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A Path Model of Whitewater Boating Satisfaction on the Cheat River of West Virginia

/ Recreation satisfaction is a complex psychological construct that is difficult to define and measure. Recent approaches suggest that overall satisfaction may be a function of multiple satisfactions derived from specific elements of a recreation experience such as the situational characteristics of a recreation setting or activity and the recreationist's subjective evaluations of the experience. In this paper, a path model of whitewater boating satisfaction was tested using data from a survey of 1210 commercial and 111 private boaters on the Cheat River of West Virginia. The pathmodel included the direct and mediating effects of situational variables and the subjective evaluations of boaters and explained 52% and 54% of the variation in satisfaction of commercial and private boaters, respectively. Factors related to the satisfaction of both groups included a composite variable representing opportunities for challenge, excitement, and skill testing on the river trip; water flow levels; and crowding perceptions. In combination, water flow level and boater's perceptions of opportunities to experience challenge, excitement, and test boating skills were the most important variables for explaining satisfaction of both groups. Additional factors affecting commercial, but not private, boater satisfaction included the motive of escaping the usual demands of life and a social interaction variable. Among private boaters, perceptions of the environmental conditions also contributed to overall satisfaction. The results support the multiple satisfaction approach of previous research. River management implications are discussed.KEY WORDS: Whitewater; River recreation; Satisfaction

Journal Article↗

Functioning and psychological status among individuals with COPD.

BACKGROUND: We examined the link between functioning and psychological status among persons with chronic obstructive pulmonary disease (COPD), using measures of both general functional status and performance of life activities. METHODS: 334 persons with COPD were interviewed by telephone. Functioning was assessed with two measures of difficulty with specific types of activities (self-care, recreational activities/hobbies) and a general measure of functional status (SF-12 Physical Component Score (PCS)). RESULTS: About 16.2% of the sample had SF-12 Mental Component Score (MCS) scores indicative of psychological distress (MCS < 35). In separate regression models, difficulty with self-care and recreational activities was associated with an increased likelihood of distress (self-care: OR=2.9, 95%CI 1.3, 6.6; recreation: OR=7.5 [2.4, 23.7]), while PCS scores were not. In a model including all three predictors, difficulty with recreation was strongly associated with distress (OR=7.7 [2.1, 29.2]), difficulty with self-care was less strongly associated with distress (OR=2.1 [0.8, 5.5]), and PCS did not contribute significantly to the predictive ability of the model. However, low functioning as measured by the PCS was a significant risk factor for difficulty performing activities. CONCLUSIONS: Measures of activity difficulty were independent predictors of psychological distress, while general physical function was not. Poor general physical function was a risk factor for activity difficulties, suggesting an indirect relationship between low PCS and psychological distress, with activity difficulties as the intermediate variable.

Activities of Daily Living↗

Augmentation index and systolic load are lower in competitive endurance athletes.

BACKGROUND: Arterial stiffness increases with age, and chronic endurance exercise has been shown to attenuate increases in arterial stiffness in older individuals. The aim of this study was to assess the effect of varying fitness levels on wave reflection in young healthy adults. METHODS: A total of 32 subjects (16 competitive endurance athletes and 16 recreationally active subjects) underwent brachial artery blood pressure (BP) measurement (by sphygmomanometry) and central aortic pressure (by noninvasive radial artery applanation tonometry and use of a generalized transfer function) measurements at rest. Central aortic augmentation index (AI), an index of wave reflection, and tension-time index (TTI), an indicator of systolic load, were calculated from the aortic pressure waveform. Physical fitness was determined through a maximal oxygen consumption (VO2max) test performed on a treadmill. RESULTS: The two groups did not differ in age, height, weight, resting BP, or blood lipids. The VO2max was significantly higher in the competitive group compared with the recreational group (65 +/- 1.9 v 49 +/- 1.8 mL/kg/min, P < .05). The AI was lower in the competitive group compared with the recreational group (-2.1% +/- 2.1% v 4.5% +/- 2.9%, P < .05), as was TTI (1679 +/- 61 v 1868 +/- 58, P < .05). CONCLUSIONS: Wave reflection is lower in competitive endurance athletes who have higher fitness levels and who exercise at a higher intensity, for a longer duration, and more frequently as compared with recreationally active individuals. These differences may be due to functional changes that occur as a result of training.

