'Social screens' and 'the mainstream': longitudinal competitors of non-organized physical activity in the transition from childhood to adolescence.

BACKGROUND: Physical activity (PA) tends to decline during late childhood and adolescence. In Australia, this decline has been shown to occur particularly in non-organized PA (e.g. active play and informal sport). Using a social marketing approach, segments of youth may be identified and targeted based on their profile of alternative activities that compete with non-organized PA during the transition to adolescence. The objectives of this study were to identify and describe segments of youth whose participation in non-organized PA declined between 11 and 13 years, based on changes in other potential competing activities during this period. METHODS: Data were sourced from Waves 4 and 5 of the Longitudinal Study of Australian Children. Participation in non-organized PA and thirteen alternative activities (e.g. video games, homework, sleep) were measured using 24-h time-use diaries. Analyses were limited to participants whose non-organized PA had declined between 11 and 13 years (n = 1043). Two-stage cluster analysis was conducted and segments were described using chi-square and t-tests. RESULTS: Among the analytic sample, average non-organized PA participation declined by 87 min/day between 11y and 13y (p < 0.001). Two segments were identified (κ = 0.66). The 'Social Screens' segment (n = 143) had large increases in texting, emailing and social media use (+ 56 min/day, p < 0.001) and other internet use (+ 32 min/day, p < 0.001). Conversely, 'the Mainstream' segment (n = 900) had smaller increases in a wider range of activities, including other PA (organized PA, active transport, active chores/work) (+ 16.0 min/day, p < 0.001), homework/study (+ 9.5 min/day, p < 0.001) and electronic gaming (+ 6.7 min/day, p < 0.05). 'Social Screens' were more likely to attend public school, live in urban areas and have more advanced pubertal development (girls only). 'The Mainstream' were more likely to participate in PA and out-of-school activities. CONCLUSIONS: The 'Social Screens' segment had a much larger increase in texting, emailing, social media and other internet use, and lower participation in overall PA and out-of-school activities, compared with 'the Mainstream'. Future research may trial PA promotion strategies to replace benefits that this segment may seek in competing activities (e.g. social PA apps).

Closing the loop: short term impacts on physical activity of the completion of a loop trail in Sydney, Australia.

BACKGROUND: In Australia, an estimated 57% of the population do not meet physical activity recommendations for health. The built environment is important for active living, and recreational trails provide safe and pleasant settings for this purpose. However, evidence for positive impacts on physical activity from real world natural experiments is sparse. We describe the impact of transforming a recreational trail into a loop on usage by cyclists and pedestrians and users' physical activity levels. METHOD: We conducted time series analyses of pre and post-completion (November 2013-July 2015) counts taken from infrared electronic counters of pedestrians and cyclists on two established sections of the trail adjusted for underlying trend, trend change, weather, holidays and trail closures. Chi-square analyses of pre and post-completion visual counts examined change in the distribution of pedestrian/cyclist, adult/child, and male/female users. Descriptive and bivariate analyses of post-completion intercept survey data of 249 trail users were conducted to examine user characteristics and impact on physical activity. RESULTS: Pedestrian and cyclist counts on established trail sections increased by between 200 and 340% from pre to post-completion. Visual count data showed a significant 7% increase in children (vs adults) using the trail at one site pre to post (p = 0.008). Of previous users, 48% reported doing more physical activity at the trail and this was additional to (not replacing) physical activity done elsewhere. Those users not meeting physical activity recommendations were more likely to report increased total physical activity since the loop was created (55.5% vs 39.2%, p = 0.031). The connected loop nature of the trail and its length was perceived to encourage more and different forms of physical activity. CONCLUSION: Creating an accessible loop trail away from motorised traffic can lead to increased trail use and potentially total physical activity. The modification to the trail encouraged proportionate and real increases in usage among vulnerable populations such as children and perhaps greater total physical activity especially for people not meeting physical activity recommendations. The findings suggest that the benefits of environmental changes such as these can accrue to those most in need of support for being physically active.

A closer look at the relationship among accelerometer-based physical activity metrics: ICAD pooled data.

