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1.
Valid measurement of physical activity is important for studying the risks for morbidity and mortality. The purpose of this study was to examine evidence of construct validity of two similar single-response items assessing physical activity via self-report. Both items are based on the stages of change model. The sample was 687 participants (men = 504, women = 183) who completed an 8-response (PA8) or 5-response (PA5) single-response item about current level of physical activity. Responses were categorized as meeting or not meeting guidelines for sufficient physical activity to achieve a health benefit. Maximal cardiorespiratory fitness (CRF) and health markers were obtained during a clinical examination. Partial correlation, multivariate analysis of covariance, and logistic regression were used to identify the relations between self-reported physical activity, CRF, and health markers when controlling for gender and age. Single-response items were compared to a detailed measure of physical activity. Single-response items correlated significantly with CRF determined with a maximal exercise test on a treadmill (PA8 = .53; PA5 = .57). Differences in percentage of body fat and cholesterol were in the desired direction, with those self-reporting sufficient physical activity for a health benefit having the lower values. The single-response items demonstrated evidence of construct validity and may provide feasible, cost-effective, and efficient methods to assess physical activity in large-scale studies.  相似文献   

2.
Valid measurement of physical activity is important for studying the risks for morbidity and mortality. The purpose of this study was to examine evidence of construct validity of two similar single-response items assessing physical activity via self-report. Both items are based on the stages of change model. The sample was 687 participants (men = 504, women = 183) who completed an 8-response (PA8) or 5-response (PA5) single-response item about current level of physical activity. Responses were categorized as meeting or not meeting guidelines for sufficient physical activity to achieve a health benefit. Maximal cardiorespiratory fitness (CRF) and health markers were obtained during a clinical examination. Partial correlation, multivariate analysis of covariance, and logistic regression were used to identify the relations between self-reported physical activity, CRF, and health markers when controlling for gender and age. Single-response items were compared to a detailed measure of physical activity. Single-response items correlated significantly with CRF determined with a maximal exercise test on a treadmill (PA8 = .53; PA5 = .57). Differences in percentage of body fat and cholesterol were in the desired direction, with those self-reporting sufficient physical activity for a health benefit having the lower values. The single-response items demonstrated evidence of construct validity and may provide feasible, cost-effective, and efficient methods to assess physical activity in large-scale studies.  相似文献   

3.
Abstract

Regular exercise and lifestyle physical activity are often used interchangeably or combined in physical activity messaging based on evidence for their relatively equivalent health outcomes. However, differences between their motivational correlates are relatively unexplored. The purpose of this study was to compare the motives towards lifestyle physical activity and exercise and their relationship with behaviour using the Theory of Planned Behaviour (TPB). The participants were a sample of undergraduate students (n=150) who completed measures of the TPB framed in terms of exercise and lifestyle physical activity and self-reported physical activity measures with similar framing. Results identified marked differences between the instrumental attitudes towards the two activities showing instrumental attitudes towards exercise to be higher (P<0.01; d=0.68). Most importantly, exercise had larger TPB–behaviour correlations (P<0.01; q=0.15–0.20) compared with lifestyle physical activity, but follow-up analyses by intensity (strenuous, moderate, mild) showed that these differences were only present at strenuous intensity. Our results suggest that the correlates for the two types of physical activity may differ. Although more research is necessary, this may affect the efficacy of promotion campaigns that do not tailor content exclusively for either exercise or lifestyle physical activity.  相似文献   

4.
Studies conducted in Denmark reveal that many young women drop out of sport and exercise in their teenage years even though they possess good knowledge about health recommendations and the benefits of physical activity. This raises the question as to how they interpret and make use of the current messages about a healthy and active lifestyle. Based on five focus-group interviews and a survey among 784 female students aged 16-20, we explored their attitudes and practices with regard to physical activity and health. The analysis of the material is theoretically informed by the work of Foucauldian scholars who have used the concepts of governmentality and disciplinary power to explore current public health policies and young people’s health-related attitudes and practices. We found that for the participants in our study ‘health’ was inextricably intertwined with slimness and fitness, to which they ascribed great importance. The internalization of current ideals of the slim and fit body fueled aspirations but did not necessarily lead to the adoption and maintenance of an active lifestyle. We conclude that health messages and body ideals often cause anxieties and guilt among young women, which may even prevent engagement in sport and exercise.  相似文献   