Adolescent↗

Shoulder muscle activity during pushing, pulling, elevation and overhead throw.

PURPOSE: The aim of this study was to compare the muscle activity of recreational athletes and professional javelin throwers during pull, push, and elevation of upper extremities and during overhead throw. SCOPE: Nine professional javelin throwers and 16 recreational athletes without shoulder problems were studied. Signals were recorded by surface EMG from eight different muscles. The results obtained from the muscles of upper extremities of throwers were compared with those of recreational athletes. CONCLUSION: The different neuromuscular control of professional throwers caused a more profitable muscle activity. Differences during the overhead throw were more significant. The deltoid muscle and rotator cuff of recreational athletes showed stronger activity than those of throwers during pull, push and elevation. The deltoid muscle and the rotator cuff of professional throwers showed stronger activity during overhead throw. Studying the detailed characteristics of muscle activity pattern (differences in length of activity periods, MVC% of muscles and time broadness among peak muscle activities in percent of total time of a movement cycle) may provide a basis for better understanding improved performance and help in planning proper rehabilitation protocol.

Adult↗

Association of drug abuse with inhibition of HIV-1 immune responses: studies with long-term of HIV-1 non-progressors.

Recreational drug use has been proposed to affect the course of human immunodeficiency virus (HIV) infections. To investigate the effects of substance abuse on HIV infections, we compared virus-specific cytotoxic T lymphocyte (CTL) responses and the expression of IL-16, TGF-beta1, and CXCR4 in three different cohorts of HIV-infected patients: (1) long-term nonprogressors (LT-NPs) of HIV infection who do not use recreational drugs; (2) nondrugs using normal progressors (NPs), and (3) drugs using NPs. Our results show that LT-NPs manifest increased CTL activity and IL-16 expression and decreased expression of TGF-beta1 and CXCR4 compared to NPs, regardless of recreational drug usage. Furthermore, drugs using NPs showed significantly lower levels of CTL and IL-16 expression and increased TGF-beta1 and CXCR4 expression compared to nondrugs using NPs. Our results suggest that recreational drug use may reduce CTL and IL-16 expression and increase the expression of TGF-beta1 and CXCR4, all of which may facilitate progression of HIV infections.

Blotting, Northern↗

Do we all face the same risk when bathing in the estuary?

With the development of coastal areas, microbial water quality is an emerging public health issue though few studies have focused on risks according to age. A survey was undertaken of faecal contamination in relation to recreational activities in the Peel Harvey estuarine system, Western Australia. Levels of exposure to contaminated water were estimated though social surveys. Follow-up was also conducted to estimate the incidence of disease associated with bathing in the estuary. Pathogen levels exceeded the guideline values recommended by the World Health Organisation (WHO) at most locations throughout the year. The social survey provided information about exposure of the population in age groups. Only 31% of the recreational users belonged to the healthy adult group upon which the WHO quantitative microbial risk assessment model is based. A correlation was established between microbial water quality and incidence of respiratory diseases for children as well as for adults. Exposure to recreational water increased the incidence of respiratory illnesses for the whole population almost by a factor 2. Behaviours which resulted in increased exposures were associated with increased incidence of illnesses were observed, particularly among children aged 11-15 yr, who exhibited the highest odd ratio (OR 4.23 [2.44-6.01], CI 95%, p=0.05). There is a need for combining epidemiology studies with risk assessment processes and complementing them with social surveys for understanding the risk of recreational activities to public health.

Adolescent↗

Economic and health risk trade-offs of swim closures at a Lake Michigan beach.

