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

{"title":"Associations Between Habitual Sedentary Behavior and Endothelial Cell Health.","authors":"Andrea T Duran,&nbsp;Carol Ewing Garber,&nbsp;Ipek Ensari,&nbsp;Daichi Shimbo,&nbsp;Keith M Diaz","doi":"10.1249/tjx.0000000000000138","DOIUrl":"https://doi.org/10.1249/tjx.0000000000000138","url":null,"abstract":"<p><p>Endothelial dysfunction is a mechanism that may explain the link between prolonged sedentary time and cardiovascular disease. However, the relation between habitual sedentary behavior (SED) and endothelial function has yet to be explored.</p><p><strong>Purpose-: </strong>The purpose of this study was to examine the association of accelerometer-measured SED with markers of endothelial cell health.</p><p><strong>Methods-: </strong>Healthy adult participants (n=83; 43.4% male; 25.5 ± 5.8 years old) were examined. SED was measured for 7-days by accelerometer. Endothelial function measures included endothelium-dependent vasodilation (EDV); endothelial microparticles (EMPs) [CD62E+ and CD31+/CD42- EMPs]; and endothelial progenitor cells (EPCs) [CD34+/CD133+/KDR+ and CD34+/KDR+EPCs]. Participants were classified as having low or high SED based on a median split.</p><p><strong>Results-: </strong>Participants in the low and high SED group spent a mean ± SD of 8.6 ± 1.1 and 11.1 ± 1.0 h/day in SED, respectively. No significant differences between the low and high SED groups were detected in mean [95% confidence interval (CI)] EDV (2.51 [2.21-2.81] vs. 2.36 [2.07-2.64], <i>p</i>=0.50), EMPs (CD62E+: 6.70 [6.55-6.84] vs. 6.56 [6.42-6.69], <i>p</i>=0.20; CD31+/CD42‒: 6.26 [6.10-6.42] vs. 6.18 [6.03-6.33], <i>p</i>=0.50), or EPCs (CD34+/KDR+: 11.91 [9.23-14.48]×10^-2 vs. 14.87 [12.41-17.32]×10^-2, <i>p</i>=0.13); CD34+/CD133+/KDR+: 1.84 [1.28-2.39]×10^-2 vs. 2.17 [1.64-2.70]×10^-2, <i>p</i>=0.43).</p><p><strong>Conclusions-: </strong>Among healthy adults, habitual SED was not associated with markers of endothelial cell health.</p>","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":"5 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8087243/pdf/nihms-1672155.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38941556","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":"Translating School Physical Education and Activity Policies into Practice: A Case Study.","authors":"Nancy O'Hara Tompkins, Karen Northrup, Josh Grant, Mary Folz Weikle, Dustin Long, John Bassler, Charlotte Workman, Zachary Ramsey, Traci Jarrett, Hannah Sirk, Lesley Cottrell","doi":"10.1249/tjx.0000000000000132","DOIUrl":"10.1249/tjx.0000000000000132","url":null,"abstract":"<p><strong>Background: </strong>Public health experts recommend school-based policies as a population based approach to increase youth physical activity. The purpose of this case study is to describe one, largely rural, state's efforts to translate this recommendation into practice. Details about the genesis, implementation and evolution of two state level policies (physical education and physical activity), as well as in-house efforts of a State Department of Education to monitor policy compliance and challenges encountered are described. Two specific years are highlighted, due to policy and monitoring enhancements made during those particular time periods.</p><p><strong>Methods: </strong>Data for this paper come from the West Virginia Department of Education for two time periods: 2013-2014 and 2014-2015 (n=369 elementary schools). Descriptive statistics for quantitative data and content analysis for qualitative data were used to document school level compliance and provide context for implementation challenges.</p><p><strong>Results: </strong>Greater than 70% of school principals reported achievement of physical education and physical activity policy expectations for each year. Limited staff was the predominant explanation for nonfulfillment of physical education expectations, followed by lack of time and facilities. Recess and classroom-based physical activity were the primary strategies used to comply with the physical activity expectations. PE and PA policy compliance varied significantly by certain school characteristics in each school year studied.</p><p><strong>Conclusions: </strong>Further investigation is warranted on how states translate public health policy recommendations into practice, including how physical education and physical activity policies are developed and monitored at the state level and how to support states and schools with monitoring and implementation challenges.</p>","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":"5 12","pages":""},"PeriodicalIF":1.1,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8451061/pdf/nihms-1581751.