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Exercise Prescriptions In Primary Care, Caitlyn Haines, Pgy-2

Department of Family & Community Medicine Presentations and Grand Rounds

Learning Objectives:

●Review the health benefits of physical activity.

●Recognize barriers on the part of the provider that limit our discussion of exercise with our patients.

●Understand the current recommendations for physical activity including: time per week, exercise intensity, and recommendations for pregnant patients and those with chronic disease.

●Understand the current recommendations for screening prior to exercise in patients with chronic medical conditions.

●Help patients devise strategies to introduce physical activity into their routine.

●Become familiar with resources to connect our patients with for exercise in their area.

Metabolic Flexibility And Weight Status May Contribute To Inter-Individual Changes In Breastmilk Lipid Content In Response To An Acute Bout Of Exercise: Preliminary Findings From A Pilot Study, Jill M. Maples, Charlotte Mccarley, Maire M. Blankenship, Kristin Yoho, K.Paige Johnson, Kimberly B. Fortner, Rachel A. Tinius

International Journal of Exercise Science

International Journal of Exercise Science 13(2): 1756-1769, 2020. The purposes of this pilot study were to describe changes in breastmilk lipid content in response to an acute bout of moderate intensity exercise and to explore maternal metabolic health factors, including metabolic flexibility, which may impact this change. A cross-sectional, observational, pilot study design was performed in 14 women between 4 and 6 months postpartum. Whole body fasting lipid oxidation was assessed, a standardized high-fat breakfast was consumed, and lipid oxidation was again measured 120-minutes post-meal. Metabolic flexibility was determined by comparing the change in lipid oxidation before and after the …

The Latest Science On Physical Activity, Brittany R. Allman

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

Physical Activity, exercise and physical fitness defined as well as what science says children and adults can do to stay physically active.

Evaluation Of A Mobile Health Intervention To Improve Wellness Outcomes For Breast Cancer Survivors, Jamie Cairo, Laurie Williams, Lisa Bray, Katrina Goetzke, Ana Cristina Perez

Journal of Patient-Centered Research and Reviews

Purpose: Breast cancer survivors are at increased risk of cancer recurrence, second malignancies, and other comorbid conditions. This study examined if use of a convenient, commercially available, $65 per month app that gives breast cancer survivors access to a health and wellness coach is more effective than a self-guided toolkit and one-time health education session at achieving the following goals: 1) improving adherence to a plant-based diet, 2) increasing physical activity, 3) assisting with weight loss and reduction in body mass index, 4) reducing elevated depression and fatigue scores, and 5) leading to sustained adherence to lifestyle and wellness plan …

Evidence Summaries And Recommendations From The International Evidence-Based Guideline For The Assessment And Management Of Polycystic Ovary Syndrome: Lifestyle Management, Lisa J. Moran, Eliza C. Tassone, Jacqueline Boyle, Leah Brennan, Cheryce L. Harrison, Angelica Lindén Hirschberg, Siew Lim, Kate Marsh, Marie L. Misso, Leanne Redman, Mala Thondan, Chandrika Wijeyaratne, Rhonda Garad, Nigel K. Stepto, Helena J. Teede

Clinical Research Faculty Publications

Lifestyle is fundamental in chronic disease prevention and management, and it has been recommended as a first-line treatment in the Australian polycystic ovary syndrome (PCOS) guideline 2011. The first international evidence-based guideline on PCOS was developed in 2018, which expanded the scope and evidence in the Australian guideline. This paper summarizes the lifestyle recommendations and evidence summaries from the guideline. International multidisciplinary guideline development groups delivered the International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome 2018. The process followed the Appraisal of Guidelines for Research and Evaluation II and The Grading of Recommendations, Assessment, Development and …

Differences In Adolescent Activity And Dietary Behaviors Across Home, School, And Other Locations Warrant Location-Specific Intervention Approaches., Adrian Ortega, Carolina M. Bejarano, Christopher C. Cushing, Vincent S. Staggs, Amy Papa, Chelsea Steel, Robin P. Shook, Debra K. Sullivan, Sarah C. Couch, Terry L. Conway, Brian E. Saelens, Karen Glanz, Lawrence D. Frank, Kelli L. Cain, Jacqueline Kerr, Jasper Schipperijn, James F Sallis, Jordan A. Carlson

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Investigation of physical activity and dietary behaviors across locations can inform "setting-specific" health behavior interventions and improve understanding of contextual vulnerabilities to poor health. This study examined how physical activity, sedentary time, and dietary behaviors differed across home, school, and other locations in young adolescents.

