Kinesiology Commons^™

Perceived Built Environment And Physical Activity In U.S. Women By Sprawl And Region, Philip J. Troped, Kosuke Tamura, Heather A. Whitcomb, Francine Laden

Kinesiology and Public Health

Background

A number of studies have demonstrated relationships between the perceived built environment and physical activity among adults. However, little is known about whether these associations differ by U.S. region and level of urban sprawl.

Purpose

To examine associations between the perceived built environment and physical activity in U.S. women by region and urban sprawl.

Methods

Nurses' Health Study II participants (N=68,968) completed four perceived neighborhood environment survey items in 2005. Logistic regression was used to estimate associations with meeting physical activity recommendations, adjusting for demographic and weight-status variables, and stratifying by region and sprawl. Data analyses were completed in …

Capstone Experiences: Effects Of Adapted Physical Activity Design Projects On Attitudes And Learning, David W. Hey, Bridie Jean Mccarey, Lynne A. Slivovsky, J. Kevin Taylor, Brian Self, James Widmann

Kinesiology and Public Health

Eight innovative senior level capstone engineering projects were completed at California Polytechnic State University (2008-present) involving (n=28) students (23 male/5 female). All projects involved the design of equipment to facilitate physical activity for people with disabilities. The effects on: i) learning design, ii) attitude towards people with disabilities, and iii) motivation to complete team design projects were analyzed through eight one-hour focus groups. This paper presents focus group findings using a constructivist approach and grounded theory to explore the overall student “learn by doing” experience. Results: (1) Approximately 19 (70%) of the students claimed the adapted physical activity …

Diabetes Prevalence Is Associated With Serum 25-Hydroxyvitamin D And 1,25-Dihydroxyvitamin D In Us Middle-Aged Caucasian Men And Women: A Cross-Sectional Analysis Within The Prostate, Lung, Colorectal And Ovarian Cancer Screening Trial, Kaye E. Brock, Wen-Yi Huang, David R. Fraser, Liang Ke, Marilyn Tseng, Rebecca S. Mason, Rachael Z. Stolzenberg-Solomon, D. Michal Freedman, Jiyoung Ahn, Ulrike Peters, Catherine Mccarty, Bruce W. Hollis, Regina G. Ziegler, Mark P. Purdue, Barry I. Graubard

Kinesiology and Public Health

Hypovitaminosis D may be associated with diabetes, hypertension and CHD. However, because studies examining the associations of all three chronic conditions with circulating 25-hydroxyvitamin D (25(0H)D) and 1,25-dihydroxyvitamin D (1,25(0H)₂D) are limited, we examined these associations in the US Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Trial (n 2465). Caucasian PLCO participants selected as controls in previous nested case-control studies of 25(0H)D and 1,25(0H)₂D were included in this analysis. Diabetes, CHD and hypertension prevalence, risk factors for these conditions and intake of vitamin D and Ca were collected from a baseline questionnaire. Results indicated …

Innate And Learned Preferences For Sweet Taste During Childhood, Alison K. Ventura, Julie A. Mennella

Kinesiology and Public Health

Purpose of review: In nature, carbohydrates are a source of energy often equated with sweetness, the detection of which is associated with powerful hedonic appeal. Intakes of processed carbohydrates in the form of added sugars and sugar-sweetened beverages have risen consistently among all age groups over the last two decades. In this review, we describe the biological underpinnings that drive the consumption of sweet-tasting foods among pediatric populations.

Recent findings: Scientific literature suggests that children's liking for all that is sweet is not solely a product of modern-day technology and advertising but reflects their basic biology. In fact, heightened preference …

Physical Activity Patterns Using Accelerometry In The National Weight Control Registry, Victoria A. Catenacci, Gary K. Grunwald, Jan P. Ingebrigtsen, John M. Jakicic, Michael D. Mcdermott, Suzanne Phelan, Rena R. Wing, James O. Hill, Holly R. Wyatt

Kinesiology and Public Health

The National Weight Control Registry (NWCR) was established in 1993 to examine characteristics of successful weight-loss maintainers. This group consistently self-reports high levels of physical activity. The aims of this study were to obtain objective assessments of physical activity in NWCR subjects and compare this to physical activity in both normal-weight and overweight controls. Individuals from the NWCR (n = 26) were compared to a never‑obese normal-weight control group matched to the NWCR group’s current BMI (n = 30), and an overweight control group matched to the NWCR group’s self-reported pre-weight-loss BMI (n = 34). Objective assessment of physical activity …

