Category Archives: Physical activity
The normally hectic pre-Thanksgiving travel day could be more frenzied than usual this year because of predicted storms in the west that could move east—and storms are often a precursor to flight delays. So why not use the extra time to get a jump start on 2014 resolutions?
Mindful that air passengers are captive audiences, many airports have added fitness options ranging from trail markers to let you know how far you’ve walked on the airport’s walking trail (Baltimore Washington International) to a yoga room (San Francisco International and Dallas Fort Worth) and even a full fitness center with workout clothes for rent (Toronto Pearson).
Airport Hotel Gyms
While most airports don’t yet have a gym right on the premises, a growing number of airports have hotels with attached gyms in one of the terminals, including Chicago O’Hare and Orlando International. (The hotels are located outside of the security areas, so if you’re planning a workout, build in the time you need to shower, dress and clear security before boarding your flight.) Passes to the airport gyms are typically under $20 per person. Check your airport’s website for hotels onsite, and then check the hotel to find out rates and rules for short term use. And remember to wear your sneakers to the airport so you’re sure you have them for the workout.
Airport Walking Trails
In addition to the walking trail at Baltimore Washington International, a growing number of airports have marked walking trails. Keep that in mind when you pack your carryon, as there aren’t usually storage facilities for luggage once you pass security, though for $39-50 you can get a day pass at many airline clubs where you can find a quiet corner, snacks and a place to store you hand luggage while you walk the indoor trail. Ask at the airport information desk where the trail begins, or check the American Heart Association walking path website or phone app, and put in “airport” for the search engine section marked “type of path.”
More than 145 million adults now include walking as part of a physically active lifestyle, according to a report released by the U.S. Centers for Disease Control and Prevention (CDC) earlier this year. More than 6 in 10 people walk for transportation or for fun, relaxation, or exercise, or for activities such as walking the dog. The percentage of people who report walking at least once for 10 minutes or more in the previous week rose from 56 percent in 2005 to 62 percent in 2010.
But creating communities amenable for walking takes much more than the proverbial “putting one foot ahead of the other.” Over the last decade, more and more communities have done local walkability assessments, added sidewalks, installed or improved crossing signs and signals, and vastly increased programs such as Walking School Bus, which encourages parents and kids who live a mile or less from school to join safe walking programs.
And behind most of these advances is a walkability advocate who knows the transportation chiefs, the local policymakers and the laws in other jurisdictions that promote or dissuade walking. In Boston, that person is Wendy Landman, executive director of WalkBoston, a non-profit membership organization dedicated to improving walking conditions in cities and towns across Massachusetts.
“Our goal is to make walking and pedestrian needs a basic part of the transportation discussion,” says Landman.
NewPublicHealth spoke with Landman at WalkBoston’s central Boston offices during our visit to the city for the recent American Public Health Association annual meeting.
NewPublicHealth: Why is walking advocacy so important?
Wendy Landman: At WalkBoston we sometimes describe walking as the club that everybody belongs to and nobody joins. Because it’s such a basic element of what every human being does, walking often gets forgotten, and it gets forgotten in many different ways. At the most basic level, walking is often left out of land-use planning and civil engineering. We forget to incorporate sidewalks and safe-street crossings. We forget to design and build our communities so that people can actually walk between places—whether it is kids walking to school or to a friend’s house, or adults walking to shops or church. That’s not to say that we should all live in a scale that’s just walkable, but many things that we do every day, day in and day out, would be better for human beings and for the planet if we could walk to some of them.
Kids Today Slower, Less Fit than Their Parents as Kids
An average child in 1975 in a one-mile race with an average child today would win by an average of a minute and a half, according to new research. Kids today are also about 15 percent less aerobically fit, with heart endurance falling an average of 6 percent per decade from 1970 to 2000. That means today’s kids are more likely to be unhealthy in adulthood, with weaker hearts, thinner bones and overall lower quality of life. Grant Tomkinson, a senior lecturer in the University of South Australia's School of Health Sciences, pointed to a number of factors, including communities designed to discourage walking, bicycling and backyard play; reduced or even completely absent physical education in schools; and the prevalence of television, computer, tablet and smartphone screens that keep kids indoors. "We all live in an environment that's toxic for exercise, and our children are paying the price," Tomkinson said. Tomkinson said in order to reverse this trend, kids need at least 60 minutes of serious physical exercise a day, such as running, swimming or cycling. "You want exercise to be fun, but there needs to be some huff and puff there as well," he said. "It needs to make them somewhat tired." Read more on physical activity.
