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.     

Sport disciplines,types of sports,and waist circumference in young adulthood – a population-based twin study

Purpose: The benefits of physical activity (PA) in preventing abdominal obesity are well recognized, but the role of different sport disciplines remains open. We aimed, therefore, to investigate how participation in different sport disciplines, and the number and types of sports engaged in are associated with waist circumference (WC) in young adulthood. Methods: This population-based cohort study comprised 4027 Finnish twin individuals (1874 men), with a mean age of 34 y (32–37), who answered a survey, including self-measured WC. We extracted the number and identified the types (aerobic, power, and mixed) of the different sport disciplines respondents reported participating in. Results: The number of sport disciplines participated in was inversely associated with WC, the linear decrease averaging 1.38?cm (95% CI 1.10–1.65) per each additional sport discipline. The result persisted after adjustment for the main covariates, such as volume of PA and diet quality. Among dizygotic twin pairs discordant for sports participation (0–2 vs. 5 or more disciplines), the mean within-pair difference in WC was 4.8?cm (95% CI 0.4–9.1) for men and 11.2?cm (95% CI 4.4–18.0) for women; among discordant monozygotic pairs, no differences were observed. In men, all three types of sports were individually associated with smaller WC, while in women, only mixed and power sports showed this association. Conclusions: Participation in several sport disciplines and sport types was associated with smaller WC among young adults in their mid-30s. Shared genetic background may explain some of the associations.     

Quiet eye training aids the long-term learning of throwing and catching in children: Preliminary evidence for a predictive control strategy

Abstract

Quiet eye training (QET) may be a more effective method for teaching children to catch than traditional training (TT) methods, but it is unclear if the benefits accrued persist in the long term. Thirty children were randomly allocated into a QET or TT group and, while wearing a mobile eye tracker, underwent baseline testing, training and two retention tests over a period of eight weeks, using a validated throw and catch task. During training, movement-related information was provided to both groups, while the QET group received additional instruction to increase the duration of their targeting fixation (QE1) on the wall prior to the throw, and pursuit tracking (QE2) period on the ball prior to catching. In both immediate (R1) and delayed (R2, six weeks later) retention tests, the QET group had a significantly longer QE1 duration and an earlier and longer QE2 duration, compared to the TT group, who revealed no improvements. A performance advantage was also found for the QET compared to the TT group at both R1 and R2, revealing the relatively robust nature of the visuomotor alterations. Regression analyses suggested that only the duration of QE1 predicted variance in catch success post-training, pointing to the importance of a pre-programming visuomotor strategy for successful throw and catch performance.     

Symptoms of common mental disorders and related stressors in Danish professional football and handball

The aim of the study was twofold, namely (i) to determine the prevalence of symptoms of common mental disorders (CMDs) among current and retired professional football and handball players and (ii) to explore the relationship of psychosocial stressors with the outcome measures under study. A total of 1155 players were enrolled in an observational study based on a cross-sectional design. Questionnaires based on validated scales were set up and distributed among current and retired professional football and handball players by the Danish football and handball players’ union. In professional football, the highest prevalence (4 weeks) of symptoms of CMDs was 18% and 19% for anxiety/depression among current and retired players, respectively. In professional handball, the highest prevalence (4 weeks) of symptoms of CMDs was 26% and 16% for anxiety/depression among current and retired players, respectively. For both the current and retired professional football and handball players, a higher number of severe injuries and recent adverse life events (LE) were related to the presence of symptoms of CMD. Players exposed to severe injuries and/or recent adverse LE were 20–50% times more likely to report symptoms of CMD. The results suggest that it is possible to recognize the population of professional athletes that are more likely to develop symptoms of CMD. This could create the opportunity to intervene preventively on athletes that suffered from severe injury and/or recent adverse LE that could lead to a faster and safer recovery and psychological readiness to return to play.     

Developing a scale for measuring the perceived value of cultural institutions

Previous research into the value of cultural institutions has emphasized a variety of benefits arising from cultural institutions such as social, educational and health-related impacts. An economic assessment of cultural institutions is usually made in monetary units. This one-dimensional assessment of value has been criticized for being elusive, disregarding the complex and multidimensional nature of cultural values. This article suggests scales for measuring the value of cultural institutions. Based on previous research, and an exploratory study on the perceived value of cultural institutions, this article describes the development of a scale using exploratory and confirmatory factor analyses. Six factors comprise the scale: social, educational, health, image, identity and financial effects. The scale may be used to describe and compare the value of cultural institutions qualitatively. Conclusions about the perceived contribution of different institutions may be possible. From a policy perspective, the scale may allow an understanding of the contribution individuals with different socioeconomic backgrounds perceive the cultural institution as making.     

Interrogating Identity and Social Contexts Through “Critical Family History”

Tracing one's family genealogy is a complex process that requires situating a family's narratives within a historical context. This article reviews the use of critical family history research in an undergraduate Asian American studies course to examine not only the diversity and experiences of Asian Americans but also the unspoken narratives that lead to the creation of a single story. We are told single stories that often neglect the sociocultural factors—the historical reality—of our past. Our family histories are constructed historically and are embedded in social, political, and economic processes and relationships. This article argues that we need to complicate what we know about our past and examine policies and cultural practices that lead to a racialized system of power and privilege, racialized policies, and racialized oppression and progression.     

Towards a Cultural Understanding of the Disability and Deaf Experience: A Content Analysis of Introductory Multicultural Education Textbooks

This paper reports the findings of a simple normative content analysis of 11 multicultural education textbooks to determine the extent to which disability and deaf culture are represented. In addition, this study examines multicultural education textbooks to assess the extent to which perspectives of members of the disability and deaf communities are represented in the discourse about disabled and deaf persons. Results indicate that on average less than 1% of the total pages of text reviewed addressed or mentioned disability or deaf culture. Of these, it was found that on average about 6% of the pages addressed disability or deaf culture. In addition, inaccurate information was presented and perspectives were often not informed by a substantial body of literature that has emerged in the field of disability studies. It was found that multicultural education textbooks rely heavily on information about persons with disabilities from Special Education that may not be widely accepted by disabled or deaf persons. A follow-up paper examines the implications of the exclusion of disabled and deaf persons and their perspectives from the discourse about the shared and collective disability and deaf experience in favor of a dominant perspective widely held by the nondisabled professional community. Questions are raised about whether this is consistent with the values and goals of multicultural education and teaching. A rationale and recommendations are proposed for engaging disabled and deaf persons about their shared and collective experience and for promoting cultural competence and proficiency with respect to the disability and Deaf experience in multicultural education.