Better Health-Related Fitness in Youth: Implications for Public Health Guidelines

Public health guidelines for physical activity (PA) behaviors are being updated with 2018 as a proposed release date. Currently, ≥60 minutes of daily PA are recommended for youth. Thus, the purpose of this study was to investigate the association between reported days of aerobic PA and health-related fitness (HRF). Participants included 4448 students in grades 6-8. Self-reported days of ≥60 minutes of aerobic PA was obtained. HRF was assessed with FitnessGram. Discriminant analysis indicated that weekly days of aerobic PA related to HRF. Adolescents who participated in ≥5 days of weekly aerobic PA generally had better fitness results than those with ≤4 days. Chi-square analyses indicated the highest percentages of adolescents in the FitnessGram Healthy Fitness Zone™ (HFZ) for each test item were those with ≥5 days of aerobic PA. These findings provided initial support that the impact of aerobic PA on HRF plateaus at 5 days per week. Thus, adolescents may be able to improve HRF even if they do not meet the currently recommended guidelines for daily PA.

Longitudinal trajectories of physical activity in women using latent class growth analysis: The WIN Study

PURPOSE

This study aimed (1) to examine the longitudinal trajectories in objectively measured physical activity (PA); (2) to identify unknown (i.e., latent) subgroups with distinct trajectories; and (3) to examine the correlates of latent subgroups among community dwelling women.

METHODS

The study sample included a total of 669 women from the Women's Injury Study, a 5-year prospective cohort study conducted from 2007 in the Southwest Central region of the US. Pedometer-based step-count data across 18 consecutive months were fitted to a latent growth model (LGM) and a latent class growth model (LCGM). Baseline characteristics were regressed on latent class membership.

RESULTS

The longitudinal change in PA was best fit to a piecewise LGM with seasonal transitions. Significantly increased and decreased levels of PA were observed during the spring, fall, and winter, respectively (p < 0.001). Three latent subgroups with distinct PA trajectories were identified (low-active (46.8%), somewhat-active (41.3%), and active (11.9%)). Age and body fat percentage at the baseline significantly explained the likelihoods of being in low-active subgroup.

CONCLUSION

Seasonal variations in PA among women were observed but may not be practically significant. A relatively large portion of the sample showed low levels of PA for long periods. Intervention strategies should be considered for women who are overweight or obese, and aged >40 years old to promote PA during the life course.

A Comparison of Noninteractive and Interactive Video Instruction about Smokeless Tobacco

To compare learner cognitive and affective responses to a lesson on smokeless tobacco, 205 undergraduate students were randomly assigned to a control or one of three experimental groups. Experimental groups viewed a videotape in the classroom or individually, or viewed an interactive video version of the lesson. They then completed a questionnaire to ascertain knowledge and attitudes about smokeless tobacco and lesson satisfaction. The interactive video group demonstrated the most accurate and comprehensive recall. While neither videotape group answered as many questions correctly as the interactive video group, the individual videotape group did better than the classroom videotape group and all experimental groups did better than the control group. Additionally, the interactive video group was more willing to promote cessation among users. Learner satisfaction with the interactive video equipment and lesson was high. The increased knowledge and motivation to act reported suggest opportunities for future uses of interactive video.

Strategic Priorities for Physical Activity Surveillance in the United States

PURPOSE

Develop strategic priorities to guide future physical activity surveillance in the United States.

METHODS

The Centers for Disease Control and Prevention and the American College of Sports Medicine convened a scientific roundtable of physical activity and measurement experts. Participants summarized the current state of aerobic physical activity surveillance for adults, focusing on practice and research needs in three areas: 1) behavior, 2) human movement, and 3) community supports. Needs and challenges for each area were identified. At the conclusion of the meeting, experts identified one overarching strategy and five strategic priorities to guide future surveillance.

