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Attitude toward physical education and self-concepts of asthmatic and nonasthmatic children taught by physical education specialists.

50 asthmatic and 741 nonasthmatic children in Grades 4 to 6 were compared on attitudes toward physical education and self-concept. Data were collected using the Children's Attitude Inventory Toward Physical Education, a paired-comparison inventory for indicating preferences among 10 school subjects, and the Children's Self-concept Scale. Analysis of variance and X2 indicated no significant differences between asthmatic and nonasthmatic children on the three measures.

Adolescent↗

Determinants of physical activity and physical and sports activities in French school children.

The influence of morphological, biological, sociological, psychological, and environmental factors on the practice of organized sports and the amount of moderate to vigorous physical activity was examined through a questionnaire and continuous heart-rate monitoring, for 80 schoolchildren, 11 to 16 years old. Sport-practicing boys had a lower percentage of fat mass. Sport-practicing girls had more frequently sport-practicing mothers and higher scores on achievement motivation than nonsport-practicing girls. Active boys had more frequently sport-practicing fathers than inactive boys. No statistically significant correlation was found between moderate to vigorous physical activity and organized sports. Those children who are the most involved in organized sports are thus not necessarily the most active ones.

Adolescent↗

Attitudes towards health and physical activity in the elderly. Effects of a physical training program.

Attitudes towards physical activity, perceived health, body image, anxiety and life satisfaction have been studied in men and women 60 years of age and older, volunteering for progressive endurance training. Relative to other studies of younger volunteers, the senior citizens placed more value upon activity as "an esthetic experience" and as "a means to health and fitness" showing less interest in "the pursuit of vertigo." Many non-participants and "drop-outs" perceived their current fitness as satisfactory. Subjects who selected a low frequency and low intensity of training were obese, with high Cornell Medical Index (CMI) scores on both organic and psychological scales. After 14 weeks of conditioning, 83% of subjects reported improvements in well-being. However, CMI scores were reduced on only one of twelve organic scales and none of the behavior, mood and feeling scales. Neugarten's Life Satisfaction Index, Kenyon's Body Image scales, and McPherson's the Real Me scores remained unchanged, but there was a decrease of Manifest Anxiety (Taylor scale) and a greater regard for physical activity as "the relief of tension." When subjects were classed according to changes in aerobic power, between group differences were found for "Real Me" scores and for three of Kenyon's attitude scales. Persons who trained frequently and intensively showed improvements for body image and for five of Kenyon's attitude scales.

Adult↗

Body fat standards and individual physical readiness in a randomized Army sample: screening weights, methods of fat assessment, and linkage to physical fitness.

Body fat standards have been used by the military services since the early 1980s to prevent obesity and motivate good fitness habits. The Army Weight Control Program has continued to undergo evaluation and incorporate improvements based on emerging scientific findings. Recently drafted revisions of Department of Defense-wide procedures address issues of consistency and validity raised by external oversight groups. This study evaluated the impact of three proposed refinements of the Army Weight Control Program. Anthropometric measurements and fitness test performance were obtained in a randomized sample of 1,038 male and 347 nonpregnant female soldiers at three Army posts. Of this sample, 11% of men and 17% of women were overweight and overfat; 6.3 and 9.8%, respectively, were currently on the Army Weight Control Program. Screening weight tables that ensure women are not inappropriately striving to meet weights more stringent than "healthy" weight (i.e., body mass index < 25 kg/m2) still correctly identified all women for evaluation for the age-specific body fat standards. Body fat estimation using more valid DoD body fat equations that include an abdominal circumference for women reduced the number of female soldiers currently classified as exceeding fat standards, coincidentally resulting in a comparable prevalence of male and female soldiers over the fat standards (12%). A body fat allowance for young soldiers who scored very well on the physical fitness test could have benefited one-fourth of the soldiers exceeding fat standards and acknowledges biological variability in body fat thresholds. Whereas this linkage may motivate fitness habits, it complicates enforcement of reasonably achievable body fat standards. The proposed changes in fat screening and measurement methods are appropriate, but the impact to health and physical readiness of the Force cannot be accurately predicted or measured because of the absence of comprehensive baseline data and tracking mechanisms.

Adult↗

Police Officer's Physical Abilities Test compared to measures of physical fitness.

