UNIVERSITY OF SOUTH CAROLINA
PREVENTION RESEARCH CENTER NOTES
"Promoting Health Through Physical Activity"
Season’s Greetings! We hope you are well and have survived another
busy fall. Cooler weather is definitely here. Nothing feels better
than to exercise outdoors in cool, brisk air. It is perfect for
wearing the cool weather exercise gear that you keep in your drawer
most months of the year. This issue of our newsletter provides information
about different aspects of promoting physical activity: behavioral,
environmental, and by differing populations. We also provide an
update of happenings at our Prevention Research Center. Best wishes
for an active and healthy holiday season!
Barbara Ainsworth, Director
Dennis Shepard, Deputy Director
Delores Pluto, Newsletter Editor, email@example.com
IN THIS ISSUE – November/December 2000
NEWS YOU CAN USE: Why Water Aerobics?, Costs of Driving
WHAT’S HAPPENING IN WASHINGTON: Health Disparities Legislation
RESEARCH NOTES: Stages of Change Among African American
Women, Assessment of Trail Use, Measuring Physical Activity with
the BRFSS, Messages Tailored for Blue Collar Workers
REPORTS, SURVEYS, GUIDELINES, RESOURCES: Promoting Better
Health for Young People, Health Behavior Change in Managed Care,
Why Johnny Can't Walk to School
UPCOMING CONFERENCES AND WORKSHOPS: AAHPERD
WEBSITES OF INTEREST: International Society for Aging and
Physical Activity, Hillary Commission, American Hiking Society,
USC PREVENTION RESEARCH CENTER UPDATE: New Staff, New Projects,
Norman J. Arnold School of Public Health, Satcher Receives Honorary
Doctorate from USC
NEWS YOU CAN USE
WHY WATER AEROBICS?: Prevention magazine offers 10 reasons
to try water aerobics: 1) burn 400-500 calories / hr (based on a
150-pound person), 2) won't make you sweaty, 3) easy on your joints,
4) improve balance and coordination, 5) tone every part of your
body, 6) you control the level of difficulty, 7) maintain your heart
rate at a safe level, 8) get a cardiovascular workout equal to land
aerobics, 9) less intimidating than land aerobics (no one knows
if you miss a step), and 10) it's fun!
HOW MUCH DOES IT COST YOU TO DRIVE TO WORK EVERY DAY? Use
the commuting calculator at www.rides.org/lv2calc/calc.html to figure
out your daily, monthly and annual driving costs. The costs take
into account gas, tolls and parking, as well as maintenance and
repairs. The site describes the benefits of various commuting alternatives
such as biking, walking, carpooling, vanpooling, mass transit, and
telecommuting, and provides tips on getting started in each.
WHAT’S HAPPENING IN WASHINGTON
HEALTH DISPARITIES LEGISLATION:
On November 22nd the President signed the Health Care Fairness Act
into law. The legislation authorizes $150 million for a new national
center for research on minority health disparities at the National
Institutes of Health; increases funding for research on quality
of health care and outcomes for minorities within the Agency for
Healthcare Research and Quality; and creates a new program to attract
and train health disparity researchers. (From the Council on State
and Territorial Epidemiologists "Washington Report" http://www.cste.org)
STAGES OF CHANGE AMONG AFRICAN AMERICAN WOMEN: This study
was conducted to determine level of physical activity and health
status among a group of African American women seeking health care.
The researchers also explored the relationship between factors commonly
associated with physical activity in the general population and
the physical activity stage of change of the sample. Among the 104
women, ages 17-64, 23% of the women were overweight and 43% were
obese (based on BMI). Forty percent of the women reported themselves
to be in either the precontemplation or contemplation stage of change,
30% in preparation, and 30% in the action or maintenance stage.
Self-efficacy, social support from family and friends, and enjoyment
of physical activity were significantly correlated with physical
activity stage of change. Barriers and benefits of exercise, however,
were not. The authors recommend physical activity promotion strategies
for primary care health professionals such as nurse practitioners.
See Felton, Ott, & Jeter, "Physical Activity Stages of Change
in African American Women: Implications for Nurse Practitioners,"
Nurse Practitioner Forum, 11(2):116-123, June 2000.
ASSESSMENT OF TRAIL USE: Researchers used an infrared sensor
and intercept surveys to assess physical activity patterns and trail
use on a trail in a community park near a major industrial worksite.
Trail use was heaviest during weekdays in early morning and late
afternoon. Respondents cited the following reasons for using the
trail: the convenient location, attractive environment, safety,
the presence of mile markers, freedom from motorized transportation,
and the fact that the trail was paved. The vast majority of trail
users, 84%, participated in regular physical activity, and most
users were 20-50 years old, female, and African American. The authors
conclude that a trail near a worksite would provide a convenient
location for employees to walk or exercise, and could be an incentive
to promote exercise. See Neff, Ainsworth, Wheeler, Krumwiede &
Trepal, "Assessment of Trail Use in a Community Park,"
Family and Community Health, 23(3):76-84, October 2000.