RESULTS

The identified overarching strategy was to develop a national plan for physical activity surveillance similar to the U.S. National Physical Activity Plan for promotion. The purpose of the plan would be to enhance coordination and collaboration within and between sectors, such as transportation and public health, and to address specific strategic priorities identified at the roundtable. These strategic priorities were used 1) to identify and prioritize physical activity constructs; 2) to assess the psychometric properties of instruments for physical activity surveillance; 3) to provide training and technical assistance for those collecting, analyzing, or interpreting surveillance data; 4) to explore accessing data from alternative sources; and 5) to improve communication, translation, and dissemination about estimates of physical activity from surveillance systems.

CONCLUSION

This roundtable provided strategic priorities for physical activity surveillance in the United States. A first step is to develop a national plan for physical activity surveillance that would provide an operating framework from which to execute these priorities.

Implementing Policies to Enhance Physical Education and Physical Activity in Schools

The purpose of this commentary is to provide an overview of national physical activity recommendations and policies (e.g., from the Institute of Medicine, National Physical Activity Plan, and Centers for Disease Control and Prevention) and to discuss how these important initiatives can be implemented in local schools. Successful policies are illustrated. Specific strategies and ideas are shared regarding how physical educators can assert themselves and impart their knowledge in an effort to build support for policy implementations that enhance the delivery of physical education and physical activity in their schools and communities.

Musculoskeletal risk factors as predictors of injury in community-dwelling women

BACKGROUND

Participating in health-related physical activity (PA) may increase risk for musculoskeletal injury (MSI).

PURPOSE

This study aimed to estimate the prevalence of structural/biomechanical risk factors in community-dwelling women and associated risk for incidence of MSI in women who are physically active.

METHODS

The Women's Injury study is a surveillance of PA behaviors and MSI in women age 20-83 yr. An orthopedic examination was performed before entry into the study to assess presence of structural/biomechanical risk factors. A total of 886 women completed data collection by reporting weekly PA behavior and MSI for up to 3 yr (2007-2009), with the average participant enrolled for 98 wk. To estimate MSI risk associated with each risk factor separately, time to first MSI was modeled using proportional hazard regression with time-dependent PA covariates, controlling for age, body mass index, and previous injury.

RESULTS

Over the course of the study, 236 of the women (26.6%) reported at least one MSI that was PA related. We found a significant association between the number of high flexibility risk factors and PA-related injury at all levels of PA exposure (HR = 1.15 and confidence interval (CI) = 1.04-1.27 for moderate-to-vigorous PA; HR = 1.16 and CI = 1.05-1.28 for moderate PA; HR = 1.15 and CI = 1.04-1.27 for vigorous PA).

CONCLUSIONS

When participating at any level of PA for health benefits, women with hypermobility in multiple muscle groups or joints should be watchful for musculoskeletal symptoms and should be counseled not to ignore symptoms when they first occur.

Advancing kinesiology through improved peer review

Peer review of scholarship is essential to journal quality, evidence, knowledge advancement, and application of that knowledge in any field. This commentary summarizes recent literature on issues related to peer-review quality and current review practice in kinesiology and provides recommendations to improve peer review in kinesiology journals. We reviewed the literature on the characteristics of peer review in scientific journals and describe the status of peer review in kinesiology journals. Although the majority of scholars and editors strongly support the peer-review process, systematic research in several disciplines has shown somewhat positive but mixed results for the efficacy of peer review in evaluating the quality of and improving research reports. Past recommendations for improvement have focused on agreement between reviewers, standards for evaluating quality, and clarification of the editorial team roles. Research on interventions, however, indicates that improving reviewer performance is difficult. The specific research on peer review in kinesiology is limited. Six recommendations to improve peer review are proposed: publishing clear evaluation standards, establishing collaborative evaluation procedures and editorial team roles, utilizing online submission data to help improve reviewer comments, creating author appeals procedures, protecting reviewer time commitments, and improving reviewer recognition. There is considerable variation in peer-review criteria and procedures in kinesiology, and implementing several reasonable improvements may advance knowledge development and the field of kinesiology.

