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Persistence of Physical Activity Among Veterans
Title
Persistence of Physical Activity Among Veterans.
Creator
Davis, Jean, Edwards, Joellen, Loerzel, Victoria, Weiss, Josie, Kehinde, Julius, University of Central Florida
Abstract / Description
The global burden of disease is staggering in terms of financial costs and human suffering. The general public is aware that physical activity is healthy, although the fact that physical activity can treat and reverse diseases, reduce the risk of cancers, prevent many chronic diseases, stave off cognitive decline, and contribute to quality longevity is less well known. Healthcare practitioners and policymakers are impeded in efforts to support physical activity due to the lack of knowledge of...
Show moreThe global burden of disease is staggering in terms of financial costs and human suffering. The general public is aware that physical activity is healthy, although the fact that physical activity can treat and reverse diseases, reduce the risk of cancers, prevent many chronic diseases, stave off cognitive decline, and contribute to quality longevity is less well known. Healthcare practitioners and policymakers are impeded in efforts to support physical activity due to the lack of knowledge of factors associated with physical activity persistence. The purpose of this dissertation was to determine these factors and identify which predict persistent physical activity among veterans to inform future programs and policies to support physical activity for health. The theorized influence of physical activity habit is addressed in the initial dissertation manuscript. Habits being more difficult to lapse from than to continue made them suitable for investigation to address the knowledge gap identified when no reports of long-term physical activity habits were found. Veterans provided an ideal population to study long-term physical activity habits with, as research indicates that veterans likely formed physical activity habits through recurrent physical activity required to meet the fitness requirements of active duty service. This led to the research reported in the second manuscript. The research was based on theory, literature review, and input from veterans. The integrated theory of health behavior change informed the predictor variables investigated. The explanatory and predictive cross-sectional study of community-dwelling veterans used the web survey method to answer questions of which factors were associated with sufficient or insufficient physical activity among veterans, and which factors were predictive. Recruitment of veterans occurred through Amazon's Mechanical Turk (MTurk(&)#174;) and linked veterans to the survey on Qualtrics(&)#174;. Findings revealed direct associations of exercise self-regulation, social support for exercise, and some service-related and other demographic factors with sufficient or insufficient physical activity. Qualtrics(&)#174; allowed for the presentation of survey questions in a variety of formats. To determine the best format for survey items, a state of the knowledge review was conducted. This review is presented in the final dissertation manuscript. Implications for future research, health education, clinical practice, and health policy are identified. It is expected that the knowledge gained in this study will inform future Veterans Affairs programs, provider practices, public health initiatives, and health care policies to support physical activity practices for healthy longevity.
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Date Issued
2019
Identifier
CFE0007886, ucf:52783
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0007886
The Effects of 6-weeks of Resistance Training on the Neuromuscular Fatigue Threshold in Older Adults
Title
The Effects of 6-weeks of Resistance Training on the Neuromuscular Fatigue Threshold in Older Adults.
Creator
Emerson, Nadia, Stout, Jeffrey, Hoffman, Jay, Fragala, Maren, University of Central Florida
Abstract / Description
Age-related deficits in muscle mass, strength, and function place an increased burden of work on existing skeletal muscle and may lead to early onset of neuromuscular fatigue (NMF) during activities of daily living. Resistance exercise (RE) is the proven method for improving neuromuscular function in healthy older adults. PURPOSE: To investigate the effects of 6 weeks of RE on the NMF threshold as well as strength and functional performance in older adults. METHODS: Twenty-four older adults...