This paper presents a framework for analyzing the economic, health, and recreation implications of swim closures related to high fecal indicator bacteria (FIB) levels. The framework utilizes benefit transfer policy analysis to provide a practical procedure for estimating the effectiveness of recreational water quality policies. Evaluation criteria include the rates of intended and unintended management outcomes, whether the chosen protocols generate closures with positive net economic benefits to swimmers, and the number of predicted illnesses the policy is able to prevent. We demonstrate the framework through a case study of a Lake Michigan freshwater beach using existing water quality and visitor data from 1998 to 2001. We find that a typical closure causes a net economic loss among would-be swimmers totaling dollars 1274-37,030/day, depending on the value assumptions used. Unnecessary closures, caused by high indicator variability and a 24-h time delay between when samples are taken and the management decision can be made, occurred on 14 (12%) out of 118 monitored summer days. Days with high FIB levels when the swim area is open are also common but do relatively little economic harm in comparison. Also, even if the closure policy could be implemented daily and perfectly without error, only about 42% of predicted illnesses would be avoided. These conclusions were sensitive to the relative values and risk preferences that swimmers have for recreation access and avoiding health effects, suggesting a need for further study of the impacts of recreational water quality policies on individuals.

Bathing Beaches↗

The AIDS dilemma: drug diseases blamed on a passenger virus.

Almost two decades of unprecedented efforts in research costing US taxpayers over $50 billion have failed to defeat Acquired Immune Deficiency Syndrome (AIDS) and have failed to explain the chronology and epidemiology of AIDS in America and Europe. The failure to cure AIDS is so complete that the largest American AIDS foundation is even exploiting it for fundraising: 'Latest AIDS statistics-0,000,000 cured. Support a cure, support AMFAR.' The scientific basis of all these unsuccessful efforts has been the hypothesis that AIDS is caused by a sexually transmitted virus, termed Human immunodeficiency virus (HIV), and that this viral immunodeficiency manifests in 30 previously known microbial and non-microbial AIDS diseases. In order to develop a hypothesis that explains AIDS we have considered ten relevant facts that American and European AIDS patients have, and do not have, in common: (1) AIDS is not contagious. For example, not even one health care worker has contracted AIDS from over 800,000 AIDS patients in America and Europe. (2) AIDS is highly non-random with regard to sex (86% male); sexual persuasion (over 60% homosexual); and age (85% are 25-49 years old). (3) From its beginning in 1980, the AIDS epidemic progressed non-exponentially, just like lifestyle diseases. (4) The epidemic is fragmented into distinct subepidemics with exclusive AIDS-defining diseases. For example, only homosexual males have Kaposi's sarcoma. (5) Patients do not have any one of 30 AIDS-defining diseases, nor even immunodeficiency, in common. For example, Kaposi's sarcoma, dementia, and weight loss may occur without immunodeficiency. Thus, there is no AIDS-specific disease. (6) AIDS patients have antibody against HIV in common only by definition-not by natural coincidence. AIDS-defining diseases of HIV-free patients are called by their old names. (7) Recreational drug use is a common denominator for over 95% of all American and European AIDS patients, including male homosexuals. (8) Lifetime prescriptions of inevitably toxic anti-HIV drugs, such as the DNA chain-terminator AZT, are another common denominator of AIDS patients. (9) HIV proves to be an ideal surrogate marker for recreational and anti-HIV drug use. Since the virus is very rare (< 0.3%) in the US/European population and very hard to transmit sexually, only those who inject street drugs or have over 1,000 typically drug-mediated sexual contacts are likely to become positive. (10) The huge AIDS literature cannot offer even one statistically significant group of drug-free AIDS patients from America and Europe. In view of this, we propose that the long-term consumption of recreational drugs (such as cocaine, heroin, nitrite inhalants, and amphetamines) and prescriptions of DNA chain-terminating and other anti-HIV drugs, cause all AIDS diseases in America and Europe that exceed their long-established, national backgrounds, i.e. > 95%. Chemically distinct drugs cause distinct AIDS-defining diseases; for example, nitrite inhalants cause Kaposi's sarcoma, cocaine causes weight loss, and AZT causes immunodeficiency, lymphoma, muscle atrophy, and dementia. The drug hypothesis predicts that AIDS: (1) is non-contagious; (2) is non-random, because 85% of AIDS causing drugs are used by males, particularly sexually active homosexuals between 25 and 49 years of age, and (3) would follow the drug epidemics chronologically. Indeed, AIDS has increased from negligible numbers in the early 1980s to about 80,000 annual cases in the early '90s and has since declined to about 50,000 cases (US figures). In the same period, recreational drug users have increased from negligible numbers to millions by the late 1980s, and have since decreased possibly twofold. However, AIDS has declined less because since 1987 increasing numbers of mostly healthy, HIV-positive people, currently about 200,000, use anti-HIV drugs that cause AIDS and other diseases. (ABSTRACT TRUNCATED)

