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Effects of integrated or segregated sport participation on the physical self for adolescents with intellectual disabilities.

BACKGROUND: The purpose was to examine the effects of the type of athletic programme (integrated vs. segregated) on the athletic domain of perceived competence and on general self-worth. METHODS: Participants were 32 adolescent females with intellectual disabilities (ID), divided equally into four groups: (1) segregated swimming; (2) integrated swimming; (3) adapted physical activity; and (4) sedentary. The experimental treatment was 32 months long; for sport groups, this involved 2 h of training each week and 12 competitive meets. The Harter Self-Perception Profile for Children 11 times was administrated to determine changes in perceived physical competence and general self-worth. RESULTS: Results indicated (1) no change in perceived general self-worth for the four groups; (2) significantly lower perceived athletic competence only for the integrated swimming group, despite the increase in athletic performance. CONCLUSIONS: The integrated sport participation for adolescents with ID placed in segregated school is useful but needs to be well controlled by professional in physical education.

Adaptation, Psychological↗

Potentiation of the anti-obesity effect of the selective beta 3-adrenoceptor agonist BRL 35135 in obese Zucker rats by exercise.

UNLABELLED: 1. The effects of chronic treatments with a selective beta 3-adrenoceptor agonist and a selective alpha 2-adrenoceptor antagonist and their interactions with physical exercise training were studied in experimental obesity. 2. BRL 35135 (beta 3-agonist, 0.5 mg kg-1 day-1 p.o.), atipamezole (alpha 2-antagonist, 4.0 mg kg-1 day-1 p.o.) and placebo were given to genetically obese male Zucker rats. Half of the rats were kept sedentary whereas the other half were subjected to moderate treadmill exercise training. Body weight gain, cumulative food intake, the neuropeptide Y content of the hypothalamic paraventricular nucleus, brown adipose tissue thermogenic activity (measured as GDP binding), plasma insulin and glucose levels were measured after 3 weeks' treatment and exercise. 3. Treatment with BRL 35135 reduced weight gain by 19%, increased brown adipose tissue thermogenic activity 45-fold and reduced plasma insulin by 50%. Atipamezole slightly increased food intake and neuropeptide Y content in the paraventricular hypothalamic nucleus but had no effect on the other measured parameters. Exercise alone had no effect on weight gain, food intake or thermogenic activity, whereas it reduced plasma insulin and glucose levels. 4. The effect of BRL 35135 on weight gain and thermogenic activity was significantly potentiated by exercise; the reduction in weight gain was 56% in comparison with 19% in sedentary animals. Food intake was significantly reduced in the BRL 35135-treated-exercise-trained animals, although neither beta 3-agonist nor exercise alone affected it. 5. Based on the present results in genetically obese Zucker rats, combination of 03-agonist treatment with a moderate physical training may offer a new feasible approach to the therapy of obesity.- KEYWORDS: BRL 35135; atipamezole; P3-adrenoceptor agonism; M2-adrenoceptor antagonism; brown adipose tissue; thermogenesis;genetic obesity; Zucker rat; exercise; neuropeptide Y

Adipose Tissue↗

Middle-aged and older Chinese men and women in Singapore who smoke have less healthy diets and lifestyles than nonsmokers.

Although studies in Western populations have shown that smokers have decreased dietary intakes of antioxidants and other health-related nutrients, this has not been established in oriental populations. This study aimed to identify differences in dietary and lifestyle characteristics between current, former, and never-smokers among middle-aged and older Chinese in Singapore. The subjects, 45-74 y old, were participants in the Singapore Chinese Health Study, a prospective cohort that enrolled 63,257 (27,959 men and 35,298 women) Chinese in Singapore between 1993 and 1998. Data on current dietary habits (using a validated, semiquantitative FFQ) and other lifestyle factors were collected through face-to-face interviews. Mean daily intakes of various nutrients were estimated using a food composition table that was specifically developed for this population. The current smoking rates were 36% in men and 6% in women; an additional 22% of men and 3% of women were former smokers. In both sexes, current smokers were less educated, had lower BMI, led a more sedentary lifestyle, and drank more alcohol and coffee than those who never smoked. Current smokers had dose-dependent decreases in the intakes of a wide range of antioxidants, vitamins, fiber, and calcium, but increases in the intakes of cholesterol and nitrosamines compared with people who never smoked. Former smokers had dietary intakes that either were similar to never-smokers or intermediate between current and never-smokers. Our results are consistent with findings among Western populations, and suggest that the unhealthy diet and lifestyle in smokers occur across diverse cultures.