Association of multiple adiposity exposures and cardiorespiratory fitness with all-cause mortality in men: the Cooper Center Longitudinal Study

OBJECTIVE

To examine the additive effects of an increased number of positive adiposity exposures on all-cause mortality in men before and after stratification by cardiorespiratory fitness (CRF) level.

PATIENTS AND METHODS

A total of 36,836 men underwent a physical examination at the Cooper Clinic from January 1, 1971, through December 31, 2006. Exposures included body mass index, waist circumference, percentage of body fat, and CRF as determined by duration of a maximal exercise test. Participants were identified as being either obese (positive) or nonobese (negative) for each adiposity exposure and then grouped into 4 categories: group 1, negative for all adiposity exposures; group 2, positive for any 1 exposure; group 3, positive for any 2 exposures; and group 4, positive for all exposures. Then CRF was grouped as fit or unfit on the basis of the upper 80% and lower 20% of the age-standardized CRF distribution as previously reported in the Cooper Center Longitudinal Study. Hazard ratios were computed with Cox regression analysis.

RESULTS

A total of 2294 deaths occurred during a mean ± SD of 15.5 ± 8.1 years of follow-up. Adjusted hazard ratios across adiposity groups were 1.0 (referent), 1.05, 1.37, and 1.87 for groups 1 through 4, respectively (P for trend <.001). Mortality rates were significantly lower within each of the first 3 adiposity groups in fit compared with unfit men (P<.009 for all comparisons).

CONCLUSION

An increasing number of positive adiposity exposures were associated with increased mortality in men. Because moderate to high CRF attenuated mortality rates in all adiposity groups, measurement of CRF should be included for identifying men at increased risk for all-cause mortality.

Physical activity and musculoskeletal injuries in women: the Women's Injury Study

BACKGROUND

Increased injury rates have been associated with physical activity (PA). The differences in musculoskeletal injury (MSI) characteristics resulting from PA, versus those unrelated to PA, are unknown. We describe the pattern of PA and non-PA MSI incurred by community-dwelling women.

METHODS

Data were extracted from the Women's Injury Study, a web-based observational study that tracked weekly PA behaviors and self-reported MSI of 909 community-dwelling women ages 20-83 years. The primary outcome was self-reported MSI that interrupted daily activities ≥2 days and/or required treatment from a health care provider. Follow-up telephone reporting of MSIs allowed further description of injuries. Mixed effects logistic regression was used to identify injury sites associated with PA, controlling for age, body mass index, previous injury, and use of alcohol.

RESULTS

Incidence of PA and non-PA MSIs were comparable; some differences in injury characteristics were evident across 83,241 person-weeks of reporting. Non-PA MSIs were more likely to come on "suddenly" (54% vs. 8%) and commonly involved head/jaw/neck injuries. Reported PA-related MSIs were less likely to require health care provider treatment (60% vs. 80%) and resulted in less missed days of work/school (11%) versus non-PA MSIs (17%). Compared to non-PA related injuries, PA-related injuries were more likely to involve the lower (odds ratio [OR]=3.10, p=0.002) or upper limbs (OR=2.54, p=0.01) and less likely to involve the head/jaw/neck (OR=0.21, p=0.002).

CONCLUSION

There are some differences in mechanisms of injury, the distribution of injuries by anatomical location, and the treatment of injuries depending on aerobic activity participation, although absolute rates of MSI were comparable.

Successful minority recruitment and adherence in physical activity Internet-based research: the WIN study

BACKGROUND

Researchers studying physical activity often face challenges dealing with recruitment and resources, particularly when conducting longitudinal Internet-based research. Commonly raised methodological problems such as minority recruitment, participant commitment, and participant-staff involvement are addressed through a theoretically driven recruitment and adherence protocol in The Women's Exercise Injuries: Incidence and Risk Factors (WIN) Internet-based study.

OBJECTIVES

The objectives of this paper were to review and suggest solutions to problems of: (1) low recruitment of diverse samples, (2) low adherence, and (3) staffing needs.

