The prevalence of physical activity maintenance in a sample of university students: a longitudinal study

The health and financial costs of physical inactivity are staggering. Few researchers have assessed the prevalence of physical activity at the level needed to gain health benefits. OBJECTIVE: The author's purpose in this longitudinal study was to assess the prevalence of university students who maintained physical activity at the level necessary for health gains for at least 1 month. PARTICIPANTS: University students (N = 392) from 2 campuses participated in this 1-month study. METHODS: The author administered a survey to the same group of students at baseline and 1 month later to assess the prevalence of students who met and maintained the physical activity guideline for health (PAGH). RESULTS: Thirty-five percent of students maintained the PAGH for 1 month. CONCLUSION: The majority of students in this study were insufficiently physically active. Given that insufficient physical activity may lead to serious health concerns, interventions are needed to improve activity maintenance in this population.     

Occurrence of exercise dependence in a college-aged population

Students (n = 257) were evaluated for scope and commitment to physical activity by use of self-reported data that assessed amount of activity per week and the obligatory or pathological nature of their activity patterns. Exhibiting atypical activity patterns, 21.8% of the students in the sample exercised 360 or more minutes per week and demonstrated at least one exercise "dependent" response pattern to queries about obligatory or pathological exercise. Although clinicians and educators should promote the many advantages of regular participation in physical activity, they should acknowledge that, for some, it may have undesirable consequences that occur at a frequency parallel to other age-related negative behaviors.     

Psychiatric nursing emergency: a simulated experience of a wrist-cutting suicide attempt

A simulated wrist-cutting suicide attempt scenario was developed and implemented, with the goal of integrating the concepts of psychiatric emergency care, contraband, environmental assessment, and personal safety. Faculty also wanted to convey and provide care and support for participants through-out the visually and emotionally stimulating activity. The under-lying premise was that providing readings and lecture material on these topics was insufficient to the level of learning and performance needed by nursing students and novice nurses. How-ever, actual student clinical episodes integrating these concepts were also infrequent, unpredictable, and often not conducive to student learning. Therefore, faculty implemented a simulation teaching modality to deliver the concepts in a vivid and memorable format. A standardized rating scale on perceived learning and care from faculty during the course of the simulation was administered immediately following participation in the activity. Participants were overwhelmingly positive in their assessment of the activity, reporting an enhanced appreciation for safety in the conduct of inpatient psychiatric nursing care.Further, the faculty member's observation and post-simulation processing of the activity noted cognitive, behavioral, and emotional responses at the individual and group levels related to communication, observation and assessment, decision making,and interpersonal support     

Latino Sexual Styles: Developing a Nuanced Understanding of Risk

The commencement of bisexual behavior and the ontogenesis of a bisexual orientation was studied in order to aid in the better understanding of how sexual behavior patterns begin and change. The investigation was conducted through in‐depth interviews held in California, Oregon, and Washington with the first 50 female volunteers gathered from a variety of sources who met the study requirements. Those requirements were that each subject, at the time of her first sexual contact with another female, (a) was married; (b) was at least 30 years of age; (c) was engaged in swinging; (d) was enjoying sex with males; and (e) had no history, prior to age 30, of a sexual attraction to females. “Multi‐female” and “multi‐male” sexual activity are terms introduced to remove the ambiguity and mislabeling which results from defining sexual activity between all persons of the same sex as necessarily homosexual. Subjects typically revealed a high incidence of early and continuing autosexual and heterosexual activity and current high frequencies of sexual activity with each sex. Influences facilitating a typical subject's initial and subsequent sexual activity with females were found to be her husband, other swingers, and the general swinging environment—the husband's influence usually being of paramount importance. It was concluded that those influences, perhaps together with a predisposition toward gaining perceived fulfillment of felt needs through sexual activity, will result in some heterosexual females engaging in multi‐female sexual activity and eventually adopting a self‐identified bisexual orientation.     

Holistic wellness as a means to developing a lifestyle approach to health behavior among college students

OBJECTIVE: The authors examined the influence of a holistic model of wellness on activity level among obese and sedentary college students. PARTICIPANTS: They recruited 41 participants for an 11-week program. METHODS: Participants were required to record daily walking totals and complete 5 bimonthly classes where principles of holistic wellness were discussed. Pre- and posttest values of activity level (walking activity, cardiovascular training, general activity, and resistance training) and pre- and posttest knowledge and self-efficacy related to principles of holistic wellness. Participants also completed a 1-month followup. RESULTS: Participants who completed the program reported increases in general exercise activity, resistance training, and walking behavior, as well as self-efficacy and knowledge concerning principles of holistic wellness. The authors also observed decreases in participants' body fat and body mass. CONCLUSIONS: Relevance to adherence of exercise behavior and a lifestyle approach to health are discussed. Future directions and limitations are highlighted.     

Micro-Genetic Development of Timing in a Child

The purpose of this study is to analyze the micro-genesis of a child’s appropriation of timing. The data consist of video observations from a primary classroom with a focus on one child (7 years old) participating in a musical activity. The results show that the teacher scaffolds the child in several steps: from establishing a platform for participation in the activity, via demonstration to explanation. The child goes from being uncoordinated with the teacher to being able to play in time with her. The meta-issue of how to represent developmental processes in research is discussed.     

