American Journal of Public Health Research
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American Journal of Public Health Research. 2019, 7(5), 182-188
DOI: 10.12691/ajphr-7-5-3
Open AccessMini Review

Fostering a Culture of Lifestyle Physical Activity That Is Relatable for All Individuals and Communities to Embrace

M. Felicia Cavallini1, and David J. Dyck2

1Limestone College, Gaffney, South Carolina, USA

2University of Guelph, Guelph, Ontario, Canada

Pub. Date: October 17, 2019

Cite this paper:
M. Felicia Cavallini and David J. Dyck. Fostering a Culture of Lifestyle Physical Activity That Is Relatable for All Individuals and Communities to Embrace. American Journal of Public Health Research. 2019; 7(5):182-188. doi: 10.12691/ajphr-7-5-3


Most American and Canadian adults do not obtain the recommended PA guidelines of 150 minutes of moderate to vigorous physical activity (MVPA) and muscle-strengthening activity each week. Decades of attempting to increase PA within the adult population have clearly fallen short. What do we know about adult preferences, barriers and perceptions to PA and exercise that can influence the way we promote, connect and educate communities to move in a way that is more meaningful for them and likely to continue throughout adulthood and beyond? The purpose of this mini-review is to provide a rationale for the need to promote community lifestyle PA in a variety of ways based on research findings that can help educate, inspire and motivate all populations to become more engaged in PA. Customized, tailored, community PA visuals which are culturally and environmentally specific will be presented. Community graphics representing a small town (MyGaffney Activity), a mid-size town (MyGuelph Activity), a US state (MySouthCarolina Activity), and an airport (MyAirport Activity) will be introduced. The ultimate goal is to incorporate an effective PA intervention through a lifestyle PA paradigm addition, which will emulate a more realistic, doable, enjoyable, and natural form of PA in addition to the already established traditional exercise model for the benefit of the public to increase PA levels and improve health outcomes.

physical activity community engagement intervention strategies health promotion motivationally tailored activity graphics

