This cross-sectional observational study examined the frequency of older patient–physician discussions about exercise, who initiates discussions, and the quality of questioning, informing, and support about exercise. The study used a convenience sample of 396 follow-up visits at 3 community-based practice sites, with 376 community-dwelling older patients and 43 primary-care physicians. Audiotapes were analyzed using the Multi-Dimensional Interaction Analysis coding system. Results demonstrate that exercise was discussed in 13% of visits and the subject was raised equally by patients and physicians. Exercise was significantly more likely to be discussed in dyadic visits (14.7%) than in triadic visits (4.1%). Patient level of education, patient overall physical health, and the physician’s being female were significant predictors of the occurrence of exercise discussion. Given the importance of exercise for maintaining health and independence in older adults, more clinical and research attention is needed to address barriers to effective discussions in this area.
Ronald D. Adelman, Michele G. Greene, Erika Friedmann, Marcia G. Ory and Caitlin E. Snow
Pamela G. Bowen, Yvonne D. Eaves, David E. Vance and Linda D. Moneyham
African American women are more likely to be classified as overweight or obese than European American women and little is known about this phenomenon. The purpose of this qualitative study was to explore the lived experiences of overweight and obese African American older women living in the southern regions of the United States. Semistructured, audiotaped interviews were conducted to elicit narratives from nine participants. Interview data were transcribed verbatim and then coded and analyzed using Colaizzi’s phenomenological analysis framework. Three major categories emerged: impact of health conditions, incongruent perceptions, and the desire for independence. The focus of culturally appropriate interventions aimed at increasing physical activity for this group should incorporate activities that will help them remain independent, because weight loss is not a primary motivator.
Peter Klavora and Ronald J. Heslegrave
Individuals age 65 and over represent the most rapidly growing segment of the driving population in North America. Although the driving privilege helps seniors maintain greater levels of independence and self-sufficiency, many deficits in driving-related abilities increase with age and can place some individuals, or other road users, at risk for property destruction or personal injury. Drastic age-related declines in driving-related abilities are not inevitable, however. Aging-driver-specific programs have been shown to be effective in ensuring that older drivers remain safe and competent on the roads. Current research suggests that Visual-Motor Useful Field of View training might be an effective means of assessing and enhancing many of the functional psychomotor tasks required by senior drivers. The potential success of such specific fitness and psychomotor training programs has great implications for helping seniors maintain independent living and an improved quality of life for as long as possible.
Historically, Barcelona Football Club (BFC) has represented one of the pillars of Catalan identity, which earned it the slogan “more than a club.” In recent times, especially under the presidency of Joan Laporta, management has radicalized the club’s political positions by using BFC as a platform to openly promote the independence from Spain of the Catalan region. Despite the fact that most Barcelona fans in Catalonia, as well as in the rest of Spain, have much more moderate political positions, the radicalization of BFC does not appear to have eroded the relationship-building process with Barcelona fandom. This article argues that BFC as an institution still maintains a good relationship with its fans because the social, as well as individual, identity provided by allegiance to a soccer club such as BFC is ultimately more important to members and fans than the club’s political positions.
Madeleine Vincent-Morin and Lucile Lafont
The goal of this study was to identify the relationships between the learning choices made by pupils and their personal characteristics, including cognitive style (field dependence–independence), a motivational variable (feeling of self-efficacy), and a cognitive variable (task representation). The participants were 64 twelve-year-old sixth graders from a suburban middle school in France (35 boys and 29 girls). Cognitive style or FDI was measured with the Group Embedded Figures Test, a perceptual test that requires finding a simple geometrical figure embedded in a complex geometrical one. Five learning conditions (autonomy, tutoring, verbal instruction, silent demonstration, and verbal demonstration) were then proposed in random order to the pupils. They were asked to select a learning method to solve a motor problem: a badminton service. The results indicated an absence of relationships between the choice of a learning condition and cognitive style. Three variables partially predicted the learning-condition choice: feeling of self-efficacy, task representation, and motor performance. The present results can be interpreted in the light of studies on children’s help-seeking behavior in problem-solving situations.
This study examines the historical significance of Jang Gwon’s activities in the sport promotion carried out by Korea’s YMCA. At its birth, the Korean YMCA’s sport promotion was closely linked with the Korean nationalist movement under Japanese colonial rule, and this link was most evident around 1920, when Jang Gwon worked as a judo master. Citing the Sokol movement in Czechoslovakia, Jang Gwon took initiatives to enlighten Korean people’s consciousness and popularize sports, including judo and basketball, across the country through the Korean YMCA’s sport promotion. In particular, Jang Gwon introduced modern judo—formally known as Gangdogwan (Kodokan judo), initiated by Jigoro Kano—in Korea and took initiatives to establish the Korean Basketball Association and the Korean Basketball Referee Association. Through the Korean YMCA’s sport promotion, Jang Gwon motivated the Korean people to aspire to liberation and independence from Japanese colonial rule. Moreover, amid the prevailing social climate, in which physical activities were discouraged due to the influence of Neo-Confucianism, he provided a paradigm shift that called for “sport for all,” which enabled the modernization of sports and physical education in Korea.