This study compared the Police Officer's Physical Abilities Test (POPAT) with selected field and laboratory tests of physical fitness. Ninety-eight volunteer police officers (73 men, 25 women) completed all aspects of the testing. Fifty-five (55)% of the total group passed the POPAT by bettering the 4 min 15 sec "cut" point. Only 16% of the women and 68% of the men passed the overall test. Laboratory tests revealed a rather unfit sample of subjects (mean VO2 max = 42.6 ml.kg.min-1; % body fat = 22.9). Stepwise multiple regression indicated that 55% of the variance on the run component of the test was accounted for by maximal aerobic power and anaerobic capacity. The fight component of POPAT did not correlate highly with standard field tests of strength. Pass/fail aspects of the test were not clearly delineated by selected lab and field tests. It was concluded that POPAT, being a valid, task-specific, job related test, consists of motor abilities and technique as much as generalized fitness parameters.

Adult↗

Relationship of physical examination findings and self-reported symptom severity and physical function in patients with degenerative lumbar conditions.

BACKGROUND AND PURPOSE: Limited data are available to assist clinicians in clinical decision making. The purpose of this study was to examine the relationships of symptom provocation during physical examination (PE) procedures and self-report of symptom severity and function in patients with degenerative lumbar conditions. SUBJECTS: Twenty-four men and 50 women with chronic low back pain (CLBP) (>6 months duration) were recruited from a university hospital (median age=64.2 years, mean=66.8, SD=12.4, range=55.7-97.8). METHODS: Demographic information, medical history, PE findings, and data from 2 self-report measures of symptom severity and function (Lumbar Spinal Stenosis [LSS] questionnaire and Medical Outcomes Study 36-Item Short-Form Health Survey [SF-36]) were collected. RESULTS: Patients had moderate symptoms of degenerative lumbar conditions (mean LSS symptom score=2.67, SD=0.71) and reported some difficulties with low back function (mean LSS function score=1.99, SD=0.61). The most frequent physical examination findings were a positive quadrant test (70%), followed by lower-extremity muscle weakness (64%), abnormal reflexes (62%), and active lumbar extension (61%). Patients who were symptomatic during the quadrant test, patients who had pain with lateral flexion, and patients who had lower-extremity weakness had higher self-reported LSS symptom severity (t=-3.06, P=.003; t=-2.96, P=.004; and t=-3.2, P=.002, respectively). Pain with lumbar extension was moderately correlated with LSS symptom severity (Spearman rho=.31, P=.007). No lumbar PE procedure was associated with decreased condition-specific function. The quadrant test was the strongest predictor of symptom severity (beta=.54, r(2)=.21, P=.0009). DISCUSSION AND CONCLUSION: The association between PE findings and self-reported symptom severity in this sample is consistent with the pathoanatomy of degenerative spinal conditions and indicates that movement that narrows the foraminal space contributes to symptom severity. The quadrant test distinguished those subjects with clinically meaningful low back symptom severity but was not predictive of impaired function. This study illustrates the potential benefit of identifying clinical PE measures that are reflective of condition severity and back-specific function in patients with similar clinical syndromes.

Activities of Daily Living↗

[The effect of different physical training regimens on the dynamics of arterial pressure and physical work capacity in persons with "mild" arterial hypertension].

The influence of three different modes of physical training (PT) on high arterial pressure was estimated in persons suffering from "mild" arterial hypertension. 154 men and women aged 35-54 years were entered into the study. In accordance with two different methods of estimating the initial physical work fitness (PWF), the test subjects were distributed into 4 groups. In these groups, the percentage of aerobic training aimed at the development of stamina was progressively raised. The dynamics of the initial PWF served as a criterion for the efficacy of PT. It has been demonstrated that firstly, both methods of estimating PWF are suitable enough for characterization of the dynamics of PWF, secondly, the decrease of arterial pressure is directly dependent on the effectiveness of the PT programs reflecting the dynamics of PWF, and, thirdly, PT aimed at the development of the general (aerobic) stamina is the most effective nonmedicamentous approach to the reduction of arterial hypertension.

Adult↗

Physical activity and colon cancer: a comparison of various indicators of physical activity to evaluate the association.

