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Commers G, Victoriano-Habit R, Rodrigue L, Kestens Y, El-Geneidy A. Impacts of commute mode on body mass index: A longitudinal analysis before and during the COVID-19 pandemic. JOURNAL OF TRANSPORT & HEALTH 2023; 30:101615. [PMID: 37096134 PMCID: PMC10099220 DOI: 10.1016/j.jth.2023.101615] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/31/2022] [Revised: 03/27/2023] [Accepted: 04/12/2023] [Indexed: 05/03/2023]
Abstract
Introduction COVID-19 has impacted millions of commuters by decreasing their mobility and transport patterns. While these changes in travel have been studied, less is known about how commute changes may have impacted individuals' body mass index (BMI). The present longitudinal study explores the relationship between commute mode and BMI of employed individuals in Montréal, Canada. Methods This study uses panel data drawn from two waves of the Montréal Mobility Survey (MMS) conducted before and during the COVID-19 pandemic (n = 458). BMI was modeled separately for women and men as a function of commuting mode, WalkScore©, sociodemographic, and behavioral covariates using a multilevel regression modeling approach. Results For women, BMI significantly increased during the COVID-19 pandemic, but telecommuting frequency, and more specifically telecommuting as a replacement of driving, led to a statistically significant decrease in BMI. For men, higher levels of residential local accessibility decreased BMI, while telecommuting did not have a statistically significant effect on BMI. Conclusions This study's findings confirm previously observed gendered differences in the relations between the built environment, transport behaviors, and BMI, while offering new insights regarding the impacts of the changes in commute patterns linked to the COVID-19 pandemic. Since some of the COVID-19 impacts on commute are expected to be lasting, findings from this research can be of use by health and transport practitioners as they work towards generating policies that improve population health.
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2
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Severin R, Sabbahi A, Arena R, Phillips SA. Precision Medicine and Physical Therapy: A Healthy Living Medicine Approach for the Next Century. Phys Ther 2022; 102:6413905. [PMID: 34718788 DOI: 10.1093/ptj/pzab253] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/28/2021] [Revised: 08/27/2021] [Accepted: 10/20/2021] [Indexed: 11/14/2022]
Abstract
There is a reciprocal relationship between common health conditions encountered in physical therapist practice, disability, and healthy living factors, such as physical inactivity, blood pressure, sleep quality, diet, and obesity. This relationship is apparent across all practice settings. Physical therapists are well positioned in the health care system to mitigate chronic disease by routinely screening and addressing healthy living factors to improve overall health and lower the risk for chronic disease (healthy living medicine). However, there are several challenges to the successful implementation of this framework in physical therapist practice. This Perspective will elucidate this relationship between healthy living behaviors and physical therapist practice, review the current state of practice regarding screening and intervention of 5 key healthy living behaviors, and outline future steps the profession can take toward implementing precision medicine using a healthy living medicine approach.
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Affiliation(s)
- Richard Severin
- Department of Physical Therapy Program, University of Illinois-Chicago, Chicago, Illinois, USA.,Department of Physical Therapy, Robbins College of Health and Human Sciences, Baylor University, Waco, Texas, USA
| | - Ahmad Sabbahi
- Department of Physical Therapy Program, University of Illinois-Chicago, Chicago, Illinois, USA
| | - Ross Arena
- Department of Physical Therapy Program, University of Illinois-Chicago, Chicago, Illinois, USA
| | - Shane A Phillips
- Department of Physical Therapy Program, University of Illinois-Chicago, Chicago, Illinois, USA
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3
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Deierlein AL, Antoniak K, Chan M, Sassano C, Stein CR. Pregnancy-related outcomes among women with physical disabilities: A systematic review. Paediatr Perinat Epidemiol 2021; 35:758-778. [PMID: 34431112 DOI: 10.1111/ppe.12781] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/19/2021] [Revised: 04/21/2021] [Accepted: 05/02/2021] [Indexed: 01/26/2023]
Abstract
BACKGROUND Disability among women of reproductive age is common; many of these women desire children and do not have impaired fertility. OBJECTIVES To examine the epidemiological literature on perinatal health outcomes among women with physical disabilities. DATA SOURCES We searched Medline and CINAHL for articles published January 2009-April 2020 following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. STUDY SELECTION AND DATA EXTRACTION Eligible studies were observational, quantitative, and reported on physical disabilities in association with prenatal, perinatal, postpartum, and/or infant health outcomes. We included studies that grouped physical and non-physical disabilities, such as surveys that queried only about general daily life limitations. We excluded case reports, descriptive studies without comparison groups, and studies conducted in low- or middle-income countries. Data extraction was done using predefined data fields. SYNTHESIS All authors were involved in screening activities, data extraction, and/or quality assessment (rating and areas for bias). RESULTS A total of 2650 articles were evaluated, of which sixteen met inclusion criteria (8 cross-sectional studies and 8 retrospective cohort studies). Assessments of disability status and perinatal outcomes widely varied across studies. Studies were rated as poor (n = 8) or fair quality (n = 8). Findings suggested that women with physical disabilities were at risk of several adverse outcomes, including caesarean delivery, infections, preterm complications, and maternal post-delivery hospitalisations, while their infants may be at risk of low birthweight and small-for-gestational age. Women classified as having complex/severe disabilities were often observed to be at higher risk of adverse outcomes compared to women with less severe disabilities. CONCLUSIONS Research assessing how physical, functional, and medical restrictions influence health outcomes among women with physical disabilities, from preconception through postpartum, is limited. Longitudinal studies with comprehensive data collection that accurately identify women with physical disabilities are critical to understanding their reproductive health risks and outcomes.
