CONTEMPORARY ECONOMIC POLICY, Issue 4 2007
JOHN CAWLEY
Childhood overweight has risen dramatically in the United States during the past three decades. The search for policy solutions is limited by a lack of evidence regarding the effectiveness of state policies for increasing physical activity among youths. This paper estimates the correlation of student physical activity with a variety of state policies. We study nationwide data on high school students from the Youth Risk Behavior Surveillance System for 1999, 2001, and 2003 merged with data on state policies from several sources. We control for a variety of characteristics of states and students to mitigate bias due to the endogenous selection of policies, but we conservatively interpret our results as correlations, not causal impacts. Two policies are positively correlated with participation in physical education (PE) class for both boys and girls: a binding PE unit requirement and a state PE curriculum. We also find that state spending on parks and recreation is positively correlated with two measures of girls' overall physical activity. (JEL I18, I28) [source]

FEELING TIRED PREDICTS FUNCTIONAL STATUS, PHYSICAL ACTIVITY, AND MORTALITY IN ELDERLY PEOPLE

JOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 4 2009
Elior Moreh MD
No abstract is available for this article. [source]

METABOLIC SYNDROME AND PHYSICAL ACTIVITY IN SOUTHERN BRAZILIAN COMMUNITY-DWELLING ELDERLY PEOPLE

JOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 7 2008
Roberta R. Dalacorte MD
No abstract is available for this article. [source]

Exploring the nutrition and lifestyle knowledge, attitudes and behaviour of student home economics teachers: baseline findings from a 4-year longitudinal study

INTERNATIONAL JOURNAL OF CONSUMER STUDIES, Issue 4 2008
Mary Isobelle Mullaney
Abstract It is widely acknowledged that obesity linked with reduced exercise contributes to health problems, and that, conversely, individuals who embark on weight reducing diets may become deficient in key nutrients. It is often advocated that these problems, which can be grouped together as poor dietary practice, be tackled through education. This study attempts to examine the relationship between nutrition education and lifestyle behaviours in a select group of third level students. The Irish Home Economics curriculum aims to teach secondary school pupils about nutrition and lifestyle practices conducive to health. However, the attitudes and lifestyle practices of those teaching this subject have never been examined in Ireland. The purpose of the present 4-year longitudinal study, whose first year findings are presented here, is to investigate the nutrition and lifestyle knowledge, attitudes and behaviours of a cohort of Irish student home economics teachers over the 4 years of their Bachelor of Education (Home Economics) degree course. The study was designed to explore possible changes in knowledge, attitudes and practices over the course of their professional education. Nutritional knowledge was measured using a 220-question adapted version of the test devised by Parmenter and Wardle. Attitudes were measured using a questionnaire adapted from the Pan-EU Survey on Consumer Attitudes to Physical Activity, Body-weight and Health. Food, alcohol consumption and exercise were measured using a 7-day reported dietary/exercise diary. Nutrient intake data were determined using dietary analysis. Weight, height and waist circumference were measured and body mass index (BMI) calculated. When starting college, student home economics teachers have broadly similar anthropometric, dietary and lifestyle characteristics to those of their contemporaries. Mean BMI was identical [24.4 kg/m2 (SD 4.3)] to that reported in the North/South Ireland Food Consumption Survey (NSIFCS) for those aged 18,35 years, although energy intakes were significantly higher in the cohort of student teachers (P = 0.000). Thirty-eight per cent were overweight or obese vs. 33.6% in the NSIFCS. Only 17% (n = 6) of students achieved an intake of 300 µg/day of folate as recommended by the Food Safety Authority of Ireland and only one the recommended intake of non-starch polysaccharides (18 g/day). One in three students in this study smoke (16 of 48) and alcohol consumption was high. Only one student was very active. Students scored a mean of 55% (SD 8%) on the knowledge test, with similar scores attained for specific aspects of nutritional knowledge (i.e. food groups, constituents of foods, current dietary advice, nutrients, lifestyle practices). However, knowledge of nutrition definitions was weaker with a mean score of 31% (SD 8.6%). Students had a positive attitude towards food choice, the link between food and health and control over their own diet. Similar attitudes towards exercise, smoking and alcohol consumption were displayed despite students perceiving themselves as not having a balanced diet, having insufficient exercise and having regretted something done as a result of consuming alcohol. They appear to display optimistic bias in relation to health risks. These findings provide baseline data for the longitudinal study and indicate that those choosing to pursue a career as a home economics teacher in Ireland have similar nutritional and lifestyle characteristics to those of their contemporaries. [source]

Association Between Changes in Habitual Physical Activity and Changes in Bone Density, Muscle Strength, and Functional Performance in Elderly Men and Women

JOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 12 2008
Robin M. Daly PhD
OBJECTIVES: To investigate the long-term effects of habitual physical activity on changes in musculoskeletal health, functional performance, and fracture risk in elderly men and women. DESIGN: Ten-year prospective population-based study. SETTING: Malmö-Sjöbo Prospective Study, Sweden. PARTICIPANTS: Participants were 152 men and 206 women aged 50, 60, 70, and 80 who were followed for 10 years. MEASUREMENTS: Distal radius bone mineral density (BMD) (single photon absorptiometry), upper limb muscle (grip) strength, balance, gait velocity, occupational and leisure-time activity, and fractures (interview-administered questionnaire) were reassessed after 10 years. Annual changes for all measures were compared between participants with varying habitual physical activity histories at baseline and follow-up: inactive,inactive (n=202), active,inactive (n=47), inactive,active (n=49), and active,active (n=60). Data for men and women were pooled, because there were no sex-by-activity group interactions. To detect possible differences in fracture incidence between the varying habitual activity groups, participants were classified into two activity groups based on their activity classification at baseline and follow-up: inactive:less active versus active:more active. RESULTS: The annual rate of bone loss was 0.6% per year less in individuals classified as active at both time points than in those classified as inactive at both time points (P<.01). Similar results were observed for balance, but there was no effect of varying habitual activity on changes in muscle strength or gait velocity. There were also no differences in fracture incidence between individuals categorized as active:more active and those categorized as inactive:less active during the follow-up (adjusted hazard ratio=0.90, 95% confidence interval (CI)=0.42,1.90). CONCLUSION: This study showed that elderly men and women who maintained a habitually active lifestyle over 10 years had lower bone loss and retained better balance than those who remained habitually inactive. [source]

Effect of Telephone Counseling on Physical Activity for Low-Active Older People in Primary Care: A Randomized, Controlled Trial

JOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 7 2007
Gregory S. Kolt PhD
OBJECTIVES: To assess the long-term effectiveness of a telephone counseling intervention on physical activity and health-related quality of life in low-active older adults recruited through their primary care physician. DESIGN: Randomized, controlled trial. SETTING: Three primary care practices from different socioeconomic regions of Auckland, New Zealand. PARTICIPANTS: One hundred and eighty-six low-active adults (aged 65) recruited from their primary care physicians' patient databases. INTERVENTION: Eight telephone counseling sessions over 12 weeks based on increasing physical activity. Control patients received usual care. MEASUREMENTS: Change in physical activity (as measured using the Auckland Heart Study Physical Activity Questionnaire) and quality of life (as measured using the Short Form-36 Health Survey (SF-36)) over a 12-month period. RESULTS: Moderate leisure physical activity increased by 86.8 min/wk more in the intervention group than in the control group (P=.007). More participants in the intervention group reached 2.5 hours of moderate or vigorous leisure physical activity per week after 12 months (42% vs 23%, odds ratio=2.9, 95% confidence interval=1.33,6.32, P=.007). No differences on SF-36 measures were observed between the groups at 12 months. CONCLUSION: Telephone-based physical activity counseling is effective at increasing physical activity over 12 months in previously low-active older adults. [source]

Physical Activity and Social Physique Anxiety in Older Women: The Moderating Effects of Self-Presentation Efficacy

JOURNAL OF APPLIED BIOBEHAVIORAL RESEARCH, Issue 2 2003
Jennifer Woodgate
Given the inconsistent relationships observed between social physique anxiety (SPA) and physical activity, it is possible that other variables moderate this relationship. This study examined self-presentation efficacy (SPE) as a potential moderator. Participants were 81 older women. Multiple regression analysis revealed that SPA, SPE, and the SPA x SPE interaction significantly predicted physical activity, with the SPA x SPE interaction explaining 6% of the variance in activity. Evaluation of this interaction indicated that SPA was negatively correlated with activity only for women with high and mean SPE and was unrelated to activity for women with low SPE. These findings suggest that, for older women, lower levels of SPA are not always related to greater activity. Rather, SPE is an important moderator of the SPA-physical activity relationship. [source]

A Group-Mediated Cognitive-Behavioral intervention for Increasing Adherence to Physical Activity in Older Adults,

JOURNAL OF APPLIED BIOBEHAVIORAL RESEARCH, Issue 1 2000
Lawrence R. Brawley
This study examined the efficacy of a group-mediated cognitive behavioral intervention (GMCB) on adherence rates to physically active lifestyles in older adults. Sixty older adults were randomized to I of 3 groups: waiting list control (WLC), a standard physical activity program (SPA), or GMCB. The SPA and GMCB involved 6 months of combined center- and home-based activity. Contact with participants was then terminated with a follow-up assessment at 9 months. Results revealed that, at the 9-month follow-up the GMCB group had a higher frequency of weekly physical activity than the SPA group. At 6 months, both groups were more active, had higher aerobic power, and improved HRQL when compared with the control group. [source]

