Medical Specialties Commons^™

Lifestyle Tools For Men’S Health And Disease Prevention: Well-Being Through Nutrition, Physical Activity, Stress Management, And Connection, Leigh A. Frame

Clinical Research and Leadership Faculty Publications

Mental health is an often-overlooked aspect of overall health and wellness (well-being). Mental illness is increasingly common with 1 in 5 American adults experiencing it annually, and 1 in 20 suffering from a serious mental illness each year [1]. Treatment rates for mental illness are lower in men (37.4%) compared to women (51.2%) [1]. Globally, treatment rates are similar with an estimated cost to the global economy of $1 trillion annually, yet less than 2% of government health expenditure is for mental health worldwide [2]. Despite this, only nine studies have been published specifically targeting men’s mental health through lifestyle …

Establishing Safe Thresholds To Improve Exercise Capacity In Collegiate Athletes With Inflammatory Bowel Disease (Ibd): A Critically Appraised Topic, Emily C. Roberts, Jenny Toonstra, Andrea Cripps

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Clinical Scenario: Inflammatory Bowel Disease (IBD) can present several challenges to athletic participation due to unpredictable disease activity and uncontrollable systemic symptoms that severely impact daily activities, and limit exercise/sports participation. Limited studies and a lack of standardized guidelines for physical activity (PA) and exercise are additional barriers for patients. Limited sources have determined that exercise interventions of low-to-moderate intensity are safe and feasible for IBD patients. In theory, such interventions could promote improvements in exercise capacity and overall well-being. Focused Clinical Question: Is there evidence to suggest that established safe exercise-intensities promote improvements in exercise capacity in collegiate athletes …

The Association Between Food Insecurity And Physical Activity In Adults With Serious Mental Illness Living In Supportive Housing, Amy Taylor Cunningham, Lara Carson Weinstein, Ana Stefancic, Alexis Silverio, Leopoldo J. Cabassa

Department of Family & Community Medicine Faculty Papers

Rates of food insecurity are high among adults with serious mental illness (SMI); this population also engages in less physical activity than the general population. However, the relationship between food insecurity and physical activity in this group has not been explored. We examined food insecurity prevalence and its association with physical activity in 314 adults with SMI living in supportive housing in New York City and Philadelphia and enrolled in an institutional review board-approved randomized controlled trial of a Peer Group Lifestyle Balance (PGLB) program. We analyzed 2014 baseline survey data, including demographic data and self-reported food security, and four …

Exercise Counselling And Referral In Cancer Care: An International Scoping Survey Of Health Care Practitioners’ Knowledge, Practices, Barriers, And Facilitators, Imogen Ramsey, Alexandre Chan, Andreas Charalambous, Yin Ting Cheung, H. S. Darling, Lawson Eng, Lisa Grech, Nicolas H. Hart, Deborah Kirk, Sandra A. Mitchell, Dagmara Poprawski, Elke Rammant, Margaret I. Fitch, Raymond J. Chan

Research outputs 2022 to 2026

Purpose:

Evidence supports the role of prescribed exercise for cancer survivors, yet few are advised to exercise by a healthcare practitioner (HCP). We sought to investigate the gap between HCPs’ knowledge and practice from an international perspective.

Methods:

An online questionnaire was administered to HCPs working in cancer care between February 2020 and February 2021. The questionnaire assessed knowledge, beliefs, and practices regarding exercise counselling and referral of cancer survivors to exercise programs.

Results:

The questionnaire was completed by 375 participants classified as medical practitioners (42 %), nurses (28 %), exercise specialists (14 %), and non-exercise allied health practitioners (16 …

Body Composition And Psychophysical Well-Being Of Women Practicing Yoga, Aneta Omelan, Justyna Wiśniewska, Robert Podstawski

Baltic Journal of Health and Physical Activity

Introduction: This study characterized yoga as a form of free-time physical activity by analyzing and evaluating the body composition of women who regularly practice yoga, and by describing the effect of yoga on their psychophysical health. Material and Methods: The study involved 94 women: 56 yoga practitioners and 38 Zumba participants. The subjects were surveyed with a questionnaire to elicit information about their socioeconomic status. Body composition was determined by bioelectrical impedance analysis. Differences were assessed with two-tailed chi-square tests and Student’s t-tests. Results: The vast majority of the participants (89%) felt a positive influence of yoga on their mental …

