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PubMedDate not supplied

A new measure for assessing the physical activity behaviors of persons with disabilities and chronic health conditions: the Physical Activity and Disability Survey.

PURPOSE: Assess the psychometric properties of the Physical Activity and Disability Survey (PADS), a new physical activity measure for persons with disabilities and chronic health conditions. DESIGN: Cross-sectional and pre-post designs were employed. SETTING: A Midwestern university fitness center. SUBJECTS: Participants were 103 individuals with disabilities and/or chronic health conditions. MEASURES: The Physical Activity and Disability Survey (PADS), peak oxygen uptake (peak VO2), maximum workload (MW), and time to exhaustion (TE) during exercise. RESULTS: Factor analysis revealed a four-factor model that generally corresponded to PADS subscales. Cronbach alpha coefficients ranged from .67 (Exercise) to .77 (Time Indoors). Test-retest reliability (1-week interval) ranged from .78 (Time Indoors) to .95 (Leisure Time Physical Activity). Interrater reliability ranged from .92 (Household Activities) to .99 (Exercise, Leisure Time Physical Activity, Total Activity). Significant (p < .05) correlations were found between PADS subscales and absolute peak VO2 (Leisure Time Physical Activity, Household Activity, Total Activity), relative peak VO2 (Exercise, Time Indoors), MW (Time Indoors, Household Activity), and TE (Household Activity, Total Activity). Analyses of variance revealed that, unlike controls, health promotion program participants evidenced significant pre-post gains as measured by the Exercise subscale and Total Activity score. CONCLUSIONS: The findings lend support for the reliability and validity of the PADS as a measure of physical activity of groups who are sedentary and disabled.

Adult↗
PubMedDate not supplied

The relationships between delivery agents' physical activity level and the likelihood of implementing a physical activity program.

PURPOSE: To determine the relationships between delivery agents'physical activity characteristics and subsequent adoption of a physical activity promotion program for community implementation. METHODS: Agents responsible for county health promotion in Kansas (n = 91; 94.5% women; mean age = 43.0 +/- 11) completed interviews that assessed physical activity self-efficacy, value, and participation. Subsequent implementation of a physical activity program was monitored. The response rate was 100%. RESULTS: Fifty-five percent of the agents met Centers for Disease Control and Prevention (CDC) recommendations for physical activity, 35% were active but did not meet CDC recommendations, and 10% were inactive. On the basis of logistic regression analysis (Wald statistic = 7.63; p < .05), agents who met recommendations were more likely to adopt the program for their county (69%) than were agents who were less active (41%) and inactive (11%). DISCUSSION: The data suggest that increasing the proportion of delivery agents who meet the CDC recommendations for physical activity could be related with a higher proportion of communities implementing physical activity programs.

Adult↗
PubMed2006

Is an imbalance between physical capacity and exposure to work-related physical factors associated with low-back, neck or shoulder pain?

OBJECTIVES: This study investigates whether an imbalance between physical capacity and exposure to work-related physical factors is associated with low-back, neck, or shoulder pain. METHODS: Data of the longitudinal study on musculoskeletal disorders, absenteeism, stress, and health (SMASH), with a follow-up of 3 years (N=1789), were used. At baseline, physical capacity (isokinetic lifting strength, static muscle endurance, and mobility of the spine) and exposure to work-related physical factors were assessed. During the follow-up, low-back, neck, and shoulder pain were self-reported annually. "Imbalance" was defined as lower than median capacity combined with higher than median exposure, "high balance" was high capacity and high exposure, and "low balance" was low capacity and low exposure. RESULTS: For both the low-back and neck, imbalance between static endurance and working with flexed postures was a risk factor for pain [relative risk (RR) 1.35, 95% confidence interval (95% CI) 1.08-1.68, and RR 1.36, 95% CI 0.96-1.91, respectively]. Low balance was also associated with low-back pain (RR 1.29, 95% CI 1.04-1.68). Furthermore, low balance between isokinetic lifting strength and lifting exposure was a risk factor for low-back and neck pain [RR between 1.22 (95% CI 0.99-1.49) and 1.35 (95% CI 1.03-1.79)]. No associations were found with shoulder pain. CONCLUSIONS: Some relationship between low-back and neck pain and combined measures of physical capacity with exposure to work-related physical factors seems to exist, but an imbalance between physical capacity and exposure was not found to yield higher risks than high balance or low balance.

