Tuesday, June 21st Poster session 2: theme 2: presentation 1 ID: TP21 Be Active – Exercise Counseling Service Chain Author(s): Hänninen Saila & Laine Kaisa Affiliation(s): City of Helsinki Sports Department and Social services and Health care Abstract: Objectives To find out how one year long multi-departmental service chain process for exercise counseling can affect those Helsinki residents who have a risk of suffering from type 2 diabetes or persons with BMI≥30 Methods A total of 150 adult residents of Helsinki City who belong to the target group went through a year-long exercise counseling service chain. They were selected by nurses and doctors from the health care centers. Height, st weight, BMI, waist circumference and lifestyle survey were measured three times during the process; 1 visit – after 6 months – after 12 months. Results At the beginning of the intervention 43% of participants had BMI between 30-35, 46% had BMI 36 and over. The majority were females (76%) and the average age was 56 years. The average BMI decreased in females from 37.47 (±12.55) to 33.59 and males from 33.84 (±5.06) to 32.71. Positive improvement appeared in waist circumference where females reduced on average 10cm from baseline (112.27±10.87) and males on average 5cm (117.67±10.73). Participants rated their subjective satisfaction with exercise, sleep, nutrion and body image with 10 cm long visual analogic scale (VAS). Positive improvement occurred in every sector, especially in satisfaction for exercise (from 3.96±2.49 to 6.32±2.04) as well as body image (from 3.84±2.38 to 5.96±1.98). Positive improvements were perceived physical condition and state of health, stress, alertness and vitality sensations. Similarly customers experienced fewer challenges in coping with daily tasks. The amount and effectiveness of physical activity increased Conclusions The results show that the service chain helps provide a positive boots to the physical capabilities of an inactive client. It’s a path towards more active, healthier lifestyle. Be Active-model is part of health care chain at municipality of Helsinki.

Tuesday, June 21st Poster session 2: theme 2: presentation 2 ID: TP22 Jump In – Exercise Counceling for Youth (17-29 years) Author(s): Laine Kaisa, Hänninen Saila Affiliation(s): City of Helsinki Sports Department, Social services and Health care, the Armed Forces Abstract: Objectives To find out how multi-departmental service chain process for exercise counseling can affect those young people who do not study or work or boys who do not fulfil the criteria of access the Armed Forces. Methods Youth (n=120) with BMI≥30 selected by health services or career advisors went through three months-long exercise counseling service chain model. Height, weight, BMI, waist circumference, grip strength and lifestyle st nd survey were measured two times during the process; 1 and 2 visit in 3 months. Results At the beginning 20% of participants had BMI between 24-30 and 19% BMI 30 and over. Females were 52% of participants. The average BMI did not turn out this intervention. Instead, there were positive improvements in the waist circumference of the females, decline was average 10 cm (±12.96) from the baseline (96.06±13.19). Grip strength improved both females (from 29.78kg ±6.03 to 35.33 kg±4.04) and males (41.73kg±8.66 to 47.60kg±8.19). Participants rated their subjective satisfaction with exercise, sleep, nutrion and body image with 10 cm long VAS-scale). Positive improvement occurred in every sector, especially in satisfaction for exercise (from 3.92 to 6.32) as well as body image (from 4.46 to 6.07). Positive improvements were perceived physical condition and state of health, alertness and vitality sensations. Similarly customers experienced fewer challenges in coping with daily tasks. The amount and effectiveness of physical activity increased. Conclusions The results show that the service chain helps provide a positive boots to the physical capabilities of an inactive client. It’s a path towards more active, healthier lifestyle. Jump In – model can be an activator to obtain a job or a place to study.

Tuesday, June 21st Poster session 2: theme 2: presentation 3 ID: TP23 Good overall fitness is connected with adequate working ability and low exhaustion among Finnish men Author(s): Miia Malvela (1), Jarmo Heiskanen (2), Katri Siivonen, (1) Jyrki Komulainen (1) Affiliation(s): 1) Fit for Life Program, LIKES Foundation for Sport and Health Sciences, Jyväskylä, Finland 2) LIKES Research Center for Sport and Health Sciences, Jyväskylä, Finland Abstract: Objectives Fit for Life Program designed a successful, easy-going campaign called the Adventures of Joe Finn. The goal was to activate working-aged men towards regular physical activity and healthy eating habits, and to increase the working capacity. Methods The campaign included lorry tours, Joe Finn Fitness tests, a tailored communications, materials, a website and local actions. In 2013-2014, the lorry tour stopped in 72 municipalities offering fitness tests especially for men. Inside the lorry was test laboratory where men were tested: grip strength, body composition by Inbody 720 analyzer, waist circumference and cardiorespiratory fitness with Polar Own Index fitness test. Men filled the background information and assessed their exhaustion (1-5) and ability to work (0-10). The overall test summary, Body Fitness Index (BFI), was calculated from endurance fitness, fat%, visceral fat, muscle mass and grip strength and described the fitness compared with same gender and age population. The BFI had scores and rating: under -3 alarming, -3– -1 worrying, -1 – 1 alright, 1–3 good and over 3 athlete. Results The data included the results of working-aged men 20-64 v (n=9210). BFI revealed that 63% of men should improve their physical activity and/or eating habits. Half of the tested men had excessive fat reserves (visceral fat and fat%). 74% of the tested men had adequate endurance fitness as health aspect (VO2max>34 ml/kg/min). Men in good or athlete level condition (BFI>1) assessed their working ability higher and exhaustion lower than unfit men: 86% of them rated good (8-9) or excellent (10) working ability and 67% felt themselves quite rarely (4) or almost never (5) exhausted. Conclusions Good working ability and low exhaustion was connected with good overall fitness. The recommendations of health enhancing PA is sufficient for maintaining work ability.