BACKGROUND: Accelerometers are widely used to assess child physical activity (PA) levels. Using the accelerometer data, several PA metrics can be estimated. Knowledge about the relationships between these different metrics can improve our understanding of children's PA behavioral patterns. It also has significant implications for comparing PA metrics across studies and fitting a statistical model to examine their health effects. The aim of this study was to examine the relationships among the metrics derived from accelerometers in children. METHODS: Accelerometer data from 24,316 children aged 5 to 18 years were extracted from the International Children's Accelerometer Database (ICAD) 2.0. Correlation coefficients between wear time, sedentary behavior (SB), light-intensity PA (LPA), moderate-intensity PA (MPA), vigorous-intensity PA (VPA), moderate- and vigorous-intensity PA (MVPA), and total activity counts (TAC) were calculated. RESULTS: TAC was approximately 22X103 counts higher (p < 0.01) with longer wear time (13 to 18 h/day) as compared to shorter wear time (8 to < 13 h/day), while MVPA was similar across the wear time categories. MVPA was very highly correlated with TAC (r = .91; 99% CI = .91 to .91). Wear time-adjusted correlation between SB and LPA was also very high (r = -.96; 99% CI = -.96, - 95). VPA was moderately correlated with MPA (r = .58; 99% CI = .57, .59). CONCLUSIONS: TAC is mostly explained by MVPA, while it could be more dependent on wear time, compared to MVPA. MVPA appears to be comparable across different wear durations and studies when wear time is ≥8 h/day. Due to the moderate to high correlation between some PA metrics, potential collinearity should be addressed when including multiple PA metrics together in statistical modeling.

Specific physical activities, sedentary behaviours and sleep as long-term predictors of accelerometer-measured physical activity in 91,648 adults: a prospective cohort study.

BACKGROUND: The evidence for the prospective relationships between specific physical activities (PA), sedentary behaviours (SB) and sleep on subsequent total PA levels is scarce. The purpose of this study was to examine prospective associations of self-reported PA, SB and sleep, and changes in these with subsequent accelerometer-measured PA. METHODS: A sub-sample of 91,648 UK Biobank participants reported moderate-to-vigorous PA (MVPA), lifestyle activities, TV viewing, computer use and sleep through screen-based questionnaires at baseline (2006-2010), and provided valid accelerometry data (dominant wrist-worn for 7 days between 2013 and 2015). A further sub-sample of 7709 participants repeated the screen-based questionnaires between 2012 and 2013. RESULTS: In both women (n = 51,545) and men (n = 40,103), positive associations were observed between all self-reported measures of PA at baseline (MVPA, lifestyle/job-related activities, active transporting modes) and accelerometer-measured PA levels at follow-up (median 5.7 years); an exception was 'walking/standing at work' in women. Sedentary time at work, TV viewing and computer use were inversely associated with PA at follow-up. Sleeping either more or less than 7 h/day at baseline was associated with lower PA at follow-up (except for ≤6 h/day in men). In the repeat self-report sub-sample (median 4.3 years), relatively higher physical activity at follow-up was observed in those who maintained or achieved favourable levels of MVPA, walking for pleasure, strenuous sports, other exercises, heavy DIY (in women), heavy physical work, and walking/standing at work (in women), sedentary time at work, getting about methods (in women), commuting methods (in women), TV viewing, computer use or sleep. CONCLUSIONS: Initial levels of PA, SB and sleep, and changes in these variables were generally associated with subsequent accelerometer-measured PA in the expected directions, suggesting these specific behaviours all contribute to the total volume of physical activity over time and could thus be targets for intervention.

Physical activity levels after treatment for breast cancer: Two-year follow-up.

OBJECTIVES: Breast cancer treatment can have a considerable large and prolonged impact on activity levels of breast cancer survivors. Therefore, the aim of the present study was to investigate the change in total physical activity level and occupational, sport and household activity levels of breast cancer survivors from preoperatively up to 24 months after breast cancer surgery. Additionally, predictive factors for this change were investigated. METHODS: Patients with primary breast cancer (n = 267) filled in the Flemish Physical Activity Computerized Questionnaire (FPACQ) before surgery and 1, 3, 6, 12 and 24 months after surgery. Patient-, disease- and treatment-related factors were analyzed as predictive factors for change in physical activity. RESULTS: Two years after surgery, all activity levels (total, occupational, sport and household) were still significantly lower compared to preoperative values. After the first 12 months, no significant improvements were seen for none of the activity levels, except for the occupational activity. CONCLUSIONS: Two years after breast cancer surgery, physical activity levels are still significantly lower compared to pre-operative values. Based on this limited recovery, it seems important to monitor physical activity levels in breast cancer patients and advice these patients to stay active after surgery and return to pre-operative activity levels in the long term as well. This study indicates the importance of long term monitoring and subsequently coaching of physical activity after breast cancer surgery.

