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In addition to working with individuals and groups, health and fitness professionals have a role to play in promoting physical activity through equitably developed community policy, systems, and environmental interventions. Apply It!: From this article, readers should: • Identify how health and fitness professionals can promote health and wellness among their fitness center, health club, or gym members, clients, patients, and communities by working collaboratively with colleagues across multiple levels of an ecological model. • Understand how using evidence-based intervention approaches recommended by the Community Preventive Services Task Force may enhance the effect of health and fitness professionals on increasing physical activity. • Learn why it's important to help create physical activity-friendly communities and how they can help support fitness centers, health clubs, or gyms and the efforts of members, clients, or patients to be more physically active in and out of health and fitness facilities. • Identify ways to take action in their community in support of Active People, Healthy Nation sm , CDC's national initiative to increase physical activity, by creating and contributing to equitable policy, systems, and environmental changes to support active lifestyles and decrease physical inactivity. [ABSTRACT FROM AUTHOR]

There is clear and consistent evidence that regular physical activity is an important component ofhealthy lifestyles and fundamental to promoting health and preventing disease. Despite the known benefits of physical activity participation, many people in the United States remain inactive. More specifically, physical activity behavior is socially patterned with lower participation rates among women; racial/ethnic minorities; sexual minority youth; individuals with less education; persons with physical, mental, and cognitive disabilities; individuals >65 yr of age; and those living in the southeast region of the United States. Many health-related outcomes follow a pattern that is similar to physical activity participation. In response to the problem of inequities in physical activity and overall health in the United States, the American College of Sports Medicine (ACSM) has developed a national roadmap that supports achieving health equity through a physically active lifestyle. The actionable, integrated pathways that provide the foundation of ACSM's roadmap include the following: 1) communication--raising awareness of the issue and magnitude of health inequities and conveying the power of physical activity in promoting health equity; 2) education---developing educational resources to improve cultural competency for health care providers and fitness professionals as well as developing new community-based programs for lay health workers; 3) collaboration--building partnerships and programs that integrate existing infrastructures and leverage institutional knowledge, reach, and voices of public, private, and community organizations; and 4) evaluation--ensuring that ACSM attains measurable progress in reducing physical activity disparities to promote health equity. This article provides a conceptual overview of these four pathways of ACSM's roadmap, an understanding of the challenges and advantages of implementing these components, and the organizational and economic benefits of achieving health equity. [ABSTRACT FROM AUTHOR]

The article discusses the study which focuses on how physical activity and sports participation affects the suicidal behavior of high school students in the U.S. The results of the 2003 Youth Risk Behavior Survey was analyzed which was participated by 10, 530 students. It states that the suicidal responses of the students were evaluated based on performing vigorous-intensity physical activity and regular vigorous-intensity activity. The survey reveals that suicide ideation were lower among boys who were frequently-vigorously inactive and active as well as on sports team nonparticipants and participants. However, regular vigorously active girls showed a lower suicide ideation compared to active girls and sports team nonparticipants. It shows that suicidal attempts differed by sex.

Abstract: Physical activity is frequently touted as beneficial for mental health. This paper, based on a 2023 ACSM colloquium, highlights key strengths and limitations of the evidence regarding physical activity and mental health from three perspectives: epidemiological studies, randomized controlled trial experiments, and investigations that explicitly consider the potential role that contextual factors, such as the social climate in which physical activity is completed, can play in physical activity-mental health interactions. A large body of epidemiological evidence supports that regular leisure time physical activity is associated with less depression and anxiety. Higher amounts of physical activity are often associated with fewer depressive symptoms, but there may be a dose-response point where for some people more is not better but can plateau or even worsen. Epidemiological evidence is emerging but currently inadequate to support associations between mental health and occupational, transportation/active commuting or domestic/household physical activity types. A large body of randomized controlled trials, typically small, short duration and conducted with samples biased toward middle-to-higher socioeconomic status Whites, supports that the adoption of regular exercise improves aspects of mental health; however, the mechanisms are unclear and for those without mental disorders the mean effects are small. Mental health benefits of exercise may be partially a placebo response or result from contextual factors surrounding exercise. A small body of evidence supports that contextual elements, such as the program implementation quality and social environment, can influence the mental health outcomes associated with physical activity programs, but the evidence is currently inadequate to identify which contextual variables have consistent moderate or larger effects. Greater progress will be made in this area when research designs are expanded to include consideration of the potential influence of contextual factors on relationships between physical activity and mental health., Competing Interests: Conflict of Interest and Funding Source: None of the authors received funding or other support to complete the work done in the writing of this paper. None of the authors have professional relationships with companies or manufacturers who will directly benefit from this paper., (Copyright © 2024 by the American College of Sports Medicine.)

