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UNIVERSITY OF SOUTH CAROLINA
PREVENTION RESEARCH CENTER NOTES
"Promoting Health Through Physical Activity"

September is a busy month! Kids are back in school, folks are fitting in last minute vacations, and summer is gracefully turning into fall. From September 22-30, our Prevention Research Center will be hosting the 4th Annual Physical Activity and Public Health post-graduate courses in Hilton Head, SC. We hope you enjoy our newsletter. Let us know what is going on and we will share it with others in our next issue of our Prevention Research Center Notes.

Barb Ainsworth, Director
Fran Wheeler, Deputy Director
Regina Fields, Editor (RMFields@sph.sc.edu)

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IN THIS ISSUE – SEPTEMBER 1998

NEWS YOU CAN USE: Physical Activity Updates, Time for New Shoes?, National Trails Endowment

RESEARCH NOTES: Youth Risk Behavior Surveillance, Physician Counseling

REPORTS AND SURVEYS: Healthy People 2010

UPCOMING CONFERENCES AND WORKSHOPS: Lifelong Physical Activity, Practical Evaluation, Prevention Intervention Research, Society for Public Health Education, Minority Health Issues, Cardiovascular Disease Epidemiology, Cardiovascular Health, Cooper Institute

WEBSITES OF INTEREST: NIH Research, Info on Lowering Cholesterol

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NEWS YOU CAN USE
PHYSICAL ACTIVITY UPDATES: Rich Killingsworth, a Physical Activity Interventionist with the CDC’s Division of Nutrition and Physical Activity, provides periodic e-mail updates concerning physical activity-related health issues. If you would like to be on Rich’s e-mail list, send your full name, title, organizational affiliation, and e-mail address to him at REK3@CDC.GOV.

TIME FOR NEW SHOES?: Now that summer is over and the weather is getting cooler, you may be out walking more. Stride Magazine offers the following tips on buying new walking shoes. 1) Don’t assume you know your current shoe size. Measure your feet, both length and width, at least once per year. Size may also vary between shoe models. Don’t hesitate to try on a shoe in a size other than what measuring indicates. 2) Try on walking shoe with the same thickness of socks you intend to wear. 3) Look for a roomy toebox, and allow at least ½- to ¾ -inch of room at the end of the toe for movement and expansion during the heel-to-toe roll of walking. 4) Women should check for adequate room in the ball of the foot (women’s feet tend to be wider here) and snug heel fit. 5) Walk in the shoes at your fitness walking pace to gauge fit under typical walking conditions. 6) Try on shoes at the end of the day or after a workout. Your feet are largest then. 7) Know your foot type and gait characteristics. Is your foot normal, flat, or high-arched? If you are a pronator, look for more medial control. 8) Know the difference between walking and running shoes. Walking shoes have more rigidity in the front so you can roll off your toes rather than bend through them as you do in running shoes. Walking shoes need extra shock absorption in the heel of the shoe and especially under the ball of the foot, to help prevent heel pain. A shoe with a slightly rounded sole, or "rocker bottom" can help to smoothly shift weight from the heel to the toes as you walk. 9) Frequent a shoe store with a knowledgeable sales staff, preferably staffers who themselves walk for fitness. 10) Rate style low on your list. Some shoes that look great can fall apart quickly. Some shoe companies will tack on styling or design features for marketing razzle dazzle. Ignore that and look for solid construction, intelligent design, and biomechanical correctness.

NATIONAL TRAILS ENDOWMENT: The American Hiking Society has awarded the first National Trails Endowment grants. The Society reports that 13 grassroots trail organizations were awarded grants to acquire lands, build an maintain trails and shelters, and protect the natural value of hiking trails. Grantees include the Rivanna Trails Foundation, awarded $3000 to construct a foot bridge to allow residents of the Charlottesville, Virginia Senior Center to access a nearby trail. The deadline for 1999 grant applications is November 30, 1998. Call 301-565-6704 ext. 121 or e-mail ahsterry@aol.com for an application. More information on the Endowment is available at http://ahs.simplenet.com.