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[1]  Orleans CT, Kraft MK, Marx JF, McGinnis JM. “Why are some neighborhoods active and others not? Charting a new course for research on the policy and environmental determinants of physical activity.” Ann Behav Med. 25(2):77-79. 2003.
[2]  U.S. Department of Health and Human Services. Healthy People 2010: Understanding and Improving Health. In: Services US Deprtment of Health and Human Services, ed. 2nd ed: U.S. Government Printing Office; 2010.
[3]  U.S. Department of Health and Human Services.
[4]  Canadian Society for Exercise Physiology.
[5]  Colley RC, Garriguet D, Janssen I, Craig CL, Clarke J, Tremblay MS. “Physical activity of Canadian adults: accelerometer results from the 2007 to 2009 Canadian Health Measures Survey.” Health Reports. 22(1):7-14. 2011.
[6]  Shields M, Tremblay MS, Laviolette M, Craig CL, Janssen I, Connor Gorber S. “Fitness of Canadian adults: results from the 2007-2009 Canadian Health Measures Survey.” Health Reports. 21(1): 21-35. 2010.
[7]  Bherer L, Erickson KI, Liu-Ambrose T. “A review of the effects of physical activity and exercise on cognitive and brain functions in older adults.” J Aging Res. 2013:657508. 2013.
[8]  Dolezal BA, Neufeld EV, Boland DM, Martin JL, Cooper CB. “Interrelationship between Sleep and Exercise: A Systematic Review.” Adv Prev Med. 2017:1364387. 2017.
[9]  Knowler WC, Barrett-Connor E, Fowler SE, et al. “Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin.” New Engl J Med. 346(6):393-403. 2002.
[10]  Mokdad AH, Ford ES, Bowman BA, et al. “Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001.” Jama-J Am Med Assoc. 289(1):76-79. 2003.
[11]  Schuler G, Adams V, Goto Y. “Role of exercise in the prevention of cardiovascular disease: results, mechanisms, and new perspectives.” Eur Heart J. 34(24):1790-+. 2013.
[12]  Ainsworth BE, Haskell WL, Herrmann SD, et al. “2011 Compendium of Physical Activities: A Second Update of Codes and MET Values.” Medicine and Science in Sports and Exercise. 43(8):1575-1581. 2011.
[13]  Besson H, Ekelund U, Brage S, et al. “Relationship between Subdomains of Total Physical Activity and Mortality.” Medicine and Science in Sports and Exercise. 40(11):1909-1915. 2008.
[14]  Huerta JM, Chirlaque MD, Tormo MJ, et al. “Work, household, and leisure-time physical activity and risk of mortality in the EPIC-Spain cohort.” Preventive Medicine. 85:106-112. 2016.
[15]  Lawlor DA, Taylor M, Bedford C, Ebrahim S. “Is housework good for health? Levels of physical activity and factors associated with activity in elderly women. Results from the British Women's Heart and Health Study.” Journal of Epidemiology and Community Health. 56(6):473-478. 2002.
[16]  Samitz G, Egger M, Zwahlen M. “Domains of physical activity and all-cause mortality: systematic review and dose-response meta-analysis of cohort studies.” Int J Epidemiol. 40(5): 1382-1400. 2011.
[17]  Andersen LB, Schnohr P, Schroll M, Hein HO. “All-cause mortality associated with physical activity during leisure time, work, sports, and cycling to work.” Arch Intern Med. 160(11): 1621-1628. 2000.
[18]  Blair SN, Smith M, Collingwood TR, Reynolds R, Prentice MC, Sterling CL. “Health Promotion for Educators - Impact on Absenteeism.” Preventive Medicine. 15(2):166-175. 1986
[19]  Holtermann A, Marott JL, Gyntelberg F, et al. “Occupational and leisure time physical activity: risk of all-cause mortality and myocardial infarction in the Copenhagen City Heart Study. A prospective cohort study.” British Medical Journal Open. 2(1). 2012.
[20]  Hu G, Jousilahti P, Borodulin K, et al. “Occupational, commuting and leisure-time physical activity in relation to coronary heart disease among middle-aged Finnish men and women.” Atherosclerosis. 194(2): 490-497. 2007.
[21]  Paffenbarger RS, Hale WE. “Work Activity and Coronary Heart Mortality.” New Engl J Med. 292(11):545-550. 1975.
[22]  Shephard RJ. Economic benefits of enhanced fitness. Human Kinetics, Champaign, Illinois; 1986.
[23]  Krause N, Brand RJ, Arah OA, Kauhanen J. “Occupational physical activity and 20-year incidence of acute myocardial infarction: results from the Kuopio lschemic Heart Disease Risk Factor Study.” Scand J Work Env Hea. 41(2):124-139. 2015.
[24]  Larouche R, Faulkner G, Tremblay MS. “Active travel and adults' health: The 2007-to-2011 Canadian Health Measures Surveys.” Health Reports. 27(4):10-18. 2016.