Perceived Fitness Predicts Daily Coping Better Than Physical Activity

JOURNAL OF APPLIED BIOBEHAVIORAL RESEARCH, Issue 1 2000
Thomas G. Plante
One hundred sixty-six participants (70 males, 96 females) completed a series of questionnaires measuring perceived fitness, social desirability, self-esteem, hope, and perceived stress levels and coping abilities. Participants were then given an activity monitoring device to wear for 1 week. Participants recorded daily measures of physical activity, perceived fitness, and perceived stress and coping over 7 days. Results revealed that although perceived physical fitness was reliably associated with coping, actual physical activity was not. These associations remained even after statistically controlling for gender, social desirability, self-esteem, hope, perceived stress, and anxiety. Findings suggest that perceived physical fitness may be a better predictor of daily coping than actual physical activity. [source]

Understanding Predictors of Low Physical Activity in Adults with Intellectual Disabilities

JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES, Issue 3 2009
Janet Finlayson
Background, Lack of regular physical activity is globally one of the most significant risks to health. The main aims of this study were to describe the types and levels of regular physical activity undertaken by adults with intellectual disabilities, and to investigate the factors predicting low activity. Materials and Methods, Interviews were conducted with a community-based sample of adults with intellectual disabilities (n = 433) at two time points. Data hypothesized to be predictive of low levels of activity were collected at time 1. Descriptive data were collected on the frequency and intensity, and actual level of participation in activities at time 2. Results, Only 150 (34.6%) adults with intellectual disabilities undertook any regular activity of at least moderate intensity. This was of shorter duration, compared with the general population. Older age, having immobility, epilepsy, no daytime opportunities, living in congregate care and faecal incontinence were independently predictive of low levels of activity. Conclusions, These results are a step towards informing the development of interventions to promote the health of adults with intellectual disabilities through increased physical activity. [source]

The Importance of Affective Beliefs and Attitudes in the Theory of Planned Behavior: Predicting Intention to Increase Physical Activity,

JOURNAL OF APPLIED SOCIAL PSYCHOLOGY, Issue 9 2005
David P. French
Standard theory of planned behavior (TPB) questions to elicit salient behavioral beliefs may elicit instrumental consequences of behavior, and overlook affective consequences. Two hundred thirteen English adults (35 to 75 years of age) completed a questionnaire that contained closed measures of TPB constructs, and open-ended questions that asked not only about advantages and disadvantages, but also what respondents would like or enjoy and dislike or hate about being more physically active. Beliefs elicited by affective questions were associated more strongly with a closed affective attitude scale. Beliefs elicited by instrumental questions were associated more strongly with a closed instrumental attitude scale. Closed measures of the standard TPB variables explained 48% of the variance in intention to increase physical activity, while affective attitude explained an additional 11% of the variance. Applications of the TPB should consider affective and not just instrumental determinants of behavior. [source]

Long-Term Leisure Time Physical Activity and Properties of Bone: A Twin Study,,

JOURNAL OF BONE AND MINERAL RESEARCH, Issue 8 2009
Hongqiang Ma
Abstract Effects of physical activity on bone properties, when controlled for genetic effects, are not fully understood. We aimed to study the association between long-term leisure time physical activity (LTPA) and bone properties using twin pairs known to be discordant for leisure time physical activity for at least 30 yr. Volumetric BMD and geometric properties were measured at the tibia shaft and distal end using pQCT in 16 middle-aged (50,74 yr) same-sex twin pairs (seven monozygotic [MZ] and nine dizygotic [DZ] pairs) selected from a population-based cohort. Paired differences between active and inactive co-twins were studied. Active members of MZ twin pairs had larger cortical bone cross-sectional area (intrapair difference: 8%, p = 0.006), thicker cortex (12%, p = 0.003), and greater moment of inertia (Imax, 20%, p = 0.024) at the tibia shaft than their inactive co-twins. At the distal tibia, trabecular BMD (12%, p = 0.050) and compressive strength index (18%, p = 0.038) were also higher in physically active MZ pair members than their inactive co-twins. The trends were similar, but less consistently so, in DZ pairs as in MZ pairs. Our genetically controlled study design shows that LTPA during adulthood strengthens bones in a site-specific manner, that is, the long bone shaft has a thicker cortex, and thus higher bending strength, whereas the distal bone has higher trabecular density and compressive strength. These results suggest that LTPA has a potential causal role in decreasing the long-term risk of osteoporosis and thus preventing osteoporotic fractures. [source]

Ten-Year Longitudinal Relationship Between Physical Activity and Lumbar Bone Mass in (Young) Adults,

