n = 4936
A = The best grade; Grade F = Poorest grade; RMB = Renminbi (Chinese currency).
*p > 0.05, **p > 0.001, two‐sided test.
Table 2 shows the rate of overweight and obesity based on the Chinese WGOC reference in the overall student sample and by the cities included in the data collection. Boys were more likely to be overweight ( χ 2 = 115.48, df = 1, p < 0.001) and obese ( χ 2 = 80.43, df = 1, p < 0.001) than girls, and the patterns were similar across all five cities. The highest prevalence was observed in Beijing and Shanghai, two of the largest and most developed cities in China. Obesity rates based on the WHO Child Growth Standards are also presented. The rate for overweight was higher in the WHO reference than the WGOC reference, but the levels were similar for obesity. There was a significant inverse relationship for the total sample and by gender between the level of obesity and the students’ class grade level in school (p < 0.001 for trend) (Table 3 ). The inverse trend with age was particularly striking, with a difference of more than 10 percentage points between students in the first grade (19.6%) and the sixth grade (6.8%).
Rates of overweight and obesity in the overall student sample and broken down by gender
Study city | Obesity reference | All students | Boys | Girls | ||||||
---|---|---|---|---|---|---|---|---|---|---|
N | Overweight (%) | Obese (%) | N | Overweight (%) | Obese (%) | N | Overweight (%) | Obese (%) | ||
Total sample | WGOC | 5032 | 13.7 | 13.6 | 2558 | 18.3 | 17.1 | 2474 | 9.1 | 9.9 |
WHO | 17.8 | 13.8 | 23.2 | 19.0 | 12.2 | 8.4 | ||||
Beijing | WGOC | 1061 | 12.8 | 15.7 | 529 | 17.4 | 18.7 | 532 | 8.3 | 12.8 |
WHO | 16.9 | 15.6 | 21.9 | 20.6 | 11.8 | 10.7 | ||||
Guanzhou | WGOC | 1039 | 11.6 | 12.9 | 534 | 15.0 | 15.2 | 505 | 8.1 | 10.5 |
WHO | 14.8 | 13.7 | 19.5 | 17.0 | 9.9 | 10.1 | ||||
Hefei | WGOC | 933 | 14.7 | 10.8 | 456 | 18.9 | 13.8 | 477 | 10.7 | 8.0 |
WHO | 20.0 | 10.4 | 26.8 | 14.9 | 13.6 | 6.1 | ||||
Shangai | WGOC | 927 | 13.4 | 15.2 | 482 | 18.3 | 21.0 | 445 | 8.1 | 9.0 |
WHO | 17.7 | 15.2 | 22.4 | 22.8 | 12.6 | 7.0 | ||||
Xi'an | WGOC | 1072 | 16.1 | 13.1 | 557 | 21.7 | 16.7 | 515 | 10.1 | 9.1 |
WHO | 19.8 | 13.6 | 25.9 | 19.2 | 13.2 | 7.6 |
WGOC = Working Group on Obesity in China; WHO = World Health Organization child growth charts.
Unadjusted correlations between school grade level and obesity status a
Grade level | All students (n = 5032) | Boys (n = 2558) | Girls (n = 2474) | ||||||
---|---|---|---|---|---|---|---|---|---|
n | Overweight (%) | Obese (%) | n | Overweight (%) | Obese (%) | n | Overweight (%) | Obese (%) | |
1st (mean age = 7.3) | 764 | 10.9 | 19.6 | 378 | 14.0 | 22.0 | 386 | 7.8 | 17.4 |
2nd (mean age = 8.1) | 846 | 14.8 | 17.5 | 434 | 19.4 | 23.0 | 412 | 10.0 | 11.7 |
3rd (mean age = 9.1) | 755 | 12.2 | 15.9 | 393 | 15.0 | 19.1 | 362 | 9.1 | 12.4 |
4th (mean age = 10.0) | 932 | 15.8 | 14.5 | 501 | 22.6 | 18.6 | 431 | 7.9 | 9.7 |
5th (mean age = 10.9) | 981 | 15.7 | 8.1 | 471 | 21.4 | 11.7 | 510 | 10.4 | 4.7 |
6th (mean age = 11.9) | 754 | 11.9 | 6.8 | 381 | 15.0 | 8.1 | 373 | 8.8 | 5.4 |
Chinese primary students dedicated more time to academic‐related work outside school hours, namely homework and remedial academic work, and this reached almost three hours on weekdays and more than four hours on weekend days (Table S1). The time they spent on screen viewing and outdoor activities was rather limited on weekdays, at approximately one hour per day. On weekdays, boys spent more time on homework, screen viewing and sleep than girls. Girls spent more time on remedial academic work on both weekdays and weekend days than boys. Boys also spent more time on outdoor play on weekend days. Finally, children in higher grades spent more time on academic‐related activities and less time on nonacademic‐related activities and sleep, especially on weekdays (Table S2). Overall, there was a limited amount of discretionary time, approximately two to three hours per day, left for children to engage in other essential daily routine activities, such as travelling to and from school, eating meals, going to the toilet and washing (data not shown). A higher class grade level was significantly correlated with more time spent on homework and remedial academic work on weekdays and weekend days. Higher grades were also significantly correlated with less time spent on screen viewing and outdoor activities on weekend days and less sleep on weekdays.