Acquired Immunodeficiency Syndrome↗

Multi-objective environmental management in constructed wetlands.

We examined multi-objective environmental management as applied to pursuing concurrent goals of water treatment, biodiversity and promotion of recreation in constructed wetlands. A case study of a wetland established to treat landfill leachate, increase biodiversity, and promote recreation was evaluated. The study showed that attempts to combine pollution management with activities promoting biodiversity or recreation are problematic in constructed wetlands. This could be because the typical single-objective focus of scientific research leads to contradictions when planning, implementing and assessing the multi-objective use of wetlands. In the specific case of wetland filters for landfill leachate treatment, biodiversity, and recreation, there is a need for further research that meet practical needs to secure positive outcomes.

Animals↗

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↗

Effect of physical fitness and endurance exercise on indirect biomarkers of recombinant growth hormone misuse: insulin-like growth factor I and procollagen type III peptide.

Serum insulin-like growth factor-I (IGF-I) and procollagen type III peptide (P-III-P) have been proposed as indirect biomarkers of rhGH misuse in sports. The purpose of the present study was to investigate concentrations of these biomarkers in athletes at different levels of physical fitness and endurance exercise. Serum total IGF-I and P-III-P were measured in 96 elite athletes of various sports along the training season; in 21 recreational athletes at baseline non-exercising conditions and in another 129 recreational athletes before and after long-distance races (10 and 21 km). No differences were evidenced for IGF-I concentrations, but statistically higher values of serum P-III-P were found in elite athletes compared to recreational ones. Among elite athletes, the specific sport did not affect serum IGF-I. However, P-III-P was statistically higher in the sport performed by the youngest athletes (rhythmic gymnastics), even after correction of the logarithm of the concentration by the reciprocal of age. Over the training season, the within-athlete variabilities of IGF-I and P-III-P in elite athletes were low (22.8 % and 21.7 %, respectively). Recreational athletes taking part in a 21 km competition race showed a significant increase in serum values of IGF-I and P-III-P immediately after the event. Exercise workload and age had a significant effect on serum concentration of P-III-P, while age alone affected IGF-I serum concentrations. Therefore, athlete's reference concentration ranges for doping detection should include subjects from as many different ages and sports as possible.

Adolescent↗

Knee injuries in leisure-time physical activities: a prospective one-year follow-up of a Finnish population cohort.