The Road To Championship: An Example Of An Individual With Autism Spectrum Disorder, Halil Sarol, Rıfat Kerem Gürkan, Bülent Gürbüz

Baltic Journal of Health and Physical Activity

The aim of this research is to investigate the road to championship of an individual with Autism Spectrum Disorder (ASD) who began physical activity in childhood under parental influence and won medals in competition as an athlete. In this research, founded on the phenomenological pattern from qualitative research models, data were collected in a semi-structured interview. Face-to-face interviews were held with the family, coach and the research participant. The content analysis method was used. The individual with ASD began a physical activity program in a special education center in childhood under parental influence and psychiatric referral. The individual with ASD …

The 2018 World Cancer Research Fund (Wcrf)/American Institute For Cancer Research (Aicr) Score And Diabetes Risk In The Diabetes Prevention Program Outcomes Study (Dppos)., Marissa M Shams-White, Ashley H Tjaden, Sharon L Edelstein, Sarah Bassiouni, Lisa L Kahle, Catherine Kim, Xavier Pi-Sunyer, Karla A Temple, Elizabeth M Venditti, Jill Reedy, Brandy M Heckman-Stoddard

Journal Articles

BACKGROUND: The 2018 World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) 3rd expert report highlights up-to-date Cancer Prevention Recommendations that may reduce burdens of many chronic diseases, including diabetes. This study examined if following a lifestyle that aligns with the recommendations - assessed via the 2018 WCRF/AICR Score - was associated with lower risk of type 2 diabetes in high-risk adults participating in the Diabetes Prevention Program Outcomes Study (DPPOS).

METHODS: The Diabetes Prevention Program (DPP) randomized adults at high risk for diabetes to receive a lifestyle intervention (ILS), metformin (MET) or a placebo (PLB) (mean: 3.2 years), with …

Chap-Child: An Open Source Method For Estimating Sit-To-Stand Transitions And Sedentary Bout Patterns From Hip Accelerometers Among Children., Jordan A. Carlson, Nicola D. Ridgers, Supun Nakandala, Rong Zablocki, Fatima Tuz-Zahra, John Bellettiere, Paul R Hibbing, Chelsea Steel, Marta M. Jankowska, Dori E. Rosenberg, Mikael Anne Greenwood-Hickman, Jingjing Zou, Andrea Z. Lacroix, Arun Kumar, Loki Natarajan

Manuscripts, Articles, Book Chapters and Other Papers

Background: Hip-worn accelerometer cut-points have poor validity for assessing children's sedentary time, which may partly explain the equivocal health associations shown in prior research. Improved processing/classification methods for these monitors would enrich the evidence base and inform the development of more effective public health guidelines. The present study aimed to develop and evaluate a novel computational method (CHAP-child) for classifying sedentary time from hip-worn accelerometer data.

Methods: Participants were 278, 8-11-year-olds recruited from nine primary schools in Melbourne, Australia with differing socioeconomic status. Participants concurrently wore a thigh-worn activPAL (ground truth) and hip-worn ActiGraph (test measure) during up to 4 …

Physical Activity In Older Adults With Metastatic Gastrointestinal Cancer: A Pilot And Feasibility Study, Justin C. Brown, Elizabeth Brighton, Nancy Campbell, Nadine J. Mccleary, Thomas A. Abrams, James M. Cleary, Peter C. Enzinger, Kimmie Ng, Douglas Rubinson, Brian M. Wolpin, Matthew B. Yurgelun, Jeffrey A. Meyerhardt

School of Medicine Faculty Publications

No abstract provided.