JOURNAL OF BONE AND MINERAL RESEARCH, Issue 2 2003
Ingrid Bakker
Abstract Little is known about the influence of long-term daily physical activity (PA) on lumbar bone mass after peak bone mass has been reached, that is, during [young] adulthood. The purpose of this study was to investigate the longitudinal relationship between PA and lumbar bone mineral density (LBMD) in healthy subjects over a 10-year period. The data reported here relate to 225 male and 241 female participants in the Amsterdam Growth and Health Longitudinal Study, who were measured at the mean ages of 27, 32, and/or 36. LBMD, habitual daily PA, total body weight, and calcium intake were assessed at each measurement point. The effects of two aspects of PA were analyzed: the mechanical (MECHPA; sum of all ground reaction forces) and metabolic (METPA; weighted metabolic score of intensity, frequency, and duration) components, each within a separate model. Multilevel analysis was used to investigate the relationship between PA and LBMD over the 10-year period. Gender, total body weight, and calcium intake were included in the analysis as covariates. The results indicated that MECHPA was a significant positive linear predictor of LBMD for males (r = 0.09; p < 0.001) but not for females. For the METPA, no linear longitudinal relationship with LBMD was found. The results suggest that there is a metabolic threshold at which extra PA becomes "deleterious" and METPA in its totality becomes ineffective for LBMD. It is concluded that during the (young) adult period, between 27 and 36 years of age, PA causing mechanical loading on the skeleton has a small positive influence on LBMD in males. [source]

Cardiometabolic Syndrome and Its Association With Education, Smoking, Diet, Physical Activity, and Social Support: Findings From the Pennsylvania 2007 BRFSS Survey

JOURNAL OF CLINICAL HYPERTENSION, Issue 7 2010
Longjian Liu MD
J Clin Hypertens (Greenwich).2010;12:556,564. © 2010 Wiley Periodicals, Inc. The authors aimed to examine the prevalence of cardiometabolic syndrome (CMS) and its association with education, smoking, diet, physical activity, and social support among white, black, and Hispanic adults using data from the 2007 Pennsylvania Behavior Risk Factor Surveillance System (BRFSS) survey, the largest population-based survey in the state. The authors examined associations between CMS and associated factors cross-sectionally using univariate and multivariate methods. The study included a representative sample of 12,629 noninstitutionalized Pennsylvanians aged ,18. Components of CMS included obesity, hypercholesterolemia, angina (as a surrogate for decreased high-density lipoprotein), prehypertension or hypertension, and prediabetes or diabetes. CMS was identified as the presence of ,3 CMS components. The results show that the prevalence of CMS was 20.48% in blacks, followed by Hispanics (19.14%) and whites (12.26%), (P<.01). Multivariate logistic regression analyses indicated that physical inactivity, lower educational levels, smoking, daily consumption of vegetables and/or fruits <3 servings, and lack of social support were significantly associated with the odds of having CMS. In conclusion, black and Hispanic adults have a significantly higher prevalence of CMS than whites. The significant association between CMS and risk factors provides new insights in the direction of health promotion to prevent and control CMS in those who are at high risk. [source]

Leisure-Time Physical Activity in Elementary Schools: Analysis of Contextual Conditions

JOURNAL OF SCHOOL HEALTH, Issue 10 2010
Thomas L. McKenzie PHD
BACKGROUND: Little is known about children's leisure-time physical activity (PA) at school and how it is associated with contextual variables. The purpose of this study was to objectively assess children's voluntary PA during 3 daily periods and examine modifiable contextual factors. METHODS: We conducted SOPLAY (System for Observing Play and Leisure Activity in Youth) observations before school, during recess, and at lunchtime in 137 targeted activity areas in 13 elementary schools over 18 months. During observations, each child was coded as Sedentary, Walking, or Vigorous, and simultaneous entries were made for area characteristics (accessibility, usability, presence of supervision, loose equipment, and organized activities). Logistic regression analysis was used to test associations between PA and area characteristics. RESULTS: Assessors made 2349 area visits and observed 36,995 children. Boys had more moderate-to-vigorous physical activity (MVPA; 66.2 vs 60.0%, p < .001) and more vigorous PA (29.8 vs 24.6%; p < .001) than girls. Areas were typically accessible and usable, but provided organized activities infrequently (16.5%). Odds of engaging in MVPA were greater during lunch and recess than before school and in areas with play equipment (p < .05). CONCLUSIONS: Children accrued a substantial amount of voluntary PA during leisure time at school. Their PA would likely be increased if school playground equipment was more readily available and if supervisors were taught to provide active games and promote PA rather than suppress it. [source]

Differences in Children's Recess Physical Activity: Recess Activity of the Week Intervention

