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PubMed2003

Barriers to and benefits of leisure time physical activity in the elderly: differences across cultures.

The purpose of this study was to compare ethnic differences in attitudes toward barriers and benefits of leisure-time physical activity (LTPA) in sedentary elderly Mexican (MAs) and European Americans (EAs). An in-home, cross-sectional survey was performed on 210 community-dwelling elders from 10 primary care practices in south Texas that are part of the South Texas Ambulatory Research Network, a practice-based research network. Analytical variables included ethnicity, age, sex, income, education, marital status, and LTPA. Fisher exact test was used to analyze the 100 sedentary elders (LTPA <500 kcal/wk; 63 MAs and 37 EAs). Self-consciousness and lack of self-discipline, interest, company, enjoyment, and knowledge were found to be the predominant barriers to LTPA in both groups. Both groups held similar beliefs about benefits gained from exercise, such as improved self-esteem, mood, shape, and health, but the beliefs about the positive benefits of exercise were more prevalent in MAs. These findings remained after adjusting for age, income, education, marital status, and sex. Some might think that a major barrier lies in misconception about benefits of LTPA, but in this study, both ethnic groups were accurate in their perceived benefits of LTPA. When attempting to engage elderly in LTPA, it is important not only to consider what barriers exist but also what beliefs about the benefits exist.

Aged↗

PubMed1993

Precursors of atherosclerotic and hypertensive diseases among adolescents in Addis Ababa, Ethiopia.

The present study measured the prevalence of the precursors of atherosclerosis among 519 adolescents selected from high-school students in Addis Ababa. Also assessed was their knowledge about these precursors and about the hazards of smoking and of heavy alcohol consumption. A total of 13.8% of the adolescents smoked, 11.6% had a sedentary lifestyle, 9.2% consumed alcohol heavily, 14.1% were obese, 30.3% had one risk factor, and 4.4% had two risk factors for atherosclerosis. Altogether, 58% had inadequate knowledge about the precursors of atherosclerosis, and 62% and 51.4%, respectively, had inadequate knowledge about the hazards of smoking and of consuming alcohol. High-risk behaviours were positively associated with upper-income families and inadequate knowledge about the precursors of atherosclerosis. A substantial proportion of adolescents in Addis Ababa therefore exhibit the precursors of atherosclerotic and hypertensive diseases. Further, similar studies should be carried out in other Ethiopian cities, and the Ministries of Health and Education should give due attention to the primary prevention of these diseases and formulate plans for appropriate actions.

Adolescent↗

PubMed2003

[Effectiveness of therapeutic interventions in obesity].

Obesity is a chronic disease resulting from various genetic factors and environmental conditions (nutrition, sedentary life-style, psychological factors). The importance of prevention and therapy of obesity is emerging because of the high prevalence of metabolic complications. The first goal of any therapy must be a stabilisation of weight, followed by a reduction of body weight. Any intervention must be long-acting. Short-acting therapies (diets) result in a regain of body weight in over 90%. The most effective therapy is an integrative concept basing on: change of nutrition by reduction of fat and carbohydrate intake (daily deficit of 500-1000 kcal). psychotherapeutic approach, targeting a long-term change of eating-behaviour and life-style, avoiding guilt feelings. encouraging physical activity. Drugs (Orlistat, Sibutramin) may be helpful in selected cases as a part of a limited treatment, they do not replace changes in lifestyle. Surgical interventions (gastric banding, gastric bypass) can be considered in morbid obesity with the presence of metabolic complications, as they are the most effective way of weight reduction.

Behavior Therapy↗

PubMed1998

A randomized trial of physical activity interventions: design and baseline data from project active.