METHODS

We recruited 1303 community-dwelling women and followed them through a multiple-phase, longitudinal, Internet-based study. Recruitment and adherence data were analyzed through descriptive methods and logistic regressions to examine participant adherence and sociodemographic factors and predictors of who entered the long-term phase of the study.

RESULTS

We successfully retained 71.6% of the sample through 4 recruitment phases. Twenty-seven percent of the initially recruited sample was racial/ethnically diverse, 24% began the long-term phase, and 23% completed. Several strategies to enhance participant commitment were successfully used during the practice phase, providing a successful, low staff to participant ratio. Logistic regression indicated being married, being older, and having greater Internet skills were predictive of successfully entering the long-term phase of the study.

CONCLUSIONS

Recruitment and compliance protocols were successful in meeting overall and racial/ethnic enrollment and recruitment goals. The theoretically based practice phase techniques were successful in re-engaging noncompliant participants. Strategies for minority enrollment and compliance are evaluated.

Meeting physical activity guidelines and health-related fitness in youth

BACKGROUND

National physical activity guidelines have been developed for Americans. Interest lies in the relationship between meeting the national physical activity guidelines and physical fitness outcomes in youth. Theoretically, those who meet the physical activity guidelines are more physically fit, which translates to better health and reduced risk.

PURPOSE

To examine the relationship between youth self-reported physical activity behaviors sufficient to meet DHHS Physical Activity Guidelines for Americans and an external health criterion: achievement of the FITNESSGRAM(®) Healthy Fitness Zone™ (HFZ).

METHODS

Logistic regression was used to examine achievement of the HFZ for three physical fitness measures (i.e., aerobic capacity, BMI, and muscle fitness) separately, and for all three combined, based on self-reported physical activity of 7 days per week for aerobic activity and ≥3 days per week of muscle-strengthening activity. One model examined the direct relationship between physical activity and fitness measures, and a second model assessed the same relationship while controlling for gender, age, ethnicity, economic status, and school. Data were collected during the 2009-2010 academic year and analyzed in 2012.

RESULTS

Adolescents failing to meet national aerobic and muscle-strengthening physical activity guidelines have higher odds of not achieving healthy physical fitness levels of aerobic capacity, BMI, muscle fitness, and the combination of all three. An increase in the number of days of aerobic activity was related to decreased odds of being in the Needs Improvement Fitness Zone.

CONCLUSIONS

The findings provide further support that meeting the national physical activity guidelines produces health benefits for youth.

Meeting physical activity guidelines and musculoskeletal injury: the WIN study

INTRODUCTION

The United States Department of Health and Human Services disseminated physical activity (PA) guidelines (PAGs) for Americans in 2008. The guidelines are based on appropriate quantities of moderate-to-vigorous aerobic PA and resistance exercise (RE) associated with decreased morbidity and mortality risk and increased health benefits. However, increases in PA levels are associated with increased risk of musculoskeletal injuries (MSIs). We related the amount and type of PA conducted on a weekly basis with the risk of MSI.

METHODS

A prospective, observational study using weekly Internet tracking of moderate-to-vigorous PA and RE behaviors and MSIs in 909 community-dwelling women for up to 3 yr was conducted. The primary outcome was self-reported MSIs (total, PA related, and non-PA related) interrupting typical daily work and/or exercise behaviors for ≥ 2 d or necessitating health care provider visit.

RESULTS

Meeting versus not meeting PAGs was associated with more MSIs during PA (HR = 1.39, 95% confidence interval [CI] = 1.05-1.85, P = 0.02) but was not associated with MSIs unrelated to PA (HR = 0.99, 95% CI = 0.75-1.29, P = 0.92) or with MSIs overall (HR = 1.15, 95% CI = 0.95-1.39, P = 0.14).