JOURNAL OF SCHOOL HEALTH, Issue 9 2010
Megan Babkes Stellino EdD
BACKGROUND: The increased prevalence in recent childhood obesity rates raises concern about youth health and the role that lack of physical activity plays in this trend. A focus on how children today choose to spend their discretionary time is one approach that may yield ideas for how to reduce childhood obesity. The purpose of the present study was to examine whether 3 separate recess activities of the week (RAWs) would make a difference in children's discretionary time physical activity levels. METHODS: Children (N = 65: 30 boys, 35 girls; 32 first and second graders; 33 third and fourth graders; 45 healthy body mass index [BMI], 20 overweight BMI) at 1 Midwest elementary school wore pedometers for each 15-minute morning recess period for 4 weeks. Following 1 no RAW (#1), a new RAW was introduced each subsequent week: #2, circuit course; #3, obstacle course; and #4, Frisbees. RESULTS: Repeated measures factorial analysis of variance results revealed that children were significantly more active during the no RAW and circuit course week than the Frisbee week. Males were significantly more physically active than females during the obstacle course week. Older children were significantly more active during the Frisbee week than younger children. Healthy BMI children were significantly more physically active during the circuit course week than children in the overweight/obese BMI category. CONCLUSIONS: Results imply that it is important for schools to consider demographic factors in the creation of recess opportunities to increase physical activity. [source]

Promoting Physical Activity Among Youth Through Community-Based Prevention Marketing

JOURNAL OF SCHOOL HEALTH, Issue 5 2010
Carol A. Bryant PhD
BACKGROUND: Community-based prevention marketing (CBPM) is a program planning framework that blends community-organizing principles with a social marketing mind-set to design, implement, and evaluate public health interventions. A community coalition used CBPM to create a physical activity promotion program for tweens (youth 9,13 years of age) called VERBÔ Summer Scorecard. Based on the national VERBÔ media campaign, the program offered opportunities for tweens to try new types of physical activity during the summer months. METHODS: The VERBÔ Summer Scorecard was implemented and monitored between 2004 and 2007 using the 9-step CBPM framework. Program performance was assessed through in-depth interviews and a school-based survey of youth. RESULTS: The CBPM process and principles used by school and community personnel to promote physical activity among tweens are presented. Observed declines may become less steep if school officials adopt a marketing mind-set to encourage youth physical activity: deemphasizing health benefits but promoting activity as something fun that fosters spending time with friends while trying and mastering new skills. CONCLUSIONS: Community-based programs can augment and provide continuity to school-based prevention programs to increase physical activity among tweens. [source]

Relation of School Environment and Policy to Adolescent Physical Activity,

JOURNAL OF SCHOOL HEALTH, Issue 4 2009
Nefertiti Durant MD
ABSTRACT Background:, Physical activity (PA) declines as children and adolescents age. The purpose of this study was to examine how specific school factors relate to youth PA, TV viewing, and body mass index (BMI). Methods:, A sample of 12- to 18-year-old adolescents in 3 cities (N = 165, 53% females, mean age 14.6 ± 1.7 years, 44% nonwhite) completed surveys assessing days of physical education (PE) class per week, school equipment accessibility, after-school supervised PA, and after-school field access. Regression analyses were conducted to examine relationships between these school factors and PA at school facilities open to the public (never active vs active), overall PA level (days per week physically active for 60 minutes), BMI z score, and TV watching (hours per week). Results:, Adjusting for demographics, days of PE per week and access to school fields after school were correlated with overall PA (,= 0.286, p = .002, semipartial correlation .236 and ,= 0.801, p = .016, semipartial correlation .186, respectively). The association between after-school field access and overall PA was mediated by use of publicly accessible school facilities for PA. After-school supervised PA and school PA equipment were not associated with overall PA. In adjusted regression analyses including all school factors, days of PE remained correlated to overall PA independent of other school factors (,= 0.264, p = .007, semipartial correlation = .136). There were no associations between school factors and BMI or TV watching. Conclusions:, Based on these study findings, PE is a promising intervention to address improving overall adolescent PA within the school setting. [source]