In general, weekday afterschool EBRBs were associated more closely with obesity status as shown in Table 4 . Weekday homework, screen viewing and outdoor activities were positively associated with obesity status, while weekend day remedial academic work and weekday sleep were inversely associated (p < 0.05). Finally, obesity status was positively correlated with time spent on homework on weekdays, screen viewing on weekdays and weekend days and outdoor activities on weekdays. It was also inversely correlated with time spent on remedial academic work on weekend days and sleep on weekdays.
Means, standard deviations (SD) of out of school EBRB s and their correlations a with obesity status
Hours spent on | Normal weight | Overweight | Obese | Total | ||||
---|---|---|---|---|---|---|---|---|
Mean | SD | Mean | SD | Mean | SD | Mean | SD | |
Homework on weekdays | 1.87 | 0.96 | 1.93 | 1.04 | 1.94 | 1.18 | 1.88 | 1.01 |
Homework on weekend days | 2.37 | 1.47 | 2.38 | 1.46 | 2.25 | 1.47 | 2.35 | 1.47 |
Screen viewing on weekdays | 0.82 | 0.85 | 0.84 | 0.84 | 1.00 | 1.07 | 0.84 | 0.88 |
Screen viewing on weekend days | 1.77 | 1.34 | 1.79 | 1.37 | 1.92 | 1.46 | 1.79 | 1.36 |
Remedial academic work on weekdays | 0.97 | 1.31 | 0.92 | 1.24 | 0.92 | 1.30 | 0.96 | 1.30 |
Remedial academic work on weekend days | 2.27 | 2.01 | 2.12 | 2.00 | 1.88 | 1.76 | 2.19 | 1.98 |
Outdoor activities on weekdays | 1.02 | 1.03 | 1.09 | 1.03 | 1.23 | 1.36 | 1.06 | 1.08 |
Outdoor activities on weekend days | 2.16 | 1.51 | 2.08 | 1.44 | 2.28 | 1.77 | 2.16 | 1.54 |
Sleeping on weekdays | 8.83 | 1.60 | 8.75 | 1.67 | 8.69 | 2.04 | 8.80 | 1.67 |
Sleeping on weekend days | 9.61 | 1.90 | 9.48 | 2.05 | 9.53 | 2.18 | 9.58 | 1.96 |
EBRB = Energy balance‐related behaviour.
After controlling for significant covariates, the BMI Z‐score in the model that combined all the students was significantly and positively associated with hours of homework and screen viewing, inversely associated with hours of sleeping on weekdays and marginally and negatively associated with hours of outdoor activities on weekend days (Table 5 ). In the boys’ model, the BMI Z‐score was significantly and positively associated with hours spent on homework and negatively associated with hours of sleep on weekdays and was not related to EBRBs on weekend days. In the girls’ model, the BMI Z‐score was significantly and positively associated with hours of screen viewing on weekdays and was significantly and negatively associated with hours of outdoor activities on weekend days. The results were similar when we performed the analysis with BMI as the outcome variable (result not shown).
Results from generalised estimation equations analysis on the relationships between the children's body mass index Z‐score and energy balanced‐related behaviours outside school
All students | Boys | Girls | |||||||
---|---|---|---|---|---|---|---|---|---|
B | SE | p< | B | SE | p< | B | SE | p< | |
Hour spent on weekdays on | |||||||||
Homework | 0.07 | 0.02 | 0.004 | 0.09 | 0.03 | 0.002 | 0.01 | 0.03 | ns |
Screen viewing | 0.07 | 0.03 | 0.03 | 0.04 | 0.04 | ns | 0.09 | 0.05 | 0.05 |
Remedial academic work | −0.03 | 0.02 | ns | −0.04 | 0.03 | ns | −0.01 | 0.03 | ns |
Outdoor activities | 0.02 | 0.02 | ns | 0.05 | 0.03 | ns | −0.001 | 0.03 | ns |
Sleeping | −0.03 | 0.02 | 0.05 | −0.05 | 0.02 | 0.02 | −0.003 | 0.02 | ns |
Hours spent on weekend days on | |||||||||
Homework | 0.005 | 0.02 | ns | 0.01 | 0.02 | ns | −0.01 | 0.02 | ns |
Screen viewing | 0.021 | 0.02 | ns | −0.01 | 0.03 | ns | 0.03 | 0.03 | ns |
Remedial academic work | 0.003 | 0.01 | ns | 0.02 | 0.02 | ns | −0.002 | 0.02 | ns |
Outdoor activities | −0.030 | 0.02 | 0.06 | 0.00 | 0.02 | ns | −0.06 | 0.02 | 0.004 |
Sleeping | −0.004 | 0.01 | ns | 0.00 | 0.02 | ns | −0.01 | 0.02 | ns |
B = Regression coefficient; SE = Standard error; p = Level of significance; ns = Not significant.