Dietary Energy Density And Successful Weight Loss Maintenance, Hollie A. Raynor, Emily L. Walleghen, Jessica L. Bachman, Shannon M. Looney, Suzanne Phelan, Rena R. Wing

Kinesiology and Public Health

Research shows a positive relationship between dietary energy density (ED) and body mass index (BMI), but dietary ED of weight loss maintainers is unknown. This preliminary investigation was a secondary data analysis that compared self-reported dietary ED and food group servings consumed in overweight adults (OW: BMI=27–45 kg/m2), normal weight adults (NW: BMI=19–24.9 kg/m2), and weight loss maintainers (WLM: current BMI=19–24.9 kg/m2 [lost≥10% of maximum body weight and maintained loss for ≥5 years]) participating in 2 studies, with data collected from July 2006 to March 2007. Three 24-h phone dietary recalls from 287 participants (OW=97, NW=85, WLM=105) assessed self-reported dietary …

Practitioner Advice And Gestational Weight Gain, Suzanne Phelan, Maureen G. Phipps, Barbara Abrams, Francine Darroch, Andrew Schaffner, Rena R. Wing

Kinesiology and Public Health

Background: The purpose of this study was to investigate receipt of gestational weight gain advice in prenatal care and ideal and expected gestational weight gain outcomes for normal weight and overweight/obese women.

Methods: This was a cross-sectional study of normal weight (n=203) and overweight/obese (n=198) women in early (<16 >weeks) pregnancy.

Results: Less than half of participants (41.7%) reported receiving weight gain advice from a practitioner. In multivariate models, pregravid weight status was not significantly related to receiving advice. However, women with lower income (odds ratio [OR] 0.31, 95% confidence interval [CI] 0.13-0.77, p=0.01), younger …

The Effects Of Carbohydrate, Caffeine, And Protein On Endurance Performance, Tony Zapata

Kinesiology and Public Health

No abstract provided.

Adolescent Lifestyle Factors And Adult Breast Density In U.S. Chinese Immigrant Women, Marilyn Tseng, Temitope O. Olufade, Kathryn A. Evers, Celia Byrne

Kinesiology and Public Health

We examined recalled measures of adolescent diet, physical activity, and body size in relation to adult breast density in 201 U.S. Chinese immigrant women recruited in January 2002 to May 2003 from Philadelphia region screening programs. Mammographic images were classified into 1 of 4 categories ranging from “entirely fatty” to “extremely dense.” Questionnaires assessed diet and physical activity between ages 12–17, relative weight and height at age 10, and weight at age 18. To estimate odds ratios (ORs), we conducted logistic regression analyses using proportional odds models for polychotomous outcomes. Higher adult breast density was significantly associated with adolescent red …

Adiposity, Adult Weight Gain And Mammographic Breast Density In Us Chinese Women, Marilyn Tseng, Celia Byrne

Kinesiology and Public Health

The association of adiposity with dense tissue area in the breast is unclear, but suggests a mechanism by which adiposity might increase breast cancer risk. We examined associations of body mass index (BMI), usual BMI from age 20 to 29, waist circumference and adult weight gain with breast density in a sample of premenopausal United States Chinese immigrant women. Analyses included 415 participants in a longitudinal breast density study in Philadelphia. In addition to detailed questionnaire information, data collection included measures of anthropometry, and assessment of mammographic breast density using a computer-assisted method. We used multivariate linear regression to quantify …

Cognitive Interference From Food Cues In Weight Loss Maintainers, Normal Weight, And Obese Individuals, Suzanne Phelan, Jason Hassenstab, Jeanne M. Mccaffery, Lawrence Sweet, Hollie A. Raynor, Ronald A. Cohen, Rena R. Wing

Kinesiology and Public Health

Much attention has been paid to the behavioral characteristics of successful weight loss maintenance, but less is known about the cognitive processes that underlie this process. The purpose of this study was to investigate cognitive interference from food-related cues in long-term weight loss maintainers (WLM; N = 15) as compared with normal weight (NW; N = 19) and obese (OB; N = 14) controls. A Food Stroop paradigm was used to determine whether successful WLM differed from controls in both the speed and accuracy of color naming words for low-calorie and high-calorie foods. A significant group × condition interaction for …

Prevalence And Predictors Of Weight-Loss Maintenance In A Biracial Cohort: Results From The Coronary Artery Risk Development In Young Adults Study, Suzanne Phelan, Rena R. Wing, Catherine M. Loria, Yongin Kim, Cora E. Lewis