Aged↗

Vagal and sympathetic control of heart rate during exercise by sedentary and exercise-trained rats.

1. The present investigation was undertaken to study the vagal and sympathetic effects of an acute bout of exercise on ten sedentary (S) and nine trained (T) rats. The exercise training was performed 5 times a week for 13 weeks on a motor treadmill, at 1.0 mph, 15% grade for 60 min. 2. Heart rate (HR) was recorded at rest and during exercise, 15% grade at 0.5, 0.8 and 1.0 mph, for 3 min per stage. Vagal and sympathetic effects were studied after the administration of methylatropine (3 mg/kg) and propranolol (4 mg/kg). 3. Exercise training significantly attenuated cardiac acceleration at 0.8 (441 +/- 8 vs 486 +/- 9 bpm in S, P < 0.05) and 1.0 mph (466 +/- 12 vs 508 +/- 6 bpm in S, P < 0.05). The vagal effect was significantly increased in the T group at 0.8 (72 +/- 5 vs 32 +/- 10 bpm in S, P < 0.05) and 1.0 mph (46 +/- 8 vs 15 +/- 7 bpm in S, P < 0.05). The sympathetic effect was significantly decreased in the T group at 0.8 (73 +/- 9 vs 112 +/- 9 bpm in S, P < 0.05) and 1.0 mph (96 +/- 11 vs 125 +/- 7 bpm in S, P < 0.05). The intrinsic HR behavior was not different between groups.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

Medical therapy for obesity: present and future.

The prevalence of obesity worldwide has risen sharply during the last four decades. The etiology of obesity is complex and includes a host of genetic influences in addition to the overconsumption of energy coupled with a sedentary lifestyle. Obesity is known to cause or exacerbate many co-morbid conditions such as diabetes, hypertension, dyslipidemia, coronary heart disease, stroke, certain cancers, arthritis and obstructive sleep apnea. Modest weight losses of 5-10% of actual weight are related to significant improvements in co-morbid conditions, but unfortunately the rate of recidivism with short-term therapy for obesity is high. The recent recognition of obesity as a chronic disease that should be treated with long-term programs and possibly with polypharmacy, and the alarming increase in its prevalence, have prompted extensive research and the development of new pharmacotherapy.

Anti-Obesity Agents↗

Educational level and hypertension: how socioeconomic differences condition health care.

This is the first European study that has evaluated educational level in a large sample of hypertensive outpatients. We established the educational level of the hypertensive outpatients in our unit, and determined whether the awareness of hypertension and its organ damage was education-related. We analysed data from 812 consecutive outpatients (378 men, mean age 50 +/- 10 years) with essential stage I-II hypertension. Subjects were subdivided into two categories: group A subjects were highly educated; group B subjects had a little education. Data were compared with educational level from the 1991 population census for the Campania region (ISTAT data) and with 200 type 2 diabetes patients (96 men, mean age 51 +/- 9 years) from the nearest diabetes unit. For each hypertensive patient we considered clinical, echocardiographic and biochemical parameters. Data from the last census showed a high percentage (80%) of subjects with low education. The percentage of type 2 diabetic patients with little education was high (190 patients, 95%). Conversely, it is somewhat surprising that most hypertensive patients reached high standards of education and worked at sedentary jobs (group A: 736 patients, 91%; P < 0.0001). Multivariate analysis showed that only diastolic blood pressure (P = 0.03) was independently associated with low educational level. Compared to diabetes, hypertension and its risk factors are relatively unknown to people with little education. Education is associated with greater health care and awareness that may overcome the risk related to low physical activity. Thus, we stress the importance of a sound health policy able to reach out to the uneducated and make them aware of hypertension and the health care services available to them.

Adult↗

Theories and techniques for promoting physical activity behaviours.

The primary goal of this article is to review theoretical models utilised in designing physical activity interventions for healthy adults. Physical activity offers numerous benefits for improved physical and psychological health. However, the majority of the population is sedentary and therefore at increased risk for morbidity and mortality. Many techniques have been developed for intervening with physical activity behaviours, some of which are based on theoretical models. While some of these models show more promise than others, no model is sufficient to thoroughly explain exercise behaviours or how to best intervene. In the final section, recommendations for future research are presented, and promising areas of development in physical activity interventions are discussed. This is not an exhaustive review of theoretical models but rather focuses on models most commonly applied to physical activity.

