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PubMedDate not supplied

Injuries in recreational adult fitness activities.

Volunteers (986) from fitness clubs and studios were recruited and followed for a 3-month period to document the injury consequences of adult recreational fitness participation. Participants were telephoned each week and their activities as well as any injuries that occurred were recorded. Of the 525 injuries and complaints reported during 60,629 hours of activity, 475 occurred as a result of sports participation for an overall rate of 7.83 per 1000 hours of participation. Seventy-six percent of these episodes caused the patient to alter or miss 1 or more activities, while 9.5% involved a physician visit. The rate for time-loss injuries was less than 2 per person per year (1.76 per 298 hours) or 5.92 per 1000 hours. Running had a higher risk of injury compared with most other individual sports. Cardiovascular fitness activities had low to medium rates, as did weight work; competitive sports were higher. For 6 of the most commonly injured areas, the reinjury rate was about twice that reported for those with no history of previous injury. The risks of injury from most recreational fitness activities were relatively modest, particularly if the activities were not competitive. Physicians might help patients reduce their risks of injury by encouraging suitable activities and by reducing the risks of reinjury by implementing appropriate rehabilitation programs.

Adult↗
PubMed2004

Physical fitness training: outcomes for adult oncology patients.

Physical activity and exercise participation are important considerations in the study and management of acute and long-term care for cancer patients. Although excessive rest and lack of physical activity are related to diminished physical fitness, reduced functional status, impaired cognition, and diminished quality of life, exercise prescription is not a standard treatment support for patients or survivors of cancer. In this retrospective study, it was hypothesized that routine participation in exercise could improve physical fitness for adults recently completing months of cancer treatment. Forty-five cancer patients were able to make considerable fitness gains over an 8-week period. A fitness program coordinated by an exercise physiologist, certified trainers, and an advanced practice cancer nurse was an effective method of organizing referral, monitoring individual patient concerns, and avoiding unnecessary risks.

Activities of Daily Living↗
PubMed1997

A simple reinforcement strategy for increasing attendance at a fitness facility.

The purpose of the present study was to examine the effect of a previously untested reinforcement strategy (i.e., 1 month's free membership) on attendance at a fitness facility. Participants were paying members of a fitness facility randomly assigned to control (n = 100), placebo (n = 100), and reinforcement (n = 100) conditions. The control condition received no intervention; the placebo condition received a letter by mail; and the reinforcement condition received the same letter by mail, except that it included an additional paragraph instructing them that they could earn 1 month's free membership if they attended the fitness facility at least 12 times in the next month. Attendance was monitored for 1 month baseline and postintervention by using the facility's computer system. Analysis of variance, t tests, and chi-square analysis all revealed that the reinforcement condition had the best attendance record during the intervention period. These preliminary results shed some light on increasing attendance at a fitness facility. Discussion highlighted the practical implications of the findings and offered directions for future research.

Adult↗
PubMed2006

A comparison of field methods to assess cardiorespiratory fitness among neophyte exercisers.

There is evidence to suggest that aerobic fitness levels among adults have declined markedly over the past 2 to 3 decades. Submaximal field measures of aerobic fitness, such as step tests, may now be seen as aversive by contemporary neophyte exercisers. In this study, a single-factor within-subjects (repeated measures) factorial design was used to compare three field measures of cardiorespiratory fitness among sedentary women: (a) the Queen's College step test (QCST), (b) the Rockport 1-mile walk (RW), and (c) a nonexercise estimation of VO(2) max (NE). The sample consisted of 31 racially and ethnically diverse female college students (mean age of 24.8 years). No significant within-subjects differences were found in the three measures of V0(2) max (F = 1.89, p = .17) among Black, Hispanic, White non-Hispanic, or Asian women, but relative perceived exertion scores were significantly higher for the QCST than for the RW (t = 9.79, p < .001) for all groups. The mean calculated VO(2) max for the QCST was 35.90 ml/kg/min for the subset of women ages 18 to 25 and 31.85 for those ages 26 to 46. These values represent a "poor" to "below average" score for aerobic capacity among women in both age groups. Data from this preliminary study suggest that both the RW test and the NE test are comparable to the QCST as valid and reliable field measures of aerobic fitness and appear to be good alternatives to step testing among sedentary individuals.

