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Personal, social, and physical environmental correlates of physical activity in African-American women in South Carolina.

BACKGROUND: Little is known about the correlates of physical activity among African-American women living in the southeastern United States. The purpose of this study was to assess the relationship of personal, social, cultural, environmental, and policy variables with physical activity among women in ethnic minority groups. METHODS: The Women and Physical Activity Survey was used in a telephone interview of 917 African-American women living in two counties in South Carolina. The sample of women was selected by random-digit dialing. RESULTS: Approximately one third (34.1%) of the women met current recommendations for moderate or vigorous physical activity, 49.4% were insufficiently active, and 16.5% were inactive. Meeting the recommendations or engaging in insufficient activity (versus inactive) was related to attaining higher educational levels, being married or with a partner; being in excellent or very good health, having greater self-efficacy, seeing people exercise in the neighborhood, having more favorable ratings of women who exercise (social issues score), having lower social role strain, and reporting the presence of sidewalks or lighter traffic in the neighborhood. CONCLUSION: Multiple factors influence physical activity. Interventions to increase physical activity should use multilevel approaches that incorporate the personal, social environmental, and physical environmental factors related to participation in physical activity.

Adult↗

The physical activity scale for individuals with physical disabilities: development and evaluation.

OBJECTIVE: To evaluate the construct validity of a new 13-item physical activity survey designed to assess physical activity in individuals with physical disabilities. DESIGN: Mail survey requesting information on physical activity, basic demographic characteristics, self-rated health, and self-rated physical activity. SETTING: In February 2000, surveys were sent to 1176 individuals who had used rehabilitative services at a major midwestern university between 1950 and 1999. PARTICIPANTS: Two hundred twenty-seven men and 145 women with disabilities responded to the mail survey (80%, spinal cord or other locomotor injuries; 13%, visual and auditory injuries; 7%, other; 92%, white; mean age +/- standard deviation, 49.8 +/- 12.9y; mean length of disability, 36.9 +/- 14.9y). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Physical activity was assessed with the Physical Activity Scale for Individuals with Physical Disabilities (PASIPD). The PASIPD requests the number of days a week and hours daily (categories) of participation in recreational, household, and occupational activities over the past 7 days. Total scores were calculated as the average hours daily times a metabolic equivalent value and summed over items. RESULTS: Pearson correlations between each survey item and the total PASIPD score were all statistically significant (P < .05) and >or= .20 (range, .20- .67). Factor analysis with principal component extraction and varimax orthogonal rotations revealed 5 latent factors (eigenvalues >or= 1, factor loadings >or= .40): home repair and lawn and garden, housework, vigorous sport and recreation, light sport and recreation, and occupation and transportation. These 5 factors accounted for 63% of the total variance. Cronbach alpha coefficients ranged from.37 to.65, indicating low-to-moderate internal consistency within factors. Those who reported being "active/highly active" had higher total and subcategory scores compared with those "not active at all." Those in "excellent" health had higher total, vigorous sport and recreation, and occupation and transportation subcategory scores compared with those who rated their health "fair/poor" (all P < .05). CONCLUSION: These results provide preliminary support for the construct validity of the PASIPD. Additional validation studies using an external criterion and in more generalizable samples are warranted.

Activities of Daily Living↗

Physical self and physical activity relationships in college women: does social physique anxiety moderate effects?

This research assessed whether social physique anxiety moderated the relationship between physical self-perceptions and the level of physical activity involvement in young women. Participants were 354 female students who completed the Social Physique Anxiety Scale (SPAS), Physical Self-Perception Profile, Self-Administered 7-Day Physical Activity Recall (PAR), and Leisure Time Exercise Questionnaire (LTEQ). Both physical activity measures were significantly related to the SPAS and all physical self-perceptions. Multiple regressions showed that only self-perceptions of conditioning significantly predicted PAR (R2 = .24) and LTEQ (R2 = .30). SPA did not add any unique variance in predicting activity, and no moderator effects were found for either PAR or LTEQ. Findings suggest that perception of physical conditioning is the dominant predictor of physical activity levels in young women, and social physique anxiety does not moderate this relationship.

