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Deborah Rohm Young, Abby C. King and Roberta K. Oka

This investigation identified demographic and health-related characteristics of 1,877 sedentary, underactive, and regularly active individuals aged 50 to 65 randomly sampled from a northern California city. Physiological and psychosocial information was available in greater detail for a subsample (n = 327) of sedentary and underactive persons who were subsequently enrolled in a randomized, controlled, clinical trial (SSHIP). Results suggested that unmarried men, women reporting poor health, and smokers were most likely to be completely sedentary. Sedentary and underactive individuals responded differently to two recruitment strategies designed to attract participants into SSHIP. In addition, the initially sedentary participants had significantly lower adherence rates across the 1-year exercise trial compared to the initially underactive regardless of either the format or intensity of the program. These data underscore the utility of differentiating between levels of less-than-optimal physical activity in formulating campaigns promoting physical activity as well as designing exercise interventions.

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Alex C. Garn, Nate McCaughtry, Noel L. Kulik, Michele Kaseta, Kim Maljak, Laurel Whalen, Bo Shen, Jeffrey J. Martin and Mariane Fahlman

Grounded in social cognitive theory, the purpose of this study was to examine leaders’ and students’ perspectives of factors that contribute to effective voluntary after-school physical activity clubs. Data were collected over two-years via field observations (n= 115) and interviews with students (n = 278) and adult leaders (n = 126). Results highlighted interconnections among personal and environmental facilitators such as enthusiastic and caring leaders, multidimensional recruiting strategies, supportive and friendly club climates, and culturally relevant physical activities. Structural barriers such as a lack of administrative support, student hunger, and inadequate transportation options were also identified by leaders and students. While previous after-school physical activity club research has focused primarily on measuring physical activity increases, these students and leaders voiced valuable perspectives that contribute to understand why some initiatives fail and others succeed from a social cognitive theory perspective.

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Jennifer L. Etnier, Jeffrey D. Labban, William B. Karper, Laurie Wideman, Aaron T. Piepmeier, Chia-Hao Shih, Michael Castellano, Lauren M. Williams, Se-Yun Park, Vincent C. Henrich, William N. Dudley and Kelli L. Rulison

Physical activity is predictive of better cognitive performance and lower risk of Alzheimer’s disease (AD). The apolipoprotein E gene (APOE) is a susceptibility gene for AD with the e4 allele being associated with a greater risk of AD. Cross-sectional and prospective research shows that physical activity is predictive of better cognitive performance for those at greater genetic risk for AD. However, the moderating role of APOE on the effects of a physical activity intervention on cognitive performance has not been examined. The purpose of this manuscript is to justify the need for such research and to describe the design, methods, and recruitment tactics used in the conductance of a study designed to provide insight as to the extent to which cognitive benefits resulting from an 8-month physical activity program are differentiated by APOE e4 status. The effectiveness of the recruitment strategies and the feasibility of recruiting APOE e4 carriers are discussed.

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Lisa A. Cadmus Bertram, Gina Chung, Herbert Yu, Peter Salovey and Melinda Irwin


The purpose of this study was to determine the feasibility of using a tumor registry to recruit newly diagnosed survivors into a randomized controlled exercise trial and to discuss issues related to this recruitment strategy.


A tumor registry-based rapid ascertainment system was used to recruit breast cancer survivors into a 6-month home-based, telephone-administered intervention of moderate-to-vigorous intensity exercise or a usual care group.


468 newly diagnosed cases were identified. Of these, 50 women (15.4% of those for which screening calls were made) were enrolled in the study. Women were randomized, on average, 11 weeks after diagnosis (SD = 4.8). Sixty-four percent were randomized before beginning treatment or within the first week of treatment. Time required to obtain physician consent was the primary determinant of diagnosis-to-randomization latency. Enrolled women were more likely than nonenrolled women to be non-Hispanic White and to have a college degree (P < .05).


Tumor registries present a feasible means of recruiting breast cancer survivors before or early in adjuvant treatment. The success of recruiting survivors promptly after diagnosis is largely dependent on ability to rapidly obtain physician consent. Specific effort is needed to counteract self-selection effects that may lead to under-representation of minorities.

