Song; Stephen Hunter; Justin Jeon; Nicholas Kuzik; Madison Predy; Valerie Carson. 2021. "Levels and correlates of physical activity and screen time among early years children (2–5 years): Cross‐cultural comparisons between Canadian and South Korean data." Child: Care, Health and Development , no. : 1.

Journal article
Published: 11 November 2020 in Journal of Sport and Health Science
Reads 0
Downloads 0

Grounded in intersectionality theory, this study examined the 6-year prevalence trend and correlates in meeting Canada's 24-Hour Movement Guidelines (Guidelines hereafter) in a nationally representative sample of South Korean adolescents. Self-reported, annually repeated cross-sectional data collected between 2013 and 2018 were used (n = 372,433, 12–17 years old, 47.9% females). Adolescents were categorized as meeting or not meeting different sets of physical activity, screen time (ST), and sleep recommendations within the Guidelines, separately for weekdays and weekend days. Intersectional correlates included sex and social class (i.e., family economic status, parental education level, and academic performance). Multiple logistic regression analyses were performed. Overall, the proportion of adolescents meeting physical activity, ST, and sleep recommendations were 5.3%, 60.3%, and 10.2% on weekdays and 5.3%, 28.2%, and 46.4% on weekend days, respectively. Between 2013 and 2018, no substantial changes were observed for meeting the physical activity or sleep recommendation, while meeting the ST recommendation was markedly lower in 2018. The proportion of meeting all 3 recommendations were 0.5% for weekdays and 0.8% for weekend days. Overall, compared to female adolescents, male adolescents were consistently associated with more favorable patterns of meeting different sets of recommendations, regardless of social class. Among females only, social class appeared to be not important or even detrimental in meeting different sets of recommendations. Being male, compounded with social class, was associated with meeting the ST recommendation. Less than 1% of Korean adolescents met the overall Guidelines. Intersectionality-based analysis and intervention may be important in promoting healthy active lifestyles among South Korean adolescents.

ACS Style

Eun Young Lee; Asaduzzaman Khan; Riaz Uddin; Eva Lim; Lauren George. Six-year trends and intersectional correlates of meeting 24-Hour Movement Guidelines among South Korean adolescents: Korea Youth Risk Behavior Surveys, 2013–2018. Journal of Sport and Health Science 2020, 1 .

AMA Style

Eun Young Lee, Asaduzzaman Khan, Riaz Uddin, Eva Lim, Lauren George. Six-year trends and intersectional correlates of meeting 24-Hour Movement Guidelines among South Korean adolescents: Korea Youth Risk Behavior Surveys, 2013–2018. Journal of Sport and Health Science. 2020; ():1.

Chicago/Turabian Style

Eun Young Lee; Asaduzzaman Khan; Riaz Uddin; Eva Lim; Lauren George. 2020. "Six-year trends and intersectional correlates of meeting 24-Hour Movement Guidelines among South Korean adolescents: Korea Youth Risk Behavior Surveys, 2013–2018." Journal of Sport and Health Science , no. : 1.

Journal article
Published: 06 October 2020 in Sustainability
Reads 0
Downloads 0

This study examined the prevalence and clustering patterns of pro-environmental behaviors that are conducive to socially and environmentally sustainable living among Canadians. Cross-sectional data from the 2015 Households and the Environment Survey (HES) were used. Prevalence was calculated by province and each pro-environmental behavior. Observed/expected prevalence ratios were computed to assess clustering patterns and logistic regression analyses were performed to examine the pairwise associations. Among 8816 Canadian households, prevalence of engaging in pro-environmental behaviors ranked as the following: engaging in green consumer behavior (88%), composting food/yard waste (84%), being active outdoors (82%), gardening (72%), and recycling electronics (45%). While only 14% engaged in ≤2 pro-environmental behaviors, 25.1% of Canadians engaged in all pro-environmental behaviors. By province, British Columbia was the greenest province (81%), followed by Ontario (77%) and Nova Scotia (NS) (76.9%) while the least green provinces were Newfoundland and Labrador (NL) (62.9%), Saskatchewan (69.2%), and New Brunswick (NB) (68%). The most apparent clustering of behaviors was found between recycling electronics and gardening (Observed/Expected: 3.65, 95% CI: 1.98–5.32). Pairwise associations between any two pro-environmental behaviors were statistically significant for all possible combinations (Odds ratios ranged 1.23–2.24). Prevalence of engaging in different sets of pro-environmental behaviors varied greatly by province. Sub-optimal clustering of pro-environmental behaviors and varying pairwise synergetic associations were observed in Canadian households. To promote more holistic, sustainable lifestyles and create sociocultural environments that are conducive to the environment in the era of climate change, future work should investigate barriers and opportunities in adopting more pro-environmental behaviors in Canadian households.

ACS Style

Eun-Young Lee; Asaduzzaman Khan. Prevalence and Clustering Patterns of Pro-Environmental Behaviors among Canadian Households in the Era of Climate Change. Sustainability 2020, 12, 8218 .

