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Item Breaking Barriers: Strategies for Promoting Physical Activity & Health for All Hoosiers(2024-02-16) Alamilla, Rafael A; Keith, NiCole RItem Effects of a Community-based Lifestyle Intervention on Change in Physical Activity Among Economically Disadvantaged Adults With Prediabetes(Taylor and Francis, 2016) Hays, Laura M.; Hoen, Helena M.; Slaven, James E.; Finch, Emily A.; Marrero, David G.; Saha, Chandan; Ackermann, Ronald T.; School of NursingItem Health benefits of seated speed, resistance, and power training for an individual with spastic quadriplegic cerebral palsy: A case report(IOS Press, 2015-09-06) Gannotti, Mary E.; Fuchs, Robyn Kimberly; Roberts, Dawn E.; Hobbs, Nedda; Cannon, Ian M.; Department of Physical Therapy, School of Health and Rehabilitation SciencesChildren with moderate to severe cerebral palsy are at risk for low bone mass for chronological age, which compounds risk in adulthood for progressive deformity and chronic pain. Physical activity and exercise can be a key component to optimizing bone health. In this case report we present a young adult male with non-ambulatory, spastic quadriplegia CP whom began a seated speed, resistance, and power training exercise program at age 14.5 years. Exercise program continued into adulthood as part of an active lifestyle. The individual had a history of failure to thrive, bowel and bladder incontinence, reduced bone mineral density (BMD) for age, and spinal deformity at the time exercise was initiated. Participation in the exercise program began once a week for 1.5-2 hours/session, and progressed to 3-5 times per week after two years. This exercise program is now a component of his habitual lifestyle. Over the 6 years he was followed, lumbar spine and total hip BMD Z-scores did not worsen, which may be viewed as a positive outcome given his level of gross motor impairment. Additionally, the individual reported less back pain, improved bowel and bladder control, increased energy level, and never sustained an exercise related injury. Findings from this case report suggest a regular program of seated speed, resistance, power training may promote overall well-being, are safe, and should be considered as a mechanism for optimizing bone health.Item Physical activity and enjoyment of young adults while playing an active virtual reality game(Indiana University, 2024-07-25) Akinfeleye, Obapese; Cervantes, Xzaliya; Boots, Brendan; Naugle, Keith; Naugle, KellyOver the past few decades, there has been an upsurge in the number of adults who do not meet the recommended physical activity levels. One of the factors contributing to the sedentary lifestyle is connected to increased screen time, which could offer a potential solution. Objective: In this study, we tested an active video game in virtual reality (VR) as a potential tool to elicit physical activity. Specifically, this study measured participants' physical activity and enjoyment while playing the VR game Gorilla Tag to observe whether the game can elicit moderate to vigorous physical activity. Methodology: This study enrolled 28 healthy adults aged 18-39 who had not played Gorilla Tag in the last month. Participants completed 5 study sessions. For four sessions, participants played Gorilla Tag for 15 minutes, and for one session, participants rode a stationary bike for 15 minutes. A heart rate (HR) monitor was worn by the participants during game play and cycling to measure their physical activity intensity levels with the measure of percentage of heart rate reserve (%HRR). An 8-item physical activity enjoyment scale (PACES) was given to determine the participant's enjoyment level of playing Gorilla Tag and cycling. Results: The analysis revealed that HR increased significantly while participants played Gorilla Tag and rode the stationary cycle. The results also showed that participants had a higher %HRR while riding the stationary bike compared to while playing Gorilla Tag (p’s <.001). Based on %HRR values, Gorilla Tag elicited light to moderate intensity physical activity, while the stationary bike elicited moderate to vigorous intensity physical activity. Enjoyment levels did not differ between sessions of Gorilla Tag and cycling. Bivariate correlations indicated that greater intensity of physical activity during Gorilla tag was related to greater enjoyment of gameplay. Conclusion: The active VR game Gorilla Tag is rated as an enjoyable game that elicits light to moderate physical activity during gameplay in healthy younger adults.Item Physical Activity, Screen Time, and Emotional Well-Being during the 2019 Novel Coronavirus Outbreak in China(Multidisciplinary Digital Publishing Institute (MDPI), 2020-07-17) Qin, Fei; Song, Yiqing; Nassis, George P.; Zhao, Lina; Dong, Yanan; Zhao, Cuicui; Feng, Yiwei; Zhao, Jiexiu; Epidemiology, School of Public HealthWe aimed to evaluate the effects of the COVID-19 lock down on lifestyle in China during the initial stage of the pandemic. A questionnaire was distributed to Chinese adults living in 31 provinces of China via the internet using a snowball sampling strategy. Information on 7-day physical activity recall, screen time, and emotional state were collected between January 24 and February 2, 2020. ANOVA, χ² test, and Spearman's correlation coefficients were used for statistical analysis. 