This prospective one-year follow-up study compared the risks of knee injuries in various commuting and lifestyle activities as well as in recreational and competitive sports in a 15 to 74-year-old Finnish population cohort. A cohort of 3657 persons was randomly selected from the nationwide population register of Finland. Ninety-two percent of them accepted to participate (n = 3363). The subjects were interviewed by telephone three times during the one-year follow-up. The recorded data included all physical activities that lasted 15 minutes or more, and all injuries that were sustained during these activities. Fifteen percent (n = 321) of all reported injuries affected the knee. The individual risk of knee injury per 1000 exposure hours was low in commuting activities (cycling, walking), 0.06 (95 % CI 0.04 to 0.09) and in lifestyle activities (gardening, hunting, fishing, home repair etc.), 0.04 (0.03 - 0.06). In recreational and competitive sports, the knee injury risk was almost ten times higher, 0.44 (0.39 - 0.50). For commuting activities (p = 0.046) and for recreational and competitive sports (p < 0.001), there was a decreasing injury rate with age. In lifestyle activities (p = 0.038), in turn, there was an increasing trend of injuries with aging. In commuting activities (hazard ratio, HR 5.99, 95 % CI 1.40 to 25.6), the risk of knee injury was significantly higher in women than in men. In conclusion, the knee injury risk per exposure hours is almost ten times lower in commuting and lifestyle activities compared to recreational and competitive sports. The knee injury risk is especially high in the age group of 15 to 25 years, especially in various team sports and ball games. At population level, however, widely practiced low-to-moderate intensity activities with relatively low injury risk per exposure hours produce a large absolute number of knee injuries.

Adolescent↗

Nutrition of premenarcheal athletes: relation with the lipid and apolipoprotein profiles.

The lipid and apolipoprotein profiles in plasma and the nutritional intake were investigated in 25 female elite gymnasts, 23 recreational gymnasts, 21 girl swimmers, and 16 controls. The girls were matched for sexual development, assessed by means of breast development. The age of the girls varied from 10.0 to 15.0 years. The recreational gymnasts and the girl swimmers had the highest levels of HDL-C, while those of the elite gymnasts and the controls were equally low (P less than or equal to 0.05). The same trend was seen in the case of the HDL-C/TC, HDL-C/LDL-C, and HDL-C/apo A-I ratios (P less than or equal to 0.05). The swimmers and the controls had similar high levels of apo A-I, and the swimmers also had a low apo B level. The differences with the elite group reached statistical significance (P less than or equal to 0.05). The recreational gymnasts had a lower level of apo E than the elite gymnasts and the swimmers had (P less than or equal to 0.05). The composition of the diet, expressed in energy %, was similar for all groups. The recreational gymnasts had a higher P/S ratio than the controls. It is concluded that the differences in lipid and apolipoprotein profiles found between young, female athletes and controls are not associated with differences in dietary intake and may be due to differences in physical activity. Also, genetic factors may have contributed to the variation found in the mentioned profiles. Yet, in this pediatric population, the nutritional intake played a small but significant role relative to the plasma lipids and apolipoproteins.

Adolescent↗

Validation of the 12-minute swim as a field test of peak aerobic power in young women.

The purposes of this study were to validate the 12-min swim as a field test of VO2 peak in female recreational swimmers and to compare its validity with that of the 12-min run. The results are contrasted with those previously reported on a comparable group of male recreational swimmers. Thirty-four young women completed 12-min swim, 12-min run, tethered swimming VO2 peak, and treadmill running VO2 peak tests within 3 weeks. Mean (+/- SD) 12-min swim and run distances were 597 +/- 82 and 2,313 +/- 317 m, and mean tethered swim and treadmill run VO2 peak values were 39.2 +/- 4.9 and 45.4 +/- 6.3 ml.kg BW-1.min-1, respectively. Correlation coefficients and standard errors of estimate for predictions of swimming VO2 peak from the 12-min swim (.42 and 4.5 ml.kg BW-1.min-1) and run (.58 and 4.1 ml.kg BW-1.min-1) and for predictions of treadmill run VO2 peak from the 12-min swim (.34 and 6.0 ml.kg BW-1.min-1) and run (.87 and 3.2 ml.kg BW-1.min-1) indicated that the 12-min run was a more accurate predictor of tethered swim or treadmill run VO2 peak than the 12-min swim. These data are in close agreement with our previous study on young male recreational swimmers. We conclude that the 12-min swim has relatively low validity as a field test of peak aerobic power and that it is not an equally valid alternative to the 12-min run in young adult female recreational swimmers.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

Activity patterns and time allocation during pregnancy: a longitudinal study of British women.