AMA Style

Eun-Young Lee, Asaduzzaman Khan. Prevalence and Clustering Patterns of Pro-Environmental Behaviors among Canadian Households in the Era of Climate Change. Sustainability. 2020; 12 (19):8218.

Chicago/Turabian Style

Eun-Young Lee; Asaduzzaman Khan. 2020. "Prevalence and Clustering Patterns of Pro-Environmental Behaviors among Canadian Households in the Era of Climate Change." Sustainability 12, no. 19: 8218.

Epidemiology
Published: 09 September 2020 in PLOS ONE
Reads 0
Downloads 0

Previous research indicates that income inequality is associated with risk for mortality, self-rated health status, chronic conditions, and health behavior, such as physical activity. However, little is known about the relationship between income inequality and dietary intake, which is a major risk factor for common chronic diseases including heart disease, stroke, diabetes, and certain types of cancers. The objective of this study is to determine the association between US state income inequality and fruit and vegetable consumption among adults. Cross-sectional data on 270,612 U.S. adults from the U.S. 2013 Behavioral Risk Factor Surveillance System was used. Fruit and vegetable consumption was assessed from the six-item fruit and vegetable frequency questionnaire, which is part of the Behavioral Risk Factor Surveillance System. Multilevel modeling was used to determine whether US state-level income inequality (measured by the z-transformation of the Gini coefficient) was associated with fruit and vegetable consumption adjusting for individual-level and state-level covariates. In comparison to men, women were more likely to consume fruits and vegetables ≥5 times daily, fruits ≥2 times daily, vegetables ≥3 times of daily, and less likely to consume fruit juice daily. Among both men and women, a standard deviation increase in Gini coefficient was associated with an increase in consuming fruit juice daily (OR = 1.07, 95% CI = 1.03, 1.11). However, among women, a standard deviation increase in Gini coefficient was associated with a decreased likelihood in meeting daily recommended levels of both fruits and vegetables (OR = 0.93; 0.87–0.99), fruits only (OR = 0.95; 95% CI, 0.92–0.99) and vegetables only (OR = 0.92; 95% CI, 0.89–0.96). This study is one of the first to show the relationship between income inequality and fruit and vegetable consumption among U.S. adults empirically. Women’s health is more likely to be detrimentally affected when living in a state with higher income inequality.

ACS Style

Masako Horino; Sze Yan Liu; Eun-Young Lee; Ichiro Kawachi; Roman Pabayo. State-level income inequality and the odds for meeting fruit and vegetable recommendations among US adults. PLOS ONE 2020, 15, e0238577 .

AMA Style

Masako Horino, Sze Yan Liu, Eun-Young Lee, Ichiro Kawachi, Roman Pabayo. State-level income inequality and the odds for meeting fruit and vegetable recommendations among US adults. PLOS ONE. 2020; 15 (9):e0238577.

Chicago/Turabian Style

Masako Horino; Sze Yan Liu; Eun-Young Lee; Ichiro Kawachi; Roman Pabayo. 2020. "State-level income inequality and the odds for meeting fruit and vegetable recommendations among US adults." PLOS ONE 15, no. 9: e0238577.

Journal article
Published: 10 May 2020 in Journal of Exercise Science & Fitness
Reads 0
Downloads 0

This study examined the validity of the FitnessGram® criterion-reference cut-points for cardiorespiratory fitness (CRF) based on two samples of US adolescents (aged 12–15 years). This study also established the CRF cut-points for metabolically healthy weight status based on a recent national fitness survey for the purposes of cross-validating with pre-existing cut-points including FitnessGram. Two cross-sectional data from the 2003–2004 National Health and Nutrition Examination Survey (NHANES) (n = 378) and 2012 NHANES National Youth Fitness Survey (NNYFS) (n = 451) were used. CRF (estimated V˙O2max in mL/kg/min) was estimated from a submaximal exercise test. CRF categories based on FitnessGram cut-points, a clustered cardiometabolic risk factors score and weight status were used. A series of Receiver Operating Characteristic (ROC) curve analyses were conducted to identify age- and sex-specific CRF cut-points that were optimal for metabolically healthy weight status. Based on FitnessGram cut-points, having high risk CRF, but not low risk CRF, was associated with high cardiometabolic risk (OR = 3.17, 95% CI = 1.14–8.79) and unhealthy weight status (OR = 5.81, 95% CI = 3.49–9.68). The optimal CRF cut-points for 12-13-year-olds and 14-15-year-olds were 40 and 43 mL/kg/min in males and 39 and 34 mL/kg/min in females, respectively. Compared to meeting new CRF cut-points, not meeting new CRF cut-points was associated with higher odds of showing high cardiometabolic risk (OR = 2.91, 95% CI = 1.47–5.77) and metabolically unhealthy weight status (OR = 4.47, 95% CI = 2.83–7.05). FitnessGram CRF cut-point itself has rarely been scrutinized in previous literature. Our findings provide partial support for FitnessGram based on two samples of US adolescents. CRF cut-points established in this study supports international criterion-referenced cut-points as well as FitnessGram cut-points only for males. FitnessGram should be continuously monitored and scrutinized using different samples.

