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The benefits of sport and exercise participation for people with disability are well acknowledged. However, people with disability report numerous barriers to participating in sport and exercise, including negative interactions with fitness professionals. Limited research is available from the perspective of fitness professionals. This study aimed to understand the experience of fitness professionals supporting people with disability to engage in sport and exercise. A cross sectional survey study was used to gather quantitative and qualitative data on community-based fitness professionals from Australia, with or without experience working with a person with disability. A total of 72 fitness professionals took part in the study with most reporting experience and confidence in working with people with disabilities. Several barriers were identified with participants highlighting the lack of disability-specific training. Participants also identified potential facilitators, including effective collaboration with allied health professionals. There is emerging interest for fitness professionals to support people with disability to engage in sport and exercise. However, changes are required within the education provided to fitness professionals and with the current collaborative model with allied health professionals to better support the participation of people with disability in sport and exercise. As physical activity is pertinent to ongoing health and wellbeing of people with disability, with support, fitness professionals could provide a cost-effective solution to assist in enabling people with disability to access sport and exercise activities. Fitness professionals require continuing disability-specific education and input from allied health professionals to appropriately support their clients with disability. Changes are required within the Australian fitness industry and in the model in which allied health and fitness professionals collaborate to better support people with disability to engage in sport and exercise. Additional barriers external to the fitness professional such as the physical environment, funding restrictions and lack of societal awareness, continue to impede on people with disabilities' participation in sport and exercise settings and should also be acknowledged. [ABSTRACT FROM AUTHOR]

Background: Physical activity (PA) participation among youth tends to be insufficient and is prone to decline with age. In Australia, this decline has been shown to particularly occur in the domain of non-organized PA (e.g. active play and informal sport) between childhood and adolescence. However, information about changes in more specific groupings of activities within non-organized PA (i.e. subdomains) is needed, as this could support more targeted intervention strategies. This study aimed to investigate changes in the duration of specific subdomains of non-organized PA between late childhood (10–11 years) and early adolescence (12–13 years) in Australia, as well as whether these changes are moderated by sex. Methods: Data were sourced from Waves 6 and 7 of the Longitudinal Study of Australian Children (n = 3614). Youth time-use diaries (24-h) were used to measure the duration of eight subdomains of non-organized PA at both waves (athletics/gymnastics, ball sports, cycling/motor/roller sports, fitness/gym/exercise, martial arts/dancing, water/ice/snow sports, active play and other outdoor/nature PA). Multilevel mixed modelling was used to explore longitudinal changes between waves and the potential moderation effect of sex. Results: Active play declined the most of all subdomains (β = –20.5 min/day; 95% CI = –23.4, –17.6, p < 0.001). A smaller decline was observed in the subdomain of non-organized ball sports (β = –4.1 min/day; 95% CI = –5.9, –2.3, p < 0.001). Other subdomains remained stable or had only very small changes in participation. The decline in active play was moderated by sex, with a steeper decline among girls. No other notable moderation effects were observed. Conclusions: Future studies may seek to explore and test the acceptability of PA promotion strategies to encourage active play participation, such as 'reframing' childhood play activities to be appropriate for adolescents. Such studies might particularly seek the perspectives of girls in the transition to adolescence. [ABSTRACT FROM AUTHOR]

Background: Outdoor gym installations have become a popular initiative by local government agencies globally to increase community-based physical activity. Despite their rapid spread, usage rates and user characteristics are not well described, particularly the mode/type of activity performed. This study aims to investigate the proportion and timing of outdoor gym use, and demographic characteristics of gym users across seven locations. Method: The current study employed a cross-sectional research design with observational measures to examine outdoor gym use across seven locations in a large regional area in New South Wales, Australia. An outdoor gym audit including the number of pieces and names of the equipment, and type of outdoor gym was undertaken in the month prior to data collection. Results: A total of 56 h of observation periods were conducted, during which 2950 individuals were observed moving through the observation target areas. Across all parks, 3.8% of individuals (n = 112) were observed using the outdoor gyms for exercise purposes. Males (65%) were more likely to be observed using the equipment than females (35%) and there were more young-to-middle aged adult (83.9%) users than seniors (6.3%), adolescents (4.5%) and children (3.6%). Conclusion: Outdoor gyms have the potential to influence community-based physical inactivity rates as they appear to be a popular strategy by many government jurisdictions globally. To increase usage, local government agencies would benefit from working collaboratively with researchers to determine effective education and promotion strategies and in developing interventions to increase usage of outdoor gym equipment, particularly among women and older adults. [ABSTRACT FROM AUTHOR]