Effects of climate and forest structure on palms, bromeliads and bamboos in Atlantic Forest fragments of Northeastern Brazil / Efeitos do clima e da estrutura da vegetação em palmeiras, bromélias e bambus em fragmentos de Mata Atlântica no nordeste brasileiro

Abstract Palms, bromeliads and bamboos are key elements of tropical forests and understanding the effects of climate, anthropogenic pressure and forest structure on these groups is crucial to forecast structural changes in tropical forests. Therefore, we investigated the effects of these factors on the abundance of these groups in 22 Atlantic forest fragments of Northeastern Brazil. Abundance of bromeliads and bamboos were assessed through indexes. Palms were counted within a radius of 20 m. We also obtained measures of vegetation structure, fragment size, annual precipitation, precipitation seasonality and human population density. We tested the effects of these predictors on plant groups using path analysis. Palm abundance was higher in taller forests with larger trees, closed canopy and sparse understory, which may be a result of the presence of seed dispersers and specific attributes of local palm species. Bromeliads were negatively affected by both annual precipitation and precipitation seasonality, what may reflect adaptations of these plants to use water efficiently, but also the need to capture water in a regular basis. Bamboos were not related to any predictor variable. As climate and forest structure affected the abundance of bromeliads and palms, human-induced climatic changes and disturbances in forest structure may modify the abundance of these groups. In addition, soil properties and direct measurements of human disturbance should be used in future studies in order to improve the predictability of models about plant groups in Northeastern Atlantic Forest.

Resumo Palmeiras, bromélias e bambus são importantes elementos das florestas tropicais e, entender os efeitos do clima, pressão antrópica e estrutura da floresta nesses grupos é crucial para prever alterações estruturais em florestas tropicais. Portanto, nós investigamos os efeitos desses fatores na abundância desses grupos vegetais em 22 fragmentos de Mata Atlântica no nordeste brasileiro. Abundâncias de bromélias e bambus foram registradas através de índices. Palmeiras foram contadas em um raio de 20 m. Nós também obtemos medidas da estrutura da vegetação, tamanho de fragmento, precipitação anual, sazonalidade na precipitação e densidade populacional humana. Nós testamos os efeitos desses preditores nos grupos vegetais através de análises de caminhos. A abundância de palmeiras foi maior em florestas mais altas, com árvores mais grossas, dossel fechado e sub-bosque aberto, o que deve refletir a presença de dispersores de sementes e atributos específicos das espécies de palmeiras locais. Bromélias foram negativamente afetadas pela precipitação anual e pela sazonalidade na precipitação, o que deve refletir adaptações dessas plantas para o uso eficiente da água, mas também a necessidade de captar água regularmente. Bambus não estiveram relacionados com nenhum dos preditores avaliados. Dado que clima e estrutura florestal afetaram a abundância de bromélias e palmeiras, as mudanças climáticas e distúrbios na estrutura das matas causados por ações antrópicas podem alterar a abundância desses grupos. Adicionalmente, propriedades do solo e medidas diretas de distúrbios antrópicos devem ser usadas em estudos futuros para melhorar o poder preditivo dos modelos sobre a abundância de plantas na Mata Atlântica do nordeste brasileiro.