ACS Style

Eun-Young Lee; Joel D. Barnes; Justin J. Lang; Diego A.S. Silva; Grant R. Tomkinson; Mark S. Tremblay. Testing validity of FitnessGram in two samples of US adolescents (12–15 years). Journal of Exercise Science & Fitness 2020, 18, 129 -135.

AMA Style

Eun-Young Lee, Joel D. Barnes, Justin J. Lang, Diego A.S. Silva, Grant R. Tomkinson, Mark S. Tremblay. Testing validity of FitnessGram in two samples of US adolescents (12–15 years). Journal of Exercise Science & Fitness. 2020; 18 (3):129-135.

Chicago/Turabian Style

Eun-Young Lee; Joel D. Barnes; Justin J. Lang; Diego A.S. Silva; Grant R. Tomkinson; Mark S. Tremblay. 2020. "Testing validity of FitnessGram in two samples of US adolescents (12–15 years)." Journal of Exercise Science & Fitness 18, no. 3: 129-135.

Journal article
Published: 17 December 2019 in Preventive Medicine
Reads 0
Downloads 0

The precursors of non-communicable diseases (NCDs) are often manifested during childhood and adolescence with little knowledge about co-occurrence of their related lifestyle risk factors. To address this deficit, we estimated the prevalence and clustering of six major NCD-risk factors in adolescents around the world. Data from the Global School-based Student Health Survey, collected between 2007 and 2016, were analysed in 304,779 adolescents aged 11–17 years (52.2% females) from 89 countries. We compared the observed (O) to expected (E) prevalence ratios of 64 possible combinations of six risk factors to determine their clustering patterns. Overall, 82.4% (95% CI 82.1–82.7) of adolescents had ≥2 risk factors, while 34.9% (34.6–35.3) had ≥3. Adolescents aged 16–17 years, compared to those aged 11–13 years, had higher odds (OR 1.33; 95% CI 1.31–1.36) of reporting ≥3 risk factors. Risk factors clustered in multiple combinations and differed by sex. The clustering of physical inactivity and low fruit and vegetable intake was evident in both males (O/E 1.10; 95% CI 1.07–1.12) and females (1.08; 1.06–1.10). The co-occurrence of cigarette smoking, alcohol drinking, physical inactivity, and low fruit and vegetable intake was 165% greater in females (2.65; 2.28–3.07) and 110% greater in males (2.10; 1.90–2.32) than expected. Globally, adolescents exhibit multiple modifiable risk factors for future development of NCDs. Early gender-specific prevention strategies targeting clusters of lifestyle risk factors should be prioritised to help mitigate future burden of NCDs globally. Periodical collection of behavioural risk factor data should be encouraged to facilitate a sustainable global surveillance.

ACS Style

Riaz Uddin; Eun-Young Lee; Shanchita R. Khan; Mark S. Tremblay; Asaduzzaman Khan. Clustering of lifestyle risk factors for non-communicable diseases in 304,779 adolescents from 89 countries: A global perspective. Preventive Medicine 2019, 131, 105955 .

AMA Style

Riaz Uddin, Eun-Young Lee, Shanchita R. Khan, Mark S. Tremblay, Asaduzzaman Khan. Clustering of lifestyle risk factors for non-communicable diseases in 304,779 adolescents from 89 countries: A global perspective. Preventive Medicine. 2019; 131 ():105955.

Chicago/Turabian Style

Riaz Uddin; Eun-Young Lee; Shanchita R. Khan; Mark S. Tremblay; Asaduzzaman Khan. 2019. "Clustering of lifestyle risk factors for non-communicable diseases in 304,779 adolescents from 89 countries: A global perspective." Preventive Medicine 131, no. : 105955.

Comparative study
Published: 16 December 2019 in International Journal of Environmental Research and Public Health
Reads 0
Downloads 0

The activPAL (PAL Technologies, Glasgow, UK) has been increasingly used on children to assess sedentary time and physical activity (PA). However, there is no consensus on how it can estimate PA at different intensities. This study compared three commonly used, activPAL-based classifications of moderate-to-vigorous physical activity (MVPA) (daily steps, acceleration counts, and step rate) in determining compliance with the World Health Organization (WHO)’s PA guidelines for preschool children on a daily basis. One hundred and fourteen preschool children aged 3–6 years wore an activPALTM for 24 h over 7 consecutive days and provided valid data for a total of 548 days. MVPA was calculated based on published cut-points of counts (MVPA-counts) and step rate (MVPA-step rate). Compliance with standard PA guidelines (≥180 min/day of PA including ≥60 min/day of MVPA) was determined based on three criteria: ≥11,500 steps/day, a threshold of 1418 acceleration counts/15 s, and 25 steps/15 s for MVPA. Applying cut-points of daily steps and acceleration counts provided the same estimates of compliance with the WHO PA guidelines (20%), while the estimated compliance based on the step rate was lower (7.7%). There was a moderate agreement between the daily steps- (or counts-) derived and step rate-derived compliances (κ = 0.41; 95% confidence interval (CI): 0.31, 0.51). The amount of MVPA derived from counts (1.95 ± 0.72 h/day) was significantly higher than that from step rates (0.47 ± 0.31 h/day). The activPAL may be useful for surveillance studies to estimate total PA in preschool children. Further development of the activPAL algorithms based on either counts or step rate is warranted before it can be used to accurately estimate MVPA in this age group.