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Affiliation(s)
| | | | - Melany Chan
- School of Global Public Health, New York University, New York, NY, USA
| | - Caprice Sassano
- School of Global Public Health, New York University, New York, NY, USA
| | - Cheryl R Stein
- Department of Child and Adolescent Psychiatry, Hassenfeld Children's Hospital at New York University, New York, NY, USA
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4
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Prynn JE, Dube A, Mwaiyeghele E, Mwiba O, Geis S, Koole O, Nyirenda M, Kuper H, Crampin AC. Self-reported disability in rural Malawi: prevalence, incidence, and relationship to chronic conditions. Wellcome Open Res 2021; 4:90. [PMID: 33336079 DOI: 10.12688/wellcomeopenres.15196.1] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/29/2019] [Indexed: 12/31/2022] Open
Abstract
Background: Disability is a complex concept involving physical impairment, activity limitation, and participation restriction. The Washington Group developed a set of questions on six functional domains (seeing, hearing, walking, remembering, self-care, and communicating) to allow collection of comparable data on disability. We aimed to improve understanding of prevalence and correlates of disability in this low-income setting in Malawi. Methods: This study is nested in the Karonga Health and Demographic Surveillance Site in Malawi; the Washington Group questions were added to the annual survey in 2014. We used cross-sectional data from the 2014 survey to estimate the current prevalence of disability and examine associations of disability with certain chronic conditions. We then reviewed the incidence and resolution of disability over time using panel data from the 2015 survey. Results: Of 10,863 participants, 9.6% (95% CI 9.0-10.1%) reported disability in at least one domain. Prevalence was higher among women and increased with age. Diabetes and obesity were associated with disability among women, and diabetes was also associated with disability among men. Neither hypertension nor HIV were associated with disability. Participants reporting "no difficulty" or "can't do at all" for any domain were likely to report the same status one year later, whereas there was considerable movement between people describing "some difficulty" and "a lot of difficulty". Conclusions: Disability prevalence is high and likely to increase over time. Further research into the situation of this population is crucial to ensure inclusive policies are created and sustainable development goals are met.
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Affiliation(s)
- Josephine E Prynn
- Malawi Epidemiology and Intervention Research Unit (MEIRU), Lilongwe, Malawi.,University College London, London, UK
| | - Albert Dube
- Malawi Epidemiology and Intervention Research Unit (MEIRU), Lilongwe, Malawi
| | - Elenaus Mwaiyeghele
- Malawi Epidemiology and Intervention Research Unit (MEIRU), Lilongwe, Malawi
| | - Oddie Mwiba
- Malawi Epidemiology and Intervention Research Unit (MEIRU), Lilongwe, Malawi
| | - Steffen Geis
- Malawi Epidemiology and Intervention Research Unit (MEIRU), Lilongwe, Malawi.,London School of Hygiene & Tropical Medicine, London, UK.,Institute for Medical Microbiology and Hygiene, Phillips University of Marburg, Marburg, Germany
| | - Olivier Koole
- Malawi Epidemiology and Intervention Research Unit (MEIRU), Lilongwe, Malawi.,London School of Hygiene & Tropical Medicine, London, UK
| | - Moffat Nyirenda
- Malawi Epidemiology and Intervention Research Unit (MEIRU), Lilongwe, Malawi.,London School of Hygiene & Tropical Medicine, London, UK.,MRC/UVRI Uganda Research Unit, Entebbe, Uganda
| | - Hannah Kuper
- London School of Hygiene & Tropical Medicine, London, UK
| | - Amelia C Crampin
- Malawi Epidemiology and Intervention Research Unit (MEIRU), Lilongwe, Malawi.,London School of Hygiene & Tropical Medicine, London, UK
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5
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Prynn JE, Dube A, Mwaiyeghele E, Mwiba O, Geis S, Koole O, Nyirenda M, Kuper H, Crampin AC. Self-reported disability in rural Malawi: prevalence, incidence, and relationship to chronic conditions. Wellcome Open Res 2021; 4:90. [PMID: 33336079 PMCID: PMC7722531 DOI: 10.12688/wellcomeopenres.15196.5] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/20/2021] [Indexed: 12/20/2022] Open
Abstract
Background: Disability is a complex concept involving physical impairment, activity limitation, and participation restriction. The Washington Group developed a set of questions on six functional domains (seeing, hearing, walking, remembering, self-care, and communicating) to allow collection of comparable data on disability. We aimed to improve understanding of prevalence and correlates of disability in this low-income setting in Malawi. Methods: This study is nested in the Karonga Health and Demographic Surveillance Site in Malawi; the Washington Group questions were added to the annual survey in 2014. We used cross-sectional data from the 2014 survey to estimate the current prevalence of disability and examine associations of disability with certain chronic conditions. We then reviewed the incidence and resolution of disability over time using panel data from the 2015 survey. Results: Of 10,863 participants, 9.6% (95% CI 9.0-10.1%) reported disability in at least one domain. Prevalence was higher among women and increased with age. Diabetes and obesity were associated with disability among women, and diabetes was also associated with disability among men. Neither hypertension nor HIV were associated with disability. Participants reporting “no difficulty” or “can’t do at all” for any domain were likely to report the same status one year later, whereas there was considerable movement between people describing “some difficulty” and “a lot of difficulty”. Conclusions: Disability prevalence is high and likely to increase over time. Further research into the situation of this population is crucial to ensure inclusive policies are created and sustainable development goals are met.