*Weekday model and † weekend day model both adjusted for intercept, gender and grade level.
‡ Weekday model and § weekend day model both adjusted for intercept, grade level and physical education grade.
¶ Weekday model and **weekend day model both adjusted for intercept, grade level and father's education level.
Findings from this survey study revealed that levels of overweight (13.7%) and obesity (13.6%) in primary school students living in large metropolitan cities were alarmingly high, continuing a secular trend that has emerged since the 2000s in Chinese children 2 , 13 . It is particularly worrying to see the gender disparity in obesity that emerged in this study, with the rate in boys nearly doubling and disproportional obesity at lower grade levels. Higher levels of parental education and family income were associated with higher levels of obesity in this sample of urban Chinese children, and this was consistent with studies conducted in the United States and other Western countries. The associations disappeared in the multivariate analysis, except for in the models for just girls, where the father's education remained a significant covariate. However, class grades and gender remained as significant covariates, suggesting the important role they play in understanding the obesity epidemic in Chinese students. Finally, there was evidence that time spent on academic‐related activities, screen viewing, outdoor activities and sleep was closely associated with obesity and that this varied by gender between weekdays and weekend days.
The rate of obesity in our study sample was consistent with recent studies based on the Chinese WGOC reference that used height and weight measured directly by trained research staff 2 , 13 . The prevalence of childhood obesity in China has doubled over the past 10 years according to a report published by the National Health and Family Planning Commission of the People's Republic of China in 2014 14 . It is not a surprise that the prevalence of childhood obesity has approached those observed in the United States and other developed countries in less than two decades, in the light of the alarming temporal increase in rate of obesity since the 1980s 8 , 13 . For instance, Ma et al. reported that the obesity rates were 0.10%, 0.30%, 0.23% and 0.23% in 1985–1995, 1995–2000, 2000–2005 and 2005–2010, respectively, using data from the Chinese National Survey on Students Constitution and Health 15 .
While some studies, including our study, have showed that time for academic‐related activity and screen viewing increased with age, while sleep duration decreased with age 8 , 16 , other studies have reported that older children and adolescents were more physically active and spent less on screen viewing 7 . A study of 2163 Chinese children aged nine years to 17 years from 11 cities measured daily physical activity and sedentary behaviour using accelerometry 17 . As the children got older, they had higher levels of moderate and vigorous physical activity (MVPA) and sedentary behaviour. However, levels of MVPA and sedentary behaviour were not correlated with children's obesity status in the study sample. The same was also observed in a sample of Australian girls 18 . These findings suggest that other EBRBs influenced the energy balance and obesity in children as well.
Concern has been raised about the faster increase in obesity in lower‐level primary school students (grades 1–3) than upper‐level students (grades 4–6) that have been found in studies of Chinese children 8 , 19 , and these were also found in our study. A similar trend has also been reported in other developing countries in recent years 20 . Although there is no clear explanation for this secular trend of obesity, Yang and Huffman speculated that the introduction of formula feeding, increased consumption of foods with high protein levels and added sugar, reduced access to physical activities and poor maternal prenatal diets might have contributed to the higher prevalence of obesity among younger children in developing countries 21 .
However, it is still unclear why the prevalence of obesity in boys in our study was nearly twice as high as the girls who took part. This gender disparity has also been reported by others studies of Chinese children 8 , 19 . As nutritious foods are in plentiful supply and food insecurity is not an issue in Chinese urban cities 1 , 13 , one plausible explanation is that boys consumed a more energy‐dense diet than girls and that led to a positive energy balance. However, food consumption or eating unhealthy foods has not been associated with a particular gender and cannot explain the differences in obesity in Chinese children reported in the current literature 7 . This means that we are left with the other parameter in the energy balance equation, namely the energy expenditure. Although we could not quantify which gender was more sedentary based on the reported EBRBs, there were clear differences in EBRBs between boys and girls that suggested that boys were more sedentary on weekdays. Furthermore, the stratified analyses showed differential associations of EBRBs with obesity: the boys’ obesity was influenced by more time spent on homework and less sleep on weekdays while the girls’ obesity was associated with more screen viewing on weekdays and less outdoor activity on weekend days. While the increased sedentary time and decreased sleep in boys can be explained by a displacement effect due to increase time spent on academic‐related work on weekdays, girls have been reported to prefer sedentary activities 17 , 22 .
