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Article ; Online: Industrial athletes, relative energy deficit in occupation, and equitable eating disorder treatment and recovery.

Barker, Jessica L / Stults-Kolehmainen, Matthew / Tierney, Amanda / Peterson, Carol B

The International journal of eating disorders

2023 Volume 57, Issue 1, Page(s) 62–69

Abstract: Objective: This paper highlights the gap in understanding and meeting the needs of individuals with eating disorders (EDs) who are engaged in manual labor and proposes a novel solution for meeting those needs.: Methods: In this paper, we describe the ...

Abstract	Objective: This paper highlights the gap in understanding and meeting the needs of individuals with eating disorders (EDs) who are engaged in manual labor and proposes a novel solution for meeting those needs. Methods: In this paper, we describe the rationale, considerations, and opportunities for research and practice that can be adapted and created to meet the needs of individuals with EDs who are engaged in manual labor, a group that may be underserved by current methods for treating EDs. We highlight the potential utility of the industrial athlete (IA) framework for this population, propose the term Relative Energy Deficit in Occupation ("RED-O"), and describe the potential applications of this framework and term for research, treatment, and public health promotion for EDs among individuals engaged in manual labor. Results: The IA framework and RED-O provide opportunities to address the unique needs of individuals with EDs who are also engaged in manual labor and who are disproportionately of low socioeconomic status through new and adapted research and clinical applications as well as advocacy and public health promotion. Discussion: Equitable recovery for people with EDs requires the ability to engage in activities necessary for occupational functioning, including the physical capacity necessary to participate fully in their work. As access to treatment increases, it is imperative that the needs of IAs are adequately addressed, especially those who are of lower socioeconomic status. Public significance: The industrial athlete and relative energy deficit in occupation (RED-O) frameworks will enhance opportunities for identification and treatment of underserved and disadvantaged populations with eating disorders and reduce public health burden of eating disorders.
MeSH term(s)	Humans ; Occupations ; Feeding and Eating Disorders/therapy ; Athletes ; Social Class ; Health Promotion
Language	English
Publishing date	2023-11-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	603170-5
ISSN	1098-108X ; 0276-3478
ISSN (online)	1098-108X
ISSN	0276-3478
DOI	10.1002/eat.24093
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Article ; Online: Human Papillomavirus Vaccination Rates by Gender Identity and Sexual Orientation Among 18-44-Year-Olds in the U.S.

Griffin, Marybec / Jaiswal, Jessica / Stults, Christopher B

Archives of sexual behavior

2021 Volume 50, Issue 7, Page(s) 3079–3092

Abstract: In the U.S., human papillomavirus (HPV) vaccination has been recommended for individuals up to age 26, although the vaccination is currently approved for all people up to the age of 45. This research sought to explore HPV vaccination disparities by age ... ...

Abstract	In the U.S., human papillomavirus (HPV) vaccination has been recommended for individuals up to age 26, although the vaccination is currently approved for all people up to the age of 45. This research sought to explore HPV vaccination disparities by age with subgroup analysis by gender identity and sexual orientation groups, as well as sociodemographic factors that may serve as barriers to or facilitators of vaccination. This study used data from the 2018 Behavioral Risk Factor Surveillance System. Only data for individuals who reported their gender identity, sexual orientation, and HPV vaccination status were included in the analytic sample (n = 7330). HPV vaccination rates for this sample were low, as only 18.2% (n = 1332) of the sample had received the HPV vaccination. These low rates of vaccination were similar across all subsamples: cisgender men (9.8%, n = 343), cisgender women (25.8%, n = 985), heterosexuals (17.5%, n = 1197), lesbian women or gay men (20.8%, n = 40), and bisexuals (30.8%, n = 95). In multivariable logistic regression models, younger participants (18-34) were more likely to report receiving the HPV vaccination across all subsamples. Further modeling indicated several common factors associated with higher odds of vaccination: living in a metropolitan area, having insurance coverage, and having at least one provider. Understanding vaccination disparities, as well as vaccination facilitators and barriers, is important to inform policy and program efforts. This is especially significant for adults between the ages of 35 and 44 who were excluded from the initial vaccination recommendations but are vulnerable due to changing cultural norms, including delayed marriage, nonmonogamous long-term relationships, and the ending of long-term partnerships.
MeSH term(s)	Adult ; Alphapapillomavirus ; Female ; Gender Identity ; Humans ; Male ; Papillomavirus Infections/prevention & control ; Papillomavirus Vaccines ; Sexual Behavior ; Vaccination
Chemical Substances	Papillomavirus Vaccines
Language	English
Publishing date	2021-05-03
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	184221-3
ISSN	1573-2800 ; 0004-0002
ISSN (online)	1573-2800
ISSN	0004-0002
DOI	10.1007/s10508-020-01900-x
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Article ; Online: Consensual Non-Monogamy Relationship Rules Among Young Gay and Bisexual Men: A Dyadic Qualitative Analysis.