Objective: Despite growing emphasis on automated external defibrillators (AEDs) at sport venues in Australia, the risk of cardiac events at such locations is unknown. The aim of the present study was to investigate the incidence of out‐of‐hospital cardiac arrest (OHCA) at exercise and sport facilities (ESF) in Australia and the impact of effective bystander‐initiated CPR and AED use on return of spontaneous circulation (ROSC) to hospital admission. Methods: Data were obtained from the Queensland Ambulance Service for the 8‐year period between January 2007 and January 2015. Data were analysed using descriptive statistics, non‐parametric correlational tests and logistic regression. The OHCA incidence rate (IR) for ESF categories was standardised for 100 000 participant‐years. Results: Over the 8‐year period, there were 250 OHCA events with a median age of 62 years (interquartile range 49–69) comprising mostly males (86.6%, n = 187). The risk of OHCA for 100 000 participants per year was highest at outdoor sports facilities (IR 5.1) followed by indoor sports or fitness facilities (IR 0.8). On arrival of paramedics, bystander‐initiated CPR and AED was present at 12.4% (n = 31) of the cases achieving 33.3% (n = 9) ROSC to hospital admission. The odds of ROSC for effective CPR was 2.3 times the odds of ROSC for no CPR (P = 0.01). Conclusion: These findings have implications for policy development by government agencies and major sport and exercise organisations to improve bystander CPR and AED. This can help to ensure that ESF can properly respond to cardiac emergencies to save lives. [ABSTRACT FROM AUTHOR]

Exercise supervision enhances health and fitness improvements in clinical populations compared with unsupervised or home-based exercise, but effects of supervision type are unknown in healthy employees. Eighty-five Australian university employees (62 females; mean ± SD 43.2 ± 9.8 years) were randomized to personal (1:1; SUP, n = 28), nonpersonal (typical gym-based; NPS, n = 28) supervision or unsupervised control (CON, n = 29) exercise groups. Subjects received a 16-week individually tailored, moderate-to-high intensity aerobic and resistance exercise program completed at an onsite exercise facility (SUP and NPS) or without access to a specific exercise facility (CON). Repeated-measures ANOVA analyzed changes to cardiometabolic outcomes. Mean ± SD increases to V[Combining Dot Above]O2 peak were greater (p < 0.01) with SUP (+10.4 ± 11.1%) vs. CON (+3.8 ± 8.9%) but not different to NPS (+8.6 ± 8.2%). Compared to CON (+1.7 ± 7.7%), upper-body strength increases were greater with SUP (+12.8 ± 8.4%; p < 0.001) and NPS (+8.4 ± 7.3%; p < 0.05). Lower-body strength increases were greater with SUP (+26.3 ± 12.7%) vs. NPS (+15.0 ± 14.6%; p < 0.05) and CON (+4.1 ± 12.4%; p < 0.001), and NPS vs. CON (p < 0.01). Body fat reductions were greater with SUP (-2.2 ± 2.2%) vs. NPS (-0.6 ± 1.9%; p < 0.05) and CON (-0.7 ± 1.9%; p < 0.05). Access to an onsite exercise facility with personal or nonpersonal exercise supervision was important for improving several cardiometabolic outcomes, with greater improvements to lower-body strength and body composition from personal 1:1 exercise supervision. [ABSTRACT FROM AUTHOR]

Some older people describe learning to stay fit and healthy and exercise as a regular part of their lives. There is evidence that exercise is beneficial in terms of physical, psychological and social functioning in older adults. This paper is unique in that it is an analysis of the spontaneous discussion of exercise by older people as a priority in their lives. It also provides information about the kinds of exercise they choose. An online written data forum in Australia with responses from 103 people aged 50 to 92 years (F52, M 51) was analysed for all mention of exercise. The respondents were prompted to comment on sustainable lifestyles as they aged. Thirty per cent mentioned exercise as a priority in their lives. Activities included irregular exercise (11%) routine organised exercise such as golf or tennis (8%) and purposeful exercise such as regular gym attendance (11%), where the respondents explained why they needed to exercise. A few (7%) talked about the need to stay healthy without explaining how. Some (2%) described barriers and conditions that made exercise difficult. These figures for engaging in exercise are similar to those identified in 2018 by the Australian Institute for Health and Welfare. As evidenced by the literature in the area, lack of awareness of the specific benefits of exercise and barriers to exercise for older adults are not new problems. However, given the increase in the percentage of older people in the population and the demonstrated beneficial effects of exercise, it is worthwhile to document the motivation for exercise and engagement in older adults and to suggest strategies to increase their activity. [ABSTRACT FROM AUTHOR]