Adolescent↗

Assessing preschool children's physical activity: the Observational System for Recording Physical Activity in children-preschool version.

In this paper we present initial information concerning a new direct observation system-the Observational System for Recording Physical Activity in Children-Preschool Version. The system will allow researchers to record young children's physical activity levels while also coding the topography of their physical activity, as well as detailed indoor and outdoor social and nonsocial contextual information. With respect to interobserver agreement (IOA), the kappa and category-by-category agreement mean of those obtained for the three illustrative preschools were generally above .80. Hence, our IOA data indicated that trained observers in the three preschools frequently agreed on the eight observational categories and accompanying codes. The results for preschoolers' level of physical activity indicated they spent the majority of observational intervals in sedentary activity (i.e., more than 80% intervals) and were observed in moderate to vigorous physical activity much less frequently (i.e., 5% or fewer intervals). For the 15 indoor and 12 outdoor activity contexts, variability across both the activity contexts and the three preschools were evident. Nevertheless, three classroom contexts-transition, snacks, and naptime--accounted for the greatest porportion of coded activity contexts for the children. In the three preschools, 4 of 17 physical activity types--sit and squat, lie down, stand, and walk--accounted for the topography of much of children's physical activity behavior Systematic observation of more representative preschool samples might better inform our present understanding of young children's physical activity in community preschool programs.

Child, Preschool↗

Physical activity outcomes of CHAMPS II: a physical activity promotion program for older adults.

BACKGROUND: Despite well-known benefits of physical activity for older adults, about two thirds are underactive. Community-based programs are needed to facilitate increased physical activity. We examine the effectiveness of CHAMPS II, an inclusive, choice-based physical activity promotion program to increase lifetime physical activity levels of seniors. CHAMPS guided participants to choose activities that took into account their health, preferences, and abilities. It offered information on ways for them to exercise safely, motivate themselves, overcome barriers, and develop a balanced exercise regimen. METHODS: A 1-year randomized controlled trial was conducted with physically underactive seniors in a multispecialty group practice. Changes in self-reported physical activity by group were evaluated using ANCOVA, controlling for age and sex. RESULTS: Of 173 randomized subjects, 164 (95%) completed the trial. Subjects were aged 65 to 90 years (M = 74, SD = 6); 66% were female. The intervention group increased estimated caloric expenditure by 487 calories/week in moderate (or greater) intensity activities (MET >/= 3.0; p <.001) and by 687 calories/week in physical activities of any intensity (p <.001). Control group changes were negligible. Between-group analyses found that the changes were significantly different in both measures (p values <.05). Overweight persons especially benefited from this program. The program was as effective for women, older adults (75+), and those who did not set aside time to exercise at baseline. CONCLUSIONS: The program led to meaningful physical activity increases. Individually tailored programs to encourage lifestyle changes in seniors may be effective and applicable to health care and community settings.

Aged↗

The positive effect on determinants of physical activity of a tailored, general practice-based physical activity intervention.

PACE (Physician-based Assessment and Counseling for Exercise) is an individualized theory-based minimal intervention strategy aimed at the enhancement of regular physical activity. The aim of this study was to evaluate the effectiveness of a PACE intervention applied by general practitioners (GPs) on potential determinants of physical activity. A randomized controlled trial was conducted in 29 general practices with the following inclusion criteria for patients: aged between 18 and 70 years, diagnosed with hypertension, hypercholesterolemia and/or non-insulin-dependent diabetes mellitus, and not in maintenance stage for regular physical activity. The intervention consisted of two visits with the GP and two telephone booster calls by a physical activity counselor. Determinants of physical activity were assessed with questionnaires at baseline, and at 8-week (short), 6-month (medium) and 1-year (long) follow-up. A significant positive effect was observed on self-efficacy, and on the use of cognitive and behavioral processes of change, at both short- and medium-term follow-up. The intervention respondents also perceived fewer barriers for regular physical activity at short-term and used behavioral processes of change more at long-term follow-up. No intervention effect was observed for perceived benefits of physical activity. In conclusion, this GP-based PACE intervention resulted in positive changes in potential determinants of physical activity.

