Translational journal of the American College of Sports Medicine最新文献

{"title":"Promoting Physical Activity Through Policy at a Single Safety-Net Clinic: A Pilot Study.","authors":"Pamela G Bowen,&nbsp;William Opoku-Agyeman,&nbsp;Olivio J Clay,&nbsp;McCaskill Gina,&nbsp;Veronica Mixon,&nbsp;Bisakha Pia Sen,&nbsp;Maria Pisu,&nbsp;Michelle Y Martin","doi":"10.1249/tjx.0000000000000160","DOIUrl":"https://doi.org/10.1249/tjx.0000000000000160","url":null,"abstract":"<p><strong>Background: </strong>Physical inactivity is a major issue for African Americans that contributes to increased risk for chronic conditions including obesity, heart disease, diabetes, and cognitive decline. The <b>purpose</b> of this single-clinic pilot study aimed to determine if a physical activity policy would increase primary-care provider discussions of physical activity during clinic visits using the Exercise is Medicine initiative as a guide.</p><p><strong>Methods: </strong>The study design involved data collection at three time points. Participants were recruited from a single clinic providing high quality healthcare without regard to ability to pay. Participants included 109 African American patients between the ages of 24 and 81 (39 pre-intervention, 40 at 6 weeks post-intervention, and 30 at 12-months post-intervention). The primary outcome measure was participants' answers related to whether a physical activity discussion occurred with their primary-care provider.</p><p><strong>Results: </strong>At baseline, 13% of participants reported a physical activity discussion with their provider, this increased to 33% at 6 weeks post-intervention. However, at 12-months post-intervention, the percentage of participants who reported a physical activity discussion decreased to 23%.</p><p><strong>Conclusion: </strong>Exercise is an underused evidence-based strategy that should be prescribed as a medicine to prevent and manage many chronic health conditions. This pilot study demonstrated the feasibility of improving provider-patient communications related to the importance of daily physical activity behaviors. Further research is needed to determine how to employ and sustain a clinic level policy that will encourage physical activity discussions at every visit.</p>","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8219237/pdf/nihms-1635295.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39105028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 messed up my research: Insights from physical activity and nutrition translational research.","authors":"Gabrielle Turner-McGrievy,&nbsp;Tanya Halliday,&nbsp;Justin B Moore","doi":"10.1249/tjx.0000000000000169","DOIUrl":"https://doi.org/10.1249/tjx.0000000000000169","url":null,"abstract":"<p><p>The COVID-19 pandemic led to significant challenges in conducting physical activity and nutrition translational research. This encompassed all phases of translational research, including recruitment (e.g., lack of trust in the scientific community), assessment (university regulations restricting in-person assessments), intervention (conversion of face-to-face interventions to online formats), and retention (loss of employment, phone service, or housing among study participants). The COVID-19 pandemic has had varying impacts on research productivity as well. While some groups found the pandemic led to increases in productivity (as evidenced by increases seen in both manuscript and grant submissions), junior faculty, women (particularly caregivers), African American, Asian, and Latinx faculty, and mid-career and senior scientists all faced unique career and personal challenges during this time. This included competing demands on time that interfered with research productivity and mental and physical health stressors. Therefore, in order to ensure we retain promising scientists in the field of translational physical activity and nutrition science, it will be important to consider these challenges when it comes time to review tenure files and grant applications. Reviewers of these applications should note creativity in moving research forward, continued mentoring of students or other faculty, and plans to get back on track after a pause in their ability to conduct impactful physical activity and nutrition work.</p>","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":"6 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8528043/pdf/nihms-1685157.