Absenteeism↗
PubMed1999

Physical growth and fatness as related to physical activity in preadolescent girls.

The purpose of this study was to assess the relationship of physical activity with somatic growth and body fatness in preadolescent girls. One hundred twenty three girls ranging in age from 7 to 9 years (mean age = 8.2 +/- 1.4 yrs) participated in this study. Physical growth characteristics included height, body mass, 4 girths (arm, chest, thigh, calf) and 2 widths (knee, elbow). The sum of five skinfolds (triceps, biceps, subscapular, abdominal, medial calf) was calculated as the indicator of fatness. Physical activity was assessed by parental seven-day recall for the child. Somatic characteristics were non significantly (p > 0.05) related to physical activity. Body mass and sum of skinfolds were significantly negatively (p < 0.01; r = -0.27 and r = -0.39, respectively) related to moderate to vigorous physical activity (MVPA). After controlling for the effects of body size, the relationship between sum of skinfolds and MVPA remained significant (p < 0.01; r = -0.30). It was concluded that with exception of body mass and fatness, physical growth was not related to physical activity in preadolescent girls.

Anthropometry↗
PubMed1995

Suicidality in college women who were sexually and physically abused and physically punished by parents.

In order to ascertain if physically abused, sexually abused, physically punished, and nonabused/nonpunished women students reported different levels of suicidality, 182 women completed measures of suicidality, sexual abuse, physical abuse, and physical punishment. Women who reported sexual abuse were more suicidal than all other groups, and those physically abused were more suicidal than those nonabused/nonpunished. In a multiple regression, sexual abuse accounted for the most variance in suicidality (15%). Apparently women who report sexual or physical abuse, but not ordinary physical punishment alone, are at greater risk for suicide.

Adolescent↗
PubMed1988

Young patients with cystic fibrosis: attitude toward physical activity and influence on physical fitness and spirometric values of a 2-week training course.

The purpose of this investigation was to study the attitude toward physical activity in young patients with cystic fibrosis (CF) and the influence of 2 weeks of training on physical fitness and spirometric values. Two groups of CF patients with mean ages of 11 and 15 years, respectively (total of 13 patients, range 9-21 years), participated in the study. Two healthy control groups with mean ages of 11 and 14 years, respectively, performed the same tests as the CF patients. The CF patients answered questionnaires regarding their attitude toward the activities both during the camp and at home and accomplished spirometric and exercise tests. The CF childrens' parents were interviewed concerning their children's attitude toward physical activity. The attitude toward physical activity of the CF children was very positive both during the camps and at home. The CF patients had at least as good a motivation for exercise as the healthy controls. The physical fitness of the CF patients was reduced, but improved during the training period. The spirometric tests were unchanged during the first course, but increased significantly during the other camp, even if lung physiotherapy was stopped during the training period. The study indicates that CF patients can be motivated for physical exercise, even for training for endurance and at a high enough level to replace lung physiotherapy, at least for shorter periods.

Adolescent↗
PubMed1999

The effectiveness of the Canadian Quality Daily Physical Education program on school physical education.

The effectiveness of the Canadian Quality Daily Physical Education (QDPE) program in creating awareness, support, and influencing school based physical education programs was determined using quantitative and qualitative methodologies. Participants included teachers, principals and vice principals, school board officials and trustees, professional agencies and association, and provincial ministry of education officials. Findings showed this national initiative increased awareness and support of QDPE among all participants. Although the influence of this increased awareness and support on school physical education programming was limited, the greatest impact was in time committed to instruction, development of curricula, instruction of classes, delivery of intramural programs, professional development, and student response to physical education. The least impact was on hiring of physical education specialists, the number of staff, and funding for physical education.

Adult↗
PubMed1985

Perceived role responsibilities of physical therapists and adapted physical educators in the public school setting.