Adult↗

Non-insulin-dependent diabetes mellitus--a collision between thrifty genes and an affluent society.

Non-insulin-dependent diabetes mellitus (NIDDM) is one of the most common non-communicable diseases in the world. It has become obvious that NIDDM is the result of a collision between thrifty genes and an affluent society. Genes predisposing to NIDDM might have been survival genes for our ancestors, helping them to store energy during long periods of starvation. When these genes are exposed to a sedentary lifestyle and high caloric intake typical to the Western world, they predispose to obesity and insulin resistance. NIDDM results when beta cells cannot compensate for insulin resistance by increasing insulin secretion. Therefore, at least two inherited defects can be expected in NIDDM, one causing obesity and insulin resistance and the other inability to increase insulin secretion. In reality there may be more inherited defects. It has become quite clear that diabetes cannot simply be divided into NIDDM and insulin-dependent diabetes mellitus (IDDM). The disease is more heterogeneous; unmasking this heterogeneity and identifying new subgroups of diabetes presents a challenge to modern molecular biology.

Animals↗

Genetics and geography of wild cereal domestication in the near east.

About 12,000 years ago, humans began the transition from hunter-gathering to a sedentary, agriculture-based society. From its origins in the Near East, farming expanded throughout Europe, Asia and Africa, together with various domesticated plants and animals. Where, how and why agriculture originated is still debated. But newer findings, on the basis of genome-wide measures of genetic similarity, have traced the origins of some domesticated cereals to wild populations of naturally occurring grasses that persist in the Near East. A better understanding of the genetic differences between wild grasses and domesticated crops adds important facets to the continuing debate on the origin of Western agriculture and the societies to which it gave rise.

Agriculture↗

Health-enhancing physical activity and sedentary behaviour in children and adolescents.

We provide a wide-ranging review of health-related physical activity in children and adolescents using a behavioural epidemiology framework. In contrast to many other reviews, we highlight issues associated with true sedentary behaviours alongside physically active behaviours. Specifically, we review the evidence concerning the links between physical activity and cardiovascular disease, overweight and obesity, psychosocial measures, type II diabetes, and skeletal health. Although the evidence is unconvincing at times, several factors lead to the conclusion that promoting physical activity in youth is desirable. A review of the prevalence of physical activity and sedentary behaviours shows that many young people are active, but this declines with age. A substantial number are not adequately active for health benefits and current trends in juvenile obesity are a cause for concern. Prevalence data on sedentary behaviours are less extensive but suggest that total media use by young people has not changed greatly in recent years. Most children and adolescents do not exceed recommended daily hours of TV viewing. Physical activity is unrelated to TV viewing. We also identified the key determinants of physical activity in this age group, highlighting demographic, biological, psychological, behavioural, social and environmental determinants. Interventions were considered for school, family and community environments. Finally, policy recommendations are offered for the education, governmental, sport and recreation, health, and mass media sectors.

Adolescent↗

Physical activity and subsistence pattern of the Huli, a Papua New Guinea Highland population.

Several studies on human energetics have been conducted in developed and developing countries, but very few simultaneously measured time use and energy expenditure. Only a few quantitatively compared subsistence patterns between rural and urban dwellers of an identical population. Here we present the daily physical activity level (PAL), physical exertion, time, and energy expenditure in contrasting subsistence/occupational activities of Papua New Guinea Highlanders, comparing 27 rural villagers (15 men, 12 women) who maintained traditional subsistence agriculture, with 29 urban migrants (14 men, 15 women) who engaged in cash-earning work. A large sex inequality in the division of labor was noted between rural males and females, but not among urban dwellers. Rural-urban comparison indicated sex differences in urbanization. For urban men, the reduction of physical exertion level during work, from energy-consuming agricultural work to sedentary cash-earning work, together with significantly extended work time (by 261 min/day, P < 0.001), led to an increase in work energy expenditure (15-29% of PAL). In contrast, urban women who spent almost equal time at work relative to rural women showed a lower energy expenditure (18% compared to 26% of PAL). The associations with urbanization included a gain in body weight (by 6.4 kg for either sex) and reduced PAL (by 7%, not significant in men; 13%, P < 0.01 in women). Further research is needed to elucidate the effects of urbanization on time use, energy expenditure, and PAL, by comparing rural residents with urban migrants in the same population.

