Abstract:
OBJECTIVE:Examine the validity of using high-density electronic ecologic momentary assessment (EMA) to assess physical activity. EMA was further used to explore within- and between-subject variability in adolescent physical activity (PA) patterns. METHODS:Adolescents (n=526, 51% male) participated in EMA waves occurring approximately every 6 months between the 9th and 12th grade. Each wave extended over 4 consecutive days (Thursday to Sunday). Using a Palm III handheld computer, each participant reported his or her primary activity (e.g., exercise, walking, homework) every 30 (+/-10) minutes during waking hours. Heart rate (via Polar heart rate monitor) and activity counts (via wrist accelerometer) were simultaneously assessed during the EMA intervals. RESULTS:Overall, heart rates and accelerometer counts were greater for diary-reported exercise and walking than for nonphysical activities (p's<0.001). EMA revealed that the typical duration of exercise sessions was longer than walking sessions (p<0.05). Rates of walking and exercise were more consistent between waves (i.e., across high school) than within waves (i.e., across the 4 days of monitoring), most likely due to the significantly higher rates of walking and exercise occurring on weekdays as compared to weekend days (p's<0.001). Average rates of walking were greater for girls than boys, and the reverse was true for exercise. Rates of both walking and exercise declined steadily between 9th and 12th grade (p's<0.001). CONCLUSIONS:Physical activity reported via EMA corresponded to objective activity indicators. EMA yielded information about within-person variability in PA that cannot be obtained readily from traditional self-report instruments. Given its potential for simultaneously assessing important physiologic, psychological, and contextual factors, EMA presents a promising approach to studying adolescent physical activity.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Dunton GF,Whalen CK,Jamner LD,Henker B,Floro JNdoi
10.1016/j.amepre.2005.07.020subject
Has Abstractpub_date
2005-11-01 00:00:00pages
281-7issue
4eissn
0749-3797issn
1873-2607pii
S0749-3797(05)00277-1journal_volume
29pub_type
杂志文章abstract:BACKGROUND:Children with chronic conditions have an increased risk of complications from influenza and have low influenza vaccination rates. PURPOSE:To assess the feasibility and effectiveness of using a statewide immunization information system (IIS) for seasonal influenza vaccine reminders from local health departme...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.amepre.2011.09.028
更新日期:2012-01-01 00:00:00
abstract::With low rates of the risk factors for cardiovascular disease as recently as 40 years ago, the rates of cardiovascular disease (CVD) in American Indians and Alaska Natives were exceedingly low. Despite recent large-scale efforts to eliminate health disparities in ethnic and minority populations, the impact among Ameri...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2005.07.023
更新日期:2005-12-01 00:00:00
abstract:BACKGROUND:Stress fractures and other musculoskeletal injuries are major sources of morbidity among female military trainees. Several risk factors have been postulated, particularly pre-existing fitness, usually assessed with post-entry run time for ≥ 1.0 mile. PURPOSE:Physical fitness is not formally evaluated prior ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2012.02.014
更新日期:2012-06-01 00:00:00
abstract:INTRODUCTION:Identification of modifiable risk factors for suicidal behaviors is a priority for the U.S. Army. This study investigated associations of nicotine dependence with suicidal behaviors among incoming soldiers. METHODS:Lifetime DSM-IV nicotine dependence, mental disorders, suicidal behaviors, and their ages o...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2018.09.016
更新日期:2019-03-01 00:00:00
abstract::Project HeartBeat! was a longitudinal "growth" study of cardiovascular disease (CVD) risk factors and body composition in childhood and adolescence. Its findings demonstrate patterns of change from ages 8 to 18 years in anthropometric indicators of adiposity, blood lipid components, and blood pressure measurements, as...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2009.04.013