Stewart, J L / Stults, Christopher B / Ristuccia, Annie

Archives of sexual behavior

2021 Volume 50, Issue 4, Page(s) 1505–1520

Abstract: ... Partners from 10 CNM couples (n = 20; M ...

Abstract	Consensual non-monogamous (CNM) relationship rules, the boundaries and understandings partners have about acceptable behaviors related to their CNM relationship, are associated with relationship functioning and sexual health risk among gay and bisexual men. Partnered young gay and bisexual men (YGBM) experience unique relational challenges and sexual health disparities. Thus, understanding the nuances of relationship rules among YGBM in CNM relationships is of particular importance. However, few studies have examined relationship rules specifically among YGBM. The current study sought to explore relationship rules among YGBM in CNM relationships, including both those explicitly discussed and those implicitly assumed. We also assessed concordance and discrepancies in partners' reports of their relationship rules, as well as rule violations. Partners from 10 CNM couples (n = 20; M
MeSH term(s)	HIV Infections ; Homosexuality, Male ; Humans ; Male ; Men ; Sexual Behavior ; Sexual Partners ; Sexual and Gender Minorities ; Sexually Transmitted Diseases
Language	English
Publishing date	2021-05-24
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	184221-3
ISSN	1573-2800 ; 0004-0002
ISSN (online)	1573-2800
ISSN	0004-0002
DOI	10.1007/s10508-021-01919-8
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Article ; Online: Sociodemographic Differences in Intimate Partner Violence Prevalence, Chronicity, and Severity Among Young Sexual and Gender Minorities Assigned Male at Birth: The P18 Cohort Study.

Stults, Christopher B / Khan, Ellia / Griffin, Marybec / Krause, Kristen / Gao, Siyan Stan / Halkitis, Perry N

Journal of interpersonal violence

2021 Volume 37, Issue 17-18, Page(s) NP16476–NP16508

Abstract: Intimate partner violence (IPV) is prevalent among young sexual and gender minorities assigned male at birth (YSGM-AMAB). However, few studies have examined the chronicity or distinguished between minor and severe forms of IPV among YSGM-AMAB. ... ...

Abstract	Intimate partner violence (IPV) is prevalent among young sexual and gender minorities assigned male at birth (YSGM-AMAB). However, few studies have examined the chronicity or distinguished between minor and severe forms of IPV among YSGM-AMAB. Furthermore, while past research has documented differences in IPV by race/ethnicity, sexual identity, gender identity, income, and education in other populations, few studies have examined these sociodemographic characteristics in relation to IPV in YSGM-AMAB. Thus, the present study aims to: (1) estimate past year prevalence and chronicity of minor and severe forms of IPV victimization and perpetration in a diverse sample of (N = 665) YSGM-AMAB in New York City, and (2) examine differences in IPV prevalence and chronicity by the aforementioned sociodemographic characteristics. Cross-sectional data from [BLINDED] informed these descriptive and inferential analyses. Nearly half of all participants reported past year IPV victimization and approximately 40% reported perpetration. Psychological violence was the most common form of victimization, followed by sexual, physical, and injury victimization. Psychological violence was the most common form of perpetration, followed by physical, sexual, and injury perpetration. Regarding sociodemographic differences in last year IPV prevalence, bisexual, transgender, and lower income YSGM-AMAB were more likely to report several subtypes of IPV victimization. Whereas Asian/API, bisexual, transgender, and lower income participants were more likely to report several subtypes of IPV perpetration. Regarding last year IPV chronicity, non-graduate YSGM-AMAB reported more instances of two subtypes of IPV victimization, while Black, White, cisgender, upper income, non-graduate participants reported more instances of several subtypes of IPV perpetration. These findings may be used to develop IPV prevention and intervention programs, inform future research endeavors, and develop and strengthen policies that reduce sociodemographic inequalities and promote more favorable sociopolitical conditions for YSGM-AMAB.
MeSH term(s)	Cohort Studies ; Cross-Sectional Studies ; Female ; Gender Identity ; Humans ; Infant, Newborn ; Intimate Partner Violence/psychology ; Male ; Prevalence ; Sexual and Gender Minorities
Language	English
Publishing date	2021-06-18
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	2028900-5
ISSN	1552-6518 ; 0886-2605
ISSN (online)	1552-6518
ISSN	0886-2605
DOI	10.1177/08862605211021985
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Article ; Online: The mechanism of how CD95/Fas activates the Type I IFN/STAT1 axis, driving cancer stemness in breast cancer.