5.
The aim of this study was to assess the likelihood of individuals to participate in enough physical activity to promote fitness and, more conservatively, to accrue only health benefits. Sedentary ( n = 883; 20.5%) and active ( n = 1144; 26.5%) groups were identified from the 1990 Allied Dunbar National Fitness Survey of English adults ( n = 4316). The data were analysed using logistic regression. Participants were described using 20 variables identified from previous research, six of which made a significant contribution to the model ( P ? 0.05). The odds of being sedentary increased with age, self-perception of lifestyle problems, and lower scores on education, self-perception of motivation to exercise, perception of own participation in physical activity and recognition of exercising enough for health benefits. The odds of being active were associated with the opposite characteristics to those observed for sedentary behaviour. The extreme scores varied from individuals who may be 385 times more likely to be sedentary, to those who were 29 times more likely to be active, depending on scores on the selected variables. The results of this study provide a means to determine individual propensity to participate in adequate physical activity, and to identify those who may benefit most from health promotion campaigns.  相似文献   

6.
The aim of this study was to assess the likelihood of individuals to participate in enough physical activity to promote fitness and, more conservatively, to accrue only health benefits. Sedentary (n = 883; 20.5%) and active (n = 1144; 26.5%) groups were identified from the 1990 Allied Dunbar National Fitness Survey of English adults (n = 4316). The data were analysed using logistic regression. Participants were described using 20 variables identified from previous research, six of which made a significant contribution to the model (P < 0.05). The odds of being sedentary increased with age, self-perception of lifestyle problems, and lower scores on education, self-perception of motivation to exercise, perception of own participation in physical activity and recognition of exercising enough for health benefits. The odds of being active were associated with the opposite characteristics to those observed for sedentary behaviour. The extreme scores varied from individuals who may be 385 times more likely to be sedentary, to those who were 29 times more likely to be active, depending on scores on the selected variables. The results of this study provide a means to determine individual propensity to participate in adequate physical activity, and to identify those who may benefit most from health promotion campaigns.  相似文献   

7.
Dementia is one of the greatest global challenges for health and social care in the 21st century. Alzheimer's disease (AD), the most common type of dementia, is by no means an inevitable consequence of growing old. Several lifestyle factors may increase, or reduce, an individual's risk of developing AD. Much has been written over the ages about the benefits of exercise and physical activity. Among the risk factors associated with AD is a low level of physical activity. The relationship between physical and mental health was established several years ago. In this review, we discuss the role of exercise (aerobic and resistance) training as a therapeutic strategy for the treatment and prevention of AD. Older adults who exercise are more likely to maintain cognition. We address the main protective mechanism on brain function modulated by physical exercise by examining both human and animal studies. We will pay especial attention to the potential role of exercise in the modulation of amyloid β turnover, inflammation, synthesis and release of neurotrophins, and improvements in cerebral blood flow. Promoting changes in lifestyle in presymptomatic and predementia disease stages may have the potential for delaying one-third of dementias worldwide. Multimodal interventions that include the adoption of an active lifestyle should be recommended for older populations.  相似文献   

8.
If elementary physical education existed just to achieve "present" goals, especially regular exercise, the nature of the program would be clearer and the need for trained teachers less. It is the "future" goal that complicates the debate over the elementary program. It is the "future" goal that requires a broader range of experiences and a developmental approach. Because we are preparing students to implement an active lifestyle in adulthood, the development of sport and dance skills through age/ability-appropriate and sequential lessons is an important as the "present" opportunity for physical activity. Teachers must be knowledgeable in the subdisciplines of physical education and well versed in those teaching methods that promote vigorous activity and maximum participation. The lifetime public health goal dictates we help students develop a knowledge base about exercise and health. This goal requires us to learn more than we presently know about promoting positive attitudes toward and fostering appreciations for healthful living. The hope for improved adult health also requires a K-12 curricular model in which every year continues previous experiences and moves students closer to the goal as those students are changing physically, mentally, and socially. The next debate should focus on the role of secondary school physical education in linking health-related elementary programs to healthy adult lifestyles. Even though we do not fully understand the relationship between school physical education and active adult lifestyles, our best bet is developing a continuous, developmental K-12 curriculum.  相似文献   