Study: Symptoms of ‘Sudden’ Cardiac Arrest Can Be Seen Up to a Month Earlier
Symptoms of “sudden” cardiac arrest can be seen up to a month beforehand in middle-age men, according to new findings presented this week at the annual scientific sessions of the American Heart Association, held this year in Dallas. Researchers looked at the medical records of 567 men, ages 35-65, who had out-of-hospital heart attacks, finding that approximately 53 percent showed symptoms beforehand. They included chest pain (56 percent); shortness of breath (13 percent); and dizziness, fainting or palpitations (4 percent). Sumeet Chugh, senior author of the study and associate director for genomic cardiology at the Cedars-Sinai Heart Institute in Los Angeles, said the “entirely unexpected” findings show that people may be able to prevent heart attacks if they seek treatment earlier for these symptoms. "The findings were entirely unexpected," said "We never thought more than half of these middle-aged men would have had warning signs so long before their cardiac arrests,” Chugh said. “Previously we thought most people don't have symptoms so we can't do anything about it." Read more on heart health.
ACS Tips on Quitting Tobacco for Tomorrow’s ‘Great American Smokeout’
Tomorrow is the American Cancer Society (ACS) Great American Smokeout, held every year on the third Thursday of November. The annual event was founded to encourage people to quit using tobacco—perhaps to stop smoking on that day, or to make a plan on how to quit at a later date—and to provide the tools and resources that can help the decision stick. According to ACS, research shows that people are most successful at quitting tobacco when they have support, and recommends combing two or more of the following tactics to improve the odds:
- Telephone smoking-cessation hotlines
- Stop-smoking groups
- Online quit groups
- Nicotine replacement products
- Prescription medicine to lessen cravings
- Guide books
- Encouragement and support from friends and family members
Research shows that people invariably look at Mondays as a time to reconsider their habits and even perhaps to make changes in their lives. The Monday Campaigns movement is a non-profit initiative that works to make healthy behaviors a focus at the beginning of every week.
NewPublicHealth spoke with Rachelle Reeder, Program & Research Associate at The Monday Campaigns, about how their efforts are helping to improve public health.
NewPublicHealth: We’re very interested about the Monday conferences and college students. Are they a specific demographic that you’re targeting now?
Rachelle Reeder: Yes. We’ve been targeting many different groups, whether it’s hospitals, college students, K-12. We target a lot of different groups depending on the campaigns. We provide universities—or any of our partners, but universities particularly—with catchy social marketing campaigns to kind of help and encourage the students to adopt and sustain healthy behaviors, and we do everything for free. So we might be working with student health centers, with food service providers, wellness teams or student groups themselves. But our organization is this blend of marketers and public health professionals, so usually what we’re able to offer universities are these compelling, creative campaigns that are also backed by research and a theory.
So that’s one of the great things about the Monday campaigns. And actually, I’m a public health professional myself and I’ve seen a lot of universities or public health services out there and they’re doing great things, but they don’t always have the skills or the capacity to market themselves, so that’s kind of where we step in and provide them with that marketing and creative expertise.
NPH: How would the efforts toward college students be different than they would be toward an older or even a younger demographic?
Reeder: It just kind of depends on the tone of the different campaigns that we take. For instance, we have Man Up Monday, which was really successful over at Murray State University. That campaign has kind of a cheeky sort of fun vibe that’s supposed to be a little bit funny, but what it is it’s reaching out to young men and it’s all about sexual health. Basically they encourage young men to engage in healthy sexual behavior on Mondays, to use Monday as the day to restock condoms, to make an appointment to get tested or to just reflect on decisions over the weekend. So that’s just an example of one of our university partners and that campaign wouldn’t necessarily be something we’d target for younger audiences or something like that.
GAO Recommends FDA Set Schedules for Decisions on New Tobacco Products
The General Accounting Office issued a report yesterday recommending that the U.S. Food and Drug Administration (FDA) establish performance measures for the Center for Tobacco Products that include time frames for making decisions on the approval of new tobacco product submissions. The FDA has had authority over tobacco for more than four years, but a backlog remains on new tobacco products the agency must approve. New tobacco products applications submitted to the agency include devices that may deliver less nicotine to people who smoke. In a response to a draft of the GAO report, the FDA noted that the GAO report recognized that “the length of time from the end of jurisdiction review to the end of completeness review decreased from 8 months in FY2011 to 2 months in FY2012. This constitutes considerable progress and is a reflection of CTP’s ongoing commitment to shortening review times.” Read more on tobacco.
