A moderate T'ai Chi intervention can enhance arthritis self-efficacy, quality of life, and functional mobility among older adults with osteoarthritis. T'ai Chi training is a safe and effective complementary therapy in the medical management of lower extremity osteoarthritis.

We compared, in 9-11-y-old children (n=43), three measures of body composition: dual-energy X-ray absorptiometry (DXA), skinfold thickness, and bioimpedance analysis (BIA). The intraclass correlation coefficient (ICC), Bland-Altman procedure, and Spearman rank correlation were used to determine test-retest reliabilities of the three methods and to compare methods. For DXA measurements, the rank correlation between fat-free soft tissue and fat-free mass (FFM) was > 0.99, indicating that bone mineral content did not provide independent information. Thus, subsequent analyses used the two-compartment model (ie, fat mass and FFM) for all three techniques, focusing especially on values for percentage of fat. The test-retest reliabilities for all methods were high (ICCs > 0.994 and no significant differences between trials 1 and 2). The range of individual differences from trial 1 to trial 2 and Bland-Altman limits of agreement suggested that the reliability was greatest for DXA, followed by BIA and skinfold-thickness measurement. The percentage of fat values for the three methods were highly intercorrelated (all Spearman r values > 0.83). However, there was a systematic tendency (P < 0.01) for DXA values (mean: 23.98) to be higher than those derived from skinfold-thickness measurements (mean: 21.05) and BIA (mean: 21.52). The variance in percentage of fat values for BIA was significantly smaller than that for the other two techniques. These findings, along with rather large limits of agreement derived from the Bland-Altman procedure, suggest that the methods should not be used interchangeably.

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This study was designed to examine the ability an endurance exercise training program to alter blood levels of cholesterol, HDL-cholesterol, LDL-cholesterol, and triglycerides in children. Thirty-one sixth grade students age 10-12 years (20 girls, 11 boys) who were healthy and active volunteered for participation. The training program consisted of 13 weeks of aerobic activities three days a week, 25 minutes per session, with training intensity assessed by heart rate monitors. Serum lipids and maximal oxygen uptake (VO2max) were measured at the beginning of a control period, 13 weeks later at the beginning of the training program, and at the termination of 13 weeks of training. VO2max values for the group improved 5.4%, but no significant changes were observed in any of the blood lipid levels between the control and training periods. These findings suggest that aerobic training of 13-weeks duration is not an effective means of altering blood lipids in healthy normolipemic children.

This study compared the effect of a 30‐minute walk on brachial artery endothelial vasodilatation in kidney transplant (KT) recipients and healthy controls (HCs). Endothelial‐dependent vasodilatation was measured by ultrasound before and after exercise. The HCs experienced a significant increase in vasodilatation after exercise 1 minute postocclusion when compared with the KT recipients (22%±13% vs 3%±4%; V<.05). Also, the HCs had a significantly higher vasodilatation from pretreadmill walk to post‐treadmill walk (1 minute postocclusion) when compared with KT recipients (from 3%±6% to 22%±13% vs 1%±3% to 3%±4%; V<.05). This acute vasodilatory response observed in the HCs may be related to the immediate release of nitric oxide and the combined response to shear stress and exercise. The KT recipients had several coronary artery disease risk factors that may have adversely affected endothelial function.