Adolescent↗

Test-retest reliability of a questionnaire to assess physical environmental factors pertaining to physical activity.

BACKGROUND: Despite the documented benefits of physical activity, many adults do not obtain the recommended amounts. Barriers to physical activity occur at multiple levels, including at the individual, interpersonal, and environmental levels. Only until more recently has there been a concerted focus on how the physical environment might affect physical activity behavior. With this new area of study, self-report measures should be psychometrically tested before use in research studies. Therefore the objective of this study was to document the test-retest reliability of a questionnaire designed to assess physical environmental factors that might be associated with physical activity in a diverse adult population. METHODS: Test and retest surveys were conducted over the telephone with 106 African American and White women and men living in either Forsyth County, North Carolina or Jackson, Mississippi. Reliability of self-reported environmental factors across four domains (e.g., access to facilities and destinations, functionality and safety, aesthetics, natural environment) was determined using intraclass correlation coefficients (ICC) overall and separately by gender and race. RESULTS: Generally items displayed moderate and sometimes substantial reliability (ICC between 0.4 to 0.8), with a few differences by gender or race, across each of the domains. CONCLUSION: This study provides some psychometric evidence for the use of many of these questions in studies examining the effect of self-reported physical environmental measures on physical activity behaviors, among African American and White women and men.

Journal Article↗

[A study of the effects of physical load on umpires during the national high school baseball games--the effects of physical load on umpires at the Koshien stadium in a summer-heat environment].

This study attempted to measure the physical load on national high school baseball umpires during games played at Koshien stadium under extremely hot and humid conditions in the summer. Thirty-one umpires participated in this study. Thirteen of them were evaluated twice while eighteen were evaluated only once. The factors used to determine physical load were the following: body weight, oral temperature, blood pressure, heart rate, and serum biochemical elements. These were measured before and after the games. Heart rate was measured at one-minute intervals. The results were as follows. 1) All the games were played under conditions of extremely high temperatures--32.1 degrees celsius dry-bulb, 27.0 degrees celsius wet-bulb, 36.8 degrees celsius black-globe, 29.5 degrees--WBGT which are likely to cause heat-related illnesses. 2) The physical load of baseball umpires during the game showed a 1.69 percent decrease in average body weight due to perspiration, a 0.43 degrees C increase in oral temperature and an increase in heart rate. An examination of the serum biochemical elements showed that muscle deviation enzymes changed due to muscular activity and blood condensed due to perspiration. The physical load levels of baseball umpires were influenced by extreme heat and physical activity during the game. 3) There were no observable differences in either the amount of physical activity or the extreme heat environment among the umpires of different field positions. But the chief umpire's physical load showed a greater decrease in body weight, more blood condensation due to perspiration as a result of the heavier equipment he wore, more muscular activity and higher energy consumption than his counterparts on the bases. 4) The umpire's heart rates were higher during games than before games. The moment they were on the playing field. Their heart rates rose to an average of 134. It remained above 115 for about two hours, apparently caused by physical activity and heart load.

Adult↗

Relationship between achievement goal constructs and physical self-perceptions in a physical activity setting.