Increasing Physical Activity In Women With Obesity To Promote Weight Loss, Ashley N. Kohler

Evidence-Based Practice Project Reports

Obesity is a chronic disease associated with a multitude of lifelong chronic illnesses. Obesity impacts more than 42% of the United States population (CDC, 2021b). Physical inactivity is a major determinant of obesity (Muerer et al., 2019). The purpose of this evidence-based practice (EBP) project was to promote a greater reduction in body mass index (BMI) of the participants enrolled in an existing wellness program at the EBP practice site by increasing the physical activity level of the participants compared to standard protocol. The existing wellness program’s standard protocol included diet modifications, physical activity encouragement, and medication management. The EBP …

Decreased Physical Activity Among Youth Resulting From Covid-19 Pandemic-Related School Closures: Natural Experimental Study., Amanda Grimes, Joseph S. Lightner, Katlyn Eighmy, Chelsea Steel, Robin P. Shook, Jordan A. Carlson

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: The COVID-19 pandemic has resulted in the closure of schools and may have inadvertently resulted in decreased physical activity for youth. Emerging evidence suggests that school closures due to the COVID-19 pandemic could have hastened the inactivity of youth, possibly due to a lack of structure outside of school and increased access to sedentary activities.

OBJECTIVE: The purpose of this study was to assess changes in physical activity from pre-school closure (before the pandemic) to post-school closure (during the pandemic) among youth in spring 2020.

METHODS: This study used a natural experimental design; youth were enrolled in a physical …

The Effects Of Physical Activity On Glycaemic Control In Children And Adolescents With Type 1 Diabetes Mellitus Participating In Diabetes Camps, Marcin Sikora, Anna Zwierzchowska, Marzena Jaworska, Magdalena Solich Talanda, Rafal Mikolajczyk, Aleksandra Zebrowska

Baltic Journal of Health and Physical Activity

Background:‪Children with type 1 diabetes (T1D) are at high risk of having insufficient physical activity during school days and, thus, the importance of special program in promoting regular physical exercise has been largely emphasized. Therefore, this study examined the levels of physical activity and glycemia control in children with T1D, with particular focus on the relative contributions of regular physical education and physical activity program during the diabetes camp.Material and methods:‪Ninety-eight children suffering from T1D for 3.0 ±1.4 years free of diabetic complications participated in the study. Glycemia, insulin doses and diet were monitored, and physical activity was repeatedly measured …

Analysis Of The Kinematic Parameters Of Squatting In Subjects With Different Levels Of Physical Activity – A Preliminary Study, Magdalena Zawadka, Edyta Lukasik, Maria Skublewska Paszkowska, Jakub Smolka, Piotr Gawda, Miroslaw Jablonski

Baltic Journal of Health and Physical Activity

Background:‪Bipedal leg squat is a common rehabilitation exercise. It is used for evaluation of lower limb function and pelvis and core stability. The aim of this study was a comparison of the lower limb, pelvis and spine ranges of motion in subjects with different declared physical activity level during bipedal squat. Material and methods:‪Twenty healthy student-volunteers took part in this investigation. Based on the author’s questionnaire, they were divided into two groups: “higher” and “lower” physical activity level. Participants performed a two-leg squat with maximal depth, and returned to the standing position. The tridimensional motion of the ankle, knee, hip, …

Paediatric Physical Activity And Health: Moving Towards A Measure Of Quality, Cain C.T. Clark, Claire M. Barnes

Baltic Journal of Health and Physical Activity

It is clear that physical activity, holistically, is linked with several positive factors through the life course. There exists a large evidence base for physical activity quantity, yet there has been little integration of physical activity qualities, and whilst qualityis a nebulous term, recent developments in literature suggest it may be a viable measure in the characterisation of physical activity. The purpose of the study was to comprehensively review the development towards a measure of physical activity quality.‪A review of literature was conducted using online databases: Web of Science, PubMed and Google Scholar. A narrative review was subsequently prepared on …

Validation Of Accelerometer For Measuring Physical Activity In Free-Living Individuals, George O. Agogo, Hilko Van Der Voet, Paul J.M. Hulshof, Pieter Van ’T Veer, Laura Trijsburg, Fred A. Van Eeuwijk, Hendriek C. Boshuizen

Baltic Journal of Health and Physical Activity

Background: The aim of this research was to validate a triaxial GT3X accelerometer against doubly labelled water for measuring total energy expenditure (TEE) in a study of free-living Dutch adults and to compare the two prediction equations used to calculate accelerometer derived activity related energy expenditure. Material/Methods: We used a measurement error model to estimate bias in the mean TEE, a correlation coefficient between measured and true TEE (a validity coefficient, which quantifies loss of statistical power to detect association) and the attenuation factor (which quantifies bias in the association), with and without conditioning on age, sex and BMI. We …