CONCLUSIONS

The results illustrate the risk of MSI with PA. MSI risk rises with increasing PA. Despite this modest increase in MSIs, the known benefits of aerobic and resistance PAs should not hinder physicians from encouraging patients to meet current PAGs for both moderate-to-vigorous exercise and RE behaviors with the intent of achieving health benefits.

Assessing digital literacy in web-based physical activity surveillance: the WIN study

PURPOSE. Investigate relations between demographic characteristics and submission method, Internet or paper, when physical activity behaviors are reported. DESIGN. Observational. SETTING . Metropolitan. SUBJECTS. Adult women (N  =  918) observed weekly for 2 years (total number of weekly reports, 44,963). MEASURES. Independent variables included age, race, education, income, employment status, and Internet skills. Dependent variables were method of submission (Internet or paper) and adherence. ANALYSIS . Logistic regression to analyze weekly odds of submitting data online and meeting study adherence criteria. Model 1 investigated method of submission, model 2 analyzed meeting study's Internet adherence, and model 3 analyzed meeting total adherence regardless of submission method. RESULTS. Whites, those with good Internet skills, and those reporting higher incomes were more likely to log online. Those who were white, older, and reported good Internet skills were more likely to be at least 75% adherent online. Older women were more likely to be adherent regardless of method. Employed women were less likely to log online or be adherent. CONCLUSION . Providing participants with multiple submission methods may reduce potential bias and provide more generalizable results relevant for future Internet-based research.

Relations of meeting national public health recommendations for muscular strengthening activities with strength, body composition, and obesity: the Women's Injury Study

OBJECTIVES

We examined the relations of meeting or not meeting the 2008 Physical Activity Guidelines for Americans recommendations for muscular strengthening activities with percentage of body fat, body mass index (BMI; defined as weight in kilograms divided by height in meters, squared), muscular strength, and obesity classification in women.

METHODS

We analyzed data on 918 women aged 20 to 83 years in the Women's Injury Study from 2007 to 2009. A baseline orthopedic examination included measurement of height, body weight, skinfolds, and muscle strength.

RESULTS

Women who met muscle strengthening activity recommendations had significantly lower BMI and percentage of body fat and higher muscle strength. Women not meeting those recommendations were more likely to be obese (BMI ≥ 30) compared with women who met the recommendations after we adjusted for age, race, and aerobic physical activity (odds ratio = 2.28; 95% confidence interval = 1.61, 3.23).

CONCLUSIONS

There was a small but significant positive association between meeting muscle strengthening activity recommendations and muscular strength, a moderate inverse association with body fat percentage, and a strong inverse association with obesity classification, providing preliminary support for the muscle strengthening activity recommendation for women.

Long-term tracking of physical activity behaviors in women: the WIN Study

PURPOSE

Interest lies in the prevalence of community-living women meeting the 2008 Department of Health and Human Services physical activity guidelines across time. The purpose was to report prevalence and stability of long-term (up to 125 wk) tracking of physical activity behaviors and to compare self-reported physical activity behaviors using different measures.

METHODS

The WIN study tracks nearly real-time physical activity behaviors in community-living women. At baseline, 918 women began weekly Internet reporting of physical activity behaviors, accessing a secure Internet site and answering eight questions about physical activity behaviors for the previous week. Measures included days and minutes of moderate, vigorous, walking, and strengthening activities, and pedometer steps were recorded weekly.

RESULTS

Prevalence of meeting physical activity guidelines depended on the criterion used. Weekly averages across the surveillance period indicated 25% reported ≥150 min of moderate physical activity, 47% reported ≥75 min of vigorous physical activity, 57% reported ≥150 min of moderate-to-vigorous physical activity, 63% conducted ≥500 MET·min of physical activity, 15% reported ≥2 d of strengthening activities per week, and 39% reported ≥7500 steps per week. Alpha coefficients (≥0.97) indicated stable physical activity behaviors across all measures.

CONCLUSIONS

Across reporting methods, it is estimated that approximately 50% or more of these community-living women engage in sufficient physical activity for health benefits weekly across long-term follow-up. Self-report physical activity behaviors are stable across long periods in these community-living women not participating in a specific physical activity intervention.