9.
ABSTRACT

The purpose of this study was to survey high school rugby players from a range of ethnic, geographic and socioeconomic backgrounds in New Zealand (NZ) to gain an understanding of concussion knowledge, awareness of NZ Rugby’s (NZR) guidelines and attitudes towards reporting behaviours. Male and female high school rugby players (n= 416) from across NZ were surveyed. The findings indicated that 69% of players had sustained a suspected concussion, and 31% had received a medical diagnosis of concussion. 63% of players indicated they were aware of NZR’s guidelines. Māori and Pasifika players were less likely to be aware of the guidelines compared to NZ European, Adjusted OR 0.5, p = 0.03. Guideline awareness was significantly higher for those from high decile schools when compared to low (Unadjusted OR 1.63, p = 0.04); however, when ethnicity and school locations were controlled for this became non-significant (Adjusted OR= 1.3, p=0.37). The coach was the key individual for the provision of concussion information and disclosure of symptoms for players. The findings of this study will inform the development and delivery of NZR’s community concussion initiative and how these examined factors influence a high school player’s concussion knowledge and reporting behaviour.  相似文献   

10.
It is clear that, despite their natural tendencies, children have become less physically active in recent decades, with children today expending approximately 600 kcal· day -1 less than their counterparts 50 years ago. Although the health consequences of a reduced energy expenditure in adults is well documented, there is little direct evidence linking sedentariness with health in children. However, three main benefits arising from adequate childhood physical activity have been postulated. The first is direct improvements in childhood health status; evidence is accumulating that more active children generally display healthier cardiovascular profiles, are leaner and develop higher peak bone masses than their less active counterparts. Secondly, there is a biological carryover effect into adulthood, whereby improved adult health status results from childhood physical activity. In particular, childhood obesity may be a precursor for a range of adverse health effects in adulthood, while higher bone masses in young people reduce the risk of osteoporosis in old age. Finally, there may be a behavioural carryover into adulthood, whereby active children are more likely to become more active (healthy) adults. However, supporting evidence for this assertion is weak. Given this background, recent health guidelines suggesting that children should accumulate 60 min of moderate-intensity physical activity every day - supplemented by regular activities that promote strength flexibility and bone strength - appear to be justified. Future developments should include the implementation of large-scale, longitudinal studies spanning childhood and young adulthood, the further refinement of tools for measuring physical activity accurately in young people, and research into the relative strength of association between fitness - as well as activity - and health in children.  相似文献   

11.
Purpose: Some adults with type 2 diabetes mellitus (T2DM) have comorbidities and mobility impairments that limit their exercise capacity. In consideration of this, we developed and piloted a program called Active Steps for Diabetes for people with T2DM, comorbidities, and mobility impairments. The purpose of this paper was to report outcomes for the pilot program. Methods: Active Steps for Diabetes, an 8-week program, included instruction on diabetes self-care andgroup and home exercise programs. Twenty-two females (62.7 ± 6.1yrs) with T2DM and self-reported mobility impairments completed the program. Six participants used a walking aid. Outcome measures included two risk factors for coronary artery disease [daily physical activity and body mass index (BMI)], cardiovascular fitness (6-minute walk distance), and knowledge of diabetes-specific exercise guidelines. A two-way repeated measures ANOVA was used to compare outcomes before and after the program and between participants who did and did not use a walking aid. Results: Active Steps for Diabetes was effective in increasing daily physical activity in both groups of subjects (walking aid group: 2.6 days/week [95% confidence interval (CI) = 2.1 to 3.3]; no walking aid group: 1.9 days/week [95% CI=1.2 to 2.5]). This was accompanied by increases in 6-minute walk distances (walking aid group: 54.0 m [95% CI = 36.4 to 71.6]; no walking aid group: 62.6 m [95% CI=55.7 to 69.4]). Changes in BMI were not significant (walking aid group: −0.4 [95% CI = −1.2 to 0.4]; no walking aid group: −.24[95% CI = −.91 to .44]). Increases in knowledge of diabetes-specific exercise guidelines were observed in both groups (walking aid group: 18.8% [95% CI = 11.3 to 26.4]; no walking aid group: 19.3% [95% CI = 16.1 to 22.5]). Discussion:: Physical inactivity and low cardiovascular fitness are predictors of CAD morbidity and mortality in adults with T2DM. This pilot program suggests that a model for diabetes education, incorporating exercise programs developed by a physical therapist, may increase physical activity, improve endurance, and thereby potentially reduce CAD risk in people with T2DM and mobility impairments from comorbidities.Key Words: type 2 diabetes, physical activity  相似文献   