Subsistence hunting of Cuniculus paca in the middle of the Solimões River, Amazonas, Brazil / Caça de subsistência de Cuniculus paca no Médio Solimões, Amazonas, Brasil

Ungulates, large primates and caviomorfs are cited by Amazonian hunters as preferred species. In this research, paca (Cuniculus paca) hunting was investigated in relation to water levels and the lunar cycle. In eight years of monitoring in the Amanã Sustainable Development Reserve, the killing of 625 pacas was registered in five monitored communities. Paca hunting took place mainly at night and the most commonly used method is “spotlighting”. A positive correlation between the number of pacas killed and water level (rs=0.890; p<0.0001) was found. At least 37% of the pacas were hunted when moon illumination level was less than 10%, before moonrise or after moonset. In the Boa Esperança community, capture of paca tended to decrease on nights with high moon illumination (rs= −0.663; p=0.067). At the same time, an expressive catch-per-unity-effort decrease was also observed in this community (r2= −0.881; p<0.001), allowing us to predict unsustainable hunting levels for the next decade. The stock of animals in these areas could be continuously replaced if surrounding areas consisted of continuous forests. However, continuous hunting and deforestation force local hunters to travel longer distances to kill prey such as pacas. The confirmation of the relation between paca habits and lunar illumination and water level, a pattern described by local hunters, demonstrates the potential value of participatory research and the possibility of integrating traditional knowledge into scientific knowledge.

Ungulados, primatas de grande porte e caviomorfos são citados por caçadores amazônicos como espécies preferenciais. Neste trabalho, a caça de paca (Cuniculus paca) foi investigada em relação ao nível d'água e ao ciclo lunar. O abate de 625 pacas foi registrado em oito anos de monitoramento em cinco comunidades da Reserva de Desenvolvimento Sustentável Amanã. A caça de paca ocorre principalmente à noite e o método mais utilizado é a “focagem”. Encontrou-se uma correlação positiva entre o número de pacas abatidas e o nível d'água (rs=0.890; p<0.0001). Pelo menos 37% dos indivíduos foram abatidos quando o nível de iluminação lunar era menor do que 10%, antes do nascer da lua ou após seu ocaso. Na comunidade da Boa Esperança, a captura de paca tendeu ao decrescimento em noites com altos níveis de iluminação lunar (rs=−0.663; p=0.067). Ao mesmo tempo, uma expressiva redução da captura por unidade de esforço foi observada nessa comunidade (r2=−0.881; p<0.001), permitindo-nos prever níveis de caça insustentáveis para a próxima década. Frente a extensas áreas contínuas de floresta, o estoque de animais nas áreas de caça poderia ser continuamente substituído, mas os efeitos combinados de caça constante e desmatamento forçam caçadores locais a se locomoverem por longas distâncias para abater presas como as pacas. A confirmação dos padrões descritos por moradores locais sobre a relação entre pacas e os níveis de iluminação lunar e de água demonstra o potencial de pesquisa participativa e a possibilidade de integração entre os conhecimentos tradicionais e científicos.

Activity change in response to bad air quality, National Health and Nutrition Examination Survey, 2007-2010.

Air pollution contributes to poor respiratory and cardiovascular health. Susceptible individuals may be advised to mitigate effects of air pollution through actions such as reducing outdoor physical activity on days with high pollution. Our analysis identifies the extent to which susceptible individuals changed activities due to bad air quality. This cross-sectional study included 10,898 adults from the National Health and Nutrition Examination Survey (NHANES) 2007-2010. Participants reported if they did something differently when air quality was bad. Susceptible categories included respiratory conditions, cardiovascular conditions and older age (≥ 65 years). Analyses accounted for complex survey design; logistic regression models controlled for gender, race, education, smoking, and body mass index. 1305 individuals reported doing something differently (12.0%, 95% confidence interval (CI): 10.9, 13.1). This percentage was 14.2% (95% CI: 11.6, 16.8), 25.1% (95% CI: 21.7, 28.6), and 15.5% (95% CI: 12.2, 18.9) among older adults, those with a respiratory condition, and those with a cardiovascular condition, respectively. In adjusted regression models the following were significantly more likely to have changed activity compared to those who did not belong to any susceptible group: respiratory conditions (adjusted odds ratio (aOR): 2.61, 95% CI: 2.03, 3.35); respiratory and cardiovascular conditions (aOR: 4.36, 95% CI: 2.47, 7.69); respiratory conditions and older age (aOR: 3.83; 95% CI: 2.47, 5.96); or all three groups (aOR: 3.52; 95% CI: (2.33, 5.32). Having cardiovascular conditions alone was not statistically significant. Some individuals, especially those with a respiratory condition, reported changing activities due to poor air quality. However, efforts should continue to educate the public about air quality and health.

