Self-rated wellbeing and physical activity associations in European older adults

Background: Physical activity and self-rated wellbeing have important benefits to health. However, scientific knowledge regarding their relationship among older adults is scarce. Thus, the aim of this study was to examine the associations between physical activity frequency and several dimensions of self-rated wellbeing, in a representative sample of European older adults from 28 countries. Methods: This study is based on the European Social Survey round 6, 2012. It had a total sample size of 12,341 older adults (5100 men, 7241 women) with mean age 73.8?±?6.6 years. Information was collected through a questionnaire, filled-in during an hour-long face-to-face interview. Physical activity was accessed using the question “On how many of the last 7 days you were physically active continuously for 20 minutes or longer?” and six dimensions of self-rated wellbeing were used. Results: Physical activity in the last 7 days was linearly related with all dimension of the self-rated wellbeing and with wellbeing total score for both sexes (men, β?=?0.09, 95% CI: 0.07 to 0.10, p?β?=?0.10, 95% CI: 0.09 to 0.11, p?Conclusions: Physical activity promotion should be stressed as a meaningful strategy to improve people's wellbeing overall. This strategy has special importance when considering the older adult population.     

身体锻炼、肥胖对健康相关生活质量的影响

综述了肥胖人群健康相关生活质量在生理和心理两方面存在的问题,以及身体锻炼对肥胖人群健康相关生活质量的良好效益。在肥胖的防治过程中,应充分重视肥胖人群的健康相关生活质量,身体锻炼在这方面具有不可忽视的作用。     

Exercise interventions for older adults: A systematic review of meta-analyses

Background:The evidence concerning which physical exercise characteristics are most effective for older adults is fragmented.We aimed to characterize the extent of this diversity and inconsistency and identify future directions for research by undertaking a systematic review of metaanalyses of exercise interventions in older adults.Methods:We searched the Cochrane Database of Systematic Reviews,PsycInfo,MEDLINE,Embase,CINAHL,AMED,SPORTDiscus,and Web of Science for articles that met the following criteria:(1)meta-analyses that synthesized measures of improvement(e.g.,effect sizes)on any outcome identified in studies of exercise interventions;(2)participants in the studies meta-analyzed were adults aged 65+or had a mean age of 70+;(3)meta-analyses that included studies of any type of exercise,including its duration,frequency,intensity,and mode of delivery;(4)interventions that included multiple components(e.g.,exercise and cognitive stimulation),with effect sizes that were computed separately for the exercise component;and(5)meta-analyses that were published in any year or language.The characteristics of the reviews,of the interventions,and of the parameters improved through exercise were reported through narrative synthesis.Identification of the interventions linked to the largest improvements was carried out by identifying the highest values for improvement recorded across the reviews.The study included 56 meta-analyses that were heterogeneous in relation to population,sample size,settings,outcomes,and intervention characteristics.Results:The largest effect sizes for improvement were found for resistance training,meditative movement interventions,and exercise-based active videogames.Conclusion:The review identified important gaps in research,including a lack of studies investigating the benefits of group interventions,the characteristics of professionals delivering the interventions associated with better outcomes,and the impact of motivational strategies and of significant others(e.g.,carers)on intervention delivery and outcomes.     

Health benefits of hard martial arts in adults: a systematic review

Participation in organized sports is promoted as a means of increasing physical activity levels and reducing chronic disease risk in adults. Hard martial arts practice (i.e. using body contact techniques), has gained in popularity over time. This review explores the evidence for health benefits of “hard” martial arts practice within the adult population. A systematic electronic database search was conducted, and quality assessments applied the Effective Public Health Practice Project tool. Twenty-eight studies met the inclusion criteria, examining balance, cognitive function, muscular skeletal status, psychological, cardiovascular fitness, and metabolic effects. The majority of studies reported positive effects resulting from hard martial arts practice, showing some improvement and maintenance of balance, cognitive function and psychological health. Benefits may be obtained regardless of the age of practice commencement. However, quality of the evidence is affected by methodological weaknesses across the studies. “Hard” martial arts seem to have potential to improve balance and cognitive functions that decline with age, which can lead to poorer health outcomes among the elderly (e.g. cognitive decline, falls and fractures). Benefits should be further investigated with improved intervention studies, representative samples and longer follow-up periods in order to establish associations with morbidity and mortality in the long term.     

