1,993 publications from this institution
The thesis of this article is that multilevel interventions based on ecological models and targeting individuals, social environments, physical environments, and policies must be implemented to achieve population change in physical activity. A model is proposed that identifies potential environmental and policy influences on four domains of active living: recreation, transport, occupation, and household. Multilevel research and interventions require multiple disciplines to combine concepts and methods to create new transdisciplinary approaches. The contributions being made by a broad range of disciplines are summarized. Research to date supports a conclusion that there are multiple levels of influence on physical activity, and the active living domains are associated with different environmental variables. Continued research is needed to provide detailed findings that can inform improved designs of communities, transportation systems, and recreation facilities. Collaborations with policy researchers may improve the likelihood of translating research findings into changes in environments, policies, and practices.
Duchenne muscular dystrophy (DMD) is a lethal X-linked disorder associated with dystrophin deficiency that results in chronic inflammation and severe skeletal muscle degeneration. In DMD mouse models and patients, we find that IκB kinase/NF-κB (IKK/NF-κB) signaling is persistently elevated in immune cells and regenerative muscle fibers. Ablation of 1 allele of the p65 subunit of NF-κB was sufficient to improve pathology in mdx mice, a model of DMD. In addition, conditional deletion of IKKβ in mdx mice elucidated that NF-κB functions in activated macrophages to promote inflammation and muscle necrosis and in skeletal muscle fibers to limit regeneration through the inhibition of muscle progenitor cells. Furthermore, specific pharmacological inhibition of IKK resulted in improved pathology and muscle function in mdx mice. Collectively, these results underscore the critical role of NF-κB in the progression of muscular dystrophy and suggest the IKK/NF-κB signaling pathway as a potential therapeutic target for DMD.
We investigated physical activity and encouragement for activity in a bi-ethnic cohort during recess. Activity and associated interactions of 287 children were recorded at preschool and again 2.2 years later. Children expended nearly twice as much energy at preschool recess than at elementary recess. Activity levels declined as recess time elapsed. At preschool, European-American children engaged in more moderate to vigorous activity than Mexican-Americans. As participants moved to elementary school, teachers' prompts to be active decreased and prompts from peers increased. Boys and girls received similar amounts of activity prompts at preschool, but prompts to boys increased over time. The findings suggest that school environments could be altered to promote healthful physical activity among young children.
1424 The purpose of the current study was to evaluate brief measures of vigorous (VPA) and moderate (MPA) physical activity that can be used in primary care settings with adolescents. The measures are designed to be brief enough to be practical, yield clinically useful scores and assess targeted behaviors. Each measure has two items that are averaged: frequency of physical activity for past 7-days and for a typical week. To meet criterion, VPA must be done for 20-mins or more at least 3 days a week (USDHHS, 1991). For MPA, 60-mins must be accumulated in bouts of 10-mins throughout the day on at least 5 days (Biddle, Sallis, & Cavill, 1998). Test-retest reliability was assessed with 250 6th-12th graders in San Diego and Pittsburgh (age X=14.6, 55% female, 36% Caucasian). Intraclass correlation coefficients were 0.76 and 0.77 for VPA and MPA respectively. Concurrent validity was assessed with 60 adolescents (age X=13.8, 65% female, 35% Caucasian). Criterion measure was 7-day CSA accelerometer data. VPA and MPA were calculated from the CSA data using previously developed cut-points. Correlations for self-reports with CSA data were 0.48 and 0.29 for VPA and MPA (p<0.05). Sensitivity of the measures to detect subjects not meeting VPA and MPA guidelines, were 36% and 71%. Specificity was 100% for VPA, but 21% for MPA. Subjects were found to over-report VPA by 3.82 days/wk and MPA by 0.03. The current study provides scientific support for the utility and relative validity of these tools, although diagnostic accuracy is limited. Supported by the American Cancer Society
Inflammation, when properly mounted and precisely calibrated, is a beneficial process that enables the rapid removal of invading pathogens and/or cellular corpses and promotes tissue repair/regeneration to restore homeostasis after injury. Being a paradigm of a rapid response transcription factor, the nuclear factor-kappa B (NF-κB) transcription factor family plays a central role in amplifying inflammation by inducing the expression of inflammatory cytokines and chemokines. Additionally, NF-κB also induces the expression of pro-survival and -proliferative genes responsible for promoting tissue repair and regeneration. Paradoxically, recent studies have suggested that the NF-κB pathway can also exert inhibitory effects on pro-inflammatory cytokine production to temper inflammation. Here, we review our current understanding about the pro- and anti-inflammatory roles of NF-κB and discuss the implication of its dichotomous inflammation-modulating activity in the context of inflammasome activation and tumorigenesis.
This pilot study tested the feasibility and acceptability of a novel multilevel walking intervention for older adults in a continuing care retirement community (CCRC). The intervention included site-specific walking route maps, pedometers, and individualized goal setting. Pedometers were worn for self-monitoring and for the primary outcome (steps per day). Surveys at pre- and post-intervention assessed daily activities, benefits, barriers, route use, quality of life, and satisfaction. Steps per day were very low at baseline and increased significantly at post-test. The findings indicate that a multilevel site-specific intervention is feasible and acceptable for increasing steps among seniors living in a CCRC.
An integrated system for coding direct observations of children's dietary and physical activity behaviors was developed. Associated environmental events were also coded, including physical location, antecedents, and consequences. To assess the instrument's reliability and validity, 42 children, aged 4 to 8 years, were observed for 8 consecutive weeks at home and at school. Results indicated that four 60‐min observations at home produced relatively stable estimates for most of the 10 dimensions. Interobserver reliabilities during live and videotaped observations were high, with the exception of “consequences” categories that occurred in less than 1% of observed intervals. Evidence of validity was provided by findings that antecedents were associated with respective dietary and physical activity behaviors. The five physical activity categories were validated by heart‐rate monitoring in a second study. The Behaviors of Eating and Activity for Children's Health Evaluation System is appropriate for studying influences on diet and physical activity in children in a variety of settings.
There is growing interest in identifying neighborhood environment factors related to physical activity.This study aimed to examine whether objective built (e.g., residential density) and perceived (e.g., aesthetics) environment factors around adults' residence are correlates of their physical activity and reported walking behavior after accounting for known psychosocial (e.g., self-efficacy, barriers to physical activity) and demographic correlates of physical activity.Objective built environment characteristics were created through network buffers around individual participants (n = 2199) selected from neighborhoods differing on walkability characteristics and household income. Participants wore accelerometers to obtain a more objective measure of overall physical activity and self-reported on leisure and transportation-related walking, perceptions of neighborhood environment, psychosocial factors related to physical activity, and demographic factors. Census-level demographic factors were also considered.Retail floor area ratio, a metric combining land use mix and pedestrian design factors, was the environmental factor most related to accelerometry-measured physical activity and self-reported transportation-related walking after accounting for psychosocial and demographic factors. Street connectivity was also related to transportation-related walking, whereas perceived aesthetics was positively related to leisure walking.Environmental factors, particularly the availability of proximal nonresidential destinations designed for pedestrian access, were related to adults' physical activity and walking after accounting for psychosocial and demographic correlates, including reasons for residential selection.