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Affiliation(s)
- Josephine E Prynn
- Malawi Epidemiology and Intervention Research Unit (MEIRU), Lilongwe, Malawi.,University College London, London, UK
| | - Albert Dube
- Malawi Epidemiology and Intervention Research Unit (MEIRU), Lilongwe, Malawi
| | - Elenaus Mwaiyeghele
- Malawi Epidemiology and Intervention Research Unit (MEIRU), Lilongwe, Malawi
| | - Oddie Mwiba
- Malawi Epidemiology and Intervention Research Unit (MEIRU), Lilongwe, Malawi
| | - Steffen Geis
- Malawi Epidemiology and Intervention Research Unit (MEIRU), Lilongwe, Malawi.,London School of Hygiene & Tropical Medicine, London, UK.,Institute for Medical Microbiology and Hygiene, Phillips University of Marburg, Marburg, Germany
| | - Olivier Koole
- Malawi Epidemiology and Intervention Research Unit (MEIRU), Lilongwe, Malawi.,London School of Hygiene & Tropical Medicine, London, UK
| | - Moffat Nyirenda
- Malawi Epidemiology and Intervention Research Unit (MEIRU), Lilongwe, Malawi.,London School of Hygiene & Tropical Medicine, London, UK.,MRC/UVRI Uganda Research Unit, Entebbe, Uganda
| | - Hannah Kuper
- London School of Hygiene & Tropical Medicine, London, UK
| | - Amelia C Crampin
- Malawi Epidemiology and Intervention Research Unit (MEIRU), Lilongwe, Malawi.,London School of Hygiene & Tropical Medicine, London, UK
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BMI, weight change, and incidence of disability among Korean adults: A nationwide retrospective cohort study. Disabil Health J 2021; 14:101104. [PMID: 33846111 DOI: 10.1016/j.dhjo.2021.101104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2020] [Revised: 03/21/2021] [Accepted: 03/25/2021] [Indexed: 11/22/2022]
Abstract
BACKGROUND Little is known about the risk of acquired disability diagnosed by a physician in relation to baseline BMI and weight change, particularly in the Asian population. OBJECTIVE This study assessed the association of baseline BMI and weight change with incidence of disability. METHODS This study included 331,900 individuals aged ≥40 years who participated in two health-screening programs since 2002 or 2003 and who were followed up until 2013. This study measured the baseline BMI and weight change for two years and estimated the adjusted hazard ratio (aHR) of the risk of acquired disability diagnosed by a physician using a Cox proportional hazards model. RESULTS This study identified 1758 incident disability cases during an average follow-up period of 10.7 ± 1.3 years from baseline (9.1 ± 1.4 years from the follow-up health screening). Baseline underweight (BMI<18.5 kg/m2) was associated with an increased risk of acquired disability compared with those with normal BMI (aHR, 1.44; 95% confidence interval [CI], 1.14-1.83). The risk of acquired disability was higher in individuals with weight loss of 5-10% (aHR, 1.21; 95% CI, 1.04-1.40), weight loss of ≥10% (aHR, 1.61; 95% CI, 1.27-2.04), weight gain of 5-10% (aHR, 1.30; 95% CI, 1.12-1.52), or weight gain of ≥10% (aHR, 1.35; 95% CI, 1.09-1.75) compared to those with weight change of <5%. CONCLUSION This study demonstrated that baseline underweight and weight changes (both loss and gain) are associated with an increased risk of acquired disability.
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Prynn JE, Dube A, Mwaiyeghele E, Mwiba O, Geis S, Koole O, Nyirenda M, Kuper H, Crampin AC. Self-reported disability in rural Malawi: prevalence, incidence, and relationship to chronic conditions. Wellcome Open Res 2020; 4:90. [DOI: 10.12688/wellcomeopenres.15196.4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/17/2020] [Indexed: 11/20/2022] Open
Abstract
Background: Disability is a complex concept involving physical impairment, activity limitation, and participation restriction. The Washington Group developed a set of questions on six functional domains (seeing, hearing, walking, remembering, self-care, and communicating) to allow collection of comparable data on disability. We aimed to improve understanding of prevalence and correlates of disability in this low-income setting in Malawi. Methods: This study is nested in the Karonga Health and Demographic Surveillance Site in Malawi; the Washington Group questions were added to the annual survey in 2014. We used cross-sectional data from the 2014 survey to estimate the current prevalence of disability and examine associations of disability with certain chronic conditions. We then reviewed the incidence and resolution of disability over time using panel data from the 2015 survey. Results: Of 10,863 participants, 9.6% (95% CI 9.0-10.1%) reported disability in at least one domain. Prevalence was higher among women and increased with age. Diabetes and obesity were associated with disability among women, and diabetes was also associated with disability among men. Neither hypertension nor HIV were associated with disability. Participants reporting “no difficulty” or “can’t do at all” for any domain were likely to report the same status one year later, whereas there was considerable movement between people describing “some difficulty” and “a lot of difficulty”. Conclusions: Disability prevalence is high and likely to increase over time. Further research into the situation of this population is crucial to ensure inclusive policies are created and sustainable development goals are met.
