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Author: Amanda M. Perkins Publisher: ISBN: Category : Languages : en Pages : 248
Book Description
Exercise adherence is fundamental in the management of hypertension and other chronic diseases. The purpose of this study was two-fold. The first purpose was to examine patterns of adherence and to describe the influences of demographic, psychosocial, physiological, and sociocultural variables on adherence among African Americans enrolled in the Fit 4 Life study. The second purpose was to determine follow-up exercise behaviors of participants previously enrolled in the Fit 4 Life study. A mixed-methods approach was used with questionnaires and semi-structured interviews. A total of 75 African Americans (mean age = 51.8) who were previously enrolled in the Fit 4 Life study completed a several measures, which included a demographic questionnaire, psychosocial measures (SOC - Short Form; EBBS; BARSE; MHLC - Form C; SLS), and physiological tests (e.g., BMI, blood pressure, fasting glucose, cholesterol). Nine semi-structured interviews were conducted with exercise adherers (n = 5) and non-adherers (n = 4) who returned the questionnaires. Interviews were analyzed using thematic analysis and resulted in the emergence of four themes, and 10 associated subthemes, which described the participants' perceptions of exercise, their environment, and how these elements influence exercise behavior. The major themes were: benefits, barriers, facilitators, African American. Analysis revealed that adherers were able to identify greater physical activity benefits, and developed strategies to overcome barriers to exercise, including finding sources of social support outside of their friends and family. Adherers were also more likely to view self-efficacy as a benefit of exercise, as well as view exercise as an opportunity to focus on themselves. Through a series of chi-square analyses and independent samples t-tests, quantitative results revealed that adherers lived in smaller households and worked part-time. Adherers also had lower diastolic blood pressures, weighed less, had lower resting metabolic rates, less fat mass, and lower BMIs than non-adherers. Finally, adherers perceived fewer barriers to exercise, and had greater life satisfaction than non-adherers.
Author: Amanda M. Perkins Publisher: ISBN: Category : Languages : en Pages : 248
Book Description
Exercise adherence is fundamental in the management of hypertension and other chronic diseases. The purpose of this study was two-fold. The first purpose was to examine patterns of adherence and to describe the influences of demographic, psychosocial, physiological, and sociocultural variables on adherence among African Americans enrolled in the Fit 4 Life study. The second purpose was to determine follow-up exercise behaviors of participants previously enrolled in the Fit 4 Life study. A mixed-methods approach was used with questionnaires and semi-structured interviews. A total of 75 African Americans (mean age = 51.8) who were previously enrolled in the Fit 4 Life study completed a several measures, which included a demographic questionnaire, psychosocial measures (SOC - Short Form; EBBS; BARSE; MHLC - Form C; SLS), and physiological tests (e.g., BMI, blood pressure, fasting glucose, cholesterol). Nine semi-structured interviews were conducted with exercise adherers (n = 5) and non-adherers (n = 4) who returned the questionnaires. Interviews were analyzed using thematic analysis and resulted in the emergence of four themes, and 10 associated subthemes, which described the participants' perceptions of exercise, their environment, and how these elements influence exercise behavior. The major themes were: benefits, barriers, facilitators, African American. Analysis revealed that adherers were able to identify greater physical activity benefits, and developed strategies to overcome barriers to exercise, including finding sources of social support outside of their friends and family. Adherers were also more likely to view self-efficacy as a benefit of exercise, as well as view exercise as an opportunity to focus on themselves. Through a series of chi-square analyses and independent samples t-tests, quantitative results revealed that adherers lived in smaller households and worked part-time. Adherers also had lower diastolic blood pressures, weighed less, had lower resting metabolic rates, less fat mass, and lower BMIs than non-adherers. Finally, adherers perceived fewer barriers to exercise, and had greater life satisfaction than non-adherers.