Purpose: There is currently no standardized testing protocol for assessing clients' fitness/health within the Australian fitness industry. This study examined the perceptions of the feasibility of using a standardized testing protocol among Australian fitness industry professionals.Method: In 2014, 1,206 registered fitness industry professionals (aged 17-69 years) completed an online survey. Perceived feasibility for using a standardized testing protocol was assessed based on responses to 6 items. Respondents were classified as having a high level of perceived feasibility if they reported all 6 items to be "definitely feasible." A multivariate logistic regression analysis, adjusting for demographic and fitness industry-related factors (e.g., qualification/years of experience), assessed the likelihood of having a high level of perceived feasibility.Results: Overall, 25.5% (95% CI [23.1%, 28.0%]) of the sample perceived the use of a standardized testing protocol as highly feasible. Items ranked most often as "definitely feasible" were "undertaking training to use the protocol" (55%) and "conducting follow-up testing every 6 to 12 weeks" (52%). After adjustment for the effect of confounding factors, casually employed professionals (OR = 0.63; 95% CI [0.45, 0.90]) and group instructors (OR = 0.58; 95% CI [0.41, 0.82]) were less likely to perceive standardized testing protocols as highly feasible.Conclusions: Among a large sample of Australian fitness industry professionals, slightly more than a quarter perceived using a standardized testing protocol to be highly feasible. Group instructors and casual employees perceived lower feasibility. Further research should determine the barriers to implementing a standardized testing protocol across the fitness industry. [ABSTRACT FROM AUTHOR]

Question What is the comparative cost-effectiveness of a gym-based maintenance exercise program versus a home-based maintenance program with telephone support for adults with chronic health conditions who have previously completed a short-term, supervised group exercise program? Design A randomised, controlled trial with blinded outcome assessment at baseline and at 3, 6, 9 and 12 months. The economic evaluation took the form of a trial-based, comparative, incremental cost-utility analysis undertaken from a societal perspective with a 12-month time horizon. Participants People with chronic health conditions who had completed a 6-week exercise program at a community health service. Interventions One group of participants received a gym-based exercise program and health coaching for 12 months. The other group received a home-based exercise program and health coaching for 12 months with telephone follow-up for the first 10 weeks. Outcome measures Healthcare costs were collected from government databases and participant self-report, productivity costs from self-report, and health utility was measured using the European Quality of Life Instrument (EQ-5D-3L). Results Of the 105 participants included in this trial, 100 provided sufficient cost and utility measurements to enable inclusion in the economic analyses. Gym-based follow-up would cost an additional AUD491,572 from a societal perspective to gain 1 quality-adjusted life year or 1 year gained in perfect health compared with the home-based approach. There was considerable uncertainty in this finding, in that there was a 37% probability that the home-based approach was both less costly and more effective than the gym-based approach. Conclusion The gym-based approach was more costly than the home-based maintenance intervention with telephone support. The uncertainty of these findings suggests that if either intervention is already established in a community setting, then the other intervention is unlikely to replace it efficiently. Registration ACTRN12610001035011. [Jansons P, Robins L, O’Brien L, Haines T (2018) Gym-based exercise was more costly compared with home-based exercise with telephone support when used as maintenance programs for adults with chronic health conditions: cost-effectiveness analysis of a randomised trial. Journal of Physiotherapy 64: 48–54] [ABSTRACT FROM AUTHOR]

A purposely designed observational audit tool (OAT) was developed following review of literature and international standards/guidelines for fitness facilities. The OAT was trialled to assess the physical environment of a sample of fitness facilities and determine its inter-rater reliability. Ten Victorian fitness facilities were visited to test the tool's inter-rater reliability, then 22 metropolitan and regional facilities in Victoria ranging in size and type were audited. A high degree of reliability was found (inter-rater reliability κ = 0.659 (p< 0.005); 95% CI (0.633, 0.685)); intra-class correlation = 0.985 (F474,948= 67.226,p< 0.005, 95% CI (0.983, 0.987)). On average, facilities were colder and darker than international standards/guidelines specified. Distances around cardiovascular equipment varied between facilities. Free equipment was observed lying on floors in 66% (n= 21) of facilities. Twenty-seven facilities had signs instructing users to replace weights after use (66%). Only 19 (59%) facilities enforced towel use; however, 94% (n= 30) had disinfectant stations. The auditing of fitness facilities indicates more should be done at facilities to reduce injury risk. [ABSTRACT FROM PUBLISHER]