Physical Activity and Healthy Eating in the After-School Environment

JOURNAL OF SCHOOL HEALTH, Issue 12 2008
Karen J. Coleman PhD
ABSTRACT BACKGROUND:, No research to date has extensively described moderate and vigorous physical activity (MVPA) and healthful eating (HE) opportunities in the after-school environment. The current study described the quality of the after-school environment for its impact on children's MVPA and HE. METHODS:, An alliance of 7 elementary schools and Boys and Girls Clubs who worked with the Cooperative Extension Service in Lawrence, KS, was selected to participate in a larger intervention study. After-school settings were observed for information regarding session type, session context, leader behavior, physical activity, and snack quality using validated instruments such as the System for Observing Fitness Instruction Time. Data presented are baseline measures for all sites. RESULTS:, Participating children (n = 144) were primarily non-Hispanic white (60%) and in fourth grade (69%). After-school sites offered 4 different sessions per day (active recreation, academic time, nonactive recreation, and enrichment activities). Children were provided with a daily snack. On 36% of the days observed, this snack included fruit, fruit juice, or vegetables. There was significantly more time spent in MVPA during free play sessions (69%) compared to organized adult-led sessions (51%). There was also significantly more discouragement of physical activity during organized adult-led sessions (29%) as compared to the free play sessions (6%). CONCLUSIONS:, The quality of after-school programs can be improved by providing fruits and vegetables as snacks; offering more free play activities; training the after-school staff in simple, structured games for use in a variety of indoor and outdoor settings; and training after-school staff to promote and model MVPA and HE in and out of the after-school setting. [source]

Differences in the Correlates of Physical Activity Between Urban and Rural Canadian Youth

JOURNAL OF SCHOOL HEALTH, Issue 4 2007
Constantinos A. Loucaides PhD
ABSTRACT Background:, Despite the benefits of physical activity (PA), a significant proportion of youth remains inactive. Studies assessing differences in the correlates of PA among urban and rural youth are scarce, and such investigations can help identify subgroups of the population that may need to be targeted for special intervention programs. The purpose of this study was to assess differences in the correlates of PA between Canadian urban and rural youth. Methods:, The sample consisted of 1398 adolescents from 4 urban schools and 1290 adolescents from 4 rural schools. Mean age of the participants was 15.6 ± 1.3 years. Hierarchical regression analyses were used to examine the association between self-reported PA and a number of demographic, psychological, behavioral, and social correlates. Results:, Common correlates between the 2 locations included gender (with girls being less active than boys) perceptions of athletic/physical ability, self-efficacy, interest in organized group activities, use of recreation time, and friends' and siblings' frequency of participation in PA. Active commuting to school and taking a physical education class were unique correlates of PA at the multivariate level in urban and rural students, respectively. Variance explained in PA ranged from 43% for urban school students to 38% for rural school students. Conclusions:, Although more similarities than discrepancies were found in the correlates of PA between the 2 geographical locations, findings from this study strengthen the policies that argue for a coordinated multisector approach to the promotion of PA in youth, which include the family, school, and community. [source]

Promoting Physical Activity in Girls

JOURNAL OF SCHOOL HEALTH, Issue 2 2005
A Case Study of One School's Success
ABSTRACT: This case study profiles one of 24 high schools that participated in a school-based, NIH-funded study to increase physical activity among high school girls. The case study school was one of 12 randomly assigned to the intervention group. The study intervention was based on the premise that a successful intervention is developed and tailored by teachers and staff to fit the context of their school. Intervention guidelines (Essential Elements) and the Coordinated School Health Program (CSHP) model were used to direct intervention activities for physical education, health education, school environment, school health services, faculty/staff health promotion, and family/community involvement. All girls at the case study school received the intervention. A team of school employees provided leadership to develop and implement the intervention in collaboration with a university project staff. Data collected over a two-year period were used to describe changes that occurred in each CSHP area. Key changes were made in the school environment, curricula, policies, and practices. Qualitative measures showed girls more involved in physical activity. Quantitative measures taken in eighth grade, and repeated with the same set of girls in ninth grade, showed increases in both moderate-to-vigorous physical activity (p = < .01) and vigorous physical activity (p = .04). Other schools can use this case to modify components of the CSHP model to increase physical activity among high school girls. [source]

Physical Activity, Dietary Practices, and Other Health Behaviors of At-Risk Youth Attending Alternative High Schools

JOURNAL OF SCHOOL HEALTH, Issue 4 2004
Martha Y. Kubik
ABSTRACT: This study assessed the interest of alternative high school staff in intervention research on students' eating and physical activity habits und the feasibility of conducting such research in alternative school settings. A two-phase descriptive design incorporated both quantitative and qualitative methods. In fall/winter 2001,2002, alternative high school administrators in Minnesota were surveyed (response rate = 83%; n = 130/157). During summer 2002, one-on-one, semistruclured interviews were conducted with key-school personnel (n = 15) from urban and suburban schools. Findings indicated few schools had been invited to participate in research on nutrition (11%) and physical activity (7%). However, more than 80% of administrators reported interest in their students participating in such research. Most schools offered health and PE classes and had access to indoor gym facilities and outdoor play areas. While most schools offered a school lunch program, participation was low, cold lunches were common, and food often was unappealing. Beverage and snack vending machines were common. Overall, the physical environment of most alternative schools did not support physical activity and healthy eating as normative behavior. Interest in interventions on physical inactivity, unhealthy dietary practices, und other priority health-risk behavior common in students attending alternative schools was high among teachers and administrators. Results suggest research in alternative high schools is feasible and successful implementation and evaluation of programs possible. [source]