12.
This study examined the efficacy of a school-based exercise and nutrition program with a parent component. Third-grade children (N = 238) from six elementary schools participated in the study, with three schools randomly assigned to a program group and the other three schools to a control group. The program group received a health-related fitness school-based program and a home program that required parents and children to complete activities and earn points for nutrition and exercise activities. The control group received their traditional physical education and nutrition education program. Univariate analysis of variance on pre- and posttest scores were completed on the following variables: height, weight, body mass index, skinfold, blood cholesterol, mile run, exercise and nutrition knowledge, calories, protein, carbohydrates, total fat, saturated fat, dietary cholesterol, fiber, sodium, percentage of calories from carbohydrates, and percentage of calories from fat. At pretest, the treatment and control groups did not significantly differ on the measures using schools as the unit of analysis. Girls scored significantly higher than boys on skinfold and pretest knowledge. At posttest, the treatment group scored significantly higher than the control group on exercise and nutrition knowledge and significantly lower than the control group on total fat intake, using schools as the unit of analysis. There was no improvement in physiological measures, including blood cholesterol. The study demonstrated that schools can adjust curriculum to meet some health needs of students and achieve modest changes in exercise and nutrition knowledge and diet. The family component of the program provided a practical approach to improving physical activity and nutrition behaviors for elementary school teachers who teach many participants in a crowded curriculum.  相似文献   

13.
It is clear that, despite their natural tendencies, children have become less physically active in recent decades, with children today expending approximately 600 kcal days' less than their counterparts 50 years ago. Although the health consequences of a reduced energy expenditure in adults is well documented, there is little direct evidence linking sedentariness with health in children. However, three main benefits arising from adequate childhood physical activity have been postulated. The first is direct improvements in childhood health status; evidence is accumulating that more active children generally display healthier cardiovascular profiles, are leaner and develop higher peak bone masses than their less active counterparts. Secondly, there is a biological carry-over effect into adulthood, whereby improved adult health status results from childhood physical activity. In particular, childhood obesity may be a precursor for a range of adverse health effects in adulthood, while higher bone masses in young people reduce the risk of osteoporosis in old age. Finally, there may be a behavioural carry-over into adulthood, whereby active children are more likely to become more active (healthy) adults. However, supporting evidence for this assertion is weak. Given this background, recent health guidelines suggesting that children should accumulate 60 min of moderate-intensity physical activity every day--supplemented by regular activities that promote strength flexibility and bone strength--appear to be justified. Future developments should include the implementation of large-scale, longitudinal studies spanning childhood and young adulthood, the further refinement of tools for measuring physical activity accurately in young people, and research into the relative strength of association between fitness--as well as activity--and health in children.  相似文献   

14.
The purpose of this study was to determine whether taking 10,000 steps in a day is equivalent to meeting the current minimum physical activity guidelines of accumulating at least 30 min of moderate physical activity (IMPA). Fifty-nine women ages 20-65 years wore a pedometer and accelerometer concurrently on their right hip for 1 day. There were no differences in the age, body mass index, or the amount of time the pedometers and accelerometers were worn between the 10K+ and the < 10K groups. The 10K+ group accumulated significantly more steps and minutes of MPA than the < 10K group (M = 13,084 steps, SD = 2,603 vs. M = 7,518 steps, SD = 1,956; and M = 62.1 min, SD = 27.7 vs. M = 38.8 min, SD = 18.9; p < .05). A 2 x 2 chi-square analysis demonstrated no difference between the proportions of 10K and < 10K participants who met the step goal, when all minutes of MPA accumulated throughout the day were considered (chi2 = 1.8, df = 1, p = .175). When only continuous bouts of MPA lasting > 5 min and > 10 min were considered, a significantly greater proportion of 10K participants met the current physical activity guidelines than the < 10K participants (chi2 = 11.5, df = 1, p = .001, and chi2 = 5.9, df = 1, p = .015, respectively). Our finding, suggest that individuals who accumulate 10,000 steps/day are more likely to meet the current physical activity guidelines by engaging in the length of bouts promoted by the Centers for Disease Control and Prevention and the American College of Sports Medicine (Pate et al., 1995) and the US Surgeon General (U.S. Department of Health and Human Services, 1996). However, the data also reveal that accumulating 10,000 steps/day does not guarantee meeting the guidelines in the bout lengths documented to confer the health benefits of physical activity.  相似文献   