Author: Committee on Physical Activity and Physical Education in the School Environment Publisher: National Academies Press ISBN: 0309283140 Category : Medical Languages : en Pages : 503
Book Description
Physical inactivity is a key determinant of health across the lifespan. A lack of activity increases the risk of heart disease, colon and breast cancer, diabetes mellitus, hypertension, osteoporosis, anxiety and depression and others diseases. Emerging literature has suggested that in terms of mortality, the global population health burden of physical inactivity approaches that of cigarette smoking. The prevalence and substantial disease risk associated with physical inactivity has been described as a pandemic. The prevalence, health impact, and evidence of changeability all have resulted in calls for action to increase physical activity across the lifespan. In response to the need to find ways to make physical activity a health priority for youth, the Institute of Medicine's Committee on Physical Activity and Physical Education in the School Environment was formed. Its purpose was to review the current status of physical activity and physical education in the school environment, including before, during, and after school, and examine the influences of physical activity and physical education on the short and long term physical, cognitive and brain, and psychosocial health and development of children and adolescents. Educating the Student Body makes recommendations about approaches for strengthening and improving programs and policies for physical activity and physical education in the school environment. This report lays out a set of guiding principles to guide its work on these tasks. These included: recognizing the benefits of instilling life-long physical activity habits in children; the value of using systems thinking in improving physical activity and physical education in the school environment; the recognition of current disparities in opportunities and the need to achieve equity in physical activity and physical education; the importance of considering all types of school environments; the need to take into consideration the diversity of students as recommendations are developed. This report will be of interest to local and national policymakers, school officials, teachers, and the education community, researchers, professional organizations, and parents interested in physical activity, physical education, and health for school-aged children and adolescents.
Author: National Academies of Sciences, Engineering, and Medicine Publisher: National Academies Press ISBN: 0309671035 Category : Social Science Languages : en Pages : 317
Book Description
Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.
Author: Aaron C. Swank Publisher: ISBN: Category : Languages : en Pages :
Book Description
INTRODUCTION: Research has focused on the relationship between socioeconomic status and physical activity, yet there are limited examinations which directly address social groups dealing with major issues associated with insufficient income. Studies have neglected the role of psychosocial stressors, such as financial stress, food insecurity, availability of government assistance programs, as well as psychological distress relative to the relationship between physical activity and low-income status. The purposes of this study were threefold: 1) to describe the multidimensional characteristics of life among low-income populations; 2) to examine how psychosocial stressors and health conditions vary across subsets of low-income groups; and 3) to examine the relationship among income, psychological distress and physical activity within low-income populations. METHODS: Data from the 2015 National Health Interview Survey (NHIS) were analyzed for the purposes of this investigation. Descriptive statistics were calculated for the low-income status individuals who provide complete data for all variables of interest to this study. A series of chi-square analyses were conducted to determine whether key psychosocial stressors, health behaviors, and health conditions differed by low-income (FIPR) groups. Two stepwise logistic regression analyses were conducted to examine these factors and their relationships with moderate-intensity (MPA) and vigorous (VPA)-intensity physical activity. RESULTS: Overall, women made up 58.5% of the sample size. Blacks/African Americans accounted for 20.6% of the sample, yet 28.0% of FIPR Group 1 identified as Black/African American. FIPR Group 1 was disproportionately unemployed, with 63.5% unemployed compared to 46.9% for the sample. One-quarter (25.9%) of the entire sample reported severe psychological distress, yet 33.9% of FIPR Group 1 and 30.8% of FIPR Group 2 reported severe distress. Nearly three-quarters (70%) of the sample was overweight or obese and 44.2% lived with at least one chronic disease at the time the survey was taken. Overall, 67.9% of the sample reported zero minutes of VPA and 51.3% reported zero minutes of MPA. Both psychological distress and income showed significant relationships with VPA. Psychological distress remained significantly associated with VPA after controlling for all covariates; however, income was no longer related to VPA after demographic and health-related variables were added to the model. Income was not related to MPA. Psychological distress demonstrated a weak relationship with MPA before the other covariates were added to the model, at which point the relationship became non-significant. Only the relationship between psychological distress and VPA was significant in the final models. Although some of the psychosocial stressor, demographic, and health-related variables contributed to the relationships between income, physical activity, and psychological distress, these variables explained only a small portion of the variance in both MPA and VPA. CONCLUSION: Low-income individuals are faced with difficult decisions and are limited in the choices they can make to improve health. It is important to understand the multidimensional characteristics of life under limited income to better serve and improve the health of low-income populations. Further study of the relationships among income, physical activity and psychological distress is needed to further this understanding.