Background: Leisure-time physical activity and strength training participation levels are low and socioeconomically distributed. Fitness trainers (e.g. gym/group instructors) may have a role in increasing these participation levels. However, it is not known whether the training location and characteristics of Australian fitness trainers vary between areas that differ in socioeconomic status.Methods: In 2014, a sample of 1,189 Australian trainers completed an online survey with questions about personal and fitness industry-related characteristics (e.g. qualifications, setting, and experience) and postcode of their usual training location. The Australian Bureau of Statistics 'Index of Relative Socioeconomic Disadvantage' (IRSD) was matched to training location and used to assess where fitness professionals trained and whether their experience, qualification level and delivery methods differed by area-level disadvantage. Linear regression analysis was used to examine the relationship between IRSD score and selected characteristics adjusting for covariates (e.g. sex, age).Results: Overall, 47 % of respondents worked in areas within the three least-disadvantaged deciles. In contrast, only 14.8 % worked in the three most-disadvantaged deciles. In adjusted regression models, fitness industry qualification was positively associated with a higher IRSD score (i.e. working in the least-disadvantaged areas) (Cert III: ref; Cert IV β:13.44 [95 % CI 3.86-23.02]; Diploma β:15.77 [95 % CI: 2.17-29.37]; Undergraduate β:23.14 [95 % CI: 9.41-36.86]).Conclusions: Fewer Australian fitness trainers work in areas with high levels of socioeconomic disadvantaged areas than in areas with low levels of disadvantage. A higher level of fitness industry qualifications was associated with working in areas with lower levels of disadvantage. Future research should explore the effectiveness of providing incentives that encourage more fitness trainers and those with higher qualifications to work in more socioeconomically disadvantaged areas. [ABSTRACT FROM AUTHOR]

Designing a new strength and conditioning (S&C) facility takes time, space, equipment and is often a major concern for S&C professionals. More often than not the S&C professional may have to develop a facility with a limited budget or resources and may be unaware of certain standards that need to be achieved to obtain accreditation. This article outlines recommendations regarding equipment choices, common dangers and problems associated with equipment and uses specific examples of the types of resources and equipment used at various strength and conditioning complexes both in Australia and the US. The article outlines the design processes and considerations of setting up a facility, athlete-coach ratios, staff qualifications, operational requirements & guidelines and further examples of specific equipment used in high performance facilities within Australia currently. This article also discusses a basic overview regarding the Australian Sports Commission’s High Performance Strength & Conditioning Accreditation Program as set out by the Australian Institute of Sports National Sports Science Quality Assurance Program. The article outlines accreditation needed to set up a ‘Gold Standard’ AIS approved facility, with particular reference to what types of equipment is required and the standards required. The article also provides a Practical Applications section detailing how to set up an AIS approved facility, outlining examples of the approximate cost of this equipment and how to design such a facility based on the research covered in writing this article. [ABSTRACT FROM AUTHOR]

Background: Physical activity is associated with a host of health benefits, yet many individuals do not perform sufficient physical activity to realise these benefits. One approach to rectifying this situation is through modifying the built environment to make it more conducive to physical activity, such as by building walking tracks or recreational physical activity facilities. Often, however, modifications to the built environment are not connected to efforts aimed at encouraging their use. The purpose of the Monitoring and Observing the Value of Exercise (MOVE) study is to evaluate the effectiveness of two interventions designed to encourage the ongoing use of a new, multi-purpose, community-based physical activity facility. Methods/design: A two-year, randomised controlled trial with yearly survey points (baseline, 12 months follow-up, 24 months follow-up) will be conducted among 1,300 physically inactive adult participants aged 18-70 years. Participants will be randomly assigned to one of three groups: control, intervention 1 (attendance incentives), or intervention 2 (attendance incentives and tailored support following a model based on customer relationship management). Primary outcome measures will include facility usage, physical activity participation, mental and physical wellbeing, community connectedness, social capital, friendship, and social support. Secondary outcome measures will include stages of change for facility usage and social cognitive decision-making variables. Discussion: This study will assess whether customer relationship management systems, a tool commonly used in commercial marketing settings, can encourage the ongoing use of a physical activity facility. Findings may also indicate the population segments among which the use of such systems are most effective, as well as their cost-effectiveness. [ABSTRACT FROM AUTHOR]