15.
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16.
Abstract

Physical activity is an integral component of a healthy lifestyle, with relationships documented between physical activity, chronic diseases, and disease risk factors. There is increasing concern that many people are not sufficiently active to benefit their health. Consequently, there is a need to determine the prevalence of physical activity engagement, identify active and inactive segments of the population, and evaluate the effectiveness of interventions. The aim of the present study was to identify and explain a number of methodological and decision-making processes associated with accelerometry, which is the most commonly used objective measure of physical activity in child and adult research. Specifically, this review addresses: (a) pre-data collection decisions, (b) data collection procedures, (c) processing of accelerometer data, and (d) outcome variables in relation to the research questions posed. An appraisal of the literature is provided to help researchers and practitioners begin field-based research, with recommendations offered for best practice. In addition, issues that require further investigation are identified and discussed to inform researchers and practitioners of the surrounding debates. Overall, the review is intended as a starting point for field-based physical activity research using accelerometers and as an introduction to key issues that should be considered and are likely to be encountered at this time.  相似文献   

17.
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18.
为了解高中生课余主动体育锻炼的现状,采用问卷调查和访谈的研究方法,对高中生的体育锻炼时间、频率、态度与所喜爱的项目、体育与健康知识的获取途径等一系列问题进行调查与访谈,从数据的角度分析高中生主动体育锻炼的现状,并对培养高中生主动体育锻炼的习惯给出一些建议,如加强课上体育与健康知识的传授、以及基于微信平台引导学生养成主动体育锻炼的方法等。  相似文献   

19.
An individual's level of physical activity influences their risk of infection, most likely by affecting immune function. Regular moderate exercise reduces the risk of infection compared with a sedentary lifestyle, but very prolonged bouts of exercise and periods of intensified training are associated with an increased risk of infection. There are several lifestyle, nutritional, and training strategies that can be adopted to limit the extent of exercise-induced immunodepression and minimize the risk of infection. This expert statement provides a background summarizing the evidence together with extensive conclusions and practical guidelines.  相似文献   

20.
BackgroundDelirium is a neurocognitive disorder characterized by an abrupt decline in attention, awareness, and cognition after surgical/illness-induced stressors on the brain. There is now an increasing focus on how cardiovascular health interacts with neurocognitive disorders given their overlapping risk factors and links to subsequent dementia and mortality. One common indicator for cardiovascular health is the heart rate response/recovery (HRR) to exercise, but how this relates to future delirium is unknown.MethodsElectrocardiogram data were examined in 38,740 middle- to older-aged UK Biobank participants (mean age = 58.1 years, range: 40–72 years; 47.3% males) who completed a standardized submaximal exercise stress test (15-s baseline, 6-min exercise, and 1-min recovery) and required hospitalization during follow-up. An HRR index was derived as the product of the heart rate (HR) responses during exercise (peak/resting HRs) and recovery (peak/recovery HRs) and categorized into low/average/high groups as the bottom quartile/middle 2 quartiles/top quartile, respectively. Associations between 3 HRR groups and new-onset delirium were investigated using Cox proportional hazards models and a 2-year landmark analysis to minimize reverse causation. Sociodemographic factors, lifestyle factors/physical activity, cardiovascular risk, comorbidities, cognition, and maximal workload achieved were included as covariates.ResultsDuring a median follow-up period of 11 years, 348 participants (9/1000) newly developed delirium. Compared with the high HRR group (16/1000), the risk for delirium was almost doubled in those with low HRR (hazard ratio = 1.90, 95% confidence interval (95%CI): 1.30–2.79, p = 0.001) and average HRR (hazard ratio = 1.54, 95%CI: 1.07–2.22, p = 0.020)). Low HRR was equivalent to being 6 years older, a current smoker, or ≥3 additional cardiovascular disease risks. Results were robust in sensitivity analysis, but the risk appeared larger in those with better cognition and when only postoperative delirium was considered (n = 147; hazard ratio = 2.66, 95%CI: 1.46–4.85, p = 0.001).ConclusionHRR during submaximal exercise is associated with future risk for delirium. Given that HRR is potentially modifiable, it may prove useful for neurological risk stratification alongside traditional cardiovascular risk factors.  相似文献   

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