Right to Education legislation has brought physical therapists and adapted physical educators together in the public school setting to serve the child with special needs. Investigation of the role responsibilities of these professionals would facilitate not only communication between the groups, but also understanding of their functions by other school personnel and administrators. We analyzed questionnaires returned by 79 physical therapists and 30 adapted physical educators to determine areas of uniqueness or similarity in 18 identified role responsibilities performed by these two groups. Each subject rated the appropriateness of each role to physical therapists and to adapted physical educators. On 10 of the 18 items, a statistically significant interaction indicated disagreement with regard to the relative contributions of the two professions. On the other 8 items, the two groups agreed that the role responsibility tends to belong to one profession or agreed that either profession could assume the responsibility. These data should provide information to help further delineate the role definitions for each of these professionals. In addition, the most efficient use of available resources may be used to meet the educational needs of these children.

Adolescent↗
PubMed2002

Occupational physical activity is related to physical fitness in young workers.

PURPOSE: We evaluated the association between occupational physical activity and fitness in young workers, taking into account leisure-time physical activity, body size, and smoking. METHODS: The study population comprised 2188 men and 1987 women, members of the Northern Finland birth cohort 1966, who participated in the 1997-1998 follow-up survey and were employed at the time of the survey. Cardiorespiratory fitness was measured by a 4-min step test and muscular fitness by tests of maximal isometric handgrip and isometric trunk extension. Information on occupational and leisure-time physical activity and smoking was obtained by questionnaire, and body height and weight were measured during medical examination. The data were analyzed by analysis of variance and Cox regression. RESULTS: Men doing heavy physical work scored better in cardiorespiratory fitness, handgrip strength, and trunk muscle endurance than men doing lighter work; the finding for cardiorespiratory fitness was similar in women. The associations were independent of leisure-time physical activity, body weight and height, and smoking. CONCLUSION: A positive association was found between heavy physical work and a high level of fitness in young workers. Due to limitations of the study setting, causality cannot be asserted, but a training effect of heavy work would not seem unreasonable. Previous studies have suggested a reversal of the positive effect of heavy work on fitness with advancing age. Therefore, regular monitoring of workers' fitness at an early phase is justified to enable assessment of workers' capacity for heavy jobs and any possible need for fitness-improving activities.

Adult↗
PubMed1988

Physical fitness does not reflect physical activity patterns in middle-aged workers.

Questionnaires and a sub-maximal exercise test were used to assess occupational and leisure time physical activity as well as physical fitness in a standardized prospective study in 2,565 Belgian and Slovakian middle-aged healthy workers. Less than 5% of the subjects engaged in strenuous work requiring an energy expenditure above 31.5 kJ.min-1. One-third of the Belgians and 50% of the Slovakians reported no heavy leisure time activity during the preceding 12 months. Physical fitness, defined as the workload at heart rate 150 beats.min-1 (standardized for body weight), was significantly higher in Slovakians as compared to Belgians (1.52 +/- 0.28 W.kg-1 and 1.48 +/- 0.28 W.kg-1; P less than 0.001). Occupational physical activity in Belgians and heavy leisure time activity in Slovakians were independently related to fitness levels. However, each activity score explained less than 1% of the variance of physical fitness. We conclude that in these mainly sedentary, middle-aged subjects, fitness levels are independent from the usual physical activity patterns.

Adult↗
PubMed2001

[Assessment of physical activities from functional physical fitness tests research for patients with chronic obstructive pulmonary disease].

The purpose of this study was to determine whether the level of physical activity (as measured by 12 functional physical fitness tests) differed between patients with chronic obstructive pulmonary disease (COPD) and normal subjects. Fifty male patients with COPD (70.4 +/- 7.1 yr) and 193 age-matched normal subjects (71.2 +/- 5.2 yr) participated in the study. We administered twelve functional physical fitness tests that were designed to represent muscle strength, muscular endurance, reaction, flexibility, balance, regulation and manipulation. Cardiorespiratory fitness was measured by an incremental, symptom-limited exercise test to the maximal tolerable level on a cycle ergometer, and by the 6-min walk distance. Further, we evaluated what the relationships were between cardiorespiratory fitness and physical activities. The results showed that there were significant differences between COPD and normal groups in cardiorespiratory fitness [peak oxygen uptake (15.7 +/- 4.8 ml/kg/min vs. 23.9 +/- 6.5 ml/kg/min, p < 0.05), peak load (77.9 +/- 33.7 watts vs. 110.3 +/- 37.9 watts, p < 0.05) and 6-min walk distance (466.4 +/- 106.3 m vs. 540.4 +/- 78.3 m, p < 0.05)] and muscular endurance [arm curl (22.6 +/- 5.0 rep/30 s vs. 25.2 +/- 6.0 rep/30 s, p < 0.05), Keeping a half-squat position (32.6 +/- 16.4 s vs. 42.8 +/- 17.7 s, p < 0.05)] and regulation (27.2 +/- 9.4 s vs. 23.3 +/- 5.8 s, p < 0.05) in functional physical fitness test. There were significant correlations between cardiorespiratory fitness, and muscular endurance and regulation. Furthermore, there were significant correlations between FEV1.0 and FEV1.0% pred, and regulation. Therefore, it is important that, besides exercise prescriptions based on the criteria of symptom-limited exercise tests, development of exercise programs based on the level of physical activities may be necessary for patients with COPD.

