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Roger Moore, John Dattilo, and Mary Ann Devine

This study compared the trail setting preferences of a group of users having disabilities and a group without. On-site interviews and follow-up mail surveys were used to gather data from 1,705 men and women age 16 and older who were using one of three multipurpose rail-trails in Iowa, California, and Florida. Preferences for 27 setting attributes of such trails were measured using 7-point Likert-type scales. Preferences between the two groups were found to differ significantly (.05 level) for only 7 attributes. Findings indicated that people with and without disabilities are more similar than different in their usage and preferences for outdoor recreation. It was concluded that there is a need for research examining ways to enhance the inclusion of people with disabilities in outdoor recreation settings.

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Kimberlee A. Gretebeck, Caroline S. Blaum, Tisha Moore, Roger Brown, Andrzej Galecki, Debra Strasburg, Shu Chen, and Neil B. Alexander

Background: Diabetes-related disability occurs in approximately two-thirds of older adults with diabetes and is associated with loss of independence, increased health care resource utilization, and sedentary lifestyle. The objective of this randomized controlled trial was to determine the effect of a center-based functional circuit exercise training intervention followed by a 10-week customized home-based program in improving mobility function in sedentary older adults with diabetes. Methods: Participants (n = 111; mean age 70.5 [7.1] y; mean body mass index 32.7 [5.9] kg/m2) were randomized to either a moderate-intensity functional circuit training (FCT) plus 10-week home program to optimize physical activity (FCT-PA) primary intervention or one of 2 comparison groups (FCT plus health education [FCT-HE] or flexibility and toning plus health education [FT-HE]). Results: Compared with FT-HE, FCT-PA improvements in comfortable gait speed of 0.1 m/s (P < .05) and 6-minute walk of 80 ft were consistent with estimates of clinically meaningful change. At 20 weeks, controlling for 10-week outcomes, improvements were found between groups for comfortable gait speed (FCT-PA vs FT-HE and FCT-HE vs FT-HE) and 6-minute walk (FCT-PA vs FCT-HE). Conclusions: Functional exercise training can improve mobility in overweight/obese older adults with diabetes and related comorbidities. Future studies should evaluate intervention sustainability and adaptations for those with more severe mobility impairments.