[25]  Matthews CE, Jurj AL, Shu XO, et al. “Influence of exercise, walking, cycling, and overall nonexercise physical activity on mortality in Chinese women.” Am J Epidemiol. 165(12): 1343-1350. 2007.
[26]  Hamer M, Chida Y. “Active commuting and cardiovascular risk: A meta-analytic review.” Preventive Medicine. 46(1): 9-13. 2008
[27]  Saelens BE, Sallis JF, Black JB, Chen D. “Neighborhood-based differences in physical activity: An environment scale evaluation.” Am J Public Health. 93(9):1552-1558. 2003.
[28]  Saelens BE, Sallis JF, Frank LD. “Environmental correlates of walking and cycling: Findings from the transportation, urban design, and planning literatures.” Ann Behav Med. 25(2): 80-91. 2003.
[29]  Kelley GA, Kelley KS, Tran ZV. “Walking, lipids, and lipoproteins: a meta-analysis of randomized controlled trials.” Preventive Medicine. 38(5):651-661. 2004.
[30]  Asikainen TM, Miilunpalo S, Oja P, et al. “Randomised, controlled walking trials in postmenopausal women: the minimum dose to improve aerobic fitness?” British Journal of Sports Medicine. 36(3):189-194. 2002.
[31]  Humpel N, Marshall AL, Leslie E, Bauman A, Owen N. “Changes in neighborhood walking are related to changes in perceptions of environmental attributes.” Ann Behav Med. 27(1):60-67. 2004.
[32]  King WC, Brach JS, Belle S, Killingsworth R, Fenton M, Kriska AM. “The relationship between convenience of destinations and walking levels in older women.” Am J Health Promot. 18(1):74-82. 2003.
[33]  Brownson RC, Baker EA, Housemann RA, Brennan LK, Bacak SJ. “Environmental and policy determinants of physical activity in the United States.” Am J Public Health. 91(12):1995-2003. 2001.
[34]  De Bourdeaudhuij I, Sallis JF, Saelens BE. “Environmental correlates of physical activity in a sample of Belgian adults.” Am J Health Promot. 18(1):83-92. 2003.
[35]  Powell KE, Martin LM, Chowdhury PP. “Places to walk: Convenience and regular physical activity.” Am J Public Health. 93(9):1519-1521. 2003.
[36]  Troped PJ, Saunders RP, Pate RR, Reininger B, Addy CL. “Correlates of recreational and transportation physical activity among adults in a New England community.” Preventive Medicine. 37(4):304-310. 2003.
[37]  Cohen DA, McKenzie TL, Sehgal A, Williamson S, Golinelli D, Lurie N. “Contribution of public parks to physical activity.” Am J Public Health. 97(3): 509-514. 2007.
[38]  Hino AAF, Reis RS, Sarmiento OL, Parra DC, Brownson RC. “The built environment and recreational physical activity among adults in Curitiba, Brazil.” Preventive Medicine. 52(6): 419-422. 2011.
[39]  Bedimo-Rung AL, Mowen AJ, Cohen DA. “The significance of parks to physical activity and public health - A conceptual model.” American Journal of Preventive Medicine. 28(2):159-168. 2005.
[40]  Giles-Corti B, Donovan RJ. “Relative influences of individual, social environmental, and physical environmental correlates of walking.” Am J Public Health. 93(9):1583-1589. 2003.
[41]  Hoehner CM, Ramirez LKB, Elliott MB, Handy SL, Brownson RC. “Perceived and objective environmental measures and physical activity among urban adults.” American Journal of Preventive Medicine. 28(2):105-116. 2005
[42]  Huston SL, Evenson KR, Bors P, Gizlice Z. “Neighborhood environment, access to places for activity, and leisure-time physical activity in a diverse North Carolina population.” Am J Health Promot. 18(1):58-69. 2003.
[43]  Ewing R, Schieber RA, Zegeer CV. “Urban sprawl as a risk factor in motor vehicle occupant and pedestrian fatalities.” Am J Public Health. 93(9):1541-1545. 2003.
[44]  Health Council of the Netherlands and Dutch Advisory Council for Research on Spatial Planning NatE. Nature and Health. The influence of nature on social, psychological and physical well-being. In: RMNO THHCotNa, ed2004:RMNO publication nr A02ae.
[45]  Maas J, Verheij RA, Groenewegen PP, de Vries S, Spreeuwenberg P. “Green space, urbanity, and health: how strong is the relation?” Journal of Epidemiology and Community Health. 60(7): 587-592. 2006.
[46]  Maller C, Townsend M, Pryor A, Brown P, St Leger L. “Healthy nature healthy people: 'contact with nature' as an upstream health promotion intervention for populations.” Health Promot Int. 21(1): 45-54. 2006.
[47]  Mitchell R, Popham F. “Greenspace, urbanity and health: relationships in England.” Journal of Epidemiology and Community Health. 61(8):681-683. 2007
