Geoff P. Lovell

Perceived Exercise Benefits and Barriers of Non-Exercising Female University Students in the United Kingdom

Many individuals do not engage in sufficient physical activity due to low perceived benefits and high perceived barriers to exercise. Given the increasing incidence of obesity and obesity related health disorders, this topic requires further exploration. We used the Exercise Benefits/Barriers Scale to assess perceived benefit and barrier intensities to exercise in 200 non-exercising female university students (mean age 19.3 years, SD = 1.06) in the UK. Although our participants were selected because they self reported themselves to be non-exercising, however they reported significantly higher perceived benefits from exercise than perceived barriers to exercise [t(199) = 6.18, p < 0.001], and their perceived benefit/barrier ratio was 1.33. The greatest perceived benefit from exercise was physical performance followed by the benefits of psychological outlook, preventive health, life enhancement, and then social interaction. Physical performance was rated significantly higher than all other benefits. Psychological outlook and preventive health were not rated significantly different, although both were significantly higher than life enhancement and social interaction. Life enhancement was also rated significantly higher than social interaction. The greatest perceived barrier to exercise was physical exertion, which was rated significantly higher than time expenditure, exercise milieu, and family discouragement barriers. Implications from this investigation for the design of physical activity programmes include the importance, for females, of a perception of high benefit/barrier ratio that could be conducive to participation in exercise. Applied interventions need to assist female students to ‘disengage’ from or overcome any perceived ‘unpleasantness’ of physical exertion during physical activity (decrease their perceived barriers), and to further highlight the multiple health and other benefits of regular exercising (increase their perceived benefits).

The effects of physical activity on psychological well-being for those with schizophrenia: a systematic review

This paper systematically reviews the existing evidence of the effects of physical activity on psychological well-being for those with schizophrenia. A search of 15 databases including for example, PsycINFO, SportDiscus, and Science Direct was conducted to identify studies investigating the effects of physical activity on psychological well-being for those with schizophrenia. The included studies were then assessed, extracted, and synthesized. Fifteen studies met the inclusion criteria: 12 quantitative and 3 qualitative. The physical activity interventions lasted between 3 and 20 weeks and included a wide range of physical activities. The instruments used to measure psychological well-being varied across all studies, this along with the variety of study designs made statistical analysis impossible. The findings of this systematic review however, suggest that physical activity has a beneficial effect on some attributes associated with psychological well-being in individuals with schizophrenia.

Athletes' precompetitive sleep behaviour and its relationship with subsequent precompetitive mood and performance

Abstract This investigation examined precompetitive sleep behaviour of 103 athletes and how it relates to precompetitive mood and subsequent performance. Results revealed that on the night before competition athletes slept well under the recommended target of eight hours of sleep for healthy adults, with almost 70% of athletes experiencing poorer sleep than usual. It was found that anxiety, noise, the need to use the bathroom and early event times were amongst the most commonly reported causes of disrupted sleep in athletes on the night prior to competition. The negative moods of fatigue and tension were both significantly negatively correlated with precompetitive relative sleep quality (r = −0.28, P = 0.004, r = −0.21, P = 0.030, respectively) and total sleep time (r = −0.23, P = 0.023, r = −0.20, P = 0.044, respectively). Additionally, tension was positively correlated with number of awakenings (r = −0.20, P = 0.045). Vigour was seen to be significantly positively associated with relative sleep quality (r = 0.24, P=0.013). The relationships between relative sleep quality and fatigue, tension and vigour accounted for approximately 4 − 5% of the variance in mood scores. Disrupted sleep did not demonstrate any significant relationship with relative sporting performance. Conclusions from the present investigation are that athletes may be at particular risk of disrupted sleep on the night prior to competition, and this disruption can negatively relate to an athletes precompetitive mood states.

