Miriam C. Morey, Carola Ekelund, Megan Pearson, Gail Crowley, Matthew Peterson, Richard Sloane, Carl Pieper, Eleanor McConnell and Hayden Bosworth
The authors describe a medical center-based randomized trial aimed at determining the feasibility and effectiveness of partnering patients and primary-care providers with an exercise health counselor. Study participants included 165 veterans age 70 years and older. The primary end point was change in physical activity at 3 and 6 months comparing patients receiving high-intensity physical activity counseling, attention control counseling, and usual care after receiving standardized clinic-based counseling. We noted a significant Group × Time interaction (p = .041) for physical activity frequency and a similar effect for caloric expenditure (p = .054). Participants receiving high-intensity counseling and usual care increased physical activity over the short term, but those with usual care returned to baseline by the end of the study. The intervention was well received by practitioners and patients. We conclude that partnering primary-care providers with specialized exercise counselors for age- and health-appropriate physical activity counseling is effective.
Justin W.L. Keogh, Nicola Power, Leslie Wooller, Patricia Lucas and Chris Whatman
This mixed-methods, quasi-experimental pilot study examined whether the Nintendo Wii Sports (NWS) active video game (exergame) system could significantly improve the functional ability, physical activity levels, and quality of life of 34 older adults (4 men and 30 women, 83 ± 8 yr) living in 2 residential aged-care (RAC) centers. Change score analyses indicated the intervention group had significantly greater increases in bicep curl muscular endurance, physical activity levels, and psychological quality of life than the control group (p < .05). Analysis of the quotes underlying the 3 themes (feeling silly, feeling good; having fun; and something to look forward to) suggested that intervention group participants developed a sense of empowerment and achievement after some initial reluctance and anxiousness. They felt that the games were fun and provided an avenue for greater socialization. These results add some further support to the utilization of NWS exergames in the RAC context.
Lilian G. Perez, Terry L. Conway, Adrian Bauman, Jacqueline Kerr, John P. Elder, Elva M. Arredondo and James F. Sallis
. PubMed doi:10.1016/j.ypmed.2008.03.017 10.1016/j.ypmed.2008.03.017 18499242 12. Perez L , Slymen D , Sallis J , Ayala G , Elder J , Arredondo E . Interactions between individual and environmental factors on Latinas’ physical activity . J Public Health . 2017 ; 39 ( 2 ): e10 – e18
Edward R. Elder
Edwrad J. Elder and Nancy M. Helsley
Maura Reilly, Guadalupe X. Ayala, John P. Elder and Kevin Patrick
Research suggests that individuals who talk with their physicians about lifestyle behaviors are more physically active. Research on this topic is limited in the U.S. Latino population. This study examines doctor-patient communication from the perspective of enrollees in a physical activity (PA) intervention.
Three hundred and eighty-seven Latinos were surveyed at program enrollment. Analysis examined the extent to which physician communication about healthy lifestyles and weight was associated with self-reported PA, including leisure-time PA (LTPA), transportation PA (TPA), and occupational PA (OPA). Physician communication included asking, advising, and assisting.
Most of the respondents reported no LTPA (46%) and no TPA (60%). The percent reporting no occupational activity, which included housework if a homemaker, was lower at 36%. Greater physician assistance was associated with a greater likelihood of doing any LTPA (P ≤ .05). A similar trend was observed for TPA (P ≤ .10).
Latinos who reported physician assistance to engage in healthy lifestyle behaviors reported more LTPA. Providers who assist their patients in obtaining resources to support PA have the potential to increase levels of PA.
Jay L. Alberts, Christopher M. Elder, Michael S. Okun and Jerrold L. Vitek
The aim of this study was to determine the effects of unilateral deep brain stimulation (DBS) on the control and coordination of grasping forces produced by Parkinson's disease (PD) patients. Ten advanced PD patients with unilateral DBS in the globus pallidus (GPi) or the subthalamic nucleus (STN) (5 patients in each group) performed a functional bimanual dexterous manipulation task. Experiments were performed in the “Off” medication state with DBS “On” and “Off.” DBS resulted in (a) significant clinical improvements, (b) greater maximum grip force for both limbs, (c) reduced movement time, and (d) bilateral coupling of grasping forces. There were no significant differences between the GPi and STN groups for any clinical or kinematic measures. DBS of the GPi and STN leads to an improvement in the motor functioning of advanced PD patients. Improvement in force-timing specification during DBS might allow PD patients to employ a feedforward method of force control.
Suzanna M. Martinez, Elva M. Arredondo, Scott Roesch, Kevin Patrick, Guadalupe X. Ayala and John P. Elder
U.S. Latinos engage in nonleisure-time walking (NLTW) more than other ethno-racial groups. Studies are needed to explore factors associated with NLTW to inform interventions for effective physical activity promotion.
To examine the social-ecological correlates of NLTW among Mexican-origin Latinos.
Individual, social, and environmental level factors and PA were assessed in a telephone survey completed by 672 Mexican-origin adults randomly sampled in San Diego County. Data were collected in 2006 and analyzed in 2009.
Participants were mostly female (71%), with an average age of 39 years. Less than one-third met PA guidelines for NLTW (29%). Structural equation modeling showed that NLTW was positively associated with being female, but negatively associated with living in the U.S. ≥ 12 years, and being U.S.-born.
In this sample NLTW differed by various indicators of acculturation and gender. These findings might help inform the development of interventions to promote NLTW and thus physical activity in Mexican-origin adults.
Guadalupe X. Ayala, Amy Gammelgard, James F. Sallis and John. P. Elder
Studies have examined the association between work-related characteristics and physical activity participation; however few studies include U.S. Latinos.
Six hundred and seventy two Latino adults of San Diego County were randomly sampled and surveyed to assess their health behaviors in the fall of 2006. Analyses were conducted with 633 respondents with physical activity data (94% of sample), examining the extent to which job category and hours worked per week were associated with 4 domains of physical activity defined by MET-minutes per week using the long IPAQ.
Multivariate analysis of variance models were computed. After adjusting for covariates, occupational MET-minutes per week were associated with job category and hours worked per week, such that blue collar workers expended more MET-minutes per week than white collar or nonworkers, and those who worked 20 hours a week or less expended less occupational physical activity compared with those who worked more than 20 hours per week. In addition, nonworkers reported expending more household MET-minutes per week than blue collar or white collar workers.
Efforts are needed to increase the physical activity levels of Mexican immigrants/Mexican-Americans, with interventions designed in consideration of the individual’s work status.