We report here the design and baseline data from Project Active, a 2-yr randomized trial designed to compare the effectiveness of a Lifestyle physical activity intervention with the traditional Structured exercise prescription approach. Primary outcome measures are energy expenditure in physical activity (estimated by kcal per kilogram of body weight of energy expenditure) and cardiorespiratory fitness (measured by maximal oxygen uptake). The participants, 235 initially sedentary and apparently healthy adults, were randomized into either the Lifestyle or Structured intervention groups. The Lifestyle treatment consists of a personalized approach that accounts for an individual's motivational readiness and preferences for integrating physical activity into daily routines. The Structured approach is the familiar exercise prescription that is based on a frequency, intensity, and duration formula. The primary hypothesis to be tested is that there will be a difference in physical activity and cardiorespiratory fitness measures between the two conditions at the end of 24 months. The secondary hypothesis is that both groups will make significant improvements from baseline in physical activity and cardiorespiratory fitness at the end of 6 months. Six months of active intervention are followed by 18 months of a tapered follow-up maintenance intervention in both groups. Primary outcome measures are measured after 6 and 24 months.

Adult↗

PubMed1994

Blood lead levels of British competitive cyclists.

This study examined the extent to which the potentially toxic lead particulates emitted from motor vehicles are absorbed by competitive cyclists. A time trial (n = 5), a road race (n = 5), and a sedentary control group (n = 5) were examined with respect to blood lead (PbB) levels. In the two cycling groups, the PbB levels were measured before and after (1) a time trial (80 km) held on a dual carriageway; and (2) a road race (120 km) which took place in a rural area. Mean (+/- SE) resting PbB levels for the sedentary subjects, time trialists, and road racers were 0.442 +/- 0.041, 0.490 +/- 0.111 and 0.384 +/- 0.061 mumol l-1 respectively (p > 0.05). Mean post-race PbB levels of the time trialists (0.528 +/- 0.046 mumol l-1) and road racers (0.346 +/- 0.024 mumol l-1) did not differ significantly from the pre-race levels (p > 0.05). However, after their respective races, the mean PbB level of the time trialists was higher than that of the road racers (p < 0.05). Ninety minutes of cycling (70% VO2 max) in a laboratory containing approximately 1 microgram m3 of airborne lead did not affect blood lead levels. All PbB levels compiled with EC regulations regarding lead exposure. Despite a positive relationship between the amount of training and the PbB levels (r = 0.64, p < 0.05), competitive cyclists did not evidence abnormal levels of lead absorption. Time trialing on dual carriageways was associated with higher PbB levels than road racing.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

PubMed2006

Design of the Dutch Obesity Intervention in Teenagers (NRG-DOiT): systematic development, implementation and evaluation of a school-based intervention aimed at the prevention of excessive weight gain in adolescents.

BACKGROUND: Only limited data are available on the development, implementation, and evaluation processes of weight gain prevention programs in adolescents. To be able to learn from successes and failures of such interventions, integral written and published reports are needed. METHODS: Applying the Intervention Mapping (IM) protocol, this paper describes the development, implementation, and evaluation of the Dutch Obesity Intervention in Teenagers (DOiT), a school-based intervention program aimed at the prevention of excessive weight gain. The intervention focussed on the following health behaviours: (1) reduction of the consumption of sugar-sweetened beverages, (2) reduction of energy intake derived from snacks, (3) decrease of levels of sedentary behaviour, and (4) increase of levels of physical activity (i.e. active transport behaviour and sports participation). The intervention program consisted of an individual classroom-based component (i.e. an educational program, covering 11 lessons of both biology and physical education classes), and an environmental component (i.e. encouraging and supporting changes at the school canteens, as well as offering additional physical education classes). We evaluated the effectiveness of the intervention program using a randomised controlled trial design. We assessed the effects of the intervention on body composition (primary outcome measure), as well as on behaviour, behavioural determinants, and aerobic fitness (secondary outcome measures). Furthermore, we conducted a process evaluation. DISCUSSION: The development of the DOiT-intervention resulted in a comprehensive school-based weight gain prevention program, tailored to the needs of Dutch adolescents from low socio-economic background.

Adolescent↗

PubMed1993

Chronic physical activity alters hepatobiliary excretory function in rats.