Background: Health/fitness facilities are popular venues for physical activity, where increasingly more individuals at risk of cardiovascular events exercise to achieve positive health outcomes. The aim of our study was to analyze cardiac emergency preparedness in health/fitness facilities in Queensland, Australia. Design: Cross-sectional survey of health/fitness facilities in Queensland. Methods: A risk management questionnaire was administered over 7 months, July 2009 to January 2010, using an online or paper-based version. The data are presented as the proportion of survey respondents giving specific responses to questionnaire items related to cardiac emergency preparedness, especially the provision of automated external defibrillators (AEDs). Results: Fifty-two health/fitness facility managers responded to the survey. Most of the surveyed facilities conducted pre-activity screening (92%). Of those with a written emergency plan (79%), only 37% physically rehearsed their emergency response systems at regular intervals. Ninety-five percent of the facilities had fitness employees with a current first aid/cardiopulmonary resuscitation certificate and training. Of the 10 (19%) facilities with an on-site AED, only 6 had staff qualified to use the AED in an emergency, and only 6 had the AED as part of a public access defibrillator program. Conclusion: This is the first study to report that cardiac emergency preparedness is not optimal in the health/fitness facilities in Australia. Development of policies and procedures for training health/fitness professionals in emergency procedures is needed to minimize the risk when exercise-induced cardiac events occur at health/fitness facilities. [ABSTRACT FROM AUTHOR]

Identity formation and negotiation is a key contributor to the health and wellbeing of men and much is still to be learnt about how identity processes operate in everyday life. This study used an ethno-discursive methodology informed by critical discursive psychology to investigate adult male identity in an everyday gym setting in inner city Melbourne. Analysis of interview data showed that men identified with shared hegemonic definitions of masculinity, such as autonomy, independence, and potent heterosexuality. Our ethnographic analysis also showed that the men used reflective processes to negotiate, subvert, and exaggerate these discourses. The findings further demonstrate the utility of safe male environments such as gymnasiums and men's sheds where men can share friendships, common activities, and negotiate masculine pressures. [less] 0 BOOKMARKS · 18 VIEWS [ABSTRACT FROM AUTHOR]

In this article, I consider the distinctly classed places/spaces in which affluent Australian pregnant women physically maintain their bodies through aerobics. The case study described is drawn from data obtained between 2006 and 2008 in a longitudinal study examining feelings about body image and ‘fatness’ in a sample of pregnant women in Melbourne, Australia. The ways in which pregnant bodies are disciplined within gym spaces are discussed through a case study of a prenatal fitness centre, FitForTwo, and drawing on narrative data of pregnant informants. FitForTwo is described as a primary site for the performance of ‘fit’ pregnancy and underscored by bodies that can be shaped, trained, moulded and modified. This case study is analysed against a backdrop of a growing Australian moral panics about ‘fighting’ maternal obesity. It adds to a body of feminist geographical and qualitative studies of pregnancy, bringing both a more sustained, longitudinal analysis than previously offered, and an Australian context that offers rich comparative material. [ABSTRACT FROM PUBLISHER]

Health/fitness facilities are considered higher risk sites for sudden cardiac arrest (SCA), however, no legislation or industry standards in Australia mandate the use of automated external defibrillators (AEDs). In this light, the purpose of this study was three-pronged. The main purpose of the study was to outline the health/fitness industry standards in the USA in relation to the use of AEDs. The second purpose was to demonstrate the possible consequences of a failure to meet the industry standards requiring the use of AEDs. The third purpose was to show the possible impact of Good Samaritan type legislation in Australia as supporting the deployment of AEDs in the local industry without fear of legal liability. The conclusions of this paper suggest that standard setting organisations in the fitness industry and the local governments should work in collaboration to increase awareness about the life-saving benefits of AEDs and the immunity protection granted by Good Samaritan laws that can have a positive impact on the wide spread use of AEDs in health/fitness facilities. [ABSTRACT FROM AUTHOR]

This research investigates the information sources consumers used to obtain health related information for healthy eating. The research involves two stages, indepth interviews with 12 participants and a mail survey of 800. Findings from the indepth interviews not only supported the information sources identified in the literature but had also revealed the need to include two other information sources (social organisations and societies, and health clubs and gyms) for further investigation. The mail survey indicated that friends and relatives were the most important information source used for obtaining health related information for healthy eating whilst radio was identified as the least influential. The findings highlighted the relative importance of the 15 information sources investigated and also identified the most appropriate sources for which health promoters could effectively spend their limited resources on the advertising and promotional campaigns that were targeted at specific consumer groups. [ABSTRACT FROM AUTHOR]