Members of the nuclear factor kappa B (NF-kappaB) family of dimeric transcription factors (TFs) regulate expression of a large number of genes involved in immune responses, inflammation, cell survival, and cancer. NF-kappaB TFs are rapidly activated in response to various stimuli, including cytokines, infectious agents, and radiation-induced DNA double-strand breaks. In nonstimulated cells, some NF-kappaB TFs are bound to inhibitory IkappaB proteins and are thereby sequestered in the cytoplasm. Activation leads to phosphorylation of IkappaB proteins and their subsequent recognition by ubiquitinating enzymes. The resulting proteasomal degradation of IkappaB proteins liberates IkappaB-bound NF-kappaB TFs, which translocate to the nucleus to drive expression of target genes. Two protein kinases with a high degree of sequence similarity, IKKalpha and IKKbeta, mediate phosphorylation of IkappaB proteins and represent a convergence point for most signal transduction pathways leading to NF-kappaB activation. Most of the IKKalpha and IKKbeta molecules in the cell are part of IKK complexes that also contain a regulatory subunit called IKKgamma or NEMO. Despite extensive sequence similarity, IKKalpha and IKKbeta have largely distinct functions, due to their different substrate specificities and modes of regulation. IKKbeta (and IKKgamma) are essential for rapid NF-kappaB activation by proinflammatory signaling cascades, such as those triggered by tumor necrosis factor alpha (TNFalpha) or lipopolysaccharide (LPS). In contrast, IKKalpha functions in the activation of a specific form of NF-kappaB in response to a subset of TNF family members and may also serve to attenuate IKKbeta-driven NF-kappaB activation. Moreover, IKKalpha is involved in keratinocyte differentiation, but this function is independent of its kinase activity. Several years ago, two protein kinases, one called IKKepsilon or IKK-i and one variously named TBK1 (TANK-binding kinase), NAK (NF-kappaB-activated kinase), or T2K (TRAF2-associated kinase), were identified that exhibit structural similarity to IKKalpha and IKKbeta. These protein kinases are important for the activation of interferon response factor 3 (IRF3) and IRF7, TFs that play key roles in the induction of type I interferon (IFN-I). Together, the IKKs and IKK-related kinases are instrumental for activation of the host defense system. This Review focuses on the functions of IKK and IKK-related kinases and the molecular mechanisms that regulate their activities.
Numerous authoritative reports have identified environmental and policy interventions as the most promising strategies for creating population-wide improvements in diet, physical activity, and obesity. Yet many methodologic challenges to conducting environmental and policy research must be overcome to enable this area of study to advance. A meeting titled “Study Designs and Analytic Strategies for Environmental and Policy Research on Obesity, Physical Activity, and Diet” was held April 8, 2008. Participants from diverse backgrounds identified priority gaps in knowledge and generated recommendations for promising methods to enhance environmental and policy research related to obesity. Final recommendations were based on a postmeeting participant survey. Existing methods were identified that could be applied to advance the field, including prospective studies, evaluations of natural experiments, and economic studies. Training for investigators in the use of appropriate statistical methods for complex designs and interdisciplinary collaboration were recommended. Methodologic research priorities included the development of measures of policy, health impact assessments, and the investigation of policy adoption and implementation. The results of this conference can be used to improve the quality and quantity of environmental and policy research as well as the translation to action to control obesity.
• Research produced during the pandemic showed pre-diagnosis physical activity was associated with substantially lower risk of severe coronavirus disease 2019 (COVID-19) outcomes. • Pandemic restrictions on common places for physical activity were associated with decreased physical activity and increased sedentary behavior. • There were few studies of interventions to increase physical activity during the pandemic, the role of physical activity in COVID-19 inequities, and built environment contributions to COVID-19 outcomes. • Emerging research priorities include physical activity and long COVID and physical activity as a vaccine adjuvant. • Except for recommendations from the World Health Organization, physical activity was widely ignored in public health guidance.
Regular physical activity is recommended by the U.S. Public Health Service for children and adolescents as a part of an overall approach to lifetime health promotion (1). These recommendations for youth are primarily based on studies of the effects of physical activity on adults. To date, no scientific consensus has emerged about the amount and types of physical activity necessary for health maintenance during the childhood and adolescent years. The absence of a consensus constrains clinicians who may be interested in counseling their pediatric patients about physical activity. The International Consensus Conference on Physical Activity Guidelines for Adolescents was designed to develop empirically based guidelines that can be used by clinicians in their counseling, as well as by policy makers with responsibility for youth health promotion. The following set of papers describes the scientific background for the physical activity guidelines for adolescents, as well as the consensus statement itself. These physical activity guidelines for children and adolescents are based on a systematic review of the scientific pediatric literature. Because of the extremely limited nature of this research in younger children, the present set of papers focuses on physical activity guidelines for adolescents. To be consistent with the Guidelines for Adolescent Preventive Services (2), adolescence was defined as ages 1 1 through 21 years. The steering committee, with the assistance of an advisory group of eminent scientists, commissioned a set of nine review papers that served as the scientific background for empirically based physical activity guidelines for adolescents. Seven papers were designed to summarize the evidence related to the amount of physical activity needed to affect selected health variables in adolescents. Where possible, these papers examined the dose-response relation between physical activity and health variables and identified a level or amount of physical activity that reliably improved health outcomes in adolescents. It was determined
Psychological, biological, social, and physical environmental variables were examined for their association with physical activity of young people. A national sample of 1,504 parents and children in Grades 4-12 were interviewed by telephone. Twenty-two potential determinants were assessed along with an 11-item child physical activity index (alpha = .76). Hierarchical multiple regressions were conducted separately for 6 age-sex subgroups. Percentage of variance explained ranged from 18% for boys in Grades 4-6 to 59% for girls in Grades 10-12. Three variables had strong and consistent associations with the child physical activity index that generalized across subgroups: use of afternoon time for sports and physical activity, enjoyment of physical education, and family support for physical activity. These 3 variables should be targeted for change to promote physical activity in all groups of young people.
The present study analysed the prevalence, potential correlates and physical activity (PA), body mass index (BMI), and academic performance outcomes, of active commuting to and from school (ACS), considering the home-to-school distance. A total of 391 Portuguese adolescents (189 boys, aged 14-18 years) completed a questionnaire about their active and passive commuting behaviours; potential correlates and perceived barriers of ACS; PA, BMI and academic performance. Multinomial regressions analyses were performed for ‘no walk/cycle’, ‘one-way commuters’ and for ‘both-ways commuters’ living near (<2 miles) school. The prevalence of one-way and both-ways active commuters decreased as the distance to school increased to more than two miles (66.5% to 23.5%). For the ‘near group’, walking to (47.8%) and from (55.5%) school was much more common than cycling (< 1%). The barrier with the greatest effect for one-way and both-ways active commuters was ‘distance’, followed by ‘stuff to carry’, ‘don’t enjoy walking/cycling’. No significant relations were found between walking or cycling one-way or both-ways and total PA, BMI and academic performance. To increase ACS, results suggest interventions promoting bicycling use and addressing multiple perceived barriers, such as ‘PA and ACS attitudes’, ‘stuff to carry’, perceptions of ‘hot and sweaty’ and ‘distance’.