Blood Pressure,Fitness, and Lipid Profiles of Rural Women in the Wellness for Women Project

Purpose: This study examined whether rural women, who had a high prevalence of prehypertension and hypertension upon enrollment in a wellness program, would also have a high prevalence of other cardiovascular disease risk factors such as low fitness and/or dyslipidemia. Methods: Data were analyzed from 225 rural women, ages 50-69, enrolled in a healthy eating and activity clinical trial. Cardiovascular health histories, fitness measures, blood pressure, and fasting blood serum samples were collected following standardized protocols at rural research offices. Chi-square and MANOVA were performed to examine differences in health characteristics, lipids, and fitness across blood pressure categories. Results: Fitness indicators of estimated VO_2max, 1-mile walk time, and resting heart rate differed between the blood pressure groups, with those in the prehypertensive and hypertensive groups having less desirable profiles than those in the normotensive group. Triglyceride levels of 150 mg/dL or greater, were observed in 36%, 32%, and 16.7% of women who had hypertensive, prehypertensive, and normal blood pressures, respectively. Conclusions: The need for routine blood pressure screenings by practitioners is reinforced by finding that rural women screened via PAR-Q and/or physician clearance had a high prevalence of prehypertensive and hypertensive blood pressures, in addition to low fitness and nonoptimal triglycerides. Practitioners need to provide counselling based on results and refer to other providers as appropriate.Key Words: blood pressure, lipids, fitness, rural women     

Roundtable: what is temperament? Four approaches

4 current approaches to understanding temperament are discussed in the roundtable. In an introductory overview, Goldsmith outlines some of the major convergences and divergences in the understanding of this concept. Theorists representing 4 positions--Goldsmith, Buss and Plomin, Rothbart, and Thomas and Chess--outline their views by responding to each of 6 questions: How do you define temperament and explain the boundaries of the concept? What are the elements of temperatment? How does the construct of temperament permit you to approach issues or organize data in ways that are possible only if this construct is invoked? How does temperament develop? To what extent do you consider temperament to be a personological versus a relational or an interactional construct? and How does your approach deal with issues of temperamental "difficulty"? In 2 commentaries on the theorists' answers, Hinde highlights differences among their positions and indicates issues that current theories of temperament must take into consideration, and McCall draws on common aspects to propose a synthesizing definition that draws on all 4 approaches.