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39437431","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":"Protocol for a randomized controlled feasibility study of a coordinated parent/child weight loss intervention: Dyad Plus.","authors":"Joshua R Dilley, Camelia R Singletary, Jamy D Ard, Steven Giles, Joseph A Skelton, Vahé Heboyan, Danielle E Jake-Schoffman, Gabrielle Turner-McGrievy, Matthew McGrievy, Edward H Ip, Justin B Moore","doi":"10.1249/tjx.0000000000000136","DOIUrl":"10.1249/tjx.0000000000000136","url":null,"abstract":"<p><p>The prevalence of in youth with overweight and obesity is a global health concern, necessitating clinical interventions to treat obesity effectively through lifestyle modification. Interventions in adolescents have demonstrated improvements in healthy eating and physical activity with only modest weight loss outcomes. Consequently, there is growing interest in developing strategies to enhance the effectiveness of clinical interventions in adolescents. Targeting the family system can be an effective approach, but existing studies have failed to examine the impact of co-enrolling both the adolescent and adult in individually tailored weight loss programs and coordinating the adolescent/adult weight loss efforts.</p><p><strong>Purpose: </strong>This paper reports on the design and conceptual framework of the Dyad Plus study, which utilizes two weight loss clinics of the Wake Forest Baptist Medical Center: Brenner Families in training (Brenner FIT®; adolescents) and By Design (adults). Dyad Plus is a coordinated program designed to facilitate self-monitoring, positive communication, joint problem solving, and social support to increase physical activity, healthy eating, and weight loss relative to Brenner FIT alone.</p><p><strong>Methods: </strong>A total of 45 parent/adolescent dyads are randomized to one of three conditions (n = 15 for each): Brenner FIT only, Dyad (adolescent and parent both enroll simultaneously in the age appropriate program), and Dyad Plus (both parent and adolescent enroll simultaneously, but with a coordinated component for adolescent and caregiver). This study aims to develop and pilot the coordinated intervention, establish feasibility of the intervention, and determine costs associated with implementation.</p><p><strong>Results: </strong>The results of the study are expected in winter of 2021.</p><p><strong>Conclusion: </strong>If proven feasible and acceptable, Dyad Plus will be tested for effectiveness in a large-scale implementation-effectiveness clinical trial.</p>","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":"5 12","pages":""},"PeriodicalIF":1.1,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8078845/pdf/nihms-1591006.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38853811","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":"Effects of Exercise during Weight Loss Maintenance on Appetite Regulation in Women.","authors":"Rebecca Foright, Tanya M Halliday, Edward L Melanson, Allison Hild, Kristina T Legget, Jason R Tregellas, Marc-Andre Cornier","doi":"10.1249/tjx.0000000000000133","DOIUrl":"10.1249/tjx.0000000000000133","url":null,"abstract":"<p><p>Exercise is accepted as a method to improve weight loss maintenance; however, the mechanisms by which this occurs have yet to be elucidated. In this pilot study, 13 women with obesity underwent a structured weight loss program (goal 8%-10% weight loss) and were then randomized to either a 12-wk diet (<i>n</i> = 7) or an aerobic exercise training (<i>n</i> = 6) intervention aimed at maintaining weight loss. At baseline, post-weight loss, and following the weight loss maintenance interventions, measurements of appetite (hunger and satiety) and appetite-regulating hormones (leptin, ghrelin, peptide tyrosine tyrosine, and glucagon-like peptide 1) were obtained after an overnight fast and for 3 h after a standardized test meal. <i>Ad libitum</i> energy intake was measured at a lunch meal. During the weight loss phase, participants lost 9.1% ± 1.1% of baseline body weight. Participants in both groups maintained weight loss during the 12-wk weight loss maintenance intervention. No differences in fasting leptin (<i>P</i> = 0.68) or in ghrelin (<i>P</i> = 0.30), peptide tyrosine tyrosine (<i>P</i> = 0.93), and glucagon-like peptide 1 (<i>P</i> = 0.98) area under the curve were detected between groups. Similarly, ratings of hunger (<i>P</i> = 0.99) and satiety (<i>P</i> = 0.65) area under the curve after the standardized test meal also did not differ between the groups nor did <i>ad libitum</i> energy intake at lunch. In summary, the 12-wk diet and exercise interventions were equally effective at maintaining weight loss in women, and no differences in measures of appetite regulation and food intake were found.