Digital Commons Network^™

Effect Of An Office-Based Intervention On Visceral Adipose Tissue: The Workactive-P Randomized Controlled Trial, James L. Dorling, Christoph Höchsmann, Catrine Tudor-Locke, Robbie Beyl, Corby K. Martin

Clinical Research Faculty Publications

Office-based activity reduces sedentariness, yet no randomized controlled trials (RCTs) have assessed how such activity influences visceral adipose tissue (VAT). This study examined the effect of an office-based, multicomponent activity intervention on VAT. The WorkACTIVE-P RCT enrolled sedentary office workers (body mass index: 31.4 (standard deviation (SD) 4.4) kg/m2 ) to an intervention (n = 20) or control (n = 20) group. For 3 months, the intervention group received an office-based pedal desk, further to an intervention promoting its use and increased walking. The control group maintained habitual activity. At baseline and follow-up, VAT, cardiometabolic disease risk markers, physical activity, …

Global Health Risk Factors: Physical Inactivity, Fiona Bull, Regina Guthold, Daniel J. Friedman, Peter Katzmarzyk

Population and Public Health Science Faculty Publications

Regular physical activity improves physical and mental health across all ages, and provides many social, environmental, and economic co-benefits. Physical activity includes all forms of active recreation, sports participation, cycling and walking for transportation, as well as activity undertaken at home or for work. Despite well-established benefits, one quarter of adults and three quarters of adolescents are not sufficiently active. The policy and practice of promoting physical activity integrates multidisciplinary knowledge from across clinical and social medicine, exercise science, health psychology, public health, transport, and environmental studies, to improve global health. With increasing recognition of its role in promoting better …

Barriers And Facilitators Regarding Awareness, Selection, And Implementation Of School-Based Interventions Addressing Physical Activity And Healthy Eating Behaviors: Perspectives Of South Carolina Public School Administrators And Personnel, Logan Jessica Camp-Spivey

MUSC Theses and Dissertations

Purpose: This dissertation explores the perceptions and experiences of South Carolina (SC) public school administrators and personnel regarding barriers and facilitators to school-based interventions, with a focus on physical activity (PA) and healthy eating behaviors, to address childhood obesity. An integrative review was completed to identify challenges and supports to school-based weight management interventions.1-35 Findings from the integrative review provided the framework for the dissertation study, which used a concurrent multi-methodological design to investigate the barriers and facilitators regarding awareness, selection, and implementation of school-based interventions addressing PA and healthy eating behaviors in the SC education system and to examine …

Healthy, Fit, & Strong: A Parent-Child Physical Activity Program For Families With Obese And Overweight Adolescents, Patrick Maloney

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Over 20% of Kentucky children between the ages of 10-17 are obese, the third highest prevalence in the nation. The Healthy, Fit, & Strong Program works with children with a BMI above the 85th percentile and their parents to improve behaviors related to physical activity (PA) and nutrition. The intervention is a 12-week program which features tri-weekly physical activity sessions and nutrition classes. Both children and parents participate in activities in order to build knowledge and confidence related to healthy behaviors. The goal of this intervention is to improve upon baseline physical activity levels and diet as well as to …

Promoting Physical Activity Among American Indian Older Adults, Maja R. Pedersen

Graduate Student Theses, Dissertations, & Professional Papers

Background: Physical activity (PA) promotion is acknowledged as a critical component to improve public health among the growing population of older adults in the U.S. American Indian and Alaska Native (AIAN) older adults experience disproportionately high rates of chronic disease and disability compared with non-Hispanic White peers, and demonstrate lower levels of PA, indicating a need for examination of unique factors influencing their PA behavior.

Purpose: This study revealed the current state of PA intervention research among AIAN older adults in the U.S. and utilized best practices to identify factors that can influence the development, adaptation, and implementation of PA …

Associations Of Physical Activity And Exercise With Health-Related Outcomes In Patients With Melanoma During And After Treatment: A Systematic Review, Brendan J. Crosby, Pedro Lopez, Daniel A. Galvao, Robert U. Newton, Dennis Taaffe, Tarek M. Meniawy, Lydia Warburton, Muhammad A. Khattak, Elin S. Gray, Favil Singh

Research outputs 2014 to 2021

Purpose:

Although exercise medicine is recommended to counter treatment-related side-effects and improve health-related outcomes of patients affected by different cancers, no specific recommendations exist for patients with melanoma. As a result, we systematically examined the current evidence regarding the effects of physical activity and exercise on objectively-measured and patient-reported outcomes among patients with melanoma.