Healthy Aging: Quality Of Life And Health Behaviours In Students Of The University Of The Third Age – A Preliminary Study, Justyna Krzepota, Dorota Sadowska, Beata Florkiewicz

Baltic Journal of Health and Physical Activity

Background: Previous studies have revealed high prevalence of students exhibiting unhealthy behaviour, such as insufficient physical activity during their transitional phase from school to university. Research shows that students’ health is worse compared to non-student pears. However, health and its determinants in specific subgroups, such as students –future teachers, have remained largely unexplored. In contemporary society, teachers are expected to fulfil the role of health educators regardless of the subject they teach in school. So they may maintain good health potential and develop healthy lifestyle themselves. The present study aims to estimate the health status of first-year students at the …

Health Disorders And Exercising Behaviour That Characterize The Transitional Stage Of First-Year Students At The Lithuanian University Of Educational Sciences, Vida Juškelienė, Aušra Kalinkevičienė

Baltic Journal of Health and Physical Activity

Background: Previous studies have revealed high prevalence of students exhibiting unhealthy behaviour, such as insufficient physical activity during their transitional phase from school to university. Research shows that students’ health is worse compared to non-student pears. However, health and its determinants in specific subgroups, such as students –future teachers, have remained largely unexplored. In contemporary society, teachers are expected to fulfil the role of health educators regardless of the subject they teach in school. So they may maintain good health potential and develop healthy lifestyle themselves. The present study aims to estimate the health status of first-year students at the …

Preferences In The Use Of Nutritional Supplements And The Correctness Of Their Selection For Training Purposes, Robert Korczak, Marek Kruszewski, Artur Kruszewski, Stanislaw Kuzmicki, Agnieszka Olszewska, Grzegorz Kepa, Karol Landowski

Baltic Journal of Health and Physical Activity

Background: The aim of the study was to determine the preferences in the use of nutritional supplements and the correctness of their selection in training among recreational athletes attending classes at the gym. Material/Methods: A group 169 of recreational athletes was surveyed in "AWF Warszawa" and "Warszawianka" gyms; they were 26.6 years old ±6.48 yrs and had 4 years ±4.57 of training experience. The diagnostic survey method was used, with questionnaires developed by the authors of this study. Results: A significantly smaller proportion of respondents declared the use of supplements. The supplementation declared most often involved the use of chain …

Reliability And Validity Of The International Physical Activity Questionnaire In Lithuania, Alvydas Kalvenas, Ionuţ Burlacu, Karim Abu-Omar

Baltic Journal of Health and Physical Activity

Background: Purpose of the study was to examine: (1) the criterion validity and test-retest reliability of the IPAQ-LT short-form (SF) and long-form (LF) and (2) its potential over-reporting and energy expenditure over-estimation. Material and methods: 130 participants, aged 18-69 years, wore the Actigraph GT3X accelerometer (ACC) on all waking hours over 7 consecutive days. One day before and after they completed both versions of the back-translated IPAQ-LT. 92 participants were included for the reliability and 81 for the validity tests. Spearman’s rho correlation coefficients were calculated as the measurement of agreement. Results: Only the walking category significantly (p <.05) correlated with the ACC, SF (.22), LF (.20). Compared with ACC data IPAQ-LT averaged 997% (SF) and 1512% (LF) more weekly minutes of PA and 864% (SF) and 1477% (LF) more MET-min/week. The classification of participants as sufficiently active was 87.6% (SF), 90.1% (LF), and 8.7% (ACC). Conclusions: The validity for total PA scored relatively low compared with other studies. Substantial PA over-reporting and EE over-estimation were observed. As such, the evidence is very weak to support the use of IPAQ-LT as a relative or an absolute measure of PA and further work in this regard is amended.