</p>","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":"5 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7978467/pdf/nihms-1680412.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25502487","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":"Abnormal Exercise Test or CVD History on Weight Loss or Fitness: the Look AHEAD Trial.","authors":"John M Jakicic, Edward S Horton, Jeffrey M Curtis, Tina M Killean, George A Bray, Lawrence J Cheskin, Karen C Johnson, Roeland J W Middelbeek, F Xavier Pi-Sunyer, Judith G Regensteiner, Paul M Ribisl, Lynne Wagenknecht, Mark A Espeland","doi":"10.1249/tjx.0000000000000134","DOIUrl":"10.1249/tjx.0000000000000134","url":null,"abstract":"<p><strong>Purpose: </strong>Obesity and type 2 diabetes are associated with an increased risk of cardiovascular disease (CVD) and the combination of weight loss and increased physical exercise are commonly recommended to reduce CVD. This study examined whether people with obesity and type 2 diabetes with an abnormal graded exercise tolerance test (GXT) or a history of CVD would have less success in achieving weight loss and improved fitness, compared to adults without these conditions.</p><p><strong>Methods: </strong>The Look AHEAD Study examined whether an intensive lifestyle intervention (ILI) compared with diabetes support and education (DSE) reduced cardiovascular events in adults with overweight/obesity and type 2 diabetes. Participants underwent a baseline maximal GXT and provided medical history data. Weight loss and fitness change were examined in 5011 participants over four years in those with or without an abnormal baseline GXT and/or history of CVD.</p><p><strong>Results: </strong>After four years, weight loss in both ILI and DSE were significantly greater in those without a prior history of CVD than in those with a CVD history (6.69% vs 5.98%, p=0.02, in ILI and 0.73 vs -.07% (weight gain), p=0.01, in DSE). Likewise, those without a prior history of CVD experienced greater improvements in fitness in both ILI and DSE relative to those with a history of CVD. Having an abnormal GXT at baseline did not affect weight loss or fitness.</p><p><strong>Conclusions: </strong>A history of CVD at baseline modestly lessened weight loss and fitness changes at 4 years, whereas having any abnormality on the baseline GXT did not affect these outcomes. Thus, weight loss and improved fitness are achievable in adults with a history of CVD or ECG abnormalities.</p>","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":"5 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8130141/pdf/nihms-1584708.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39016768","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":"Effects of Self-selected or Predetermined Intensity Aerobic Exercise on the Quality of Life of Adolescents with Obesity","authors":"T. A. Barros, W. L. Prado, T. R. Tenório, R. Freitas-Dias","doi":"10.1249/TJX.0000000000000113","DOIUrl":"https://doi.org/10.1249/TJX.0000000000000113","url":null,"abstract":"\u0000 This study aimed to compare the effects of aerobic training at self-selected intensity (SIE) and predetermined intensity (PIE) on the health-related quality of life (HRQOL) in adolescents with obesity. Randomized clinical trial conducted with 37 adolescents (boys and girls), 13–18 yr old, at Tanner stages 3–4, and body mass index ≥95th. Eighteen adolescents were randomly assigned to SIE and 19 to PIE. Aerobic training sessions consisted of 35 min of training on a treadmill, three times per week, for 12 wk. SIE group chose the speed/intensity at the beginning of each training session and was able to change it every 5 min. PIE group trained at a PIE of 60%–70% of heart rate reserve. The Pediatric Quality of Life Inventory was used in to measure HRQOL. Twenty-five adolescents completed the experimental protocol (SIE = 13 and PIE = 12). Heart rate during sessions was higher for PIE than SIE. Both groups decreased body mass (SIE from 100.7 ± 21.85 to 92.1 ± 25.20 kg; PIE from 98.9 ± 24.93 to 88.1 ± 12.91 kg; P = 0.01), body mass index (SIE from 37.4 ± 7.24 to 33.7 ± 8.55 kg·m−2; PIE from 37.3 ± 7.15 to 33.4 ± 5.48 kg·m−2; P < 0.01), and sum of skinfold thickness (SIE from 180.4 ± 26.33 to 163.5 ± 25.04 mm; PIE from 174.00 ± 28.55 to 149.00 ± 32.10 mm; P = 0.01) without group differences. PIE improved HRQOL at social functioning (PIE from 70.0 ± 15.9 vs to 80.9 ± 13.75; P = 0.02). Compared with PIE exercise, SIE did not induce additional improvements in HRQOL in adolescents with obesity.","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43326321","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":"Quality of Single-Case Designs Targeting Adults’ Exercise and Physical Activity","authors":"Paula-Marie M. Ferrara, Cory