Psychosocial wellbeing in active older adults: A systematic review of qualitative literature

Physical activity and wellbeing in older adults is a global priority in combating negative economic consequences associated with population aging. Quantitative research using a medicalized model clearly associates physical activity with physiological health benefits. However, it is argued that a review of qualitative literature exploring individual experiences of active older adults can provide important insights into physical activity, aging, and wellbeing – specifically, how discourses of ageing and self-identity may interact with physical activity levels. A literature search on electronic databases PsycARTICLES, PsycINFO, SPORTDiscus, and ProQuest was used to identify qualitative studies of older adults who exercise or engage in competitive sport. Findings reveal that both groups tend to resist dominant negative stereotypes of ageing and view physical activity as central to self- identity. Yet approaches to ageing varied with the competitive sport group adopting a more negative view of the ageing process. Whilst results suggest that different levels of physical activity may impact on the psychosocial wellbeing of older adults, inconsistent definitions of exercise and competitive sport make it impossible to group these differences according to specific physical activity levels. More precise definitions of physical activity constructs in future research may provide a better understanding of these differences.     

Land of confusion: unpacking the relationship between physical activity and well-being in individuals living with osteoporosis

Whether physical activity is linked with improvements in well-being in individuals living with osteoporosis remains a source of debate within the literature. The purpose of this review is to synthesize relevant literature to more fully address the relationship between physical activity and well-being in individuals living with osteoporosis. Guided by study inclusion criteria, a total of 17 quantitative studies were coded for review. Considerable heterogeneity was found between studies when examining the well-being instrumentation and physical activity characteristics used by study authors. A central finding was that physical activity is associated with increased well-being across the bulk of existing studies retained for analysis, with benefits noted particularly for markers linked to physical functioning. This review further highlights how decisions made by researchers have implications for study conclusions and can render any synthesis of this literature a challenge. As such, recommendations for future studies are advanced that span issues linked to the measurement and conceptualization of well-being and physical activity and the analytic decisions made by researchers. Finally, heightened attention to the mechanisms through which physical activity may be linked with well-being outcomes is needed. Given the importance of well-being outcomes, researchers are encouraged to adopt these recommendations in an effort to advance the literature.     

农民运动行为及生命质量的健康促进策略研究

探讨农民运动与健康的知识、态度、行为和生命质量特点,为相关的干预研究提供科学依据.对浙江省6市1地区1 117(男551,女566)名农民的生命质量与体育锻炼因素间的关系进行了研究.结果显示:男性农民的生命质量高于女性,并存在显著性差异.造成这些差异的主要原因是与体育锻炼因素不同有关.运动与健康知识、态度、信念和行为对农民生命质量性别差异影响较大.结果提示,在新农村体育建设中,应重视对农民相关体育知识的宣传与教育,转变思想观念,激发锻炼热情,促进和提高其生命质量水平.     

体育锻炼与心理健康（综述）

本文从健康的概念谈起，讨论了健康的内容，身体健康和心理健康的关系及其内容，提出了与心理健康有密切联系的活动原则。     

Effects of Instructional Physical Activity Courses on Overall Physical Activity and Mood in University Students

Purpose: The aim of this research was to assess the association between university-based instructional physical activity (PA) courses and changes in overall PA levels and negative mood and their interrelations. The study also sought to determine the amount of change in PA required to significantly improve mood in course enrollees. Method: Participants were university students initially completing PA below the level recommended for health who were either presently enrolled in an elective instructional PA course (treatment group, n = 52, 69% female) or not presently enrolled in such a course (comparison group, n = 32, 69% female). Validated surveys assessed volumes of PA completed per week and overall negative mood from baseline to course end. Mediation analyses assessed group effects on mood through PA changes and reciprocal relations between PA and mood changes. Results: There was a significantly greater increase in PA and significantly more reduction in negative mood in the treatment group. Change in PA completely mediated the relationship between group and change in negative mood, and change in mood completely mediated the relationship between group and PA. These findings indicated a reciprocal, mutually reinforcing relationship between changes in PA and mood. An increase in PA of at least 2 days/week was associated with a significant reduction in negative mood, with no greater effect for more increase. Conclusions: Results provided an improved understanding of the effects of university-based instructional PA courses and how they might be leveraged to improve students’ mental health and possibly contribute to their academic success.     