Aged↗
PubMed1985

[Physical activity, physical fitness and coronary disease].

The relationship between physical activity on and off the job, physical fitness and coronary artery disease was investigated in a prospective study involving 2 363 men, 40 to 55 years old. Sudden death and myocardial infarction occurred in 31 subjects during a 5-year follow-up. Preliminary data are reported. There was no significant correlation between quartiles of physical activity on and off the job and incidence of coronary events. Physical fitness was significantly inversely correlated with incidence of coronary events (p less than 0.05) and was significantly lower in the 31 new cases (p less than 0.03). Multivariate analysis showed that HDL-cholesterol, smoking and physical fitness significantly and independently discriminate between coronary prone patients and healthy subjects. We conclude that physical fitness is an independent, inverse risk indicator of new coronary events.

Adult↗
PubMed1990

Associations between physical activity and physical fitness in American children.

Associations between two measures of physical fitness, 1.6-km run/walk performance and sum of three skinfold thicknesses, and selected physical activity factors were studied in a nationally representative sample of third- and fourth-grade students (1150 boys, 1202 girls). Twenty physical activity variables measured via parent and teacher questionnaires were factor analyzed, and for each of the resultant eight factors, individual factor scores were generated. These were used in two multiple regression analyses in which 1.6-km run/walk time and sum of skinfold measurements were the dependent variables. Multiple R2 for these two analyses were .21 and .18. Significant factors in both analyses were global ratings of the child's activity level, age, vigorous community activities, and gender. The results indicate that physical activity and physical fitness are significantly, although moderately, associated in young children and suggest that interventions directed toward enhancement of physical activity in children are worthy of investigation.

Child↗
PubMed1993

Habitual physical activity and health-related physical fitness in fourth-grade children.

OBJECTIVE: To examine the relationship between habitual physical activity and components of health-related physical fitness in children. DESIGN: Cross-sectional survey with correlational analysis. SETTING: Seven public elementary schools in a suburban southern California city. PARTICIPANTS: Five hundred twenty-eight healthy fourth-grade children (274 boys and 254 girls), 85% of whom were non-Hispanic whites. Ninety-eight percent of eligible students participated. INTERVENTIONS: None. MEASUREMENTS/MAIN RESULTS: Results of six measures of physical activity in children (monitoring by accelerometer, parent report, and child self-reports of weekday activity, weekend activity, and summer involvement in activity classes and youth sports) were combined in a physical activity index. This index of habitual physical activity was examined in relation to measures of five components of health-related fitness: the mile run, skin-fold tests, pull-ups, sit-ups, and the sit-and-reach test. The physical activity index was significantly associated with all five fitness components. The canonical correlation was .29. CONCLUSION: Active children appear to engage in a sufficient variety of activities to enhance multiple components of health-related fitness.

California↗
PubMed2001

Effects of worksite physical exercise intervention on physical fitness, perceived health status, and work ability among home care workers: five-year follow-up.