Tuesday, June 21st Poster session 2: theme 2: presentation 4 ID: TP24 Autonomy supportive health care climate and success in increasing physical activity among patients with type 2 diabetes Author(s) and affiliation(s): Anne M. Koponen, D.Soc.Sc, Adjunct Professor, Folkhälsan Research Center, and Department of Public Health, University of Helsinki, Finland Nina Simonsen, Ph.D, Folkhälsan Research Center, and Department of Public Health, University of Helsinki, Finland Sakari Suominen, Ph.D., M.D., Professor, University of Skövde, Sweden; Department of Public Health, University of Turku, and Folkhälsan Research Center, Finland Abstract: Objective: Based on self-determination theory (SDT), this study investigated whether the autonomy supportive health care climate in health care centres was associated with success in increasing physical activity among patients with type 2 diabetes when the effect of a wide variety of other important life-context factors (physical health, medication, duration of diabetes, mental health, stress and social support) was controlled for. Methods: Patients from five municipalities in Finland with registry-based entitlement to a special reimbursement for medicines used in the treatment of type 2 diabetes (n=2866) participated in this mail survey in 2011. Only the respondents who had been in care over two years in their principal health care centre, and who had tried to increase physical activity during the last two years, either with or without success (n=1256, mean age 63 years, 52% men), were included in the analysis. Results: The preliminary results showed that of all measured explanatory factors, autonomous motivation was most strongly associated with success in increasing physical activity during the last two years. Autonomous motivation seemed to mediate the effect of health care climate on increased physical activity. In line with SDT, this result indicates that an autonomy supportive health care climate is associated with the patient’s increased physical activity through autonomous motivation. Conclusion: Interventions for improved diabetes care should concentrate on supporting patients’ autonomous motivation for physical exercise. Internalizing the importance of good self-care seems to give sufficient energy to increase physical activity. Key words: Diabetes, physical activity, primary care, health care climate, motivation

Tuesday, June 21st Poster session 2: theme 2: presentation 5 ID: TP25 ‘A slice of the win-win game’ - Swedish schoolchildren’s perspectives on gamification to promote physical activity Author(s): Catrine Kostenius, PhD Affiliation(s): Department of Health Sciences, Luleå University of Technology, Luleå, Sweden Abstract: Objectives This pilot study took one small, yet valuable, step towards responding to contemporary challenges in society relating to schoolchildren: growing ill-health, decreasing academic achievement, and increased screen time leading to a sedentary lifestyle. Physical activity is associated with a substantial number of health and academic benefits and the recommendation for children’s physical activity is to be physically active for at least 60 minutes daily. However, 80% of adolescents around the world do not reach the recommended levels. Children spend approximately half of their waking hours in school making the school environment an excellent opportunity to promote physical activity for all schoolchildren regardless of their life circumstances. Integration of physical activity interventions in schools may promote both health and learning, thus closing the ‘health gap’ can help closing the ‘achievement gap’. Research also recognizes that gamification has a great potential for school children’s motivation and learning. However, there is a need to explore game design patterns and learning outcomes when using gamification. The overall aim of the pilot study was therefor to consult schoolchildren in the development of an intervention ‘a slice of the win-win game’ to increase physical activity using gamification in school. Methods The method was inspired by empowerment consulting schoolchildren in the development of an intervention ‘a slice of the win-win game’ to increase physical activity using gamification in school. During a two-month period the schoolchildren in one school class participated in workshops to create a game that would motivate them to be physically active. Results & Conclusions The results from the pilot project will be analyzed during spring and will be discussed with teachers, school health staff and parents in mind. Based on the schoolchildren’s experiences we will suggest opportunities for using gamification to increase health and learning in school. Keywords: empowerment, gamification, health promotion, physical activity, schoolchildren