A cross-sectional investigation of depressive, anxiety, and stress symptoms and health-behavior participation in Australian university students

Transitioning to university involves a major life change that can have implications for physical and mental health. This study had three objectives: first, assess the mental health and health-behavior participation of Australian university students; second, evaluate clustering of health behaviors; and third, examine how mental health relates to health behaviors. University students (n = 751) enrolled at an Australian regional university completed an online survey containing the Depression, Anxiety, and Stress Scales and a health-behavior questionnaire. Over one-third of students reported mild or higher mental illness symptoms and most reported engaging in multiple unhealthy behaviors. Furthermore, mental health was associated with unhealthy behaviors. For males, depressive symptoms were associated with skipping breakfast and poor sleep quality. For females, depressive symptoms were associated with skipping breakfast, inadequate vigorous physical activity, and short or long sleep hours. Stress symptoms in females were associated with healthy sleep hours, but poor sleep quality. Future research may consider whether an intervention targeting one or two key health behaviors has utility in improving participation in other health behaviors and mental health.

Food addiction symptomology, impulsivity, mood, and body mass index in people with type two diabetes

This research explored how food addiction (FA) and impulsivity (non-planning, motor, and attentional) relate to body mass index (BMI) in a sample of people with type 2 diabetes (t2d). Participants with t2d (N = 334, Mage = 41.0, SDage = 9.5, 66% female, MBMI = 37.6 kg/m(2), SDBMI = 8.0 kg/m(2)) completed an online survey including the Depression Anxiety Stress Scale (DASS-21), the Barratt Impulsiveness Scale (BIS-II), and the Yale Food Addiction Scale (YFAS). Results demonstrated that over 70% of the sample with t2d met the YFAS criteria for FA. Results also demonstrated that participants classified as FA had significantly higher BMI, t (332) = 12.11, p < .001. The food addict classification group also had a significantly higher percentage of obese participants, χ(2) (2) = 87.1, p < .001, phi = .511. Utilising a cross-sectional design to predict BMI, significant forward stepwise multiple regression demonstrated that FA (β = .386) and impulsivity (non-planning) (β = .286) were significant predictors. In combination FA and impulsivity (non-planning) significantly explained 38% of BMI variance; however depression, anxiety, and stress did not significantly improve the model. These results suggest FA and impulsivity (non-planning) are more salient cross-sectional predictors of BMI, in people with t2d, than indices of depression, anxiety, stress and impulsivity (motor and attentional). These results, implicating FA in the development of obesity, have important ramifications for potential future treatment methods of t2d where FA symptomology could be routinely screened, and if present, treated via addiction models rather than purely attempting to treat the potential consequences of FA.

Food addiction associations with psychological distress among people with type 2 diabetes

AIMS To assess the relationship between a food addiction (FA) model and psychological distress among a type 2 diabetes (t2d) sample. METHODS A cross-sectional study of 334 participants with t2d diagnoses were invited to complete a web-based questionnaire. We measured variables of psychological distress implementing the Depression Anxiety and Stress Scale (DASS-21), the Yale Food Addiction Scale (YFAS), and other factors associated with t2d. RESULTS In our study a novel finding highlighted people with t2d meeting the FA criterion had significantly higher depression, anxiety, and stress scores as compared to participants who did not meet the FA criterion. Moreover, FA symptomology explained 35% of the unique variance in depression scores, 34% of the unique variance in anxiety scores, and 34% of the unique variance in stress scores, while surprisingly, BMI explained less than 1% of the unique variance in scores. CONCLUSION We identified that psychological distress among people with t2d was associated with the FA model, apparently more so than BMI, thereby indicating further research being necessary lending support for future research in this realm. Moreover the FA model may be beneficial when addressing treatment approaches for psychological distress among people with t2d.

Malnutrition screening of older adults in the community setting: practices reported by Australian dietitians

Aim: To explore malnutrition screening practices by dietitians working with community dwelling older adults in Australia. Methods: A descriptive cross-sectional online survey of dietitians providing dietetic care to older adults (aged ≥65 years) was conducted in November to December 2014 using a three-part 25-item questionnaire with scaled, closed and open-ended questions. Results: One hundred and thirty-three community dietitians participated in the survey. Seventy-seven percent of them reported malnutrition screening was conducted in the workplace and this was highest in government organisations. The majority of dietitians (75%) reported a screening tool was used and the Malnutrition Screening Tool was most commonly used. Independent of level of experience, the majority of dietitians considered malnutrition screening important and agreed with the need for routine screening. Sixty-six percent of dietitians reported that clients screened and found to be at risk of malnutrition frequently refused nutrition assessment. Conclusion: Reported malnutrition screening practices varied considerably across all organisations and states. Although routine screening for malnutrition risk is recommended, refusal for nutritional assessment after positive screening is common and requires further investigation. It is not clear how the term ‘malnutrition’ is perceived by the elderly and further investigation into their perceptions would be useful, particularly as offer for nutrition care is frequently declined.