Effectiveness of peers in delivering programs or motivating older people to increase their participation in physical activity: Systematic review and meta-analysis

The objective of this systematic review and meta-analysis was to evaluate the effectiveness of peers to deliver programs or encourage older people to be physically active and improve physical outcomes. Peer reviewed articles published in English between January 1976 and June 2016, retrieved from six databases according to the predefined inclusion criteria were included. Where possible results were pooled and meta-analyses conducted. Eighteen articles were included in the review, a total of 3,492 intervention participants, average age 66.5 years and 67.1% were female. Overall, study quality was medium to high. Interventions mainly included resistance, flexibility and cardiovascular training, however there was one aquatic exercise group. Eight studies were delivered by peers and five utilised peer support, which included advice and being positive but was not directly linked to an exercise intervention. While 16 of the 18 studies reported improvement in levels of physical activity and/or noted physical benefits by peer involvement, the meta-analyses findings supported the control groups for the six-minute-walk-test and the timed-up-and-go test. Findings from this review suggest exercise programs involving peers can promote and maintain adherence to exercise programs. However, results were inconclusive as to whether peers have a positive effect on improving older people’s physical function.     

Effects of strengthening and stretching exercise programmes on kinematics and kinetics of running in older adults: a randomised controlled trial

The aim of this study was to investigate the effects of strengthening and stretching exercises on running kinematics and kinetics in older runners. One hundred and five runners (55–75 years) were randomly assigned to either a strengthening (n = 36), flexibility (n = 34) or control (n = 35) group. Running kinematics and kinetics were obtained using an eight-camera system and an instrumented treadmill before and after the eight-week exercise protocol. Measures of strength and flexibility were also obtained using a dynamometer and inclinometer/goniometer. A time effect was observed for the excursion angles of the ankle sagittal (P = 0.004, d = 0.17) and thorax/pelvis transverse (P < 0.001, d = 0.20) plane. Similarly, a time effect was observed for knee transverse plane impulse (P = 0.013, d = 0.26) and ground reaction force propulsion (P = 0.042, d = ?0.15). A time effect for hip adduction (P = 0.006, d = 0.69), ankle dorsiflexion (P = 0.002, d = 0.47) and hip internal rotation (P = 0.048, d = 0.30) flexibility, and hip extensor (P = 0.001, d = ?0.48) and ankle plantar flexor (P = 0.01, d = 0.39) strength were also observed. However, these changes were irrespective of exercise group. The results of the present study indicate that an eight-week stretching or strengthening protocol, compared to controls, was not effective in altering age-related running biomechanics despite changes in ankle and trunk kinematics, knee kinetics and ground reaction forces along with alterations in muscle strength and flexibility were observed over time.     

Perception of Physical Activity Participation of Chinese Female Graduate Students: A Case Study

Purpose: Chinese female international students (CFIS) have been identified as one of the least physically active groups in the United States. In an effort to better understand this situation, this study's purpose was to examine CFIS in American higher education in terms of the meaning they assigned to physical activity and facilitators and barriers they experienced with regard to physical activity participation. Method: Twenty CFIS from a university in the Northwest region of the United States were recruited and interviewed. All of the interviews were conducted in Mandarin Chinese and translated and transcribed into English. The 1-on-1 semistructured interviews lasted between 45 min and 60 min each. Data were analyzed by NVivo8. Results: In terms of meaning, physical activity provided the participants with a break from their academic work, allowed them some alone time, and taught them a process for accomplishing other things in their lives. Major facilitators included social influences, ample available resources, their changing perceptions of femininity, and the need to improve or maintain health. Barriers included a lack of time, low self-efficacy, limited social support, cultural barriers, and a lack of “how-to” information. Conclusions: Understanding the physical activity experiences of CFIS is an important step in the process of promoting their long-term health and well-being. It may behoove universities with growing Chinese international student populations to add more cross-cultural content into their curriculums and fitness programs, increase awareness of cultural differences on campus, and increase accessibility to information in an effort to remove physical activity participation barriers experienced by CFIS.     

老年人健康问题及其健身锻炼

随着我国进入老龄化,老年人的健康问题日益突出,本文从生理心理方面对老年人健康进行分析,指出老年人 更应在科学的锻炼和合理的饮食上加以注意,并加之同朋友,子女等多方面的交流,以减少心理上的焦虑,压抑,等 等。     

体育运动与青少年学生心理健康

运用文献资料法对体育运动与青少年学生心理健康的关系进行了探讨。结果表明:不同的体育运动形式对不同的青少年人群的心理健康的影响作用是不同的,可能有运动负荷大小、受试者的个人兴趣、测试量表的信度、运动项目的选择、实验的研究设计等方面的原因。     

