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A mail survey of physical activity habits as related to measured physical fitness.

The associations of self-reported measures of physical activity from a mail survey with an objective measure of physical fitness were investigated. Respondents to a health status survey (n = 12,225), conducted in 1982 by the Institute for Aerobics Research in Dallas, TX, formed the population. From this group, males who also had a clinical examination within 60 days of the return of their questionnaire served as subjects. The study subjects (n = 375, mean age = 47.1 years) completed a maximal physical fitness assessment using a modified Balke protocol. The questionnaire included a section of inquiries concerning leisure time physical activity participation in which subjects were asked to quantitatively recall exercise participation for varying periods of time. Reported exercise participation values were converted to estimates of energy expenditure and combined into overall indices of physical activity participation. Multiple regression analyses were used to determine the individual contributions of the physical activity indices in predicting maximal treadmill performance (physical fitness). Significant predictors of physical fitness were age (beta = -0.34), an index of running, walking, and jogging participation (beta = 0.31), and the response to a question on frequency of sweating (beta = 0.35). The multiple correlation coefficient for these variables in predicting physical fitness was 0.65. These results indicate that exercise behavior can be accurately estimated in large populations by using simple questions in a mail survey.

Adult↗

Lifetime leisure exercise and osteoporosis. The Rancho Bernardo study.

Between 1988 and 1991, the relation between leisure time physical activity, bone mineral density (BMD), and osteoporotic fracture was evaluated in a cohort of community-dwelling California adults (1,014 women and 689 men) with a mean age of 73 years. By means of a modified Paffenbarger questionnaire, participants were asked to report exercise from the past year and to recall their level of exercise during three other periods: the teenage years, age 30 years, and age 50 years. The survey asked the number of times strenuous (e.g., jogging), moderate (e.g., fast walking), or mild (e.g., golfing) exercise was undertaken in an average week. A summary score was constructed to represent lifetime exercise. Analysis of the exercise-fracture and exercise-BMD associations were performed using logistic and linear regression analyses, respectively. Linear regression models were controlled for age, body mass index, sex, diagnosis of arthritis, dietary calcium intake, and use of cigarettes, alcohol, thiazides, and estrogen (women only). No association between current or former exercise and BMD at the radius, wrist, or spine was found. A positive association between current exercise and BMD was found at the total hip (p = 0.001) and at each hip component--greater trochanter (p = 0.02), intertrochanter (p = 0.001), and femoral neck (p = 0.02). Mean hip bone densities of strenuous (p = 0.004) and moderate (p = 0.004) current exercisers were higher than those of mild or less than mild exercisers. Lifetime exercise was also positively associated with BMD of the total hip (p = 0.008) and hip components, and demonstrated a borderline-significant association (p = 0.06) with spine BMD. At the hip, each pairwise comparison between the highest and lowest tertiles of lifetime exercise showed a significant difference (p < or = 0.007). Exercise was unassociated with minimal trauma fracture occurring at any site between 1972 and 1991. These data suggest a protective effect of current and lifelong exercise on hip BMD, but not on osteoporotic fracture, in older men and women.

Aged↗

Aborted sudden death in a young patient with isolated granulomatous myocarditis.

A young athlete was successfully resuscitated from ventricular fibrillation. Subsequently severe heart failure developed and endomyocardial biopsy showed granulomatous myocarditis. Following steroid therapy, repeated biopsies demonstrated partial resolution of the inflammatory changes and mild myocardial fibrosis; the granulomas disappeared, and the patient recovered both clinically and haemodynamically. Three years later, the patient is asymptomatic, is practising long distance jogging, has a normal left ventricular ejection fraction and no evidence of arrhythmias.

Adult↗

Comparison of heart rate responses. Water walking versus treadmill walking.

The purpose of this study was to compare heart rate responses to water walking versus treadmill walking to determine whether the responses were of sufficient magnitude to elicit cardiorespiratory training effects. The heart rates of 12 healthy, female college students were measured immediately after walking in waist-deep water and on a treadmill at the same distance, durations, and speeds (2.55, 2.77, 3.02, and 3.31 km/hr). A significant increase in heart rate with increased speeds resulted from water walking (p less than .05); from rest to the fastest speed, it was 135% (96 bpm). For treadmill walking, the increase of 19% (13 bpm) was not significant. The heart rates for the water condition were significantly higher (p less than .05) at each speed. These findings indicate that water walking could serve as an effective exercise mode, for example, for cardiorespiratory fitness for individuals who are unable to perform such weight-bearing activities as jogging, fast walking, cycling, and dancing.