MEASURING PHYSICAL ACTIVITY WITH THE BRFSS: This study used
physical activity data collected by the 1996 Behavioral Risk Factor
Surveillance System (BRFSS) to describe the physical activity patterns
in the US. The investigators used seven different measures of moderate
physical activity that have been used in the literature and in public
health recommendations (e.g., Healthy People 2000, CDC, ACSM, etc.).
These measures vary in their thresholds for duration, energy expenditure,
frequency, and intensity. The analysis showed that 13% of adults
are regularly active at a vigorous level. Depending on the parameters
used, moderate activity varied from about 20-38% of the adult population.
The journal article discusses the different measures and recommends
developing an appropriate standard for comparison. See Brownson,
Jones, Pratt, Blanton, & Heath, "Measuring Physical Activity
with the Behavioral Risk Factor Surveillance System," Medicine
& Science in Sports & Exercise, 32(11):1913-1918, November,
MESSAGES TAILORED FOR BLUE COLLAR WORKERS: Using social
marketing principles, researchers conducted an in-depth formative
research study to identify components of messages that could be
used in physical activity promotion programs for blue-collar university
employees. An extensive survey was administered to examine which
aspects of physical activity to emphasize. Results showed different
message components should be emphasized in messages to women, men,
and those with differing educational levels. The authors state,
"In general, positive messages that focus on increasing energy,
incorporating activity into busy schedules after a long workday,
using the services of a trainer, and selecting a program that builds
confidence and makes an individual feel good may help motivate workers
to engage in physical activity." See Black, Blue, Kosmoski,
& Coster, "Social Marketing: Developing a Tailored Message
for a Physical Activity Program," American Journal of Health
Behavior, 24(5):323-337, Sept. 2000.
REPORTS, SURVEYS, GUIDELINES, RESOURCES
PROMOTING BETTER HEALTH FOR YOUNG
PEOPLE: "Our nation's young people are, in large measure, inactive,
unfit, and increasingly overweight," according to a new report to
the President of the United States from the Secretary of Health
and Human Services and the Secretary of Education. "Promoting Better
Health for Young People Through Physical Activity and Sports" outlines
ten strategies to promote health and reduce obesity through lifelong
physical activity and sports and includes a bibliography and appendices
of helpful materials. Download the report from http://www.cdc.gov/nccdphp/dash/presphysactrpt/index.htm
or order a copy from one of the following sources. Mail: CDC at
Healthy Youth, P.O. Box 8817, Silver Spring, MD 20907. Telephone:
888-231-6405, fax: 888-282-7681, or e-mail: HealthyYouth@cdc.gov.
(When requesting via mail, fax, or e-mail, please provide a complete
mailing address to where the publication should be shipped.)
HEALTH BEHAVIOR CHANGE IN MANAGED
CARE: Throughout 1999, the Center for the Advancement of Health
conducted a series of studies to understand the current picture
of behavior change services in managed health care. Funded by the
Robert Wood Johnson Foundation, this project addresses (1) the capacity
of health and behavioral science to provide evidence-based psychosocial
and biobehavioral interventions for chronic disease prevention and
management in managed care settings; (2) the extent to which the
evidence is integrated into managed care; and (3) opportunities
and challenges to integration from the perspective of HMO medical
directors and health care purchasers. The report addresses risk
reduction and preventive health behaviors (use of alcohol and other
drugs, dietary practices, physical inactivity, and smoking cessation)
and risk management of chronic diseases (asthma, cardiovascular
disease, chronic back pain, depression, and diabetes). See www.cfah.org
or contact the Center for the Advancement of Health, 2000 Florida
Ave, N.W. Suite 210, Washington, D.C. 20009-1231, Tel: 202-387-2829
Fax: 202-387-2857, e-mail: firstname.lastname@example.org.
WHY JOHNNY CAN'T WALK TO SCHOOL:
In a new report released in November, "Historic Neighborhood
Schools in the Age of Sprawl: Why Johnny Can't Walk to School,"
the National Trust for Historic Preservation contends that public
policies, including excessive acreage requirements, funding formulas,
and planning code exemptions, are promoting the spread of mega-school
sprawl on outlying, undeveloped land at the expense of small, walkable,
community-centered schools in older neighborhoods. The National
Trust calls on school administrators and public officials to establish
policies to preserve and upgrade historic neighborhood schools.
This new report is part of a broadly based effort by the Trust to
increase public awareness and support for the need to save older
and historic neighborhood schools. The effort includes a new National
Trust publication, "A Community Guide to Saving Older Schools;"
an appraisal guide for older school renovations; and successful
case studies. See www.nationaltrust.org
or contact Gary Kozel (202) 588-6013, e-mail email@example.com.
