The aim of this article was to investigate the use of exergaming in promoting exercise behavior among children and to examine the impact of the intervention on participants’ exercise self-efficacy, in addition to assessing physiological changes. A sample of 55 children enrolled in the Family Fit program, where participants were categorized into 2 groups: healthy weight and overweight. Measures were taken at baseline, after the 7-week program, at the 12-week follow-up, and at the 24-month follow-up. Positive changes in exercise self-efficacy were significant for the overweight group, while the healthy weight group maintained their exercise self-efficacy. At the 24-month follow-up, 97% children reported being interested in participating in a future fitness program, and 96% children who did not play sports before the intervention started practicing sports. Exercise self-efficacy is a predictor of physical activity, and incorporating exergaming in a structured program may lead to increased self-efficacy in participants.
Background and Purpose Hookah smoking is a growing young adult phenomenon, particularly among college students. Many users feel that it is safer than other tobacco products, although its health threats are well documented. Little is known about hookah use rates in community colleges that are attended by nearly half of all US college students. This study examined hookah use in a diverse convenience sample of students attending two southern California community colleges. Methods In fall 2011, a cross-sectional, in-classroom survey was administered to 1,207 students. A series of fully adjusted multivariate logistic regressions were conducted to explore demographic, other substance use, and attitudinal correlates of lifetime and current hookah use. Results Lifetime hookah use (56%) was higher than lifetime cigarette use (49%). Gender and personal socioeconomic status were not related to hookah use. Current use (10.8%) was associated with current use of alcohol, cigars, and cigarettes. Compared to African-Americans, Whites were 2.9 times more likely to be current users, and students who perceive hookah to be more socially acceptable were 21 times more likely to currently use. Conclusion Since hookah use rates are high, colleges should offer health education programs to inform incoming students about the health risks of hookah and cessation programs.
Purpose Men with prostate cancer receiving androgen deprivation therapy (ADT) are at increased risk for decreased bone mineral density (BMD). This study evaluates the relationship between self‐reported daily activity, endurance and resistance exercise, and BMD measured by dual‐energy x‐ray absorptiometry (DEXA) in prostate cancer patients receiving ADT. Data sources We recruited 96 men treated with ADT for ≥9 months from urology and cancer practices. The Canadian Fitness Survey assessed daily activity and exercise. Data on demographic and lifestyle characteristics and calcium and vitamin D supplementation were collected. Blood was collected for analysis of 25‐OH vitamin D. A DEXA scan was performed. Conclusions A positive association between endurance exercise and DEXA T‐scores of the hip was shown. Regression analysis showed endurance exercise of medium to heavy intensity (measured as energy expenditure in MET‐hours/week) was associated with T‐scores of the hip (β = 0.048; 95% CI 0.003, 0.112; p = .040) but not with spinal T‐scores after controlling for age, body mass index, and alcohol use. Implications for practice Findings are cross‐sectional, but if confirmed in prospective studies suggest that increased endurance exercise is a practical measure nurse practitioners can institute to prevent low bone density in the hip of men treated with ADT.
Purpose Studies found an association between decreased 25‐OH vitamin D blood level and prostate cancer progression. Vitamin D supplementation is controversial and dosage recommendations inconsistent. This study identified factors associated with 25‐OH vitamin D levels and whether vitamin D supplementation with 800 IU/day raised vitamin D levels in prostate cancer patients receiving androgen deprivation therapy (ADT). Data sources We recruited 108 men treated with ADT for ≥9 months from eight cancer and urology practices. Sections of the NHANES 2005–2006 questionnaire and Canadian Fitness Survey were completed identifying age, ethnicity, length of ADT use, calcium supplementation ≥1000 IU mg/day, body mass index, exercise, alcohol and tobacco use, and vitamin D supplementation ≥800 IU/daily. Blood was collected for 25‐OH vitamin D analysis. Conclusions The majority of men (66%) had blood levels of 25‐OH vitamin D <32 ng/mL. Regression analysis showed vitamin D supplementation (β = 6.556, CI 1.463, 11.650; p = .012) and African American ethnicity (β = −7.816, CI −12.996, −2.635; p = .003) is associated with 25‐OH vitamin D level after controlling age and tobacco use. Practice implications Findings support current recommendations for supplementation with ≥800 IU vitamin D/day for men receiving ADT. Nurse practitioners caring for prostate cancer patients receiving ADT should include vitamin D monitoring and supplementation.
The purpose of this study was to identify determinants of smoking cessation in a sample of male Portuguese Californians using data from the Portuguese Study, a dissertation thesis study with a crosssectional design that assessed 141 smokers and 67 ex-smokers of Portuguese origin residing in Southern and Central California recruited from Portuguese community clubs. Socio-demographics, acculturation, health beliefs, stress, and social support for smoking cessation were assessed and measured in this population. Bivariate predictors of becoming an ex-smoker were being married (p=.01), having a high support index for not smoking (p
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