RESEARCH NOTES
YOUTH RISK BEHAVIOR SURVEILLANCE:
Morbidity and Mortality Weekly Report released the 1997 Youth Risk Behavior Surveillance Summary on August 14, 1998. The summary is available at the CDC’s MMWR website www.cdc.gov/epo/mmwr/mmwr.html. The summary includes the physical activity-related information from the YRBS, including the percentage of high school students enrolled in a physical education class and the percentage of students who are vigorously active.

PHYSICIAN COUNSELING: The Green Prescription Study was conducted by primary care physicians in New Zealand to answer the question, "Does written advice from a general practitioner about increasing physical activity increase activity more than verbal advice alone?" Thirty-seven physicians enrolled 491 physically inactive patients into a six-week clinical trial. Half of patients received verbal counseling only and the other received verbal counseling and a written exercise prescription (the "green prescription group"). Results showed that 54% to 81% of the participants increased their physical activity. As compared with the verbal advice group, patients in the green prescription group were more active. See Swinburn, et al. "The Green Prescription Study: A Randomized Controlled Trial of Written Exercise Advice Provided by General Practitioners." American Journal of Public Health, 88 (2): 288-291, February 1998.

REPORTS, SURVEYS AND GUIDELINES
HEALTHY PEOPLE 2010:
Comments will be accepted on the draft of the "Healthy People 2010" objectives until December 15, 1998. The draft is available for review at http://www.healthypeople.gov/. The 14 physical activity/physical fitness objectives are the first set. Of the 14 objectives, 5 relate to physical activity and physical education in schools. There are also related objectives in the Educational and Community-Based Programs section and in several other sections. There will be hearings about the report this fall in Philadelphia, New Orleans, Chicago, Seattle, and Sacramento. Hearing dates and registration information are available at the website, as well.

UPCOMING CONFERENCES AND WORKSHOPS
LIFELONG PHYSICAL ACTIVITY: The National Association for Sport and Physical Education (NASPE) is sponsoring a national conference on "Promoting Lifelong Physical Activity." The conference will be held October 8-10, 1998 at they University of Utah in Salt Lake City. Featured speakers include Chuck Corbin, Arizona State University; Scott Kretchmar, Penn State University; and Larry Hensley, University of Northern Iowa. For information, call 800-213-7193, ext. 414 or e-mail msaville@aahperd.org.

PRACTICAL EVALUATION: The CDC’s Public Health Training Network (PHTN) is conducting a satellite broadcast on "Practical Evaluation of Public Health Programs." Part one of the broadcast will be October 13, 1998 from 1:00 – 3:00 p.m. E.S.T., and part two will be October 20, 1998 from 1:00 – 4:00 p.m. E.S.T. Participants will be learn the why and the how of practical and effective program evaluation. Information on the broadcast is available at the PHTN’s website, at www.cdc.gov/phtn. Information can also be obtained by calling 919-966-1104. Local participants must be able to receive satellite broadcasts on the C or Ku bands. A video-taped version of the course will be available after the broadcast.

PREVENTIVE INTERVENTION RESEARCH: The National Institutes of Health’s Office of Behavioral and Social Sciences and Office of Disease Prevention are co-sponsoring "Prevention Intervention Research at the Crossroads: Contributions and Opportunities from the Behavioral and Social Sciences." The conference will be held November 5 and 6, 1998 at the NIH campus in Bethesda, Maryland. Topics cover many areas of prevention research, including a session entitled "Benefits of a Physically Active Lifestyle: Lessons Learned from Project Active." For more information, contact Courtney Jones at 301-315-9000 or obssr@tascon.com.