UPCOMING CONFERENCES AND WORKSHOPS
AAHPERD: The National Convention and
Exposition of the American Alliance for Health, Physical Education,
Recreation and Dance will be held in Cincinnati, OH, March 27-31,
2001. This annual convention offers more than 400 in-depth conferences,
sessions, and workshops dealing with every aspect of health and
active lifestyles, fitness and aging, and state of the art dance
technology. In addition, more than 300 fitness, sporting goods,
and publishing companies exhibit the latest products and services.
For information visit http://www.aahperd.org/convention/template.cfm?template=main.html
or call (800) 213-7193, ext. 466.
WEBSITES OF INTEREST
INTERNATIONAL SOCIETY FOR AGING AND
PHYSICAL ACTIVITY: ISAPA is an international not-for-profit
society that promotes research, clinical practice, and public policy
initiatives in the area of aging and physical activity. The site
contains a bulletin board and newsletter plus a library of public
domain images of older adults participating in physical activity.
HILLARY COMMISSION: Visit www.hillarysport.org.nz,
the website of the Hillary Commission for Sport, Fitness, and Leisure
to see what's going on in New Zealand. The Commission works with
schools, community clubs, sports organizations, and local authorities
to create opportunities for all New Zealanders to be physically
active. The website contains sections on working with young people,
sports, and coaching. One section, called "Push Play," focuses on
promoting active lifestyles in the community.
AMERICAN HIKING SOCIETY: The
American Hiking Society maintains an on-line directory of hiking
trails at http://www.americanhiking.org/infocenter/index.html.
The site also contains other information for people interested in
hiking and trail conservation and policy.
FITNESS JUMPSITE: The Fitness
Jumpsite is a non-commercial endeavor that offers fitness, health
and nutrition related information and education. Operated by two
American Council on Exercise certified Personal Trainers, the site
aims to provides resources and support to "cultivate happy, healthy,
and fit lifestyles." See how you like it, at www.primusweb.com/fitnesspartner.
USC PREVENTION RESEARCH CENTER UPDATE
NEW STAFF: The Prevention Research Center is pleased to
welcome a new Research Associate, Dr. Delores Pluto. Dr. Pluto recently
earned a PhD in Health Promotion and Education from the University
of South Carolina School of Public Health, and her background is
in promoting physical activity among older adults. At the Prevention
Research Center, Dr. Pluto will be working on CVD/PA indicators
and on communication/dissemination activities, including assuming
the role of editor of this newsletter. Welcome aboard, Delores!
NEW PROJECTS: The USC Prevention Research Center is fortunate
to have had several new projects funded recently. Below is a list,
along with the principal investigator and the funding organization/agency.
1) Effects of Massage on Range of Motion and Flexibility, Dr. Patricia
Sharpe, funded by American Massage Therapy Association Foundation
2) Pedometer-Assessed Physical Activity Surveillance, Dr. Catrine
Tudor-Locke, funded by Association of Schools of Public Health and
3) Development of a Short Physical Activity Questionnaire, Dr. Chuck
Matthews, funded by CDC
4) PRC Obesity Prevention Network -- Participating Center, Dr. Russ
Pate and Dr. Roger Sargent, funded by CDC
NORMAN J. ARNOLD SCHOOL OF PUBLIC HEALTH: The University
of South Carolina has named its School of Public Health in honor
of Columbia business leader and philanthropist Norman J. Arnold.
Mr. Arnold recently provided a $10 million endowment to the school
to invest in programs not usually supported by state resources.
An 18-year cancer survivor, Mr. Arnold and his wife Gerry Sue have
donated time and significant financial resources to public and volunteer
agencies in SC to bring healthier ways of eating and healthier lifestyles
to the state.
SATCHER RECEIVES HONORARY DOCTORATE
FROM USC: The University of South Carolina awarded an honorary
Doctorate of Public Service to U.S. Surgeon General Dr. David Satcher
on Dec. 18. Dr. Satcher also delivered the commencement address,
telling graduates about the "challenge we face in dealing with change"
as we witness the end of a decade, century, and millennium. He also
left copies of his "Prescription for Health," which includes moderate
physical activity; a diet that includes fruits and vegetables; responsible
sexual behavior; and avoiding tobacco, illicit drugs, and alcohol
abuse. The prescription can be found at www.surgeongeneral.gov.
Writers: Delores Pluto, Regina Fields, Ralph Welsh
This and past issues of the "University
of South Carolina Prevention Research Center Notes" are available
at our website. If you have an item you’d like to submit, please
send it to Delores Pluto at firstname.lastname@example.org.
For continuing discussions about physical
activity and public health, join the "Physical Activity and
Public Health On-Line Network." Visit our website, http://prevention.sph.sc.edu,
for instructions on joining.
Prevention Research Center
Norman J. Arnold School of Public Health, University of South Carolina
730 Devine Street, Columbia, South Carolina 29208
Funded by the Centers for Disease Control and Prevention
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