Kinesiology and Public Health

Background: Few population-based studies have examined the behavioral and psychosocial predictors of long-term weight-loss maintenance.
Purpose: The goal of this study was to determine the prevalence and predictors of weight-loss maintenance in a biracial cohort of younger adults.
Methods: This study examined a population-based sample of overweight/obese African-American and white men and women who had 5% weight loss between 1995 and 2000. Subsequent changes in weight, physical activity, and behavioral and psychosocial factors were examined between 2000 and 2005. Analyses were conducted in 2008 –2009.
Results: Among the 1869 overweight/obese individuals without major disease in 1995, …

Evaluation Of School Wellness Policies In North San Luis Obispo County (Final Report), Ann Yelmokas Mcdermott, David W. Hey, Laurie Pugh, Rosanna Taylor, Arlene Grant-Holcomb, Stephanie F. Teaford

Kinesiology and Public Health

A two year grant (October 2008-2010) was awarded to the San Luis Obispo County Public Health Department (SLO-PHD) so that outside agencies could engage in school wellness policy (SWP) advocacy and community activities to aid in combating the growing epidemic of obesity among the county‘s high risk populations. Under SLO-PHD oversight, Healthy Eating Active Living (HEAL-SLO) proposed school district outcomes, objectives, and indicators. (Attachment A provides the SWP rationale while Attachment B contains the HEAL-SLO/TCE purpose and goals.) In March 2009, a research team from newly formed STRIDE at California Polytechnic State University was contracted to review and evaluate Lillian …

Evaluation Of School Wellness Policies In South San Luis Obispo County (Final Report), Ann Yelmokas Mcdermott, David W. Hey, Laurie Pugh, Rosanna Taylor, Arlene Grant-Holcomb, Stephanie F. Teaford

Kinesiology and Public Health

A two year grant (October 2008-2010) was awarded to the San Luis Obispo County Public Health Department (SLO-PHD) so that outside agencies could engage in school wellness policy (SWP) advocacy and community activities to aid in combating the growing epidemic of obesity among the county’s high risk populations. Under SLO-PHD oversight, Healthy Eating Active Living (HEAL-SLO) proposed school district outcomes, objectives, and indicators. (Attachment A provides the SWP rationale while Attachment B contains the HEAL-SLO/TCE purpose and goals.) In March 2009, a research team from the newly formed STRIDE at California Polytechnic State University was contracted to review and evaluate …

Low Vitamin D Status Is Associated With Physical Inactivity, Obesity And Low Vitamin D Intake In A Large Us Sample Of Healthy Middle-Aged Men And Women, K. Brock, W. Y. Huang, D. R. Fraser, L. Ke, M. Tseng, R. Stolzenberg-Solomon, U. Peters, J. Ahn, M. Purdue, R. S. Mason, C. Mccarty, R. G. Ziegler, B. Graubard

Kinesiology and Public Health

The aim of this study was to investigate modifiable predictors of vitamin D status in healthy individuals, aged 55–74, and living across the USA. Vitamin D status [serum 25-hydroxyvitamin D (25(OH)D)] was measured along with age and season at blood collection, demographics, anthropometry, physical activity (PA), diet, and other lifestyle factors in 1357 male and 1264 female controls selected from the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial (PLCO) cohort. Multivariate linear and logistic regression analyses were used to identify associations with vitamin D status. Three%, 29% and 79% of the population had serum 25(OH)D levels 30 kg/m^{2 …}

Exercise Prescription And The Patient With Type 2 Diabetes: A Clinical Approach To Optimizing Patient Outcomes, Greogory R. Waryasz, Ann Yelmokas Mcdermott

Kinesiology and Public Health

To review the current recommendations for physical activity in type 2 diabetes mellitus (T2DM) and propose methods to optimize compliance, reduce the pharmaceutical burden, and improve the general health and well-being of patients with T2DM.

Perceived Personal And Social Competence: Development Of Valid And Reliable Measures, Joyce V. Fetro, Darson L. Rhodes, David W. Hey

Kinesiology and Public Health

During the last 20 years, youth programming has shifted from risk reduction to youth development. While numerous instruments exist to measure selected individual characteristics/competencies among youth, a comprehensive instrument to measure four constructs of personal and social skills could not be identified. The purpose of this study was to develop four assessment instruments to measure perceived personal/social competence. Specifically, this study focused on identifying items to measure: (a) intrapersonal skills, (b) interpersonal skills, (c) coping skills, and (d) judgment skills. A Delphi panel of nine professionals in health education, youth development programming, and instrument development established content validity. Readability of …