SOCIETY FOR PUBLIC HEALTH EDUCATION: From Friday, November 13 through Sunday, November 15, 1998, the Society for Public Health Education will hold its annual conference in Washington D.C. This conference will focus on the theme "Improving Health through Advances in Education, Policy, Science, and Technology." Keynote addresses will be offered by Norman Anderson from the National Institutes of Health, Michael Eriksen from the Office on Smoking and Health, Helene Gayle from the Centers for Disease Control and Prevention, and Everett Rogers from the University of New Mexico. CHES credits will be available. Information on pre-conference activities, the conference itself and the awards banquet on Saturday evening, can be obtained by calling SOPHE at (202) 408-9804.

MINORITY HEALTH ISSUES: The 1998 Minority Health Issues Conference will be held December 6-8, 1998 at the Adam’s Mark Hotel in Columbia, South Carolina. The focus of the conference is "Building Healthy Communities of Color II: A Focus on Family Wellness." For further information, including registration and call for papers, contact the Office of Minority Health at the South Carolina Department of Health and Environmental Control at (803) 734-4972.

CARDIOVASCULAR DISEASE EPIDEMIOLOGY: The American Heart Association will host the 39th Annual Conference on Cardiovascular Disease (CVD) Epidemiology and Prevention, from March 24 – 27, 1999 in Orlando, Florida. The conference is a scientific program that provides participants with the opportunity to learn the most recent information on topics including population trends in CVD and their associated risk factors, and methods of population surveillance for CVD and risk factors. Registration information is available at www.americanheart.org, or by calling 214-706-1773. 

CARDIOVASULAR HEALTH: The 14th Great Lakes Cardiovascular Health Conference will be held April 25 – 27, 1999 in Columbus, Ohio. The conference, entitled "The Continuum of Prevention: Cardiovascular Health in the Next Millenium," will include sessions that address the major issues in cardiovascular health. Continuing education credits for physicians, nurses, dietitians and health educators will be available. The conference is a joint effort of the state health departments in Ohio, Michigan, Indiana, Illinois, Wisconsin, and Minnesota. For more information, contact 614-466-2144.

COOPER INSTITUTE: The Cooper Institute for Aerobics Research will be holding Physical Fitness Specialist Certification classes in upcoming months. The classes will focus on developing fitness leadership and technical skills necessary for the implementation of an individualized physical fitness program that is safe, effective and motivational. Class participants may include, but are not limited to, personal trainers, health and fitness professionals in wellness centers, fitness clubs, government agencies, law enforcement, fire safety, sports medicine, dietetic clinics, rehabilitation centers, and corporate organizations. Classes will be held at the Cooper Aerobics Center in Dallas, Texas on the following dates in 1998: October 12-16, November 9-13, December 7-11; and in 1999: January 4-8, February 8-12, March 8-12, April 19-23, and May 17-21. For further information, including registration fees, contact the Institute online at www.cooperinst.org or by phone (972) 341-3200.

WEBSITES OF INTEREST
NIH RESEARCH:
You can now search the National Institutes of Health’s database of funded biomedical research using the "Computer Retrieval of Information on Scientific Projects" (CRISP). CRISP is searchable by keyword, principal investigator, institute/center, grant title, institution, state, and more. Uses of CRISP include searching for scientific concepts or emerging trends, identifying other investigators with similar interests, and locating grants by awarding institution. CRISP can be found at http://crisp.cit.nih.gov/crisp/crisp_query.generate_screen. (From the "Health and Behavior Information Transfer" August newsletter.)

INFO ON LOWERING CHOLESTEROL: The National Heart, Lung and Blood Institute has launched a new website for heart disease patients and others with high cholesterol. "Live Healthier, Live Longer" provides information on dietary changes and physical activity, and was launched in connection with National Cholesterol Month (September). Find it at http://www.nhlbi.nih.gov/about/ncep/index.htm.

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This and past issues of the "University of South Carolina Prevention Research Center Notes" are available at our website, http://prevention.sph.sc.edu. If you have an item you’d like to share, please contact the editor at RMFields@sph.sc.edu.

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Prevention Research Center
Norman J. Arnold School of Public Health, University of South Carolina
730 Devine Street, Columbia, South Carolina 29208
803-777-4253

Funded by the Centers for Disease Control and Prevention

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