OBJECTIVE: Few studies provide data regarding the integrated everyday activities of Western pregnant women. The study aimed to quantify changes in the daily activity of women during pregnancy and to examine whether pregnancy has a differential impact on different activity domains. DESIGN: A prospective, longitudinal study of maternal time allocation and activity was carried out. METHODS: The time allocation patterns of 57 healthy nulliparous pregnant women were assessed at 16, 25, 34 and 38 weeks gestation by semi-structured interview. Mean total daily activity levels (DALs) were estimated according to the intensity and duration of each activity reported. Self-reported activity was sub-divided into occupational, recreational, domestic and nocturnal activity ratios. RESULTS: From 16 to 34 weeks gestation mean self-reported DAL declined significantly from 1.54 to 1.40 METS (Metabolic Equivalent TEE Score, where TEE is total energy expenditure) (p < 0.001). In the different activity domains, mean occupational activity ratio decreased (p < 0.002) whilst nocturnal activity ratio increased (p < 0.002) from 16 to 34 weeks. Mean recreational activity ratio decreased significantly between 25 and 38 weeks (p < 0.001) but no significant changes were observed in mean domestic activity ratio. CONCLUSIONS: Low-risk pregnancy has a differential impact on occupational, recreational and domestic domains. Economies in energy expenditure appear to be made in occupational and recreational activity while domestic activities are largely maintained during pregnancy. Changes in physical activity may be influenced more by the type of activity rather than the intensity of activity.

Adolescent↗

Reversible model of spheroid formation allows for high efficiency of gene delivery ex vivo and accurate gene assessment in vivo.

The native three-dimensional architecture of carcinomas, which governs numerous autocrine-paracrine interactions related to tumor progression, cannot be faithfully recreated in most in vitro models. Even when the three-dimensional architecture is recreated in artificial scaffolds such as soft agar, this approach does not truly recreate the natural microenvironment of the tumor. Multicellular spheroids can reasonably recreate in vitro the natural three-dimensional architecture of carcinomas, but even the most efficient gene delivery vectors will penetrate only the outer layers of these structures and hence only a small fraction of cells will receive the gene of interest. If the multicellular spheroids are disrupted into a single-cell suspension in order to achieve high transfection efficiency, the single-cell production may have so altered the gene expression profile of the spheroid as to bring into question its present relevancy to in vivo tumor progression. Our laboratory has developed a human-SCID (severe combined immunodeficient) mouse model of inflammatory breast cancer, MARY-X, which grows as tight multicellular spheroids in vitro and as lymphovascular emboli in vivo. The spheroids, which express only low levels of surface sialyl-Lewis(x/a) (sLe(x/a)), are able to form compact homotypic cell clumps mediated by an intact, overexpressed E-cadherin/alpha,beta-catenin axis. The spheroids can be fully disrupted by trypsin proteolysis, anti-E-cadherin antibodies, or Ca(2+) depletion. Of these approaches the disruption with depleted Ca(2+), complete after 30 min, is fully reversible by the readdition of Ca(2+) within 6 hr. This time interval allows for a transfection "window" in which successful gene delivery can be achieved before spheroid reformation. Retroviruses (10(6)-10(7) CFU/ml) carrying the gene encoding either green fluorescent protein (GFP), a dominant-negative E-cadherin mutant (H-2K(d)-E-cad), its control (H-2K(d)-E-cad Delta C25), or alpha-1,3-fucosyltransferase III (FucT-III), an enzyme that increases surface sLe(x/a), were used to transfect either intact (wild-type) or disadhered/readhered (reformed) spheroids. There were marked differences in transfection efficiency in the reformed versus wild-type spheroids. Retroviral transfection of GFP resulted in successful delivery of this reporter gene to only the outer layer of cells of the wild-type spheroids, but to all layers of the reformed spheroids. A single retroviral transfection of H-2K(d)-E-cad, H-2K(d)-E-cad Delta C25, or FucT-III produced evidence of their respective gene expression at 72 hr throughout all layers of the reformed spheroids, but only H-2K(d)-E-cad and FucT-III produced progressive disadherence. Both H-2K(d)-E-cad-MARY-X and FucT-III-MARY-X lost their ability to form lymphovascular emboli in SCID mice. This reversible model of spheroid formation has provided us with insight into the pathogenesis of inflammatory breast carcinoma. If more broadly applied, this model could be used to examine the effects of any gene, using any gene delivery system in the three-dimensional context of native tumoral architecture.

