This study aimed to perform a systematic review of studies that address the influence of physical activity on the quality of life and functional independence of adult individuals with spinal cord injury. The review was performed using data obtained from the MEDLINE, CINAHL, SciELO, LILACS, SPORTDiscus, Web of Science, Academic Search Premier, and PEDro databases using the following keywords: quality of life; functional independence; autonomy; independence; physical activity; activities of daily living; physical exercise; tetraplegia; paraplegia; spinal cord injury; physical disabilities; and wheelchair. Eleven studies met the inclusion criteria. Although there was a lack of consensus among the selected studies, the majority of them presented a strong correlation between physical activity and variables of quality of life and/or functional independence. Thus, physical activity appears to have an important influence on social relationships, functional independence, psychological factors, and physical aspects, which can enhance quality of life and independence in the performance of daily activities.
Camilla Yuri Kawanishi and Márcia Greguol
The purpose of this study was to examine the influence of the social context, based within self-determination theory, on student’s in-class physical activity. A total of 84 Year 11/12 physical education students were randomly assigned to one of three treatment groups; Autonomy-supportive, Controlling and Balanced. Data were collected using a pretest/posttest design measuring in-class physical activity. Analysis of data used Repeated Measures ANOVAs to examine group differences. Results indicated significant differences for students engaged in the autonomy-supportive context in terms of moderate-to-vigorous physical activity. These results indicate that instructional behaviors that align with an autonomy-supportive context can facilitate higher levels of in-class physical activity.
Alan L. Smith
This study tested a model describing the relationships among perceptions of peer relationships, physical self-worth, affective responses toward physical activity, and physical activity motivation. The model was grounded in Harter’s (1978,1981a, 1986,1987) theoretical perspective, proposing that perceptions of peer relationships (i.e., friendship, peer acceptance) would predict physical activity motivation via affect and physical self-worth. Adolescents (N = 418, ages 12–15 years) completed a battery of questionnaires that assessed the study variables. Results of structural equation modeling analyses supported the overall model and most of the hypothesized direct and indirect relationships among variables for both female and male samples. Examination of alternative models suggested that some expected relationships might have been suppressed by a high correlation between the friendship and peer-acceptance constructs. However, alternative models also showed that these constructs independently contribute to predicting motivational variables. The results illustrate the importance of peer relationships to adolescent physical activity motivation.
Rebecca Reynolds, Santhya and David Menzies
from representative agencies come together to plan, coordinate, and advocate change. 3 Physical activity alliances are important aspects of physical activity public health, 4 but there are not many in existence globally. One ongoing example is the National Coalition for Promoting Physical Activity in
Katrina D. DuBose and Andrew J. McKune
The relationship between physical activity levels, salivary cortisol, and the metabolic syndrome (MetSyn) score was examined. Twenty-three girls (8.4 ± 0.9 years) had a fasting blood draw, waist circumference and blood pressure measured, and wore an ActiGraph accelerometer for 5 days. Saliva samples were collected to measure cortisol levels. Previously established cut points estimated the minutes spent in moderate, vigorous, and moderate-to-vigorous physical activity. A continuous MetSyn score was created from blood pressure, waist circumference, high-density-lipoprotein (HDL), triglyceride, and glucose values. Correlation analyses examined associations between physical activity, cortisol, the MetSyn score, and its related components. Regression analysis examined the relationship between cortisol, the MetSyn score, and its related components adjusting for physical activity, percent body fat, and sexual maturity. Vigorous physical activity was positively related with 30 min post waking cortisol values. The MetSyn score was not related with cortisol values after controlling for confounders. In contrast, HDL was negatively related with 30 min post waking cortisol. Triglyceride was positively related with 30 min post waking cortisol and area under the curve. The MetSyn score and many of its components were not related to cortisol salivary levels even after adjusting for physical activity, body fat percentage, and sexual maturity.
Catrine Tudor-Locke and Elroy J. Aguiar
Ambulation (stepping) is an essential component of many activities of daily living (e.g., household chores, active transport), with walking being the most commonly reported physical activity choice across the globe ( Hulteen et al., 2017 ). As such, step counting has become a standard measurement
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.
David A. Ferrer and Rebecca Ellis
Living a physically active lifestyle is recommended for people of all ages. Participation in regular physical activity is associated with the reduction of chronic diseases such as breast and colon cancer, heart disease, type 2 diabetes, osteoporosis, stroke, depression, and obesity. 1
Natalie Colabianchi, Jamie L. Griffin, Kerry L. McIver, Marsha Dowda and Russell R. Pate
Numerous studies have focused on the role of environments in promoting physical activity, but few studies have examined the specific locations where children are active and whether being active in these locations is associated with physical activity levels over time.
Self-reported locations of where physical activity occurred and physical activity measured via accelerometry were obtained for a cohort of 520 children in 5th and 6th grades. Latent class analysis was used to generate classes of children defined by the variety of locations where they were active (ie, home, school grounds, gyms, recreational centers, parks or playgrounds, neighborhood, and church). Latent transition analyses were used to characterize how these latent classes change over time and to determine whether the latent transitions were associated with changes in physical activity levels.
Two latent classes were identified at baseline with the majority of children in the class labeled as ‘limited variety.’ Most children maintained their latent status over time. Physical activity levels declined for all groups, but significantly less so for children who maintained their membership in the ‘greater variety’ latent status.
Supporting and encouraging physical activity in a variety of locations may improve physical activity levels in children.
Yuki Kondo, Ryuichi Sawa, Aoi Ebina, Masayo Takada, Hiromi Fujii, Yoko Okuyama, Yuko Tanikawa, Kaoru Souke and Rei Ono
Physical activity during pregnancy has numerous benefits, but the influence on the duration of labor is unclear. We investigated the influence of habitual physical activity during late pregnancy on the duration of labor, with consideration of previous delivery experience and the stage of labor.
This prospective study included 103 women (48 nulliparous, 55 multiparous) in late pregnancy. Habitual physical activity was evaluated using the Baecke physical activity questionnaire (BQ). Women were divided into a high activity group (HA) and a low activity group (LA) based on their median total BQ score. Data pertaining to the duration of labor were obtained from the birth records after delivery.
In multiparous women, the duration of the second stage of labor was significantly shorter in the HA group than in the LA group [median (range): HA, 11 min (1–102 min); LA, 20 min (4–175 min); P < .05]. The significant difference persisted after adjusting for confounding variables (standardized β = –0.34; P = .01). In nulliparous women, there were no significant differences in duration of labor between groups.
Higher physical activity in multiparous women during late pregnancy might positively influence the duration of the second stage of labor.