Adult↗
PubMed1996

Physical fitness, endurance training, and the growth hormone-insulin-like growth factor I system in adolescent females.

We examined the relationship between physical fitness and circulating components of the GH-insulin-like growth factor I (IGF-I) system [i.e. GH, GH-binding protein (GHBP), IGF-I, and IGF-binding proteins 1-5 (IGFBP-1 through-5)] in adolescent females (age range, 15-17 yr). The study consisted of 1) a cross-sectional protocol (n = 23) in which GH-IGF-I components were correlated with fitness, as estimated by thigh muscle volume and maximal O2 uptake; and 2) a prospective study in which fitness, GH-IGF-I system components, and osteocalcin were examined before and after a 5-week period of endurance-type training (control, n = 6; trained, n = 10). The cross-sectional analysis revealed significant (P < 0.05) positive correlations between fitness and 1) mean 12-h overnight GH levels, 2) GHBP, and 3) IGF-I. Muscle volume was negatively correlated with both IGFBP-2 and -4. The prospective training study was associated with 1) increases in circulating osteocalcin (39 +/- 14%; P < 0.007), and 2) decreases in IGF-I (-14 +/- 5%; P < 0.05) and IGFBP-5 (-10 +/- 4%; P < 0.04). Unexpectedly, IGFBP-3 fell in both control (-8 +/- 2%; P < 0.01) and trained subjects (-5 +/- 3%; P < 0.05), and GHBP was reduced only among control subjects (-10 +/- 7%; P < 0.04). In summary, fitter adolescent girls tended to have increased mean serum GH, GHBP, and IGF-I. In contrast, brief endurance training led to increases in muscle mass and serum osteocalcin that were not accompanied by increases in GH or IGF-I. In fact, training may, in the short term, have led to a catabolic state hormonally expressed by reductions in IGF-I and IGFBP-5.

Adolescent↗
PubMed2006

Physical fitness and lifetime cognitive change.

OBJECTIVE: To test the hypothesis that physical fitness is associated with more successful cognitive aging. METHODS: Surviving participants (N = 460) of the Scottish Mental Survey of 1932 were tested on the same general cognitive test at age 11 and 79 years. Measures of grip strength, 6-meter walk time, and lung function (forced expiratory volume from the lungs in 1 second [FEV1]) were assessed at age 79 years. RESULTS: A latent physical fitness trait, derived by principal components analysis of the three fitness measures, was significantly associated with successful cognitive aging. Cognitive score at age 11, sex, social class, and APOE-epsilon4 genotype were included as covariables. Higher childhood IQ was associated with better lung function in old age. CONCLUSIONS: Physical fitness is associated with cognitive reserve. Intervention studies aimed at making older people fitter are good candidates to improve cognitive aging.

Adaptation, Physiological↗
PubMed2004

A longitudinal study of fitness and activity in girls predisposed to obesity.

PURPOSE: To determine whether physical activity and fitness change in girls with and without a predisposition to obesity from 8 to 10 yr of age. METHODS: Normal-weight girls (N = 91) were recruited at 8 yr of age according to parental body mass index (BMI): LN = girls with two lean (BMI < 25 kg.m-2) parents, LNOB = girls with one obese and one lean parent, and OB = girls with two obese (BMI > 28 kg.m-2) parents. A longitudinal study was undertaken with annual assessments at 8, 9, and 10 yr of age. The primary outcomes were fitness ([OV0312]O2peak) measured by treadmill testing, and physical activity measured by heart rate monitoring and by questionnaire. Sedentary behavior was assessed by questionnaire. RESULTS: [OV0312]O2peak (mL.kg-1.min-1) did not change over time; however, [OV0312]O2peak (L.min-1 and mL.kg-1.min-1), time on the treadmill, and treadmill stage were different across groups (P < 0.02). Girls with LNOB parents had a lower absolute [OV0312]O2 than the LN girls by 2.5 mL.kg-1.min-1 (P < 0.05). The OB group had a 3.9 mL.kg-1.min-1 lower [OV0312]O2 than the LN group (P < 0.001). The girls of LN parents also exercised longer on the treadmill (P < 0.05) than girls with OB parents. The percent of the day spent active on the weekday and weekend did not change over time or between groups. Time spent watching TV during the school year and summer was similar over the study period and between groups. CONCLUSION: Our data suggest that fitness and physical activity remain fairly constant in girls from 8 to 10 yr of age, but girls of obese parents tend to be less fit.