Show moreAge-related deficits in muscle mass, strength, and function place an increased burden of work on existing skeletal muscle and may lead to early onset of neuromuscular fatigue (NMF) during activities of daily living. Resistance exercise (RE) is the proven method for improving neuromuscular function in healthy older adults. PURPOSE: To investigate the effects of 6 weeks of RE on the NMF threshold as well as strength and functional performance in older adults. METHODS: Twenty-four older adults were randomly assigned to 6 weeks of RE (EXE; n = 12; age 72 (&)#177; 6.3 y; BMI 28.4 kg/m2) or control (CONT; n = 12; age 70.3 (&)#177; 5.6 y; BMI 27.6 kg/m2). Body fat percent (BF%), lean mass (LM), and fat mass (FM) were measured using DEXA and participants performed a discontinuous cycle ergometer test, physical working capacity at fatigue threshold (PWCFT), to determine the onset of NMF. Functional performance was assessed by time to complete 5 chair rises (CHAIR) and walk an 8-foot course (WALK). Lower body strength was assessed by predicted 1-RM leg extension (1RM). Two-way Analysis of Variance (ANOVA; time [PRE, POST] x group [EXE and CONT]) and magnitude based inferences were used to compare dependent variables. RESULTS: RE significantly increased 1RM (35%; p = 0.001) and CHAIR (20%; p = 0.047). RE had a likely beneficial effect on WALK (15%) and a possibly beneficial effect on PWCFT (14%). There were no significant changes to LM or FM, however, women in EXE significantly decreased BF% (p = 0.020). CONCLUSION: Results suggest that RE improves measures of strength and functional performance and possibly the onset of NMF in older adults.
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Date Issued
2013
Identifier
CFE0004679, ucf:49876
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0004679
Getting The Work Out of Workouts: Evaluating the Effectiveness and Outcomes of a Physical Exercise Motivational Intervention For Older Workers
Title
Getting The Work Out of Workouts: Evaluating the Effectiveness and Outcomes of a Physical Exercise Motivational Intervention For Older Workers.
Creator
Sholar-Fetherlin, Brandon, Fritzsche, Barbara, Smither, Janan, Wang, Wei, Fragala, Maren, University of Central Florida
Abstract / Description
To mitigate their estimated $300 billion in annual health-related losses, many companies have instituted workplace wellness initiatives designed to promote physical activity among their employees, improving the overall health of their workforce. Though middle-aged and older workers may potentially enjoy the greatest physical, stress and cognitive benefits from regular exercise, workplace wellness programs have been less successful in attracting such employees. This study developed and tested...
Show moreTo mitigate their estimated $300 billion in annual health-related losses, many companies have instituted workplace wellness initiatives designed to promote physical activity among their employees, improving the overall health of their workforce. Though middle-aged and older workers may potentially enjoy the greatest physical, stress and cognitive benefits from regular exercise, workplace wellness programs have been less successful in attracting such employees. This study developed and tested a 6-week exercise motivation intervention designed to meet the needs of sedentary, older working adults and to determine what non-physical benefits might result from increased levels of physical exercise. The intervention, based primarily on Self-Determination Theory, included feedback on individually-made, realistic, process-specific exercise goals that and provided guidance from knowledgeable exercise professionals in addition to support group of socially-similar individuals to aid in coping and adherence. The intervention was built and delivered entirely online to fit better with the sample's considerable time demands. The motivational intervention was delivered to a sample of 30 mostly-older working adults and was successful in significantly improving activity levels and overall affect while decreasing stress. No significant differences were detected in measures of personal resources, work engagement, work effort and task performance. The implications and recommendations for future research are discussed.
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Date Issued
2017
Identifier
CFE0006660, ucf:51235
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0006660
ESSENTIAL COMPONENTS OF PARTICIPATION FOR AN EXERCISE PROGRAM FOR UNDERSERVED, OLDER, AFRICAN-AMERICAN FEMALES
Title
ESSENTIAL COMPONENTS OF PARTICIPATION FOR AN EXERCISE PROGRAM FOR UNDERSERVED, OLDER, AFRICAN-AMERICAN FEMALES.
Creator
Meinert, Marina, Garcia, Jeanette, Valdes, Anna, University of Central Florida
Abstract / Description
Physical activity (PA) is beneficial to people of all ages and ethnicities. Regular physical activity can reduce the risk of multiple chronic diseases, improve mood and sleep and allows your body to function better overall (CDC, 2018). However, populations that are more vulnerable to adverse health risks may benefit more than others from regular physical activity. This study was designed to identify the motivating factors for physical activity in a sample of older, African-American women of...
