Protein needs of older adults engaged in resistance training: a review

Protein recommendations by some professional organizations for young adults engaged in resistance training (RT) are higher than the recommended dietary allowance (RDA), but recommendations for resistance-training older adults (>50 years old) are not well characterized. Some argue that the current RDA is adequate, but others indicate increased protein needs. Although concerns have been raised about the consequences of high protein intake, protein intake above the RDA in older adults is associated with increased bone-mineral density when calcium intake is adequate and does not appear to compromise renal health in older individuals with normal renal function. Individual protein needs for older adults in RT are likely highly variable according to health and training regimen, but an intake of 1.0-1.3 g x kg(-1) x day(-1) should adequately and safely meet the needs of older adults engaged in RT, provided that their energy needs are met.     

Physical activity and fitness among midlife and older rural women

This study investigated physical activity and fitness of midlife and older rural women. Random-digit dialing was used to recruit 225 women (57.9 +/- 5.6 years old). Self-reported activity (moderate activity, flexibility, and strength) and fitness (body composition, flexibility, strength, and estimated VO(2max)) were assessed. The women demonstrated low daily energy expenditure (30.74 +/- 10.63 kcal x kg(-1) x day(-1)) and estimated VO(2max) (20.12 +/- 7.81 ml x kg(-1) x min(-1)), with 51.5% reporting fair or poor health. Few women reported meeting Healthy People 2010 targets for moderate activity (43.1%), flexibility (28.9%), or strength )14.2%). When classified by estimated VO(2max) into three categories, differences were observed for body-mass index, percent body fat, sit and reach, and timed chair stands, with the poorest performance by those with low cardiorespiratory fitness. Adherence to Healthy People 2010 targets for moderate activity and strengthening was associated with higher cardiorespiratory fitness. These rural women are targets for physical activity interventions because of their sedentary behaviors and low cardiorespiratory fitness.     

Reporting suspected child abuse: a pilot comparison of middle and high school counselors and principals

A survey on experiences with child abuse reporting was obtained from 116 middle and high school counselors and principals across the U.S. Results revealed that counselors throughout their careers had made more reports than principals and perceived themselves to be better trained on child abuse. Those school professionals with fewer years of experience reported more adequate pre-service training. Counselors also failed to report in more instances than principals, citing as deterrents the lack of physical evidence and little faith in child protective services. Most counselors and principals took appropriate action when presented with case examples of child sexual abuse. Recommendations for future research are provided.     

A Risk Analysis Model of the Relationship Between Beverage Consumption from School Vending Machines and Risk of Adolescent Overweight

Risk analysis is a widely used tool to understand problems in food safety policy, but it is seldom applied to nutrition policy. We propose that risk analysis be applied more often to inform debates on nutrition policy, and we conduct a risk assessment of the relationship of regular carbonated soft drink (RCSD) consumption in schools and body mass index (BMI) as a case study. Data for RCSD consumption in schools were drawn from three data sets: the Continuing Survey of Food Intake by Individuals 1994-1996, 1998 (CSFII), the National Health and Nutrition Examination Survey 1999-2000 (NHANES), and the National Family Opinion (NFO) WorldGroup Share of Intake Panel (SIP) study. We used the largest relationship between RCSD and BMI that was published by prospective observational studies to characterize the maximum plausible relationship in our study. Consumption of RCSD in schools was low in all three data sets, ranging from 15 g/day in NFO-SIP to 60 g/day in NHANES. There was no relationship between RCSD consumption from all sources and BMI in either the CSFII or the NHANES data. The risk assessment showed no impact on BMI by removing RCSD consumption in school. These findings suggest that focusing adolescent overweight prevention programs on RCSD in schools will not have a significant impact on BMI.     

The effect of comparisons on detecting deceit

The present study examined the impact of viewing condition on accuracy in detecting deception. In Experiment 1, observers saw: 1) a single interview for each subject and then judged whether it was honest or deceptive; or 2) two interviews for each subject, and then judged which one was deceptive. All observers were given the full audiovisual record; they were able to see the face and the entire body and to hear the speech as it was spoken. As predicted, detection accuracy when two interviews were available for comparison was significantly higher than accuracy for a single interview. In both cases, however, mean detection accuracy was not significantly different from chance. In Experiment 2, the impact of viewing order of the two interviews (honest first vs. deception first) was assessed. When honest interviews were shown first, judges' accuracy was significantly greater than when deceptive interviews were shown first, and it was also significantly better than chance. Heuristics such as anchoring and representativeness may account for this phenomenon. Reasons for observers' inability to detect deception in this, and other studies, are discussed.Paul Ekman's work is also supported by a Research Scientist Award from the National Institute of Mental Health (MH 06092) and a previous grant from NIMH (MH11976).     

Keeping score. Scorecards, profiles and report cards rapidly expanding to track physician performance

Not all doctors like them, some even ignore them, but nevertheless the use of physician scorecards is growing and the scores may soon be widely available to the general public.     

Adolescents coping with mom's breast cancer: developing family intervention programs

The purpose of this pilot study was to gain a deeper understanding of how adolescents are affected by their mothers' breast cancer and to discover their opinions about how future intervention programs should be designed. Three focus groups were conducted with a total of 10 adolescents. Findings indicate that adolescents' lives had been complicated by their mothers' illness, as they often felt burdened with additional roles and responsibilities. Adolescents suggested that future intervention programs should have the following elements: Adolescent group comprised of boys and girls within 4 months of cancer diagnosis; psychoeducation; target coping skills sensitive to girls and boys of different ethnic and racial backgrounds; and after the adolescent groups, have multiple-family therapy groups that promote shared family understanding and open communication between parents and adolescents.