METHODS: Participants were adolescents aged 12-16 years from the Baltimore-Washington, DC and the Seattle areas from a larger cross-sectional study. Participants (n = 472) wore an accelerometer and Global Positioning Systems (GPS) tracker (Mean days = 5.12, SD = 1.62) to collect location-based physical activity and sedentary data. Participants (n = 789) completed 24-h …

Age And Apoe Genotype Affect The Relationship Between Objectively Measured Physical Activity And Power In The Alpha Band, A Marker Of Brain Disease, Jaisalmer De Frutos-Lucas, Pablo Cuesta, Federico Ramírez-Toraño, Alberto Nebreda, Esther Cuadrado-Soto, África Peral-Suárez, David Lopez-Sanz, Ricardo Bruña, Silvia Marcos-De Pedro, María Luisa Delgado-Losada, Ana María López-Sobaler, Inmaculada Concepción Rodríguez-Rojo, Ana Barabash, Juan Manuel Serrano Rodriguez, Simon M. Laws, Alberto Marcos Dolado, Ramón López-Higes, Belinda M. Brown, Fernando Maestú

Research outputs 2014 to 2021

BACKGROUND: Electrophysiological studies show that reductions in power within the alpha band are associated with the Alzheimer's disease (AD) continuum. Physical activity (PA) is a protective factor that has proved to reduce AD risk and pathological brain burden. Previous research has confirmed that exercise increases power in the alpha range. However, little is known regarding whether other non-modifiable risk factors for AD, such as increased age or APOE ε4 carriage, alter the association between PA and power in the alpha band. METHODS: The relationship between PA and alpha band power was examined in a sample of 113 healthy adults using …

Elementary Classroom Teachers’ Self-Reported Use Of Movement Integration Products And Perceived Facilitators And Barriers Related To Product Use, Roddrick Dugger, Aaron Rafferty, Ethan Hunt, Michael W. Beets, Collin Andrew Webster, Brian Chen, Jeffrey Michael Rehling, Robert Glenn Weaver

Faculty Publications

Movement integration (MI) products are designed to provide children with physical activity during general education classroom time. The purpose of this study was to examine elementary classroom teachers’ self-reported use of MI products and subsequent perceptions of the facilitators of and barriers to MI product use. This study utilized a mixed-methods design. Elementary classroom teachers (n = 40) at four schools each tested four of six common MI products in their classroom for one week. Teachers completed a daily diary, documenting duration and frequency of product use. Following each product test, focus groups were conducted with teachers to assess facilitators …

Perspectives And Impact Of A Parent-Child Intervention On Dietary Intake And Physical Activity Behaviours, Parental Motivation, And Parental Body Composition: A Randomized Controlled Trial, Shazya Karmali, Danielle S. Battram, Shauna M. Burke, Anita Cramp, Andrew M. Johnson, Tara Mantler, Don Morrow, Victor Ng, Erin S. Pearson, Robert J. Petrella, Patricia Tucker, Jennifer D. Irwin

Paediatrics Publications

Adults and children in Canada are not meeting physical activity guidelines nor consuming sufficient nutrient-rich foods. High engagement in these unhealthy behaviours can lead to obesity and its associated diseases. Parent-child interventions aimed at obesity prevention/treatment have assisted families with making positive changes to their nutrition and physical activity behaviours. Given that the home environment shapes early health behaviours, it is important to target both parents and children when addressing diet and physical activity. One method that has been shown to improve health outcomes is co-active coaching. The current study explored the impact of a threemonth co-active coaching and/or health …

Remote Assessment Of Functional Mobility And Strength In Older Cancer Survivors: Protocol For A Validity And Reliability Study, Cindy K. Blair, Elizabeth Harding, Carla Herman, Tawny Boyce, Wendy Demark-Wahnefried, Sally M. Davis, Anita Y. Kinney, Vernon S. Pankratz

Pediatrics Research and Scholarship

BACKGROUND: Older cancer survivors, faced with both age- and treatment-related morbidity, are at increased and premature risk for physical function limitations. Physical performance is an important predictor of disability, quality of life, and premature mortality, and thus is considered an important target of interventions designed to prevent, delay, or attenuate the physical functional decline. Currently, low-cost, valid, and reliable methods to remotely assess physical performance tests that are self-administered by older adults in the home-setting do not exist, thus limiting the reach, scalability, and dissemination of interventions.