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8
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Prynn JE, Dube A, Mwaiyeghele E, Mwiba O, Geis S, Koole O, Nyirenda M, Kuper H, Crampin AC. Self-reported disability in rural Malawi: prevalence, incidence, and relationship to chronic conditions. Wellcome Open Res 2020; 4:90. [DOI: 10.12688/wellcomeopenres.15196.3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/14/2020] [Indexed: 11/20/2022] Open
Abstract
Background: Disability is a complex concept involving physical impairment, activity limitation, and participation restriction. The Washington Group developed a set of questions on six functional domains (seeing, hearing, walking, remembering, self-care, and communicating) to allow collection of comparable data on disability. We aimed to improve understanding of prevalence and correlates of disability in this low-income setting in Malawi. Methods: This study is nested in the Karonga Health and Demographic Surveillance Site in Malawi; the Washington Group questions were added to the annual survey in 2014. We used cross-sectional data from the 2014 survey to estimate the current prevalence of disability and examine associations of disability with certain chronic conditions. We then reviewed the incidence and resolution of disability over time using panel data from the 2015 survey. Results: Of 10,863 participants, 9.6% (95% CI 9.0-10.1%) reported disability in at least one domain. Prevalence was higher among women and increased with age. Diabetes and obesity were associated with disability among women, and diabetes was also associated with disability among men. Neither hypertension nor HIV were associated with disability. Participants reporting “no difficulty” or “can’t do at all” for any domain were likely to report the same status one year later, whereas there was considerable movement between people describing “some difficulty” and “a lot of difficulty”. Conclusions: Disability prevalence is high and likely to increase over time. Further research into the situation of this population is crucial to ensure inclusive policies are created and sustainable development goals are met.
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9
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Prynn JE, Dube A, Mwaiyeghele E, Mwiba O, Geis S, Koole O, Nyirenda M, Kuper H, Crampin AC. Self-reported disability in rural Malawi: prevalence, incidence, and relationship to chronic conditions. Wellcome Open Res 2019; 4:90. [DOI: 10.12688/wellcomeopenres.15196.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/19/2019] [Indexed: 11/20/2022] Open
Abstract
Background: Disability is a complex concept involving physical impairment, activity limitation, and participation restriction. The Washington Group developed a set of questions on six functional domains (seeing, hearing, walking, remembering, self-care, and communicating) to allow collection of comparable data on disability. We aimed to improve understanding of prevalence and correlates of disability in the low-income setting of Malawi. Methods: This study is nested in the Karonga Health and Demographic Surveillance Site in Malawi; the Washington Group questions were added to the annual survey in 2014. We used cross-sectional data from the 2014 survey to estimate the current prevalence of disability and examine associations of disability with certain chronic conditions. We then reviewed the consistency of responses to the questions over time using data from the 2015 survey. Results: Of 10,863 participants, 9.6% (95% CI 9.0-10.1%) reported disability in at least one domain. Prevalence was higher among women and increased with age. Obesity and diabetes were associated with disability, but hypertension and HIV were not. Participants reporting “no difficulty” or “can’t do at all” for any domain were likely to report the same status one year later, whereas there was considerable movement between people describing “some difficulty” and “a lot of difficulty”. Conclusions: Disability prevalence is high and likely to increase over time. Further research into the situation of this population is crucial to ensure inclusive policies are created and sustainable development goals are met.
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Affiliation(s)
- Christine A. Smith
- Psychology and Human Development, University of Wisconsin-Green Bay, Green Bay, Wisconsin
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11
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Courtney-Long EA, Stevens AC, Carroll DD, Griffin-Blake S, Omura JD, Carlson SA. Primary Care Providers' Level of Preparedness for Recommending Physical Activity to Adults With Disabilities. Prev Chronic Dis 2017; 14:E114. [PMID: 29144893 PMCID: PMC5695639 DOI: 10.5888/pcd14.170328] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
INTRODUCTION Adults with disabilities are more likely to be physically inactive than those without disabilities. Although receiving a health care provider recommendation is associated with physical activity participation in this population, there is little information on factors associated with primary care providers recommending physical activity to patients with disabilities. METHODS We used 2014 DocStyles data to assess primary care provider characteristics and perceived barriers to and knowledge-related factors of recommending physical activity to adult patients with disabilities, by how prepared primary care providers felt in making recommendations. We used log-binomial regression to estimate adjusted prevalence ratios (PRs) and 95% confidence intervals (CIs) between recommending physical activity at most visits and primary care provider characteristics and preparedness. RESULTS Most primary care providers strongly (36.3%) or somewhat (43.3%) agreed they felt prepared to recommend physical activity to patients with disabilities. We found significant trends between preparedness and primary care provider age (P = .001) and number of patients with disabilities seen per week (P < .001). Half (50.6%) of primary care providers recommend physical activity to patients with disabilities at most visits. Primary care providers who strongly agreed (adjusted PR, 1.74; 95% CI, 1.44-2.09) or somewhat agreed (adjusted PR, 1.36; 95% CI, 1.22-1.65) they felt prepared were more likely to recommend physical activity at most visits compared with those who were neutral or disagreed. CONCLUSION Primary care providers are more likely to recommend physical activity to patients with disabilities regularly if they feel prepared. Understanding factors and barriers associated with preparedness can help public health programs develop and disseminate resources for primary care providers to promote physical activity among adults with disabilities.