Qadir, Abdul S / Stults, Austin M / Murmann, Andrea E / Peter, Marcus E

Scientific reports

2020 Volume 10, Issue 1, Page(s) 1310

Abstract: CD95/Fas is an apoptosis inducing death receptor. However, it also has multiple nonapoptotic activities that are tumorigenic. Chronic stimulation of CD95 on breast cancer cells can increase their cancer initiating capacity through activation of a type I ... ...

Abstract	CD95/Fas is an apoptosis inducing death receptor. However, it also has multiple nonapoptotic activities that are tumorigenic. Chronic stimulation of CD95 on breast cancer cells can increase their cancer initiating capacity through activation of a type I interferon (IFN-I)/STAT1 pathway when caspases are inhibited. We now show that this activity relies on the canonical components of the CD95 death-inducing signaling complex, FADD and caspase-8, and on the activation of NF-κB. We identified caspase-2 as the antagonistic caspase that downregulates IFN-I production. Once produced, IFN-Is bind to their receptors activating both STAT1 and STAT2 resulting in upregulation of the double stranded (ds)RNA sensor proteins RIG-I and MDA5, and a release of a subset of endogenous retroviruses. Thus, CD95 is part of a complex cell autonomous regulatory network that involves activation of innate immune components that drive cancer stemness and contribute to therapy resistance.
MeSH term(s)	Breast Neoplasms/etiology ; Breast Neoplasms/metabolism ; Breast Neoplasms/pathology ; Caspase 8/metabolism ; Cell Death ; Fas-Associated Death Domain Protein/metabolism ; Female ; Humans ; Immunity ; Interferon Regulatory Factor-3/metabolism ; Interferon Regulatory Factor-7/metabolism ; Interferon Type I/metabolism ; Mitochondria/metabolism ; NF-kappa B/metabolism ; Neoplastic Stem Cells/metabolism ; Neoplastic Stem Cells/pathology ; RNA, Double-Stranded/genetics ; RNA, Double-Stranded/immunology ; STAT1 Transcription Factor/metabolism ; Signal Transduction ; fas Receptor/metabolism
Chemical Substances	FADD protein, human ; FAS protein, human ; Fas-Associated Death Domain Protein ; IRF3 protein, human ; IRF7 protein, human ; Interferon Regulatory Factor-3 ; Interferon Regulatory Factor-7 ; Interferon Type I ; NF-kappa B ; RNA, Double-Stranded ; STAT1 Transcription Factor ; STAT1 protein, human ; fas Receptor ; Caspase 8 (EC 3.4.22.-)
Language	English
Publishing date	2020-01-28
Publishing country	England
Document type	Journal Article
ZDB-ID	2615211-3
ISSN	2045-2322 ; 2045-2322
ISSN (online)	2045-2322
ISSN	2045-2322
DOI	10.1038/s41598-020-58211-3
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Article ; Online: Patients' Perspectives on Plans Generated During Primary Care Visits and Self-Reported Adherence at 3 Months: Data From a Randomized Trial.

Stults, Cheryl D / Mazor, Kathleen M / Cheung, Michael / Ruo, Bernice / Li, Martina / Walker, Amanda / Saphirak, Cassandra / Vaida, Florin / Singh, Sonal / Fisher, Kimberly A / Rosen, Rebecca / Yood, Robert / Garber, Lawrence / Longhurst, Christopher / Kallenberg, Gene / Yu, Edward / Chan, Albert / Millen, Marlene / Tai-Seale, Ming

Journal of participatory medicine

2024 Volume 16, Page(s) e50242

Abstract: Background: Effective primary care necessitates follow-up actions by the patient beyond the visit. Prior research suggests room for improvement in patient adherence.: Objective: This study sought to understand patients' views on their primary care ... ...