Adolescent↗

Mountain medical mystery. Unwitnessed death of a healthy young man, caused by lightning.

A healthy 20-year-old man failed to return home after a jog in the Colorado mountains. His lifeless body was found the next day on an exposed mountain slope. The differential diagnosis in such mysterious, unwitnessed mountain deaths includes cardiac arrhythmia, cerebral hemorrhage, pulmonary embolism, seizures, trauma, high-altitude sickness, and hypothermia. The cause of death in this case was established on postmortem examination. The findings of ruptured tympanic membranes and a melted shoe established this as a case of lightning strike fatality. The National Lightning Detection Network can be a valuable resource to investigators by providing information on the location and date of lightning strikes in the vicinity of the victim.

Adult↗

A home exercise program for tibial bone strengthening based on in vivo strain measurements.

OBJECTIVE: To compare the strain and strain rates generated during lower limb calisthenics with walking, an exercise that has been found to have only minimal effect on bone mass. Strengthening of bone, while it still has adaptive ability, can be achieved by exercise. Mechanical loading during physical activity produces strains and strain rates within the bones. It is thought that strain and strain rates higher than the usual provide the stimulus for the bones' adaptation. DESIGN: Three strain-gauged bone staples were inserted percutaneously in a 30 degrees rosette pattern in the medial aspect of the midtibial diaphysis of two volunteers. The principal compression, tension, shear strains, and strain rates were measured during various lower limb calisthenics and compared with those of jogging and walking. RESULTS: Zig-zag hopping was in the grouping of exercises with the highest principal compression, tension, and shear strains and compression strain rates, whereas walking was in the lowest or next-to-the-lowest grouping for all principal strain or strain rates. CONCLUSION: Zig-zag hopping, based on the high strain and strain rates that it produces, may be an optimal tibial bone-strengthening exercise.

Adult↗

The association between flexibility and running economy in sub-elite male distance runners.

The purpose of this study was to examine the association between nine measures of limb and trunk flexibility and running economy. Within a week prior to running economy assessment, and after 10 min of jogging at 3.13 m.s-1, 19 well-trained male sub-elite distance runners underwent two complete sets of lower limb and trunk flexibility assessments. Runners then completed two 10-min running economy assessment sessions on consecutive days at 4.13 m.s-1 following two 30-min sessions of treadmill accommodation at 4.13 m.s-1. Intraclass correlation coefficients indicated that the repeated flexibility measurements were highly reliable (X R = 0.92 +/- 0.09), as were the two running economy appraisals (R = 0.99). Correlational analyses revealed that dorsiflexion (r = 0.65) and standing hip rotation (r = 0.53) were significantly (P < or = 0.05) associated with the mean aerobic demand of running, such that runners who were less flexible on these measures were more economical. Although speculative, these results suggest that inflexibility in certain areas of the musculoskeletal system may enhance running economy in sub-elite male runners by increasing storage and return of elastic energy and minimizing the need for muscle-stabilizing activity.

Adult↗

The effect of endurance training on lipoprotein(a) [Lp(a)] levels in middle-aged males.

Serum lipoprotein(a) [Lp(a)] levels were measured before and after a 12-wk program of moderate-intensity endurance training. The training program consisted of walking and/or jogging, at least three sessions.wk-1 of at least 30 min duration, at an intensity producing 60-85% HRmax reserve. Twenty-eight previously sedentary middle-aged Caucasian males matched for age, body mass, and body mass index (BMI) were randomly allocated to either an exercise (N = 17, mean age +/- SEM = 51.57 +/- 1.25 yr) or a control (N = 11, mean age +/- SEM = 50.0 +/- 1.15 yr) group. Pre- and post-training median Lp(a) levels, measured by immunoturbidimetric analysis, were not significantly different in either the exercise (pre 13.0, post 15.0 mg.dl-1) or the control subjects (pre 14.0, post 12.0 mg.dl-1) (P > 0.05). Kendall Rank correlation analysis revealed no significant relationship between the level of Lp(a) and any other variable in either group before or after training. In the exercisers, a significant increase (P < 0.05) was recorded in the estimated mean VO2max (pre 33.39 +/- 1.70, post 37.7 +/- 1.75 ml.kg-1 min-1). These data indicate that the level of Lp(a) was not influenced by a 12-wk program of moderate-intensity endurance training, and are consistent with previous reports suggesting that Lp(a) level is not altered by lifestyle factors.