Higher pressure for academic excellence from society, schools and parents has been linked to increased time spent on homework and lack of sleep and may contribute to the limited time spent on screen viewing by Chinese students, as suggested by cross‐cultural studies 8 . Chinese students spend more time on homework and other academic‐related work outside school hours and less time on screen viewing and sleep, compared to students of the same age from Western countries. However, less is known about the differences in physical activity and diet between Chinese and Western students. Although academic pressure has been related to childhood obesity in some developing countries 23 , it has not become the focus of studies in China. Our findings showed that academic‐related activities outside school hours displaced time for physical activity and sleep in primary school students 24 . This should serve as a warning to parents, schools, policy makers and ultimately the Chinese education system to re‐examine and modify the current practices and expectations of children in primary schools 7 . It should be noted that the amount of time spent on homework, screen viewing and sleep based on the parental reports in this study was similar to those reported in large national surveys in China 8 , 22 .
Childhood obesity prevention in China has generally focused on promoting physical activity and healthy eating 25 . Recently studies have identified that sedentary behaviours, such as watching TV and playing on computers, high level of life stress and lack of sleep were independently associated with obesity in Western children 5 , 26 . Findings from our study suggest that sedentary behaviour from an excessive amount of time spent on academic‐related work and inadequate sleep, in addition to a lack of physical activity and excessive screen viewing, may be responsible for increased obesity in Chinese children 7 . An examination of childhood obesity intervention studies in China revealed that focusing interventions on physical activity and unhealthy diets, commonly regarded as two primary contributors to the current obesity epidemic, produced marginally effective outcomes, suggesting additional factors may also play roles 25 . Therefore, all EBRBs need to be considered in order to prevent childhood obesity and interventions should specifically target the relevant EBRBs to be effective for different genders and age groups.
We found a positive association between obesity status and outdoor activity time on weekdays, but not on weekend days, in the study sample. Because of the ongoing school‐based national Sunshine Activity campaign, which has encouraged Chinese children to play outside in the sunshine since 2007, we assessed the time spent on outdoor activities rather than on MVPA in this study. However, it is not appropriate to equate the outdoor activities reported in this study with MVPA. The three most commonly reported outdoor activities in this study were as follows: (i) exercises and sport activities involving moderate and vigorous intensity, such as jumping with ropes, soccer, swimming, jogging and exercise stations; (ii) games and play activities involving light and moderate intensity, such as hide‐and‐seek and playing in the park; and (iii) outdoor leisure activities involving light intensity, such as leisurely strolls with friends and walking the dog. High‐intensity exercises and sports activities were less common in our cohort. When we examined these three reported activities in the study sample, we found that overweight and obese students engaged more frequently in light‐ and moderate‐intensity activities and less frequently in higher‐intensity exercises and sport activities than normal weight students on weekdays (data not shown). Therefore, the positive correlation between obesity and outdoor activities on weekdays could be due to the measurement method used. However, this cannot be directly examined in this study.
There were several limitations to the study. First, because this study used a cross‐sectional design, the findings relating to relationships between responses and explanatory variables should not be interpreted as causal. Future studies should examine the findings further using longitudinal study designs. Second, all of the data, including height and weight, were self‐reported and subject to bias in self‐reports and inaccurate recalls. Although parental reports of children's health information is regularly used in population‐based health studies, the use of such data tends to overestimate weight and that lead to overestimation of obesity rates in children 27 . Therefore, study findings based on parent‐reported height and weight should be interpreted with caution. Similarly, parental reports of the time that their children spend on various activities outside school hours on weekdays and weekend days are also subject to recall errors. Nonetheless, the obesity rates and how the school‐aged children in this study used their time were similar to studies based on directly measured height and weight or observational studies from the same period. Third, because the study data were not collected from a nationally representative sample and did not include children from small cities or rural regions, the findings should not be overgeneralised. Fourth, the use of the Chinese WGOC cut‐off reference for obesity tends to overestimate obesity for boys aged 6–16 and underestimate obesity for girls aged 3–18 and that may have exacerbated the gender disparity 28 . Finally, the study only focused on EBRBs outside school hours and did not collect data on diet and physical activity at school. Future studies need to examine EBRBs that occur both inside and outside school, including diet, to establish a full picture of the relationships between obesity and EBRBs in children.
The rate of obesity was high in Chinese primary school children, especially among boys and children in lower grades, and there were differential associations between obesity status and EBRBs in Chinese boys and girls outside school hours. Accordingly, obesity prevention programmes that only focus on physical activity, screen viewing and diet may not produce expected outcomes without addressing excessive time spent on academic‐related activity and inadequate sleep in Chinese children 25 . The design of interventions should also take into account the differences between EBRBs on weekdays and weekend days 17 . Finally, there is a need to conduct cross‐cultural studies of obesity and EBRBs that can help us to understand the underlying causes of the gender differences and the increased rates of obesity in younger children. These will enable us to develop culturally relevant lifestyle interventions for different population groups in China.