American Heart Association: Unlock School Gates
A new policy statement from the American Heart Association (AHA), published in the American Journal of Public Health, says school districts can increase physical activity among children and young adults by opening playgrounds, gyms and playing fields to the community outside of school hours, especially in low-income areas. AHA recommends that school districts enter shared-use agreements with community organizations to allow supervised activities such as sports leagues and unsupervised playing on school grounds. When previously locked schoolyards in two lower-income communities in New Orleans were opened and activities supervised, children’s outdoor physical activity was 84 percent higher than in a community with closed schoolyards, according to research cited in the statement. A U.S. Centers for Disease Control and Prevention survey finds that 61.6 percent of 800 school districts surveyed have a formal agreement for use of their facilities. Increasing shared use agreements is a key goal of Voices for Healthy Kids, a collaboration of the American Heart Association and the Robert Wood Johnson Foundation to reverse the current levels of childhood obesity by 2015. Read more on physical activity.
DOT Announces Funding to Improve Transit Safety and Preparedness
The U.S. Department of Transportation has announced the availability of $29 million in research funds for innovative projects to help transit agencies strengthen operational safety; better withstand natural disasters and other emergencies; and improve emergency response capabilities. “For the first time in FTA’s history, we’re calling on the transit industry, the private sector, universities and others to work with us to develop and implement innovative solutions…bringing transit facilities into a state of good repair,” said Federal Transit Administration (FTA) head Peter Rogoff. “This will translate into real-world improvements…ranging from reducing transit-related injuries to making transit systems less vulnerable to flooding and severe weather.” Funding proposals will be considered in three areas: operational safety; resiliency; and all-hazards emergency response and recovery. Read more on transportation.
American Heart Association: Doctors Should Routinely Ask About Physical Activity
A new scientific statement from the American Heart Association says that doctors should evaluate their patients’ physical activity habits as routinely as checking blood pressure and other risk factors for cardiovascular diseases. The statement was published in the journal Circulation.
The statement says that an exercise checkup should cover types, frequency, duration and intensity of physical activity at work, home and during leisure time.
The American Heart Association recommends at least 30 minutes of moderate-intensity aerobic activity five days a week or more, or at least 20 minutes of vigorous aerobic activity three days a week or more and moderate- to high-intensity muscle strengthening at least two days a week. Read more on heart health.
People with Mental Health Problems More Likely to be Uninsured
A new University of Minnesota study published in Health Affairs finds that people with mental health problems are more likely to be uninsured and rely on public insurance than people without mental health problems. The study reviewed national insurance coverage rates from 1999 to 2010. The study authors say the implementation of the Affordable Care Act will give many more people with mental health problems access to health insurance – particularly in states such as Minnesota that have that have opted to expand their Medicaid programs. The researchers also say that people with mental health problems on public insurance have better access to care and lower cost barriers than the uninsured or those with private health insurance coverage.
Kathleen Rowan, the lead author of the study and a doctoral student in health services research, policy, and administration at the University of Minnesota School of Public, says, “unfortunately, most persons with mental illness do not receive needed care due in part to a lack of health insurance coverage and the cost of treatment.” Read more on mental health.
Study: Research to Delay Aging is a Better Investment Than Cancer, Heart Disease Research
A new study in current issue of Health Affairs finds that research to delay aging and the infirmities of old age would produce better health and economic returns than advances in some fatal diseases such as cancer or heart disease.
The study found that even modest gains in the scientific understanding of how to slow the aging process would result in an additional 5 percent of adults over the age of 65 remaining healthy rather than disabled every year from 2030 to 2060, or 11.7 million more healthy adults over age 65 remaining healthy by 2060.
The analysis was conducted by scientists from a consortium of research centers. “Even a marginal success in slowing aging is going to have a huge impact on health and quality of life. This is a fundamentally new approach to public health that would attack the underlying risk factors for all fatal and disabling diseases,” said S. Jay Olshansky, professor of epidemiology at the UIC School of Public Health and one of the study’s authors. “We need to begin the research now. We don’t know which mechanisms are going to work to actually delay aging, and there are probably a variety of ways this could be accomplished, but we need to decide now that this is worth pursuing.” Read more on aging.
A recent article in The Atlantic on the history of competitive sports among American kids led The New York Times to write a wide-ranging debate on the pros and cons of competitive sports for kids and teenagers. The pivotal question: Do competitive sports overwhelm childhood or enhance it?
It’s an important debate. Sports can represent a gateway to a life of enjoyable exercise, good for both the heart and mind. But they also pose, as currently played, some significant risks. These include the risk of injury or even death and unhealthy competitive traits, all of which can be a turn-off for physical activity of all kinds for kids made to play and practice against their will.
Those weighing in on the Times’ debate pages include the head of Little League International, who says sports teach kids valuable lessons; a sociologist who says that since so few kids ever make their living in professional sports, we need a greater emphasis on education than athletics; and the head of the American Orthopaedic Society for Sports Medicine, who says that most children's bodies are not capable of playing one sport day after day, for years on end, and because of this many kids have bone and joint injuries.