Geoffrey Whitfield, Kelley K. Pettee Gabriel and Harold W. Kohl III
Emerging evidence suggests that combined physical activity (PA) and inactivity may be more important for chronic disease risk than PA alone. A highly active yet highly sedentary population is needed to study this interaction. The present purpose is to describe the sitting habits of a group of recreational runners and determine if sitting varies with reported training duration or anticipated running velocity.
Marathon and half-marathon participants completed the Multicontext Sitting Time Questionnaire and reported peak training duration, anticipated finishing time, and demographic information. Sitting time was described across 5 contexts for workdays and nonworkdays. Total sitting time was analyzed by tertiles of training duration and anticipated event running velocity.
218 participants took part in this study. Median reported training time was 6.5 hours per week. Median total sitting time was higher on workdays than nonworkdays (645 and 480 minutes, respectively, P < .0001). Total sitting time was not associated with training duration or anticipated event running velocity.
These results suggest that recreational distance runners are simultaneously highly sedentary and highly active, supporting independence of sedentary behaviors and moderate- to vigorous-intensity PA. This population may provide the characteristics needed to study the joint effects of active and sedentary behaviors on health outcomes.
Niki Tsangaridou and Mary O’Sullivan
This research was conducted to describe the relationship between physical education teachers’ educational theories of action and theories-in-use. The question addressed was, What are the educational theories and practices of physical education teachers, and to what degree do their educational theories guide their professional practices? Data were collected through class observations, formal and informal interviews, vignette interviews, and journals. Data were analyzed inductively. Results suggested that the four teachers in this study held strong and well articulated views about student learning and what constitutes a physically educated student. They agreed that the primary goal of a physical education program was the development of skills. They believed that guided student practice was important for student learning. The selection and implementation of teaching practices demonstrated the teachers’ commitment to gender equity and the needs and abilities of their students. There were only three discrepancies between the participants’ theories of action and their theories-in-use. These related to student independence, student choice of content, and the process of cooperation and negotiation. Otherwise the teachers’ theories-in-use were consistent with their theories of action. The results from this study do not substantiate the notion of a level of discrepancy between teachers’ espoused theories and professional practices as presented in the literature (Argyris & Schon, 1974; Knight & Smith, 1989).
Molly Burger and Dennis Dolny
The purpose of this study was to examine the relationships among body mass index (BMI), body image perception, physical activity habits, and exercise stage of change in college-aged females. Volunteers (N = 134) completed a survey of demographics, Stage of Exercise Scale (SOES; Cardinal, 1995a; Cardinal, 1995b), Physical Activity History questionnaire (PAH; Jacobs, Hahn, Haskell, Pirie, & Sidney, 1989), and Body Shape Questionnaire (BSQ; Cooper, Taylor, Cooper, & Fairburn, 1987). Participants were categorized into five exercise stages of change: precontemplation, contemplation, preparation, action, and maintenance. Relationships between the variables were analyzed with Pearson r correlations. Kruskal-Wallis independence tests were also used for analyses. Approximately 60% of the participants reported current physical inactivity or irregular exercise. BMI and body image score were significantly linearly related, with higher body mass indicating more negative body image (r = 30, p <.017). Significant differences existed between exercise stages for physical activity score, X2 (3, N = 134) = 19.98, p <.05. Based upon follow-up tests participants in the maintenance stage had significantly higher physical activity scores than all other stages. No significant differences were found for BMI or body image between exercise stages. Regular exercisers had the highest frequency of disordered eating and weight-preoccupied attitudes and behaviors. The majority of these women were not currently regularly physically active, professed dissatisfaction with their current level of activity, and expressed a fear of being fat. Further study directed at specific factors related to body image and exercise behaviors, as well as the impact of stage-specific interventions are suggested.
Judy Kruger, Sandra A. Ham and Serena Sanker
Physical inactivity is associated with increased morbidity and mortality. This study provides prevalence estimates of inactivity by select characteristics among older adults.
Respondents ≥50 years of age were selected from the 2005 Behavioral Risk Factor Surveillance System (N = 185,702).
Overall, 30.0% of older adults did not engage in leisure-time physical activity. Within each racial/ethnic group, the prevalence of inactivity was highest among Hispanic men (41.9%) and women (42.4%). Among men with and without disabilities, chronic disease conditions associated with inactivity were angina or coronary artery disease. Among women with disabilities, chronic disease conditions associated with inactivity were stroke and diabetes; among women without disabilities only diabetes was significantly associated with inactivity.
Regular physical activity is an important means to maintaining independence, because it substantially reduces the risk for developing many diseases; contributes to healthy bones, muscles, and joints; and can reduce the risk for falling. Health care providers are encouraged to discuss concerns regarding physical activity with their patients.