This study was partly funded by the Children's Center of China. The funder had no role in any part of the study.
The authors have no conflict of interests to disclose.
Table S1. Means, standard deviations ( SD ) of non‐school EBRB s for all students and comparison by gender.
We would like to thank the Children's Centers in Shanghai, Anhui Provence, Shanxi Provence and Guangdong Provence for their help in the collection, entry and quality checking of the study data and the students, parents and school teachers whose participation and cooperation made this study possible.
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Affiliation.
Background: This study examined the effect of using physical activity homework on physical activity levels of college students.
Methods: Students in randomly assigned sections of a university health course were assigned 30 minutes of physical activity homework 3 days a week or no homework for 12 weeks. Participants completed self-reports of physical activity before the homework intervention and again at the conclusion of the 12 weeks of physical activity homework.
Results: Participants in all course sections reported significant increases in the number of days per week of moderate and vigorous physical activity. Participants in homework sections additionally showed significant increases in the days they engaged in muscular strength/endurance training and activities to manage weight. Participants in sections without homework showed a significant increase in the number of days engaged in flexibility training. Comparison of gain scores showed statistically significant increases by the homework group in the days they participated in activities designed to manage weight.
Conclusion: Physical activity homework was deemed to be an effective method of increasing college students' levels of physical activity.
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What impact has working from home as a result of the COVID-19 pandemic had on our health? In a new study, researchers from USC have found that working from home has negatively impacted our physical health and mental health, increased work expectations and distractions, reduced our communications with co-workers and ultimately lessened our productivity.
The study finds that time spent at the workstation increased by approximately 1.5 hours, while most workers are likely to have less job satisfaction and increased neck pain when working from home. It also illustrates the differential impact of working from home for women, parents, and those with higher income.
Nearly 1,000 respondents participated in the survey regarding the impact of working from home on physical and mental well-being. Authored by Ph.D student Yijing Xiao, Burcin Becerik-Gerber, Dean's Professor of Civil and Environmental Engineering, Gale Lucas, a research Assistant Professor at the USC Institute for Creative Technologies and Shawn Roll, Associate Professor of Occupational Science and Occupational Therapy, the study was published in the Journal of Occupational and Environmental Medicine . Becerik-Gerber and Lucas are co-directors of The Center for Intelligent Environments at USC.
The survey was conducted during the early days of the pandemic. Responses regarding lifestyles, home office environments, and physical and mental well-being revealed the following about that first phase of the pandemic's "work from home" period:
The authors suggest that having a dedicated work from home space would mitigate a number of negative impacts.
The quality of your home workspace is important; having a dedicated workspace signals to others that you are busy, and minimizes the chances of being distracted and interrupted. Increased satisfaction with the environmental quality factors in your workspace, such as lighting, temperature, is associated with a lower chance of having new health issues. In addition, knowing how to adjust your workspace helps with physical health." Burcin Becerik-Gerber, study's corresponding author
University of Southern California
Posted in: Medical Research News | Healthcare News
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In many studies covering a wide range of issues, researchers have focused on exercise , as well as on the more broadly defined concept of physical activity. Exercise is a form of physical activity that is planned, structured, repetitive, and performed with the goal of improving health or fitness. So, although all exercise is physical activity, not all physical activity is exercise.
Studies have examined the role of physical activity in many groups—men and women, children, teens, adults, older adults, people with disabilities, and women during pregnancy and the postpartum period. These studies have focused on the role that physical activity plays in many health outcomes, including:
These studies have also prompted questions as to what type and how much physical activity is needed for various health benefits. To answer this question, investigators have studied three main kinds of physical activity: aerobic, muscle-strengthening, and bone-strengthening.
In this kind of physical activity (also called cardiorespiratory fitness), the body’s large muscles move in a rhythmic manner for a sustained period of time. Brisk walking, running, bicycling, jumping rope, and swimming are all examples.
Aerobic activity causes a person’s heart to beat faster than usual.
Aerobic physical activity has three components:
This kind of activity, which includes resistance training and lifting weights, causes the body’s muscles to work or hold against an applied force or weight. These activities often involve relatively heavy objects, such as weights, which are lifted multiple times to train various muscle groups. Muscle-strengthening activity can also be done by using elastic bands or body weight for resistance (climbing a tree or doing push-ups, for example).
Muscle-strengthening activity also has three components:
This kind of activity (sometimes called weight-bearing or weight-loading activity) produces a force on the bones that promotes bone growth and strength. This force is commonly produced by impact with the ground. Examples of bone-strengthening activity include jumping jacks, running, brisk walking, and weight-lifting exercises. As these examples illustrate, bone-strengthening activities can also be aerobic and muscle strengthening.
5 main components of physical fitness.