OBJECTIVE: The effects and constancy of a worksite physical exercise intervention were examined in relation to the physical fitness, perceived health status, and work ability of female service workers during periods of 1 and 5 years. METHODS: The subjects comprised female home care workers divided into an intervention group (n = 50, mean age 41.8 (SD 10.4) years) and a control group (n = 37, mean age 43.3 (SD 8.8) years). The intervention group participated in 9 months of supervised exercise intervention twice a week during the workday. Functional capacity, perceived health, and work ability were assessed at the beginning of the study and after a 1- and a 5-year period of follow-up. RESULTS: In the 1-year follow-up measurements, body fat had decreased (4%) and dynamic muscle performance and maximal oxygen consumption in relation to body mass (30-38 and 7%, respectively) had increased in the intervention group. The differences in outcome variables between the intervention and the control groups were significant (from P = 0.014 to P < 0.001). These positive effects of worksite exercise were observed despite the age of the subjects, and the changes were consistent during a 5-year period. In the control group the decline of the work ability index (L smean) was about three times faster than in the intervention group during the 5-year period. CONCLUSIONS: Physical exercise executed in work units can be used to improve the physical capacity of female home care aides and prevent the early decline of their work ability. In jobs that are physically demanding, such as home care work, early prevention must start before the age-related deterioration of health and physical capacity.

Adult↗
PubMed1985

Comparing physical and behavior therapy for chronic low back pain on physical abilities, psychological distress, and patients' perceptions.

A treatment-outcome study was conducted to study the impact of behavior and physical therapy on components of the chronic low back pain syndrome. Eighteen patients received behavior therapy and 15 patients received physical therapy. All patients had at least a 6-month history of seeking treatment for chronic low back pain. Prior to treatment patients were assessed in four principal areas of functioning: (1) physical abilities; (2) current physical functioning; (3) psychological and psychosocial functioning; and (4) pain intensity and pain perception. Treatments were conducted in a group (five to eight patients) outpatient setting. Both behavior therapy and physical therapy groups met for 10-weekly sessions, each lasting 2 hr. Behavior therapy was designed to address the environmental, social, and emotional components of the low back pain syndrome as well as the depression and decreased activity that result from chronic low back pain. Physical therapy was based upon traditional rehabilitation theory and was designed to improve low back function. Patients were reevaluated at posttreatment, 6 months, and 1 year. The results showed a general improvement for patients in both groups and a few treatment-specific differences in outcome measures.

Adaptation, Psychological↗
PubMedDate not supplied

Physical activity, physical fitness and respiratory function--exercise and respiratory function.

The aim of the study was to establish patterns of respiratory function in Northern Ireland and to examine the relationship between physical activity, physical fitness and respiratory function. We identified 1600 adults over 16 yr using 2 stage probability sampling. Physical activity was measured using a questionnaire, physical fitness from oxygen uptake while walking on a treadmill, and respiratory function using spirometry. The main outcome measures were a physical activity profile based on computer assisted interview, physical fitness by predicted VO2max, Forced Vital Capacity (FVC) and Forced Expiratory Volume (FEV1). We found that the main findings were of relationships between activity and FVC and FEV 1 which remained after adjustment for possible confounders in men, and between fitness and FVC and FEV 1 in both men and women although these were not sustained after adjustment for possible confounders.

Adolescent↗
PubMed2003

Physical demands in working life and individual physical capacity.

The purpose of this study was to investigate the prevalence of the excess of metabolic level (metabolic demands in work exceeding one-third of the individual's aerobic capacity) of working men and women today and to describe the population whose metabolic level is exceeded. A second aim was to explore how externally assessed metabolic demands match with the physical function and capacity of working men and women in jobs with the lowest and the highest demands. The aerobic power of each individual (94 men and 94 women) was estimated from heart rate and workload in sub-maximal tests from dynamic legwork on a cycle ergometer. Physical activity was assessed using a task-oriented interview technique. Physical function was measured by tests of muscle endurance in arms, abdomen and legs, handgrip pressure, balance and coordination. The calculation of individual metabolic demands during a "typical working day" showed that 27% of the men and 22% of the women exceeded their metabolic level. The results indicate that the physical fitness is low or somewhat low for two-thirds of the 94 men and for more than one-half of the 94 women. Women in the group with the highest job demands had significantly lower muscle endurance in the abdomen and legs and worse coordination than women in the group with the lowest job demands. Metabolic demands in working life today remain high. This is reflected in a mismatch between individual physical capacity and the physical demands of work for 25% of the population.

Adolescent↗