T. Beaumont, K. Strohacker","doi":"10.1249/TJX.0000000000000109","DOIUrl":"https://doi.org/10.1249/TJX.0000000000000109","url":null,"abstract":"Exercise and physical activity (ExPA) interventions require substantial preefficacy and efficacy testing before dissemination at the clinical and community level. Single-case designs (SCD; i.e., small-scale experiments where participants serve as their own controls) hold promise for preefficacy intervention development and refinement. At present, SCD may be underutilized in ExPA promotion, potentially because of the perceived lack of methodological rigor. Purpose: This review aimed to evaluate the quality of SCD research used to test ExPA promotion strategies in adults. Methods: Combinations of key words related to SCD and ExPA were used to search PubMed, Web of Science, and PsycINFO between July and October 2017. Of the 120 individual searches, 1227 titles were found, 10 of which met inclusion criteria. Two published quality assessment tools were then used to analyze SCD quality. Results: Average quality scores were 10 out of 14 (range 8–12) for the first tool and 13 out of 15 (range 9–15) for the second tool. Commonly unmet criteria included the use of assessor blinding (unfulfilled by 100% of studies), fidelity reporting (unfulfilled by 100%), inter-/intrarater reliability (unfulfilled by 80%), and appropriate statistical analyses (unfulfilled by 60%). Conclusion: Quality scores of SCD reporting were moderate to strong, but commonly missed criteria represent rigorous reporting standards for behavioral science. Although not specifically addressed in the quality assessment tools, it is important to note that only one study reported the ExPA prescription with replicable precision (i.e., specific reporting of exercise frequency, intensity, time, type, volume, and progression). Researchers should strive to meet all criteria and provide transparency to elevate the use of SCD for ExPA intervention development before effectiveness testing in real-world conditions. INTRODUCTION Physical inactivity in adults, a leading contributor to multiple noncommunicable diseases (e.g., metabolic disorders, certain cancers, cardiovascular disease), increases risk of premature mortality in the United States (1). Physical activity is Department of Kinesiology, Recreation, and Sport Studies, The University of Tennessee, Knoxville, Knoxville, TN Address for correspondence: Paula-Marie M. Ferrara, M.S., ACSM-CEP, Health, Physical Education, and Recreation Building, The University of Tennessee, Knoxville, 1914 Andy Holt Ave., Knoxville, TN 37996 (E-mail: pferrar1@vols.utk.edu). 2379-2868/0423/0257–0265 Translational Journal of the ACSM Copyright © 2019 by the American College of Sports Medicine http://www.acsm-tj.org Copyright © 2019 by the American College of Sports Medicine. Unauthorized repro defined as any bodily movement produced by skeletal muscle that increases energy expenditure above rest, whereas exercise (a subset of physical activity) refers to structured, repetitive activity conducted with the goal of improving one or more components of physical fitness (2). ","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42610397","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":"Anthropometric Predictors of Hemoglobin A1c among Adults: NHANES 2003 to 2004 and 2013 to 2014","authors":"M. Nicolo, C. Compher, P. Shewokis, J. Boullata, D. Sukumar, Sinclair A. Smith, S. Volpe","doi":"10.1249/TJX.0000000000000107","DOIUrl":"https://doi.org/10.1249/TJX.0000000000000107","url":null,"abstract":"\u0000 Nearly 10% of adult Americans have type 2 diabetes mellitus (DM), yet 25% are undiagnosed. Our purpose was to compare body mass index (BMI), waist circumference (WC), and waist-to-height ratio (WHtR) as predictors for type 2 DM in adults 40 to 59 yr of age. We hypothesized that BMI, WC, and WHtR would predict hemoglobin A1c (HbA1c) ≥6.5%, diagnostic of diabetes. Data from the National Health and Nutrition Examination Survey for 2003 to 2004 (N = 1069) and 2013 to 2014 (N = 906) were used in logistic regression models. There were differences in ethnic/racial distribution in the 2003 to 2004 and 2013 to 2014 sample. BMI, WC, and WHtR were higher in 2003 to 2004 than 2013 to 2014 (BMI, 29.5 vs 25.7 kg·m−2; WC, 99.8 vs 87.1 cm; WHtR, 0.59 vs 0.55, respectively, each P < 0.0001). In 2003 to 2004, WC (odds ratio = 2.65, 95% confidence interval = 1.57–4.48) and WHtR (odds ratio = 2.91, 95% confidence interval = 1.69–5.04) predicted HbA1c ≥ 6.5%, but BMI did not. In 2013 to 2014, BMI, WC, or WHtR did not predict HbA1c ≥ 6.5%. WC or WHtR may suggest risk of type 2 DM in some populations.","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46329374","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":"Effect of Improving Physical Conditions and Female Athlete Literacy Behaviors: Intervention