Recent studies have indicated that exercise causes alterations in the biotransformation of some xenobiotics and the clearances of antipyrine and [14C]aminopyrine. The present study has investigated whether chronic voluntary physical activity alters hepatobiliary excretory function by comparing the clearance and biliary excretion of model substrates for each of four carrier-mediated transport systems (anion, uncharged, bile acid and cation; n = 8 for each chemical in each group) in active and inactive female rats. The active rats had access to running wheels and voluntarily ran 11.2 +/- 0.68 km/day. The active rats were fed ad libitum, and ate 37% more food than weight-matched, restricted-fed sedentary control rats. Basal bile flow was 34% higher in active rats than in inactive rats, and excretion of bile acids, cholesterol and phospholipid were also increased. The biliary excretion and biliary clearance of the anion, indocyanine green, were elevated in active rats, although total clearance and serum concentrations were not different due to decreased non-biliary clearance. Serum elimination and total clearance of the uncharged substrate, ouabain, were elevated in the active rats, due entirely to increased nonbiliary clearance. Total clearance of the bile acid, taurocholate, was higher in active rats due to an increased biliary clearance. In contrast, there were no differences in either the biliary excretion or clearances of the cation, procainamide ethobromide, between the two groups of rats. Finally, no differences in volume of distribution or elimination half-life were noted between inactive and active rats for any of the substrates.(ABSTRACT TRUNCATED AT 250 WORDS)

Aminopyrine↗

PubMed2003

Evaluation of an internet-based physical activity intervention: a preliminary investigation.

The Internet has the potential for delivering innovative, interactive physical activity (PA) interventions to large numbers of people. This study was designed to test the efficacy of an Internet intervention that consisted of a Web site plus 12 weekly e-mail tip sheets, compared with a waiting list control group. The Internet intervention was theory based and emphasized clear, graphical presentation of PA information. Sixty-five (30 intervention and 35 control) sedentary adult employees of several large hospitals (9 men and 56 women) were randomly assigned to 1 of the 2 study arms. Of the 65 participants, 57 completed the 1-month follow-up, and 52 completed the 3-month follow-up. At both 1 and 3 months, those in the intervention group were significantly more likely to have progressed in stage of motivational readiness for PA than participants in the control group: 1 month, c2(1, N =52) =4.05, p <.05; 3 months, c2(1, N =52) =6.45, p <.01. We hypothesized that at 1 and 3 months, the intervention group would exhibit significant increases relative to the control group on the number of minutes of moderate activity. At the 1-month assessment, the intervention group did exhibit significant increases, relative to the control group in moderate minutes, F(1, 54) =5.79, p <.05; however, at the 3-month assessment this difference was no longer significant. In addition, secondary analyses were conducted to examine total number of minutes of walking reported. At 1 month, the intervention group did exhibit significant increases, relative to the control group, in walking minutes, F(1, 54) =12.1, p <.001. At the 3-month assessment, amount of time spent in walking activity continued to be significantly higher for the intervention group compared with the control group, F(1, 48) =5.2, p <.05. These findings show that a theoretically based PA Web site and weekly e-mail tip sheets can have a short-term impact on PA motivation and behavior both at 1 and 3 months. As Internet access increases, and as bandwidth and other technical attributes of this medium improve, Web site delivered health behavior interventions will become increasingly useful in public health promotion.

Adult↗

PubMed1989

Effects of exercise on hypocholesterolemia of stroke-prone spontaneously hypertensive rats.

The effects of exercise on hypocholesterolemia, one of the risk factors of cerebrovascular disorders, were examined. 47-51-day-old stroke-prone spontaneously hypertensive rats (stroke-prone SHRs) were assigned to 2 groups, sedentary or exercise, and raised for 8 weeks. The total serum cholesterol level of the exercised group was 17-18% higher (P less than 0.01) than the control group, and the level of cholesterol synthesis in the liver of the former group significantly higher than in the latter. On the other hand, the level of intestinal cholesterol synthesis in the exercised group was significantly lower. The activity of HMG-CoA reductase in the liver microsomes was significantly increased by exercise, but the activity of this enzyme in the small intestine was not affected. A significant correlation was observed between the rate of cholesterol synthesis in the liver and the amount of radiolabeled cholesterol released into the serum. From these results, we conclude that the enhancement of the synthesis and the release of cholesterol in the liver by exercise is a major cause of the exercise-induced increase in serum cholesterol of stroke-prone SHRs.