Body Composition↗
PubMed2004

Longitudinal changes in cardiorespiratory fitness: measurement error or true change?

PURPOSE: This study examined the thesis that the reported Aerobics Center Longitudinal Study (ACLS) mortality reductions associated with improved cardiorespiratory fitness were because of measurement error of serial treadmill tests. We tested the research hypothesis that longitudinal changes in cardiorespiratory fitness of the ACLS cohort were a multivariate function of changes in self-report physical activity (SR-PA), resting heart rate, and body mass index (BMI). METHODS: We used the results of three serial maximal treadmill tests (T1, T2, and T3) to evaluate the serial changes in cardiorespiratory fitness of 4675 men. The mean duration between the three serial tests examined was: T2 - T1, 1.9 yr; T3 - T2, 6.1 yr; and T3 - T1, 8.0 yr. Maximum and resting heart rate, BMI, SR-PA, and maximum Balke treadmill duration were measured on each occasion. RESULTS: General linear models analysis showed that with change in maximum heart rate statistically controlled change in treadmill time performance was a function of independent changes in SR-PA, BMI, and R-HR. These variables accounted for significant (P < 0.001) proportions (7%, 9%, and 12%) of the change in treadmill time variance. Those men who increased their SR-PA and lowered their BMI and resting heart rate gained the most fitness between serial tests. CONCLUSIONS: These results support the research hypothesis tested. Variations in serial ACLS treadmill tests are not just due to measurement error alone, but also to systematic variation linked with changes in lifestyle.

Adult↗
PubMed2005

Pregnancy-related changes in physical activity, fitness, and strength.

PURPOSE: The objective was to examine the pregnancy-related changes in physical activity, fitness, and strength in women of varying body mass indices (BMI). METHODS: Women (N = 17 low BMI, N = 34 normal BMI, and N = 12 high BMI, mean age +/- SD = 30.7 +/- 4.1 yr) were studied before pregnancy (0 wk) and postpartum (6 and 27 wk) for body composition and for physical activity, fitness, and strength. Physical activity was assessed by questionnaire, fitness by a maximal oxygen consumption (VO2) test on a cycle ergometer, and strength by the one-repetition maximum test. Data were analyzed by repeated measures ANOVA testing for time and BMI group. RESULTS: Total physical activity differed qualitatively, but not quantitatively, with time. Significant time effects were observed for maximal workload, heart rate, respiration rate, ventilation, VO2, respiratory exchange ratio, and strength. VO2max, adjusted for weight, dropped by approximately 385 mL x min(-1) from 0 to 6 wk postpartum (P < 0.0001) and by approximately 234 mL x min(-1) from 0 to 27 wk postpartum (P < 0.01). The high-BMI group had a lower VO2max (adjusted for weight or fat-free mass) than the normal-BMI group (P < 0.05). Strength decreased for the leg press by 24% (P < 0.02) and for the latissimus pull down by 8% (P < 0.01) from 0 to 6 wk postpartum, and then increased by 44 and 12%, respectively (both P < 0.05), by 27 wk postpartum. CONCLUSION: Relative to prepregnancy performance, fitness and strength declined in the early postpartum period but improved by 27 wk postpartum.

Adolescent↗
PubMed2006

Physical fitness profiles in young Finnish men during the years 1975-2004.