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39556442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Magnesium and Vitamin D Supplementation on Exercise Performance","authors":"Giavanna Hunt, D. Sukumar, S. Volpe","doi":"10.1249/tjx.0000000000000179","DOIUrl":"https://doi.org/10.1249/tjx.0000000000000179","url":null,"abstract":"","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66085417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promoting Physical Activity in Rural Settings: Effectiveness and Potential Strategies.","authors":"Whitney J Smith,&nbsp;Michelle Y Martin,&nbsp;Maria Pisu,&nbsp;Robert A Oster,&nbsp;Haiyan Qu,&nbsp;Richard M Shewchuk,&nbsp;Mary E Sheffield,&nbsp;Alex Minter,&nbsp;Ana A Baumann,&nbsp;Laura Q Rogers","doi":"10.1249/tjx.0000000000000180","DOIUrl":"https://doi.org/10.1249/tjx.0000000000000180","url":null,"abstract":"<p><strong>Purpose: </strong>Implementing efficacious physical activity interventions in real-world rural settings is needed because rural cancer survivors are more physically inactive and experience poorer health. To address this gap, this study evaluated effectiveness of an evidenced-based physical activity program (Better Exercise Adherence after Treatment for Cancer [BEAT Cancer]) for rural women cancer survivors when implemented by community-based, non-research staff.</p><p><strong>Methods: </strong>16 rural women cancer survivors received BEAT Cancer implemented by a rural, community organization and non-research staff; physical activity, patient-reported outcomes, and social cognitive constructs were measured at baseline and post-program. Cancer survivors and interventionists completed program evaluations post-program.</p><p><strong>Results: </strong>Cancer survivor mean age was 58±12 years; 62% were White. Mean months since diagnosis was 54±72; 69% had breast cancer. Significant improvements from pre- to post-program occurred for self-report weekly minutes of moderate-to-vigorous physical activity (mean change [<i>M</i>] = 146±186, <i>p</i> = 0.009), anxiety (<i>M</i> = -1.3±1.8, <i>p</i> = 0.016), depression (<i>M</i> = -2.1±2.0, <i>p</i> = 0.001), self-efficacy (<i>M</i> = 20.9±30.5, <i>p</i> = 0.019), barriers interference (<i>M</i> = -15.0±14.1, <i>p</i> = 0.001), and social support (<i>M</i> = 5.0±7.4, <i>p</i> = 0.02). Cancer survivors ranked the program highly, identified strategies that were helpful (e.g., group activities, personalized exercise plan, etc.), and suggested additional implementation strategies (e.g., guide for home-based phase, etc.). Interventionists identified strategies (e.g., logistics, staff training and certification, cost, etc.) for enhancing organizational readiness for program delivery.</p><p><strong>Conclusion: </strong>Evidence-based physical activity programs can be effective when implemented by non-research staff in rural settings. Further research testing strategies that improve implementation is needed.</p><p><strong>Practical implications: </strong>Effectiveness and identified strategies supporting delivery when implemented by a rural organization can improve physical activity promotion for rural, at-risk populations.</p>","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":"6 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8580129/pdf/nihms-1729179.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39624288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors and Acceptability of Shared Physical Activity Participation in Parent–Child Dyads","authors":"Patrick M. Filanowski, S. Camhi, Jessica A Whiteley, R. Iannotti, L. Milliken","doi":"10.1249/TJX.0000000000000154","DOIUrl":"https://doi.org/10.1249/TJX.0000000000000154","url":null,"abstract":"Shared physical activity (PA) in children and their parents is an approach to increase PA participation for both children and adults. Understanding variables associated with shared PA is essential to inform effective, tailored PA interventions for families. The purpose of this study was to identify predictors and to assess the acceptability of shared PA in parent – child dyads. Each parent – child dyad ( n = 31; mean ± SD age, parents: 38.0 ± 6.6 yr, children: 5.9 ± 1.7 yr) was guided through five standardized PAs (brisk walking, jumping games, body-weight exercises, dancing, and tag games) at a research fitness center. Parents reported demographic characteristics and PA-related variables (i.e., PA self-efficacy, family chaos, and annual household income). One week later, parents ( n = 28) reported their dyad ’ s weekly minutes spent in shared PA. A forward selection procedure was used to determine the optimal regression model for predicting minutes of shared PA. McNemar ’ s tests were used to determine the dyad ’ s acceptability of each shared PA. Lower family chaos ( β = − 19.41, P = 0.034), higher parent body mass index ( β = 7.65, P = 0.003), and higher annual household income ( β = 11.85, P = 0.023) predicted minutes