Physical Activity Behaviors of Students of a Rural Historically Black College

Abstract

Physical activity can have a positive impact on health disparities among African Americans. Objective: In this study, we assessed physical activity behaviors and correlates of students of a Historically Black College. Methods: In September 2004, an online survey and pedometers were used to measure physical activity behavior and correlates. Participants: A convenience sample of 106 students completed the survey and received pedometers. Pedometer data were submitted online for 5 weeks. Results: One hundred and six students completed the survey. Twenty-eight percent and 41% of respondents met recommendations for moderate physical activity and vigorous physical activity, respectively. Week 1 daily pedometer step count average was 8,707. Most students reported positive outcome expectations for physical activity. Students submitting pedometer data were less likely to meet MPA recommendations than students only completing the survey. Conclusions: African American students feel positive about physical activity yet most do not meet recommended levels.     

Evaluation of a classroom movement integration training delivered in a low socioeconomic school district

Movement integration (MI), which involves infusing physical activity (PA) into general education classrooms, is an evidence-based strategy within whole-of-school approaches for helping children meet the national PA guideline of at least 60 min per day. This study evaluated an MI training delivered in a low socioeconomic elementary school that had recently invested in three movement facilitative classrooms (a kinesthetic classroom and two activity labs). We investigated (a) the training’s fidelity in meeting recommended best practices for professional development and (b) school professionals’ perspectives of the training. Eight school professionals participated in the study, including five classroom teachers, two activity lab supervisors, and the principal. The researchers used a video of the training to rate the fidelity of the training to best practice recommendations. Interviews, field notes, and informal conversations with participants were qualitatively analyzed for themes. The training received a total fidelity score of 42%. Qualitative findings highlighted participants’ varied perspectives of the training’s purpose, challenges associated with the training and future recommendations for MI trainings. For MI trainings to be a valuable asset in increasing teachers’ value and effective implementation of MI, trainings need to be designed to be in line with best practice recommendations and teachers’ perceived needs.     

Pathways to recovery after substance abuse treatment: leaving a life of crime behind

Changes in criminal activity following substance abuse treatment were examined among 941 individuals. The estimated cost to society of crimes committed in the 6 months prior to intake was used to classify participants into three groups: no-, low-, and high-cost. Logistic regression was used to predict criminal activity at 6 and 24 months following intake as a function of (a) intake status, (b) treatment, and (c) outcome status and changes. The three groups varied significantly at intake and what predicted subsequent criminal activity. Treatment effects on criminal activity were mediated by the extent to which treatment reduced substance use. Outcomes were also predicted by other factors (e.g. housing, employment, medical problems, psychological distress, and social support). The results support the need for multidimensional assessments for predicting the risk of illegal activity, the need for reassessments following treatment, and the value of addressing other problems in reducing subsequent criminal activity.     

Prevalence of sufficient physical activity among parents attending a university

OBJECTIVE: The benefits of regular physical activity are well documented. However, approximately half of all university students are insufficiently active, and no research to date exists on the activity behavior of university students who are also parents. PARTICIPANTS AND METHODS: Using an adapted version of the Godin Leisure Time Exercise Questionnaire (ie, the Physical Activity Prevalence Questionnaire), the authors examined the prevalence of sufficient physical activity among 245 parent students from 6 faculties and 12 programs. RESULTS: Half (49.5%) of the students who were not parents (n = 90) were sufficiently physically active, compared with 16% of students who were parents (n = 3, p < .002). The authors found that 33.3% of parents and 13% of nonparents limited their activity level as a result of illness or injury (p < .05). CONCLUSIONS: Most parent students in this study were insufficiently active and at potential risk for the negative health consequences of inactivity. This is a grossly understudied population, and researchers must conduct further studies to understand what can be done to facilitate physical activity among this potentially vulnerable group of students.     

Development of a logic model for a service learning,dog walking course for college students

Despite overwhelming evidence of the importance of physical activity, only 20% of US adults meet physical activity recommendations. A subsector of the population vulnerable to inactivity is college students. There is a disconnect between evidence-based physical activity programming and dissemination into college communities, which may be overcome through logic model development and evaluation. The purpose of this paper is to discuss logic model development for a service-learning, dog walking program for undergraduates. Participants were undergraduates (18–25 years). Process evaluations and observational data were used in a content analysis to determine major themes to create the logic model. A set of resources were needed to complete program activities, which led to short- and long-term outcomes. The overarching goal of the program is to improve the overall health status of college students and companion animals. This logic model may have significant public health impact as it can serve as a framework for universities wanting to develop, implement, and evaluate a service-learning, dog walking program for students.     