Body Composition↗

Validity of selected physical activity questions in white Seventh-day Adventists and non-Adventists.

The validity and reliability of selected physical activity questions were assessed in both Seventh-day Adventist (N = 131) and non-Adventist (N = 101) study groups. Vigorous activity questions similar to those used by others and new questions that measured moderate and light activities were included. Validation was external, comparing questionnaire data with treadmill exercise time, resting heart rate, and body mass index (kg.m-2), and internal, comparing data with other similar questions. Both Adventist and non-Adventist males showed significant age-adjusted correlations between treadmill time and a "Run-Walk-Jog Index" (R = 0.28, R = 0.48, respectively). These correlations increased substantially when restricting analysis to exercise speeds exceeding 3 mph (R = 0.39, R = 0.71, respectively). Frequency of sweating and a vigorous physical activity index also correlated significantly with treadmill time in males. Correlations were generally weaker in females. Moderate- and light-intensity questions were not correlated with physical fitness. Internal correlations R = 0.50-0.78) between the above three vigorous activity questions were significant in all groups, and correlations (R = 0.14-0.60) for light and moderate activity questions were also documented. Test-retest reliability coefficients were high for vigorous activity questions (R = 0.48-0.85) and for one set of moderate activity questions (R = 0.43-0.75). No important differences in validity and reliability were found between Adventist and non-Adventists, but the validity of vigorous activity measures was generally weaker in females.

Adult↗

Effect of weight training exercise and treadmill exercise on post-exercise oxygen consumption.

Effect of weight training exercise and treadmill exercise on postexercise oxygen consumption. Med. Sci. Sports Exerc., Vol. 30, No. 4, pp. 518-522, 1998. To compare the effect of weight training (WT) and treadmill (TM) exercise on postexercise oxygen consumption (VO2), 15 males (mean +/- SD) age = 22.7 +/- 1.6 yr; height = 175.0 +/- 6.2 cm; mass = 82.0 +/- 14.3 kg) performed a 27-min bout of WT and a 27-min bout of TM exercise at matched rates of VO2. WT consisted of performing two circuits of eight exercises at 60% of each subject's one repetition maximum with a work/rest ratio of 45 s/60 s. Approximately 5 d after WT each subject walked or jogged on the TM at a pace that elicited an average VO2 matched with his mean value during WT. VO2 was measured continuously during exercise and the first 30 min into recovery and at 60 and 90 min into recovery. VO2 during WT (1.58 L.min-1) and TM exercise (1.55 L.min-1) were not significantly (P > 0.05) different; thus the two activities were matched for VO2. Total oxygen consumption during the first 30 min of recovery was significantly higher (P < 0.05) as a result of WT (19.0 L) compared with that during TM exercise (12.7 L). However, VO2 values at 60 (0.32 vs 0.29 L.min-1), and 90 min (0.33 vs 0.30 L.min-1) were not significantly different (P > 0.05) between WT and TM exercise, respectively. The results suggest that, during the first 30 min following exercise. WT elicits a greater elevated postexercise VO2 than TM exercise when the two activities are performed at matched VO2 and equal durations. Therefore, total energy expenditure as a consequence of WT will be underestimated if based on exercise VO2 only.

Adult↗

The energy cost of horizontal walking and running in adolescents.