OBJECTIVE: This paper will describe the rationale and design for a study to …

Unpacking The Decline In Food Waste Measured In Chinese Households From 1991 To 2009, Danyi Qi, John W. Apolzan, Ran Li, Brian E. Roe

Faculty Publications

© 2020 Elsevier B.V. Food waste reduction is an explicit goal for many countries, yet a paucity of high-quality primary measurements of food waste are available to inform policy. We analyze repeated physical measurements of discarded food from more than 37,000 households enrolled in the China Health and Nutrition Survey (CHNS) from 1991 to 2009 and describe relevant food waste patterns and trends within households over a period of dramatic change. Over a period in which average real household incomes tripled, food discarded per person declined by about 20% on a quantity basis and by about 40% on a Calorie …

Physiological Factors And Physical Activity Contribute To The Incidence Of Type 2 Diabetes Mellitus In Indonesia, Demsa Simbolon, Afriyana Siregar, Ruzita Abd Talib

Kesmas

Type 2 diabetes mellitus (T2DM) is the sixth highest cause of death in Indonesia. Thus, it must be prevented and overcome with appropriate management. This study aimed to determine the contribution of physiological factors and physical activities to the incidence of T2DM. The study used a cohort retrospective design using secondary data from the Indonesian Family Life Survey (IFLS) from 2007 to 2014, which included a sample of 14,517 people involved for more than 20 years. Data analysis was performed using multiple logistic regressions. The results revealed a 3.8% incidence of T2DM in Indonesia. Record of hypertension risk increased the …

Patient And Provider Communication Regarding Exercise During Pregnancy In A Rural Setting, Maire M. Blankenship, Kim Link, Samantha Henry, Rachel A. Tinius

International Journal of Exercise Science

International Journal of Exercise Science 13(3): 1228-1241, 2020. Women in rural settings are at increased risk for adverse pregnancy outcomes. One potential way to improve pregnancy outcomes in rural settings is through physical activity promotion. However, given the disparities in prenatal care, women in rural areas may not receive information from their health care provider regarding physical activity during pregnancy. Therefore, the purpose of this study was to examine patient and provider communication in a rural setting (both patients’ and providers’ perspectives) regarding physical activity during pregnancy. A mixed methods study was performed among patients and providers in an obstetrical …

Recommendations For Administrators’ Involvement In School-Based Health Promotion: A Scoping Review, Collin A. Webster, Genee Glascoe, Chanta Moore, Brian Dauenhauer, Cate A. Egan, Laura B. Russ, Karie Orendorff, Cathy Buschmeier

Faculty Publications

School administrator involvement is recognized as a key factor in the extent to which school health promotion programs and initiatives are successfully implemented. The aims of this scoping review are to: (a) Identify existing documents that contain recommendations regarding the involvement of school administrators in school-based health promotion; (b) distill and summarize the recommendations; (c) examine differences in the recommendations by targeted professional level, professional group, health promotion content focus, and by whether the recommendations are evidence-based or opinion-based; and (d) evaluate the research informing the recommendations. We drew upon the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension …

The Importance Of Hydration, Brendon P. Mcdermott

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

Introduction to what it means to be hydrated. How important is hydration for your health? How much fluid should you be drinking? Does the type of fluid you drink matter? What about when you exercise? Do you know what your "sweat rate" is?

Barriers And Facilitators Of Parent Engagement With Health Promotion In Child Care: A Mixed-Methods Evaluation, Courtney T. Luecking, Phillip Dobson, Dianne S. Ward

Dietetics and Human Nutrition Faculty Publications

BACKGROUND: Early care and education providers cite lack of parent engagement as a central barrier to promoting healthy behaviors among young children. However, little research exists about factors influencing parent engagement with promoting healthy eating and activity behaviors in the this setting.

AIMS: This study aimed to address this gap by examining low and high parent engagement with the Healthy Me, Healthy We campaign to identify barriers and facilitators of parent engagement with the intervention.