Study","authors":"K. Aizawa, Atsushi Iwasaki, K. Yanagisawa, Chiaki Arai, Koichiro Hayashi, Yuki Nakamura, M. Tomikawa, E. Watanabe, T. Kukidome","doi":"10.1249/tjx.0000000000000102","DOIUrl":"https://doi.org/10.1249/tjx.0000000000000102","url":null,"abstract":"\u0000 The female athlete triad is characterized by low energy availability, menstrual dysfunction, and low bone density. Female athletes are largely unaware of the triad and its consequences. Female athlete literacy is a new concept that refers to the ability to access, understand, and use sports science information relevant to female athletes. We constructed a female athlete conditioning program to disseminate knowledge about the triad; screen for physical conditions such as body composition, bone density, menstrual status, and energy balance; and improve female athlete literacy. The purpose of this study was to determine whether this program improves physical conditions and qualitative change of female athlete literacy behaviors among Japanese female soccer players. The program was evaluated during the intervention and 6 months later. Body composition, bone density, energy balance, and qualitative stage for female athlete literacy behaviors on topics such as self-conditioning, energy balance, body weight, and menstrual management were measured. The qualitative change in the stage for female athlete literacy behaviors, body weight, lean body mass, and bone density improved after the program; percent body fat significantly decreased. Energy intake significantly increased after the program, whereas exercise expenditure and energy availability did not change. This study demonstrated that a female athlete conditioning program improves body composition, energy intake, and bone density, as well as qualitative stage for female athlete literacy behaviors. These findings suggest that improving female athlete literacy may be useful for maintaining good health and improving physical conditioning among female athletes.","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1249/tjx.0000000000000102","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43383644","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":"A Faith-Integrated Physical Activity Intervention and Cardiometabolic Risk in African American Women.","authors":"Lyndsey M Hornbuckle, Ziya Gizlice, Daniel P Heil, Melicia C Whitt-Glover","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the effects of a 10-month secular (SEC) versus faith-integrated (FI) community-based physical activity (PA) intervention on cardiometabolic risk factors in low active, African-American women.</p><p><strong>Methods: </strong>Participants (age: 55.4±11.6 years; body mass index (BMI): 36.0±7.9 kg/m²; average baseline steps/day: 3,807±1,250) from a larger study (n=418) participated in a sub-study to measure cardiometabolic disease indicators (primary outcomes) and PA (secondary outcomes) pre- and post-intervention (SEC: n=42; FI: n=43). Height, weight, waist and hip circumferences, resting blood pressure, hemoglobin A1c, average steps/day, sedentary behavior, light-intensity physical activity (LPA), and moderate-to-vigorous-intensity physical activity (MVPA) were acquired at baseline and 10 months. Multivariate generalized linear mixed models that included churches as a random effect were used to compare mean changes in outcomes at 10 months between the two study groups (α=0.05).</p><p><strong>Results: </strong>The FI group showed significant time effects for weight (93.4±2.4 to 92.2±2.3 kg), BMI (35.7±1.0 to 35.3±1.0 kg/m²), and waist circumference (106.9±2.2 to 103.8±2.5 cm), while the SEC group had a significant time effect for hip circumference (121.6±1.9 to 119.9±1.7 cm). There were no time effects in either group for blood pressure, hemoglobin A1c, steps/day, sedentary time, or MVPA. FI significantly decreased LPA in both 1-minute activity bouts (641±13 to 588±16 minutes/day) and 10-minute bouts (536±11 to 479±15 minutes/day). There were no significant differences between SEC and FI for any variable.</p><p><strong>Conclusions: </strong>The improvements in body weight, BMI, and waist circumference shown after the FI intervention could have long-term implications on cardiometabolic health, particularly if exercise is continued. Further research is needed to examine the effects of culturally-relevant interventions on chronic disease indicators in African-American women, particularly those established as high risk for cardiometabolic disease.</p>","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":"4 19","pages":"225-234"},"PeriodicalIF":1.1,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7802800/pdf/nihms-1534442.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38750981","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}