更新日期:2009-07-01 00:00:00
abstract:INTRODUCTION:Public health research on cancer and socioeconomic status (SES) has shown that higher SES is related to greater access to services. Using neighborhood-level measures of SES, we test hypotheses related to stage of breast and cervical cancer diagnosis. METHODS:SEER data on women diagnosed with breast or cer...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1996-09-01 00:00:00
abstract:INTRODUCTION:Social and behavioral factors play important roles in physical and mental health; however, they are not routinely assessed in the healthcare system. A brief panel of measures of social and behavioral determinants of health (SBDs) were recommended in a National Academy of Medicine report for use in electron...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2017.02.010
更新日期:2017-10-01 00:00:00
abstract:BACKGROUND:The proportion of tuberculosis (TB) cases diagnosed among residents of correctional facilities in Arizona increased from 2.7% in 1993 to 8.0% in 2000, while the national average remained at approximately 4%. The purpose of this study was to determine the proportion of TB cases in Maricopa County, Arizona wit...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2004.10.006
更新日期:2005-02-01 00:00:00
abstract::This paper describes the effectiveness of an incentive-based approach to screening for hypertension by comparing it to two more typical on-site screenings. In the "bounty system," adolescents were trained and certified in blood pressure assessment to enable them to conduct door-to-door blood pressure screenings. The y...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1986-09-01 00:00:00
abstract:INTRODUCTION:Women historically have had difficulty maintaining health insurance, obtaining preventive care, and affording care. The objectives of this study were to describe changes in insurance affordability, healthcare access, and preventive care for women of different income levels after implementation of the Affor...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2018.11.028
更新日期:2019-05-01 00:00:00
abstract:INTRODUCTION:Muscle strength preservation may play an important role in protecting against cardiometabolic diseases, functional decline, musculoskeletal deterioration, and early all-cause mortality. However, sex-specific strength growth charts and curves using data from a U.S.-representative sample and clinically feasi...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2015.05.013
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:Self-reported weight and height are under- and over-reported, respectively, in epidemiologic studies. This tendency, which may adversely affect study operations, has not been evaluated among subjects being enrolled into a weight-loss program. METHODS:Self-reported weight, height, and body mass index (BMI) w...
journal_title:American journal of preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0749-3797(01)00293-8
更新日期:2001-05-01 00:00:00
abstract:INTRODUCTION:Hospitalization provides an opportunity for smokers to quit, but tobacco-cessation interventions started in hospital must continue after discharge to be effective. This study aimed to improve the scalability of a proven effective post-discharge intervention by incorporating referral to a telephone quitline...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.amepre.2016.04.005
更新日期:2016-10-01 00:00:00
abstract:CONTEXT:Osteoporosis is a common and costly disease that is associated with high morbidity and mortality. There is a lack of direct evidence supporting the benefits of bone mineral density (BMD) screening on osteoporosis outcomes. However, there is indirect evidence to support screening for osteoporosis given the avail...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,实务指引,评审
doi:10.1016/j.amepre.2009.01.013
更新日期:2009-04-01 00:00:00
abstract::Deep vein thrombosis (DVT) and pulmonary embolism (PE), known collectively as venous thromboembolism (VTE), affect an estimated 900,000 people in the U.S. each year, resulting in several hundred thousand hospitalizations and about 300,000 deaths. Despite this substantial public health burden, no systematic collection ...