Abstract	Background: Effective primary care necessitates follow-up actions by the patient beyond the visit. Prior research suggests room for improvement in patient adherence. Objective: This study sought to understand patients' views on their primary care visits, the plans generated therein, and their self-reported adherence after 3 months. Methods: As part of a large multisite cluster randomized pragmatic trial in 3 health care organizations, patients completed 2 surveys-the first within 7 days after the index primary care visit and another 3 months later. For this analysis of secondary outcomes, we combined the results across all study participants to understand patient adherence to care plans. We recorded patient characteristics and survey responses. Cross-tabulation and chi-square statistics were used to examine bivariate associations, adjusting for multiple comparisons when appropriate. We used multivariable logistic regression to assess how patients' intention to follow, agreement, and understanding of their plans impacted their plan adherence, allowing for differences in individual characteristics. Qualitative content analysis was conducted to characterize the patient's self-reported plans and reasons for adhering (or not) to the plan 3 months later. Results: Of 2555 patients, most selected the top box option (9=definitely agree) that they felt they had a clear plan (n=2011, 78%), agreed with the plan (n=2049, 80%), and intended to follow the plan (n=2108, 83%) discussed with their provider at the primary care visit. The most common elements of the plans reported included reference to exercise (n=359, 14.1%), testing (laboratory, imaging, etc; n=328, 12.8%), diet (n=296, 11.6%), and initiation or adjustment of medications; (n=284, 11.1%). Patients who strongly agreed that they had a clear plan, agreed with the plan, and intended to follow the plan were all more likely to report plan completion 3 months later (P<.001) than those providing less positive ratings. Patients who reported plans related to following up with the primary care provider (P=.008) to initiate or adjust medications (P≤.001) and to have a specialist visit were more likely to report that they had completely followed the plan (P=.003). Adjusting for demographic variables, patients who indicated intent to follow their plan were more likely to follow-through 3 months later (P<.001). Patients' reasons for completely following the plan were mainly that the plan was clear (n=1114, 69.5%), consistent with what mattered (n=1060, 66.1%), and they were determined to carry through with the plan (n=887, 53.3%). The most common reasons for not following the plan were lack of time (n=217, 22.8%), having decided to try a different approach (n=105, 11%), and the COVID-19 pandemic impacted the plan (n=105, 11%). Conclusions: Patients' initial assessment of their plan as clear, their agreement with the plan, and their initial willingness to follow the plan were all strongly related to their self-reported completion of the plan 3 months later. Patients whose plans involved lifestyle changes were less likely to report that they had "completely" followed their plan. Trial registration: ClinicalTrials.gov NCT03385512; https://clinicaltrials.gov/study/NCT03385512. International registered report identifier (irrid): RR2-10.2196/30431.
Language	English
Publishing date	2024-03-14
Publishing country	Canada
Document type	Journal Article
ZDB-ID	2573853-7
ISSN	2152-7202 ; 2152-7202
ISSN (online)	2152-7202
ISSN	2152-7202
DOI	10.2196/50242
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Article ; Online: Sex in the Time of COVID-19: Patterns of Sexual Behavior Among LGBTQ+ Individuals in the U.S.

Griffin, Marybec / Jaiswal, Jessica / Martino, Richard J / LoSchiavo, Caleb / Comer-Carruthers, Camilla / Krause, Kristen D / Stults, Christopher B / Halkitis, Perry N

Archives of sexual behavior

2022 Volume 51, Issue 1, Page(s) 287–301

Abstract: The SARS-CoV-2 virus, the pathogen which causes COVID-19, has left an indelible impact on the daily lives of individuals in the USA. This study sought to explore the sexual behaviors among people in the LGBTQ+ population at the onset of the pandemic. ... ...

