简介:AccordingtotheWorldHealthOrganization,"physicalinactivityhasbeenidentifiedasthefourthleadingriskfactorforglobalmortalitycausinganestimated3.2million(annual)deathsglobally.”1IntheResearchHighlightofthefirstissueofthisjournal,Ireviewedtheevidencewhichsupportsthenotionthatphysicalinactivitycancostlives,intermsoflongevityandqualityoflife,especiallyinthelastfewyearsofourlives.2Here,Iwouldliketoreviewtheliteraturethatrevealsthefinancialburdenduetophysicalinactivity.
简介:<正>OneofthemandatesItriedtoembracewhenIwaspresidentoftheInternationalSocietyofBiomechanics(2007-2009)wastofoster,encourage,andbringtothelimelight,theresearchactivitiesfromcountriesthatwereunderrepresentedinternationally.Irealizedthatsuchunderrepresentationwasoftentheresultofbarriersbetweenscientificcommunitiesthathadevolvedhistorically,basedonbackground,language,scientificmethod,financialsupportetc.,barriersthatcouldeasilybeovercomebypersonalcontacts,acknowledgementof
简介:Chronicdiseaseshavebecomeafocalpointofpublichealthworldwidewithestimatesoftrillionsofdollarsinannualhealthcarecostandcausingmorethan36milliondeathsayear.Lifestylefactorssuchasphysicalinactivityareheavilycorrelatedwiththedevelopmentofmanychronicdiseases.Newstrategiesforprimaryandsecondarydiseasepreventionaredesperatelyneededtoaidinbluntingthenegativeeconomicandsocialimpactofthesediseases.Physicalactivity(PA)andexercisearenowconsideredprincipalinterventionsforuseinprimaryandsecondarypreventionofchronicdiseases.Currently,moreemphasisinprimarypreventionofdiseaseisnecessarytoreducediseaseriskinyouthandadults;howeverwithchronicdiseaseprevalencesohigh,similaremphasisisalsonecessaryforsecondarypreventioninthosechildrenandadultsalreadyinflictedwithchronicdiseases.Conditionssuchascardiovasculardisease,type2diabetes,obesity,andcanceraredrasticallyimprovedwhenPAandexercisearepartofamedicalmanagementplan.Inaddition,thenationalPAguidelinesinconjunctionwithPApromotiontoolslikeExerciseisMedicine?areneededtopromoteincreasedPAandexerciselevelsworldwide.
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简介:Background:TheGlobalPhysicalActivityQuestionnaire(GPAQ)hasbeenusedtomeasurephysicalactivity(PA)andsedentarytimeinFrance,butnostudyhasassesseditspsychometricproperties.ThisstudyaimedtocomparethereliabilityaswellascriterionandconcurrentvalidityoftheFrenchversionoftheGPAQwiththeFrenchInternationalPhysicalActivityQuestionnairelongform(IPAQ-LF)anduseofanaccelerometerinageneraladultpopulation.Methods:Weincluded92participants(studentsorstaff)fromtheMedicineCampusattheUniversityofLorraine,Nancy(north-easternFrance).TheFrenchGPAQwascompletedtwice,7daysapart,tostudytest-retestreliability.TheIPAQ-LFwasusedtoassessconcurrentvalidityoftheGPAQ,andparticipantsworeanaccelerometer(ActiGraphGT3X+)for7daystostudycriterionvalidity.ReliabilityaswellasconcurrentandcriterionvalidityoftheGPAQweretestedbytheintraclasscorrelationcoefficient(ICC),Spearmancorrelationcoefficientforquantitativevariables,andKappaandPhicoefficientsforqualitativevariables.BothconcurrentandcriterionvalidityofGPAQwereassessedbyBland-Altmanplots.Results:TheGPAQshowedpoortogoodreliability(ICC=0.37-0.94;Kappa=0.50-0.62)andconcurrentvalidity(Spearmanr=0.41-0.86),butonlypoorcriterionvalidity(Spearmanr=-0.22-0.42).LimitsofagreementfortheGPAQandaccelerometerwerewide,withdifferencesbetween286.5min/weekand601.3min/week.Conclusion:TheFrenchversionoftheGPAQprovideslimitedbutacceptablereliabilityandvalidityforthemeasurementofPAandsedentarytime.ItmaybeusedforassessingPAandsedentarytimeinaFrenchadultpopulation.
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简介:ThepreviousSpecialIssuewasdevotedtophysicalactivity(PA),physicalfitness,diet,andhealthinyoungpeople.ThecontentofthissecondSpecialIssuewillfocusonPAandchronicdiseaseinchildrenandyoungadults.ThefirstpaperwrittenbyDurstineetal.considerstheproblemofchronicdiseasesbecomingapublichealthconcernworldwidewithestimatesoftrillionsofdollaisinannualhealthcarecostsandcausingmorethan36milliondeathsayear.Their
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简介:Background:Manydisease-specificfactorssuchasmuscularweakness,increasedmusclestiffness,varyingposturalstrategies,andchangesinposturalreflexeshavebeenshowntoleadtoposturalinstabilityandfallriskinpeoplewithParkinson'sdisease(PD).Recently,analyticaltechniques,inspiredbythedynamicalsystemsperspectiveonmovementcontrolandcoordination,havebeenusedtoexaminethemechanismsunderlyingthedynamicsofposturaldeclinesandtheemergenceofposturalinstabilitiesinpeoplewithPD.Methods:Awavelet-basedtechniquewasusedtoidentifylimitcycleoscillations(LCOs)intheanterior–posterior(AP)posturalswayofpeoplewithmildPD(n=10)comparedtoage-matchedcontrols(n=10).Participantsstoodonafoamandonarigidsurfacewhilecompletingadualtask(speaking).Results:Therewasnosignificantdifferenceintherootmeansquareofcenterofpressurebetweengroups.Threeoutof10participantswithPDdemonstratedLCOsonthefoamsurface,whilenoneinthecontrolgroupdemonstratedLCOs.AninvertedpendulummodelofbipedalstancewasusedtodemonstratethatLCOsoccurduetodisease-specificchangesassociatedwithPD:time-delayandneuromuscularfeedbackgain.Conclusion:Overall,theLCOanalysisandmathematicalmodelappeartocapturethesubtleposturalinstabilitiesassociatedwithmildPD.Inaddition,thesefindingsprovideinsightsintothemechanismsthatleadtotheemergenceofunstablepostureinpatientswithPD.