Obesity and Physical Activity in College Women: Implications for Clinical Practice

JOURNAL OF THE AMERICAN ACADEMY OF NURSE PRACTITIONERS, Issue 7 2004
APRN-BC, Jacquelyn M. Clement PhD
Purpose To investigate the relationships between levels of physical activity, health attitudes and behaviors, and specific health indicators in women attending college. Data Sources A convenience sample of 116 college women, ages 18 to 24 years, participated in this research study at a moderate-sized midwestern university. The data were obtained through self-administered questionnaire; trained technicians collected physiological measurements. Conclusions The young women in this study had, on average, normal body mass indexes (BMIs) and reported activity levels consistent with or greater than the Centers for Disease Control and Prevention/American College of Sports Medicine guidelines. Items used to assign participants into the appropriate stage of the transtheoretical model of change were correlated with participants' perceived personal physical activity levels. Similarly, the participants, whose scores fell in the higher stages of the transtheoretical model, reported greater levels of physical activity; consumption of more fruits, vegetables, and water; and less consumption of high-fat/high-calorie foods. Implications for Practice The years between ages 18 and 24 are a critical time in the lives of young women. During this period, they develop physical activity and nutrition habits that will affect their health across the life span. Because of the sometimes insidious development of major health problems, young women's current health status may not accurately reflect the possible longterm results of negative health habits. Nurse practitioners (NPs) have many opportunities to identify and address major factors that, if unattended, may threaten the life-long health status of women. Health teaching in the areas of physical activity and dietary habits may be useful even in young women who appear to be healthy, are of normal weight, and are physically active.Poor dietary habits, if unattended, may eventually contribute to the development of obesity and related illnesses. [source]

Physical Activity and Cancer: Lessons Learned from Nutritional Epidemiology

NUTRITION REVIEWS, Issue 11 2001
Christine M. Friedenreich Ph.D.
Convincing epidemiologic evidence currently exists for an association between physical activity and the prevention of colon and breast cancer. Physical activity may also reduce the risk of cancer at several other sites. With increasing research on this topic, it is apparent that studies of physical activity and cancer have numerous methodological similarities with studies of nutrition and cancer. Lessons learned from nutritional epidemiology that can be applied to studies of physical activity and cancer prevention and recommendations for future research are discussed in this review. [source]

Physical Activity as Anti-Inflammatory Therapy for Cardiovascular Disease

PREVENTIVE CARDIOLOGY, Issue 1 2005
Jerome L. Fleg MD
No abstract is available for this article. [source]

Assessing Tribal Youth Physical Activity and Programming Using a Community-Based Participatory Research Approach

PUBLIC HEALTH NURSING, Issue 2 2010
Cynthia Perry
ABSTRACT Objective: American Indian youth experience a greater prevalence of obesity compared with the general U.S. population. One avenue to reverse the trend toward increasing obesity prevalence is through promoting physical activity. The goal of this project was to understand tribal youths' current patterns of physical activity behavior and their beliefs and preferences about physical activity. Design and Sample: This assessment used a community-based participatory research approach. Sample included 35 Native youth aged 8,18. Measures: A Community Advisory Board was created that specifically developed an exercise survey for this assessment to explore physical activity patterns, preferences, and determinants. Twenty-six youth completed the survey. Descriptive statistics were analyzed, exploring differences by age group. Nine youth participated in 2 focus groups. Qualitative data were analyzed with thematic analysis. Results: Youth distinguished between sports and exercise, with each possessing different determinants. Common motivators were friends, coach, and school, and barriers were lack of programs and school or work. None of the youth reported meeting the recommended 60 min of strenuous exercise daily. Conclusions: This tribal academic partnership responded to a tribal concern by developing an exercise survey and conducting focus groups that addressed tribal-specific questions. The results are informing program development. [source]

Interventions to Promote Physical Activity Among African American Women

PUBLIC HEALTH NURSING, Issue 5 2002
JoAnne Banks-Wallace
The lack of routine physical activity among African American women places them at risk for negative health outcomes associated with inactivity. The number of studies focused on African American women has increased dramatically in the past decade. This review examined the intervention research literature testing strategies to increase activity among African American women. Eighteen studies with 1,623 subjects were retrieved. Diverse interventions, settings, and measures were reported. Common methodologic weaknesses included lack of randomization of subjects, single-group design, instruments without documented validity and reliability, significant attrition, and questionable timing of outcome variable measurement. Strategies to design and deliver culturally appropriate interventions are reviewed. Suggestions for future research, such as examining intragroup differences and communal resources, are provided. [source]

Moderate Physical Activity and Its Relationship to Select Measures of a Healthy Diet