Health related components of physical fitness, examining the relationship between physical activity and health.
In many studies covering a wide range of issues, researchers have focused on exercise , as well as on the more broadly defined concept of physical activity. Exercise is a form of physical activity that is planned, structured, repetitive, and performed with the goal of improving health or fitness. So, although all exercise is physical activity, not all physical activity is exercise.
Studies have examined the role of physical activity in many groups—men and women, children, teens, adults, older adults, people with disabilities, and women during pregnancy and the postpartum period. These studies have focused on the role that physical activity plays in many health outcomes, including:
These studies have also prompted questions as to what type and how much physical activity is needed for various health benefits. To answer this question, investigators have studied three main kinds of physical activity: aerobic, muscle-strengthening, and bone-strengthening.
In this kind of physical activity (also called cardiorespiratory fitness), the body’s large muscles move in a rhythmic manner for a sustained period of time. Brisk walking, running, bicycling, jumping rope, and swimming are all examples.
Aerobic activity causes a person’s heart to beat faster than usual.
Aerobic physical activity has three components:
This kind of activity, which includes resistance training and lifting weights, causes the body’s muscles to work or hold against an applied force or weight. These activities often involve relatively heavy objects, such as weights, which are lifted multiple times to train various muscle groups. Muscle-strengthening activity can also be done by using elastic bands or body weight for resistance (climbing a tree or doing push-ups, for example).
Muscle-strengthening activity also has three components:
This kind of activity (sometimes called weight-bearing or weight-loading activity) produces a force on the bones that promotes bone growth and strength. This force is commonly produced by impact with the ground. Examples of bone-strengthening activity include jumping jacks, running, brisk walking, and weight-lifting exercises. As these examples illustrate, bone-strengthening activities can also be aerobic and muscle strengthening.
5 main components of physical fitness.
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Why Mental And Physical Health Are The Foundation Of Effective Leadership
Deadlines, long hours, and the constant pressure to perform can cause leaders to neglect their well-being. Missing a workout here and there isn’t a big deal, but when leaders start ignoring nutrition, skipping out on exercise, and opting for another cup of coffee instead of a good night’s sleep, they can start to spiral.
Health, both physical and mental, is not just a personal asset but a professional one as well. It is arguably a leader's greatest advantage in achieving success and fostering a positive work culture. As the saying goes, “You can’t pour from an empty cup.” And when you’re running on empty, your team suffers. Managers impact people’s mental health more than their doctor (51%) or therapist (41%) and as much as spouses (69%), according to research from UKG . If you’ve let your health take a backseat as you run your team or business, it’s time to reprioritize it so you can be a more effective leader.
A lot of health problems can be prevented or treated if they are caught in time. Yet, many people avoid the doctor's office despite persisting health issues.
“The reluctance to take time out of our busy days to see a doctor, compounded by current healthcare accessibility challenges, can lead to neglected conditions that worsen over time,” explains Michael Forbes, pharmacist, and founder of Ageless Living™ , a health and wellness center providing preventative care. The center advocates for a proactive stance on health, emphasizing the long-term benefits of maintaining physical activity and a balanced diet amidst the declining health trends observed in recent years.
“Leaders who maintain a healthy lifestyle tend to have more energy, be less prone to illness, and demonstrate greater endurance. These factors are essential for the long hours and demands of leadership roles,” adds Forbes.
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Physical health plays a crucial role in a leader's effectiveness. Living a healthy lifestyle can lead to better decision-making. Consistent exercise and good nutrition can improve cognitive functions, including problem-solving, memory, and concentration, according to researchers . Thus, by prioritizing their physical health, leaders can enhance their performance and set a positive example for their teams.
In the competitive landscape of business, every edge counts, and health is a significant one. A healthy leader is more likely to be innovative and creative. Physical activity and mental well-being practices like meditation have been linked to enhanced creativity and openness to new ideas.
“Time invested in regular exercise, even if it means spending less time at work, is correlated with higher ratings of leadership effectiveness,” explains exercise physiologist Sharon McDowell-Larsen . Being a more effective leader can translate into greater creativity and innovation within the organization, giving it a competitive edge.
The impact of a leader's health extends beyond their personal well-being; it has a ripple effect on their organization. When they prioritize their health, it clearly conveys that health is valued within the organization. This can lead to healthier work-life balance practices among employees, reducing burnout and improving overall job satisfaction and productivity.
When employees have a more enjoyable work experience, their personal lives are enriched. “The socially-transmitted impact of your mindset extends well beyond those people with whom you interact directly in the workplace. It also touches those to whom they are connected — most notably their partners and family members, but also their larger networks and communities,” says Monique Valcour . As a leader, you are impacting your larger community, not just the people you interact with directly on a daily basis.
Moreover, healthy leaders are more capable of sustaining high levels of performance over time. Having endurance is crucial in today's business world, where adaptability and resilience are vital to navigating challenges and uncertainties.