Use of the paca, Cuniculus paca (Rodentia: Agoutidae) in the Sierra de Tabasco State Park, Mexico

Cuniculus paca is widely distributed throughout the Neotropics. Known as the paca, it is the largest rodent in the Mexican tropical forests, and one of the most used as a subsistence species for its meat. Since colonial times, this species has been subject of an unreported hunting pressure. For this reason, the aim of this work was to describe the use of the paca by the inhabitants of the Sierra de Tabasco State Park (STSP) using sampling areas in a matrix of vegetation with different degrees of disturbance, and different types of land use. We included both preserved areas: owing to the presence of large continuous areas of fragmented rainforest and areas that are not preserved, with smaller rainforest fragments and more isolated. To obtain information about paca use, we interviewed 176 people (>18 years old) who live in the STSP. All those interviewed had eaten paca meat, and indicated that this species is most frequently observed in the rainforest during the dry season. Hunting and trapping were the most common ways to obtain pacas, rather than gifting or purchasing, and firearms and dogs are used to hunt them. We estimated that these interviewed group had hunted a total of 488 paca in the year prior to the study.

Cuniculus paca está ampliamente distribuido en el Neotrópico. El tepezcuintle o paca es el roedor más grande que se encuentra en las selvas tropicales de México. En cuanto a la cacería de subsistencia es una de las especies más buscadas por su carne. Como se desconoce el impacto de esta actividad, se describe el aprovechamiento que le dan las comunidades humanas en el Parque Estatal de la Sierra de Tabasco (PEST). También, se determinaron zonas de muestreo, las cuales se encontraban en una matriz perturbada en menor o mayor grado, con diferentes tipos de uso de suelo. Además, se consideraron zonas conservadas por la presencia continua de grandes extensiones de selvas fragmentadas y las zonas no conservadas por tener fragmentos menores de selvas y estar más aisladas. Para conocer el aprovechamiento que se le da al tepezcuintle se realizaron 176 encuestas a campesinos o pobladores del PEST mayores de 18 años. El 100% de las personas encuestadas dijo conocer al tepezcuintle y haberlo consumido. La sequía fue la época en que significativamente se le observó más en la selva. Las formas de obtención del tepezcuintle que prevalecen son la cacería y el trampeo en contraste con la donación y la compra. Por otro lado, también utilizan armas de fuego y perros para su cacería. Consecuentemente, se estimó que las personas entrevistadas cazaron un total de 488 tepezcuintles en el año.

Growth anomalies on the coral genera Acropora and Porites are strongly associated with host density and human population size across the Indo-Pacific.

Growth anomalies (GAs) are common, tumor-like diseases that can cause significant morbidity and decreased fecundity in the major Indo-Pacific reef-building coral genera, Acropora and Porites. GAs are unusually tractable for testing hypotheses about drivers of coral disease because of their pan-Pacific distributions, relatively high occurrence, and unambiguous ease of identification. We modeled multiple disease-environment associations that may underlie the prevalence of Acropora growth anomalies (AGA) (n = 304 surveys) and Porites growth anomalies (PGA) (n = 602 surveys) from across the Indo-Pacific. Nine predictor variables were modeled, including coral host abundance, human population size, and sea surface temperature and ultra-violet radiation anomalies. Prevalence of both AGAs and PGAs were strongly host density-dependent. PGAs additionally showed strong positive associations with human population size. Although this association has been widely posited, this is one of the first broad-scale studies unambiguously linking a coral disease with human population size. These results emphasize that individual coral diseases can show relatively distinct patterns of association with environmental predictors, even in similar diseases (growth anomalies) found on different host genera (Acropora vs. Porites). As human densities and environmental degradation increase globally, the prevalence of coral diseases like PGAs could increase accordingly, halted only perhaps by declines in host density below thresholds required for disease establishment.

Test-retest reliability of the Screening Activity Limitation and Safety Awareness (SALSA) scale in North-West Nigeria.