Improved Dietary Variety And Adequacy But Lower Dietary Moderation With Acculturation In Chinese Women In The United States, Amy Liu, Zekarias Berhane, Marilyn Tseng

Kinesiology and Public Health

Acculturation is associated with increased chronic disease risk among Asian Americans, but its association with different aspects of diet quality remains unclear. Associations of acculturation with diet quality were examined in a convenience sample of 243 Chinese participants in a study of diet and mammographic density in the Philadelphia region between January 2002 to May 2003. An acculturation index was created based on self-reported English proficiency and within-and cross-ethnicity social interactions. Diet Quality Index-International (DQI-I) scores were based on responses to an 88-item food frequency questionnaire. Odds ratios (ORs) for falling into a higher vs lower quartile for DQI-I and …

Pregnancy: A "Teachable Moment" For Weight Control And Obesity Prevention, Suzanne Phelan

Kinesiology and Public Health

Excessive gestational weight gain has been shown to relate to high-postpartum weight retention and the development of overweight and obesity later in life. Because many women are concerned about the health of their babies during pregnancy and are in frequent contact with their healthcare providers, pregnancy may be an especially powerful "teachable moment" for the promotion of healthy eating and physical activity behaviors among women. Initial research suggests that helping women gain the recommended amount during pregnancy through healthy eating and physical activity could make a major contribution to the prevention of postpartum weight retention. However, more randomized controlled trials …

Physical Activity And Hormonal Regulation Of Appetite: Sex Differences And Weight Control, Todd A. Hagobian, Barry Braun

Kinesiology and Public Health

Physical activity is an important contributor to regulation of energy balance and body composition. In this article, we separate the impact of exercise from the confounding influence of energy imbalance and highlight sex differences in hormonal and appetite responses to physical activity. The evolving story may influence our thinking regarding the use of physical activity to manage body composition.

What Type Of Weight Loss Program Do Postpartum Women Want? Treatment Preferences Of Postpartum Women In Two Community Settings, Suzanne Phelan, Katelyn Smith, John-Mark Steele, Dawn Wilt, Sally Ames, Linda Mcclure

Kinesiology and Public Health

Approximately 25% of women experience major weight gain after pregnancy, retaining more than 4.5 kg. Preliminary efforts to promote postpartum weight loss have encountered some success, but little is known about the types of programs of greatest interest to postpartum women. The purpose of this study was to better understand the weight control needs and preferences of postpartum women in the Women, Infants and Children (WIC) Nutrition program (N = 100) and an Adult Education Parenting (AEP) program (N = 75). A self-report questionnaire was used to collect participants’ demographic and weight history information as well as participants’ degree of …

Clinical Research In Diabetes And Urinary Incontinence: What We Know And Need To Know, Suzanne Phelan, Francine Grodstein, Jeanette S. Brown

Kinesiology and Public Health

Purpose: We discuss epidemiological and clinical trial research in women with urinary incontinence and diabetes, and provide directions for future research.
Materials and Methods: Published epidemiological and clinical trial literature examining diabetes and incontinence is presented.
Results: Multiple studies have now confirmed that the prevalence and incidence of incontinence is increased in women with type 2 diabetes. Emerging evidence also suggests higher incontinence rates in women with type 1 diabetes or prediabetes. Clinical trial research suggests that weight loss can decrease incontinence in women with prediabetes. An ongoing multicenter trial will examine the effects of weight loss on incontinence in …

Practice Notes: Strategies In Health Education - Program: "What's Cooking On The Central Coast With The Pink And Dude Chefs?", Julie Chessen, David W. Hey, Lisa Nicholson, Ann Yelmokas Mcdermott

Kinesiology and Public Health

No abstract provided.

Reliability Of A Brief Intercept Survey For Trail Use Behaviors, Philip J. Troped, Heather A. Whitcomb, Brent Hutto, Julian A. Reed, Steven P. Hooker

Kinesiology and Public Health

Purpose: This study assessed test-retest reliability of an interviewer-administered trail survey.

Methods: An intercept survey was conducted with adults using 2 paved trails in Indiana and South Carolina (N = 295; mean age = 46.9 ± 18 y). The survey included items on frequency and duration of trail use for recreation and transportation, other patterns of trail use, and sociodemographic characteristics. Fiftyfive adults completed the survey twice (2–16 d apart; mean = 7.4 ± 2.6 d). Test-retest reliability was assessed with Spearman rank correlation coefficients, Kappa coefficients, and percent agreement.

