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David W. Brock, Olivia Thomas, Charles D. Cowan, David B. Allison, Glenn A. Gaesser and Gary R. Hunter

Background:

Numerous public health organizations have adopted national physical activity recommendations. Despite these recommendations, over half of the US population does not meet the minimum recommendation for physical activity, with large variations across individual US states.

Methods:

Using the 2005 Behavioral Risk Factor Surveillance System (BRFSS) prevalence data for physical activity and obesity by state, we performed a weighted least squares regression using prevalence of obesity (BMI ≥ 30 kg/m2) as the dependent variable and insufficiently physically active (included completely sedentary), age, race, gender, and median household income as the independent variables.

Results:

The unadjusted weighted least squares regression revealed a strong correlation between a state’s prevalence of obesity and the prevalence of insufficiently physically active (R = .76, R 2 = .58, P < .0001). After adjusting for age, gender, race, and median household income, the prevalence of insufficiently physically active is still a significant predictor of the state prevalence of obesity (partial R = .44, R 2 = .19 P = .004).

Conclusion:

Macroenvironmental and sociopolitical disparities between individual US states that transcend simple state-level demographic factors need to be examined more rigorously to identify unique barriers and promoters of physical activity.

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Mindy Millard-Stafford, Ann E. Swanson and Matthew T. Wittbrodt

Men outperform women in sports requiring muscular strength and/or endurance, but the relative influence of “nurture” versus “nature” remains difficult to quantify. Performance gaps between elite men and women are well documented using world records in second, centimeter, or kilogram sports. However, this approach is biased by global disparity in reward structures and opportunities for women. Despite policies enhancing female participation (Title IX legislation), US women only closed performance gaps by 2% and 5% in Olympic Trial swimming and running, respectively, from 1972 to 1980 (with no change thereafter through 2016). Performance gaps of 13% in elite middistance running and 8% in swimming (∼4-min duration) remain, the 5% differential between sports indicative of load carriage disadvantages of higher female body fatness in running. Conversely, sprint swimming exhibits a greater sex difference than sprint running, suggesting anthropometric/power advantages unique to swim-block starts. The ∼40-y plateau in the performance gap suggests a persistent dominance of biological influences (eg, longer limb levers, greater muscle mass, greater aerobic capacity, and lower fat mass) on performance. Current evidence suggests that women will not swim or run as fast as men in Olympic events, which speaks against eliminating sex segregation in these individual sports. Whether hormone reassignment sufficiently levels the playing field in Olympic sports for transgender females (born and socialized male) remains an issue to be tackled by sport-governing bodies.

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Benjamin D. Hickerson and Karla A. Henderson

Background:

Youth summer camp programs have the potential to provide opportunities for physical activity, but little to no research has been conducted to determine activity levels of campers. This study aimed to examine physical activity occurring in day and resident summer camps and how activity levels differed in these camps based upon demographic characteristics.

Methods:

Pedometer data were collected during hours of camp operation from 150 day campers and 114 resident campers between the ages of 8 and 12 years old. Independent t tests were used to compare physical activity by sex, race, and Body Mass Index.

Results:

Campers at day camps averaged 11,916 steps per camp day, while resident campers averaged 19,699 steps per camp day. Day campers averaged 1586 steps per hour over 7.5 hour days and resident campers averaged 1515 steps per hour over 13 hour days. Male sex, Caucasian race, and normal Body Mass Index were significant correlates of more physical activity.

Conclusions:

Youth summer camps demonstrate the potential to provide ample opportunities for physical activity during the summer months. Traditional demographic disparities persisted in camps, but the structure of camp programs should allow for changes to increase physical activity for all participants.

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Melissa Bopp, Sara Wilcox, Marilyn Laken, Steven P. Hooker, Deborah Parra-Medina, Ruth Saunders, Kimberly Butler, Elizabeth A. Fallon and Lottie McClorin

Background:

Physical activity (PA) participation offers many benefits especially among ethnic groups that experience health disparities. Partnering with faith-based organizations allows for a more culturally tailored approach to changing health behaviors.

Methods:

8 Steps to Fitness was a faith-based behavior-change intervention promoting PA among members of African American churches. A quasi-experimental design was used to examine differences between the intervention group (n=72) and comparison group (n = 74). Health (resting blood pressure, body mass index, waist-hip ratio, fasting blood glucose), psycho-social (PA self-efficacy, social support, enjoyment, self-regulation, depression), and behavioral variables (PA, diet) were assessed at baseline, 3- and 6-months. Repeated measures ANCOVAs tested changes across time between groups.

Results:

At 3-months, the intervention group showed significantly more favorable changes in body mass index, waist circumference and social support than the control group. At 6-months, the intervention group showed significantly more favorable changes in hip circumference, waist to hip ratio, systolic blood pressure, and depressive symptoms. There was notable attrition from both the intervention (36%) and the comparison group (58%).

Conclusions:

This study was conducted in a real-world setting, and provided insight into how to deliver a culturally-tailored PA intervention program for African Americans with a potential for dissemination.

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Esther Rind and Andy Jones

Background:

At the population level, the prevalence of physical activity has declined considerably in many developed countries in recent decades. There is some evidence that areas exhibiting the lowest activity levels are those which have undergone a particularly strong transition away from employment in physically demanding occupations. We propose that processes of deindustrialization may be causally linked to unexplained geographical disparities in levels of physical activity. While the sociocultural correlates of physical activity have been well studied, and prior conceptual frameworks have been developed to explain more general patterns of activity, none have explicitly attempted to identify the components of industrial change that may impact physical activity.

Methods:

In this work we review the current literature on sociocultural correlates of health behaviors before using a case study centered on the United Kingdom to present a novel framework that links industrial change to declining levels of physical activity.