Animals↗

Evidence of an association among age-related changes in physical, psychomotor and autonomic function.

BACKGROUND: autonomic modulation of the heart, as measured by heart rate variability, is directly associated with cardiorespiratory fitness and inversely associated with all-cause mortality. The extent to which cardiorespiratory fitness and heart rate variability are related in older adults is difficult to ascertain due to difficulties in assessing physical fitness among older age groups. OBJECTIVE: to examine heart rate variability and measures of physical function, thereby allowing for the inclusion of a greater cross-section of older adults than can be tested using traditional fitness tests. METHODS: 39 older adults (mean age: 73.2+/-8.1 years; range=60-93 years) underwent evaluation of short-term (5 min) heart rate variability and performance of the American Alliance for Health Physical Education Recreation and Dance Functional Fitness Assessment for Older Adults. Pearson correlation, stepwise multiple regression, and factor analysis were used to describe associations among age, heart rate variability, and functional fitness test-items. RESULTS: significant associations were observed for age and the standard deviation of all normal RR intervals (r=-0.39, P<0.01), and the American Alliance for Health Physical Education Recreation and Dance cardiovascular endurance (r=0.45, P<0.01), strength (r=-0.53, P<0.001), agility (r=0.80, P<0.001), and coordination (r=0.57, P<0.001) items. Standard deviation of all normal RR intervals was negatively associated with the American Alliance for Health Physical Education Recreation and Dance agility (r=-0.37, P<0.01) and coordination (r=-0.49, P<0.001) items. Stepwise multiple regression included only the American Alliance for Health Physical Education Recreation and Dance coordination performance in predicting standard deviation of all normal RR intervals [standard deviation=63.98-2.5 (coordination), F=33.9, P<0.01]. Factor analysis revealed that age, agility, and coordination comprised one factor with a high degree of commonality. CONCLUSION: the association between heart rate variability and coordination suggests concurrent aging of autonomic and psychomotor function.

Aged↗

Physical activity in relation to colon cancer in middle-aged men and women.

A population-based case-control study was conducted to assess the relation between physical activity and colon cancer among men and women aged 30-62 years. Cases were 251 men and 193 women diagnosed with colon cancer in 1985-1989 in three countries in the Seattle metropolitan area who were identified from the Seattle-Puget Sound Surveillance, Epidemiology, and End Results registry. Controls were 233 men 194 women identified by random digit telephone dialing who were selected by stratified random sampling to approximate the age, sex, and county distribution of cases. Physical activity was assessed by questions on frequency and duration of types of recreational and occupational activities during the 10-year period ending 2 years before diagnosis. Each activity was classified as low intensity (< 4.5 METs ) or moderate to high intensity (> or = 4.5 METs). For men and women combined, moderate or high intensity recreational activity was associated with a decreased risk of colon cancer (relative risk (RR) for two or more times per week vs. none = 0.70, 95% confidence interval (CI) 0.49-1.00). This relation was stronger for men than women. Occupational activity was not associated with colon cancer, except among men younger than 55 (RR for > or = 14.5 hours per week of moderate activity vs. none = 0.29, 95% CI 0.12-0.69). Among men and women combined, total moderate or high intensity activity (occupational plus recreational) was marginally related to colon cancer (RR for > or = 5 hours per week vs. none = 0.78, 95% CI 0.55-1.10). These results were adjusted for age (and sex in the combined sex analyses) and were not confounded by body mass index, dietary factors, or other measured health behaviors. The results of this study provide modest support to the growing number of studies showing that recreational and/or occupational physical activity is associated with a reduced risk of colon cancer.

Adult↗

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