Applying a Treatment Effects Model to Investigate Public Amenity Effect on Physical Activity of the Elderly

The increasing elderly population puts significant health, economic, and social burdens on society. Physical activity is one of the most cost-effective ways to maintain the health of the elderly. This study adopts a treatment effects model to investigate the causal relationship between environment attributes and physical activity among the elderly, while taking endogeneity into account. The data were collected from 274 participants by face-to-face interviews in Taichung, Taiwan. Performing physical activity regularly in parks is the most important measure of the amount of physical activity by the elderly. Providing sufficient and accessible parks in metropolitan residential neighborhoods could be one of the most cost-effective ways to promote physical activity for the elderly living in midsize Asian cities.     

Correlates of physical activity in a community sample of older adults in Appalachia

Although much has been learned about the global determinants of physical activity in adults, there has been a lack of specific focus on gender, age, and urban/rural differences. In this church-based community sample of Appalachian adults (N = 1,239), the primary correlates of physical activity included age, gender, obesity, and self-efficacy. Overall, 42% of all participants and 31% of adults age 65 years or older met recommended guidelines for physical activity, which suggests that most participants do not engage in adequate levels of physical activity. Of participants who met physical activity guidelines, the most common modes of moderate and vigorous activity were walking briskly or uphill, heavy housework or gardening, light strength training, and biking. These particular activities that focus on building self-efficacy might be viable targets for intervention among older adults in rural communities.     

Activity Theory as a Framework to Analyze Technology-Mediated Elderly Care

This article presents a field study of technology-supported elderly care analyzed from an activity theory perspective. Leont’ev’s hierarchical structure of activity is used to analyze how elderly people learn new technology-mediated care practices. We also used Engeström’s activity system in studying particular work contexts. We combined activity theory with Corbin and Strauss’s trajectory concept to represent a time line perspective on technology-mediated elderly care. This combination made it easier to focus on transitions between the stages in the trajectory. Our analysis of technology-supported care emphasizes providing for increasing levels of automation in care and shifting relations between the subject and the tool as a way to maintain the stability of the object of activity.     

History and Conflicting Themes in a Gender Creating Culture

In this article statements made by elder care middle managers containing explanations of conflicts and tensions during a period of change in two municipalities are described and related to the history of the work activity. Furthermore, the explanations are associated with the construction of gender in this type of work activity. The results show that it is possible to relate different perceptions of work conflicts and various constructions of femininity to the history of the work. The use of cultural-historical and activity theory approaches on gender and management is discussed and a concept of activity identity is suggested.     

Progression of functional limitations in relation to physical activity: a life course approach

In this minireview, we summarize the research results to date on the progression of functional limitations and the role of physical activity during the life course in preventing risk factor accumulation. In addition, socioeconomic and health disparities play a role in the development process of functional limitation throughout life. We discuss the potential role of physical activity in alleviating this process. Functional limitations usually develop gradually over an extended period of time while the level of physical functioning varies greatly already from midlife onwards. Current research strongly suggests that physical activity has a beneficial effect on functional limitations at different life stages on the population level. However, the potential impact of physical activity in alleviating the effects caused by socioeconomic disparities is inconsistent. Research findings are also conflicting on the extent of the effect of physical activity among certain subsets of the population, such as obese persons. Although the benefits of physical activity on physical impairments and functioning among the adult population have been confirmed, the number of adults who are physically active is too low and, for the majority, physical activity declines with older age. Thus, detailed research evidence is needed for designing effective preventive interventions starting from earlier ages and continuing throughout the lifespan across different subgroups in the population.     

Physical activity in people age 80 years and older as a means of counteracting disability, balanced in relation to frailty

The aim of this study was to describe experiences of physical activity, perceived meaning, and the importance of and motives and barriers for participation in physical activity in people 80 years of age and older. A qualitative design with focus-group methodology was used. The sample consisted of 20 community-living people age 80-91 yr. Data analyses revealed 4 themes: physical activity as a part of everything else in life, joie de vivre, fear of disease and dependence, and perceptions of frailty. Our results suggest that physical activity was not seen as a separate activity but rather as a part of activities often rated as more important than the physical activity itself. Thus, when designing physical activity interventions for elderly people, health care providers should consider including time for social interaction and possibilities to be outdoors. Moreover, assessment of physical activity levels among elderly people should include the physical activity in everyday activities.     

Prevalence of Sufficient Physical Activity Among Parents Attending a University

Objective: The benefits of regular physical activity are well documented. However, approximately half of all university students are insufficiently active, and no research to date exists on the activity behavior of university students who are also parents. Participants and Methods: Using an adapted version of the Godin Leisure Time Exercise Questionnaire (ie, the Physical Activity Prevalence Questionnaire), the authors examined the prevalence of sufficient physical activity among 245 parent students from 6 faculties and 12 programs. Results: Half (49.5%) of the students who were not parents (n = 90) were sufficiently physically active, compared with 16% of students who were parents (n = 3, p < .002). The authors found that 33.3% of parents and 13% of nonparents limited their activity level as a result of illness or injury (p < .05). Conclusions: Most parent students in this study were insufficiently active and at potential risk for the negative health consequences of inactivity. This is a grossly understudied population, and researchers must conduct further studies to understand what can be done to facilitate physical activity among this potentially vulnerable group of students.