For many decades, the World Health Organisation had highlighted the growing importance of chronic non-communicable diseases in developed and developing countries, with an increase in lifestyle-related diseases. Physical inactivity has been identified as one of the risk factors, in addition to other leading risk factors like diet, and the use of tobacco and alcohol, contributing to the occurrence of non-communicable diseases like cardiovascular diseases, cancers, obesity and type 2 diabetes mellitus. Based on the researcher's observations while living in Belhar community for more then ten years, it was hypothesized that the level of physical inactivity among adolescents could become a public health problem in the future if not addressed immediately.

University of Macau / Faculty of Education

For many decades, the World Health Organisation had highlighted the growing importance of chronic non-communicable diseases in developed and developing countries, with an increase in lifestyle-related diseases. Physical inactivity has been identified as one of the risk factors, in addition to other leading risk factors like diet, and the use of tobacco and alcohol, contributing to the occurrence of non-communicable diseases like cardiovascular diseases, cancers, obesity and type 2 diabetes mellitus. Based on the researcher's observations while living in Belhar community for more then ten years, it was hypothesized that the level of physical inactivity among adolescents could become a public health problem in the future if not addressed immediately.

Purpose: The first phase of this study aimed to investigate the health and fitness status of young adult females in the local community. The second phase of this study investigated the impact of an eight week progressive Pilates intervention on selected health and fitness parameters in this cohort. Methods: Healthy young adult females aged 18-26 years (n=96), from the local community, partook in once-off tests including anthropometric measures (stature, body mass, Body Mass Index and waist circumference) as well as fitness parameters including balance, flexibility, muscular strength and endurance, and lastly lumbo-pelvic stability. Health measures investigated included blood pressure and spirometry. Where possible, results were compared to those of similar populations from national surveys or published normative data. Sedentary volunteers from this cohort were then randomised into a Pilates Exercise (PEx, n=12) or an inactive Control (Con, n=11) group, with their results from Phase 1 serving as baseline measures. Pilates classes were held twice weekly (60 minutes per session). All the measures from phase 1 were repeated at weeks 4 and 8. An additional intervention test included Transversus abdominis recruitment. Participants maintained habitual dietary intake and energy expenditure throughout. Nine PEx group and eight Con group participants completed the intervention. Results: The current sample (phase 1) was found to be healthier than comparative populations from national surveys, and significant differences (p<0.05) were found for all comparisons except Forced Expiratory Volume (FEV1), (p=0.64). Physical activity levels (230 min.week-1) exceeded that of the recommend weekly threshold (150 min.week-1). BMI, waist circumference, blood pressure and spirometry measures were all found to be within suggested healthy normal ranges. Pilates significantly improved lumbo-pelvic stability in the PEx group at weeks 4 (p<0.005) and 8 (p<0.002). Similarly, abdominal (p=0.00, d=1.1), upper limb (p=0.037, d=0.9) and lower limb endurance (p=0.02, d=1.0, between group d=0.73 for PEx) also improved with no changes in the Con group. PEx energy expenditure significantly increased from baseline to weeks 4 (p=0.007, d=10.7) and 8 (p=0.027, d=0.64), however body mass was maintained throughout. Conversely, Minute Ventilation decreased in the PEx cohort (p=0.010, d=0.95) from weeks 4 to 8. The Con group showed significant increases in body mass (p=0.018), leg strength (within-group Cohen’s d=-1.08 between weeks 0-8; d=-2 between weeks 4-8) and dynamic balance (p=0.01, d=-0.5). While no within-group changes were observed, Protein intake was significantly greater (p=0.036, d>0.8 at baseline and week 8) in the PEx group throughout the intervention. Medium between-group effect sizes (d>0.5) were noted for PEx BMI and waist circumference measures at all time points. Further, although not significant, the large within-group effect size (d=-0.84) between baseline and week 8 for PEx systolic blood pressure, suggested the 9 mm Hg was meaningful. The same time period also indicated a large within-group effect size (d=-0.8) for PEx dynamic balance, and a medium Cohen’s d for (d=0.57) PEx static balance. Conclusion: The local population of young adult females was found to be significantly healthier than those of comparable national samples. Further, Pilates participation significantly improved lumbo-pelvic stability and muscular endurance with meaningful changes in systolic blood pressure, and balance in previously sedentary young, adult females. Body mass was also maintained.

Numerous studies focusing on cardiovascular disease risk factors such as obesity, hypertension, smoking, diabetes mellitus, elevated serum lipids, inactivity and lack of physical fitness prevalent in children highlight the importance of the early diagnosis and prevention of conditions that are associated in adulthood with cardiovascular disease. The purpose of this study was to assess the impact of accumulative physical activity on the fitness profile, blood pressure and body composition in 14-16 year old school children in the Western Cape of South Africa.

Numerous studies focusing on cardiovascular disease risk factors such as obesity, hypertension, smoking, diabetes mellitus, elevated serum lipids, inactivity and lack of physical fitness prevalent in children highlight the importance of the early diagnosis and prevention of conditions that are associated in adulthood with cardiovascular disease. The purpose of this study was to assess the impact of accumulative physical activity on the fitness profile, blood pressure and body composition in 14-16 year old school children in the Western Cape of South Africa.

Indiana University-Purdue University Indianapolis (IUPUI) / Rates of chronic disease and physical inactivity are disproportionately high among African American women. Despite the known benefits of physical activity and an increasing number of programs designed to increase activity, attendance rates to many exercise programs remain low. There is much to learn about program types, such as healthy lifestyle programs (HLP); individual factors, such as self-efficacy; and mediating variables that may influence exercise program attendance. An observational study design was used to compare exercise self-efficacy and attendance in a community-based exercise program in African American women who were enrolled in a HLP (N = 53) to women who were not (N = 27). Exercise program attendance was gathered across six months; demographics, self-efficacy and physical activity behaviors were assessed through surveys; and physiological variables (resting heart rate and blood pressure, height, and weight) and physical fitness (muscular strength and endurance and cardiovascular endurance) were measured at baseline. Descriptive statistics were used to describe participants and groups were compared using T-tests, chi-square and non-parametric statistics. Finally, mediation analyses were conducted using multiple regression models to assess self-efficacy as a potential mediator to exercise program attendance. Women who enrolled in this study were of low income (61% having an annual income less than $20,000), obese with a mean (standard deviation) body mass index (BMI) of 37.7 (7.6), pre-hypertensive with a mean (standard deviation) systolic blood pressure of 125.9 (14.4), and scored poorly and marginally on two fitness tests. On average, women reported being Moderately Confident in their ability to exercise regularly, yet had low attendance in the exercise program with a median number .5 days over six months and there were no significant differences in exercise self-efficacy (p = .23) or attendance in the exercise program between groups (p = .79). Additionally, exercise self-efficacy was not a mediating variable to program attendance. Women in this study had little discretionary income and several chronic disease risk factors, yet exercise program attendance was low even in those enrolled in a HLP. Identifying factors that increase exercise self-efficacy and factors that influence attendance beyond self-efficacy may help future program design and attendance.