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Stewart G. Trost, Dianne S. Ward, Ben McGraw and Russell R. Pate

This study evaluated the validity of the Previous Day Physical Activity Recall (PDPAR) self-report instrument in quantifying after-school physical activity behavior in fifth-grade children. Thirty-eight fifth-grade students (mean age, 10.8 ± 0.1; 52.6% female; 26.3% African American) from two urban elementary schools completed the PDPAR after wearing a CSA WAM 7164 accelerometer for a day. The mean within-subject correlation between self-reported MET level and total counts for each 30-min block was 0.57 (95% C.I., 0.51–0.62). Self-reported mean MET level during the after-school period and the number of 30-min blocks with activity rated at ≥ 6 METs were significantly correlated with the CSA outcome variables. Validity coefficients for these variables ranged from 0.35 to 0.43 (p < .05). Correlations between the number of 30-min blocks with activity rated at ≥ 3 METs and the CSA variables were positive but failed to reach statistical significance (r = 0.19–0.23). The PDPAR provides moderately valid estimates of relative participation in vigorous activity and mean MET level in fifth-grade children. Caution should be exercised when using the PDPAR to quantify moderate physical activity in preadolescent children.

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Bhibha M. Das, Melanie Sartore-Baldwin and Matthew T. Mahar

Background:

A significant literature links race and socioeconomic status with physical inactivity and negative health outcomes. The aim of this study was to explore physical activity (PA) perceptions of an underserved, lower socioeconomic minority sector of the workforce.

Methods:

Two focus groups were conducted to examine university housekeepers’ perceptions of physical activity. Demographic and anthropometric data were also obtained.

Results:

Participants (N = 12; 100% female, 100% African-American) overwhelmingly associated PA with traditional exercise (eg, going to a gym). The most important barrier to PA was the perception of being active on the job, thus not needing to do leisure time PA. The most important perceived benefit to PA was improvement of physical and mental health. Employees perceived that a university investment in employees’ health might improve morale, especially within low-pay employee sectors where low levels of job satisfaction may be present.

Conclusions:

Although perceived benefits to PA in this population are consistent with other employee sectors, perceived barriers to PA may be unique to this sector of the workforce. PA promotion programs should focus on providing resources as well as guidelines that demonstrate the need for PA outside of the workplace setting. Such programs may improve employee health, morale, and productivity.

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Robert Medairos, Vicky Kang, Carissa Aboubakare, Matthew Kramer and Sheila Ann Dugan

Background:

This study aims to identify patterns of use and preferences related to technology platforms that could support physical activity (PA) programs in an underserved population.

Methods:

A 29-item questionnaire was administered at 5 health and wellness sites targeting low income communities in Chicago. Frequency tables were generated for Internet, cell phone, and social media use and preferences. Chi-squared analysis was used to evaluate differences across age and income groups.

Results:

A total of 291 individuals participated and were predominantly female (69.0%). Majority reported incomes less than $30,000 (72.9%) and identified as African American/Black/Caribbean (49.3%) or Mexican/Mexican American (34.3%). Most participants regularly used smartphones (63.2%) and the Internet (75.9%). Respondents frequently used Facebook (84.8%), and less commonly used Instagram (43.6%), and Twitter (20.0%). Free Internet-based exercise programs were the most preferred method to increase PA levels (31.6%), while some respondents (21.0%) thought none of the surveyed technology applications would help.

Conclusion:

Cell phone, Internet, and social media use is common among the surveyed underserved population. Technology preferences to increase PA levels varied, with a considerable number of respondents not preferring the surveyed technology platforms. Creating educational opportunities to increase awareness may maximize the effectiveness of technology-based PA interventions.