ACS Style

Wendy Yajun Huang; Eun-Young Lee. Comparability of ActivPAL-Based Estimates of Meeting Physical Activity Guidelines for Preschool Children. International Journal of Environmental Research and Public Health 2019, 16, 5146 .

AMA Style

Wendy Yajun Huang, Eun-Young Lee. Comparability of ActivPAL-Based Estimates of Meeting Physical Activity Guidelines for Preschool Children. International Journal of Environmental Research and Public Health. 2019; 16 (24):5146.

Chicago/Turabian Style

Wendy Yajun Huang; Eun-Young Lee. 2019. "Comparability of ActivPAL-Based Estimates of Meeting Physical Activity Guidelines for Preschool Children." International Journal of Environmental Research and Public Health 16, no. 24: 5146.

Journal article
Published: 08 July 2019 in Journal of Transport & Health
Reads 0
Downloads 0

This study examined the levels of utilitarian walking by age and gender and associations between utilitarian walking, meeting global physical activity guidelines, and psychological well-being in a nationally representative sample of South Korean adolescents. The 2016 Korea Youth Risk Behavior Web-based Survey included complete self-reported data from 60,548 adolescents aged 12–17 years (M age = 14.8 ± .02). Utilitarian walking was the exposure variable and outcome variables included meeting the World Health Organization's moderate-to-vigorous physical activity (MVPA) recommendation (≥60 min/day), happiness, and stress. Covariates included age, gender, area of residence, economic status, and academic performance. The Complex Samples (CS) general linear and logistic regression analyses were conducted. A significant age x gender interaction was observed on weekly utilitarian walking. Boys showed higher utilitarian walking than girls (5.8 vs. 5.1 h/wk; p < .001). The age differences were more apparent among girls with younger age generally showing higher utilitarian walking than older age except 12 vs. 13 years (p < .001). Among boys, age differences were only observed for 12 vs. 13 years and 13 vs. 14 years (p < .001). Weekly utilitarian walking for 1–5 h (Odds ratio[OR]: 1.73, 95%Confidence interval[CI]: 1.41–2.13) and >5 h (OR: 5.26, 95%CI: 4.32–6.41), compared to 5 h/wk (OR: 1.29, 95%CI: 1.22–1.37) were associated with higher odds of being happy in a linear fashion (p-for-trend< 0.001) after adjusting for MVPA in addition to covariates. No associations were observed between utilitarian walking and no/low stress. Higher levels of utilitarian walking were associated with meeting the MVPA recommendation and being happy. Future studies should investigate the correlates of utilitarian walking to inform interventions and strategies to promote such walking among Korean adolescents.

ACS Style

Yeonkyoung Jin; Valerie Carson; Roman Pabayo; John C. Spence; MarkS. Tremblay; Eun-Young Lee. Associations between utilitarian walking, meeting global physical activity guidelines, and psychological well-being among South Korean adolescents. Journal of Transport & Health 2019, 14, 100588 .

AMA Style

Yeonkyoung Jin, Valerie Carson, Roman Pabayo, John C. Spence, MarkS. Tremblay, Eun-Young Lee. Associations between utilitarian walking, meeting global physical activity guidelines, and psychological well-being among South Korean adolescents. Journal of Transport & Health. 2019; 14 ():100588.

Chicago/Turabian Style

Yeonkyoung Jin; Valerie Carson; Roman Pabayo; John C. Spence; MarkS. Tremblay; Eun-Young Lee. 2019. "Associations between utilitarian walking, meeting global physical activity guidelines, and psychological well-being among South Korean adolescents." Journal of Transport & Health 14, no. : 100588.

Journal article
Published: 08 May 2019 in International Journal of Environmental Research and Public Health
Reads 0
Downloads 0

Obesity is a prominent global public health challenge as its prevalence has grown. Even though the increase in prevalence of obesity in Korea has been relatively low, it is expected to continually increase in the next several years, leading to social and economic burdens. This study aimed to assess socioeconomic inequalities in obesity among Korean adults. Using nationally representative survey datasets, the concentration index (CI) and decomposition of the CI were used to capture and quantify obesity-related inequalities from 1998 to 2015. The results suggested that pro-poor inequalities in obesity existed in Korea, indicating that obesity was more concentrated among individuals with lower income. In a gender-stratified model, obesity was more concentrated among women with lower income and men with higher income, showing that the trend and magnitude of inequalities in obesity each vary by gender. The decomposition approach revealed that, over the past 17 years, the main contributors to the existing inequalities were higher education and higher income levels. These findings suggest that comprehensive and multifaceted interventions at the local and national levels should be considered to address the identified income- and education-related barriers with respect to obesity among Korean adults.