Tuesday, June 21st Poster session 2: theme 2: presentation 6 ID: TP26 Who benefited from fitness tests in “The Adventure of Joe Finn” campaign? Psychosocial factors and changes in self-reported physical activity. Author(s): Kaasalainen Karoliina 1*, Kasila Kirsti 1, Komulainen Jyrki 2, Malvela Miia 2, Poskiparta Marita 1 *presenting author Affiliation(s): 1=Health education, Faculty of Sport and Health Sciences. University of Jyväskylä, Finland. 2= Fit for Life Program, LIKES Research Center for Sport and Health Sciences, Finland. Abstract: Objectives Despite intentions, only a few people who enroll in health programs successfully implement changes in physical activity (PA). The study examined changes in psychosocial factors (knowledge, skills, goal setting, social support, self-efficacy) and self-reported PA over three years among working-aged men who participated in fitness tests during a national “The Adventures of Joe Finn” – health campaign. Methods Data were collected in 2011 (T1) and 2014 (T2). Physical fitness was estimated in T1 with a body fitness index (BFI) based on the Inbody 720, Polar OwnIndex test and hand grip-tests. Self-reported PA and psychosocial factors were elicited by questionnaire. Data were analyzed with structural equation models and group comparisons with t-test and non-parametric tests. Results At baseline all of study participants (n=361, Mage 49.7, SD 11.1) had either low BFI or moderate BFI along with overweight and signs of abdominal obesity. In T2, 102 men answered the follow-up questionnaire. Responders were older, scored higher in PA skills and reported more social support at T1 than drop-outs. One fourth reported PA less than one hour in a week in T1. Majority (64 %) of them increased PA, altough PA did not change at group level. High scores in goal-setting and self-efficacy at baseline were related to PA change in low PA group and maintenance of high activity among other men. Conclusions The results indicated that the fitness tests most benefited those who had set goals for PA at baseline and had sufficient self-efficacy to increase PA or maintain a high PA level. Future interventions should target inactive men who do not have PA goals or engage in PA programs. Further research should also investigate to what extent fitness tests and health counseling can cost-effectively be combined in promoting PA among different groups. Keywords: Physical activity change, campaign, goal setting, self-efficacy, men

Tuesday, June 21st Poster session 2: theme 2: presentation 7 ID: TP27 What factors determine the physical activity of men – Case study about Kymenlaakso

Author(s): Marja-Leena Kauronen, Kymenlaakso University of Applied Science, Finland Affiliation(s): Valdemar Kallunki, Kymenlaakso University of Applied Science, Finland Olli Lehtonen Natural resources institute Finland, Finland Abstract: Objectives The aim of this paper is to combine a survey data to GIS (Geographic Information System) databases to compare the impact of individual level factors and living environment on the physical activity of men. In the previous studies, the environment has an impact on the physical activity. Methods We assume that the level of physical activity of men is a function of individual characteristics, the socioeconomic background of neighbourhood and accessibility of sport facilities. Data for the model is based on survey hold on spring 2014 among 18-64-years-old men permanently live in Kymenlaakso (n=1000). The individual data is supplemented with GIS-databases describing the living environment of men including information about the socioeconomic background of residential area and location about the sport facilities and walking and jogging tracks in the study area. Methodologically analysis is based on statistical modelling and GIS-analysis. Results The individual risk factors show that physical activity is the lowest when the self-rated health is poor, the beliefs of the positive impacts of physical exercises are negligible, self-efficacy related on health behavior is low, alcohol drinking habits are bad, the socioeconomic background of residential area is low and the accessibility of indoor sport facilities in residential area is weak. Based on the relative impact, LMG-index (Lindemann, Merenda and Gold method), the self-efficacy related on health behavior is the most important factor explaining about 12 percent from the physical activity and corresponding about 66 percent from the total r-squared of the regression model. Conclusions The physical activity of men is a result of several factors. However, the activity is mainly explained by selfefficacy, and therefore it should be a key element in promotion models. The factors associated with living environment seem to have only a limited impact on physical activity. Keywords: Physical activity, living environment, relative impact, statistical modelling, GIS