农村干部体育锻炼知信行与生命质量的关系研究

调查农村干部的健康状况及对体育锻炼与健康的认知、态度、信念、行为,了解农村干部生命质量与体育锻炼因素的相关性。结果：被试农村干部生命质量各维度得分普遍不高,生命质量男性高于女性;被试农村干部生命质量水平与个人的认知、态度、信念、行为存在显著相关（P〈0．05）。结论：切实推进农村体育健身知识宣传、健康教育、全民健身指导等工作,尽快构建农村干部健康水平监控体系。     

Exercise but not metformin improves health-related quality of life and mood states in older adults with type 2 diabetes

The aim of this cohort study is to analyse the effect of three types of treatment: (i) exercise training with multicomponent exercise (E); (ii) pharmacologic treatment with oral hypoglycaemic drug – metformin (M); and (iii) a combined therapy – exercise and metformin (E?+?M) on health-related quality of life (HRQoL) and mood states in older adults with type 2 diabetes (T2D) with comorbidity in an early stage of the disease. Participants (n?=?284) underwent 1 of the following 3 conditions: (i) E (n?=?59) trained three times/week; (ii) M (n?=?30) used 850?mg of metformin twice daily; and (iii) E?+?M (n?=?195) combined exercise and metformin. Furthermore, participants completed baseline and 2-year follow-up evaluations including a Shortform Health Survey 36, Profile of Mood States – Short-form, the health history questionnaires, anthropometric, and blood biochemistry. E and E?+?M revealed improved mood states, with large effect size on the vigour domain, and moderate effect size in the anger and total mood disturbance (TMD) domains (P?<?0.05), in comparison with the M group. After 24 months’ intervention, the E and E?+?M groups perceived better physical and mental HRQoL than the M group. The M group unchanged HRQoL domains (P?>?0.05). Metformin had no significant effect on the self-referred HRQoL in T2D participants aged above 60 years, in an early stage of the disease. The E and E?+?M were the most effective long-term therapies to improve mood states and HRQoL in older adults with T2D.     

Effects of movement velocity and training frequency of resistance exercise on functional performance in older adults: a randomised controlled trial

Objectives: To investigate the effects that high-velocity, low-load (HVLL) and low-velocity, high-load (LVHL) resistance exercise, performed once or twice-weekly, have on indices of functional performance (primary outcome), maximal strength, and body composition (secondary outcomes) in older adults.

Methods: In a randomised, controlled, multi-armed, parallel design, 54 moderately-highly active, but resistance exercise naïve older adults (aged 60–79 years), attended baseline and post-10-week intervention assessment sessions. Physical and functional assessments were completed, and predicted one-repetition maximums (1-RM) were obtained for eight exercises. Participants were then randomised into one of five conditions: HVLL once-weekly (HVLL1: n?=?11) or twice-weekly (HVLL2: n?=?11), LVHL once-weekly (LVHL1: n?=?10) or twice-weekly (LVHL2: n?=?11), no-exercise control condition (CON: n?=?11). The HVLL conditions completed 3 sets of 14 repetitions at 40% 1-RM and the LVHL conditions, 3 sets of 7 repetitions at 80% 1-RM. In total, 50 participants completed all testing and were included in analyses.

Results: Only LVHL2 improved 30-sec chair stand performance (p?=?.035; g?=?0.89), arm curls (p?=?.011; g?=?1.65) and grip-strength (p?=?.015; g?=?0.34) compared to CON. LVHL2 improved maximal strength compared to CON for 7/8 exercises (p?p?Conclusion: Possibly due to the lower intensity nature of the HVLL conditions, LVHL, twice-weekly was most beneficial for improving functional performance and strength in moderately-highly active older adults. Therefore, we recommend that exercise professionals ensure resistance exercise sessions have sufficient intensity of effort and volume, in order to maximise functional performance and strength gains in older adults.     

Physical activity and amyloid beta in middle-aged and older adults:A systematic review and meta-analysis

Background:One of the pathological hallmarks distinguishing Alzheimer’s disease from other dementias is the accumulation of amyloid beta(Aβ).Higher physical activity is associated with decreased dementia risk,and one potential path could be through Aβ levels modulation.We aimed to explore the relationship between physical activity and Aβ in middle-aged and older adults.Methods:A systematic search of PubMed,Web of Science,PsycINFO,Cochrane Central Register of Controlled Trials,and SPORTDiscus was...     

浅析体育锻炼对大学生心理健康的促进作用

运用文献资料法,结合自己对《体育颂》的理解,论述体育锻炼对大学生心理健康的影响。体育锻炼不但能够增强体质,还能调节、甚至消除紧张、不安、焦躁等不良情绪,从而提高心理健康水平,达到“身心合一”的双重效应。