Abstract	The SARS-CoV-2 virus, the pathogen which causes COVID-19, has left an indelible impact on the daily lives of individuals in the USA. This study sought to explore the sexual behaviors among people in the LGBTQ+ population at the onset of the pandemic. Behaviors were explored across sub-groups of the population. The study employed data from an internet survey about the impact of COVID-19 on LGBTQ+ identified individuals conducted between May and July 2020. The final sample was comprised of 1090 participants from across the USA. Overall, sexual activity and the number of sexual partners decreased after March 13, 2020 (as compared to before this date) across all sexual orientation groups; however, living situation and partnership status supported sexual activity. Gay and bisexual men living with a partner or a spouse (AOR = 2.20, p = .023) and those living with a non-romantic roommate or friend (AOR = 2.88, p = .004) reported more sexual activity. For both cisgender lesbian and bisexual women and transgender and non-binary individuals, those who were married or in a domestic partnership (AOR = 4.54, p < .001; AOR = 9.97, p < .001, respectively) and those in a committed relationship (AOR = 3.54, p = .001; AOR = 8.46, p < .001, respectively) reported more sexual activity. Additionally, cisgender lesbian and bisexual women living with their partner or spouse (AOR = 2.14, p = .044) reported more sexual activity. When examining the number of sexual partners, cisgender lesbian and bisexual women and transgender and non-binary individuals in a committed relationship (AOR = 0.31, p < 0.001; AOR = 0.26, p = .004, respectively) and those living with a partner or spouse (AOR = 0.30, p = .002; AOR = 0.25, p = .028, respectively) were less likely to report two or more sexual partners. Examining the changes in sexual activity and number of sexual partners helps us better identify the effects of COVID-19 on intimate relationships and sexual behaviors. Furthermore, this study may help develop clinical best practices to facilitate risk-reduction strategies for LGBTQ+ populations when engaging in sexual activity within a communicable disease framework. Current guidance on sexual activity within a pandemic has created a unique opportunity for sex-positive public health messaging that protects individual health while also offering a framework for conversations about risk mitigation that is applicable for both COVID-19 and STI/HIV prevention.
MeSH term(s)	COVID-19 ; Female ; Humans ; Male ; SARS-CoV-2 ; Sexual Behavior ; Sexual and Gender Minorities ; Transgender Persons ; United States/epidemiology
Language	English
Publishing date	2022-02-09
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	184221-3
ISSN	1573-2800 ; 0004-0002
ISSN (online)	1573-2800
ISSN	0004-0002
DOI	10.1007/s10508-022-02298-4
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Article: Patient Preferences for Preventive Healthcare During the COVID-19 Pandemic in a Large Integrated Health System.

Stults, Cheryl D / Yan, Xiaowei / Deng, Sien / Dillon, Ellis C / Liang, Su-Ying / Jones, J B / Bhanushali, Minal / Frosch, Dominick L

Journal of patient experience

2022 Volume 9, Page(s) 23743735221113160

Abstract: The COVID-19 pandemic caused healthcare systems and patients to cancel or postpone healthcare services, particularly preventive care. Many patients still have not received these services raising concerns about the potential for preventable morbidity and ... ...

Abstract	The COVID-19 pandemic caused healthcare systems and patients to cancel or postpone healthcare services, particularly preventive care. Many patients still have not received these services raising concerns about the potential for preventable morbidity and mortality. At Sutter Health, a large integrated healthcare system in Northern California, we conducted a population-based email survey in August 2020 to evaluate perceptions and preferences about where, when, and how healthcare is delivered during the COVID-19 pandemic. In total, 3351 patients completed surveys, and 42.6% reported that they would "wait until they felt safe" before receiving a colonoscopy as compared to 22.4% for a mammogram. The doctor's office was the most common preferred location for receiving vaccines/shots (79.9%), though many also reported preferring an outdoor setting or in a car (63.7%). With over 40% of patients reporting that they would "wait until they feel safe" for a colonoscopy, healthcare systems could focus on promoting other evidence-based options such a fecal-occult blood test to ensure timely colon cancer screening.
Language	English
Publishing date	2022-07-15
Publishing country	United States
Document type	Journal Article
ZDB-ID	2857285-3
ISSN	2374-3743 ; 2374-3735
ISSN (online)	2374-3743
ISSN	2374-3735
DOI	10.1177/23743735221113160
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Article ; Online: Unattended automated office blood pressure measurement: Time efficiency and barriers to implementation/utilization.

Doane, John / Flynn, Michael / Archibald, Marcus / Ramirez, Dominick / Conroy, Molly B / Stults, Barry

Journal of clinical hypertension (Greenwich, Conn.)

