<h3>Objective</h3> To develop a reliable and valid physical activity screening measure for use with adolescents in primary care settings. <h3>Study Design</h3> We conducted 2 studies to evaluate the test-retest reliability and concurrent validity of 6 single-item and 3 composite measures of physical activity. Modifications were based on the findings of the 2 studies, and a best measure was evaluated in study 3. Accelerometer data served as the criterion standard for tests of validity. <h3>Results</h3> In study 1 (N = 250; mean age, 15 years; 56% female; 36% white), reports on the composite measures were most reliable. In study 2 (N = 57; mean age, 14 years; 65% female; 37% white), 6 of the 9 screening measures correlated significantly with accelerometer data. Subjects, however, had great difficulty reporting bouts of activity and distinguishing between intensity levels. Instead, we developed a single measure assessing accumulation of 60 minutes of moderate to vigorous physical activity. Evaluated in study 3 (N = 148; mean age, 12 years; 65% female; 27% white), the measure was reliable (intraclass correlation, 0.77) and correlated significantly (<i>r</i>= 0.40,<i>P</i><.001) with accelerometer data. Correct classification (63%), sensitivity (71%), and false-positive rates (40%) were reasonable. <h3>Conclusion</h3> The "moderate to vigorous physical activity" screening measure is recommended for clinical practice with adolescents.
BACKGROUND School policies can change practices on a relatively permanent basis. This study investigated adoption and implementation of state‐level policies specifying minutes (or percent) of physical activity in physical education ( PE ) or during school. METHODS Policies were identified from existing databases and rated as having weak, moderate, or strong wording. Interviews with state‐level PE coordinators were conducted to investigate the level of implementation, monitoring, and enforcement of the identified policies. RESULTS Sixteen states had a policy that met inclusion criteria (19 policies total); 11 states had a policy addressing minutes of physical activity during school, 2 had a policy addressing percent of PE time to be spent in physical activity, and 3 had policies addressing both. None of the 19 policies were rated as having strong wording and 5 were rated as having moderate wording. The range in minutes of physical activity per week addressed in the policies was 60 to 300. Four of the 5 (elementary) and 5 of 5 (middle) policies addressing percent of PE spent physically active specified 50%. The only monitoring efforts reported consisted of schools self‐reporting progress to the state. CONCLUSIONS More states need to adopt school physical activity policies and policy language needs to be more specific to prevent potential loopholes. Monitoring and evaluation strategies, beyond school self‐report, are likely needed for these policies to lead to increases in physical activity.
Abstract In addition to endogenous genetic alterations, malignant progression and therapeutic responses are strongly modulated by the innate and adaptive immune systems. Androgen depletion and malignant progression induce lymphocyte recruitment into prostate cancer (PC). Recruited B cells produce lymphotoxin (LT), an inflammatory cytokine that stimulates expansion of androgen-deprived PC progenitors. Recruited B cells also control the response of PC to the immunogenic chemotherapeutic agent oxaliplatin, which at a low, non-myelosuppressive dose, induces immunogenic cell death that promotes generation of tumor-directed cytotoxic T cells (CTL). In three different mouse PC models the resulting tumors do not respond to low dose oxaliplatin unless grown in B cell-deficient hosts. The B lymphocytes responsible for immunosuppression are plasma cells that express IgA, IL-10 and PD-L1, but not LT, whose appearance depends on TGFβ-receptor (TGFβR) signaling. Elimination of these cells, which also infiltrate human therapy-resistant PC, facilitates CTL-dependent eradication of oxaliplatin-treated tumors. References: Ammirante, M., Kuraishy, A.I., Shalapour, S., Strasner, A., Ramirez-Sanchez, C., Zhang, W., Shabaik, A., and Karin, M. (2013). An IKKalpha-E2F1-BMI1 cascade activated by infiltrating B cells controls prostate regeneration and tumor recurrence. Genes Dev 27:1435-1440. Ammirante, M., Luo, J.L., Grivennikov, S., Nedospasov, S., and Karin, M. (2010). B-cell-derived lymphotoxin promotes castration-resistant prostate cancer. Nature 464:302-305. Grivennikov, S.I., Greten, F.R., and Karin, M. (2010). Immunity, inflammation, and cancer. Cell 140:883-899. Citation Format: Michael Karin. The intersection of inflammation, immunity, and cancer: From basic biology to translational research. [abstract]. In: Proceedings of the AACR Special Conference: Tumor Immunology and Immunotherapy: A New Chapter; December 1-4, 2014; Orlando, FL. Philadelphia (PA): AACR; Cancer Immunol Res 2015;3(10 Suppl):Abstract nr IA02.
Poor nutrition and physical inactivity are among the leading causes of morbidity and mortality in the United States, and widespread behavior modification is needed to improve health now and in the future. There is growing evidence that modifications in the physical environment and in social policies will be required to accomplish this goal. There is also growing recognition that economic factors have contributed to current eating and physical activity patterns, and that economic factors need to be considered when developing strategies for improving these behaviors. Identifying where economic and public health priorities converge could suggest new avenues for sustainable policy changes, which will, in turn, promote healthy choices on both an individual and population-wide level. To review the effect that economics has on eating and physical activity behaviors, the Partnership to Promote Healthy Eating and Active Living convened an Economic Analysis Forum. Two working groups were formed—one focusing on eating behaviors and one on physical activity, and both with equal representation from health-related and economic disciplines. The groups examined how economics has contributed to present eating and physical activity patterns and how economics could be used to develop interventions to improve these patterns. This article describes the challenges the groups faced in their work, the way in which the public health and economic approaches were integrated, and the questions left unanswered.