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Affiliation(s)
- Elizabeth A Courtney-Long
- Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, 4770 Buford Hwy, Mail Stop E-88, Atlanta, GA 30341-3717.
| | - Alissa C Stevens
- Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Dianna D Carroll
- Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia
- Commissioned Corps, US Public Health Service, Atlanta, Georgia
| | - Shannon Griffin-Blake
- Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - John D Omura
- Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Susan A Carlson
- Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
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Donini LM, Rosano A, Di Lazzaro L, Poggiogalle E, Lubrano C, Migliaccio S, Carbonelli M, Pinto A, Lenzi A. Validation of the Italian version of the Laval questionnaire: health-related quality of life in subjects with obesity. Health Qual Life Outcomes 2017; 15:101. [PMID: 28506319 PMCID: PMC5432971 DOI: 10.1186/s12955-017-0671-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2017] [Accepted: 04/28/2017] [Indexed: 01/22/2023] Open
Abstract
Background Obesity is associated to increased risk of metabolic comorbidity as well as increased mortality. Notably, obesity is also associated to the impairment of the psychological status and of quality of life. Only three questionnaires are available in the Italian language evaluating the health-related quality of life in subjects with obesity. The aim of the present study was to test the validity and reliability of the Italian version of the Laval Questionnaire. Methods The original French version was translated into Italian and back-translated by a French native speaker. 273 subjects with obesity (Body Mass Index ≥ 30 kg/m2) were enrolled; the Italian version of the Laval Questionnaire and the O.R.Well-97 questionnaire were administered in order to assess health- related quality of life. The Laval questionnaire consists of 44 items distributed in 6 domains (symptoms, activity/mobility, personal hygiene/clothing, emotions, social interaction, sexual life). Disability and overall psychopathology levels were assessed through the TSD-OC test (SIO test for obesity correlated disabilities) and the SCL-90 (Symptom Checklist-90) questionnaire, respectively. To verify the validity of the Italian version, the analysis of internal consistency, test-retest reliability, and construct validity were performed. Results The observed proportion of agreement concordance of results was 50.2% with Cohen’s K = 0.336 (CI 95%: 0.267–0.404), indicating a fair agreement between the two tests. Test-retest correlation was statistically significant (ρ = 0.82; p < 0.01); validity (standardized Chronbach’s alpha) was considered reliable (α > 0.70). The analysis of construct validity showed a statistically significant association in terms of both total score (ρ = −0.66) and scores at each single domain (p < 0.01). A high correlation (p < 0.01) was observed between Laval questionnaire total and single domain scores and other related measures (Body Mass Index, TSD-OC scores, SCL-90 global severity index), revealing a high construct validity of the test. Conclusions The Italian version of the Laval Questionnaire is a valid and reliable measure to assess the health-related quality of life in subjects with obesity.
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Affiliation(s)
- Lorenzo Maria Donini
- High Specialization Centre for the Care of Obesity ("CASCO"), Department of Experimental Medicine, Medical Pathophysiology, Food Science and Endocrinology Section, "Sapienza" University of Rome, Rome, Italy. .,"Sapienza" University of Rome, Department of Experimental Medicine- Medical Pathophysiology, Food Science and Endocrinology Section, Food Science and Human Research Unit, p.le Aldo Moro n.5, 00185, Rome, Italy.
| | | | - Luca Di Lazzaro
- High Specialization Centre for the Care of Obesity ("CASCO"), Department of Experimental Medicine, Medical Pathophysiology, Food Science and Endocrinology Section, "Sapienza" University of Rome, Rome, Italy
| | - Eleonora Poggiogalle
- High Specialization Centre for the Care of Obesity ("CASCO"), Department of Experimental Medicine, Medical Pathophysiology, Food Science and Endocrinology Section, "Sapienza" University of Rome, Rome, Italy
| | - Carla Lubrano
- High Specialization Centre for the Care of Obesity ("CASCO"), Department of Experimental Medicine, Medical Pathophysiology, Food Science and Endocrinology Section, "Sapienza" University of Rome, Rome, Italy
| | | | | | - Alessandro Pinto
- High Specialization Centre for the Care of Obesity ("CASCO"), Department of Experimental Medicine, Medical Pathophysiology, Food Science and Endocrinology Section, "Sapienza" University of Rome, Rome, Italy
| | - Andrea Lenzi
- High Specialization Centre for the Care of Obesity ("CASCO"), Department of Experimental Medicine, Medical Pathophysiology, Food Science and Endocrinology Section, "Sapienza" University of Rome, Rome, Italy
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13
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Courtney-Long EA, Romano SD, Carroll DD, Fox MH. Socioeconomic Factors at the Intersection of Race and Ethnicity Influencing Health Risks for People with Disabilities. J Racial Ethn Health Disparities 2017; 4:213-222. [PMID: 27059052 PMCID: PMC5055843 DOI: 10.1007/s40615-016-0220-5] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2015] [Revised: 02/19/2016] [Accepted: 03/09/2016] [Indexed: 12/29/2022]
Abstract
OBJECTIVES People with disabilities are known to experience disparities in behavioral health risk factors including smoking and obesity. What is unknown is how disability, race/ethnicity, and socioeconomic status combine to affect prevalence of these health behaviors. We assessed the association between race/ethnicity, socioeconomic factors (income and education), and disability on two behavioral health risk factors. METHODS Data from the 2007-2010 Behavioral Risk Factor Surveillance System were used to determine prevalence of cigarette smoking and obesity by disability status, further stratified by race and ethnicity as well as income and education. Logistic regression was used to determine associations of income and education with the two behavioral health risk factors, stratified by race and ethnicity. RESULTS Prevalence of disability by race and ethnicity ranged from 10.1 % of Asian adults to 31.0 % of American Indian/Alaska Native (AIAN) adults. Smoking prevalence increased with decreasing levels of income and education for most racial and ethnic groups, with over half of white (52.4 %) and AIAN adults (59.3 %) with less than a high school education reporting current smoking. Education was inversely associated with obesity among white, black, and Hispanic adults with a disability. CONCLUSION Smoking and obesity varied by race and ethnicity and socioeconomic factors (income and education) among people with disabilities. Our findings suggest that disparities experienced by adults with disabilities may be compounded by disparities associated with race, ethnicity, and socioeconomic factors. This knowledge may help programs in formulating health promotion strategies targeting people at increased risk for smoking and obesity, inclusive of those with disabilities.