PURPOSE: This study developed and cross-validated generalized equations for predicting VO2 (mL x kg(-1) x min(-1)) and caloric expenditure (kcal x kg(-1) x min(-1)) during horizontal walking and running in adolescents. METHODS: Subjects were 47 male and 35 female adolescent volunteers, ages 12-18. Each subject underwent a submaximal treadmill exercise test to determine VO2 at randomly selected walking and jogging speeds (67-215 m x min(-1)). Caloric expenditure was estimated from VO2 and RER. Multiple regression was used to develop prediction equations for estimating VO2 and caloric expenditure from a derivation sample of 77 random observations, both walking and running. RESULTS: The group relationship between running speed and energy cost in the derivation sample was linear, whereas the relationship between walking speed and energy cost was quadratic. Gender, age, and height each failed to account for significant additional variation in energy cost after speed and mode were considered. Skinfolds accounted for a small yet significant amount of additional variation in energy cost. The derived equations were cross-validated on a sample of 76 separate random observations. The cross-validation statistics are: for VO2, R = 0.95, error = 3.58 mL x kg(-1) x min(-1), and for caloric expenditure, R = 0.94, error = 0.019 kcal x kg(-1) x min(-1). Most selected adult equations consistently underestimated both VO2 and caloric expenditure in the cross-validation sample. CONCLUSIONS: These results suggest that in adolescents, within the range of speeds tested, the relationship between speed of movement and energy cost for running is linear, but for walking is curvilinear. Also, adult models for estimating VO2 or caloric expenditure do not account for the higher relative energy cost of walking and running in adolescents.

Adolescent↗

Validity, reliability, and calibration of the Tritrac accelerometer as a measure of physical activity.

PURPOSE: The purposes of this study were to assess the validity and reliability of the Tritrac R3D accelerometer during treadmill walking and running and then to calibrate the instrument. METHODS: The Tritrac was assessed on 60 young adults (23.4 +/- 2.9 yr) during treadmill walking and running at 3.2, 6.4, and 9.7 km x h(-1). The calibration was carried out by identifying ranges of Tritrac raw data (vector magnitude) values corresponding to light (2-3.9 MET), moderate (4-7 MET), and vigorous (>7 MET) physical activity. Energy expenditure (EE), measured by indirect calorimetry, served as the criterion measure. RESULTS: Interinstrument intraclass reliability coefficients for Tritracs worn on the right and left hip ranged from 0.73-0.87, while intersession coefficients demonstrated high reliability for all speeds (R = 0.87-0.92). Paired t-tests comparing mean accelerometer counts at 6.4 km x h(-1), 0% grade (2647 +/- 456), and 6.4 km x h(-1), 5% grade (2635 +/- 435) demonstrated no significant difference (P > 0.05). Mean differences between EE measured by indirect calorimetry and that estimated by the Tritrac ranged from 0.0082 kcal x kg(-1) x min(-1) at 3.2 km x h(-1) to 0.0320 kcal x kg(-1) x min(-1) at 9.7 km x h(-1), with the Tritrac consistently overestimating EE during horizontal treadmill walking. The relationship between vector magnitude and EE across all speeds was highly linear (R2 = 0.90, SEE = 0.014 kcal x kg(-1) x min(-1)), with little overlap between light, moderate, and vigorous categories. The mean vector magnitudes at 2, 4, and 7 MET were 650, 1772, and 3455, respectively. CONCLUSIONS: These data indicate that the Tritrac is highly reliable from day to day and is sensitive to changes in speed but not grade. Furthermore, the Tritrac accurately distinguishes various intensities of walking and jogging on level ground. With limitations, these cut-points can be used to categorize light, moderate, and vigorous physical activity and to estimate EE.

Adolescent↗

Aerobic endurance training improves soccer performance.

PURPOSE: The aim of the present study was to study the effects of aerobic training on performance during soccer match and soccer specific tests. METHODS: Nineteen male elite junior soccer players, age 18.1 +/- 0.8 yr, randomly assigned to the training group (N = 9) and the control group (N = 10) participated in the study. The specific aerobic training consisted of interval training, four times 4 min at 90-95% of maximal heart rate, with a 3-min jog in between, twice per week for 8 wk. Players were monitored by video during two matches, one before and one after training. RESULTS: In the training group: a) maximal oxygen uptake (VO2max) increased from 58.1 +/- 4.5 mL x kg(-1) x min(-1) to 64.3 +/- 3.9 mL x kg(-1) x min(-1) (P < 0.01); b) lactate threshold improved from 47.8 +/- 5.3 mL x kg(-1) x min(-1) to 55.4 +/- 4.1 mL x kg(-1) x min(-1) (P < 0.01); c) running economy was also improved by 6.7% (P < 0.05); d) distance covered during a match increased by 20% in the training group (P < 0.01); e) number of sprints increased by 100% (P < 0.01); f) number of involvements with the ball increased by 24% (P < 0.05); g) the average work intensity during a soccer match, measured as percent of maximal heart rate, was enhanced from 82.7 +/- 3.4% to 85.6 +/- 3.1% (P < 0.05); and h) no changes were found in maximal vertical jumping height, strength, speed, kicking velocity, kicking precision, or quality of passes after the training period. The control group showed no changes in any of the tested parameters. CONCLUSION: Enhanced aerobic endurance in soccer players improved soccer performance by increasing the distance covered, enhancing work intensity, and increasing the number of sprints and involvements with the ball during a match.

