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Childhood hypertension drives hypertension in later life; hence, assessing blood pressure in children is an important measure to determine current and future cardiovascular health. There is, however, a paucity of childhood blood pressure data, particularly for sub-Saharan Africa. This study explores blood pressure and associations with age, sex, socioeconomic status, physical activity, fitness, and cardiovascular risk markers. In the 'Disease, Activity and Schoolchildren's Health' (DASH) study, a cross-sectional analysis was conducted in disadvantaged neighbourhoods in the Eastern Cape province of South Africa. Assessments included blood pressure, accelerometer-measured physical activity, physical fitness, and cardiovascular risk markers. The study consisted of 785 children (383 boys, 402 girls, M = 12.4±0.9 years). Overall, 18% of the children were classified as hypertensive, while 20% were either overweight/obese, and almost four out of ten children did not meet global daily physical activity recommendations. Hypertensive children were more likely to be overweight/obese, χ2 (2,785) = 14.42, p < 0.01, but only if they did not meet physical activity recommendations, χ2 (2,295) = 11.93, p < 0.01. Considering the moderating effect which sufficient activity has on the relationship between hypertension and body weight, more emphasis should be placed on early primary health intervention and education strategies. [ABSTRACT FROM AUTHOR]

Purpose: Whereas there is compelling evidence for an association between cardiorespiratory fitness (CRF) and executive function and attention, its relation with social cognition has not been investigated yet. However, social cognition is linked with mental health and career success in jobs with high demands on social interaction. The present study aims to examine the association between CRF and the facial emotion recognition aspect of social cognition in police officers. Methods: The study utilized a cross‐sectional design. 198 male and female participants (aged 38.3 ± 1.3 years) completed the Åstrand submaximal bicycle ergometer test and their CRF was estimated using the Åstrand‐Rhyming nomogram. Additionally, a 2‐choice reaction time task and two facial emotion recognition tasks (labeling and matching) with low (emotion recognition from faces) and high (emotion recognition from eyes) difficulty trials were administered for the assessment of attention and social cognition. Results: Adjusting for age, gender, education, and attention, hierarchical regression supported higher CRF to be related to higher performance on overall performance on the facial emotion labeling and matching tasks, Beta = 0.141, P =.046. With regard to difficulty levels, a similar association between CRF and task performance was found for the faces condition, Beta = 0.147, P =.043, but not for the eyes condition, Beta = 0.105, P =.132. Conclusions: Social cognition appears to differ as a function of adults' CRF level. The present findings have a high relevance for police officers, because they need to rely on this cognitive domain for many decisions in their work‐life. [ABSTRACT FROM AUTHOR]

The purpose of the study was the examination of the longitudinal association between motor competences and changes in preparatory processing during a task requiring working memory maintenance. At baseline, 52 Caucasian children aged 10-12 years completed the MOBAK-5 test battery and a Sternberg task, whereas the cue-P300 and the initial contingent negative variation (iCNV) were recorded via electroencephalography. After 9 months, the Sternberg task was administered again to assess changes in these neurophysiological indices and behavioral performance. Path analyses revealed that motor competences predicted the change in cue-P300 and iCNV from baseline to follow-up. The present findings indicate that the cognitive control strategy during a task demanding working memory maintenance changes as a function of children's baseline motor competences. [ABSTRACT FROM AUTHOR]

Purpose: In children, the pathways by which physical activity and fitness are associated with physical and psychological wellbeing are still not fully understood. The present study examines for the first time in young children whether high levels of cardiorespiratory fitness and physical activity moderate the relationship between severity of life events and health-related quality of life.Methods: Three hundred and seventy-eight children (188 girls, 190 boys, M age = 7.27 years) participated in this cross-sectional study. Parental education, gender, age, severity of life events, health-related quality of life and physical activity were assessed via parental questionnaires. Cardiorespiratory fitness was assessed with the 20 m shuttle run test. Hierarchical regression analyses were used to test whether physical activity and fitness interacted with critical life events to explain health-related quality of life.Results: When exposed to critical life events, children with higher fitness levels experienced higher levels of psychological wellbeing, relative to their less fit peers. On the other hand, children with higher fitness levels experienced higher physical wellbeing and more positive friendship relationships when severity of life events was low. A similar moderation effect was found for physical activity with overall quality of life as outcome.Conclusions: Recent stressful experiences alone were not sufficient to explain negative health outcomes in young children. Children with low cardiorespiratory fitness levels experienced lower psychological wellbeing when they were exposed to critical life events. More research is needed to find out whether similar findings emerge with objective physical activity measurements and when critical life events are assessed over longer periods of time. [ABSTRACT FROM AUTHOR]