PURPOSE: This population-based study describes fitness profiles in aerobic capacity (N = 387088) during the years 1975-2004, muscle performance (N = 280285) from 1982 to 2003, and body anthropometry (N = 324911) from 1993 to 2004 among the Finnish conscripts at the age of 20 yr. METHODS: Endurance performance was tested by the 12-min running test. Muscle fitness tests consisting of sit-ups, push-ups, pull-ups, a back-muscle test, and standing long jump were scored to muscle fitness index (MFI). RESULTS: The mean body mass of the conscripts increased from 70.8 to 75.2 kg (P < 0.01) during the years 1993-2004. The mean distance of the conscripts" 12-min running test increased first by 4% from 1975 to 1979, but after it that decreased by 12% (from 2760 m to 2434 m, P < 0.001) compared with the year 2004. MFI increased during the first decade of the follow-up, but thereafter, the number of conscripts who achieved excellent and good MFI decreased from 66.8 to 41.2% (P < 0.001) during the years 1992-2004. The physical ability of the conscripts to meet military service declined during the last 15 yr. CONCLUSION: Both the increase in body mass and the decrease in physical fitness may lead to serious health problems in the future.

Adult↗
PubMed2006

The human gene map for performance and health-related fitness phenotypes: the 2005 update.

The current review presents the 2005 update of the human gene map for physical performance and health-related fitness phenotypes. It is based on peer-reviewed papers published by the end of 2005. The genes and markers with evidence of association or linkage with a performance or fitness phenotype in sedentary or active people, in adaptation to acute exercise, or for training-induced changes are positioned on the genetic map of all autosomes and the X chromosome. Negative studies are reviewed, but a gene or locus must be supported by at least one positive study before being inserted on the map. By the end of 2000, in the early version of the gene map, 29 loci were depicted. In contrast, the 2005 human gene map for physical performance and health-related phenotypes includes 165 autosomal gene entries and QTL, plus five others on the X chromosome. Moreover, there are 17 mitochondrial genes in which sequence variants have been shown to influence relevant fitness and performance phenotypes. Thus, the map is growing in complexity. Unfortunately, progress is slow in the field of genetics of fitness and performance, primarily because the number of laboratories and scientists focused on the role of genes and sequence variations in exercise-related traits continues to be quite limited.

Anthropometry↗
PubMed2007

Musculoskeletal fitness and weight gain in Canada.

BACKGROUND: Obesity is a growing health issue in Canada, and identifying the determinants of weight gain is important for the development of appropriate prevention strategies. PURPOSE: To quantify the association between musculoskeletal fitness (MSF) and subsequent weight gain and development of obesity. METHODS: The sample included 606 participants (20-69 yr; 291 men, 315 women) from the Physical Activity Longitudinal Study (PALS), a follow-up of participants from the 1981 Canadian Fitness Survey. Standardized assessments of height, weight, MSF (push-ups, sit-ups, grip strength, and trunk flexibility), and cardiorespiratory fitness were made at baseline (1981). Follow-up data on self-reported height and weight and body mass index (BMI) were collected by survey in 2002-2004. Logistic regression was used to predict obesity and weight gain of > or = 10 kg between 1981 and 2002-2004. RESULTS: During the 20-yr follow-up, the prevalence of obesity (BMI > or = 30 kg.m(-2)) increased from 3.1 to 15.2%, reflecting a mean weight gain of 7.4 kg (men: 6.7 kg; women: 8.1 kg). Further, independent of age, sex, baseline BMI, physical activity, cardiorespiratory fitness, smoking, alcohol consumption, and income, low MSF was associated with significantly higher odds of having gained at least 10 kg during follow-up (OR: 1.78, 95% CI: 1.14-2.79). CONCLUSIONS: The results indicate that MSF is a significant predictor of weight gain during a 20-yr period. Promoting participation in activities that enhance MSF may be beneficial in attenuating age-related weight gain and in preventing obesity among Canadians.

Adult↗
PubMed1993

[Relationship of body-composition types to physical fitness performance for college women].