Animals↗

PubMed2004

[Assessment on the usual physical activity in overweight and obese adolescents].

OBJECTIVES: To develop a simple, rapid, and unbiased test to assess usual physical activity in overweight adolescents during a routine medical consultation. METHODS: Adolescents were selected. Their heart rate (HR) and blood pressure (BP) were measured at rest and when standing, before the beginning of the test. Subjects went up and down a 2-step apparatus during 4 minutes at a rate of 92 steps/min. HR was monitored. At the end of the test, the HR was noted and BP measured immediately. The effects of usual physical activity and gender on HR and BP were tested by ANOVA. In addition, an activity questionnaire was filled in by 43 subjects over 7 days and given to the doctor who completed the information during the visit and assessed usual physical activity. RESULTS: 56 adolescents of both sexes, aged 10-17 years (31 sedentary [S] overweight, and 25 active [A] post-obese subjects) underwent a step-test. The increase in HR during the test was significantly higher in S than in A subjects (66.2 +/- 2.3 vs 52.3 +/- 2.5 bpm, p < 0.001). However, the variations in BP did not supply reliable assessment of usual physical activity. The activity questionnaire had been filled in satisfactorily by 72% of subjects. In 95% of cases, the classification of subjects as S or A by the step-test agreed with the classification based on the questionnaire. CONCLUSION: The step-test provided the rapid and reliable assessment of usual physical activity of the children (from 6-7 years of age) in 95% of cases during a routine consultation (30 min), and the activity questionnaire enabled the doctor to check the conclusions of the step-test and recommend to the parents physical activities adapted to the physical capacities of their children.

Activities of Daily Living↗

PubMed2003

Repercussions of transition out of elite sport on body image.

The purpose of this study was to evaluate the psychological repercussions of transition out of elite sport from a bodily point of view. We hypothesized that the passage from a bodily over-investment to a more sedentary state would have an effect on body satisfaction. 16 Transitioning Athletes following the Sydney Olympic Games were compared with 16 Active Athletes two times during the transition period using the Body-Image Questionnaire of Bruchon-Schweitzer. Qualitative data in the form of interviews provided a complement to the quantitative data. Analysis yielded no significant differences 1 1/2 mo. after career termination between the two groups but showed a decrease in body satisfaction between 1 1/2 and 5 mo. after career termination for Transitioning Athletes, with a significant between-group difference at 5 mo. The Transitioning Athletes initially reported weight gain and uncertainty about their real physical capacities but also a continued social recognition that maintained body satisfaction. Over time, however, they were increasingly aware of this bodily deterioration, as ongoing exercise served as a reality test. Added to this were perceived decreases in social value as well as disturbing somatic manifestations. The result was a substantial effect on body satisfaction.

Adult↗

PubMed1989

Television's influence on children's diet and physical activity.

Understanding the impact of TV on children's diet and physical activity is important for developing strategies to prevent obesity and sedentary lifestyles. Determining parents' perceptions of television's influence on children's dietary intake and physical activity may provide useful information on this important topic. A questionnaire was developed to assess viewing habits and child requests for food and sport items advertised on TV. It was administered to 66 mothers of children, ages 3-8. Foods that children requested because they had seen them on TV paralleled the frequencies with which these foods were advertised on TV. Weekly viewing hours correlated significantly with (a) reported requests by children and purchases by parents of foods influenced by TV, and (b) children's caloric intake. Children's requests for sport items and physical activities were not significantly correlated with the number of hours of TV viewing. It appears from these data that parents perceive that television influences family purchasing patterns through the mechanism of their children's requests.

Advertising↗

PubMed1995

[Obesity. Impairment of energy intake or of energy expenditure].