THE JOURNAL OF RURAL HEALTH, Issue 2 2004
Frank Blakely MS
ABSTRACT: Context: In rural communities, physical activity may influence and predict nutritional behaviors. Purpose: The purpose of this investigation was to determine if an individual's stage of participation in moderate physical activity was related to select measures of a healthy diet. Methods: Data were collected using a mail-in survey from a random sample conducted in the rural/frontier communities of Idaho, Montana, and Wyoming. A total of 6 communities, 2 from each state, were surveyed with approximately 575 surveys sent to each community. The response rate was 51.5%. Findings: Regression analysis revealed that there was a significant difference (P<.05) in select measures of a healthy diet between those in the maintenance stage of moderate levels of physical activity (physically active for 6 months or more) and those in precontemplation (not currently active and with no intention of starting), contemplation (not currently active but considering starting within the next 6 months), and preparation (not currently active but taking steps to become active within the next 30 days). Those in maintenance had a healthier diet. Additionally, women, older people, those with at least some college education, and those who were employed had healthier diets. Conclusions: These results lend preliminary support to the idea that moderate physical activity could act as a gateway behavior, a behavior that, if adopted, could lead to the adoption of other healthy behaviors. However, additional research is needed to confirm the nature, if any, of this relationship. [source]

The Interplay between Conscious and Automatic Self-Regulation and Adolescents' Physical Activity: The Role of Planning, Intentions, and Lack of Awareness

APPLIED PSYCHOLOGY, Issue 2 2009
Stephan Dombrowski
This study investigated the interplay between conscious and automatic self-regulatory variables and adolescents' physical activity. It was hypothesised that intention, planning, and lack of awareness would predict adolescents' behaviour. One hundred and fifty-five individuals (aged 13 to 17 years) completed questionnaires in two waves (with a time gap of 10 days). The results of cross-lagged panel analysis suggested that both past behaviour and planning predicted physical activity at follow-up, whereas physical activity predicted intention. Although lack of awareness, a facet of automatic processes, was negatively related to physical activity, the nested model comparison analysis indicated that the relation between lack of awareness and physical activity might be negligible. Among the self-regulatory processes, planning was found to be the most important predictor of adolescents' physical activity, although past behaviour remained the strongest predictor of future behaviour. Cette recherche porte sur l'interaction entre les variables autorégulatrices conscientes et automatiques et l'activité physique des adolescents. On a fait l'hypothèse que l'intention, la planification et l'absence de prise de conscience allaient prédire le comportement des adolescents. 155 individus âgés de 13 à 17 ans ont rempli des questionnaires en deux temps avec un intervalle de dix jours. Les résultats d'une analyse en panel retardé croisé montrent que la conduite antérieure et la planification prédisent l'activité physique qui s'ensuit alors que l'activité physique prédit l'intention. Bien que le manque de prise de conscience, une facette des processus automatiques, soit négativement corréléà l'activité physique, l'analyse de variance indique que la relation entre l'absence de prise de conscience et l'activité physique pourrait être négligeable. Des différents processus d'autorégulation, c'est la planification qui est apparue comme étant le prédicteur majeur de l'activité physique des adolescents, bien que la conduite passée reste le prédicteur le plus fiable du comportement à venir. [source]

Physical Activity: Patterns of active transport in 11,12 year old Australian children

AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, Issue 2 2004
Nathan Marten
Objectives: To describe the habitual transport patterns of 11 to 12-year-old children in Australia, to determine the personal and environmental factors associated with active transport (AT), and to quantify how much AT contributes to overall daily energy expenditure (EE). Methods: The participants in this study were 136 children aged 11,12 year olds from eight randomly chosen primary schools in Adelaide, South Australia. Each child recalled their trips on two school days and a non-school day. Mass and stature were measured, and children completed a computerised activity recall and a neighbourhood satisfaction questionnaire. Trips were categorised according to their destination, child and parent dissatisfaction with the neighbourhood, and the gender, socio-economic status (SES), BMI and activity levels of the children undertaking them. These categories, along with the distance to the destination, were used as independent variables in a logistic regression model, with trip mode (passive versus active) as the dependent variable. Results: Children made an average of 1.0 active trips per day, with a median trip length of 0.63 km, while the median total distance covered actively per child per day was 0.61 km. Twenty-six per cent of children did no AT over the three days, and 67% did no AT on a weekend day. Distance was by far the strongest predictor of the likelihood that a trip would be active. Trips made by girls were less likely to be active compared with boys. Trips to the shops were less likely to be active than trips to school. Children's AT accounted for 1.3% of their daily EE. Conclusions and Implications: The active transport levels of children were very low. Interventions should focus on making neighbourhoods safer and more accessible to children and should promote bicycle use. [source]