We compare categories of physical activity, based upon self-reported leisure time and occupational activity, with categories of activity based upon coded job titles using the Dictionary of Occupational Titles. For people under 65 years of age, self-reported total activity, total nonintense activity, and occupational activity were not strongly associated with coded occupational activity in men (Spearman r = 0.36, 0.27, and 0.32, respectively); even weaker associations were noted in women (r = 0.23, 0.27, and 0.10). Associations between total activity and coded occupational activity were generally weaker for people who were 65 or older. Despite these weak associations, all indicators of physical activity assessed were associated with a decreased risk for colon cancer in men. Comparing those in the highest category of activity with those in the lowest, the OR for total self-reported activity was 0.7; for self-reported occupational activity, 0.7; and for coded occupational activity, 0.6. Whereas self-reported total activity was associated with colon cancer among women, estimates of activity based upon occupation (both self-reported and coded from job titles) were not.

Age Factors↗

Physical fitness in relation to amount of physical exercise, body image, and locus of control among college men and women.

The relations of amount of exercise, body image, and locus of control to physical fitness were investigated. The Hall Physical Fitness Test Profile, the Winstead and Cash Body Self-relations Questionnaire, and the Nowicki-Strickland Locus of Control Scale were administered to 243 freshmen. Students estimated the amount of time spent exercising on a 9-point scale ranging from no regular exercise to 10 or more hours per week for the preceding three months. Exercise included brisk walking, jogging, aerobics, and sports activities like soccer, tennis, and swimming. Increased fitness was associated with increased amounts of exercise, internal locus of control, and good body image. There was a statistically significant interaction between sex and amount of exercise. For students who exercised 2-4.9 hours per week, men were more fit than women. Fitness was comparable for men and women exercising less than two hours or at least five hours per week. Women had to exercise 5 or more hours weekly to achieve the fitness level of men who exercised 2 to 4.9 hours per week.

Adolescent↗

[Physical therapy of patients in general practice. Role of the main groups of physical therapy methods in acute and chronic problems of the locomotor system].

The choice of a treatment concept in physical therapy largely depends on whether the presenting functional disorder is of an acute or of a chronic nature. The classification acute or chronic has to be made according to two criteria: acute or chronic course in time/acute or chronic type of disorder. The main concern of physical therapy is prophylaxis of chronic disorders. Chronification of symptoms quite often leads to human tragedy and, moreover, to higher costs, since the total medical and social costs for the chronic cases are higher than those for acute cases. The general practitioner has an important function in the prophylaxis of chronic musculoskeletal disorders. Three to four weeks after the onset of the symptoms he should perform a special evaluation of every patient, thereby assessing the risk of chronification. When a chronic course is considered to be probable, an activating treatment concept should be initiated which in general comprises the following components: comprehensive information and instruction, active exercising (especially training therapy), self mobilization and soonest possible return to work within the limits of stress the condition can be exposed to.

Acute Disease↗

[Hygienic substantiation of physical load standards in physical education of schoolchildren].

The research specific to the changes in body functioning under the effect of various loads of cyclic character was carried out. The results thus obtained made it possible to analyze sex- and age-specific characteristics of body functional capacities of schoolchildren aged 6-15 (yearly characteristics). It was pointed out that by 13-14 years the schoolchildren, primarily girls, lost some of their adaptation capacity to physical load. The problem could be solved due to additional physical training activities aimed at the development of endurance, the trait being of primary importance for health promotion in schoolchildren.

Adolescent↗

[Left ventricular function in physically active and sedentary subjects during physical exercise].

An exercise program based on growing intensity loads (50 watts) was applied to 21 healthy, middle-aged subjects, who were divided into two groups: the physically actives and the sedentaries, according to their physical activity habits. During exercise, which was made on a treadmill, the following variables were measured: oxygen intake (VO2), cardiac frequency (FC), left ventricule ejection time (TEVI), maximal value of the first derivative of ear ensitogram (VMPDDO) and indirect arterial pressure. The active group reached higher values of power and VO2 (absolute and by pulse) and lower values of FC at under maximal works; these data therefore show their best cardiopulmonary capacity. The TEVI in the active group was higher at 150 watts because of the lower FC presented by its assigned subjects. For a maximal exercise condition, both groups had similar ejection times, but the reduction rate of actives' TEVI decreased, which in turn indicates the handling of higher stroke volumes. The VMPDDO relation with the successive increments of work loads was non linear. This index had higher values in the active group, for an exercise strength over 100 watts; this fact allowed the statistical differentiation of both groups. Accordingly, the VMPDDO did indicate the higher left ventricular function of the active subjects during exercise; this findings supports the notion which establishes that resistance training enhances myocardial contraction. In the recovery stage, the sedentaries' VMPDDO increases in a significant way, due to a possible mechanism as to hold stroke volume. In conclusion, the active subjects heart is a more efficient pump than the sedentaries', because of its capacity to handle under maximal exercise higher stroke volumes in the same ejection time, and thus in a higher ejection rate, with equal cardiac frequencies arterial pressures and myocardial oxygen intake.