Methods:

Searches were conducted in PubMed, CINAHL, EMBASE, SPORTDiscus, and Web of Science databases. This review included published data involving physical activity or exercise and objectively-measured or patient-reported outcomes of patients with cutaneous melanoma. The quality of included studies was assessed using …

Examining Social-Cognitive Theory Constructs As Mediators Of Behaviour Change In The Active Team Smartphone Physical Activity Program: A Mediation Analysis, Amelia V. Romeo, Sarah M. Edney, Ronald C. Plotnikoff, Tim Olds, Corneel Vandelanotte, Jillian Ryan, Rachel Curtis, Carol A. Maher

Research outputs 2014 to 2021

Regular engagement in physical activity has well-established physical and psychological health benefits. Despite this, over a quarter of the global adult population is insufficiently physically active. Physical activity interventions grounded in behaviour change theory, such as the social-cognitive theory, are widely considered to be more effective than non-theoretical approaches. Such interventions set out to intervene on the ultimate outcome (physical activity), but also influence intermediate factors (social-cognitive theory constructs) which in turn, are believed to influence physical activity behaviour. The primary aim of the study was to use mediation analysis to examine whether changes in the social-cognitive theory and related …

Life In A Time Of Covid: A Mixed Method Study Of The Changes In Lifestyle, Mental And Psychosocial Health During And After Lockdown In Western Australians, Ranila Bhoyroo, Paola Chivers, Lynne Millar, Caroline Bulsara, Ben Piggott, Michelle Lambert, Jim Codde

Research outputs 2014 to 2021

Background: Since the beginning of the COVID-19 pandemic, the Western Australian government imposed multiple restrictions that impacted daily life activities and the social life. The aim of this study was to examine the effects of COVID-19 lockdown on the community’s physical, mental and psychosocial health. Methods: Approximately 2 months after a three-month lockdown, a cross-sectional study was opened to Western Australian adults for an 8-week period (25th August – 21 October 2020). Participants competed a 25-min questionnaire adapted from the Western Australia Health and Wellbeing Surveillance system. Participants provided information on their socio-demographic status, lifestyle behaviours, mental health, and psychosocial …

Catalytic Resilience Practices: Exploring The Effects Of Resilience And Resilience Practices Through Physical Exercise, Mackenzie Ruether

Industrial-Organizational Psychology Dissertations

Resilience is of increasing interest to researchers and practitioners as the organizations where they work have become increasingly complex and dynamic. The recent COVID-19 pandemic has only magnified its importance. COVID-19 provides a unique opportunity to study how people navigate challenges and face adversity to be resilient both at home and at work. The main question organizations, teams, and employees are asking is how individuals gain and sustain resilience. To that end, theory and research has suggested a vast array of practices or strategies that individuals can engage in to build resilience to be better prepared to overcome adverse situations …

Physical Activity And Self-Reported Metabolic Syndrome Risk Factors In The Aboriginal Population In Perth, Australia, Measured Using An Adaptation Of The Global Physical Activity Questionnaire (Gpaq), Tuguy Esgin, Deborah Hersh, Kevin G. Rowley, Rona Macniven, Kristen Glenister, Alan Crouch, Robert U. Newton

Research outputs 2014 to 2021

Background: Complex, ongoing social factors have led to a context where metabolic syndrome (MetS) is disproportionately high in Aboriginal Australians. MetS is characterised by insulin resistance, abdominal obesity, hypertension, hypertriglyceridemia, high blood-sugar and low HDL-C. This descriptive study aimed to document physical activity levels, including domains and intensity and sedentary behaviour, and MetS risk factors in the Perth Aboriginal (predominately Noongar) community. Methods: The Global Physical Activity Questionnaire (GPAQ), together with a questionnaire on self-reported MetS risk factors, was circulated to community members for completion during 2014 (n = 129). Results: Data were analysed using chi-squared tests. The average (SD) …

