Bhibha M. Das

Understanding Weight Management Perceptions in First-Year College Students Using the Health Belief Model

Abstract Objective: To examine weight management barriers, using the Health Belief Model, in first-year college students. Participants: First-year college students (n = 45), with data collected in April, May, and November 2013. Methods: Nominal group technique sessions (n = 8) were conducted. Results: First-year students recognize benefits to weight management beyond physical attractiveness to quality-of-life domains, including social (eg, bonding opportunities and energy to socially engage) and mental health (eg, stress management). Men believe that weight management is important for career/financial reasons, whereas women voiced that it will allow them to live a full, independent life with a high level of multitasking. Men believed that their barriers were external (eg, campus resources/programs), whereas females perceived their barriers to be internal (eg, poor time management). Conclusions: College students are challenged by weight management and want the institution to provide resources, including curriculum, to help them manage their physical activity and nutrition behaviors.

Area-level socioeconomic status, adiposity, physical activity, and inflammation in young adults, 2013.

Introduction We assessed the independent effects of socioeconomic status, sex, adiposity, and physical activity on C-reactive protein in young adults. Methods During the fall semester of their first year, college students (n = 177; mean age, 18.1 y; 66.7% female; 65.5% white) were assessed for adiposity via dual x-ray absorptiometry, physical activity via accelerometer, and serum C-reactive protein. Area-level socioeconomic status was based on self-reported home zip code. Hierarchical linear modeling was used to assess the relationship of sex, adiposity, and physical activity on the dependent variable of C-reactive protein, with participants nested within geographic regions of similar socioeconomic characteristics. Results C-reactive protein was positively associated with adiposity and inversely associated with socioeconomic status (both P < .05). Area-level socioeconomic status explained 28.2% of the variance in C-reactive protein. Adiposity was significantly associated with C-reactive protein in the full model (P = .006); physical activity was not associated with C-reactive protein (P = .48), and area-level socioeconomic status approached significance (P = .05) within the age range of our analysis after accounting for the variance explained by adiposity. Conclusion The significant positive association between adiposity and C-reactive protein suggests that young adults with higher adiposity have higher C-reactive protein levels after accounting for area-level socioeconomic status, sex, and physical activity.

From sedentary to active: Shifting the movement paradigm in workplaces.

Increased sedentary behavior and reduced physical activity are risk factors for morbidity and mortality. As adults spend a significant portion of their time at work where the default is to spend the majority of the day sitting, shifting workplace norms to decrease sedentary time and increase active time could have a public health impact. Workplaces offer a unique setting for multi-level interventions that can reach diverse populations. Traditional worksite wellness initiatives have produced equivocal results in terms of increasing physical activity. One reason for this may be the focus on corporate-fitness type programs and health education with little change in workplace culture. More innovative approaches combining theory-based worksite wellness components with behavioral economics approaches promoting incidental physical activity at the workplace to make activity the default may be necessary. This article discusses strategies to shift the workplace paradigm from being sedentary to more active using a range of approaches.

Personality Correlates of Physical Activity in College Women.

UNLABELLED Commonly reported relationships of the broad personality traits of extraversion and neuroticism with self-reports of physical activity (PA) have not been elaborated within motivational theory that posits how functioning of the behavioral inhibition (BIS) and activation (BAS) systems can explain or modify the influence of personality on PA. Whether personality predicts physical activity when it is measured objectively has not been established. PURPOSE The study was aimed to test direct, indirect, and interactive relations between extraversion, neuroticism, BIS and BAS, and PA measured by validated self-report and accelerometry. METHODS Two samples of female undergraduates completed personality questionnaires. Sample 2 also completed three PA self-reports and wore an accelerometer for 7 d. Factor structure and measurement equivalence of personality measures, structural equivalence of relationships between personality factors, and multivariate prediction of self-reported and objectively measured PA by personality were tested using structural equation modeling. RESULTS Equivalence between samples for personality models was confirmed. Behavioral activation system predicted self-reported PA. Neuroticism and BIS predicted objectively measured PA. CONCLUSIONS The relationship between personality and PA may differ according to method used to measure PA. Behavioral inhibition system seems to protect against inactivity among young women high in neuroticism.