The Effect of Recovery Duration on Technical Proficiency during Small Sided Games of Football

The aim of this study was to determine the effect of increasing the duration of the recovery periods separating serial bouts of small sided games (SSG) of football on technical skills (TS). Twelve semi-professional footballers (mean ± SD; age 21 ± 3 years; VO2peak 64 ± 7 mL∙min∙kg−1; playing experience 15 ± 3 years) completed two SSG sessions, consisting of 3 vs. 3 players and 6 bouts of 2 min, separated by either 30 s recovery (REC-30) or 120 s recovery (REC-120). Sixteen TS, including passing, possession, and defensive related variables, and exercise intensity (heart rate, rating of perceived exertion, time motion descriptors) during the bouts were measured. Repeated measures ANOVA were used to determine differences between-conditions, for TS. The number of successful tackles was significantly higher, and the average time each team maintained possession was significantly lower in REC-120 compared to REC-30. There were no significant differences for all other TS variables, or exercise intensity measures between REC-30 and REC-120. Overall, a four-fold increase in the duration of recovery separating SSG bouts did not alter the technical skill execution of players. The experience and skill level of the players, combined with an apparent regulation of effort through pacing, may have assisted in the maintenance of technical skill execution.

Psychological distress, depression, anxiety, stress, and exercise in Australian and New Zealand mothers: A cross-sectional survey

Postnatal psychological well-being is a complex issue characterized by major changes in physical, social, and emotional health. In response to addressing limitations of previous research this study aimed to: (i) quantify psychological distress, depression, anxiety, and stress in a large sample of Australian and New Zealand mothers and to compare to Australian norm data; and (ii) identify any significant differences in psychological distress, depression, anxiety, and stress of the mothers when grouped according to their self-reported exercise incidence. Self-reported short-form version Depression Anxiety Stress Scale data were collected from 3601 Australia and New Zealand mothers with at least one child under the age of 5 years. Results demonstrated that this sample of mothers had significantly poorer psychological well-being than the general Australian population. Furthermore, with the exception of anxiety, psychological well-being of mothers who reported exercising three to four times per week was significantly and meaningfully more positive compared to those mothers that reported not to exercise.

Knowledge, behaviors, attitudes and beliefs of physiotherapists towards the use of psychological interventions in physiotherapy practice: a systematic review

Abstract Purpose: To systematically review and analyze the literature exploring the knowledge, behaviors, attitudes, and beliefs of physiotherapists towards the use of psychological interventions in their practice. Methods: A systematic search was conducted, of articles published between January 1996 and February 2016, using selected electronic databases followed by crosschecking of reference and citation lists. Articles were selected on the basis of the research reported relating to knowledge, behaviors, attitudes or beliefs of physiotherapists towards using a number of different psychological interventions. Quality assessment was conducted by three reviewers independently, and thematic analysis of the included studies was performed. Results: Fifteen studies were included in the analysis. Results indicate that physiotherapists are aware of psychological interventions, are using a variety within practice, and have positive attitudes and beliefs towards their use. However, there are barriers to the incorporation of psychological interventions into their practice, including lack of knowledge, time constraints, and role clarity. The desire for further training was also evident. Conclusion: Notwithstanding the reported awareness and use of psychological interventions in physiotherapy practice, barriers to implementation exist indicating that further research is necessary to address how to effectively equip physiotherapists, to employ such techniques within their scope of practice. Implications for rehabilitation Physiotherapists use and have positive attitudes and beliefs towards a variety of psychological interventions including goal setting, positive, and motivational talk, cognitive behavioral therapy strategies and offering social support. Barriers preventing the incorporation of psychological interventions in practice include, lack of knowledge, time constraints, and role clarity. Despite the use of such interventions, physiotherapists identify the need for further training, to be better equipped to confidently utilize these in practice. These results justify the incorporation of training in psychological interventions in physiotherapist qualifying studies, but also as continued professional development opportunities for physiotherapists currently working in the field.