Evaluating Students’ Perceived Stress, Sleep Quality, And Physical Activity In Exercise Is Medicine® On Campus Student-Led Health Consultation Program, Nickolas Saade Rahawi, Aaron D. Espitita Gonzalez, Ellea E. Bachmeier, Joanna L. Morrissey, Lisa J. Leininger

Kinesiology Faculty Publications and Presentations

The American College of Sport Medicine created the Exercise is Medicine® (EIM) initiative to improve health through the promotion and prescription of physical activity. The EIM-On Campus (EIM-OC) initiative uses physical activity as a vital sign for promoting healthy behaviors among students and employees on a college campus. The EIM-OC initiative was launched at California State University, Monterey Bay (CSUMB) in Fall 2019. The purpose of this research project was to promote and evaluate college students’ health behaviors associated with the implementation of the EIM-OC initiative at CSUMB. We hypothesized significant improvements in perceived stress, sleep quality, and total physical …

The Effect Of Physical Activity On The Mental Health Of Pre-Nursing Students And Undergraduate Student Nurses, Larinda J. Fandrich

DNP Research Projects

Abstract

Mental health concerns are on the rise among the college-aged student. College students face a great deal of stress, which can lead to depression and anxiety. Nursing students, as a sub-group of college students, are under even greater stress related to rigorous course work and the responsibility of caring for other people, which can lead to greater depression and anxiety. This study aimed to determine what effect, if any, physical activity has on depression and anxiety scores using the PHQ-9 and GAD-7 instruments in pre-nursing and nursing students. In this study, physical activity is defined as is “any bodily …

An Examination Of The Impact Of The Covid-19 Health Threat, Stress, And Social Isolation On Lifestyle Habits As Analyzed Through The Protection Motivation Theory, Luciana Adib Soares

UNF Graduate Theses and Dissertations

The COVID-19 emerged in China in 2019 and quickly spread to other countries, leading to mandated lockdowns and social isolation. This cross-sectional study examined the impact of the COVID-19-generated stress, health threat, and social isolation on dietary, physical activity, and self-care habits of adults in Florida, utilizing the PMT as a framework. Participants (n = 478) completed online surveys about demographics, perceived stress, and changes in lifestyle habits. Significant positive changes were reported in cooking at home (p < .001) frequency, sweets (p < .001), and breakfast (p = .009) consumption, outdoors physical activity (p = .005), self-care (p < .001), relaxation (p < .001), and rest (p < .001) habits. Significant negative changes were reported in fast food (p = .004) and snack (p < .001) consumption. A significant relationship existed between self-reported stress, perceived threat, (r = .33, p < .001), and perceived efficacy, (r = -.15, p = .002). Perceived threat was the most important predictor of changes …

Effects Of Resistance Training On Muscle Quality Index, Muscle Strength, Functional Capacity, And Serum Immunoglobulin Levels Between Obese And Non-Obese Older Women, Paulo Roberto Silva Junior, Dahan Da Cunha Nascimento, Ivo Vieira De Sousa Neto, Silvana Schwerz Funghetto, Ramires Alsamir Tibana, James W. Navalta, Fabiani Lage Rodrigues Beal, Jonato Prestes

Kinesiology and Nutrition Sciences Faculty Research

International Journal of Exercise Science 14(7): 707-726, 2021. Considering the negative impact of obesity on neuromuscular and immune systems, we sought to compare the effects of a 10-week resistance training (RT) program on muscle quality index (MQI), muscle strength, functional capacity, and immunoglobulins in older women with and without obesity. Thirty-nine older women participated in the present study (age: 69.02 ± 6.16, fat (%): 38.80% ± 6.28) and underwent a linear RT program performed on two non-consecutive days of the week. Body composition, functional tests, immunoglobulins, muscle quality of upper and lower limbs and absolute muscular strength of the upper …

Perceived Neighborhood Characteristics And Parental Role In Physical Activity Of African American Youth, Kashica Webber-Ritchey, Elizabeth A. Moxley, Sungsoon Hwang, Desale Habtzghi, Sai Yalla

Faculty Articles, Papers, and Other Scholarship

Introduction: Lack of physical activity (PA) serves as one of the contributing factors to pediatric obesity in African American (AA) youth.

Objective: Further examination of the Social Ecological Model [SEM] influences on PA in AA youth is vital. The purpose of this pilot study is to explore environmental factors, built environment (BE) and parental role, in PA promotion.