>>Bonus Links: Read NewPublicHealth interviews on preventing concussions in youth sports with MacArthur fellow Kevin Guskiewicz, and Robert Faherty, VP and Commissioner of the Babe Ruth youth baseball league.
Four U.S. Regions on Alert for Severe Weather this Weekend
Severe weather is expected to impact at least four regions of the United States this weekend. That includes a tropical storm—downgraded from a hurricane for now—in the Gulf Coast; a tornado threat in the Midwest; early snow in the West that, in part because trees still have leaves that can be weighed down by wet snow, could lead to power outages; and spreading fires in California fueled by dry weather. The Federal Emergency Management Agency (FEMA) has already recalled some furloughed staff to prepare for the storms expected on the Gulf Coast. Read more on preparedness.
Study: Unnecessary Antibiotic Prescriptions Remain High, Endanger Public Health
Despite ongoing efforts by the U.S. Centers for Disease Control and Prevention (CDC) and other public health organizations, doctors continue to overprescribe antibiotics for sore throats, increasing the risk of the development of antibiotic-resistant bacteria, according to a new study in JAMA Internal Medicine. “Our research shows that while only 10 percent of adults with sore throat have strep, the only common cause of sore throat requiring antibiotics, the national antibiotic prescribing rate for adults with sore throat has remained at 60 percent,” said senior author Jeffrey A. Linder, MD, MPH, a physician and researcher in the Division of General Medicine and Primary Care at Brigham and Women’s Hospital. “For acute bronchitis, the right antibiotic prescribing rate should be near zero percent and the national antibiotic prescribing rate was 73 percent.” The researchers said the findings demonstrate the need to study and implement new interventions to reduce unnecessary antibiotic prescriptions. Read more on infectious disease.
Daily Walks Can Reduce Breast Cancer Risk for Older Women
Post-menopausal women can reduce their risk of developing breast cancer through physical activity as simple as a daily walk, according to a new study in Cancer Epidemiology, Biomarkers & Prevention. More intense exercise may have an even more profound impact. "The nice message here is, you don't have to go out and run a marathon to lower your breast cancer risk," said study researcher Alpa Patel, senior epidemiologist at the American Cancer Society, which funded the study. "Go for a nice, leisurely walk an hour a day to lower risk.” However, the study authors noted that they found only a correlation, not a causation, so further study is needed. Experts believe the reason exercise reduces breast cancer risk is related to hormones; they also recommend maintaining a healthy body weight and minimizing the consumption of alcohol as ways to reduce the risk of breast cancer. Read more on cancer.
Study: Improved Layperson CPR Education Increases Bystander Intervention, Saves Lives
As many as 80 percent of cardiac arrests occur outside of a hospital, meaning that improving the layperson’s knowledge of cardiopulmonary resuscitation (CPR) could improve the odds of effective bystander intervention—and along with it the chances of survival, according to a new study in the Journal of the American Medical Association. "In many cases, time from recognition of cardiac arrest to the arrival of emergency medical services is long, leaving bystanders in a critical position to potentially influence patient prognosis through intervention before EMS arrival," according to the study. "However, only a minority of cardiac arrests receive bystander CPR." The study authors looked at a 10-year period of about 19,400 out-of-hospital cardiac arrests in Denmark, finding that as the percentage who received bystander CPR rose from about 21 percent to 45 percent, the rate of people who arrived alive to the hospital also rose from about 8 percent to 22 percent. Read more on heart health.
Post-menopausal Hormone Therapy Ineffective at Long-term Disease Prevention
Post-menopausal hormone therapy is not effective at the long-term prevention of heart disease and other chronic conditions, according to a new study in the Journal of the American Medical Association. The study a review of the Women's Health Initiative (WHI), which is a collection of U.S. trials established to assess the role of hormone therapy in preventing chronic diseases in more than 27,000 healthy, older women. They found that the benefits were minimal and were offset by concerns over complications such as elevated rates of blood clots and strokes. However, the findings do support the continued use of hormone therapy for the short-term treatment of hot flashes, as well as for “relatively younger women who use it for a finite time,” according to HealthDay. Read more on prevention.
Study: Exercise as Effective as Drugs at Treating Heart Disease
When it comes to treating heart disease, exercise may be just as effective as medication, according to a new study in the British Medical Journal. The researchers from Britain's London School of Economics and Harvard and Stanford universities said this means physical activity should also be included as a comparison during the development and testing of new medications, as the lack of its inclusion "prevents prescribers and their patients from understanding the clinical circumstances where drugs might provide only modest improvement but exercise could yield more profound or sustainable gains." Cardiovascular disease accounts for 17 million global deaths each year. Another recent study also reinforced the ability of exercise to help prevent high blood pressure. Read more on physical activity.