Impact of body mass index, physical activity, and other clinical factors on cardiorespiratory fitness (from the Cooper Center longitudinal study)

Cardiorespiratory fitness (CRF) is widely accepted as an important reversible cardiovascular risk factor. In the present study, we examined the nonmodifiable and modifiable determinants of CRF within a large healthy Caucasian population of men and women. The study included 20,239 patients presenting to Cooper Clinic (Dallas, Texas) for a comprehensive medical examination from 2000 through 2010. CRF was determined by maximal treadmill exercise testing. Physical activity categories were 0 metabolic equivalent tasks (METs)/min/week (no self-reported moderate or vigorous intensity physical activity), 1 to 449 METs/min/week (not meeting physical activity guideline), 450 to 749 METs/min/week (meeting guideline), and ≥750 METs/min/week (exceeding guideline). Linear regression modeling was used to determine the most robust clinical factors associated with achieved treadmill time. Age, gender, body mass index (BMI), and physical activity were the most important factors associated with CRF, explaining 56% of the variance (R(2) = 0.56). The addition of all other factors combined (current smoking, systolic blood pressure, blood glucose, high-density and low-density lipoprotein cholesterol, health status) were associated with CRF (p <0.05) but additively only improved R(2) by 2%. There was a significant interaction between BMI and physical activity on CRF, such that normal-weight (BMI <25 kg/m(2)) subjects achieved higher CRF for a given level of physical activity compared to obese subjects (BMI ≥30 kg/m(2)). Percent body fat, not lean body mass, was the key factor driving this interaction. In conclusion, BMI was the most important clinical risk factor associated with CRF other than nonmodifiable risk factors age and gender. For a similar amount of physical activity, normal-weight subjects achieved a higher CRF level compared to obese subjects. These data suggest that obesity may offset the benefits of physical activity on achieved CRF, even in a healthy population of men and women.

Muscular strength is inversely related to prevalence and incidence of obesity in adult men

The purpose of the study was to determine the relation between quintiles of muscular strength after adjustment for age and body weight, and excessive body fat (EBF) and excessive abdominal fat (EAF) when controlling for cardiorespiratory fitness (CRF) and other potential confounders. A two-phased cross-sectional and longitudinal study was conducted assessing the prevalence and incidence of EBF and EAF across quintiles of muscular strength. The sample included 3,258 men (mean age = 42.2 ± 8.9; weight (kg) = 81.2 ± 11.0; BMI = 25.3 ± 2.9; %fat = 19.4 ± 5.8; waist girth (cm) = 91.2 ± 9.0) who completed at least two clinical examinations as part of the Aerobics Center Longitudinal Study (ACLS). Muscular strength was assessed with tests of upper and lower body muscular strength using rack-mounted weights with participants placed into strength quintiles. CRF was measured by a modified Balke treadmill test, %fat via underwater weighing or seven-site skinfold measurements, and waist girth measured at the level of the umbilicus. EBF was defined as ≥25% and EAF was defined as >102 cm. There was a strong inverse gradient across quintiles of muscular strength for prevalence and incidence of EBF and EAF (P trend <0.01, each). With the lowest quintile serving as the referent, reductions in risk of EBF and EAF exceeded 70% for the highest strength quintile. Evidence suggests muscular strength may provide protection from EBF and EAF and their related comorbidities.

Statewide physical fitness testing: perspectives from the gym

This paper provides observations of physical fitness testing in Texas schools and physical education teachers' insights about large-scale testing using the FITNESSGRAM assessment (Cooper Institute, 2007) as mandated by Texas Senate Bill 530. In the first study, undergraduate and graduate students who were trained to observe and assess student fitness testing in grades 3 through 12 provided observations. In the second study, physical education teachers responded to selected interview questions during a focus group discussion. From the observations and responses, specific themes emerged related to teachers' knowledge and training about conducting fitness testing and managing data, students' knowledge and motivation, support and resources for conducting fitness assessments, and complexity of the fitness situation.