Methods: Using mixed method data collection, a convenience sample of 28 AA parents/caregivers of school-aged children (6-12 years) enrolled in Chicago Youth Programs (CYP) completed an online survey. Parents/caregivers along with their child participated in focus group sessions (n=18 parent/child dyads). …

Global Impact Of Physical Inactivity And Implications For Public Health Nursing, Elizabeth A. Moxley, Kashica Webber-Ritchey, Laura Hayman

Faculty Articles, Papers, and Other Scholarship

Physical inactivity has been a public health problem worldwide for more than a decade. Of those who are physically active, a substantial percentage engage solely in low or very low physical activity (PA) levels. In the last 3 decades, the prevalence of PA in the United States has decreased with approximately 80% of adults not meeting the recommended guidelines for aerobic and muscle strengthening PA. The PA levels of youth have dramatically decreasedwith 85% of adolescents reporting no PA. Regular PA participation can aid in preventing chronic diseases. A strong inverse dose-response relationship exists between PA and the incidence of …

Identifying Factors To Inform The Development Of Adaptive Interventions For Increasing Physical Activity Behavior Among People With Multiple Schlerosis, Yumi Kim

All ETDs from UAB

People with multiple sclerosis (MS) can benefit from physical activity, specifically exercise, for the management of disease symptoms, including walking impairments, fatigue, and depression, and improvements in quality of life. However, people with MS do not engage in adequate amounts of physical activity for the accrual of health benefits. Researchers have focused on the delivery of exercise training and behavioral interventions to improve levels of physical activity in MS. To date, there is an emerging body of research supporting the efficacy of these interventions for increasing and potentially sustaining physical activity behavior in people with MS. Yet, people with MS …

Decreased Exercise Capacity, Strength, Physical Activity Level And Quality Of Life In Adultpatients With Familial Mediterranean Fever, Nurten Gi̇zem Tore, Fulden Sari̇, Devri̇m Can Saraç, Seli̇n Bayram, Hasan Satiş, Hazan Karadeni̇z, Abdurrahman Tufan, Deran Oskay

Turkish Journal of Medical Sciences

Background: Familial Mediterranean fever (FMF) is a systemic autoinflammatory disease that causes recurrent attacks of fever, polyserositis, arthritis or skin eruptions, resulting in pain in the abdomen, muscles, joints and chest. All of these might lead to a reduction in exercise capacity, muscle strength, physical activity level (PAL) and quality of life (QoL). Therefore, assesment of these parameters are important. The aim of this study was to assess exercise capacity, muscle strength, PAL, and QoL in patients with FMF as compared to controls. Materials and methods: A total of 40 subjects with FMF and 36 healthy control subjects participated in …

The Relationship Between Cardiovascular Fitness And Body Mass Index To Student Achievement In 5th Grade Hispanic Children Of The Lower Rio Grande Valley Of South Texas, Maricela Hernandez, Rosalinda Hernandez, Alejandro Garcia

Organization and School Leadership Faculty Publications

The purpose of this quantitative study was to examine the relationship between cardiovascular fitness, body mass index and academic performance in 547 Hispanic children in 5th grade from a Rio Grande Valley school district. The dependent variable, academic performance, was measured by children’s gain score on the STAAR Progress Measure for Reading and Math assessments. The independent variables of physical fitness were measured by scores on cardiovascular fitness and body mass index from the FITNESSGRAM assessment. The statistical and data analysis method used by this study utilized multiple regression. The results revealed that body mass index was correlated with academic …

Diet And Successful Aging, Jamie Baum

Diet, Food, Exercise, and Nutrition (D-FEND)

Learning Objectives:

Define successful aging

Understand the components of successful aging

Learn diets and dietary patterns for successful aging

Physical activity and successful aging

Adding Team-Based Financial Incentives To The Carrot Rewards Physical Activity App Increases Daily Step Count On A Population Scale: A 24-Week Matched Case Control Study, Emma Pearson, Harry Prapavessis, Christopher Higgins, Robert Petrella, Lauren White, Marc Mitchell