Background: Although accumulating evidence suggests that motor and cognitive development is interrelated, only a few studies have investigated links between executive function and motor control. Therefore, the present cross-sectional study examined the relationship between motor competences and core components of executive functioning, including inhibitory control, working memory and cognitive flexibility. Methods: In 89 preadolescent children, motor competences were assessed using the MOBAK-5 test battery. Additionally, all participants completed computer-based versions of the Flanker task, which included standard and switch blocks, and the 2-Back task. Results: Partial correlations (correcting for age, gender and body mass index) revealed that locomotor skills were associated with the adjusted hit-rate on the 2-Back task (r = 0.34) whereas object control was linked with conflict score on the Flanker task (r = −0.39). In contrast, there was no correlation between switch costs and motor competences. Conclusion: In preadolescent children, high competences in locomotor skills and object control skills are associated with high performance on specific executive function tasks. This finding supports the current view that motor competences and cognitive control share some common underlying processes. [ABSTRACT FROM AUTHOR]

Purpose: The relationship between health-related quality of life (HRQoL), physical activity (PA), and cardiorespiratory fitness (CRF) among disadvantaged communities in low- and middle-income countries is poorly understood. In South Africa, children from socioeconomically deprived households are at an elevated risk of sedentary lifestyles and poor HRQoL. We examined whether higher self-reported PA and higher CRF levels are associated with better HRQoL in South African schoolchildren from disadvantaged neighbourhoods.Methods: Overall, 832 children aged 8-12 years participated in this cross-sectional study. HRQoL was assessed through five dimensions of the KIDSCREEN-27 tool. Self-reported PA was measured using a single item of the Health-Behaviour of School-Aged Children test, and CRF with the 20-m shuttle run test.Results: Higher self-reported PA was significantly and positively related to HRQoL. Significant, but small group differences existed across all dimensions of HRQoL between low and high self-reported PA. No significant associations were observed between CRF levels and HRQoL.Conclusions: Schoolchildren reporting PA of at least 60 min on at least 6 days a week (the recommended minimum) report higher HRQoL than their peers with lower PA levels. [ABSTRACT FROM AUTHOR]

Background. Strong evidence exists showing that psychosocial stress plays an important part in the development of cardiovascular diseases. Because physical inactivity is associated with less favourable retinal vessel diameter and blood pressure profiles, this study explores whether physical fitness is able to buffer the negative effects of psychosocial stress on retinal vessel diameters and blood pressure in young children. Methods. 325 primary schoolchildren (51% girls, Mage=7.28 years) took part in this cross-sectional research project. Retinal arteriolar diameters, retinal venular diameters, arteriolar to venular ratio, and systolic and diastolic blood pressure were assessed in all children. Interactions terms between physical fitness (performance in the 20 m shuttle run test) and four indicators of psychosocial stress (parental reports of critical life events, family, peer and school stress) were tested in a series of hierarchical regression analyses. Results. Critical life events and family, peer, and school-related stress were only weakly associated with retinal vessel diameters and blood pressure. No support was found for a stress-buffering effect of physical fitness. Conclusion. More research is needed with different age groups to find out if and from what age physical fitness can protect against arteriolar vessel narrowing and the occurrence of other cardiovascular disease risk factors. [ABSTRACT FROM AUTHOR]