INTRODUCTION: The present study examines the inter-tester and intra-tester reliability of the recently developed scale for Screening of Activity Limitation and Safety Awareness (SALSA) in North-West Nigeria. The scale was developed through collaborative research in five countries around the world. METHODOLOGY: One hundred and three people affected by leprosy from three states in North-West Nigeria participated in the study. A Hausa translation of the 20-item SALSA questionnaire was used by four trained health staff to interview the participants. Seventy-five paired interviews were conducted where the second interview was administered by a different interviewer from the first at intervals of 4-76 days (median 52). Twenty-eight paired interviews were conducted, both by the same interviewer, at intervals of 52-71 days (median 63). RESULTS: Inter-tester reliability: All 20 items had Kappa's ranging from 0.45-0.8; 15 items had Kappa's > 0.6; 8 items had Kappa's > 0.7. Intra-tester reliability: All 20 items had Kappa's ranging from 0.51-1; 15 items had Kappa's > 0.6; 12 items had Kappa's > 0.7. For inter-tester reliability, the first interview had a mean SALSA score of 36.5 (95% CI = 34.96-38.05). The second interview had a mean of 35.02 (95% CI = 35.01-37.99). For intra-tester reliability, the mean SALSA scores of first and second interviews were 27.36 (95% CI = 24.36-30.36) and 26.68 (95% CI = 23.93-29.43), respectively. CONCLUSIONS: The Hausa translation of SALSA has an acceptable reliability in Nigeria provided the interviewers are well trained.

Nivel de actividad física y motivos que llevan a un grupo de adultos de la UBA Ramajal a practicarlo / Level of physical activity and the reasons why a group of adults of the basic attention unit, Ramajal, Bogotá, end up practicing it

El objeto de esta investigación es identificar y describir el nivel de actividad física y los motivos que llevanpracticarla en un grupo de adultos de la Unidad Básica de Atención, Ramajal, Bogotá, año 2001. Se utilizó un diseño cuantitativo de tipo descriptivo exploratorio que se realizó con 37 personas que integran el grupo Vida en el Nuevo Milenio, que practicaban actividad física por un tiempo mayor a tres meses en la UBA Ramajal de Bogotá. Para el desarrollo de esta investigación se utilizó un instrumento denominado Encuesta sobre actividad física y salud diseñado por el programa Muévete Bogotá del Instituto de Recreación y Deporte con el fin de identificar el nivel de actividad física del grupo, a su vez, se diseñaron nueve preguntas; estas preguntas permitieron identificar y describir los motivos que tiene el grupo para la practica de la actividad física. Se encontró que los participantes estaban en una fase de mantenimiento de la actividad física entre niveles de irregular a regularmente activos; igualmente, se identificaron motivos relacionados con categorías de salud, social e identidad, para la práctica de actividad física en sus diferentes etapas.

The purpose of this research is to identify and to describe the level of physical activity and the reasons thatmotivate its practice within a group of adults of the Basic Attention Unit (Unidad Básica de Atención), Ramajal, Bogotá, year 2001. A quantitative exploratory descriptive design was carried out with 37 persons who are members of the group called Life in the New Millennium (Vida en el Nuevo Milenio) and who were exercising physically for over three months in the UBA Ramajal of Bogotá. In this research a mechanism called Survey about physical activity and health was designed by the program Move Bogotá Move (Muévete Bogotá) of the City's Recreation and Sports Institute (Instituto de Recreación y Deporte), with the aim of identifying the level of physical activity of the group. Also, nine questions...

Professional diversity and personal commitments of pediatric otolaryngologists.

OBJECTIVE: To characterize the time demands and practice patterns of pediatric otolaryngologists. DESIGN: Prospective survey of members from the American Society of Pediatric Otolaryngology. RESULTS: The survey response rate was 54% (n = 136) of practicing members of the American Society of Pediatric Otolaryngology. Respondents described being actively engaged in clinical otolaryngology (99%), hospital or practice administration (71%), private enterprise (17%), research (71%), and teaching (89%) on a weekly basis. Sixty percent considered their time demands to be "too busy"; however, few anticipated changing their activities in 5 years. Among the responding physicians, 90% believed that nonotolaryngology peers within their institutions viewed pediatric otolaryngology favorably whereas only 50% thought that other otolaryngologists held the same opinion. CONCLUSIONS: Pediatric otolaryngologists participate in many activities beyond clinical medicine. While most considered their time demands to be too busy, few anticipated a change in their activities. This may be reflective of a high level of job satisfaction, financial constraints, or the relative youth of the subspecialty.