The relations of achievement goal theory constructs and physical self-perceptions were explored with 225 students (91 men, 109 women, and 25 nonindicators; M age=23.5 yr., SD=9.2), enrolled in basic physical activity classes (aerobics, weight training, modern dance, badminton, yoga, tai chi, basketball, racquetball, gymnastics, bowling, aquatone, and step aerobics) in a university setting. Goal orientations (Task and Ego Orientation in Sport Questionnaire), perceptions of the motivational climate (Perceived Motivational Climate in Sport Questionnaire-2), and physical self-perceptions (Physical Self-perception Profile) were assessed. Data were analyzed separately by sex. Ego orientation was the only predictor of Physical Self-perceptions in men, accounting for between 12 and 15% of the variance in Physical Self-worth, Sport Competence, Physical Conditioning, and Body Attractiveness. Constructs of achievement goal theory were not predictive of Physical Self-perceptions in the women. The results are discussed in light of achievement goal theory and the nature of the sample.

Achievement↗

Physical symptoms, posttraumatic stress disorder, and healthcare utilization of women with and without childhood physical and sexual abuse.

For four groups of women: no abuse, physical abuse alone, combined sexual and physical abuse, and unclear about memories of abuse, we examined the associations between childhood sexual and physical abuse, chronic physical symptoms in adulthood, PTSD, and health care utilization. Of a randomly selected sample of 600 adult femalc members of a health maintenance organization, 86 (14%) chose to participate. Women with a history of physical and sexual abuse in childhood reported significantly more cardiovascular, immune, musculoskeletal, neurologic, and reproductive symptoms than those without this history. While the Sexual/Physical Abuse group had the most chronic physical symptoms, medical visits, emergency room visits, prescriptions, and severe PTSD, the Unclear Memory group consistently ranked second on these same measures--higher than either Controls or the Physical Abuse group. Findings underscore the importance of screening for trauma history among patients seen in medical clinics, and the importance for psychotherapists of attending to patients' physical as well as psychological symptoms of childhood trauma.

Adult↗

Use of physical, chemical, and biological indices to assess impacts of contaminants and physical habitat alteration in urban streams.

Human activities in urban areas can lead to both chemical pollution and physical alteration of stream habitats. The evaluation of ecological impacts on urban streams can be problematic where both types of degradation occur. Effects of contaminants, for example, may be masked if stream channelization, loss of riparian vegetation, or other physical stressors exert comparable or larger influences. In the Aberjona watershed (near Boston, MA, USA), we used physical, chemical, and biological indices to discern the relative impacts of physical and chemical stressors. We used standard protocols for assessing the biological condition of low-gradient streams, sampling macroinvertebrate communities from several different habitat types (e.g., overhanging bank vegetation, undercut bank roots, and vegetation on rocks). We strengthened the linkage between chemical exposure and macroinvertebrate response by measuring metal concentrations not only in sediments from the stream bottom but also in the vegetative habitats where the macroinvertebrates were sampled. Linear regression analysis indicated that biological condition was significantly dependent (95% confidence level) on contaminants in vegetative habitats, but not on contaminants in sediments from the stream bottom. Biological condition was also significantly dependent on physical habitat quality; regression analysis on both contaminants and physical quality yielded the best regression model (r2 = 0.49). Similar biological impairment was observed at sites with severe contamination or physical impairment or with moderate chemical and physical impairment. These results have implications for the management of urban streams.

Animals↗

History of body weight and physical activity of elderly women differing in current physical activity.

Development of overweight and physical activity during life was studied retrospectively in a group of physically active and a group of sedentary elderly women. The two groups of elderly women were selected based on a validated physical activity questionnaire. A previous study on their current dietary intake and nutritional status showed a 12 kg higher body weight in the sedentary group compared to the physically active group, whereas body height did not differ. In order to study the relationship between development of overweight and physical activity in these elderly women, a retrospective study was carried out in 45 subjects. Information about former physical activity was collected by means of a detailed structured interview. Information about body shape and fatness, expressed as 'weight index', was obtained using silhouettes and subjective rating of obesity of subjects compared with peers. Classification of obesity was checked by old photographs rated by interviewers, sizes of clothing and recalled body weight and height. Information was collected about the situation at age 12, 25, 40 and 55 years whereas the mean current age is 71. Weight index was statistically significantly different between the active and sedentary group from age 25 onwards (P less than 0.05). Photographs proved to be useful for a valid and objective categorization. No differences were found in physical activity scores between the groups at age 12, 25, 40 and 55 years. It is concluded that the current difference in body shape and fatness between physically active and inactive elderly women was already present at age 25 and persisted throughout their adult life.(ABSTRACT TRUNCATED AT 250 WORDS)