Acceleration↗

Factors that alter body fat, body mass, and fat-free mass in pediatric obesity.

PURPOSE: The purpose of this study was to quantify the effects of exercise treatment programs on changes in body mass, fat-free mass, and body fat in obese children and adolescents. METHODS: By using the meta-analytic approach, studies that met the following criteria were included in our analyses: 1) at least six subjects per group; 2) subject groups consisting of children in the 5- to 17-yr age range; 3) pretest and posttest values for either body mass, percent body fat, or fat-free mass (FFM); 4) used exercise as a mode of treatment (e.g., walking, jogging, cycle ergometry, high-repetition resistance exercise, and combinations); 6) training programs >or= 3 wk; 7) full-length publications (not conference proceedings); 8) apparently "healthy" children (i.e., free from endocrine diseases and disorders); and 9) published studies in English language journals only. RESULTS: A total of 120 investigations were located that addressed the issue of exercise as a method of treatment in pediatric obesity. Of those, 30 met our criteria for inclusion. Across all designs and categories, fixed-effects modeling yielded significant decreases in the following dependent variables: 1) percent body fat (mean = 0.70 +/- 0.35; 95% CI = 0.21 to 1.1); 2) FFM (mean = 0.50 +/- 0.38; 95% CI = 0.03 to 0.57); 3) body mass (mean = 0.34 +/- 0.18; 95% CI = 0.01 to 0.46); 4) BMI (mean = 0.76 +/- 0.55; 95% CI = 4.24 to 1.7), and 5) VO2max (mean = 0.52 +/- 0.16; 95% CI = 0.18 to 0.89), respectively. Significant differences were found as a function of the type intervention groups (exercise vs exercise + behavioral modification; P < 0.04); body composition assessment methods (skinfold vs hydrostatic weighing, DEXA, and total body water; P < 0.006); exercise intensity (60-65%, vs >or= 71% VO2max; P < 0.01); duration ( 30 min; P < 0.03); and mode (aerobic vs aerobic + resistance training; P < 0.02). Stepwise linear regression suggested that initial body fat levels (or body mass), type of treatment intervention, exercise intensity, and exercise mode accounted for most of the variance associated with changes in body composition after training. CONCLUSIONS: Exercise is efficacious for reducing selected body composition variables in children and adolescents. The most favorable alterations in body composition occurred with 1) low-intensity, long-duration exercise; 2) aerobic exercise combined with high-repetition resistance training; and 3) exercise programs combined with a behavioral-modification component.

Adolescent↗

Carbohydrates and physical/mental performance during intermittent exercise to fatigue.

PURPOSE: This study was designed to examine the effects of carbohydrate-electrolyte ingestion on physical and mental function associated with the performance of intermittent high-intensity (IHI) exercise similar to many common competitive sporting events. METHODS: Physically active men (N = 5) and women (N = 5), experienced in competitive soccer or basketball, completed three practice sessions and two experimental trials of an IHI shuttle running protocol designed to closely stimulate the demands of an actual competitive sporting event such as basketball. The experimental trials consisted of four 15-min quarters (QTR) of intermittent shuttle running at various percentages of .VO(2max) (walking, jogging, running, sprinting and jumping), separated by a 20-min halftime rest period (HALF) and followed by a shuttle run to fatigue. Various tests of physical and mental function (shuttle run to fatigue, 20-m maximal sprint, 10-repetition maximal vertical jumping, whole body motor skill test (MS-Test), profile of mood states (POMS), and Stroop Color-Word Test) were performed throughout the experimental trial. Carbohydrate-electrolyte (CHO) or placebo (P) drinks were consumed before exercise (5 mL.kg(-1); 6% solution) and at halftime (5 mL.kg(-1); 18% solution). Smaller volumes (3 mL.kg(-1); 6% solution) were given after QTR-1, HALF, QTR-3, and QTR-4. RESULTS: CHO ingestion resulted in a 37% longer run time to fatigue and faster 20-m sprint time during QTR-4 (P < 0.05). MS-Test performance was also improved during the latter stages of exercise along with self-reported perceptions of fatigue (subscale of POMS) (P < 0.05) in CHO versus P. CONCLUSION: These results suggest a beneficial role of carbohydrate-electrolyte ingestion on physical and mental function during intermittent exercise similar to that of many competitive team sports.