“Leaders who are physically and mentally fit are better equipped to handle stress, make clear-headed decisions under pressure, and maintain their focus on long-term goals,” adds Forbes.
Leaders can enhance their decision-making, creativity, and resilience by prioritizing their health. Moreover, they set a powerful example for their teams, fostering a culture that values and promotes health. Even in today’s demanding and fast-paced work culture, there is a positive shift occurring towards self-care, which can go a long way in both personal health benefits and contributing to career success.
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Department of Movement Sciences
Mailing Address: College of Education, Health and Human Sciences University of Idaho 875 Perimeter Drive MS 2401 Moscow, Idaho 83844-2401
Phone: 208-885-7921
Fax: 208-885-5929
Email: [email protected]
Exercise science student finds her place studying cardiovascular health.
Daniel Trautvetter (’13) dedicated to helping cancer patients, tobacco cessation.
Ramon Salinas' impact success story on how donor driven opportunities led to his employment.
CEHHS Grads Improve People’s Quality of Life
As a student in the University of Idaho’s Exercise, Sport, and Health Sciences four-year degree program, you will acquire knowledge, leadership skills and the technical abilities to plan, implement and evaluate health and fitness programs for individuals, teams and communities. You will gain in-depth knowledge of the human body and how physical activity, healthy eating and maintaining a healthy body weight can reduce chronic disease and disability.
The Exercise, Sport, and Health Sciences curriculum includes courses such as:
Physiology of Exercise
Fitness Assessment and Prescription
Design and Analysis of Research
Concepts in Human Nutrition
Psychosocial Determinants of Health
Applied Sport Psychology
Biomechanics
Motor Behavior
Health Promotion
Introduction to Athletic Injuries
The program incorporates classroom teaching, hands-on learning, and service learning projects to give you an opportunity to apply the skills you have learned in real-world and laboratory settings.
The White House Conference on Hunger, Nutrition, and Health — held in September 2022 — renewed national attention and issued a call to action to end hunger and reduce the prevalence of chronic disease in the United States by 2030.
Food is Medicine approaches that focus on integrating consistent access to diet- and nutrition- related resources are a critical component to achieve this goal. The approaches are increasingly present across many communities and systems. There’s also increasing federal investment and action to support Food is Medicine approaches in a variety of settings.
Building on this collective energy, the Department of Health and Human Services (HHS) developed a Food is Medicine initiative in response to a congressionally funded initiative in fiscal year 2023. This congressional action directed the Secretary of HHS, in consultation with other federal agencies, to develop and implement a federal strategy to reduce nutrition-related chronic diseases and food insecurity to improve health and racial equity in the United States. This includes diet-related research and programmatic efforts that will increase access to Food is Medicine initiatives.
Learn about Food is Medicine framing language and principles.
Access to nutritious food is critical to health and resilience. Food is Medicine is a concept that reaffirms this connection, recognizing that access to high-quality nourishment is essential for well-being. By supporting the production of and facilitating access to nutritious food across a health continuum and range of settings, approaches to Food is Medicine support immediate and long-term resources for people, communities, and systems.
HHS will work collaboratively with federal partners and external organizations and communities to develop resources that can be used to advance Food is Medicine approaches across the country.
Our plans include the following steps:
1. Listen to Communities and Implementation Partners
2. Cultivate Partnerships with Cross-Sector Leaders
3. Develop Resources to Support Broad Uptake
Please note that this webpage will be updated with tools and resources as the initiative progresses.
1 https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-u-s/key-statistics-graphics
2 https://www.usda.gov/media/blog/2016/03/16/healthy-eating-index-how-america-doing#:~:text=About%20half%20of%20all%20American,cancers%2C%20and%20poor%20bone%20health
3 https://www.ers.usda.gov/webdocs/publications/84467/err-235.pdf?v=9081.9
4 https://www.cdc.gov/chronicdisease/resources/publications/factsheets/nutrition.htm
Linking to a non-federal website does not constitute an endorsement by ODPHP or any of its employees of the sponsors or the information and products presented on the website.
You will be subject to the destination website's privacy policy when you follow the link.
When your doctor or other health care provider (including a nurse practitioner, clinical nurse specialist, or physician assistant) certifies you need it, Medicare Part B (Medical Insurance) helps pay for medically necessary outpatient physical therapy.
After you meet the Part B deductible, you pay 20% of the Medicare-approved amount .
There's no limit on how much Medicare pays for your medically necessary outpatient therapy services in one calendar year.
To find out how much your test, item, or service will cost, talk to your doctor or health care provider. The specific amount you’ll owe may depend on several things, like:
Your doctor or other health care provider may recommend you get services more often than Medicare covers. Or, they may recommend services that Medicare doesn’t cover. If this happens, you may have to pay some or all of the costs. Ask questions so you understand why your doctor is recommending certain services and if, or how much, Medicare will pay for them.
