Weight gain during the childbearing years and failure to lose pregnancy weight after birth contribute to the development of obesity in postpartum Latinas.
Methods
Madres para la Salud [Mothers for Health] was a 12-month, randomized controlled trial exploring a social support intervention with moderate-intensity physical activity (PA) seeking to effect changes in body fat, fat tissue inflammation, and depression symptoms in sedentary postpartum Latinas. This report describes the efficacy of the Madres intervention.
Results
The results show that while social support increased during the active intervention delivery, it declined to pre-intervention levels by the end of the intervention. There were significant achievements in aerobic and total steps across the 12 months of the intervention, and declines in body adiposity assessed with bioelectric impedance.
Conclusions
Social support from family and friends mediated increases in aerobic PA resulting in decrease in percent body fat.
Mexican Americans are the largest minority group in the US and suffer disproportionate rates of diseases related to the lack of physical activity (PA). Since many of these Mexican Americans are Spanish-speaking, it is important to validate a Spanish language physical activity assessment tool that can be used in epidemiology as well as clinical practice. This study explored the utility of two Spanish translated physical activity questionnaires, the Stanford Brief Activity Survey (SBAS) and the Rapid Assessment of Physical Activity (RAPA), for use among Spanish-speaking Mexican Americans.
Methods
Thirty-four participants (13 M, 21 F; 37.6 ± 9.5 y) completed each of the two PA surveys twice, one week apart. During that week 31 participants also wore an ActiGraph GT1M accelerometer for 7 days to objectively measure PA. Minutes of moderate and vigorous PA (MVPA) were determined from the accelerometer data using Freedson and Matthews cut points.
Results
Validity, determined by Spearman correlation coefficients between questionnaire scores and minutes of ActiGraph measured MVPA were 0.38 and 0.45 for the SBAS and RAPA, respectively. Test-retest reliability was 0.61 for the SBAS and 0.65 for the RAPA. Sensitivity and specificity were 0.60 and 0.47 for the SBAS, and 0.73 and 0.75 for the RAPA. Participants who were classified as meeting the 2008 National Physical Activity Guidelines by the RAPA engaged in significantly (p < 0.05) more minutes of MVPA than those who were not, while there were no significant differences in minutes of MVPA classified by the SBAS.
Conclusions
The SBAS and the RAPA are both reasonably valid measures for quickly assessing PA and determining compliance to the PA guidelines in Spanish-speaking Mexican Americans. Although the two questionnaires had comparable reliability, the RAPA was better able to distinguish between those who met and did not meet National PA Guidelines.
Women with breast cancer often experience weight gain during and after treatment, significantly increasing risk for recurrence as well as all-cause mortality. Based on a growing body of evidence, meditative movement practices may be effective for weight management. First, we describe the effects of stress on factors associated with weight gain for breast cancer survivors. Then, a model is proposed that utilizes existing evidence to suggest how meditative movement supports behavioral, psychological, and neurohormonal changes that may explain weight loss. Application of the model suggests how a novel "mindful-body-wisdom" approach may work to help reduce weight for this at-risk group.
Women participating in the aesthetic sports of cheerleading, gymnastics, dance, and swimming are more prone to develop eating disorders and higher levels of body dissatisfaction than non-athletes. In addition to successful performance levels, female athletes participating in shape-based sports are expected to maintain a contradicting thin-build body type that not only satisfies society’s standards to look thin but also demonstrates the strength required to perform in specific sports. Female athletes are faced with sociocultural pressures that can lead to adopting thin-idealism, and further result in serious effects on an athlete’s perception of themselves, as well as their physical health. Social comparison and diet culture are other factors that contribute to an athlete’s unhealthy behaviors, and society’s involvement in media to equate beauty with women who have thin bodies and persuade individuals to never feel satisfied with their appearance is so long-established that many athletes strive for perfectionism. This study evaluated the relationship between female athletes in aesthetic sports and their feelings towards their body composition, eating habits, and self-esteem through an online questionnaire. Statistical analysis was conducted to determine trends, if any, between subgroups of respondents (n=58) who identify between 18 to 25 years old and have previously or currently participated in cheerleading, gymnastics, dance, and/or swimming. Data revealed that a majority of respondents often feel insecure about how their body looks during sports participation, and often experience social comparison to their teammates/peers. The most frequent activity to change body composition resulted in skipping meals/hunger cues among cheerleaders, dancers, and gymnasts, while swimmers engaged most in exercising more than once a day. Athletes with 10 or more years of athletic involvement also stated that they moderately to strongly related to the statement: “I think a lot about looking thin.” Ultimately, analysis supports that the sports industry requires more awareness of the health risks associated with certain sports, and how athletes and their coaches lack health-related education regarding proper nutrition, exercise, and body acceptance.