of shared PA. Jumping games, body-weight exercises, dancing, and tag games were not acceptable for parent – child dyads to participate in together ( P < 0.05). Brisk walking was an acceptable shared PA ( P = 0.125). Lower family chaos, higher parent body mass index, and higher annual household income predicted shared PA. Brisk walking was an acceptable PA for parent – child dyads to participate outside of a research laboratory setting. These results can aid future PA programs that include children and parents together.","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66085348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive Training: Associations and Implications for Weight Management and Translational Research.","authors":"Amanda N Szabo-Reed,&nbsp;Joseph E Donnelly","doi":"10.1249/tjx.0000000000000151","DOIUrl":"https://doi.org/10.1249/tjx.0000000000000151","url":null,"abstract":"<p><p>Behavioral weight loss programs combining energy restriction and increased physical activity (PA) are generally successful in producing clinically significant weight loss (≥5%) over 3-6 mos. However, weight maintenance (≥ 2 yrs.) continues to be problematic, due in part to an inability of individuals to continue adherence to diet and PA recommendations. It is hypothesized that neurocognitive processes, specifically executive functions (EFs, i.e., inhibition, working memory, mental flexibility), underlie self-regulation, self-efficacy, and are essential for the adoption and maintenance of health behaviors. Behavioral weight loss programs generally attempt to improve self-regulation; however, these skills are difficult to implement long-term. Strengthening EFs through cognitive training may improve weight maintenance by improving self-efficacy and self-regulation, resulting in improved program attendance and improved adherence to dietary and PA recommendations. Although randomized trials have not been conducted to specifically evaluate this hypothesis, results from the available literature suggest the potential for cognitive training to improve weight maintenance.</p>","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8130573/pdf/nihms-1620694.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39017240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical Activity Promotion in a Safety-net Clinic: Does the Provider Make a Difference? A Pilot Study.","authors":"Pamela G Bowen, Opoku-Agyeman William, Affuso Olivia, Paula Levi, Nancy Wingo","doi":"10.1249/tjx.0000000000000175","DOIUrl":"10.1249/tjx.0000000000000175","url":null,"abstract":"<p><strong>Background: </strong>Despite the long-term health benefits of physical activity, many Americans across the lifespan do not meet the recommended levels. However, physical activity discussions in the clinic setting may hold promise. The <b><i>purpose</i></b> of this study aimed to understand health care providers' beliefs and practices about physical activity discussions being a part of patients' healthcare treatment.</p><p><strong>Methods: </strong>Semi-structured, audiotaped interviews were conducted to elicit narratives from ten health care providers. Interview data were transcribed verbatim, then coded and analyzed by two qualitative researchers using NVivo12.</p><p><strong>Results: </strong>Three major themes emerged: <i>importance of regular PA counseling for vulnerable populations, patients' lack of regular physical activity</i>, including subthemes of lack of time, current health conditions, and social determinants of health, and healthcare provider's <i>reflections about their own physical activity.</i></p><p><strong>Conclusion: </strong>Healthcare providers have an important role when it comes to promoting good health. Having physical activity discussions with patients at every clinic visit is a great opportunity to encourage patients to engage in healthy lifestyle behaviors such as regular physical activity. From this pilot study, implications for practice may include increased awareness of the healthcare providers to discuss physical activity at every visit, which may lead to improved provider-patient communications related to the benefits of daily physical activity behaviors. These discussions may even have a secondary gain of encouraging the providers themselves to adopt the healthy behavior and thereby serve as a role model for their patients.</p>","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":"6 4","pages":""},"PeriodicalIF":1.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8797616/pdf/nihms-1709936.