Tracking of sport and exercise types from midlife to old age: a 20-year cohort study of British men

Background

Previous physical activity (PA) tracking studies have examined the stability of overall PA and/or PA types, but few have investigated how specific types of sport/exercise track over the life course. The aim of this study was to determine how specific sports/exercises in midlife track and predict future sport/exercise and PA in men transitioning to old age.

Methods

Seven thousand seven hundred thirty-five men (aged 40–59?years) recruited in 1978–80 were followed up after 12, 16 and 20?years. At each wave men self-reported participation in sport/exercise. Frequent sport/exercise participants (>?1/month) reported the types of sport/exercise they engaged in. Men also reported total PA, health status, lifestyle behaviours and socio-demographic characteristics. Stability of each sport/exercise was assessed using kappa statistics and intraclass correlation coefficients. Logistic regression estimated the odds of participating in sport/exercise and being active at 20-year follow up according to specific types of sport/exercise in midlife.

Results

Three thousand three hundred eighty-four men with complete data at all waves were included in analyses. Tracking of specific sports/exercises ranged from fair to substantial, with golf being the most common and most stable. Bowls was the most frequently adopted. Odds of participating in sport/exercise and being active in old age varied according to sport/exercise types in midlife. Golf and bowls in midlife were the strongest predictors of sport/exercise participation in old age. Golf, cricket and running/jogging in midlife were among the strongest predictors of being active in old age. Compared to participating in just one sport/exercise in midlife, sampling multiple sports/exercises was more strongly associated with sport/exercise participation and being active in old age.

Conclusion

The stability of sport/exercise participation from midlife to old age varies by type. Specific sports/exercises in midlife may be more likely to predict future PA than others. However, participating in a range of sports/exercises may be optimal for preserving PA into old age.

     

Best Practice Principles for Community Indicator Systems and a Case Study Analysis: How Community Indicators Victoria is Creating Impact and Bridging Policy,Practice and Research

Numerous community indicator projects have been developed over the past 30 years and are now present in many countries including the United States, Canada, United Kingdom, Europe, Australia, New Zealand and South America. However, creating influence and action using community indicators requires long-term effort strengthened by partnership, policy applications, training and research. This paper provides a reflective case study analysis that reviews the development of the community indicator system of Community Indicators Victoria in Australia. The analysis includes a review of best practice indicator principles guiding the development of current and future community indicator systems and describes how these factors influenced the development, establishment, and expansion of the Community Indicators Victoria system.     

Potential strategies to avoid progestogen-induced premenstrual disorders

Non-hormonal approaches to premenstrual syndrome (PMS) treatment such as selective serotonin reuptake inhibitors are by no means effective for all women and frequently we must resort to endocrine therapy. During many of the hormonal approaches, PMS-like symptoms can be introduced or re-introduced during the necessary cyclical or continuous progestogen component of the therapy. This is seen with combined oral contraception, progestogen only contraception, progestogen therapy for heavy menstrual bleeding and endometriosis, sequential hormone replacement therapy and any therapeutic strategy for premenstrual syndrome where it is necessary to provide endometrial protection, including estrogen suppression of ovulation or add-back during gonadotrophin releasing hormone suppression. The link to progestogen is very often missed by health professionals. When the pattern of symptoms mimics the cyclicity of PMS, it is termed progestogen-induced premenstrual disorder. The need to use progestogen to protect the endometrium from the proliferative actions of estrogen can pose insurmountable difficulties in managing premenstrual disorders. In the absence of any really useful evidence, nearly all practice in this area depends on clinician experience. We cannot afford to wait for adequate research evidence to be produced - it never will - and so we must rely on empirical findings, clinical experience, theoretical strategies and common sense.     

The Early Development Instrument: An Examination of Convergent and Discriminant Validity

The convergent and discriminant validity of the Early Development Instrument (EDI), a teacher-rated assessment of children’s “school readiness”, was investigated in a multicultural sample of 267 kindergarteners (53% male). Teachers evaluations on the EDI, both overall and in five domains (physical health/well-being, social competence, emotional maturity, language/cognition, communication/general knowledge), were related to direct, child-based assessments of performance on two standardized measures of school readiness, and measures of phonological awareness and early social competence. Regression analysis indicated that together the four comparison measures accounted for 36% of variance in overall EDI scores, each making a significant and unique contribution. Results supported the convergent validity of overall EDI scores but not the discriminant validity of EDI domain scores. Moreover, correlations between EDI scores and comparison measures varied widely across teachers, suggesting considerable individual differences in teacher’s ability to evaluate school readiness relative to direct, child-based assessments, and confirming that the EDI is more appropriate for deriving inferences at higher aggregated levels such as community or region. The validation of EDI domain scores remains an important challenge in future research.     

The child welfare response to serious nonaccidental head trauma

Serious nonaccidental head trauma (NHT) can leave permanent neurological damage in children who survive abuse. This study reports on child welfare's handling of NHT cases compared with cases of physical abuse and head trauma due to neglect with regard to placement in foster care, reunification with family, and safety issues. The results show that workers placed children with NHT in foster care immediately after the abuse but treated them no differently than other physically abused children regarding reunification.