Aged↗

Association between physical activity and proximity to physical activity resources among low-income, midlife women.

INTRODUCTION: The association between levels of physical activity and perceived and objectively measured proximity to physical activity resources is unclear. Clarification is important so that future programs can intervene upon the measure with the greatest association. We examined correlations between perceived and objectively measured proximity to physical activity resources and then examined associations between both measures of proximity and objectively measured physical activity. METHODS: Participants (n = 199) were underinsured women from three counties in southeastern North Carolina. Perceived proximity to physical activity resources (e.g., parks, gyms, schools) was measured using surveys. Objectively measured proximity included geographic information systems road network distance to the closest resource and existence of resources within 1- and 2-mile buffers surrounding participants' homes. To examine the association between proximity to resources and activity, the dependent variable in multiple linear regression models was the natural logarithm of accelerometer-measured moderate to vigorous physical activity in minutes per day. RESULTS: Pearson correlation coefficients for perceptions of distance and objectively measured distance to physical activity resources ranged from 0.40 (gyms, schools) to 0.54 (parks). Perceived distance to gyms and objective number of schools within 1-mile buffers were negatively associated with activity. No statistically significant relationships were found between activity and perceived or objectively measured proximity to parks. CONCLUSION: Results indicate the need for both individual and environmental intervention strategies to increase levels of physical activity among underinsured, midlife women. More work is needed to determine the most effective strategies.

Attitude to Health↗

Physical capacity in relation to present and past physical load at work: a study of 484 men and women aged 41 to 58 years.

BACKGROUND: A negative association has previously been reported between long-lasting physically heavy work and some measures of physical capacity. This relationship was further investigated in a 24-year follow-up study of 484 middle-aged men and women from the general population. METHODS: A questionnaire was administered in 1993 concerning retrospective recall of physical work loads and physical training in the time span between 1970 and 1993. Laboratory tests performed in 1993 included tests of muscle function (maximal isometric strength and dynamic endurance) and aerobic power (submaximal ergometer test). RESULTS: Consistent with the hypothesis, but mainly among the women, associations between long-lasting physically heavy demands and low trunk flexion strength, squatting endurance, and aerobic power were observed. In contrast, low isometric hand grip strength and low weight lifting endurance were seldom seen among those with high physical work loads, indicating a possible maintaining or training effect on the hand/arm/shoulder muscle groups. CONCLUSIONS: Physically heavy work seems to have a different impact on different parts of the musculoskeletal system, an effect that is also different between men and women.

Adult↗

Policemen's physical fitness in relation to the frequency of leisure-time physical exercise.

Ninety to ninety-five men (aged 27 to 46 years) from the police academy were the study subjects. Their prior habits of physical exercise, estimated aerobic capacity (VO2max), muscular performance, and thickness of subcutaneous fat were determined. The policemen were taller (181 cm vs 175 cm) and heavier (84 kg vs 74 kg) than the average 20- to 40-year-old Finnish man, and their VO2max (1 X min-1) was higher (3.41 1 X min-1 vs 2.96 1 X min-1). The frequency of prior physical exercise significantly correlated with most of the variables studied. Those policemen who did not exercise at all (n = 12) were inferior to the average 20- to 40-year-old Finnish man on all the physical fitness tests, whereas the results of the most active policemen (n = 23) were clearly higher. The results indicate that the selection of heavier and taller men for police training guarantees a certain absolute level of physical performance capacity. However, the physical activity involved in police work is insufficient to maintain a high level of physical fitness, which must be achieved through participation in regular and effective physical training.