Results:

We developed a comprehensive model linking sociocultural correlates of physical activity to processes associated with industrial restructuring and discuss implication for policy and practice.

Conclusions:

A better understanding of sociocultural processes may help to ameliorate adverse health consequences of employment decline in communities that have experienced substantial losses of manual employment.

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Rafael L. Kons, Kai Krabben, David L. Mann, Gabriela Fischer and Daniele Detanico

In judo competition for visual impairment, athletes of different classes compete against each other in the same category; B1 athletes are totally blind, whereas B2 and B3 athletes are partially sighted. To test for potential competition disparities due a single category of athletes, this study aimed to compare competitive and technical–tactical performance in visually impaired judo athletes with different degrees of visual impairment. The authors analyzed 340 judo matches from the 2012 and 2016 Paralympic Games. The scores, penalties, efficiency index, and types of medals were examined, as well as the technical variation and temporal structure. The main finding was that blind judo athletes presented lower scores (p < .05; effect size [ES] = 0.43–0.73), medals (p < .05), and efficiency (p < .05; ES = 0.40–0.73); different patterns of play; and a shorter time to lose than partially sighted athletes (p = .027; ES = 0.10–0.14). However, the penalties were similar between classes (p > .05; ES = 0.07–0.14). The odds ratio of a winning medal was 3.5–8 times less in blind athletes than in partially sighted athletes (p < .01). In conclusion, blind judo athletes presented lower competitive and technical–tactical performance than athletes with some residual functional vision. These findings provide support for the development of new evidence-based criteria for judo classification based on vision impairment.

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Patrick G. Campbell, Jonathan M. Peake and Geoffrey M. Minett

Purpose: Investigations into the specificity of rugby union training practices in preparation for competitive demands have predominantly focused on physical and physiological demands. The evaluation of the contextual variance in perceptual strain or skill requirements between training and matches in rugby union is unclear, yet holistic understanding may assist to optimize training design. This study evaluated the specificity of physical, physiological, perceptual, and skill demands of training sessions compared with competitive match play in preprofessional, elite club rugby union. Methods: Global positioning system devices, video capture, heart rate, and session ratings of perceived exertion were used to assess movement patterns, skill completions, physiologic, and perceptual responses, respectively. Data were collected across a season (training sessions n = 29; matches n = 14). Participants (n = 32) were grouped in playing positions as: outside backs, centers, halves, loose forwards, lock forwards, and front row forwards. Results: Greater total distance, low-intensity activity, maximal speed, and meters per minute were apparent in matches compared with training in all positions (P < .02; d > 0.90). Similarly, match heart rate and session ratings of perceived exertion responses were higher than those recorded in training (P < .05; d > 0.8). Key skill completions for forwards (ie, scrums, rucks, and lineouts) and backs (ie, kicks) were greater under match conditions than in training (P < .001; d > 1.50). Conclusion: Considerable disparities exist between the perceptual, physiological, and key skill demands of competitive matches versus training sessions in preprofessional rugby union players. Practitioners should consider the specificity of training tasks for preprofessional rugby players to ensure the best preparation for match demands.

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Sharon E. Taverno Ross, Nicole Larson, Dan J. Graham and Dianne Neumark-Sztainer

Background:

This study compared moderate-to-vigorous physical activity (MVPA) and sedentary behavior in U.S.–born and foreign-born adolescents and young adults, and differences in behavior change from adolescence to young adulthood by nativity.

Methods:

Data on 2039 U.S.–born and 225 foreign-born participants from Project EAT-III (Eating and Activity in Teens and Young Adults) were used to examine MVPA, television/DVD/video viewing, and computer use. Participants completed surveys at baseline in Minneapolis/St. Paul, MN secondary school classrooms in 1998–1999 (14.9 ± 1.6 y) and follow-up measures online or by mail in 2008–2009 (25.3 ± 1.6 y).

Results:

At both time points, foreign-born participants reported significantly lower levels of MVPA than their U.S.–born counterparts (P < .05). Foreign-born females at baseline and follow-up and foreign-born males at follow-up reported less television/DVD/video viewing compared with U.S.–born participants (P < .01). All participants experienced a significant decline in MVPA from baseline to follow-up (P < .001). Between-group analyses revealed a significantly greater decline in television/DVDs/video viewing for the foreign-born males compared with U.S.–born males from baseline to follow-up (mean change: foreign-born: –4.8 ± 1.32 hrs/wk, U.S.–born: –0.6 ± 0.6 hrs/wk; P < .01).

Conclusions:

Differences in activity patterns between foreign-born and U.S.–born youth into young adulthood may contribute to disparities in chronic disease risk. Nativity, along with the social, environmental, and cultural context, should be considered when designing programs to promote MVPA and prevent obesity.

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Kerstin Gerst Emerson and Jennifer Gay

Despite increased efforts at eliminating disparities, differences continue to exist for racial and ethnic groups on a number of important health indicators for cardiovascular disease (CVD). There are a number of potential explanations for these persistent racial and ethnic disparities, including

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Nisha Botchwey, Myron F. Floyd, Keshia Pollack Porter, Carmen L. Cutter, Chad Spoon, Tom L. Schmid, Terry L. Conway, J. Aaron Hipp, Anna J. Kim, M. Renee Umstattd Meyer, Amanda L. Walker, Tina J. Kauh and Jim F. Sallis

obesity statistics consistently show disparities among lower-income minority groups. In 2011–2014, the obesity rate for non-Hispanic white youth aged 2–19 years was 14.7%, but it was 19.5% among non-Hispanic African American youth and 21.9% among Hispanic youth. 14 Although the obesity rate for non