Background: An in-depth epidemiological investigation on intestinal parasite infections in an impoverished area of Port Elizabeth, South Africa provides a unique opportunity for research on its impact on children's physical fitness, cognitive performance and psychosocial health. Additionally, we will screen risk factors for the development of diabetes and hypertension in adulthood.Methods/design: A 2-year longitudinal cohort study will be conducted, consisting of three cross-sectional surveys (baseline and two follow-ups), in eight historically black and coloured (mixed race) primary schools located in different townships in Port Elizabeth, South Africa. Approximately 1000 Grade 4 primary schoolchildren, aged 8 to 12 years, will be enrolled and followed. At each survey, disease status, anthropometry and levels of physical fitness, cognitive performance and psychosocial health will be assessed. After each survey, individuals diagnosed with parasitic worm infections will be treated with anthelminthic drugs, while children with other infections will be referred to local clinics. Based on baseline results, interventions will be tailored to the local settings, embedded within the study and implemented in half of the schools, while the remaining schools will serve as controls. Implementation of the interventions will take place over two 8-week periods. The effect of interventions will be determined with predefined health parameters.Discussion: This study will shed new light on the health burden incurred by children in deprived urban settings of South Africa and provide guidance for specific health interventions. Challenges foreseen in the conduct of this study include: (i) difficulty in obtaining written informed consent from parents/guardians; (ii) administration of questionnaires in schools where three languages are spoken (Afrikaans, Xhosa and English); (iii) challenges in grasping concepts of psychosocial health among schoolchildren using a questionnaire; and (iv) loss to follow-up due to the study setting where illiteracy, mobility and violence are common. Finally, designing the health interventions together with local principals and teachers will allow all concerned with the research to bolster a sense of community ownership and sustained use of the interventions after the study has ceased.Trial Registration: Controlled-trials.com; identifier: ISRCTN68411960 (date assigned: 14 February 2014). [ABSTRACT FROM AUTHOR]

Stress exposure may undermine exercisers’ capability to self-regulate their exercise behaviour. This longitudinal study examined the interplay between perceived stress, exercise self-regulation (assessment of action and coping planning) and participation in vigorous exercise in vocational students. Moreover, this study examined whether high exercise self-regulation moderates the assumed negative relationship between stress and exercise. A sample of 580 physically active vocational students (±s17.8 ± 1.3 years, 33.8% girls) was assessed. All participants completed two identical validated questionnaires assessing stress, exercise self-regulation and exercise with a span of 10 months in between survey completion periods. The cross-sectional analyses show that high exercise self-regulation attenuated the assumed negative relationship between stress and exercise. In the longitudinal analyses, however, only a non-significant trend was found. Significant longitudinal relationships existed between exercise self-regulation and exercise involvement. Latent difference score models revealed that a drop in the exercise self-regulation was associated with a concurrent decrease in exercise participation. Cross-lagged panel analyses showed that high exercise self-regulation levels positively predicted exercise behaviour, but an inverse relationship was not supported. The findings suggested that higher exercise self-regulation levels were positively associated with future exercise involvement in currently active adolescents. While partial support was found that exercise self-regulation moderated the influence of stress on exercise, the findings demonstrated that higher exercise self-regulation levels had a positive impact on future exercise involvement in already active individuals. [ABSTRACT FROM PUBLISHER]

This exploratory study was designed to compare four types of exercise activities in Swiss university students. A sample of 201 medical students (136 women, 65 men; M age = 23.2 yr., SD = 2.4) and 250 exercise and health sciences students (144 women, 106 men; M age = 22.3 yr., SD = 2.2) participated in the study. They completed the Perceived Stress Scale, the Depression Scale, and the Office in Motion Questionnaire. Interaction effects between stress and exercise activities were analysed using hierarchical regression analyses, after controlling for age, sex, and academic discipline. Frequent participation in ball sports and dancing were associated with decreased depressive symptoms among students with elevated perceived stress, whereas no such relationship existed among their peers with lower perceived stress. No stress-moderating effect was found for aerobic exercise. Weight lifting was only associated with lower depressive symptoms among students with low perceived stress. The present findings suggest that, among Swiss university students, certain exercises may have better potential to moderate the relationship between perceived stress and depressive symptoms than others. Future research could analyze whether personalized exercise programs created to satisfy participants' individual needs are more beneficial for stress management. [ABSTRACT FROM AUTHOR]

Mental toughness has been explored predominantly within sport contexts. Nevertheless, it is difficult to conceive mental toughness as only applicable to athletes. This study examines whether mentally tough participants exhibit resilience against stress. This is a cross-sectional study based on two different samples: Sample 1 consisted of 284 high school students (99 males, 185 females, M = 18.3 years). Sample 2 consisted of 140 first through fifth semester undergraduate students (53 males, 87 females, M = 20.0 years). Participants provided information about their level of perceived stress (10-item Perceived Stress Scale), mental toughness (48-item Mental Toughness Questionnaire) and depressive symptoms (Beck Depression Inventory). Consistent across the two samples, mental toughness mitigated the relationship between high stress and depressive symptoms. The interaction between stress and mental toughness explained 2% of variance in the adolescent sample and 10% of variance among young adults. The promotion of protective factors that foster resilient adaptation is a relevant issue. Mental toughness may appeal to individuals that are typically difficult to be reached with health interventions. Because mental toughness is part of young people's daily speech, it may serve as a less academic resource than other health psychology concepts. Copyright © 2012 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