ACS Style

Jongnam Hwang; Eun-Young Lee; Chung Gun Lee. Measuring Socioeconomic Inequalities in Obesity among Korean Adults, 1998–2015. International Journal of Environmental Research and Public Health 2019, 16, 1617 .

AMA Style

Jongnam Hwang, Eun-Young Lee, Chung Gun Lee. Measuring Socioeconomic Inequalities in Obesity among Korean Adults, 1998–2015. International Journal of Environmental Research and Public Health. 2019; 16 (9):1617.

Chicago/Turabian Style

Jongnam Hwang; Eun-Young Lee; Chung Gun Lee. 2019. "Measuring Socioeconomic Inequalities in Obesity among Korean Adults, 1998–2015." International Journal of Environmental Research and Public Health 16, no. 9: 1617.

Journal article
Published: 07 January 2019 in BMC Public Health
Reads 0
Downloads 0

The growth and development that occurs in early childhood has long-term implications, therefore understanding the relevant determinants is needed to inform early prevention and intervention. The objectives of the study were to examine: 1) the longitudinal associations of physical activity and sedentary behavior with social skills and 2) how physical activity and sedentary behavior track over three time-points. Participants were from the Parents’ Role in Establishing healthy Physical activity and Sedentary behavior habits (PREPS) project. A total of 251 eligible toddlers and their parents participated at baseline in 2014/15 (time 1; 1.6 ± 0.2 years) and a sub-sample participated at 1-year (time 2; n = 79; 2.7 ± 0.3 years) and 2-year (time 3; n = 77; 3.7 ± 0.4 years) follow-ups. Sedentary time (≤25 counts/15 s), light-intensity physical activity (LPA; 26–419 counts/15 s), and moderate- to vigorous-intensity physical activity (MVPA; ≥420/15 s) were objectively measured with wGT3X-BT ActiGraph accelerometers, and standardized for wear time. Parents reported their children’s screen time (television/video, video/computer games) at all three time-points. Parents also reported on children’s social skills using the Adaptive Social Behavior Inventory (ASBI) at time-points 2 and 3, and comply (e.g., cooperates; 10 items), express (e.g., joins play; 13 items), and disrupt (e.g., teases; 7 items) subscales were created by summing items. Generalized estimating equations (GEE) were conducted to address objective one. Tracking coefficients (low: β1 < 0.30; moderate: β1 = 0.30–0.59; moderate-high: β1 = 0.60-0.90; high: β1 > 0.9) were conducted using GEE to address objective two. Across the study, screen time was negatively associated with express (b = − 0.068, 95%CI: -0.114, − 0.023) and comply (b = − 0.056; 95%CI: -0.094, − 0.018) scores and positively associated with disrupt scores (b = 0.004; 95% CI: 0.001, 0.006). Findings were similar for television/videos but less consistent for video/computer games. No associations were observed for physical activity. Screen time significantly tracked at moderate-high levels (β1 = 0.63; 95% CI: 0.45, 0.81), while all other behaviors tracked at moderate levels (β1 = 0.35–0.49; p < 0.01) over the three time-points. Screen time was unfavorably associated with social skills across early childhood. Furthermore, all behaviors tracked at moderate to moderate-high levels from toddler to preschool ages. Therefore, promoting healthy physical activity and sedentary behavior patterns early in life, especially for screen time, may be important.

ACS Style

Valerie Carson; Eun-Young Lee; Kylie D. Hesketh; Stephen Hunter; Nicholas Kuzik; Madison Predy; Ryan E. Rhodes; Christina M. Rinaldi; John C. Spence; Trina Hinkley. Physical activity and sedentary behavior across three time-points and associations with social skills in early childhood. BMC Public Health 2019, 19, 1 -8.

AMA Style

Valerie Carson, Eun-Young Lee, Kylie D. Hesketh, Stephen Hunter, Nicholas Kuzik, Madison Predy, Ryan E. Rhodes, Christina M. Rinaldi, John C. Spence, Trina Hinkley. Physical activity and sedentary behavior across three time-points and associations with social skills in early childhood. BMC Public Health. 2019; 19 (1):1-8.

Chicago/Turabian Style

Valerie Carson; Eun-Young Lee; Kylie D. Hesketh; Stephen Hunter; Nicholas Kuzik; Madison Predy; Ryan E. Rhodes; Christina M. Rinaldi; John C. Spence; Trina Hinkley. 2019. "Physical activity and sedentary behavior across three time-points and associations with social skills in early childhood." BMC Public Health 19, no. 1: 1-8.