Structural Equation Modeling Supports a Moderating Role of Personality in the Relationship Between Physical Activity and Mental Health in College Women

BACKGROUND A positive association between physical activity and mental health is well established, particularly for lower symptoms of depression and anxiety among active adults. However, it is unclear whether the association is influenced by personality, which might moderate or otherwise explain the association. In addition, past studies have not confirmed the association using an objective measure of physical activity. OBJECTIVE Our objective was to examine whether Extraversion and Neuroticism influence the association between mental health and physical activity measured by convergent self-reports and an accelerometer. METHODS Structural equation modeling was used to test competing models of the relationships between personality, physical activity, and mental health in a sample of female undergraduates. RESULTS In bivariate analysis, mental health was negatively related to Neuroticism and positively related to Extraversion, self-reported physical activity (which was related only to Extraversion, positively), and objective physical activity (which was related only to Neuroticism, negatively). In structural equation modeling, a 3-way interaction indicated that objective physical activity and mental health were unrelated in extraverts, but related positively in neurotic-introverts and negatively in stable-introverts. CONCLUSIONS Higher levels of physical activity were associated with better mental health only in neurotic-introverts, who are at higher risk for mental health problems.

Development of a logic model for a physical activity-based employee wellness program for mass transit workers.

Transportation workers, who constitute a large sector of the workforce, have worksite factors that harm their health. Worksite wellness programs must target this at-risk population. Although physical activity is often a component of worksite wellness logic models, we consider it the cornerstone for improving the health of mass transit employees. Program theory was based on in-person interviews and focus groups of employees. We identified 4 short-term outcome categories, which provided a chain of responses based on the program activities that should lead to the desired end results. This logic model may have significant public health impact, because it can serve as a framework for other US mass transit districts and worksite populations that face similar barriers to wellness, including truck drivers, railroad employees, and pilots. The objective of this article is to discuss the development of a logic model for a physical activity–based mass-transit employee wellness program by describing the target population, program theory, the components of the logic model, and the process of its development.

Self-Concept in the Context of Diabetes Prevention: Development of the Lifestyle Health-Related Self-Concept Questionnaire

Purpose: Understanding psychosocial factors in the context of lifestyle change is important to recognize distinctions in type 2 diabetes prevention behaviors. A relatively stable psychosocial feature, such as health-related self-concept (HRSC), may indicate factors that promote or repress positive health behaviors. The present study created a questionnaire specific to lifestyle change activities by modifying the Generalized Health-Related Self-Concept Questionnaire (G-HRSC). Design: A modified lifestyle health-related self-concept (Lifestyle-HRSC) questionnaire was developed through creation of new items, context expert review of new items, and small and large sample test of new items. Participants: 101 college students completed the Lifestyle-HRSC. Analysis: Kaiser-Meyer-Olkin (0.64) and Bartlett sphericity tests (χ2 = 6350.7 [df = 3081], P < .01) indicated the sample met criteria for factor analysis. Principle component factor analysis was performed using varimax rotation with Kaiser normalization. Results: Six factors were revealed: nutrition, social support, avoiding diabetes, physical activity, problem solving, and challenges related to being healthy. Item analysis was conducted to remove correlated and conceptually redundant items and to create the 31-item final questionnaire. Conclusion: The Lifestyle-HRSC provides additional knowledge regarding the relationship between self-concept and health as well as insights into the role of psychosocial factors in the context of diabetes prevention.

Collective Efficacy, Physical Activity, and Health Outcomes Among Mothers

Motherhood is associated with low rates of physical activity that increase disease risk. Most theory-based approaches to increasing physical activity focus on personal rather than social factors. The purpose of this study was to examine the associations among perceptions of community collective efficacy and objectively measured physical activity, self-efficacy, social support, and health. Mothers completed questionnaires and wore a pedometer for 7 days. There was a significant, positive association between physical activity and collective efficacy-social cohesion subscale. In the regression analysis, only age and social support were independent predictors of physical activity. Future studies should examine relationships among collective efficacy and social support and physical activity.

Senior Games: Service-Learning With Older Adults in a Sport Setting

Many higher education institutions incorporate service-learning programs because of the positive outcomes they produce for students. However, limited research has assessed the outcomes of service-learning for students working with older adults in a sport setting. Using a discourse analysis approach, this study examined the outcomes of volunteering with the Greenville-Pitt County Senior Games for 55 students enrolled in a physical activity and aging course. The results revealed that students’ perceptions about older adults’ Physical Abilities and Competitiveness and their view of Sport as a Social Event changed as a result of the service-learning experience. Students also cited Humanizing the Older Adult Experience and Learning by Doing as positive outcomes of the experience. The research findings suggest that service-learning with older adults in a sport setting can help better prepare students to serve the aging population. The implications and opportunities for Sport Management instructors are highlighted.