Paediatrics Publications

Background: Mobile health applications (mHealth apps) targeting physical inactivity have increased in popularity yet are usually limited by low engagement. This study examined the impact of adding team-based incentives (Step Together Challenges, STCs) to an existing mHealth app (Carrot Rewards) that rewarded individual physical activity achievements. Methods: A 24-week quasi-experimental study (retrospective matched pairs design) was conducted in three Canadian provinces (pre-intervention: weeks 1–12; intervention: weeks 13–24). Participants who used Carrot Rewards and STCs (experimental group) were matched with those who used Carrot Rewards only (controls) on age, gender, province and baseline mean daily step count (±500 steps/d). Carrot Rewards …

2020 Who Guidelines On Physical Activity And Sedentary Behaviour For Children And Adolescents Aged 5–17 Years: Summary Of The Evidence, Jean Philippe Chaput, Juana Willumsen, Fiona Bull, Roger Chou, Ulf Ekelund, Joseph Firth, Russell Jago, Francisco B. Ortega, Peter T. Katzmarzyk

Population and Public Health Science Faculty Publications

Background: The World Health Organization (WHO) released in 2020 updated global guidelines on physical activity and sedentary behaviour for children, adolescents, adults, older adults and sub-populations such as pregnant and postpartum women and those living with chronic conditions or disabilities. Objective: To summarize the evidence on the associations between physical activity, sedentary behaviour, and health-related outcomes used to inform the 2020 WHO guidelines on physical activity and sedentary behaviour for children and adolescents aged 5–17 years. Methods: The update of the WHO guideline recommendations for children and adolescents utilized and systematically updated the evidence syntheses on physical activity and sedentary …

New Global Guidelines On Sedentary Behaviour And Health For Adults: Broadening The Behavioural Targets, Paddy C. Dempsey, Stuart J.H. Biddle, Matthew P. Buman, Sebastien Chastin, Ulf Ekelund, Christine M. Friedenreich, Peter T. Katzmarzyk, Michael F. Leitzmann, Emmanuel Stamatakis, Hidde P. Van Der Ploeg, Juana Willumsen, Fiona Bull

Population and Public Health Science Faculty Publications

Background: In 2018, the World Health Organisation (WHO) commenced a program of work to update the 2010 Global Recommendations on Physical Activity for Health, for the first-time providing population-based guidelines on sedentary behaviour. This paper briefly summarizes and highlights the scientific evidence behind the new sedentary behaviour guidelines for all adults and discusses its strengths and limitations, including evidence gaps/research needs and potential implications for public health practice. Methods: An overview of the scope and methods used to update the evidence is provided, along with quality assessment and grading methods for the eligible new systematic reviews. The literature search update …

Advancing The Global Physical Activity Agenda: Recommendations For Future Research By The 2020 Who Physical Activity And Sedentary Behavior Guidelines Development Group, Loretta Dipietro, Salih Saad Al-Ansari, Stuart J.H. Biddle, Katja Borodulin, Fiona C. Bull, Matthew P. Buman, Greet Cardon, Catherine Carty, Jean Philippe Chaput, Sebastien Chastin, Roger Chou, Paddy C. Dempsey, Ulf Ekelund, Joseph Firth, Christine M. Friedenreich, Leandro Garcia, Muthoni Gichu, Russell Jago, Peter T. Katzmarzyk, Estelle Lambert, Michael Leitzmann, Karen Milton, Francisco B. Ortega, Chathuranga Ranasinghe, Emmanuel Stamatakis, Anne Tiedemann, Richard P. Troiano, Hidde P. Van Der Ploeg, Juana F. Willumsen

Population and Public Health Science Faculty Publications

Background: In July, 2019, the World Health Organization (WHO) commenced work to update the 2010 Global Recommendations on Physical Activity for Health and established a Guideline Development Group (GDG) comprising expert public health scientists and practitioners to inform the drafting of the 2020 Guidelines on Physical Activity and Sedentary Behavior. The overall task of the GDG was to review the scientific evidence and provide expert advice to the WHO on the amount of physical activity and sedentary behavior associated with optimal health in children and adolescents, adults, older adults (> 64 years), and also specifically in pregnant and postpartum women …

Long-Term Change In Physiological Markers And Cognitive Performance In Type 2 Diabetes: The Look Ahead Study, Owen T. Carmichael, Rebecca H. Neiberg, Gareth R. Dutton, Kathleen M. Hayden, Edward Horton, F. Xavier Pi-Sunyer, Karen C. Johnson, Stephen R. Rapp, Adam P. Spira, Mark A. Espeland