Reliability and validity of the FITNESSGRAM: quality of teacher-collected health-related fitness surveillance data

The purpose of this study was to investigate the quality (reliability and validity) of large-scale fitness testing in Texas and determine if reliabilities and validities were related to potential confounding variables. Four test administration scenarios were conducted to investigate the quality of data collected statewide as part of the Texas Youth Evaluation Project. Teachers and/or expert test administrators tested individual students (N=1010) on two occasions. Criterion-referenced reliabilities were very good to generally acceptable for all FITNESSGRAM test items, with musculosheletal items having the lowest reliabilities. The validity of teacher-administered tests was good. Reliability and validity of teacher-obtained health-related fitness measures were generally unrelated to potentially confounding student or school characteristics. Administrators, teachers, parents, and students can feel comfortable with the reliability and validity of the statewide health-related fitness testing in Texas.

The association of health-related fitness with indicators of academic performance in Texas schools

This study examined the associations between indicators of health-related physical fitness (cardiovascular fitness and body mass index) and academic performance (Texas Assessment of Knowledge and Skills). Partial correlations were generally stronger for cardiovascular fitness than body mass index and consistently stronger in the middle school grades. Mixed-model regression analyses revealed modest associations between fitness and academic achievement after controlling for potentially confounding variables. The effects of fitness on academic achievement were positive but small. A separate logistic regression analysis indicated that higher fitness rates increased the odds of schools achieving exemplary/recognized school status within the state. School fitness attainment is an indicator of higher performing schools. Direction of causality cannot be inferred due to the cross-sectional nature of the data.

Overview of the Texas Youth Fitness Study

This paper summarizes the historical and legislative backgrounds leading to statewide testing of health-related physical fitness in Texas children grades 3-12 as mandated by Texas Senate Bill 530. The rationale and goals for an associated research project (the Texas Youth Fitness Study, funded by the Robert Wood Johnson Foundation) to evaluate data collected from the statewide initiative are provided. The study investigated the relations between health-related physical fitness and educational variables, including academic achievement, absenteeism, and negative school incidents. It also provides unique insights into the quality (both reliability and validity) of collected data and implications of large-scale school-based physical fitness testing. Teacher commentary and experiences add to the description of the data collection processes. Last, the relations between psychosocial variables and health-related fitness in middle school students are described.

Internet reporting of weekly physical activity behaviors: the WIN Study

BACKGROUND

Self-report measures have been validated and are widely used. Interest currently lies in the development of simple, valid methods that can be used in any location to determine level of PA in large populations/samples. The purpose of this report is to illustrate tracking of physical activity behaviors and musculoskeletal injury reports on a weekly basis via the Internet.

METHODS

The Women's Injury Study (WIN) methodology includes use of BRFSS-related physical activity items that are completed online by more than 900 women weekly for an average of 3 years.

RESULTS

With more than 45,000 weekly physical activity and injury logs, the percentage of total logs submitted via online records is 91%. Self-reported pedometer steps are consistent with similar, smaller research samples.

CONCLUSIONS

This report suggests that Internet tracking is a viable means of assessing nearly real-time physical activity, describes the process of developing and monitoring self-reported physical activity behaviors via the Internet, and provides recommendations for others considering such methods.

Research Quarterly for Exercise and Sport lecture. Statewide physical fitness testing: a big waist or a big waste?

Statewide physical fitness testing is gaining popularity in the United States because of increased childhood obesity levels, the relations between physical fitness and academic performance, and the hypothesized relations between adult characteristics and childhood physical activity, physical fitness, and health behaviors. Large-scale physical fitness testing can be fraught with problems unless properly planned and conducted. Legislators, administrators, teachers, and parents should consider the following 10 essential issues when conducting large-scale physical fitness testing purpose of testing, proper planning, training, quality of the data, reporting support, costs, interpretation, programmatic matters, and policies and politics.