Adult↗

Reliability and validity of the Borg and OMNI rating of perceived exertion scales in adolescent girls.

PURPOSE: To examine the reliability and validity of the Borg and OMNI rating of perceived exertion (RPE) scales in adolescent girls during treadmill exercise. METHODS: Adolescent girls (N = 57, age = 15.3+/-1.5 yr) were randomly assigned to use an RPE scale (Borg or OMNI) during one of three treadmill submaximal exercise conditions (walking, walking uphill, or jogging). After RPE assessment, exercise intensity was increased until participants achieved volitional exhaustion (O2max). Expired respiratory gases and heart rate (HR) were measured continuously during exercise. Reliability of the RPE scales was assessed using ANOVA (intraclass) and Spearman-Brown prophecy formula (single trial) measures. Validity estimates were calculated using Pearson Product Moment correlations, with % HRmax and % O2max as criterion measures. RESULTS: Intraclass and single-trial reliability estimates were higher for the OMNI (r(xx) = 0.95 and r(kk) = 0.91, respectively) compared with the Borg (r(xx) = 0.78 and r(kk) = 0.64, respectively) RPE scale. Validity estimates were also higher for the OMNI scale compared with the Borg scale. Validity coefficients (r(xy)) for %HRmax and %O2max comparisons were 0.86 and 0.89, respectively, for the OMNI, compared with 0.66 and 0.70, respectively, for the Borg. CONCLUSION: The OMNI cycle pictorial scale was found to be reliable and valid for use with adolescent girls. It also appears to be more reliable and valid than the Borg scale for use in this population during treadmill exercise.

Adolescent↗

Testing the reliability and validity of the Self-Efficacy for Exercise scale.

BACKGROUND: The measure for self-efficacy barriers to exercise was developed for adults and revised on the basis of quantitative and qualitative research with older adults so it would be more appropriate for that age group. OBJECTIVES: To test the reliability and validity of the Self-Efficacy for Exercise (SEE) Scale. METHODS: Initial reliability and validity testing was performed using a sample of 187 older adults living in a continuing care retirement community. The average age of the participants was 85 +/- 6.2 years, and most were White (98%), female (82%), and unmarried (80%). Face-to-face interviews were completed and included the SEE, the 12-item Short Form Health Survey (SF-12), and the Expected Outcomes and Barriers for Habitual Exercise scale. Exercise activity was based on verbal report of participation in aerobic exercise (walking, swimming, biking, or jogging). RESULTS: There was sufficient evidence of internal consistency (alpha = 0.92), and a squared multiple correlation coefficient using structural equation modeling provided further evidence of reliability (R2 ranged from 0.38 to 0.76). There was evidence of validity of the measure based on hypothesis testing: Mental and physical health scores on the SF-12 predicted efficacy expectations, and efficacy expectations predicted exercise activity. Lambda X estimates (all estimates > or = 0.81) provided further evidence of validity. CONCLUSION: Preliminary testing provided evidence for the reliability and validity of the SEE scale. Future testing of the scale needs to be done with young old adults and subjects from different socioeconomic and cultural groups.

Aged↗

Psychological changes accompany aerobic exercise in healthy middle-aged adults.

An attempt was made to assess the effects of aerobic exercise on the psychological functioning of a nonclinical sample of healthy middle-aged adults. Sixteen subjects participated in a 10-week program of regular walking-jogging, while a matched control group maintained their sedentary life-styles. All subjects completed a battery of psychological tests, including the Profile of Mood States, the State-Trait Anxiety Inventory and a retrospective questionnaire regarding self-perceptions of change. Examination of test scores revealed that scores for the exercise group almost always improved, whereas the scores for the control group remained the same or deteriorated. The exercisers exhibited less state and trait anxiety, less tension, depression, and fatigue, and more vigor than the controls. These results document the potential utility of regular aerobic exercise in promoting psychological health in normal adults.

Adaptation, Psychological↗