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Affiliation(s)
- Elizabeth A Courtney-Long
- Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, 4770 Buford Hwy, Mailstop E-88, Atlanta, GA, 30341-3717, USA.
| | - Sebastian D Romano
- Oak Ridge Institute for Science and Education Fellowship with the National Center on Birth Defects and Developmental Disabilities, Atlanta, GA, USA
- Center for Surveillance, Epidemiology and Laboratory Services, Centers for Disease Control and Prevention, 1600 Clifton Rd, NE MS E-97, Atlanta, GA, 30333, USA
| | - Dianna D Carroll
- Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, 4770 Buford Hwy, Mailstop E-88, Atlanta, GA, 30341-3717, USA
- Commissioned Corps, U.S. Public Health Service, Atlanta, GA, USA
| | - Michael H Fox
- Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, 4770 Buford Hwy, Mailstop E-88, Atlanta, GA, 30341-3717, USA
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Reifegerste D, Wasgien K, Hagen LM. Online social support for obese adults: Exploring the role of forum activity. Int J Med Inform 2017; 101:1-8. [PMID: 28347439 DOI: 10.1016/j.ijmedinf.2017.02.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2015] [Revised: 01/18/2017] [Accepted: 02/03/2017] [Indexed: 01/08/2023]
Abstract
PURPOSE Worldwide, the number of obese persons continues to grow. Online-mediated self-help groups represent an opportunity for obese persons to support each other. The aim of our study was to evaluate whether and how the use of and active participation in online self-help groups is associated with perceived informational and emotional support among obese adults. METHODS We conducted an online-based questionnaire (N=230) with users of online self-help groups for obese adults in Germany. RESULTS Findings revealed that forum activity is significantly correlated with perceived informational and emotional support. While asking questions was strongly correlated with both types of social support, sharing opinions and answering posts were more strongly correlated with perceived emotional support. CONCLUSION The level of social support in online communities depends on an individual's forum activity. Our findings offer a foundation for professionals in the health care sector to enhance their understanding, make recommendations, and further develop online self-help groups.
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Affiliation(s)
- Doreen Reifegerste
- Department of Journalism and Communication Research, Hanover University of Music, Drama and Media, Germany.
| | - Katrin Wasgien
- Institute of Media and Communication, University of Technology Dresden, Germany
| | - Lutz M Hagen
- Institute of Media and Communication, University of Technology Dresden, Germany
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Luck-Sikorski C, Riedel-Heller SG. Obesity as a disability – A representative survey of individuals with obesity from Germany. Disabil Health J 2017; 10:152-156. [DOI: 10.1016/j.dhjo.2016.06.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2016] [Revised: 06/13/2016] [Accepted: 06/18/2016] [Indexed: 11/29/2022]
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16
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Papas MA, Trabulsi JC, Axe M, Rimmer JH. Predictors of Obesity in a US Sample of High School Adolescents With and Without Disabilities. THE JOURNAL OF SCHOOL HEALTH 2016; 86:803-812. [PMID: 27714868 PMCID: PMC5621740 DOI: 10.1111/josh.12436] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/08/2015] [Revised: 03/05/2016] [Accepted: 05/10/2016] [Indexed: 06/06/2023]
Abstract
BACKGROUND Childhood obesity is a major public health concern. Children with disabilities have a higher prevalence of obesity. OBJECTIVE We examined factors associated with obesity within a cross-sectional study of US adolescents with and without disabilities. METHODS Data were obtained from the 2011 Youth Risk Behavior Survey. Logistic regression models were fitted to assess effects of dietary habits, physical activity, and unhealthy weight control behaviors on obesity. Effect modification by disability status was examined. RESULTS Twenty percent (1986 of 9775 participants) reported a disability. Adolescents with disabilities were more likely to be obese (odds ratio [OR] = 1.7; 95% confidence interval [CI]: 1.3-2.1) and have at least 1 unhealthy weight control behavior (OR = 2.0; 95% CI: 1.6-2.5), and were less likely to be physically active (OR = 0.5; 95% CI: 0.4-0.6). Lack of physical activity, increased television watching/video game playing, and unhealthy weight loss behaviors were significantly associated with obesity regardless of disability status (p-for-interaction >.05). CONCLUSIONS Successful obesity interventions should target diet, physical activity, and weight control among adolescents with disabilities. Understanding barriers to healthier diet and physical activity for this population is critical to developing effective obesity prevention programs and reducing the prevalence of unhealthy weight control behaviors.