The purpose of this study was twofold, 1) to classify the body composition of college women into certain types by combining percent body fat, and lean body mass per unit of height and 2) to clarify the characteristics of physical fitness performance in each group, because we have as yet no reports on physical fitness in such a way. The subjects were 205 college women (average age 19.1) in Morioka, Iwate, Japan, and we collected data on body forms and physical fitness performance of subjects in 1989 and 1990. We calculated body density by the SUZUKI-NAGAMINE skinfold thickness method for Japanese, and also % FAT by the BROZEK formula. In order to check significant differences of mean values for each type, we employed the t-test, and a statistically significant level of 0.05. The findings were as follows: 1. We classified the body composition of college women into 9 types: Aa, Ab, Ac, Ba, Bb, Bc, Ca, Cb, Cc by combination of % FAT and unit LBM. Type Aa has much more % FAT and unit LBM, while type Cc has much less % FAT and unit LBM. We observed that each type has a particular body form; for example, type Aa students generally have average height but are heavier, whereas type Cc students are usually shorter and lighter. 2. Type Ba showed the best physical fitness performance of the 9 types. This type has a body composition of average % FAT and much more unit LBM. Type Ab, with much more % FAT and average unit LBM followed type Ba.(ABSTRACT TRUNCATED AT 250 WORDS)

Adipose Tissue↗
PubMed1992

Benefit segmentation of the fitness market.

While considerate attention is being paid to the fitness and wellness needs of people by healthcare and related marketing organizations, little research attention has been directed to identifying the market segments for fitness based upon consumers' perceived benefits of fitness. This article describes three distinct segments of fitness consumers comprising an estimated 50 percent of households. Implications for marketing strategies are also presented.

Attitude to Health↗
PubMed1999

The relationships among pulmonary function, aerobic fitness, and cognitive functioning in older COPD patients.

STUDY OBJECTIVES: To study the predictive relationships among age, pulmonary function, aerobic fitness, and cognition in people with COPD. DESIGN: Observational study conducted during baseline testing with COPD patients who volunteered to participate in an exercise intervention. PARTICIPANTS: Older adults (age, 56 to 80 years) with COPD. MEASUREMENTS AND RESULTS: Age, depression, education level, aerobic fitness, blood oxygen saturation levels, and pulmonary function were assessed. Participants were randomly assigned to take cognitive tests of (1) fluid intelligence, (2) processing speed and working memory span, or (3) processing speed and inhibition. After controlling for education and depression (F(2,57) = 7.43; r(2) = 0. 21), performance on the 6-min walk (F(1,56) = 15.27; r(2) = 0.17) and age (F(1,55) = 7.52; r(2) = 0.08) were significant predictors of fluid intelligence. On the speed-of-processing task, performance on the 6-min walk (F(1,30) = 8.17; r(2) = 0.20), maximum voluntary ventilation (F(1,29) = 5.81; r(2) = 0.16), and age (F(1,28) = 5.26; r(2) = 0.10) were significant predictors. FVC was a significant predictor (F(1,25) = 6.37; r(2) = 0.18) of working memory span. The ability to inhibit a response was not significantly predicted by any of the variables assessed. CONCLUSIONS: In an older COPD sample, age, aerobic fitness, and pulmonary function are predictive of cognitive performance on various tasks. In particular, age and aerobic fitness are predictive of speed of processing, which is a cognitive variable that may itself underlie performance on a majority of cognitive tasks.

Adult↗
PubMed2005

Comparative impact of morbid obesity vs heart failure on cardiorespiratory fitness.