Domain-Specific Physical Activity Among Indigenous Overweight And Obese Communities In Sarawak, Ching Thon Chang, Whye Lian Cheah, Helmy Hazmi, Wan Abdul Manan Wan Muda

Baltic Journal of Health and Physical Activity

Background: Physical activity is important to maintain health and to prevent non-communicable diseases. Material/Methods: We evaluated physical activity in four domains (leisure time, occupational, domestic and transportation ones) and its sociodemographic correlates in 351 adult overweight and obese indigenous people in Sarawak, Malaysia. Physical activity was assessed using the Malay version of the International Physical Activity Questionnaire (IPAQ) long form. The data were analysed using SPSS version 20. Results: More than 40% of the respondents (43.5%) were obese. The overall median total MET-minutes were 6180.0 (IQR = 10229.0). A total of 53% of the respondents were moderately active with the …

Physical Activity In Youth And Level Of Kinesiophobia In Older Adults, Edward Saulicz, Andrzej Knapik, Mariola Saulicz, Pawel Linek, Jerzy Rottermund, Tomasz Wolny, Andrzej Mysliwiec

Baltic Journal of Health and Physical Activity

Background: Previous physical activity may be a significant motivator for activity at an elder age. There is a lack of research regarding the kinesiophobia phenomenon in the elderly across a wide spectrum of its conditions. The purpose of this study was to investigate the level of kinesiophobia in older adults in the context of their physical activity in youth. Material and methods: The research was performed on a group of 520 people between 65 and 87 years old. Psychometric tools completed by the subjects were used. The tools consisted of two parts: a survey concerning the level of physical activity …

Physical Activity And Body Image Of Women: Literature Review, Sonia Mosur-Kaluza, Monika Guszkowska

Baltic Journal of Health and Physical Activity

This study represents a review of literature on the relationship between recreational physical activity and the body image. This research encompasses 39 papers published between 2008 and 2015 that were available in the Academic Search Complete database. The results of comparative, prospective, and experimental research are ambiguous. These data suggest both a positive relationship between the body image and physical activity, i.e. a more positive body image among more active people and an improvement in the body image as a result of regular exercise, and a negative relationship, in particular, a more negative body image in persons engaging in “aesthetic” …

Self-Regulation Strategies Used By Men And Women Attending To Fitness Clubs, Krzysztof Sas-Nowosielski, Sylwia Szopa

Baltic Journal of Health and Physical Activity

Background: The purpose of this study was to examine the self-regulation strategies used by men and women attending to fitness clubs and how they are related to the level of participants’ physical activity. Material/Methods: The participants of the study were 200 persons attending fitness clubs, including 108 women (54%) and 92 men (46%), aged 17-63 years, mean 29.18 ±9.16 years. The questionnaire measuring self-regulation strategies: goal-setting, self-monitoring, enlisting social support, self-rewarding and stimulus control were used along with Godin Leisure-Time Exercise Questionnaire assessing physical activity. Results: Participants exercised on average 6.17 (±3.83) hours MVPA weekly. From the self-regulation strategies the …

Physical Activity As A Pro-Health Behaviour In The Opinion Of Adult Women, Maria Lipko, Anna Darmas

Baltic Journal of Health and Physical Activity

Background: This study aims at determining opinion of participants of strengthening and relaxation classes on health determinants and their influence on adoption of particular forms of physical activity. Material/Methods: Participants of the study were 113 women aged 40 to 55, among whom 70 participated in such strengthening and relaxation courses as yoga, Pilates and Tai Chi and 43 women were inactive (control group). A survey prepared by the authors of this paper was used. Results: According to the participants, the most crucial factors influencing health are proper nutrition, adoption of physical activity and keeping proper body weight. Active women are …

The Role Of Self-Efficacy In Undertaking Health-Seeking Behaviours By Physical Education Teachers, Zaneta Szczepanska-Klunder, Mariusz Lipowski

Baltic Journal of Health and Physical Activity

Background: Self-efficacy, defined as a personal resource, is increasingly analysed in context of healthseeking behaviours. Therefore, it is important to explain to what extent these behaviours are associated with cognitive personality disposition of physical education teachers, manifested by their self-efficacy. Material/Methods: We examined 271 physical education teachers (n♀ = 137 and n♂ =134) aged between 23 and 62 years (M = 38.97, SD = 9.33). The respondents were surveyed with the Generalized Self-Efficacy Scale by Schwarzer and Jerusalem in the Polish adaptation by Juczynski, Health Behaviour Inventory by Juczynski and the Multidimensional Body-Self Relations Questionnaire by Cash. Results: Our findings …