Adult↗

Long-term effects of athletics meet on the perceived competence of individuals with intellectual disabilities.

The purpose was to examine the effects of the type of athletic program (integrated versus segregated) and of the type of sport (basketball versus swimming) on two domains of perceived competence (athletic competence and social acceptance), and general self-worth. Participants were 48 adolescent females with intellectual disabilities (ID) divided equally into six groups: (a) segregated basketball, (b) integrated basketball, (c) segregated swimming, (d) integrated swimming, (e) physical education (PE), and (f) sedentary. The experimental treatment was 21 months long; for sport groups, this involved 2h of training each week and 12 competitive meets. We administrated Harter's (Harter, S. (1985). Manual for the self-perception profile for children. Denver: University of Denver) Self-Perception Profile for Children seven times to determine changes in perceived competence, and general self-worth. Results indicated: (a) no changes in perceived social acceptance; (b) significantly lower perceived athletic competence for the integrated groups; (c) significantly lower general self-worth for the basketball groups compared to the PE group. The integrated environment helps adolescents with ID to adopt a more realistic evaluation of their physical competence.

Adolescent↗

Modifiable risk factors and erectile dysfunction: can lifestyle changes modify risk?

OBJECTIVES: To prospectively examine whether changes in smoking, heavy alcohol consumption, sedentary lifestyle, and obesity are associated with the risk of erectile dysfunction. METHODS: Data were collected as part of a cohort study of a random sample of men 40 to 70 years old, selected from street listings in the Boston Metropolitan Area, Massachusetts. In-home interviews were completed by 1709 men at baseline in 1987 to 1989 and 1156 men at follow-up in 1995 to 1997 (average follow-up 8.8 years). Analyses included 593 men without erectile dysfunction at baseline, who were free of prostate cancer, and had not been treated for heart disease or diabetes. The incidence of moderate to complete erectile dysfunction was determined by discriminant analysis of responses to a self-administered sexual function questionnaire. RESULTS: Obesity status was associated with erectile dysfunction (P = 0.006), with baseline obesity predicting a higher risk regardless of follow-up weight loss. Physical activity status was associated with erectile dysfunction (P = 0.01), with the highest risk among men who remained sedentary and the lowest among those who remained active or initiated physical activity. Changes in smoking and alcohol consumption were not associated with the incidence of erectile dysfunction (P >0.3). CONCLUSIONS: Midlife changes may be too late to reverse the effects of smoking, obesity, and alcohol consumption on erectile dysfunction. In contrast, physical activity may reduce the risk of erectile dysfunction even if initiated in midlife. Early adoption of healthy lifestyles may be the best approach to reducing the burden of erectile dysfunction on the health and well-being of older men.

Adult↗

Energy metabolism of male and female tarantulas (Aphonopelma anax) during locomotion.

We examined aerobic performance traits in male and female tarantulas (Aphonopelma anax). Reproductive fitness in these males relies heavily on locomotory searching to locate receptive females, which are fossorial and sedentary. Because of this dimorphism in life history, we predicted that selection in males would enhance their ability to sustain high levels of aerobic metabolism (compared with females) to support increased locomotory activity during the mating season. Rates of carbon dioxide production were measured in an enclosed variable-speed treadmill. Steady-state rates of carbon dioxide production increased linearly within the range of sustainable aerobic speeds for both males and females. Although there was substantial variation in physiological performance traits among individuals, there were no detectable intersexual differences in maximal rates of carbon dioxide production, maximal aerobic speed, minimum transport or factorial scope.

Animals↗

Exercise and older women's wellbeing.

Older women are one of the most inactive groups in the population despite being at an age where they are at greater risk of health problems. Knowing what influences these women to exercise regularly may help the development of strategies to assist sedentary women in this age group to become active. This paper reports the findings of a study that explored why a group of older women attending a fitness centre participate in regular exercise activities. The study used a qualitative approach to data collection and analysis. Data were collected using in-depth interviews from ten women over 50 years of age who exercised on a regular basis. The findings revealed four themes relating to the maintenance of general wellbeing: exercise as a socially supportive activity, exercising to maintain wellbeing, exercising to maintain independence, and exercise as liberating. The implications of the findings for nursing education, clinical practice and research are discussed.

