394
PURPOSE: To test if shared treadmill workstations among office workers reduces sedentary time and achieves health outcomes.
METHODS: Twenty-two employees from a local call centre were recruited for this study in Winnipeg Canada from September to December 2013. Participants were asked to walk two hours
per shift on a shared treadmill workstation for a period of three months. Physical activity level, health related measures, treadmill usage information, and questions regarding participants’
expectation and experiences were collected.
RESULTS: Sedentary time during work days was reduced by 20.1% (p=.007) while exercise level did not changed. Systolic blood pressure, diastolic blood pressure, and sleep quality scores
were significantly improved (P<.05). After three months, participants were 70% confident that they would use treadmill workstations five shifts per week.
CONCLUSIONS: This study is the first to show that sharing treadmill workstations is feasible and can provide health benefits at a reasonable investment for employers.
1461 Board #254 May 28, 9:00 AM - 10:30 AM
Sustainability Of Sports Medical Counselling For Long-term Unemployed Persons
Constanze Santarossa, Daniel Niederer, Lars Gabrys, Lutz Vogt, Winfried Banzer. Sports Medicine, Frankfurt, Germany.
Email: santarossa@em.uni-frankfurt.de
(No relationships reported)
PURPOSE: So far, only a few health promoting strategies for unemployed exist. The short-time effectiveness of such strategies on health and work ability has nevertheless been verified
recently. Due to the lack of data on potential long-time-effects, the aim of our study was to determine the sustainability of a standardized health promotion project.
METHOD: 158 long-term unemployed persons (54±3 yrs, 89male, duration of unemployment 1-30 yrs) participated in 3 individual sports medical counseling to elicit behavioral changes in
favor of maintaining and promoting health and performance. Subsequently, regular physical activity (PA) was implemented in daily life. Before (M0), and 3 (M3) and 12 months (M12) after
having started the intervention, self-estimated health (VAS 0-100mm) and self-assessed work ability (WAI 1-10) were assessed. A subsequent dichotomisation of the subjects was undertaken
to describe two groups of participants depending on the extent of weekly performed activity (IPAQ-SF). Group 1 (G1, n=82) maintained or increased their extent of PA. In contrast, group 2
(G2, n=77) diminished their PAs with time. ANOVA, in case of significance followed by alpha-error-adjusted post-hoc Wilcoxon-tests were performed to determine changes from M0 to M3
and M12 in the outcomes VAS and WAI for the complete sample, as well as for G1 and G2.
RESULTS: ANOVA and post-hoc analyses revealed significant increases of the VAS of the total sample from M0 to M3 (49±20 mm vs. 53±20 mm, p .05). The WAI increased significantly
from M0 to M3 (5,1±2,3 vs. 6±4,2, p< .05) and decreased significantly from M3 to M12 (5,3±2,3 p .05) but the work ability decreased slightly over time (6,29±5,7 vs. 4,9±2,3, p< 0.01).
CONCLUSION: We showed positive and sustainable effects of a health intervention program with respect to the self-assessed health state and work ability. Particularly those participants who
maintained the extent of PA benefit from an increased perceived state of health. Subjects with a decrease in the amount of PA over time report a decline of their work ability. Sports medical
counseling seems to be a promising and feasible intervention approach in the long-term, likewise.
1462 Board #255 May 28, 9:00 AM - 10:30 AM
Evidence Of Co-benefits Of Designing Communities For Active Living
James F. Sallis, FACSM
1
, Chad Spoon
1
, Nick Cavill
2
, Jessa Engelberg
1
, Klaus Gebel
3
, Debbie Lou
1
, Mike Parker
2
, Christina Thornton
1
, Amanda Wilson
1
,
Carmen Cutter
1
, Ding Ding
4
.
1
Univ. of California, San Diego, San Diego, CA.
2
Cavill Associates, Stockport, United Kingdom.
3
James Cook Univ, Cains,
Australia.
4
Univ. of Sydney, Sydney, Australia.
Email: jsallis@ucsd.edu
Reported Relationships: J.F. Sallis: Royalty; SPARK Programs of School Specialty Inc. Intellectual Property; SPARK Programs of School Specialty Inc. Contracted Research -
Including Principle Investigator; Nike, Inc. Ownership Interest; Santech Inc.
PURPOSE: Creating “activity-friendly environments” is a recommended strategy to increase physical activity, but the potential co-benefits are unclear. Purpose is to explore a wide range of
literature to understand the co-benefits of activity-friendly environments.
METHODS: An extensive but non-systematic search of scientific and “gray” literature was conducted. Five physical activity settings were defined: parks/trai ls, urban design, transportation,
schools, and workplaces/buildings. Several evidence-based activity-friendly features were identified for each setting. Six potential co-benefits were searched: physical health, mental health,
social health, safety/injury prevention, environmental sustainability, and economics. Over 200 sources were located, and 418 higher-quality findings were summarized with semi-quantitative
scores based on direction of associations and quality of the source.
RESULTS: When findings were summarized for each setting, 22 of 30 setting by outcome combinations showed “strong” evidence of co-benefits. Each setting had strong evidence of at least
three co-benefits, with only one occurrence of a net negative effect. All settings showed the potential to be designed so they would contribute to environmental sustainability and economic
benefits. Parks/trails had strong evidence for all 6 co-benefits, and urban planning had strong evidence for 5 co-benefits.
CONCLUSION: The exploration of literature revealed substantial evidence that designing environments that make physical activity attractive and convenient is likely to produce multiple
important benefits beyond physical activity.
1463 Board #256 May 28, 9:00 AM - 10:30 AM
Accommodation of Wheelchair-Reliant Individuals by Community Fitness Facilities
David R. Dolbow
1
, Stephen F. Figoni, FACSM
2
.
1
University of Southern Mississippi, Hattiesburg, MS.
2
VA Long Beach Healthcare System, Long Beach,
CA.
(No relationships reported)
Adhering to recommended healthy physical activity guidelines can be difficult for individuals with spinal cord injury, stroke or other paralytic conditions. Ordinary community structures such
as curbs, stairs and narrow passageways can present as major obstacles for individuals who are wheelchair-reliant. The Americans with Disabilities Act of 1990 mandates that public facilities
including community fitness centers be accessible to everyone equally.
PURPOSE: To determine the level of compliance with ADA accessibility and accommodation of wheelchair-reliant individuals in the Hattiesburg, MS metropolitan area.
METHODS: Ten facilities consented to unfettered access allowing evaluation using an 82-item checklist. An ADA Accessibility Stick (Access, Inc., Lawrence, KS) was used to check ADA
compliance. Measurements were conducted for parking areas, entrance ramps, exterior door entrances, path of travel throughout the public area, elevators, restrooms and locker rooms, drinking
fountains and accessibility to and around exercise equipment. For information concerning accommodation of wheelchair-reliant individuals beyond ADA accessibility, the facility managers
were questioned about the training of facility staff and available adaptive equipment.
RESULTS: All surveyed facilities were found to be partially compliant, with none of the facilities being 100% compliant. The areas of least compliance were access to and free movement
around exercise equipment and full access to restrooms. Beyond ADA accessibility, only 20% of the participating facilities provided suitable adaptive equipment and no facilities employed
staff trained in the special needs of those with paralytic conditions.
CONCLUSIONS: It remains important for healthcare professionals and other advocacy groups to stress the need for inclusion and accommodation of individuals with disabilities to
community fitness facilities allowing wellness needs to be met.
Copyright © 2015 by the American College of Sports Medicine. Unauthorized reproduction of this article is prohibited.