Journal article
Published: 01 December 2018 in Journal of Sport and Health Science
Reads 0
Downloads 0

This study aimed to examine the levels and correlates of 24-h movement behaviors (i.e., physical activity, sedentary time, and sleep), and different patterns of these behaviors in a nationally representative sample of South Koreans aged 12 years and older. This study also aimed to examine the sociodemographic correlates of 24-h movement behaviors stratified by age groups. Self-reported, repeated cross-sectional data from 10,708 participants in the 2014 and 2015 Korea National Health and Nutrition Examination surveys were used. Key variables included moderate-to-vigorous intensity physical activity, muscular strengthening exercises, walking, active transportation, sedentary time, and sleep. Sociodemographic variables included age, sex, household income, area of residence, and education level. Descriptive statistics by sex and age as well as general linear models by age group were performed. The proportions of individuals meeting the moderate-to-vigorous intensity physical activity, muscular strengthening exercises, and sleep guidelines were, respectively, 21.6%, 22.1%, and 32.5% in male youth; 6.9%, 4.5%, and 22.8% in female youth; 55.5%, 30.8%, and 54.0% in male adults; 48.8%, 14.4%, and 57.6% in female adults; 44.0%, 30.6%, and 45.5% in male older adults; and 29.5%, 8.9%, and 37.3% in female older adults. The proportions of individuals showing the most ideal combinations of 24-h movement behaviors were only 3.2% in youth, 0.4% in adults, and 0 in older adults. Universally, older age, female sex, or living in metro Seoul were associated with unfavorable patterns of 24-h movement behaviors across different age groups. However, the associations of income and education with movement behaviors were mixed across age groups. Overall, the proportion of South Koreans with a healthy 24-h movement behavior pattern is low. The sociodemographic correlates of different types of 24-h movement behaviors should be considered when designing targeted interventions for the promotion of healthy active living for South Koreans.

ACS Style

Eun-Young Lee; Valerie Carson; Justin Jeon; John C. Spence; Mark S. Tremblay. Levels and correlates of 24-hour movement behaviors among South Koreans: Results from the Korea National Health and Nutrition Examination Surveys, 2014 and 2015. Journal of Sport and Health Science 2018, 8, 376 -385.

AMA Style

Eun-Young Lee, Valerie Carson, Justin Jeon, John C. Spence, Mark S. Tremblay. Levels and correlates of 24-hour movement behaviors among South Koreans: Results from the Korea National Health and Nutrition Examination Surveys, 2014 and 2015. Journal of Sport and Health Science. 2018; 8 (4):376-385.

Chicago/Turabian Style

Eun-Young Lee; Valerie Carson; Justin Jeon; John C. Spence; Mark S. Tremblay. 2018. "Levels and correlates of 24-hour movement behaviors among South Koreans: Results from the Korea National Health and Nutrition Examination Surveys, 2014 and 2015." Journal of Sport and Health Science 8, no. 4: 376-385.

Journal article
Published: 26 November 2018 in Journal of Exercise Science & Fitness
Reads 0
Downloads 0

South Korea's 2018 Report Card on Physical Activity for Children and Youth is the second comprehensive evaluation of physical activity and the sources of influence based on the 10 core indicators provided by the Active Healthy Kids Global Alliance. It will serve as an advocacy tool to promote physical activity among children and youth. Three national surveillance data (i.e., 2017 Korea Youth Risk Behavior Web-based Survey, 2016 Korea National Health and Nutrition Examination Survey, 2016 Physical Activity Promotion System) were used as main sources to evaluate the indicators. Descriptive statistics were performed to obtain prevalence estimates of physical activity-related indicators. In addition, expert opinions as well as the most recently available published or unpublished relevant sources were synthesized. South Korea's 2018 Report Card, compared to the 2016 Report Card, showed favourable changes in the Active Transportation (B+), Organized Sports Participation (C), Sedentary Behaviours (D), and School (D+) indicators, while unfavourable changes were shown in Overall Physical Activity (F) and Government (D). Physical Fitness was graded as D+. In parallel with the 2016 Report Card, Active Play, Family and Peers, and Community and Environment remain ungraded due to insufficient data. Successes as well as gaps and research needs were identified in the 2018 Report Card. Though some indicators have shown improvement, most children and youth continue to be insufficiently physically active with overall poor grades (Average of D+). To achieve substantial improvement in all grades in future Report Cards, more institutional and governmental support and investment is needed to promote physical activity. Furthermore, effort should be made to generate data pertaining to the indicators that were ungraded.

ACS Style

Jung-Woo Oh; Eun-Young Lee; Jungjun Lim; Sang-Hwa Lee; Yu-Sun Jin; Bong Kil Song; Bumjo Oh; Chung Gun Lee; Deok Hwan Lee; Han Joo Lee; Hyon Park; Hyun Joo Kang; Mi-Seong Yu; Sang-Hoon Suh; Sejung Park; Sojung Lee; Soo Jung Park; Sungchul Im; Wook Song; Yewon Yu; Yoonkyung Song; Youngwon Kim; Justin Y. Jeon; Yeon Soo Kim. Results from South Korea's 2018 Report Card on physical activity for children and youth. Journal of Exercise Science & Fitness 2018, 17, 26 -33.