Show morePhysical activity (PA) is beneficial to people of all ages and ethnicities. Regular physical activity can reduce the risk of multiple chronic diseases, improve mood and sleep and allows your body to function better overall (CDC, 2018). However, populations that are more vulnerable to adverse health risks may benefit more than others from regular physical activity. This study was designed to identify the motivating factors for physical activity in a sample of older, African-American women of lower socioeconomic status (SES). This particular subgroup was chosen because of their increased risk of obesity and cardiovascular disease due to unhealthy lifestyle factors, specifically low levels of PA. (CDC, 2017). A secondary aim of this study was to determine the essential components necessary to create a successful PA program within this population. By determining the feasibility and acceptability of a PA program to target this specific population, further PA programs can be designed to promote adoption and sustainability of PA in this high-risk population. This study consisted of 8 African-American women of lower SES at an average age of 65 and average BMI of 32 kg/m^2 . The participants volunteered to participate in an 8-week exercise program for this study. The exercise class lasted 45 minutes and consisted of light aerobics, weight training, and mobility/flexibility exercises. After the 8 weeks, the participants were given questionnaires, surveys and participated in a focus group to collect data about their experiences. The Hebni staff and exercise instructors observed that there was 100% attendance and compliance throughout the 8 weeks. They also noted that the participants had positive attitudes and stayed actively engaged throughout the classes. After reviewing the data, it was noted that the necessary components to a successful exercise program for this population was a sense of community, cultural considerations, a community and familiar setting, and a reliable and open-minded instructor. The data showed that 100% of the participants continued participating in PA outside of the program and felt less stressed after exercising. This study is unique and important in that it looks at physical activity and its motivating factors in this population versus the ample research that focuses on why this population is sedentary but offers no solution to the problem.
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Date Issued
2018
Identifier
CFH2000429, ucf:45785
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFH2000429
A SYSTEMATIC REVIEW TO ASSESS THE METHODOLOGICAL QUALITY OF INTERVENTION RESEARCH DESIGNED TO INCREASE PHYSICAL ACTIVITY IN CHILDREN WITH AUTISM SPECTRUM DISORDERS
Title
A SYSTEMATIC REVIEW TO ASSESS THE METHODOLOGICAL QUALITY OF INTERVENTION RESEARCH DESIGNED TO INCREASE PHYSICAL ACTIVITY IN CHILDREN WITH AUTISM SPECTRUM DISORDERS.
Creator
Winn, Jolene, Tucker, Jennifer, University of Central Florida
Abstract / Description
In comparison to normally developing children, many children with Autism Spectrum Disorders (ASD) do not possess the same opportunities to be physically active due to the impairments exhibited by their disorder. A systematic review using the Downs and Black checklist and the PEDro scale was conducted to assess the methodological quality of the literature on promoting physical activity in children with ASD. The following inclusion criteria had to be met: (1) subjects must include children with...
Show moreIn comparison to normally developing children, many children with Autism Spectrum Disorders (ASD) do not possess the same opportunities to be physically active due to the impairments exhibited by their disorder. A systematic review using the Downs and Black checklist and the PEDro scale was conducted to assess the methodological quality of the literature on promoting physical activity in children with ASD. The following inclusion criteria had to be met: (1) subjects must include children with a clinical ASD diagnosis (2) the children have to be under the age of thirteen years old (3) the interventions must target physical activity; lastly, (4) they must be a relevant peer-reviewed English language study. The search was conducted using four electronic databases: MEDLINE, ERIC, PsycInfo, and CINHL with no restriction on the publication year. The following keywords were utilized: "Autism", "ASD/ Autism Spectrum Disorder", "Asperger", "Pervasive Developmental Disorder" Those terms were paired with "physical activity", "physical exercise", "exercise", "fitness", "aerobic", "swim", "aquatic", "jog", "walk", "recreational activity" Which were also paired with the terms "school age", "child", "toddler", "preadolescent". This multi-step search procedure occurred during February 2013. The methodological quality of six studies was evaluated in February 2013. Overall, the conclusive scores determined by the Downs and and Black checklist and the PEDro scale varied greatly. The scores reported by the Downs and Black checklist ranged from 19 to 21 on a 27-point scale. PEDro scale yielded scores ranging between two and six on a 10-point scale. A vote count revealed that the exercise interventions increased the physical fitness, aquatic skills, social behaviors, and sensory integration children with ASD. In summary, the variation within the scores and the quality of the studies leads to a demand for future research. In order to adequately determine what exercise interventions effectively increase physical activity in children with ASD, future researchers should conduct randomized controlled trials in order to produce the highest quality of evidence.
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Date Issued
2013
Identifier
CFH0004404, ucf:45092
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFH0004404