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Affiliation(s)
- Mia A Papas
- Department of Behavioral Health and Nutrition, College of Health Sciences, University of Delaware, 26 North College Avenue, Newark, DE 19716.
| | - Jillian C Trabulsi
- Department of Behavioral Health and Nutrition, College of Health Sciences, University of Delaware, 26 North College Avenue, Newark, DE 19716.
| | - Michelle Axe
- Department of Behavioral Health and Nutrition, College of Health Sciences, University of Delaware, 26 North College Avenue, Newark, DE 19716.
| | - James H Rimmer
- School of Health Professions, University of Alabama at Birmingham, SHPB 331, 1530 S. 3rd Avenue, Birmingham, AL 35294-3361.
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de Munter JS, Tynelius P, Ahlström G, Rasmussen F. The bidirectional association between body weight and mobility disability: A population-based cohort. Disabil Health J 2016; 9:632-7. [PMID: 27528493 DOI: 10.1016/j.dhjo.2016.06.001] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2015] [Revised: 05/06/2016] [Accepted: 06/09/2016] [Indexed: 01/21/2023]
Abstract
BACKGROUND Obesity is more common in people with mobility disability than in non-disabled individuals, but less is known about the longitudinal effects leading to this health state. OBJECTIVE To explore the potential bidirectional association between mobility disability and obesity. METHODS Participants were identified in the population-based Stockholm Public Health Cohort (2002-2010, n = 17 945). Observations with schizophrenia, depression, eating disorder, or cancer within 5 years during and prior to baseline were excluded. Mobility disability and height and weight to calculate BMI (kg/m(2)) were self-reported. We used multivariate-adjusted regression models to estimate relative risks (RRs) and 95% confidence intervals (CI) based on new cases of mobility disability in cohorts that were obese, overweight or normal weight at baseline, and increases in BMI over time by mobility disability status. RESULTS Obesity at baseline was associated with incident mobility disability. The highest risk was observed in middle-aged women (RR = 3.95, CI = 2.35-6.65). Young men and middle-aged women with long-term mobility disability increased more in BMI (men: 1.55 kg/m(2), 0.61-2.49; women: 0.38, 0.01-0.75), as well as young and middle-aged people with incident mobility disability (young men: 0.68 kg/m(2), 0.10-1.27; middle-aged men: 0.49, 0.20-0.77; young women: 1.41, 0.94-1.87; middle-aged women: 0.64, 0.36-0.93) compared to the groups without any mobility disability. CONCLUSIONS In this paper, we demonstrated the bidirectional and longitudinal associations between body weight and mobility disability and thus the increased risk of developing the combination over time from either condition. Effective health-promotion and prevention strategies are needed to prevent worse health for these vulnerable groups in society.
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Affiliation(s)
- Jeroen S de Munter
- Child and Adolescent Public Health Epidemiology Research Group, Department of Public Health Sciences, Karolinska Institutet, Sweden.
| | - Per Tynelius
- Child and Adolescent Public Health Epidemiology Research Group, Department of Public Health Sciences, Karolinska Institutet, Sweden
| | - Gerd Ahlström
- The Swedish Institute for Health Sciences, Department of Health Sciences, Lund University, Sweden
| | - Finn Rasmussen
- Child and Adolescent Public Health Epidemiology Research Group, Department of Public Health Sciences, Karolinska Institutet, Sweden
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Abstract
PURPOSE OF REVIEW The interaction between fall and fracture risk factors is an area of increasing clinical relevance, but little information is known about the age-specific issues in bone health unique to HIV-infected adults. The present review will focus on what is known about falls and fall risk factors among HIV-infected adults, and then review the association between decreased muscle, increased adiposity, and frailty with both low bone mineral density (BMD) and falls. RECENT FINDINGS The rate of falls among middle-aged HIV-infected adults is similar to that of HIV-uninfected adults 65 years and older. Many of the clinical factors that contribute to low BMD overlap with risk factors for falls, resulting in a high risk of a serious fall among older adults with the greatest risk for a fracture. Low muscle mass, increased adiposity and metabolic syndrome, physical function impairment and frailty, common among older HIV-infected adults, contribute to an increased risk for low BMD and falls, and subsequently, may increase the risk of fracture among HIV-infected older adults. SUMMARY Interventions with dual benefit on reducing fall risk and improving BMD are likely to have the greatest impact on fracture prevention in the older, HIV-infected adult.