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39750402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Targeting Sedentary Behavior in Minority Populations as a Feasible Health Strategy During and Beyond COVID-19: On Behalf of ACSM-EIM and HL-PIVOT.","authors":"Patricia Pagan Lassalle,&nbsp;Michelle L Meyer,&nbsp;Ryan Conners,&nbsp;Gabriel Zieff,&nbsp;Jacklyn Rojas,&nbsp;Mark A Faghy,&nbsp;Ross Arena,&nbsp;Amber Vermeesch,&nbsp;Rodney P Joseph,&nbsp;Lee Stoner","doi":"10.1249/tjx.0000000000000174","DOIUrl":"10.1249/tjx.0000000000000174","url":null,"abstract":"<p><p>Increased sedentary behavior has been an unintended consequence of social and physical distancing restrictions needed to limit transmission of SARS-CoV-2, the novel coronavirus that causes COVID-19. Sedentary behavior is defined as any waking behavior characterized by an energy expenditure ≤1.5 metabolic equivalents (METs), while in a sitting, reclining, or lying posture. These restrictions negatively impact peoples' cardiometabolic and mental health and disproportionately affect certain sectors of the population, including racial/ethnic minorities. In part, the higher risk for complications of COVID-19 could be the result of increased prevalence of comorbid diseases. Further, regular participation and adherence to current physical activity guidelines, defined as at least 150 minutes per week of moderate intensity physical activity or muscle strengthening activities on 2 or more days a week, is challenging for many and may be especially difficult to achieve during the COVID-19 pandemic. A practical strategy to promote health and well-being during COVID-19 is reducing sedentary behavior. Reducing sedentary behaviors (e.g., breaking up periods of prolonged sitting with light-intensity physical activity) may be more easily achieved than physical activity for all individuals, including individuals of racial/ethnic decent, as it does not require purchasing equipment nor require compromising the physical restrictions necessary to slow the spread of COVID-19. The purpose of this commentary is to argue that sedentary behavior is a feasible, independent target to modify during COVID-19, particularly in minority populations, and to address this behavior we need to consider individual, environmental and policy-level factors.</p>","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":"6 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8570184/pdf/nihms-1709937.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39865231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Novel Use of Water Immersion in the Management of Exertional Heat Stress","authors":"W. Maloy, Chad D Hulsopple","doi":"10.1249/TJX.0000000000000146","DOIUrl":"https://doi.org/10.1249/TJX.0000000000000146","url":null,"abstract":"","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42436994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Just Dance? Teachers Perspectives on Implementing a Daily Classroom Physical Activity Break","authors":"Mirka Janssen, V. Berg, Annerose de Groot, Amika S. Singh","doi":"10.1249/TJX.0000000000000128","DOIUrl":"https://doi.org/10.1249/TJX.0000000000000128","url":null,"abstract":"A regular short physical activity break in the classroom may improve classroom behavior. The current study reports on the results of the implementation of a daily 10-min Just Dance break in the classroom. A total of 31 Dutch primary school teachers agreed to participate in the study. We collected data on the frequency of the use of the Just Dance breaks via an online registration system. Data on the long-term barriers and facilitators of the implementation were collected using two online questionnaires. In addition, we held five interviews with teachers to elucidate data on barriers and facilitators. The results show that none of the teachers maintained the Just Dance breaks on a daily basis, and only 19% (n = 6) of the teachers on a weekly basis (i.e., one to three times a week). According to all participating teachers, a lack of time was the primary barrier to implement Just Dance breaks on a daily basis. Teachers who did not maintain Just Dance breaks on a weekly basis also experienced difficulties in 1) keeping all pupils engaged during the full 10-min Just Dance break or 2) getting the pupils focused again after the Just Dance break. Teachers who maintained the Just Dance breaks on a weekly basis provided several practical recommendations for a more sustainable implementation process. This study shows that the implementation process of daily Just Dance breaks is challenging. We recommend providing teachers with professional support when implementing physical activity breaks in their daily program.","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42924163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}