BACKGROUND: We are in the midst of an obesity pandemic. Morbid obesity is associated with dyspnea on exertion and higher overall mortality rates. The relations between measures of cardiorespiratory fitness in morbidly obese persons compared to those with heart failure are unknown. METHODS: We compared cardiorespiratory fitness in patients with morbid obesity (n = 43) and established systolic dysfunction heart failure (n = 235), and in age-matched medical control subjects (n = 222) who had been referred for diagnostic exercise testing with simultaneous metabolic measurements. Only patients who completed an adequate test for maximum exertion manifested by a respiratory exchange ratio of > or = 1.10 were included in the study. RESULTS: The mean (+/- SD) body mass index (BMI) values for the three groups were 47.8 +/- 5.1, 30.1 +/- 5.7, and 33.8 +/- 9.0, respectively (p < 0.0001 for comparisons between morbidly obese patients and each comparator). The mean left ventricular ejection fraction for the heart failure group was 21.5 +/- 8.4%. Despite achieving higher peak heart rate and BP values, the morbidly obese patients had a mean maximum oxygen uptake (V(O2)max) that was similar to that of those with heart failure (17.8 +/- 3.6 vs 16.5 +/- 5.6 mL/kg/min, respectively; p = 0.14) and was considerably lower than that of the control group (17.8 +/- 3.6 vs 21.3 +/- 8.2 mL/kg/min, respectively; p = 0.007). In addition, among subjects in the control group, there was a graded inverse relation between BMI and V(O2)max. CONCLUSIONS: Morbidly obese individuals have severely reduced cardiorespiratory fitness that is similar to those with established systolic dysfunction heart failure. In addition, in those persons who are referred for stress testing for medical reasons, there is an inverse graded relationship between BMI and cardiorespiratory fitness. These data suggest that the impairment in V(O2)max in morbidly obese persons is related to BMI and possibly to other factors that impair peak cardiac performance. These findings are consistent with overall higher expected mortality in morbidly obese persons.

Adult↗
PubMed2006

Cardiorespiratory fitness and short-term complications after bariatric surgery.

BACKGROUND: Morbid obesity is associated with reduced functional capacity, multiple comorbidities, and higher overall mortality. The relationship between complications after bariatric surgery and preoperative cardiorespiratory fitness has not been previously studied. METHODS: We evaluated cardiorespiratory fitness in 109 patients with morbid obesity prior to laparoscopic Roux-en-Y gastric bypass surgery. Charts were abstracted using a case report form by reviewers blinded to the cardiorespiratory evaluation results. RESULTS: The mean age (+/- SD) was 46.0 +/- 10.4 years, and 82 patients (75.2%) were female. The mean body mass index (BMI) was 48.7 +/- 7.2 (range, 36.0 to 90.0 kg/m(2)). The composite complication rate, defined as death, unstable angina, myocardial infarction, venous thromboembolism, renal failure, or stroke, occurred in 6 of 37 patients (16.6%) and 2 of 72 patients (2.8%) with peak oxygen consumption (Vo(2)) levels < 15.8 mL/kg/min or > 15.8 mL/kg/min (lowest tertile), respectively (p = 0.02). Hospital lengths of stay and 30-day readmission rates were highest in the lowest tertile of peak Vo(2) (p = 0.005). There were no complications in those with BMI < 45 kg/m(2) or peak Vo(2) > or= 15.8 mL/kg/min. Multivariate analysis adjusting for age and gender found peak Vo(2) was a significant predictor of complications: odds ratio, 1.61 (per unit decrease); 95% confidence interval, 1.19 to 2.18 (p = 0.002). CONCLUSIONS: Reduced cardiorespiratory fitness levels were associated with increased, short-term complications after bariatric surgery. Cardiorespiratory fitness should be optimized prior to bariatric surgery to potentially reduce postoperative complications.

Coronary Disease↗
PubMed2004

Neurocognitive aging and cardiovascular fitness: recent findings and future directions.

In the first century, ce, the Roman satirist Juneval famously observed Orandum est, ut sit mens sana in corpore sano, or "A sound mind in a sound body is something to be prayed for." This implicit link between mental and physical health, also paralleled by Eastern philosophies and practices such as tai chi, has survived the millennia since Juneval and his contemporaries. More recently, controlled examinations of the effects of physical fitness on cognitive performance have shown that improving cardiovascular fitness (CVF) can help to reduce the deleterious effects of age on cognition and brain structure. Thus, as we age, it may well be the case that a sound mind is a natural concomitant of a sound body. Numerous cross-sectional and longitudinal studies have examined the effects of aerobic exercise on cognitive performance in aging humans since earlier studies, which found that physically fit older adults performed better on simple cognitive tasks than their less-fit counterparts. This base of knowledge recently has been furthered through examinations of cortical structure (Colcombe et al., 2003) and neurocognitive function in aging humans via functional and structural magnetic resonance imaging techniques. In this manuscript, we will briefly review some of our recent research on the effects of CVF on brain function, structure, and behavior in older adults. We will then outline some of our current and future directions in this area.

Aging↗