Abstract: Background: No research has yet focused on hypomanic states in non-clinical early adult populations. The aim of the present study was therefore to assess hypomania in a large non-clinical sample of young adults. Methods: A total of 862 participants (639 females and 223 males; mean age: M=24.67; SD =5.91) took part in the study. They completed a series of validated self-report questionnaires assessing hypomania (HCL-32) and other aspects of psychological functioning, sleep, stress, quality of life, cognitive–emotional elaboration of pain, self-efficacy, and physical activity. Results: Based on the HCL-32, 19% of the participants (n =169) were categorized as currently being in a hypomanic state. Of those, 57.6% were classified as “active/elated” (‘bright side’), whereas 42.4% were classified as “irritable/risk-taking” (‘dark side’). Compared to non-hypomanic participants and the ‘bright side’ group, ‘dark side’ hypomanic participants reported more depressive symptoms, sleep disturbances, somatic complaints, perceived stress, negative coping strategies, and lower self-efficacy. By contrast, ‘bright side’ hypomanic participants had lower stress scores, more positive self-instructions, and higher levels of exploration, self-efficacy, and physical activity. Limitations: A cross-sectional design was adopted, assessing university students, who may not be representative of the stage of early adulthood. Conclusions: The present results underscore the notion of a continuity between a mood state and both favorable (‘bright side’) and unfavorable (‘dark side’) hypomanic states. In early adulthood, ‘bright’ and ‘dark side’ hypomania differs with respect to physical activity, psychological functioning and sleep. [Copyright &y& Elsevier]

Researchers have emphasized the role of physical activity in accelerating recovery from stress. Therefore, the primary goal of the present study was to examine whether regular physical activity moderates the relationship between occupational stress and burnout symptoms in Swiss workers. 309 employees took part in the cross-sectional study. Occupational stress was operationalized with the job demands–control model and the effort–reward imbalance model. Physical activity was assessed via the International Physical Activity Questionnaire; burnout symptoms were measured with the Shirom–Melamed Burnout Measure. Higher occupational stress was positively associated with burnout symptoms, whereas higher physical activity levels were negatively associated with occupational stress and burnout symptoms. Participants with higher physical activity levels reported fewer burnout symptoms when they perceived high stress levels, independent of whether occupational stress was assessed via the job demands–control or effort–reward imbalance model. Although job constraints are seldom modifiable, we claim that regular leisure-time physical activity is more than a simple pastime and can make an important contribution to a thriving workforce that feels better able to cope with occupational stress. [ABSTRACT FROM AUTHOR]

Purpose: A better understanding of how social and environmental contexts affect childhood overweight/obesity is needed to develop more effective prevention strategies. Because the relationship between physical activity, stress, and obesity measures has received limited attention, this study examined for the first time in first-grade schoolchildren whether physical activity and fitness moderate the relationship between psychosocial stress and obesity-related measures. Methods: A total of 325 children (51% girls, Mage = 7.3 yr) took part in this cross-sectional study. Stress (critical life events, family, peer, and school-related stress) and vigorous physical activity were assessed via parental reports. Fitness was assessed with the 20-m shuttle run test. Body mass index, sum of skinfolds, and waist circumference were used as obesity-related outcomes. Hierarchical regression analyses were calculated to test whether fitness and physical activity act as stress buffers, using sex, age, and parental education as covariates. Results: Children experiencing elevated school-related stress had lower body mass index, body fat, and waist circumferences if they had high fitness and physical activity levels, as compared with their less active and fit peers. Few significant interaction effects occurred for the other stress measures, although the findings trended in a similar direction for peer stress. Conclusion: This study shows that high fitness is associated with less unfavorable body composition among children with elevated school stress. Our findings indicate that policies aimed at reducing overweight and obesity should include the promotion of physical activity both inside and outside the school context. Moreover, our findings highlight the importance of strengthening children's capacities to cope successfully with school-related pressures. [ABSTRACT FROM AUTHOR]