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Kristin M. Mills, Anita L. Stewart, Barbara Y. McLellan, Carol J. Verboncoeur, Abby C. King and Byron W. Brown

Health-promotion programs’ success depends on their ability to enroll representative samples of the target population, particularly those who are hard to reach and those who can benefit the most from such programs. This article evaluates enrollment bias in the recruitment process, examines the usefulness of a 2-phased recruitment strategy in enrolling representative proportions of eligible individuals in a physical-activity-promotion program for older adults, and explores predictors of enrollment. Of 1,381 randomly selected Medicare HMO members. 519 were eligible. Of these, 54% attended an informational meeting and 33% enrolled in the program. Relative to the target population, a representative proportion of women was enrolled, but those who enrolled were slightly younger. Of those who were eligible, a representative proportion of sedentary participants was recruited, those who were overweight were overrep-resented, and the oldest old, less educated, ethnic minorities, and precontem-plators of physical activity were underrepresented. Modifiable predictors of enrollment included interest in health, previous health-class attendance, and having had a physician recommend exercise.

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Jill L. McNitt-Gray

The target article, thoughtfully constructed by Dr. Prilutsky, effectively synthesizes available data on multijoint movements regarding coordination patterns of major two- and one-joint muscles, provides evidence for an optimization criterion that predicts critical features of muscle activation patterns, and explores the functional consequences of muscle coordination. This work also provides a clear set of definitions and an organizational framework that is currently needed for a productive interdisciplinary discussion regarding the underlying control mechanisms used during realistic multijoint movements. Although identification of an optimization criterion that predicts muscle recruitment strategies would greatly simplify control logic required for rehabilitation and musculoskeletal modeling, our experimental data during landings indicate more than one criterion may exist. Preliminary review of our experimental landing data suggests the rules identified by Prilutsky apparently hold for some subjects during portions of the landing movements. The presence of more than one muscle activation pattern used to achieve the same NJMs demonstrates there may be more than one optimization criterion that predicts critical features of muscle activation patterns. The functional consequences of more than one control criterion may also prove to be an asset, particularly when adapting to different environmental constraints.

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Neil Armstrong and Alan R. Barker

The pulmonary oxygen uptake (pVO2) kinetic response at the onset of exercise provides a noninvasive window into the metabolic activity of the muscle and a valuable means of increasing our understanding of developmental muscle metabolism. However, to date only limited research has been devoted to investigating the pVO2 kinetic response during exercise in children and adolescents. From the rigorous studies that have been conducted, both age- and sex-related differences have been identified. Specifically, children display a faster exponential rise in the phase II pVO2 kinetics, which are purported to reflect the rise in muscle O2 consumption, during moderate, heavy and very heavy intensity exercise compared with adults. Furthermore, for heavy and very heavy exercise, the O2 cost of exercise is higher for the exponential phase and the magnitude of the pVO2 slow component is smaller in young children. Sex-related differences have been identified during heavy, but not moderate exercise, with prepubertal boys displaying a faster exponential phase II pVO2 kinetic response and a smaller pVO2 slow component compared with prepubertal girls. The mechanisms underlying these differences are currently poorly understood, and form the basis for future research in this area. However, it is hypothesized that an age-related modulation of the muscle phosphate feedback controllers to signal an increased rate of oxidative phosphorylation and/or altered muscle fiber type recruitment strategies have the potential to play an important role. Overall, the data support the view that at the onset of exercise children have an enhanced potential for oxidative metabolism in the myocyte compared with adults.

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Amelia Mays Woods and Suzan F. Ayers

( 2016 ) endorse active recruitment strategies that PETE faculty members, in collaboration with K-12 teachers and community college contacts, can incorporate to improve PETE enrollments. Retaining students who enter teacher education programs is also a means to support the completion of teaching degrees

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Josephine Blagrave and Taylor Guy

, and have learning disabilities. Chapter 8 concludes part 2 of the textbook with an overview of recruitment strategies and provides an overview of the potential challenges with identifying, recruiting, and communicating with gatekeepers such as parents and other stakeholders who could help or hinder

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Gregory Knell, Deborah Salvo, Kerem Shuval, Casey Durand, Harold W. Kohl III and Kelley P. Gabriel

distributions and establish specific cutoffs points for accelerometer pursuit (i.e., probability of return <5%) is no longer worthwhile (see Figure  2 ). Findings suggest differences in the distribution and cutoffs for accelerometer pursuit varied by recruitment strategy. The 95th percentile among those