Obesity may result from two mechanisms: a chronic excess of energy intake and/or a reduced energy expenditure. Most studies failed to show a correlation between food intake and body weight; however, no efficient mechanism to spare energy has been demonstrated in obese subjects. Although an impaired thermic effect of food has been reported in obese subjects, this effect does not result in a substantial economy of energy. Total energy expenditure in humans is positively correlated with body size. This demonstrates that energy requirements of obese subjects is larger than those of lean sedentary individuals. The reason for these discrepant observations is the under-reporting of food intake by obese subjects. Obesity is therefore mainly due to a chronic excess of energy intake. Investigations on nutrient balances have shown interesting mechanisms which are relevant for the development of obesity. Carbohydrate balance is accurately regulated: ingested carbohydrates over 24 hours are mainly oxidized during this period of time. The other metabolic pathways of carbohydrates, such as de novo lipogenesis or synthesis of non essential amino acids, are of minor importance. Another property of carbohydrates is to elicit a greater satiating effect than lipids. Protein balance is also accurately regulated; the daily protein ingestion is matched by a similar amount of protein oxidation. In addition, protein ingestion has the greatest satiating effect among the three macronutrients. By contrast, lipid balance is not regulated because lipid oxidation. Overfeeding with a mixed diet shows that fat oxidation is negatively correlated with energy and fat intakes.(ABSTRACT TRUNCATED AT 250 WORDS)

Dietary Carbohydrates↗

PubMed2000

Computer use and physical inactivity in young adults: public health perils and potentials of new information technologies.

Physical inactivity contributes to premature mortality and morbidity and increasing prevalences of overweight and obesity in industrialized countries. Computer use is an increasingly common sedentary behaviour, potentially displacing physical activity. Physical activity and computer use were examined in 697 young adults (18-30 years). Energy expenditure estimates were derived from self-reported walking, moderate, and vigorous activity; participants were classified as sedentary, low, moderate, or high in their level of activity. For multivariate analyses, two categories of physical activity were used: inactive (sedentary/low activity; < 800 kcal.week-1) or active (moderate/high activity; > or = 800 kcal.week-1). Time spent in computer-related activities was summed, and computer use tertiles calculated (< 3 hours.week-1; 3-8 hours.week-1; > 8 hours.week-1). Those in the highest tertile of computer use were most likely to be inactive (p = 0.003) and most likely to report computer use as a barrier to physical activity (p < 0.001). The majority of those in the top two tertiles of computer use, and of the inactive, preferred obtaining information from computers than from conventional print media. These findings suggest that computer use plays a significant role in the discretionary time of young adults and is negatively associated with physical activity. Computer-mediated communication has potential in disseminating interventions to increase physical activity in young adults.

Adolescent↗

PubMed2000

Gender-specific effects of modifiable health risk factors on coronary heart disease and related expenditures. HERO Research Committee. Health Enhancement Research Organization.

There is a general lack of health-related research focusing on gender-specific differences within a working population. This research attempts to address that void. Our study relied on the Health Enhancement Research Organization (HERO) database, which consists of claims, enrollment information, and health risk data for 39,999 employees of six large employers. The research objective was to determine the gender-specific association between coronary heart disease (CHD) and (1) the prevalence of modifiable health risks and (2) medical expenditures. To accomplish this, the International Classification of Diseases, 9th Revision-Clinical Modification and Current Procedural Terminology codes were used to identify 2452 employees with CHD within the HERO database. These individuals made up the study group, which included 66% male and 34% female participants. Health risk data were obtained from voluntary participation in a health risk appraisal and biometric evaluation provided by the employers. Health risks evaluated were tobacco use, hypertension, obesity, elevated cholesterol, high blood glucose, sedentary lifestyle, stress, depression, and excessive use of alcohol. Descriptive and multivariate statistical techniques were used to analyze the HERO database. We found that obesity was the most consistent predictor of CHD. It was number one (of 10 health risks) in the male and female group, number two in the male-only group, and number one in the female-only group. High stress was the second most consistent predictor. There was no such consistency relative to medical expenditures. This lack of consistency across the male and female groups relative to the association between health risks and medical expenditures was demonstrated for nearly all other health risks evaluated. This study suggests that within a group of employees with CHD, there are important similarities and differences between men and women with respect to the prevalence of risk factors and the association between health risks and medical expenditures.