Clinical Research Faculty Publications

Context: The effects of physiological improvements on cognitive function among persons with type 2 diabetes mellitus (T2DM) are not fully understood. Objective: To determine whether improvements in physiological markers (body weight, blood sugar control, and physical activity) during intensive lifestyle intervention (ILI) are associated with enhancements in cognitive function in older adults with T2DM. Design: Multisite randomized controlled trial. Setting: Academic research centers. Patients or Other Participants: Participants were aged 45-76 years, with T2DM. Intervention: The Action for Health in Diabetes (Look AHEAD) study, a randomized, controlled clinical trial of ILI. Main Outcome Measure: Two to 3 cognitive assessments were …

With A Little Help From My Friends: Determining The Role Of Physical Activity And Belonging In Retention Of First-Year University Students, Bryson Kelly

Master's Theses

There exists an issue facing colleges and universities across the United States. Roughly 29% of first-year students do not return for their second year of school. Previous research has shown a significant relationship between a student’s sense of belonging or fit within the university and their decision to continue enrollment (retention). Physical activity has also been shown to have a significant relationship with a sense of belonging. Therefore, the purpose of the present study was to determine if physical activity and sense of belonging predict retention of university students from their first year to their second year using a Relationships …

Assessing Healthful Eating And Physical Activity Practices In Places Children Learn, Carolyn D. Rider, Amanda Linares, Janice Kao, Christina Becker, Gail Woodward-Lopez

Journal of Extension

Site-level assessment questionnaires (SLAQs) were developed to assess nutrition and physical activity practices and environments in schools and other places children spend time in order to facilitate program planning and evaluation. After expert panel review for content validity, questionnaires were feasibility tested by users in six schools, three early care and education programs, and two out-of-school programs. Findings indicate that the questionnaires are feasible and useful for planning interventions. Extension programs can use SLAQs to support policy, systems, and environment change efforts that promote healthful eating and physical activity in children and to measure intervention effectiveness.

Diet Behaviors, Physical Activity, And Sociodemographic Factors In A Sample Of Racially Diverse Adults: A Secondary Analysis Of Nhanes (2017-2018) Data, Fatemeh Choupani

Dissertations

Background: The prevalence of obesity is increasing among adults in the United States and is related to a high risk to health. Obesity has been linked to lifestyle behaviors such as diet behaviors and physical activity.

Purpose: This study aimed to determine if an association exits between foods prepared outside of the home, walking or biking, vigorous/moderate recreational activities, sociodemographic factors and the outcomes, body mass index, percentage of body fat, and waist circumference.

Method: A secondary analysis was conducted using data from 3942 adults from the U.S. aged 20 years, as recorded in the National Health …

No Changes In Appetite-Related Hormones Following Swimming And Cycling Exercise Interventions In Adults With Obesity, Brandon G. Fico, Mohammed Alkatan, Hirofumi Tanaka

International Journal of Exercise Science

International Journal of Exercise Science 13(2): 1819-1825, 2020. Swimming is a favorable and ideal modality of exercise for individuals with obesity and arthritis as it encompasses a minimal weight-bearing stress and a reduced heat load. However, the available evidence indicates that regular swimming may not be effective in reducing body weight and body fatness. A current hypothesis is that exercise in cold water stimulates appetite. We determined the effect of swimming training on appetite-related hormones. Thirty-nine adults with obesity and osteoarthritis were randomly assigned to 12 weeks of supervised swimming or cycling training. In the initial few weeks, participants exercised …

Partners At Play: Engaging Parks And Recreation Departments In Extension’S Health Promotion Work, Annie Hardison-Moody, Lindsey Haynes-Maslow, Jason Bocarro, Jill Kuhlberg, Michael Schulman, Sarah Bowen, Alyssa Anderson, Lauren Morris, Yvonne Murphy

Journal of Human Sciences and Extension

As Extension assumes a more prominent role in health promotion efforts at the national and local levels, it is increasingly important to build strong, sustainable partnerships with organizations that address health and health disparities across the socio-ecological model. Given the role that the built environment plays in fostering and impeding health and physical activity, we argue that state and local Extension staff should build and maintain strong partnerships with organizations that carry out this work at the national, state, and local levels, such as Parks and Recreation departments. This article presents a case study of how Extension staff in one …