METHOD: This comparative case study used an explanatory sequential mixed-methods approach. We created center-level parent engagement scores using process evaluation data from the effectiveness trial …

Validation Of Activity Trackers In A Daily Living Setting In Young Adults, Jodi B. Wimmer

Theses and Dissertations

Sedentary behavior (SB) contributes to many negative health-related outcomes. Motivation to reduce SB and increase physical activity (PA) are necessary to reduce co-morbidities. Tracking SB and PA provides objective data to help promote wellness. The purposes of this quasi-experimental study were to 1) determine the accuracy of three commercially available activity trackers compared to research-grade accelerometers, and 2) explore whether using these activity trackers led to a change in activity level one week after gathering baseline data. Activity trackers used in this study were Apple Watch, Fitbit Surge, and Microsoft Band 2. A convenience sample of college-age students and community …

Impact Of Placement Of Fitbit Hr Under Laboratory And Free-Living Conditions, Hyun Chul Jung, Minsoo Kang, Nan Hee Lee, Soeun Jeon, Sukho Lee

Faculty and Student Publications

© 2020 by the authors. Wrist-worn activity monitors have become accessible for measuring physical activities, but an activity monitor's accuracy worn at different placements is not well understood. This study aimed to examine the differences in measurements of heart rates, step counts, and calories estimated from the fitness tracker worn at different locations and the accuracy of Fitbit HR against criterion measures. Thirty-two healthy adults participated in this study. Participants wore Fitbit HR at four different locations (right proximal, distal, and left proximal, distal). Treadmill exercise consisted of five 5-min phases including slow walking and jogging. Free-living activities involved ten …

Brain Health And Active Living: A Social Ecological Approach, Xiaoxia Zhang

Kinesiology Dissertations - Archive

Advocating active lifestyles and improving brain health across the lifespan is one of the universal and ultimate goals for Healthy People 2030. Unhealthy movement behaviors (physically inactive, excessive sedentary behavior, and insufficient sleep) and high prevalence of depression and cognitive impairment among young adults keep challenging higher education and public health systems. A comprehensive understanding of the determinants and mechanisms of movement behaviors and brain health is needed. Grounded in the social ecological model, this dissertation was to examine the behavioral and psychosocial mechanisms of brain health (depression and cognitive function) among young adults (18-45 years old). Study 1 (Chapter …

Active Transportation And Health: Understanding The Impact Of Transportation-Related Physical Activity On Health, Sina Famili

Civil Engineering Dissertations - Archive

Car-oriented infrastructure in the U.S. leads to physically inactive lifestyles and negative health outcomes. To promote physical activity, public health officials encourage active transportation, namely biking and walking on daily trips. Previous studies proved that both perceived or self-assessed and objective health measures should be used to understand individuals’ health status. Therefore, this study uses the National Household Travel Survey (NHTS) data to understand the associations between perceived health and modal trip features including the number of trips, trip distance, and duration for auto, public transit, walk, and bike trips. Regarding the objective health, this dissertation uses one-week walking activities …

Addressing Facilitators And Barriers Related To Early Childhood Obesity Prevention In Rural Appalachian Communities, Nancy O'Hara-Tompkins, Joanna S. Beane, Gwen Crum, Lesley Cottrell, Emily Murphy

Journal of Extension

Through a community-focused needs assessment conducted in rural Appalachia, we gauged perceptions of facilitators and barriers related to healthful eating and physical activity for young children and identified suggestions for improvement. Thirty-seven key informant interviews and three caregiver focus group sessions were coded and analyzed for key themes. Limited community resources emerged as a barrier to both healthful eating and physical activity. Suboptimal communication about existing opportunities was also identified. Community members reviewed the needs assessment data and implemented initiatives to address identified needs. The importance of Extension-facilitated needs assessments in rural settings to shape health initiatives to local contexts …

Introduction To Exercise Is Medicine, Erin Howie

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

An introduction to how exercise is medicine and can promote health-related benefits.

