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Programming Physical Activity in Young Infants At-Risk for Early Onset of Obesity

Dale A. Ulrich and Janet L. Hauck

The purpose of this article is to discuss the growing problem of very early onset of obesity occurring before two years of age and to review infant motor development, physical activity, and effective pediatric disability motor interventions that may offer potential strategies to help reduce this growing problem earlier in life. Based on the review of physical activity interventions used with infants with a disability, we will propose strategies to consider to program early physical activity exposures into nondisabled young infants who are at risk for obesity. These proposed physical activity strategies will need to be combined with successful public health approaches to reducing early onset of obesity during infancy. Lucas (1991) conceived the term programming referring to permanent or extended effects of an environmental exposure occurring during a sensitive developmental period. In this paper, we propose that a very sensitive period for early onset of obesity is the first six months of postnatal life. If innovative strategies to increase the frequency of daily exposures to physical activity in young infants can be identified, these strategies could be combined with current public health approaches to preventing obesity in women before, during, and following pregnancy. Given the complexity of the obesity problem, no single strategy for prevention should be expected to be very successful.

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ACL Injury Risk in the Physically Active: Why are Females More Susceptible?

Sandra J. Shultz

Despite extensive research, we still do not fully understand the biological mechanisms that underlie a female's increased susceptibility for suffering a noncontact ACL injury. While sex differences in neuromuscular control are often implicated, prevention efforts addressing these differences have not resulted in a profound or sustainable reduction in injury rates. This paper will explore two likely scenarios that explain this greater susceptibility in females: (1) females have a structurally weaker ligament that is more prone or susceptible to failure at a given load (scenario #1), or (2) females develop less knee protection and experiences higher relative loads on the ACL (scenario #2). While we have learned much over the last two decades about ACL injury risk in females, much remains unknown. Continued research is of paramount importance if we are to effectively identify those females who are at greatest risk for injury and effectively reduce their susceptibility through appropriate interventions.

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Physical Activity in the Prevention of Alzheimer's Disease

Jennifer L. Etnier

Alzheimer's disease is a chronic illness characterized by clinical cognitive impairment. A behavioral strategy that is being explored in the prevention of Alzheimer's disease is physical activity. Evidence from randomized controlled trials (RCTs) testing the effects of physical activity for cognitively normal older adults supports that physical activity benefits cognitive performance. Evidence from prospective studies supports a protective effect of physical activity with reductions in the risk of cognitive decline ranging from 28% to 45%. RCTs with cognitively impaired older adults also generally support positive effects with greater benefits evident for aerobic interventions. Research examining the potential moderating role of apolipoprotein E (APOE) has yielded mixed results, but the majority of the studies support that physical activity most benefits those who are at greatest genetic risk of Alzheimer's disease. Future directions for research are considered with an emphasis on the need for additional funding to support this promising area of research.

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An Interdisciplinary Approach to a Well-Rounded Campus Healthcare Delivery System

Shari D. Bartz-Smith and Amy Campbell

An injury care clinic (ICC) as part of a comprehensive campus-wide healthcare system is a cost-effective way to optimize the flow of patient care utilizing a collaborative model of healthcare in a time of physician shortage. Services include: basic first aid, injury evaluation, acute injury care, basic rehabilitation, preventative techniques including taping and stretching, and professional referrals. The ICC provides care to previously underserved campus community members, focusing on: club sport and intramural athletes, recreation center users, and the general student body, in addition to faculty and staff, going beyond the varsity athlete. The ICC functions through the efforts of athletic trainers, physicians, fitness specialists, administrators, faculty, and students across disciplines. After 3 years, the clinic has serviced more than 2,500 unique patients exceeding 4,800 patient encounters, demonstrating outcomes that access to affordable healthcare options with a licensed healthcare provider are warranted and needed.

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Translational Physical Activity Research Involving People With Disabilities: A Review and a Call to Action

Kathleen A. Martin Ginis, Sarah V.C. Lawrason, and Haley A. Berrisford

chronic diseases such as diabetes and cardiovascular disease. They face greater barriers to accessing health care, are less likely to receive disease-prevention and health-promotion services and have higher rates of health-compromising behavior including smoking and physically inactive lifestyles ( World

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The Promotion and Implementation of Exercise is Medicine® in Kinesiology

Carena Winters

The evidence supporting exercise as a medicine is indisputable. The 2018 Physical Activity Guidelines provide decades of research on the benefits of exercise for health and in the prevention and management of disease ( Piercy et al., 2018 ). Exercise as a medicine is certainly not a novel idea. One

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Mental Health and Perceived Stress in Kinesiology Graduate Students

Elizabeth M. Mullin, Anna Bottino, Danielle D. Wadsworth, Steven J. Petruzzello, and Tiffanye M. Vargas

While the negative psychological effects of the COVID-19 pandemic have been noted in the general population and among undergraduate students, little is known about the impact on graduate students. We surveyed kinesiology graduate students (N = 272) enrolled in American Kinesiology Association member institutions regarding their well-being. Overall, graduate students reported poor mental health and high perceived stress. Cisgender women reported worse outcomes than their counterparts. No significant differences were found among sexual orientation or racial and ethnic identity. In open-ended responses, graduate students identified both increased and decreased well-being and delineated methods that helped or would have helped their well-being during the pandemic. Faculty and administrators must put intentional effort into recognizing mental health disparities, provide open and clear communication, and increase access and visibility of resources to support the mental health and well-being of graduate students.

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Application of Natural Language Processing to the Development of Sports Biomechanics in China: A Literature Review of Journal Abstracts in Chinese Between 1980 and 2022

Guoying Zhang and Yifang Fan

centrality. Figure 3 —Sports biomechanics network. Discussion Results show that the study of sports biomechanics focuses on sports technique analysis, the biomechanics of sports training, the rehabilitation and prevention of sports injuries, and the interdisciplinary study of sports biomechanics. The highly

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Optimizing the Exercise Drug for Metabolic Rehabilitation

Barry Braun

The concept that participation in exercise/physical activity reduces the risk for a host of chronic diseases is undisputed. Along with adaptations to habitual activity, each bout of exercise induces beneficial changes that last for a finite period of time, requiring subsequent exercise bouts to sustain the benefits. In this respect, exercise/physical activity is similar to other “medications” and the idea of “Exercise as Medicine” is becoming embedded in the popular lexicon. Like other medications, exercise has an optimal dose and frequency of application specific to each health outcome, as well as interactions with food and other medications. Using the prevention of type-2 diabetes as an exemplar, the application of exercise/physical activity as a medication for metabolic “rehabilitation” is considered in these terms. Some recommendations that are specific to diabetes prevention emerge, showing the process by which exercise can be prescribed to achieve health goals tailored to individual disease prevention outcomes.

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Wellness Matters: Promoting Health in Young Adults

Barbara E. Ainsworth and Cheryl Der Ananian

There is a growing recognition of the need for the primary prevention of chronic illnesses across the lifespan. In recent years, diseases that were formerly associated with adulthood such as diabetes are being diagnosed in adolescents and young adults. While there have been many prevention efforts focusing on health in children and adolescents, there is a limited body of research examining prevention in young adults. This article examines the concept of wellness in the Millennial generation and describes how their life course experiences impact seven domains of wellness. Specifically, this article describes the period and cohort effects that influence the domains of wellness and how the Millennial generation differs from other generations in these aspects of wellness. Finally, this paper provides an overview of the technological and cultural influences on wellness in the Millennial generation.