Gender Differences In Body Mass Index And Physical Activity Of Students Of The University Of Tuzla, Almir Atikovic, Sanjin Hodzic, Jasmin Bilalic, Jasmin Mehinovic, Amra Nozinovic Mujanovic, Edin Mujanovic, Alen Kapidzic

Baltic Journal of Health and Physical Activity

Background: This study was carried out among undergraduate students at the University of Tuzla (Bosna and Herzegovina) with the objective of examining gender differences in the body mass index (BMI) and the level of Physical Activity (PA) among respondents. Material/Methods: This study was conducted to: determine the body mass index (BMI) and the average weekly number of hours of sport activity in the last six months (PA). A research sample was made of female students (n = 330) in the chronological age of 19.3+1.5 yrs, 60.7%, and of male students (n = 213) in the chronological age of 20.0+1.8 yrs, …

Comparing The Physical Activity Patterns Of 3-Year-Old Finnish And Australian Children During Childcare And Homecare Days, Anne Soini, Anthony Watt, Tuija Tammelin, Markus Soini, Arja Sääkslahti, Marita Poskiparta

Baltic Journal of Health and Physical Activity

Background: Limited previous research has contrasted physical activity (PA) patterns in preschool children across different hourly patterns or segments of day, or adopted similar methodologies to compare the PA behaviors of children from different countries. The purpose of this study was to examine how the PA levels and patterns differed between 3- year-olds within and between childcare and homecare days in Finland and Australia. Material/Methods: ActiGraph GT3X accelerometers were used to monitor 121 (80 Finnish, 41 Australian) children’s PA for five consecutive days. Results: No significant country differences were observed in children’s daily total PA (light-tovigorous PA [LMVPA]), except that …

Corrective Gymnastics And Motor Skills Of Fiveand Six-Year-Old Children, Magdalena Rokicka-Hebel

Baltic Journal of Health and Physical Activity

Background: The purpose of the study was to evaluate motor skills of children participating and not participating in corrective gymnastics activities. It has been assumed that children participating in additional physical activities conducted in nursery school have better motor skills than those staying out of this type of activities. Material/Methods: Tests were carried out in two stages. For quantitative research a questionnaire was conducted among headmasters of nursery schools in Gdansk. The qualitative and quantitative research involved: observation, document analysis, tests of educational performance verifying the level of motor skills. A total of 286 five- and six-year-old children were recruited …

Motivations For Undertaking Physical Activity By First-Year Students Of Faculty Of Physical Education In 2000 And 2010, Alicja Nowak-Zaleska, Ryszard Zaleski, Barbara Wilk, Anna Walentukiewicz

Baltic Journal of Health and Physical Activity

Background: During the last several years, diametrical difference in attitude to physical activity in youth has been noticed. Engagement in any form of physical activity always goes together with motivation for its undertaking, most often connected with realization of personal expectations. Its sources are perceived, among others, in interior factors, such as: joy resulting from participation in physical activity itself, personal achievements, and pleasure of finding release in movement or social contacts, e.g. spending time with friends. The present paper attempts to assess the motivation for additional physical activity undertaken by first-year students of the Faculty of Physical Education at …

Motivations And Effects Of Practicing Nordic Walking By Elderly People, Andrzej Knapik, Edward Saulicz, Andrzej Mysliwiec, Mariola Saulicz, Aneta Warmuz-Wancisiewicz

Baltic Journal of Health and Physical Activity

Background: As a result of numerous advantages of Nordic Walking such as the movement simplicity, its affordability and availability for people of various ages and with different levels of fitness, this relatively young physical activity has been developing remarkably for several years. It has the potential of increasing physical activity among elderly people. Defining to what extent practicing Nordic Walking (NW) influences the general level of physical activity and the quality of life of elderly people. Material/Methods: 161 people were examined (93 women and 68 men) at the age of 60 or above. In this group 48 practised NW: 33 …