Purpose: Before 2001, the Behavioral Risk Factor Surveillance System (BRFSS), a national survey of health behaviors, assessed only leisure-time physical activity. In 2001, the BRFSS used newly developed physical activity items to evaluate combined leisure-time, household, and transportation activities. Using BRFSS 2001 data, this cross-sectional study describes the prevalence of inactivity and insufficient and recommended physical activity for older adults (i.e., aged >or=50 yr)., Methods: BRFSS 2001 data were analyzed using prevalence estimates and logistic regression to assess physical activity patterns among older adults (N=74,960) stratified by disability status, and select sociodemographic and health status characteristics., Results: A total of 43.4, 39.1, and 17.5% of respondents without disabilities were active at a recommended level, insufficiently active, and inactive, respectively, taking into account nonoccupational physical activities. A total of 28.8% of older adults with disabilities were active at a recommended level, 35.7% insufficiently active, and 35.5% inactive. Among persons with and without disabilities, groups with the highest odds of inactivity and insufficient activity were women, persons aged >or=75 yr, blacks, persons with lower education levels and low incomes, and those who were obese., Conclusions: Not all persons with disabilities can be active at recommended levels, but it is possible for the vast majority to do some types of physical activity, even if at insufficient levels. Thus, it may be possible for the prevalence of inactivity among persons with and without disabilities to be similar. This was not found. At the start of the new millennium, almost 60% of older adults without disabilities and 70% with disabilities were not obtaining a recommended amount of combined leisure-time, transportation, and household physical activity.

Purpose: Although the beneficial effects of participation in regular physical activity (PA) are widely accepted, dose-response relationships between PA and health-related quality of life (HRQOL) remain unclear., Methods: We examined relationships between frequency, duration, and intensity of PA and HRQOL among 175,850 adults using data from the 2001 BRFSS. Logistic regression was used to obtain odds ratios (OR) and 95% confidence intervals (CI) adjusted for age, gender, race/ethnicity, education, smoking status, and body mass index., Results: The age-standardized prevalence (standard error) of 14 or more unhealthy (physical or mental) days during the previous 30 d was 28.4% (0.50) among physically inactive adults, 16.7% (0.27) among those with insufficient levels of PA, and 14.7% (0.22) among adults who met recommended levels. Overall, participation in no moderate PA (OR: 2.02; 95% CI: 1.85-2.21) was associated with an increased likelihood of having 14 or more unhealthy days. Also for moderate PA, participation every day of the week (5-6 d x wk as referent) (OR: 1.35; 1.26-1.46) was associated with an increased likelihood of 14 or more unhealthy days, as was participation for periods < 20 min (OR: 1.43; 95% CI: 1.30-1.58) or > or = 90 min (OR: 1.22; 95% CI: 1.14-1.31) per day (30-59 min x d as referent). Similar associations were observed for participation in vigorous PA., Conclusion: Persons achieving recommended levels of PA were more likely to report fewer unhealthy days compared with inactive and insufficiently active persons; however, participation in daily moderate or vigorous PA and participation in very short (< 20 min x d) or extended ( > or = 90 min x d) periods of PA was associated with poorer HRQOL. Further research examining the relationship between the dose of PA and HRQOL as well as other health outcomes is needed.

The accumulation of protein aggregates in the brain is a central feature of several different neurodegenerative diseases. We have recently shown that Abeta and alpha-synuclein, associated with Alzheimer's disease, Parkinson's disease and related disorders, can both induce the formation of hydroxyl radicals following incubation in solution, upon addition of Fe(II). PrP106-126, a model peptide for the study of prion protein-mediated cell death, shares the same property. In this study we show that quinacrine (an anti-malarial drug and inhibitor of prion replication) acts as an effective antioxidant, readily scavenging hydroxyl radicals formed from hydrogen peroxide via the Fenton reaction or generated during incubation of the PrP106-126 peptide. Furthermore, the toxicity of PrP106-126 to cultured cells was significantly inhibited by quinacrine.

Purpose: To evaluate the relationship between physical activity, sports participation, and suicidal behavior among college students (N = 4,728)., Methods: Data from the 1995 National College Health Risk Behavior Survey were analyzed. Students were classified as engaging in frequent vigorous activity 6-7 d.wk-1, vigorous activity 3-5 d.wk-1, moderate activity, low activity, or no activity. Sports participation was dichotomized into "yes" or "no" participation. Suicidal behavior was defined as thoughts about, plans for, or attempts at suicide during the 12 months before completing the survey. Data were stratified by sex and multivariable logistic regression modeling, calculated odds ratios (ORs) (adjusted for age, race/ethnicity, Body Mass Index/weight perception, cigarette smoking, episodic heavy alcohol use, drug use, and either activity level or sport participation) for suicidal behavior as associated with physical activity and sports participation., Results: Adjusted ORs show that men in the "low activity" group were at almost half the odds (adjusted OR = 0.54; P < 0.015) of reporting suicidal behavior than men in the "not active" group. Women who engaged in moderate or frequent vigorous activity were at greater odds of reporting suicidal behavior compared with inactive women; OR = 1.76 (P < 0.035) and 1.99 (P < 0.034) respectively. Sports participation was protective against suicidal behavior. Adjusted ORs show that men who did not participate in sports were 2.5 times (P < 0.0003) more likely to report suicidal behavior than men who were sports participants. Women not participating in sports had 1.67 times the odds of reporting suicidal behavior than women sports participants (P < 0.05)., Conclusions: Associations were found between sports participation/selected patterns of physical activity and suicidal behavior. Causal factors mediating the relationships need to be identified.