Adult↗

Physical activity, physical fitness and longevity.

Numerous studies consistently have shown that higher levels of physical activity are associated with decreased risks of coronary heart disease, cerebrovascular disease, hypertension, non-insulin-dependent diabetes mellitus, colon and, possibly, breast cancer, as well as osteoporosis. The biological processes proposed to explain these inverse associations are highly plausible. If physical activity does reduce the risk of developing these chronic diseases, we also would expect physical activity to delay mortality and enhance longevity. In this article, we review the major epidemiological studies worldwide that have examined the association between physical activity or physical fitness and all-cause mortality. The data from these studies indicate that physical activity is effective in postponing mortality and enhancing longevity. Public health professionals worldwide should emphasize the need to increase activity levels during leisure time, as well as the need to incorporate physical activity into the daily activities of life.

Animals↗

Associations of leisure time physical activity, self-rated physical fitness, and estimated aerobic fitness with serum C-reactive protein among 3,803 adults.

OBJECTIVE: Serum C-reactive protein (CRP), a marker of systemic inflammation, is a risk factor for cardiovascular disease. Obesity and physical activity are associated with CRP, though population studies are sparse. METHODS AND RESULTS: We assessed the cross-sectional relationship of physical activity, self-rated fitness and estimated aerobic fitness with serum CRP among a population-based random sample of 3,803 Finnish adults aged 25-74 years. Conditioning, commuting and non-conditioning physical activity was measured by a recall and self-rated physical fitness by a questionnaire. A non-exercise test was used to estimate aerobic fitness. The combined association of aerobic fitness and waist-to-hip ratio (WHR) on CRP was also assessed. Self-rated fitness and aerobic fitness had inverse associations with CRP (adjusted for age, WHR, smoking, anti-hypertensive drugs, aspirin, diabetes, hypercholesterolemia, hormone replacement therapy and menopausal status) in both sexes (p < 0.001). An inverse age-adjusted association of conditioning and non-conditioning physical activity with CRP was found in both sexes. After further adjustments, associations remained significant in women for conditioning and non-conditioning activity (p < 0.001 and p = 0.010, respectively) and borderline significant in men (p = 0.074 and p = 0.070, respectively). Commuting physical activity was inversely associated with CRP among women only (p = 0.012). CONCLUSIONS: Physical activity and fitness may have an anti-inflammatory effect, which is independent of obesity.

Adult↗

Physical fitness and physical activity in obese and nonobese Flemish youth.

OBJECTIVE: To assess different aspects of physical fitness and physical activity in obese and nonobese Flemish youth. RESEARCH METHODS AND PROCEDURES: A random sample of 3214 Flemish schoolchildren was selected and divided into an "obese" and "nonobese" group based on body mass index and sum of skinfolds. Physical fitness was assessed by the European physical fitness test battery. Physical activity was estimated by a modified version of the Baecke Questionnaire. RESULTS: Obese subjects had inferior performances on all tests requiring propulsion or lifting of the body mass (standing-broad jump, sit-ups, bent-arm hang, speed shuttle run, and endurance shuttle run) compared with their nonobese counterparts (p < 0.001). In contrast, the obese subjects showed greater strength on handgrip (p < 0.001). Both groups had similar levels of leisure-time physical activity; however, nonobese boys had a higher sport index than their obese counterparts (p < 0.05). DISCUSSION: Results of this study show that obese subjects had poorer performances on weight-bearing tasks, but did not have lower scores on all fitness components. To encourage adherence to physical activity in obese youth, it is important that activities are tailored to their capabilities. Results suggest that weight-bearing activities should be limited at the start of an intervention with obese participants and alternative activities that rely more on static strength used.

Adolescent↗