Adult↗

PubMed1991

Potential contribution of leisure activity to the energy expenditure patterns of sedentary populations.

Total daily energy expenditure (TEE) by the doubly-labelled (2H218O) water method and basal metabolic rate (BMR) by indirect calorimetry were measured in thirty-two healty free-living adults in Northern Ireland. Habitual physical activity patterns in occupational and discretionary activities were assessed by interview questionnaire. Expressed as a multiple of BMR the TEE values for the sixteen males (1.88 (SD 0.28), range 1.44-2.57) and sixteen females (1.77 (SD 0.16), range 1.50-2.06) were compatible with current Department of Health and Social Security (DHSS; 1979) and Food and Agriculture Organization/World Health Organization/United Nations University (FAO/WHO/UNU; 1985) estimates of energy requirements. The results suggest that discretionary physical activity is now emerging as an equally important determinant of energy expenditure in the UK as the occupational classifications currently used as the basis of DHSS (1979) and FAO/WHO/UNU (1985) recommendations for energy requirements. Therefore, realistically achievable inputs of recreational exercise can have a significant impact in counteracting low levels of energy expenditure which are associated with modern lifestyles and are implicated as a risk factor for coronary heart disease and obesity.

Adult↗

PubMed2004

How do grazers affect periphyton heterogeneity in streams?

The effects of grazing by stream invertebrates on algal biomass and spatial heterogeneity were tested experimentally in flow-through microcosms with natural substrates (rocks). One experiment tested the effects of fixed densities of three species of grazers (the caddisfly Allomyia sp. and two mayflies, Epeorus deceptivus and Baetis bicaudatus) on periphyton. Baetis was tested with and without chemical cues from fish predators, which reduced grazer foraging activity to levels similar to the less mobile mayfly (Epeorus). Mean algal biomass (chlorophyll a; chl a) was reduced in grazer treatments compared to ungrazed controls, but there were no differences among grazer treatments. Algal heterogeneity (Morisita index) increased with grazer mobility, with the highest heterogeneity occurring in the Baetis-no fish treatment (most mobile grazer) and the lowest in the caddisfly treatment (most sedentary grazer). A second experiment used a three factorial design, and tested whether initial resource distribution (homogeneous vs. heterogeneous), Baetis density (high vs. low) and fish odor (present vs. absent) affected grazer impact on algal resources. Abundances of Baetis and chl a on individual rocks were recorded to explore the mechanisms responsible for the observed distributions of algae. Initial resource heterogeneity was maintained despite being subjected to grazing. Mean chl a was highest in controls, as in experiment I, and effects of Baetis on algal biomass increased with grazer density. There were no fish effects on algal biomass and no effects of grazer density or fish on algal heterogeneity. At the scale of individual rocks Baetis was unselective when food was homogeneously distributed, but chose high-food rocks when it was heterogeneously distributed. Results of these mechanistic experiments showed that Baetis can track resources at the scale of single rocks; and at moderate densities mobile grazers could potentially maintain periphyton distributions observed in natural streams.

Animals↗

PubMed1994

Adherence to exercise programmes. Recommendations.

Despite the widespread dissemination of information concerning the negative health consequences associated with sedentary living, adult physical activity in many industrialised nations remains well below recommended levels. Approximately 50% of individuals who start an aerobic exercise programme will stop within the first 6 months, even though it is well known that to obtain the health benefits associated with physical activity, participation must be maintained. Programmes involving the use of behaviour management techniques appear to increase short term adherence to exercise. Recently, an adherence rate of greater than 95% over 6 months was achieved in a large group of university employees who participated in aerobic training using a 'behavioural treatment packages' approach. Unfortunately, inconsistencies in the literature on definitions and measurement of adherence make valid comparisons among studies difficult. Also, long term follow-up of behavioural intervention methods and their effect on exercise adherence is generally lacking. It is likely that strategies to increase physical activity participation in the general population will demand multiple levels of intervention (personal, organisational, environmental and societal) if they are to succeed in the long term.

Attitude to Health↗