Adaptation, Psychological↗

Eating attitudes and taste responses in young ballerinas.

The Eating Attitude Test 40 (EAT 40) was administered to 23 ballerinas (mean age 18.3 +/- 0.9 years). The scores were high, as they are in anorexic patients. The EAT 40 revealed anorexic-like attitudes in dancers: selective food restrictions, severe dieting, constant preoccupations with food. However, dancers scored low at items screening bulimia, vomiting or laxative abuse. The dancers' perceptions and preferences for sweetness and fat food content were examined and compared to those of 14 sedentary controls. Taste stimuli were 20 semiliquid mixtures of soft-white cheese (0, 3 or 7 grams of fat per 100 grams) or heavy cream (30% fat), and sweetened with 1, 5, 10, 20 or 40% sucrose. The subjects used a 9-point category scale to rate the perceived sweetness, fat content, and hedonic value of the stimuli. There were no significant differences in the perceived sweetness intensity between groups, but the perception of fat appeared to be better in dancers, in particular in very sweet stimuli. Dancers showed a clear aversion for the fattest stimuli. In young female dancers, enhanced sensitivity for alimentary fats is associated with decreased preferred levels.

Adolescent↗

Physical activity for adolescents with intellectual disability.

Numerous studies have described an association between participation in physical activity and an enhanced sense of well-being. These findings have been documented in both genders across the lifespan. Connections between exercise and positive physical, psychological, emotional and educational outcomes have also been found. New findings indicate that is an ongoing and increasing tendency for sedentary lifestyles across age groups and gender in many countries. In addition, there are many factors that work together to contribute to a sedentary lifestyle in individuals with intellectual and developmental disability (ID/DD). These findings are concerning, and indicate that people with ID/DD are at relatively high risk for the development of multiple negative consequences of physical inactivity. This review presents current literature that addresses the question of physical activity in adolescents with ID/DD. In addition, this review presents the connection between higher levels of physical fitness and better health in youths with ID/DD. Strategies to promote physical activity in the adolescent population with ID/DD are presented. The available evidence base strongly supports the high need for the establishment of community based, easily accessible physical activity programs for children and adolescents with ID/DD.

Activities of Daily Living↗

A field test of simple dispersal models as predictors of movement in a cohort of lake-dwelling brook charr.

1. Dispersal can be a major determinant of the distribution and abundance of animals, as well as a key mechanism linking behaviour to population dynamics, but progress in understanding dispersal has been hampered by the lack of a general framework for modelling dispersal. 2. This study tested the capacity of simple models to summarize and predict the lake-wide dispersal of an emerging cohort of young-of-the-year brook charr Salvelinus fontinalis, over 12 surveys conducted during a 2-month period. 3. The models are based on two types of dispersal kernel, the normal distribution from a simple diffusion process, and a Laplace distribution depicting exponential decay of the frequency of dispersers away from the point of origin. In all, four models were assessed: one-group diffusion (D1S) and exponential (E1S) models assuming homogeneous dispersal behaviour within the cohort, and two-group diffusion (D2S) and exponential (E2S) models accounting for intrapopulation differences in dispersal between sedentary and mobile individuals. 4. A rigorous cross-validation, based on calibrating the models to the distributions from the first two surveys only and then validating them on the remaining 10 distributions, was used to compare model predictions with observed values for five properties of the dispersal distributions: counts in individual shoreline sections; mean lateral displacement, variance and kurtosis of displacements; and the percentage of long-distance dispersers. 5. Substantial intrapopulation heterogeneity in dispersal behaviour was apparent: 83% of all individuals were estimated to be sedentary and the remainder mobile. Remarkably, the two-group exponential model E2S - calibrated to data from only two surveys conducted 3.5 and 8.5 days after the beginning of emergence - predicted reasonably well all properties of the spatial distribution of the cohort until the end of the study, 7 weeks later. 6. Standardized measures of mobility derived from simple models may lead to better understanding of population dynamics and improved management. Specifically, the ability to accurately predict long-distance dispersal may be critical to assessing population persistence and cohort strength whenever key habitats, such as refugia or productive areas supporting a large proportion of the cohort, are sparsely distributed or distant from the point of origin.

Animals↗