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Sandra L. Hanson and Rebecca S. Kraus

A Critical Feminist perspective and data from the nationally representative National Educational Longitudinal Study are used to explore the relationship between involvement in sports and success in science for a recent cohort of high school aged women. We also consider whether women from different social classes and racial/ethnic groups and with different sport experiences derive similar benefits from sport. Variation in sport experience involves a consideration of type of sport (e.g., basketball vs. track), type of team (e.g., varsity vs. intramural), age of athlete (middle school vs. high school sophomore vs. high school senior), and leadership roles (e.g., captain). Our findings show that sport has mostly positive consequences for young women’s science attainment, although these effects are smaller than for a 1980 cohort of female athletes. These benefits exist across types of sport, teams, and levels of involvement but are their greatest in the sophomore year of high school. In contrast to earlier cohorts, we find that for this recent cohort, sport participation positively affects the science attainment of women from various subgroups—white, Hispanic, upper-ses and lower-ses. However, young African-American women see very little benefit from sport. Implications of these findings are discussed.

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Toben F. Nelson, Steven L. Gortmaker, S. V. Subramanian and Henry Wechsler

Background:

Vigorous physical activity (VPA) declines from adolescence into adulthood and social disparities in VPA exist. Physical activity is understudied in the college setting.

Methods:

VPA during high school and college was examined among 10,437 students attending 119 four-year colleges using gender-stratified logistic regression analyses.

Results:

Fewer students engaged in VPA in college compared with high school (males 74% to 52%; females 68% to 44%). Athletics was associated with VPA, but 51% participated in high school and 15% in college. Among females, African Americans, Asians, and students of lower socioeconomic position (SEP) were less likely to engage in VPA in college, adjusting for high school VPA. Among males, Asians and older students were less likely to engage in VPA.

Conclusions:

VPA declines from high school to college. Athletic participation is a determinant of VPA, but few participate in collegiate athletics. Social disparities in VPA emerge in college, an important setting for promoting VPA and addressing health disparities. Regular physical activity is an important contributor to human health. It is positively associated with longevity and may prevent or help manage diabetes, metabolic syndrome, overweight, hypertension, cardiovascular disease, and colon cancer.1-8 Among children and adolescents, lack of physical activity is associated with higher body mass index.9-10 Physical activity is also associated with positive mood, self-esteem, and decreased anxiety.11-14

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Carolyn J. Murrock and Christine Heifner Graor

This study documented the feasibility and immediate effects of a dance intervention two times per week for 12 weeks on depression, physical function, and disability in older, underserved adults. The one-group, pretest–posttest study had a convenience sample of 40 participants recruited from a federally subsidized apartment complex located in an economically depressed, inner-city neighborhood. Depression, physical function, and disability were measured at baseline and 12 weeks. Average age was 63 years (SD = 7.9), 92% were female, and 75% were African American. At baseline, participants reported increased depression (M = 20.0, SD = 12.4), decreased physical function (M = 56.6, SD = 10.9), and increased disability limitations (M = 65.7, SD = 14.9). At posttest, paired t tests showed that the dance intervention significantly decreased depression, t = 6.11, p < .001, and disability, t = −2.70, p = .014, and significantly increased physical function, t = -2.74, p = .013. The results indicate that the 12-week dance intervention may be an effective adjunct therapy to improve depression, disability, and physical function in underserved adults.

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Sara Wilcox, Melinda Forthofer, Patricia A. Sharpe and Brent Hutto

Background:

Walking interventions delivered by lay leaders have been shown to be effective. Knowing the characteristics of individuals who volunteer to be group leaders in walking programs could facilitate more efficient and effective recruitment and training.

Methods:

Walking group leaders were recruited into a community-based program and formed walking groups from existing social networks. Leaders and members completed a survey, participated in physical measurements, and wore an accelerometer. Regression models (adjusting for group clustering and covariates) tested psychosocial and behavioral differences between leaders and members.

Results:

The sample included 296 adults (86% women, 66% African American). Leaders (n = 60) were similar to members (n = 236) with respect to most sociodemographic and health characteristics, but were significantly older and more likely to report arthritis and high cholesterol (P-values < .05). Although leaders and members were similar in sedentary behavior and physical activity, leaders reported higher levels of exercise self-regulation, self-efficacy, and social support (P-values < .01). Leaders also reported greater use of outdoor trails (P = .005) and other outdoor recreation areas (P = .003) for physical activity than members.

Conclusion:

Although walking group leaders were no more active than members, leaders did display psychosocial characteristics and behaviors consistent with a greater readiness for change.