2020 Volume 22, Issue 4, Page(s) 598–604

Abstract: Unattended automated office blood pressure (BP) measurement (u-AOBP) improves office BP measurement accuracy and reduces white-coat BP elevation, but there are reservations about its time efficiency in primary care. We used time-stamp methodology to ... ...

Abstract	Unattended automated office blood pressure (BP) measurement (u-AOBP) improves office BP measurement accuracy and reduces white-coat BP elevation, but there are reservations about its time efficiency in primary care. We used time-stamp methodology to measure u-AOBP procedure times performed without a rest period in 130 patients during routine clinic visits to three primary care clinics with 2.5-4.9 years u-AOBP experience. We documented the clinical activities of 30 medical assistants during the u-AOBP procedures. We also assessed MA and clinician satisfaction and knowledge about u-AOBP performance and interpretation. Median u-AOBP procedure time was <5 minutes, and MAs engaged in productive clinical activities during 83% of the procedures. Ninety-three percent of MAs and 100% of clinicians in the clinics agreed that u-AOBP is an efficient method to improve hypertension management. Barriers to effective u-AOBP implementation and ongoing utilization included initial difficulty incorporating u-AOBP into clinic workflow and medical staff knowledge deficiencies concerning correct u-AOBP performance and interpretation despite prior training and experience with the procedure. Intensive u-AOBP education and training programs are needed to facilitate effective u-AOBP implementation into primary care. The time required to perform u-AOBP can be utilized productively by staff.
MeSH term(s)	Automation ; Blood Pressure ; Blood Pressure Determination ; Humans ; Office Visits ; White Coat Hypertension/diagnosis
Language	English
Publishing date	2020-03-09
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2077222-1
ISSN	1751-7176 ; 1524-6175
ISSN (online)	1751-7176
ISSN	1524-6175
DOI	10.1111/jch.13840
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Article ; Online: Motivation states to move, be physically active and sedentary vary like circadian rhythms and are associated with affect and arousal.

Budnick, Christopher J / Stults-Kolehmainen, Matthew / Dadina, Cyrus / Bartholomew, John B / Boullosa, Daniel / Ash, Garret I / Sinha, Rajita / Blacutt, Miguel / Haughton, Adrian / Lu, Tom

Frontiers in sports and active living

2023 Volume 5, Page(s) 1094288

Abstract: ... in response to previous behavior. It is not known: (a) if motivational states vary from morning to evening, (b ... to measure motivation states for Move and Rest, (b) Feeling Scale, (c) Felt Arousal Scale, and (d) surveys ... Visual inspection of data determined that: a) motivation states varied widely across the day, and b) most ...

Abstract	Introduction: Motivation to be physically active and sedentary is a transient state that varies in response to previous behavior. It is not known: (a) if motivational states vary from morning to evening, (b) if they are related to feeling states (arousal/hedonic tone), and (c) whether they predict current behavior and intentions. The primary purpose of this study was to determine if motivation states vary across the day and in what pattern. Thirty adults from the United States were recruited from Amazon MTurk. Methods: Participants completed 6 identical online surveys each day for 8 days beginning after waking and every 2-3 h thereafter until bedtime. Participants completed: (a) the CRAVE scale (Right now version) to measure motivation states for Move and Rest, (b) Feeling Scale, (c) Felt Arousal Scale, and (d) surveys about current movement behavior (e.g., currently sitting, standing, laying down) and intentions for exercise and sleep. Of these, 21 participants (mean age 37.7 y; 52.4% female) had complete and valid data. Results: Visual inspection of data determined that: a) motivation states varied widely across the day, and b) most participants had a single wave cycle each day. Hierarchical linear modelling revealed that there were significant linear and quadratic time trends for both Move and Rest. Move peaked near 1500 h when Rest was at its nadir. Cosinor analysis determined that the functional waveform was circadian for Move for 81% of participants and 62% for Rest. Pleasure/displeasure and arousal independently predicted motivation states (all Discussion: While these data must be replicated with a larger sample, results suggest that motivation states to be active or sedentary have a circadian waveform for most people and influence future behavioral intentions. These novel results highlight the need to rethink the traditional approaches typically utilized to increase physical activity levels.
Language	English
Publishing date	2023-04-18
Publishing country	Switzerland
Document type	Journal Article
ISSN	2624-9367
ISSN (online)	2624-9367
DOI	10.3389/fspor.2023.1094288
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