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Affiliation(s)
- Kristine M Erlandson
- aUniversity of Colorado, Aurora, Colorado, USA bUniversity of Modena and Reggio Emilia, Modena, Italy cMcGill University, Montreal, Quebec, Canada
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Pool SM, Hoyle JM, Malone LA, Cooper L, Bickel CS, McGwin G, Rimmer JH, Eberhardt AW. Navigation of a virtual exercise environment with Microsoft Kinect by people post-stroke or with cerebral palsy. Assist Technol 2016; 28:225-232. [DOI: 10.1080/10400435.2016.1167789] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Bussière C, Sicsic J, Pelletier-Fleury N. The effects of obesity and mobility disability in access to breast and cervical cancer screening in france: results from the national health and disability survey. PLoS One 2014; 9:e104901. [PMID: 25133662 PMCID: PMC4136821 DOI: 10.1371/journal.pone.0104901] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2014] [Accepted: 07/15/2014] [Indexed: 12/01/2022] Open
Abstract
Objectives We aimed to disentangle the effects of obesity and mobility limitation on cervical and breast cancer screening among community dwelling women. Methods The data source was the French national Health and Disability Survey - Household Section, 2008. The Body Mass Index (BMI) was used to categorize obesity status. We constructed a continuous score of mobility limitations to assess the severity of disability (Cronbach's alpha = 0.84). Logistic regressions were performed to examine the association between obesity, mobility limitations and the use of Pap test (n = 8 133) and the use of mammography (n = 7 561). Adjusted odds ratios were calculated (AOR). Interaction terms between obesity and the disability score were included in models testing for effect modifications. Results Compared with non-obese women, the odds of having a Pap test in the past 3 years was 24% lower in obese women (AOR = 0.76; 95% CI: 0.65 to 0.89), the odds of having a mammogram in the past 2 years was 23% lower (AOR = 0.77; 95% CI: 0.66 to 0.91). Each time the disability score was 5 points higher, the odds of having a Pap test decreases by 20% (AOR = 0.96; 95% CI: 0.94 to 0.98), the odds of having a mammogram decreases by 25% (AOR = 0.95; 95% CI: 0.94 to 0.97). There was no significant interaction between obesity and disability score. Conclusion Obesity and mobility limitation are independently associated with a lower likelihood of cervical and breast cancer screening. Protective outreach and follow-up are necessary to reduce inequalities and thus to reduce health disparities in these vulnerable and high-risk populations of obese women with disabilities.
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Yin Z, Shi X, Kraus VB, Brasher MS, Chen H, Liu Y, Lv Y, Zeng Y. Gender-dependent association of body mass index and waist circumference with disability in the Chinese oldest old. Obesity (Silver Spring) 2014; 22:1918-1925. [PMID: 24777985 PMCID: PMC4114995 DOI: 10.1002/oby.20775] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/27/2014] [Revised: 03/23/2014] [Accepted: 04/13/2014] [Indexed: 12/22/2022]
Abstract
OBJECTIVES To explore associations of BMI and waist circumference (WC) with disability among the Chinese oldest old. METHODS The 5,495 oldest old in the sixth wave of Chinese Longitudinal Healthy Longevity Study conducted in 2011 were included in this study. Disability was assessed by activities of daily living (ADL); height and weight for BMI and WC were measured; information including socio-demographics, lifestyles, and health status was collected. RESULTS Generalized additive models analysis showed that the association of BMI/WC with ADL disability was nonlinear. Among the males, logistic regression results supported a "J" shape association between ADL disability with BMI/WC-the highest tertile group in BMI or WC was significantly associated with an increased risk of ADL disability: odds ratio 1.78 (95% confidence interval (CI): 1.26-2.52) for BMI and 2.01 (95% CI: 1.44-2.82) for WC. Among females, an inverse "J" shape association was found, only the lowest tertile group before the cutoff point had an increased risk of ADL disability: odds ratio 1.42 (95%CI: 1.02-1.97) for BMI and 1.47 (95% CI:1.06-2.04) for WC. CONCLUSIONS Associations of BMI and WC with ADL disability are significant even in the oldest old, but differ between the genders.
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Affiliation(s)
- Zhaoxue Yin
- Division of Non-communicable Diseases Control and Community Health, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Xiaoming Shi
- Division of Non-communicable Diseases Control and Community Health, Chinese Center for Disease Control and Prevention, Beijing, China
- Corresponding Authors: Xiaoming Shi, NO.155 Changbai Road, Changping District, Beijing 102206, China, Tel. +86-10-58900215, Fax. +86-10-58900247, Yi Zeng, Box 3003, Room 1506, BUSSE Building, Durham, NC27710, USA, Tel. 919-660-7554, Fax: 919-668-0453,
| | - Virginia B. Kraus
- Department of Medicine, Duke University School of Medicine, Durham, NC, USA
| | | | - Huashuai Chen
- Center for the study of Aging and Human Development and the Geriatric Division of School of Medicine, Duke University, Durham, NC, USA
| | - Yuzhi Liu
- Center for Study of Healthy Aging and Development Studies, National School of Development, Peking University, Beijing, China
| | - Yuebin Lv
- Division of Non-communicable Diseases Control and Community Health, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Yi Zeng
- Center for the study of Aging and Human Development and the Geriatric Division of School of Medicine, Duke University, Durham, NC, USA
- Center for Study of Healthy Aging and Development Studies, National School of Development, Peking University, Beijing, China
- Corresponding Authors: Xiaoming Shi, NO.155 Changbai Road, Changping District, Beijing 102206, China, Tel. +86-10-58900215, Fax. +86-10-58900247, Yi Zeng, Box 3003, Room 1506, BUSSE Building, Durham, NC27710, USA, Tel. 919-660-7554, Fax: 919-668-0453,
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Meeting Contemporary Expectations for Physical Therapists: Imperatives, Challenges, and Proposed Solutions for Professional Education. ACTA ACUST UNITED AC 2014. [DOI: 10.1097/00001416-201400001-00010] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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