Author: Kisha Marie Virgil Publisher: ISBN: Category : African American women Languages : en Pages : 292
Book Description
Rates of chronic disease and physical inactivity are disproportionately high among African American women. Despite the known benefits of physical activity and an increasing number of programs designed to increase activity, attendance rates to many exercise programs remain low. There is much to learn about program types, such as healthy lifestyle programs (HLP); individual factors, such as self-efficacy; and mediating variables that may influence exercise program attendance. An observational study design was used to compare exercise self-efficacy and attendance in a community-based exercise program in African American women who were enrolled in a HLP (N = 53) to women who were not (N = 27). Exercise program attendance was gathered across six months; demographics, self-efficacy and physical activity behaviors were assessed through surveys; and physiological variables (resting heart rate and blood pressure, height, and weight) and physical fitness (muscular strength and endurance and cardiovascular endurance) were measured at baseline. Descriptive statistics were used to describe participants and groups were compared using T-tests, chi-square and non-parametric statistics. Finally, mediation analyses were conducted using multiple regression models to assess self-efficacy as a potential mediator to exercise program attendance. Women who enrolled in this study were of low income (61% having an annual income less than $20,000), obese with a mean (standard deviation) body mass index (BMI) of 37.7 (7.6), pre-hypertensive with a mean (standard deviation) systolic blood pressure of 125.9 (14.4), and scored poorly and marginally on two fitness tests. On average, women reported being Moderately Confident in their ability to exercise regularly, yet had low attendance in the exercise program with a median number .5 days over six months and there were no significant differences in exercise self-efficacy (p = .23) or attendance in the exercise program between groups (p = .79). Additionally, exercise self-efficacy was not a mediating variable to program attendance. Women in this study had little discretionary income and several chronic disease risk factors, yet exercise program attendance was low even in those enrolled in a HLP. Identifying factors that increase exercise self-efficacy and factors that influence attendance beyond self-efficacy may help future program design and attendance.
Author: National Research Council Publisher: National Academies Press ISBN: 0309324882 Category : Social Science Languages : en Pages : 587
Book Description
Children are already learning at birth, and they develop and learn at a rapid pace in their early years. This provides a critical foundation for lifelong progress, and the adults who provide for the care and the education of young children bear a great responsibility for their health, development, and learning. Despite the fact that they share the same objective - to nurture young children and secure their future success - the various practitioners who contribute to the care and the education of children from birth through age 8 are not acknowledged as a workforce unified by the common knowledge and competencies needed to do their jobs well. Transforming the Workforce for Children Birth Through Age 8 explores the science of child development, particularly looking at implications for the professionals who work with children. This report examines the current capacities and practices of the workforce, the settings in which they work, the policies and infrastructure that set qualifications and provide professional learning, and the government agencies and other funders who support and oversee these systems. This book then makes recommendations to improve the quality of professional practice and the practice environment for care and education professionals. These detailed recommendations create a blueprint for action that builds on a unifying foundation of child development and early learning, shared knowledge and competencies for care and education professionals, and principles for effective professional learning. Young children thrive and learn best when they have secure, positive relationships with adults who are knowledgeable about how to support their development and learning and are responsive to their individual progress. Transforming the Workforce for Children Birth Through Age 8 offers guidance on system changes to improve the quality of professional practice, specific actions to improve professional learning systems and workforce development, and research to continue to build the knowledge base in ways that will directly advance and inform future actions. The recommendations of this book provide an opportunity to improve the quality of the care and the education that children receive, and ultimately improve outcomes for children.
Author: National Research Council Publisher: National Academies Press ISBN: 0309092116 Category : Social Science Languages : en Pages : 753
Book Description
In their later years, Americans of different racial and ethnic backgrounds are not in equally good-or equally poor-health. There is wide variation, but on average older Whites are healthier than older Blacks and tend to outlive them. But Whites tend to be in poorer health than Hispanics and Asian Americans. This volume documents the differentials and considers possible explanations. Selection processes play a role: selective migration, for instance, or selective survival to advanced ages. Health differentials originate early in life, possibly even before birth, and are affected by events and experiences throughout the life course. Differences in socioeconomic status, risk behavior, social relations, and health care all play a role. Separate chapters consider the contribution of such factors and the biopsychosocial mechanisms that link them to health. This volume provides the empirical evidence for the research agenda provided in the separate report of the Panel on Race, Ethnicity, and Health in Later Life.
Author: Paul C. Cozby Publisher: WCB/McGraw-Hill ISBN: Category : Psychology Languages : en Pages : 300
Book Description
For undergradute social science majors. A textbook on the interpretation and use of research. Annotation copyright Book News, Inc. Portland, Or.
Author: Amanda M. Perkins
Author: Amanda M. Perkins
Author: Committee on Physical Activity and Physical Education in the School Environment
Author: National Academies of Sciences, Engineering, and Medicine
Author: 
Author: Aaron C. Swank
Author: Kisha Marie Virgil
Author: National Research Council
Author: National Research Council
Author: 
Author: Paul C. Cozby