[48]  Ottosson J, Grahn P. “A Comparison of Leisure Time Spent in a Garden with Leisure Time Spent Indoors: On Measures of Restoration in Residents in Geriatric Care.” Landscape Research. 30(1): 23-55. 2005.
[49]  Pretty J, Peacock J, Sellens M, Griffin M. “The mental and physical health outcomes of green exercise.” Int J Environ Heal R. 15(5): 319-337. 2005.
[50]  van den Berg AE, Hartig T, Staats H. “Preference for nature in urbanized societies: Stress, restoration, and the pursuit of sustainability.” J Soc Issues. 63(1):79-96. 2007.
[51]  Cavallini MF, Kolen AM, Sui X, et al. “Introducing MyHouse Activity and MyWork Activity: A Paradigm Shift towards Lifestyle Physical Activity Supported by Evidence from a Focus Group Study ” Journal of Physical Activity Research. 2(1): 61-67. 2017.
[52]  Mueller N, Rojas-Rueda D, Cole-Hunter T, et al. “Health impact assessment of active transportation: A systematic review.” Preventive Medicine. 76:103-114. 2015.
[53]  Burton NW, Khan A, Brown WJ. “How, where and with whom? Physical activity context preferences of three adult groups at risk of inactivity.” British Journal of Sports Medicine. 46(16):1125-1131. 2012.
[54]  Salmon J, Owen N, Crawford D, Bauman A, Sallis JF. “Physical activity and sedentary behavior: a population-based study of barriers, enjoyment, and preference.” Health Psychology. 22(2): 178-188. 2003.
[55]  Booth ML, Bauman A, Owen N, Gore CJ. “Physical activity preferences, preferred sources of assistance, and perceived barriers to increased activity among physically inactive Australians.” Preventive Medicine. 26(1):131-137. 1997.
[56]  Healy GN, Winkler EAH, Eakin EG, et al. “A Cluster RCT to Reduce Workers' Sitting Time: Impact on Cardiometabolic Biomarkers.” Med Sci Sports Exerc. 49(10):2032-2039. 2017
[57]  King AC. “Community Intervention for Promotion of Physical Activity and Fitness.” Exercise and Sport Sciences Reviews. 19(1): 211-260. 1991.
[58]  Marcus BH, Banspach SW, Lefebvre RC, Rossi JS, Carleton RA, Abrams DB. “Using the stages of change model to increase the adoption of physical activity among community participants.” Am J Health Promot. 6(6):424-429. 1992.
[59]  Vermeir I, Verbeke W. “Sustainable food consumption among young adults in Belgium: Theory of planned behaviour and the role of confidence and values.” Ecol Econ. 64(3): 542-553. 2008.
[60]  Iverson DC, Fielding JE, Crow RS, Christenson GM. “The Promotion of Physical-Activity in the United-States Population - the Status of Programs in Medical, Worksite, Community, and School Settings.” Public Health Rep. 100(2): 212-224. 1985.
[61]  King AC. “Community and Public-Health Approaches to the Promotion of Physical-Activity.” Medicine and Science in Sports and Exercise. 26(11):1405-1412. 1994.
[62]  Calfas KJ, Ling BJ, Sallis JF, Wooten WJ, Pratt M, Patrick K. “A controlled trial of physician counseling to promote the adoption of physical activity.” Preventive Medicine. 25(3): 225-233. 1996.
[63]  Cardinal BJ, Sachs ML. “Effects of mail-mediated, stage-matched exercise behavior change strategies on female adults' leisure-time exercise behavior.” J Sport Med Phys Fit. 36(2): 100-107. 1996.
[64]  Jarvis KL, Friedman RH, Heeren T, Cullinane PM. “Older women and physical activity: Using the telephone to walk.” Women Health Iss. 7(1): 24-29. 1997.
[65]  Marcus BH, Bock BC, Pinto BM, Forsyth LH, Roberts MB, Traficante RM. “Efficacy of an individualized, motivationally-tailored physical activity intervention.” Ann Behav Med. 20(3): 174-180. 1998.
[66]  Marcus BH, Goldstein MG, Jette A, et al. “Training physicians to conduct physical activity counseling.” Preventive Medicine. 26(3): 382-388. 1997.
[67]  Egger F, Benzing V, Conzelmann A, Schmidt M. “Boost your brain, while having a break! The effects of long-term cognitively engaging physical activity breaks on children's executive functions and academic achievement.” Plos One. 14(3). 2019.
[68]  Eveland-Sayers BM, Farley RS, Fuller DK, Morgan DW, Caputo JL. “Physical Fitness and Academic Achievement in Elementary School Children.” Journal of Physical Activity & Health. 6(1): 99-104. 2009.
[69]  Lopes L, Santos R, Pereira B, Lopes VP. “Associations between gross Motor Coordination and Academic Achievement in elementary school children.” Hum Movement Sci. 32(1):9-20. 2013
[70]  Sardinha LB, Marques A, Minderico C, et al. “Longitudinal Relationship between Cardiorespiratory Fitness and Academic Achievement.” Medicine and Science in Sports and Exercise. 48(5): 839-844. 2016.