12,107 participants aged 18-80 years were included. During the initial phase of the COVID-19 outbreak, nearly 60% of Chinese adults had inadequate physical activity (95% CI 56.6%-58.3%), which was more than twice the global prevalence (27.5%, 25.0%-32.2%). Their mean screen time was more than 4 hours per day while staying at home (261.3 ± 189.8 min per day), and the longest screen time was found in young adults (305.6 ± 217.5 min per day). We found a positive and significant correlation between provincial proportions of confirmed COVID-19 cases and negative affect scores (r = 0.501, p = 0.004). Individuals with vigorous physical activity appeared to have a better emotional state and less screen time than those with light physical activity. During this nationwide lockdown, more than half of Chinese adults temporarily adopted a sedentary lifestyle with insufficient physical activity, more screen time, and poor emotional state, which may carry considerable health risks. Promotion of home-based self-exercise can potentially help improve health and wellness.Item Reducing Physical Activity Disparities Among Vulnerable Minorities: Methods and Preliminary Outcomes(2023) Alamilla, Rafael A.; Georgiadis, Yanoula M.; Kaushal, Navin; Keith, NiCole R.INTRODUCTION: Vulnerable minorities experience high rates of chronic disease. Physical Activity (PA) is an effective preventive behavior to mitigate multiple diseases. Vulnerable minorities have low PA participation. Finding ways to engage vulnerable minorities in PA is imperative. PURPOSE: To describe preliminary data from a community-based wait-list pilot PA trial for vulnerable minorities. METHODS: Forty-five participants from a Midwest urban community were randomized to an experimental (EXP: N = 23; 15 F) or control (CON: N = 22; 15 F) group. Baseline measures are height = 168.5 ± 9.1cm (EXP), and 167.9 ± 7.0cm (CON); weight = 95.8 ± 26.4kg (EXP) and 85.0 ± 19.3kg (CON), age = 39.9 ± 9.7y (EXP) and 48.8 ± 13.2y (CON). EXP participants were counseled to engage in regular PA (>4d/wk for >30 mins). EXP participants received a fitness center membership, trainer, and on-site monthly education to help them develop exercise identity and habit formation. The CON group could engage in PA if desired but did not have the same research resources. Both groups completed monthly surveys assessing exercise identity, social support, and habit formation. Baseline data included one week of moderate-to-vigorous PA (MVPA) and health-related fitness (measured by accelerometry and fitness tests, respectively). RESULTS: Paired-samples T-test were used to make baseline comparisons. Study participants were 73.2% White, 67.4% employed full-time, 56.1% obtained a bachelor’s degree or higher, and 32.0% earned >300% of the federal poverty level. MVPA was 127.9 ± 69.8 min/wk (EXP) and 174.7 ± 103.1 min/wk (CON). Other non-significant outcomes included body fat % (EXP: 37.1 ± 10.9%; CON: 32.9 ± 12.0%), 8ft-up-and-go time (EXP: 5.01 ± 0.8s; CON: 5.05 ± 1.10s), and 30s chair stand (EXP: 15.3 ± 6.5; CON: 17.5 ± 5.2), 30s seated arm curl (EXP: R =18.9 ± 5.1, L = 19.2 ± 5.1; CON: R = 21.2 ± 5.7, L = 20.1 ± 5.4). Chair sit-and-reach scores for right (EXP: -0.1 ± 8.3cm; CON: 1.0 ± 12.2cm, p = 0.003 ) and left (EXP: -0.3 ± 8.2cm; CON: 0.1 ± 11.4cm, p = 0.01) legs were different. CONCLUSION: Data show baseline measures did not vary between groups and difficulty recruiting vulnerable minorities. Next steps include reporting final outcomes and developing refined recruitment methods.Item Research Bites: COVID-19 and physical activity maintenance(Wolters Kluwer, 2022) Yoke, Mary; Kinesiology, School of Health and Human SciencesItem Research Bites: How much physical activity is enough? How intense should it be?(Wolters Kluwer, 2021) Yoke, Mary M.Item Social Cognition and Socioecological Predictors of Home-Based Physical Activity Intentions, Planning, and Habits during the COVID-19 Pandemic(Multidisciplinary Digital Publishing Institute (MDPI), 2020-08-31) Kaushal, Navin; Keith, NiCole; Aguiñaga, Susan; Hagger, Martin S.; Health Sciences, School of Health and Rehabilitation Sciences‘Shelter in place’ and ‘lockdown’ orders implemented to minimize the spread of COVID-19 have reduced opportunities to be physically active. For many, the home environment emerged as the only viable option to participate in physical activity. Previous research suggests that availability of exercise equipment functions as a determinant of home-based physical activity participation among the general adult population. The purpose of this study was to use a socioecological framework to investigate how the availability of exercise equipment at home predicts behavioral decisions, namely, intention, planning, and habits with respect to participation in physical activity. Participants (n = 429) were adults recruited in U.S. states subject to lockdown orders during the pandemic who completed measures online. A structural equation model indicated that availability of cardiovascular and strength training equipment predicted physical activity planning. Social cognition constructs mediated the relationship between each type of exercise equipment and intentions. Autonomous motivation and perceived behavioral control were found to mediate the relationship between each type of exercise equipment and habit. The availability of large cardiovascular and strength training equipment demonstrated significant predictive effects with intention, planning, habit, and autonomous motivation. Facilitating these constructs for home-based physical activity interventions could be efficacious for promoting physical activity.