Physical Activity Interventions For Older Adults: Efficacy, Adherence And Sustainability For Stroke Prevention Outcomes, Agnieszka Suminski

DePaul Discoveries

Objective: To examine outcomes of older adults who participate in physical activity intervention programs, whether there is a significant difference in group and individual based physical activity interventions, and assess promise of older adult behavior change post-intervention. Methods: Literature review using seventeen previously published data on physical activity intervention programs for older adults. Results: Studies suggest that physical activity program intervention for older adults show improved physical and mental outcomes. Group-based interventions are more successful for program adherence. Discussion: Family and social support play a significant role in participant adherence to program physical adherence interventions, as well as sustained …

Parental Impact On Child Physical Activity And Sedentary Time In Appalachian North Carolina, Allison V. Farrell, Richard W. Christiana, Rebecca A. Battista, J. Joy James

Journal of Appalachian Health

Introduction: Physical activity has positive health benefits across the lifespan including reduced rates of chronic disease. Despite having ample availability of outdoor space for physical activity in the Appalachian Mountain region, there are low rates of physical activity along with high rates of sedentary time and increased prevalence of overweight individuals across all age groups. Therefore, there is a need to understand the factors that influence family’s physical activity and sedentary time.

Purpose: To assess whether parental attitudes and behaviors influence children’s physical activity and sedentary time.

Methods: The current study was a secondary analysis of the baseline data from …

Effect Of Wearable Fitness Watch On Physical Activity In School Children With Overweight, Chen Wei-Rong, Chang Jia-Hao, Chenfu Huang

ISBS Proceedings Archive

Overweight and obesity in children and adolescents is a significant health problem, and lack of physical activity may be a factor related to obesity. In this study, we explored the wearable fitness watch to monitor the physical activity promoted situation of overweight and obese schoolchildren. Participants were overweight schoolchildren divided into two groups, the study group (n=41) and the control group (n=44). In the control group, the wearable fitness watch only displays the time. In the study group, each week, participants set up the goal, which increases the steps by 10% from baseline steps to reach 10,000 steps. The ANOVA …

"I Learned That I Am Loved": Older Adults And Undergraduate Students Mutually Benefit From An Interprofessional Service-Learning Health Promotion Program., Britteny M. Howell, Leslie C. Redmond, Samantha Wanner

Articles

No abstract provided.

Take 10 Program Effects On Fifth Grade Academic Achievement, Emily Janes

Dissertations

Problem Less than one-fourth of children reach their recommended 60-minutes of daily physical activity. Inactivity can result in poor academic performance; whereas physical activity stimulates brain functions responsible for regulating comprehension and attention, release of brain chemicals to improve learning, and enhances neurogenesis resulting in better cognition. The purpose of this quality improvement project was to evaluate the Take 10 exercise program in a rural, Midwestern elementary school fifth grade classroom.

Methods An observational, descriptive design with a purposeful sample of fifth-grade students in a rural elementary school. Grades in math, science, and reading were examined the semester before (quarter …

Physical Activity To Help Students Perform Better In The Classroom, David Rubis

Master's Theses & Capstone Projects

This literature review evaluates how physical activity can improve student academic performance. Articles from the last decade provide strong evidence students, given access to physical activity, show improved academic performance. Physical activity improves the brain's functioning and different kinds of physical activity impact cognitive performance. Researchers acknowledged a strong correlation between physical activity and the development of overall wellness and academic confidence. Research also shows students with learning and cognitive disabilities benefit academically and behaviorally from physical activity. Physical activity is an essential element of the development of children and adolescents.

Does Marriage, Employment And Having Children Matter? A Secondary Analysis On Physical Activity Levels, Leisure Time Physical Activity, And Social Roles Among Women In The United States, Tramaine Paul Mcmullen

Theses and Dissertations

Background: Social roles, such as being married, employed, or having children, have been shown to have independent negative relationships with moderate to vigorous physical activity (MVPA) levels among women. Increasing the number of women with children that meets physical activity guidelines is critical to reduce chronic disease and early mortality in this population. However, few studies have examined the relationship between holding multiple social roles, MVPA, and leisure-time physical activity (LTPA) among women with children. The study had two aims: 1) to determine the relationship between objectively measured MVPA by social roles and 2) to examine the frequency of specific …

Process Evaluation Of An Email-Based Walking Program With Extension Educators, Elizabeth A. Richards, Stephanie Woodcox

Journal of Human Sciences and Extension

This study evaluated the implementation process of an email-based walking program from the perspectives of program deliverers. Twenty-four Extension Educators participated in the process evaluation. We used an online survey to examine the perceptions of the implementation process of Get WalkIN’, a twelve-week email-based walking program. Educators agreed that the provided program training and recruitment materials were sufficient for successful program delivery. Program implementation involved sending emails to program participants at least weekly. Educators also agreed that the program was easy to deliver and took twenty minutes or less to implement each week. Strengths and areas for program improvement are …