An Examination of Active Commuting by Race/Ethnicity, Income and Location

Introduction Active commuting (AC; walking and biking to work) is associated with a number of positive health outcomes, low participation remains low in the USA. Our objective was to examine the multi-level influences on AC considering social determinants of health: race/ethnicity, income level and location. Methods We conducted a cross-sectional survey examining correlates of AC in the Mid-Atlantic region of the United States. The sample consisted of 1,310 adults over the age of 18 who were employed part- or full-time outside of the home and physically able to walk and bike. One-way ANOVAs, t-tests, and Pearson correlation analyses were run to examine the relationship between AC and influences based on the Social Ecological Model for each of the different groups (non/metro, higher/lower-income, white/black/other). Results There was not a significant difference in active commuting for higher income participants compared to lower income participants. Among both low and high income individuals, males were more likely to AC than females. Metro participants reported significantly more AC trips compared to non-metro participants. Blacks were least likely to AC, followed by whites, with all other racial/ethnic groups having the highest rates of AC. Variables from multiple levels were significant influencers on AC in each population. Conclusion The findings from this study provide insight into the multi-level influences of AC in a variety of diverse population that are often at higher risk for diseases associated with physical inactivity and obesity. This information is useful in providing a foundation for future multi-level approaches targeting AC identifying populations with which to implement AC

College Student Work Habits are Related to Physical Activity and Fitness

International Journal of Exercise Science 10(7): 1009-1017, 2017. Despite the known benefits of regular physical activity, research shows a significant decline in physical activity participation and an increase in sedentary behavior during young adulthood during the college years. Studies examining the relationship between academic outcomes and fitness/physical activity have not extensively examined this among college students. Therefore, the purpose of this study was to examine the relationship between fitness measures (cardiovascular endurance, muscular endurance, flexibility and body composition), physical activity, and academic outcomes in college students. This cross-sectional study had college students complete a one-time fitness assessment and survey examining their physical activity and academic factors (GPA, study habits, course load). Correlations examined relationships between fitness, physical activity and academic outcomes, t-tests compared differences for fitness and behavioral outcomes between groups by academic factors. The final sample (n=512) was 50.4% male, 78% Non-Hispanic White, and 67% upperclassmen. The majority (76%) of participants reported meeting current PA guidelines. Hours of studying and social media use were both positively associated with body fat. Course load was negatively associated with vigorous activity. Study time was negatively associated with cardiovascular endurance, positively associated with hip flexibility and sedentary behavior. Higher GPA was associated with a higher BMI and a higher credit load was associated with less vigorous physical activity. These findings indicated that academic outcomes and physical activity may have a different relationship among college students compared with younger age groups. This study provides insight for the development of future campus-based health initiatives to have a shared focus of academic outcomes and physical activity

The Relationship of Living Environment with Behavioral and Fitness Outcomes by Sex: an Exploratory Study in College-aged Students

International Journal of Exercise Science 10(3): 330-339, 2017. Although physical activity (PA) is associated with several health benefits, there is a marked decline during college years, which is an influential period for the development of health behaviors. This study examined the relationship of neighborhood and living environment with behavioral (PA and sedentary behavior) and fitness outcomes by sex. Participants were college students that participated in a fitness assessment, followed by a survey that measured self-reported exercise and perception of one’s environment (sidewalks, crime, traffic, access to PA resources in their neighborhood and/or apartment complex). Pearson correlations examined the relationship between behavioral (moderate and vigorous PA, sedentary behavior, active travel) and fitness outcomes (VO2max, percent body fat, body mass index, push-ups, curl-ups, blood lipids and glucose) with environmental measures separately by sex. Among participants (n=444; female=211, male n=234) environment was significantly related to PA and fitness, with noted differences by sex. For males, seeing others exercising in the neighborhood and in their apartment complex, using neighborhood bike lanes, crime and the number of PA resources at their apartment complex were associated with behavioral and fitness outcomes. Among females, sidewalks in the neighborhood, seeing others exercising, using neighborhood bike lanes and number of PA apartment complex resources were significantly correlated with fitness and behavioral outcomes. These findings suggest a possible relationship between students’ objectively measured fitness and their environment for PA. Future implications include the development of policies to create student housing that supports physical activity and expansion of campus wellness initiatives to off-campus locations

Weight discrimination: Are colleges preparing their graduates for successful employment and careers?

Background: Colleges are uniquely positioned to influence both the short and long-term health and well-being of students through implementation of interventions to prevent and/or treat obesity among students; and have a vested interest given obesity has the potential to impact students' matriculation, graduation, and career prospects.Aim: To illustrate the essential roles of colleges to influence obesity prevention and treatment given the potential to influence the students' matriculation, graduation, and career prospects.Methods: The discussion begins with an overview of the prevalence and societal implications of obesity. Next the implications for higher education with respect to matriculation and graduation, the influence of higher education on lifestyle behaviors, and the influence of obesity on academic performance. This is followed by the influence of obesity on students' post-higher education lives, including potential discrimination when seeking employment, and the impact that the nature of the jobs that graduates attain may have on their health and well-being.Results: There exists a great need to reduce the prevalence of obesity and colleges are well positioned to provide leadership and direction.Conclusions: Implications for colleges are set forth, with ways in which they can play a role in promoting student health detailed

Comparison of College Student Hypertension Prevalence between the JNC7 and ACC/AHA Diagnostic Criteria