journal_title:American journal of preventive medicine
pub_type:
doi:10.1016/j.amepre.2010.01.010
更新日期:2010-04-01 00:00:00
abstract:BACKGROUND:We examined levels of diabetes preventive care services and glycemic and lipid control among African Americans with diabetes in two North Carolina communities. METHODS:Cross-sectional, population-based study of 625 African-American adults with diagnosed diabetes. Participants had a household interview to de...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(01)00351-8
更新日期:2001-10-01 00:00:00
abstract:INTRODUCTION:This is a preliminary report from a research collaboration between Asian Health Services (community health center); Koreans in Alameda County, California; and the University of California at Berkeley School of Public Health. This five-year Centers for Disease Control and Prevention project supports a colla...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1997-11-01 00:00:00
abstract:INTRODUCTION:English-speaking non-Hispanic Asians (Asians) in the U.S. include populations with multiple geographic origins and ethnicities (e.g., Asian Indian, Chinese, Filipino, Japanese, Korean, and Vietnamese). Health behaviors and outcomes can differ widely among Asian ethnicities, and highlight the importance of ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2018.06.018
更新日期:2018-11-01 00:00:00
abstract:INTRODUCTION:Although there is general agreement among various guidelines on benefits of routine screening mammography, the age of screening initiation and the optimal frequency of the test remain controversial. In 2009, the U.S. Preventive Services Task Force (USPSTF) recommended against routine breast cancer screenin...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2015.02.017
更新日期:2015-09-01 00:00:00
abstract::Risk of clinical relapse among cigarette smokers and nonsmokers was examined in a cohort of 74 adult Crohn's disease (CD) patients who were identified and followed at monthly intervals for six months. We measured clinical activity by a weighted symptom index used previously. Relapse at any point during the study was d...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1990-05-01 00:00:00
abstract:CONTEXT:Worksite-based interventions have been shown to result consistently in significant improvements in weight- and health-related outcomes among the working adult population; however, applicability and effectiveness of studies has often been limited by inadequate reporting of age and ethnicity. This study aimed to ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.amepre.2013.01.015
更新日期:2013-05-01 00:00:00
abstract:INTRODUCTION:States in the Mid-South region are among the least healthy in the nation. This descriptive study examines sociodemographic differences in the distribution of chronic diseases and health-related behaviors in the Mid-South versus the rest of the U.S., identifying subgroups at increased risk of chronic diseas...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2016.09.004
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Physical activity is important for children's health, and identifying factors associated with their physical activity is important for future interventions and public health programs. PURPOSE:This study sought to identify multidimensional correlates of preschool children's physical activity. METHODS:The so...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2012.04.020
更新日期:2012-08-01 00:00:00
abstract::To enhance compliance to physician referral as well as dietary and other lifestyle recommendations given at blood cholesterol (BC) screening programs, we randomized Pawtucket Heart Health Program SCORE (screening, counseling, referral event) participants with elevated BC levels into one of four groups: usual care grou...
journal_title:American journal of preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1994-09-01 00:00:00
abstract:BACKGROUND:The central evaluative question about a national HIV prevention program is whether that program affects HIV incidence. Numerous factors may influence incidence, including public investment in HIV prevention. Few studies, however, have examined the relationship between public investment and the HIV epidemic i...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2006.08.033
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:Infant mortality rates (IMRs) are disproportionally high in the U.S. South; however, the proximate contributors that could inform regional action remain unclear. PURPOSE:To quantify the components of excess infant mortality in the U.S. South by maternal race/ethnicity, underlying cause of death, and gestati...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2013.12.006
更新日期:2014-03-01 00:00:00
abstract:INTRODUCTION:Electronic nicotine delivery system (ENDS) use has increased rapidly in the U.S. in recent years. The availability and use of ENDS raise new issues for public health practice and tobacco regulation, as it is unknown whether patterns of ENDS use enhance, deter, or have no impact on combustible tobacco produ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2015.09.013
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:To date, no study has objectively measured physical activity levels among U.S. adults according to the 2008 Physical Activity Guidelines for Americans (PAGA). PURPOSE:The purpose of this study was to assess self-reported and objectively measured physical activity among U.S. adults according to the PAGA. ME...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2010.12.016
更新日期:2011-04-01 00:00:00
abstract:BACKGROUND:Literature on food environments is expanding rapidly, yet a gap exists regarding the role of the U.S. Department of Agriculture's Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) on healthy food availability. In October 2009, the U.S. Department of Agriculture revised the WIC foo...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2012.06.009
更新日期:2012-10-01 00:00:00
abstract:INTRODUCTION:Brief smoking-cessation interventions in primary care settings are effective, but delivery of these services remains low. The Centers for Medicare and Medicaid Services' Meaningful Use (MU) of Electronic Health Record (EHR) Incentive Program could increase rates of smoking assessment and cessation assistan...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2017.02.006
更新日期:2017-08-01 00:00:00