AMA Style

Jung-Woo Oh, Eun-Young Lee, Jungjun Lim, Sang-Hwa Lee, Yu-Sun Jin, Bong Kil Song, Bumjo Oh, Chung Gun Lee, Deok Hwan Lee, Han Joo Lee, Hyon Park, Hyun Joo Kang, Mi-Seong Yu, Sang-Hoon Suh, Sejung Park, Sojung Lee, Soo Jung Park, Sungchul Im, Wook Song, Yewon Yu, Yoonkyung Song, Youngwon Kim, Justin Y. Jeon, Yeon Soo Kim. Results from South Korea's 2018 Report Card on physical activity for children and youth. Journal of Exercise Science & Fitness. 2018; 17 (1):26-33.

Chicago/Turabian Style

Jung-Woo Oh; Eun-Young Lee; Jungjun Lim; Sang-Hwa Lee; Yu-Sun Jin; Bong Kil Song; Bumjo Oh; Chung Gun Lee; Deok Hwan Lee; Han Joo Lee; Hyon Park; Hyun Joo Kang; Mi-Seong Yu; Sang-Hoon Suh; Sejung Park; Sojung Lee; Soo Jung Park; Sungchul Im; Wook Song; Yewon Yu; Yoonkyung Song; Youngwon Kim; Justin Y. Jeon; Yeon Soo Kim. 2018. "Results from South Korea's 2018 Report Card on physical activity for children and youth." Journal of Exercise Science & Fitness 17, no. 1: 26-33.

Article
Published: 14 August 2018 in International Journal of Behavioral Medicine
Reads 0
Downloads 0

To examine associations between physical activity contexts and health and fitness perceptions among Korean adults and youth. Data were from the Korean Survey on Citizens' Sports Participation in 2015. Korean youth (N = 832; Mage = 14.7) and adults (N = 6719; Mage = 41.3) were included in the hierarchical logistic and linear regressions. Youth physical activity was examined in school-based (i.e., school-based and after-school/Saturday school sports) and out of school (i.e., organized sports) settings. Adults who met the World Health Organization (WHO) physical activity guidelines or not, and participated in structured (e.g., sport) and unstructured (e.g., walking) physical activity were compared. The outcome variables were self-reported health and fitness. Gender interactions between physical activity and all outcomes were examined for the adult sample only. No associations existed between physical activity and perceived health or fitness among youth. Adults who met the WHO guidelines, or participated in structured physical activity showed higher odds of reporting good health. Unstructured physical activity was associated with lower odds of reporting good health. Positive perceptions of fitness were more likely to be reported by males who met physical activity guidelines compared to females. For youth, the potential benefit of physical activity, regardless of contexts, may be more apparent for psychological health than perceived physical health, and school should be used as a venue to promote physical activity. For adults, structured physical activity and achieving the WHO physical activity guidelines may be suggested for perceptions of overall health.

ACS Style

Kimberley D. Curtin; Eun-Young Lee; Lira Yun; John C. Spence. Context Matters: Examining Perceived Health and Fitness Outcomes of Physical Activity Participation Among South Korean Adults and Youth. International Journal of Behavioral Medicine 2018, 25, 548 -557.

AMA Style

Kimberley D. Curtin, Eun-Young Lee, Lira Yun, John C. Spence. Context Matters: Examining Perceived Health and Fitness Outcomes of Physical Activity Participation Among South Korean Adults and Youth. International Journal of Behavioral Medicine. 2018; 25 (5):548-557.

Chicago/Turabian Style

Kimberley D. Curtin; Eun-Young Lee; Lira Yun; John C. Spence. 2018. "Context Matters: Examining Perceived Health and Fitness Outcomes of Physical Activity Participation Among South Korean Adults and Youth." International Journal of Behavioral Medicine 25, no. 5: 548-557.

Journal article
Published: 01 April 2018 in Health Promotion and Chronic Disease Prevention in Canada
Reads 0
Downloads 0

Introduction In this cross-sectional follow-up study, we explored Canadian’s awareness of ParticipACTION and their levels of physical activity (PA) after seven years of campaigns. Methods A population-based survey was conducted with 7282 adults over a period of 14 months from February 2014 to May 2015. The survey consisted of questions on the 2014-2015 Physical Activity Monitor relating to awareness and knowledge of ParticipACTION. Weighted logistic models were constructed to examine whether awareness was associated with PA-related beliefs, intentions, and leisure time physical activity (LTPA). Results Approximately 20% of Canadians reported unprompted awareness of ParticipACTION and 82% reported prompted awareness. Education, income, and having children were significant correlates of awareness among Canadians. The adjusted odds of people being aware of ParticipACTION (prompted and unprompted) were greater if they were more educated (OR = 1.57, 95% CI: 1.04–2.39; OR = 2.00, 95% CI: 1.24–3.24), reported higher income (OR = 3.92, 95% CI: 2.35–6.53; OR = 2.29, 95% CI: 1.44–3.62), and had children (OR = 1.93, 95% CI: 1.40–2.66; OR = 1.70, 95% CI: 1.26–2.30). Furthermore, awareness of ParticipACTION was positively associated with outcome expectations and self-efficacy, and negatively associated with LTPA status. Conclusion Levels of unprompted awareness of ParticipACTION are higher than previously reported and, in comparison to active Canadians, inactive Canadians are more likely to be aware of the organization. Given that it had primarily targeted parents of inactive children over the past seven years, it appears the organization has been partially effective in achieving its communication goals.