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Chris Elzey

By James W. Miller. Published in 2017 by University of Kentucky Press (275 pp., $29.95 USD , hardback) The racial integration of America’s public schools effectively ended many invaluable African American scholastic and sporting organizations. This quandary underlies much of Integrated: The

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Richard J. Bloomer, Bradford Cole and Kelsey H. Fisher-Wellman

High-kilocalorie feedings induce oxidative stress. Acute exercise has the potential to attenuate postprandial oxidative stress. No study has determined whether there are racial differences in postprandial oxidative stress with and without a preceding bout of acute exercise.

Purpose:

To investigate the impact of acute exercise on blood oxidative- stress biomarkers, triglycerides (TAG), and glucose in African American (AA) and White (W) women.

Methods:

10 AA (age 29 ± 3 yr, body-mass index [BMI] 31 ± 3 kg/m2) and 10 W (age 30 ± 2 yr, BMI 30 ± 3 kg/m2) women consumed a meal of 1.2 g of fat and carbohydrate and 0.25 g of protein per kilogram body mass, on 2 occasions—with and without a session of aerobic exercise 15 min preceding the meal (45 min cycling at 65% heart-rate reserve)—in a random-order crossover design. Blood samples were collected premeal (fasted), and at 1, 2, 4, and 6 hr postmeal and assayed for TAG, glucose, xanthine oxidase activity, hydrogen peroxide (H2O2), and malondialdehyde (MDA). Area under the curve (AUC) was calculated for each variable.

Results:

AUC was lower for AA compared with W for both the exercise and the no exercise conditions for H2O2, MDA, and TAG (p < .01). However, acute exercise had no effect on decreasing the AUC for any variable in either AA or W women (p > .05).

Conclusions:

Postprandial lipemia and oxidative stress are lower in AA than in W overweight/obese women. However, acute exercise, performed at the intensity and duration in the current study, does not influence postprandial lipemia or oxidative stress in AA or W women.

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Stephen J. Carter, Eric P. Plaisance, Gordon Fisher, Jose R. Fernandez, Barbara A. Gower and Gary R. Hunter

African American (AA) and European American (EA) women often exhibit differences in hemoglobin (Hb) and 25-hydroxyvitamin D [25(OH)D], both of which can be altered by calorie restriction leading to weight loss. Given these known differences, it is of clinical interest to examine the potential for race-specific, adverse responses to weight loss. Sixty-four overweight (BMI 27–29.9 kg/m2), premenopausal women consumed a standardized, very-low calorie diet to reduce BMI < 25 kg/m2. Ancestry informative markers provided estimates of African admixture, an objective mean of expressing race. Blood sampling and anthropometric measures were performed at baseline and upon meeting target BMI. At baseline, in the overweight state, Hb (g/dL) (AA, 11.7 ± 0.9 vs. EA, 12.5 ± 0.8; p < .01) and 25(OH)D (nmol/L) (AA, 35.7 ± 12.9 vs. EA, 57.0 ± 20.0; p < .01) were lower in AAs. After weight loss, Hb decreased (AA, -0.5 ± 0.7 vs. EA, -0.4 ± 0.6; p = .48) to a similar extent among races. Conversely, 25(OH)D increased (AA, 43.4 ± 14.0 vs. EA 68.2 ± 24.3; p < .01) though the magnitude of change (Δ) was not different (AA, +7.8 ± 13.5 vs. EA, +11.2 ± 16.7; p = .37) between races. Multiple linear regression revealed a positive association between ΔHb and Δ25(OH)D (r = .386; p < .01) adjusted for African admixture, Δtestosterone, and Δbody fat%. Path analyses revealed a significant indirect effect of Δbody fat% on ΔHb through Δ25(OH)D, β =-0.023, CI [-0.06, -0.004]. Following 15% weight loss, participants with the largest increase in serum 25(OH)D exhibited the smallest decrease in Hb. Future research should clarify the optimal degree of calorie restriction to stimulate weight loss while mitigating the potential risk of anemia associated with dieting efforts.