Cohort study2023Open access

Short-Form Video Exposure and Its Two-Sided Effect on the Physical Activity of Older Community Women in China: Secondary Data Analysis

Wu C, Chen S, Wang S, Peng S, Cao J

JMIR mHealth and uHealth · 5 citations

How it was studied

Design
Cohort study (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
University or hospital
Shandong University
University or hospital
University of North Carolina at Chapel Hill

Based on 2 listed funder(s) and full-text disclosure statement.

Publication

Published
2023-08-18 · JMIR Mhealth Uhealth · vol. 11 · p. e45091
Publisher
JMIR Publications
Cited
8 citations · more than 76% of similar papers · 1.1× the field average
References
42 works
Access
Open access (journal) · CC-BY
Research areas
Physical Activity and Health · Mobile Health and mHealth Applications · Technology Use by Older Adults
Keywords
older women, physical activity, physical inactivity, moderate-to-vigorous physical activity, light physical activity, step count, smartphone use, social media, COVID-19 pandemic, China, Q methodology, sedentary behavior
MeSH
humans, exercise, cohort studies, communicable disease control, adolescent, aged, middle aged, china, female, pandemics, drug-related side effects and adverse reactions, covid-19, secondary data analysis

5 authors

From CN, US

  • Chen Wu · correspondingShandong University
  • Si ChenShandong University
  • Shan WangShandong University
  • Sijing PengShandong University
  • Jiepin CaoNew York University

Abstract

Background

There is a tendency for older adults to become more physically inactive, especially older women. Physical inactivity has been exacerbated since the COVID-19 pandemic. Lockdowns and information-based preventive measures for COVID-19 increased the number of short-form video app users and short-form video exposure, including content exposure and the duration of exposure, which has demonstrated important effects on youths' health and health-related behaviors. Despite more older adults viewing short-form videos, less is known about the status of their short-form video exposure or the impacts of the exposure on their physical activity.

Objective

This study aims to describe physical activity-related content exposure among older adults and to quantify its impacts along with the duration of short-form video exposure on step counts, low-intensity physical activity (LPA), and moderate-to-vigorous physical activity (MVPA).

Methods

We analyzed a subsample (N=476) of older women who used smartphones and installed short-form video apps, using the baseline data collected from an ongoing cohort study named the Physical Activity and Health in Older Women Study (PAHIOWS) launched from March to June 2021 in Yantai, Shandong Province, China. The information on short-form video exposure was collected by unstructured questions; physical activity-related content exposure was finalized by professionals using the Q-methodology, and the duration of exposure was transformed into hours per day. Step counts, LPA, and MVPA were assessed with ActiGraph wGT3X-BT accelerometers. Multiple subjective and objective covariates were assessed. Linear regression models were used to test the effects of short-form video exposure on step counts, LPA, and MVPA. MVPA was dichotomized into less than 150 minutes per week and 150 minutes or more per week, and the binary logistic regression model was run to test the effects of short-form video exposure on the achievement of spending 150 minutes or more on MVPA.

Results

Of 476 older women (mean age 64.63, SD 2.90 years), 23.7% (113/476) were exposed to physical activity-related short-form videos, and their daily exposure to short-form videos was 1.5 hours. Physical activity-related content exposure increased the minutes spent on MVPA by older women (B=4.14, 95% CI 0.13-8.15); the longer duration of short-form video exposure was associated with a reduced step count (B=-322.58, 95% CI -500.24 to -144.92) and minutes engaged in LPA (B=-6.95, 95% CI -12.19 to -1.71) and MVPA (B=-1.56, 95% CI -2.82 to -0.29). Neither content exposure nor the duration of exposure significantly increased or decreased the odds of older women engaging in MVPA for 150 minutes or more per week.

Conclusions

Short-form video exposure has both positive and negative impacts on the physical activity of older adults. Efforts are needed to develop strategies to leverage the benefits while avoiding the harms of short-form videos.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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