ACS Style

Spence John C.; Faulkner Guy; Lee Eun-Young; Berry Tanya; Cameron Christine; Deshpande Sameer; Latimer-Cheung Amy E.; Rhodes Ryan E.; Tremblay Mark S.; John C. Spence; Guy Faulkner; Eun-Young Lee; Tanya Berry; Christine Cameron; Sameer Deshpande; Amy Latimer; Ryan E Rhodes; Mark S Tremblay. Awareness of ParticipACTION among Canadian adults: a seven-year cross-sectional follow-up. Health Promotion and Chronic Disease Prevention in Canada 2018, 38, 179 -186.

AMA Style

Spence John C., Faulkner Guy, Lee Eun-Young, Berry Tanya, Cameron Christine, Deshpande Sameer, Latimer-Cheung Amy E., Rhodes Ryan E., Tremblay Mark S., John C. Spence, Guy Faulkner, Eun-Young Lee, Tanya Berry, Christine Cameron, Sameer Deshpande, Amy Latimer, Ryan E Rhodes, Mark S Tremblay. Awareness of ParticipACTION among Canadian adults: a seven-year cross-sectional follow-up. Health Promotion and Chronic Disease Prevention in Canada. 2018; 38 (4):179-186.

Chicago/Turabian Style

Spence John C.; Faulkner Guy; Lee Eun-Young; Berry Tanya; Cameron Christine; Deshpande Sameer; Latimer-Cheung Amy E.; Rhodes Ryan E.; Tremblay Mark S.; John C. Spence; Guy Faulkner; Eun-Young Lee; Tanya Berry; Christine Cameron; Sameer Deshpande; Amy Latimer; Ryan E Rhodes; Mark S Tremblay. 2018. "Awareness of ParticipACTION among Canadian adults: a seven-year cross-sectional follow-up." Health Promotion and Chronic Disease Prevention in Canada 38, no. 4: 179-186.

Article
Published: 01 March 2018 in Journal of Cancer Survivorship
Reads 0
Downloads 0

To examine the associations between physical activity, metabolic risk factors, and comorbidities in Korean cancer survivors. We used multiple cross-sectional data sets from the 2007–2013 Korean National Health and Nutrition Examination Surveys (KNHANES) that included 1225 cancer survivors. Physical activity and comorbidities were self-reported. Metabolic risk factors were measured via blood analyses and included fasting glucose, insulin, total cholesterol, triglycerides, and blood pressure. The sample was 38.4% male with a mean age of 59.9 ± 12.4 years. The most common cancers were stomach (22.5%), cervical (14.6%), breast (14.4%), and colorectal (11.8%). Cancer survivors meeting aerobic physical activity guidelines, compared to those completely inactive, had significantly lower fasting glucose (p = .001), HbA1c (p = .006), and systolic blood pressure (p = .001), and significantly lower risks of hypertension (odds ratio [OR] = 0.55, 95% confidential interval [CI] = 0.32 to 0.93), diabetes (OR = 0.64, 95% CI = 0.43 to 0.95), and arthritis (OR = 0.64, 95% CI = 0.41 to 0.99). Moreover, cancer survivors meeting strength exercise guidelines, compared to those not meeting guidelines, had significantly lower levels of fasting glucose (p = .001), HbA1c (p < .001), and total cholesterol (p = .031), and significantly lower risks of arthritis (OR = 0.42, 95% CI = 0.25 to 0.85) and back pain (OR = 0.50, 95% CI = 0.30 to 0.83). Aerobic physical activity and strength exercise were significantly associated with lower risks of metabolic disturbances and comorbidities in Korean cancer survivors. Cancer survivors should engage in at least 150 min/week of aerobic exercise and at least 2 days/week of strength exercise to lower their risk of metabolic disturbances and comorbidities.

ACS Style

Dong-Woo Kang; Eun-Young Lee; Ki Yong An; JiHee Min; Justin Jeon; Kerry S. Courneya. Associations between physical activity and comorbidities in Korean cancer survivors. Journal of Cancer Survivorship 2018, 12, 441 -449.

AMA Style

Dong-Woo Kang, Eun-Young Lee, Ki Yong An, JiHee Min, Justin Jeon, Kerry S. Courneya. Associations between physical activity and comorbidities in Korean cancer survivors. Journal of Cancer Survivorship. 2018; 12 (4):441-449.

Chicago/Turabian Style

Dong-Woo Kang; Eun-Young Lee; Ki Yong An; JiHee Min; Justin Jeon; Kerry S. Courneya. 2018. "Associations between physical activity and comorbidities in Korean cancer survivors." Journal of Cancer Survivorship 12, no. 4: 441-449.