Tuesday, June 21st Poster session 2: theme 2: presentation 8 ID: TP28 Multilevel moving to business (mtb) –intervention in small and midsize workplaces: effects on physical activity and sedentary behavior Author(s): Minna Aittasalo (1), Matleena Livson (2), Sirpa Lusa (3), Ahti Romo (4), Kari Tokola (1) Affiliation(s): (1) UKK Institute for Health Promotion Research, Tampere, Finland (2) Valo, Finnish Sports Confederation, Helsinki, Finland (3) Finnish Institute of Occupational Health, Tampere, Finland (4) Lahti Regional Sports Federation, Lahti, Finland Abstract: Objectives Regular physical activity (PA) promotes and excessive sedentary behavior (SB) deteriorates health. Yet, Finnish working-aged population spends most of the day sitting. A 1-year MTB intervention supported small and midsize workplaces to battle against inactivity. This exploratory study aims to gain a better understanding of exercise addiction with respect to two psychological mechanisms; desirability of control and thought suppression. Methods Three regional sports federations recruited 12 workplaces with 396 employees for MTB and mentored the workplaces to implement actions to promote PA and reduce SB at organizational, working unit and employee level. Questionnaire, accelerometer and diary were used for assessing PA and SB at work and leisure before MTB (baseline) and one year after baseline (follow-up). The differences between baseline and follow-up in %points (questionnaire data) or in % of wear time (accelerometer data) and their 95% confidence intervals (CI) indicated change and were respectively analyzed with Wald Interval for a Difference of Proportions with Matched Pairs or linear mixed model. Results The workplaces employed 13 to 107 persons. The average age of the respondents to the baseline questionnaire (N=296; 75%) was 42.6 (SD10.9), 64% were women, 95% had education after high school, 71% did sedentary work and 50% were overweight. The mean number of actions implemented was 6.8 most focusing on reducing SB. Six workplaces applied actions at all levels. Questionnaire data both at baseline and follow-up was obtained from 190 employees (48%) and accelerometer and diary data from 147 employees (37%). Accelerometer-based daily PA at work increased by 7% (95% CI 3.1 to 10.4) and number of steps by 673 (209 to 1139). SB at work decreased by 8% (-11.9 to -3.2). Questionnaire-based daily SB at work reduced 22%-points (-41 to -3). Number of actions or levels had no effect on changes. Conclusions Employees’ PA increased and SB reduced at work. Workplaces can thus achieve changes in employees’ activity if assisted systematically. Controlled studies are needed to confirm the findings.

Tuesday, June 21st Poster session 2: theme 2: presentation 9 ID: TP29 Older people’s neighborhood groups in the Strength in Old Age programme Author(s): Heli Starck, Minna Säpyskä-Nordberg and Elina Karvinen Affiliation(s): The Age Institute Abstract: Objectives: Moving to gyms is often a problem for older people. They need places to exercise near home. The Strength in Old Age Programme aims to launch in inter sectoral cooperation guided strength and balance exercise, and outdoor activities for independently living older adults with decreased functional capacity. Methods: Good health exercise practices are created in municipalities with the help of the Age Institute’s mentoring efforts. In the municipalities professionals who have completed the Age Institute’s training for trainers train peers and outdoor friends. These volunteers organize exercise groups for older people in the neighborhoods. Results: Good practices are implemented successfully. Resident exercise groups Peers collect a group from their building. The apartment building points a suitable club room where the group can exercise free of charge. Professionals in sport or health care sector give advices and equipment, but the group can plan the exercise independently. Peers have possibility to meetings and further training twice a year. Bus stop walks Sport sector coordinates the activity. They advertise and invite people to participate. Outdoor groups come regularly together in central locations around the city. Outdoor friends guide the group and in some cases collect the elderly from their homes. Outdoor routes are designed according to older people’s needs and hopes. The routes include various distances with resting places. According the actors both practices succeeded because they were created in cooperation with public sector and volunteers. The groups have spread to several neighborhoods. According to the participants exercising in groups has improved their mood and functional capacity, offered social contacts and increased the sense of community. Conclusions: Training volunteers is a good concept to start new neighborhood groups. Elderly are reached and they can participate in groups which offer them an easy and safe way to exercise.

Tuesday, June 21st Poster session 2: theme 2: presentation 10 ID: TP210 Association of activity tracking on physical fitness and eating habits 1

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Author(s): Minna Tanskanen , Pekko Vehviläinen , Merja Vikström , Anne Laakkonen , Päivi Cheney 1 Affiliation(s): Department of Biology of Physical Activity, University of Jyväskylä, Finland 2 3 Vuokatti Sport Institute, Vuokatti, Finland, Digital Health Solution Ltd., Vuokatti, Finland

Abstract: Objectives Daily wear of Polar Loop activity tracker was compared on physical fitness (VO2max), eating habits and attitude towards weight management among a group of Finnish business executives (9 females and 11 males, aged 48±10 yrs.) during a one year of study. A study subject was able to reflect on her lifestyle in terms of physical activity (PA) and sedentary time (ST), and possibly change it to more active. So far, only little information is available about other effects of activity tracking on health behaviour. Methods For each subject, VO2max was estimated by submaximal cycle ergometer test in the beginning, middle and at the end of the study. Eating habits and the attitude towards weight management was assessed with a Huco Diet -profile questionnaire. Average time for the ST, light PA, moderate PA, vigorous PA and total daily PA was calculated during a ten day period, in the beginning, middle and end of the study. Results Compared to the first ten days, at 6 month the ST decreased (p