Results: Kappa coefficients and percent agreement for 9 categorical items …

What Distinguishes Weight-Loss Maintainers From The Treatment-Seeking Obese? Analysis Of Environmental, Behavioral, And Psychosocial Variables In Diverse Populations, Suzanne Phelan, Tao Liu, Amy Gorin, Michael Lowe, Joseph Hogan, Joseph Fava, Rena R. Wing

Kinesiology and Public Health

Background Understanding the factors that influence successful weight control is critical for developing interventions.
Purpose The purpose of the study was to provide a comprehensive understanding of the role of psychosocial, environmental, and behavioral variables in distinguishing weight-loss maintainers (WLM) from treatment-seeking obese (TSO).
Methods WLM (n=167) had lost ≥10% of their maximum body weight, had kept the weight off for ≥5 years, and were now of normal weight. TSO-1 and TSO-2 had a history of dieting and body mass index ≥25. TSO-1 was predominantly Caucasian; TSO-2 was predominantly African-American. Bayesian model averaging was used to identify the …

Use Of Artificial Sweeteners And Fat-Modified Foods In Weight Loss Maintainers And Always-Normal Weight Individuals, Suzanne Phelan, W. Lang, D. Jordan, Rena R. Wing

Kinesiology and Public Health

Objective: The purpose of this study was to compare the dietary strategies, and use of fat- and sugar-modified foods and beverages in a weight loss maintainer group (WLM) and an always-normal weight group (NW).
Subjects: WLM (N=172) had maintained ≥10% weight loss for 11.5 years, and had a body mass index (BMI) of 22.0 kg m-2. NW (N=131) had a BMI of 21.3 kg m-2 and no history of being overweight. Three, 24-h recalls on random, non-consecutive days were used to assess dietary intake.
Results: WLM reported consuming a diet that was lower in fat (28.7 vs 32.6%, PConclusions: …

Evaluation Of School Wellness Policies In South San Luis Obispo County, Ann Yelmokas Mcdermott, David W. Hey, Rosanna Taylor, Arlene Grant-Holcomb, Stephanie F. Teaford

Kinesiology and Public Health

A two year grant (October 2008-2010) was awarded to the San Luis Obispo County Public Health Department (SLOPHD) so that outside agencies could engage in school wellness policy (SWP) advocacy and community activities to aid in combating the growing epidemic of obesity among the county’s high risk populations. Under SLOPHD oversight, Healthy Eating Active Living (HEALSLO) proposed school district outcomes, objectives, and indicators. In March 2009, a research team from the newly formed STRIDE Institute at California Polytechnic State University was contracted to review and evaluate the Oceano Elementary School eating and physical activity environments with the intent to create …

Evaluation Of School Wellness Policies In North San Luis Obispo County, Ann Yelmokas Mcdermott, David W. Hey, Rosanna Taylor, Arlene Grant-Holcomb, Stephanie F. Teaford

Kinesiology and Public Health

In March 2009, a research team from the newly formed STRIDE Institute at California Polytechnic State University was contracted to review and evaluate Lillian Larsen Elementary Schools’ eating and physical activity environments with the intent to create baseline measures for school wellness improvement. This report summarizes STRIDE’s studies, observations and recommendations.

Prevalence And Correlates Of Vitamin D Status In African American Men, Marilyn Tseng, Veda Giri, Deborah W. Bruner, Edwards Giovannucci

Kinesiology and Public Health

Background: Few studies have examined vitamin D insufficiency in African American men although they are at very high risk. We examined the prevalence and correlates of vitamin D insufficiency among African American men in Philadelphia. Methods: Participants in this cross-sectional analysis were 194 African American men in the Philadelphia region who were enrolled in a risk assessment program for prostate cancer from 10/ 96–10/07. All participants completed diet and health history questionnaires and provided plasma samples, which were assessed for 25-hydroxyvitamin D (25(OH)D) concentrations. We used linear regression models to examine associations with 25(OH)D concentrations and logistic regression to estimate …

Preventing Childhood Obesity: What Works?, Ll Birch, A K. Ventura

Kinesiology and Public Health

Rates of overweight in North American children and adolescents have increased dramatically since the 1970s. Childhood obesity has reached epidemic proportions and calls for prevention and treatment programs to reverse this trend have been made. However, the evidence base needed for effective action is still incomplete, especially for childhood obesity prevention programs. This paper focuses on primary prevention of childhood obesity and has three aims: (1) to briefly describe current primary prevention approaches for childhood obesity and the evidence for their impact; (2) to elucidate promising, but untested intervention strategies using an ecological framework and evidence from experimental and epidemiological …