International Journal of Exercise Science 12(3): 898-903, 2019. Hypertension is highly prevalent and associated with non-communicable diseases and increased premature mortality risk. However, the impact of the new hypertension diagnostic criteria on the prevalence of hypertension diagnoses has yet to be examined among college students. The purpose of this study was to compare the prevalence of hypertension between the JNC7 and the ACC/AHA hypertension diagnostic criteria among college students. The blood pressure of 5,945 college students was assessed, and chi-square tests for independence examined differences between JNC7 and ACC/AHA criteria. The mean age of participants was 21.30 ± 1.05 years, and the majority identified as men (60.5%). Men were found to have significantly higher systolic (p \u3c .001, η2 = .10) and diastolic (p \u3c .001, η2 = .04) blood pressure, so all analyses were separated by sex. Hypertension guideline changes resulted in significant changes in hypertension categorization of both men, χ2 = 7,178, p \u3c .001, Фc = .816 and women, χ2 = 4,670, p \u3c .001, Фc = .816. Under the JNC7 guidelines, 292 (8.2%) men and 67 (2.8%) women were hypertensive. Using the ACC/AHA guidelines, 1455 (40.5%) men and 521 (22.3%) women were hypertensive. Hypertension guideline changes resulted in a significant increase in the prevalence of hypertension among college students, highlighting the potential demand for targeted prevention programs focused on fostering healthy lifestyle behaviors, i.e. physical activity and healthy eating, among students

Technology-Based Physical Activity Self-Monitoring Among College Students

International Journal of Exercise Science 11(7): 1096-1104, 2018. Understanding the relationship between college students’ physical activity (PA) self-monitoring and PA levels has the potential to inform initiatives to promote PA. This study’s purpose was to examine the prevalence of technology-based self-monitoring among college students the potential relationship between device usage, goal setting behaviors, PA enjoyment, and PA levels. An online survey assessed students\u27 demographics, current PA level, technology-based PA self-monitoring, and psychosocial outcomes. Independent t-tests examined differences in PA level and psychosocial outcomes by device use. 55.5% of the final sample (N=1,154) reported technology-based self-monitoring. Mobile phone app-based PA tracking was the most commonly reported (29.9%), followed by heart rate monitors (23.1%). Device use was significantly related to vigorous PA and psychosocial outcomes. Findings have the potential to inform development of technology-based interventions that promote student PA

Elevator Or Stairs? A Dive Into Patron Decision Making

When put in a situation to get to higher/lower floors of a building, there are many factors that go into play for whether an individual chooses to take the stairs (active) or ride the elevator (sedentary). Students were approached at waiting area for the four elevators in a University Library and were asked series of questions regarding their reasoning for taking the stair or elevator to ascend, as well as their thoughts on the stairwell appearance. Point of application #1: Stairwell appearance and aesthetics should be considered during the design process in order to increase use and physical activity amongst individuals. Point of application #2: Stairwell and elevator location, along with signage, should be considered during the design or remodeling process to create a more accessible stairwell. Point of application #3: The benefits of taking the stairs rather than using an elevator should be promoted to encourage using the stairs. Key Words: active lifestyle, active transport, point of decision prompt, physical activity, healt

Pre-Visit Planning in Primary Care

Pre-visit planning is the process of collecting and organizing data prior to a patient appointment. The pre-visit planning process requires a team member to call the patient a week before the appointment through the use of a questionnaire form. This helps identify incomplete tests, screenings, immunizations and referrals that are currently outstanding. The pre-visit process results in scheduling needed appointments and lab work as well as gathering necessary information from the patient to streamline their upcoming visit. The use of pre-visit planning may result in improved patient satisfaction and decreased physician time with each patient visit.https://scholar.rochesterregional.org/nursingresearchday_2023/1016/thumbnail.jp

Physical Activity is Related to Mental Health and Sexual Orientation Among Women in College

International Journal of Exercise Science 15(5): 1347-1356, 2022. Non-heterosexual women tend to report lower physical activity and poorer mental health than their heterosexual counterparts. The purpose of this study was to examine differences in mental health (stress and depression) and physical activity among female college students by sexual orientation. Students self-reported socio-demographic characteristics, physical activity, perceived stress, and depressive symptoms via an online survey. Correlations, independent samples t-tests, and multiple regression analyses were used to examine relationships between perceived stress, depressive symptoms, physical activity, and sexual orientation. Most participants (n = 1072, 20.0 ± 1.5 years) identified as heterosexual (90.1%), non-Hispanic White (73%), and in their fourth semester or higher. Perceived stress and depressive symptoms differed significantly between heterosexual and non- heterosexual women, but physical activity participation did not. Higher participation in vigorous physical activity and strength training predicted both lower depressive symptoms and lower perceived stress while controlling for sexual orientation. For both heterosexual and non-heterosexual sexual women, depressive symptoms had a positive relationship with perceived stress, and a negative relationship to strength training. Depressive symptoms also had negative correlations with vigorous physical activity among heterosexual women. Findings indicate non-heterosexual women experience greater perceived stress and depressive symptoms, and these mental health issues can have multi-level implications. Greater vigorous physical activity and strength training were associated with lower perceived stress and depression regardless of sexual orientation. Administrators and health promoters should consider ways to promote these forms of physical activity among non-heterosexual women. Further research is needed on the potential barriers impacting engagement in physical activity