Adult↗

[Glycosaminoglycanpolysulfate (GAGPS, Arteparon) for basic therapy of arthrosis. I. Comparative studies, Arteparon forte and physical therapy vs. physical therapy alone].

Glycosaminoglycan polysulphate (GAGPS, Arteparon) is effective as a fundamental therapeutic agent in arthrosis (osteoarthritis). Patients with gonarthrosis and coxarthrosis of activity grade II received intramuscular Arteparon forte injections and physical therapy (group 1, n = 69) or physical therapy only (group 2, n = 46). In group 1 23 patients (33.3%) became free of pain as compared to 3 patients (6.5%) in group 2. No therapeutic success was obtained in 6 patients of group 1 (8.7%) and in 14 individuals (30.4%) of group 2.

Adult↗

[Glycosaminoglycanpolysulfate (GAGPS, Arteparon) for basic therapy of arthrosis. II. Comparative studies, Arteparon forte and physical therapy vs. physical therapy alone; late results].

Five to 9 months after a comparative study of 2 groups of patients with coxarthrosis and gonarthrosis, 69 individuals (group 1) receiving Arteparon forte injections and physical therapy and 46 persons (group 2) with physical therapy only, questioneer with specific questions was sent out. From 72 questioneers mailed 55 were returned to the investigators of the study. 53 questioneers were suitable for evaluation: 40 in the group 1 and 13 in group 2. 62.5% of the patients in group 1 described their condition improved as compared to 30.8% in group 2. In 46.1% of the patients in group 2 the condition had deteriorated; this occurred in only 17.5% of group 1.

Adult↗

Physical activity, physical fitness, and risk of dying.

We examined the relation between physical activity, physical fitness, and all-cause mortality in a national population-based study of Canadians. We followed men and women ages 20-69 years who had participated in the Canada Fitness Survey between 1981 and 1988. We assessed risk factors for 6,246 men and 8,196 women using multivariate Poisson regression analysis. At baseline, all subjects were asymptomatic according to self-reported screening questions for cardiovascular disease. Men who expended > or =0.5 kilocalories per kilogram of body weight per day (KKD) experienced a 20% decline in risk of mortality [rate ratio (RR) = 0.82; 95% confidence interval (CI) = 0.65-1.04] when compared with subjects expending <0.5 KKD. We observed a 30% decline in risk of mortality among women expending > or =3.0 KKD relative to those expending <0.5 KKD (RR = 0.71; 95% CI = 0.45-1.11). Similar patterns of risk were evident for both men and women when analyses were restricted to participation in nonvigorous activities. Those who perceived themselves to be of less than average fitness were at increased risk of mortality (male RR = 1.64, 95% CI = 1.21-2.22; female RR = 1.66, 95% CI = 1.21-2.26). Subjects with undesirable cardiorespiratory fitness levels were more likely to die, compared with those having recommended fitness levels (RR = 1.52; 95% CI = 0.72-3.18). Fifty-three per cent of men and 35% of women reported participating in a vigorous activity. The relation between daily energy expenditure and risk of mortality in these subjects could not be evaluated, as there were few deaths. Nonetheless, our results among participants reporting no vigorous activities support the hypothesis that there is a reduction in mortality risk associated with even modest participation in activities of low intensity.

Adult↗

The delayed effects of prolonged physical exercise and physical training on cholesterol level.

The delayed effects of prolonged physical exercise on total and high-density lipoprotein (HDL) cholesterol were studied before and after a training period of 8 weeks. In 15 subjects, 1 and 2 days after a 3 h running test, total cholesterol was significantly lower than 1 day before and 8 days after the end of the exercise. One day post-exercise, HDL-cholesterol was significantly higher compared with 1 day before and 8 days afterwards. In ten subjects participating in the training program, decreased total cholesterol values were again found on the first day after the post-training exercise test. Total and HDL cholesterol levels were not significantly affected by 8 weeks of training.

Adult↗