Physical Therapy helps to restore or improve physical movement in your body after an injury, illness, or surgery. You can also get this therapy to help improve or maintain your current function, or slow decline.
There’s no limit on how much Medicare pays for your medically necessary outpatient physical therapy services in one calendar year.
Sword Health , an AI-powered virtual physical therapy startup, has raised $30 million and let employees sell $100 million worth of equity to new and existing investors, including Khosla Ventures. The round brings the nine-year-old company’s valuation to $3 billion, a 50% increase from the $2 billion value it garnered in its Series D in November 2021.
The company initially set out to just do the $100 million secondary round that would allow employees and early investors to sell shares, Virgílio Bento, Sword’s CEO and founder, told TechCrunch. But when he saw that the secondary round was oversubscribed, the company also decided to raise a $30 million primary round and update its valuation.
“It’s a very intense environment: long hours and high expectations. We wanted to reward our team, especially our early employees,” he said.
Sword didn’t need the influx of capital because it’s forecasted to be profitable by the end of the year, Bento said. However, he liked the signal an updated valuation would send during the tough fundraising conditions of 2024.
“No one really believes in the valuations of 2021 given how irrational the market was,” Bento said. While most employees know that the company is doing well, Sword’s clients, who include employers and health plans of Fortune 500 companies, had no clear way of gauging the company’s progress. “We wanted to showcase our growth, and valuation is one indicator of that.”
The company won’t use the $30 million for operations. “It’s going to be in the bank, generating nice interest,” Bento said.
The latest primary round brings Sword’s total funding to $340 million. In addition to Khosla Ventures, the company’s investors include General Catalyst, BOND, Founders Fund, and others.
Proving that Sword is doing so well is likely important to the company because it competes directly with another virtual therapy platform, Hinge Health, which was last valued at $6.2 billion in October 2021 . In April, Hinge laid off 10% of its workforce as a step in its plans to reach profitability in preparation for a potential IPO, TechCrunch reported .
Bento also has a goal of an IPO for Sword. If the company grows as expected and the macroeconomic environment is favorable, it could potentially list in 2025, but the company is not committed to a specific timeline, Bento said.
In the meantime, the company is beefing up its AI. It is introducing a human-like voice for its genAI, named Phoenix, to its musculoskeletal therapy and women’s pelvic health care therapy. Phoenix powers all patient interactions and Sword’s virtual therapists. “It’s the last piece of the puzzle that makes Phoenix much more engaging,” Bento said.
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Health Hazards of Homework. Pediatrics. A new study by the Stanford Graduate School of Education and colleagues found that students in high-performing schools who did excessive hours of homework "experienced greater behavioral engagement in school but also more academic stress, physical health problems, and lack of balance in their lives.".
Forty-three percent viewed tests as a primary stressor, while 33 percent put the pressure to get good grades in that category. Less than 1 percent of the students said homework was not a stressor. • Reductions in health: In their open-ended answers, many students said their homework load led to sleep deprivation and other health problems. The ...
A Stanford researcher found that students in high-achieving communities who spend too much time on homework experience more stress, physical health problems, a lack of balance and even alienation ...
Beyond that point, kids don't absorb much useful information, Cooper says. In fact, too much homework can do more harm than good. Researchers have cited drawbacks, including boredom and burnout toward academic material, less time for family and extracurricular activities, lack of sleep and increased stress.
Emmy Kang, mental health counselor at Humantold, says studies have shown heavy workloads can be "detrimental" for students and cause a "big impact on their mental, physical and emotional health ...
Research shows that excessive homework leads to increased stress, physical health problems and a lack of balance in students' lives. And studies have shown that more than two hours of daily homework can be counterproductive, yet many teachers assign more.. Homework proponents argue that homework improves academic performance. Indeed, a meta-analysis of research on this issue found a ...
Homework can affect both students' physical and mental health. According to a study by Stanford University, 56 per cent of students considered homework a primary source of stress. Too much homework can result in lack of sleep, headaches, exhaustion and weight loss. Excessive homework can also result in poor eating habits, with families ...
Empirical studies have linked excessive homework to sleep disruption, indicating a negative relationship between the amount of homework, perceived stress and physical health. Elementary school ...
"The quality of the homework assignment and whether or not students find it meaningful can have a significant impact on student achievement, homework completion, motivation and physical health ...
Their findings were troubling: Research showed that excessive homework is associated with high stress levels, physical health problems and lack of balance in children's lives; 56% of the ...
Studies indicate a negative relationship between children's amount of homework and their physical health. By Gerald K. LeTendre. September 2, 2015 at 8:01 a.m. EDT. (BigStock) Reformers in the ...
Homework — a dreaded word that means more work and less play. The mere thought of doing additional work after a seven-hour day (that begins extremely early) can be gruesome. Not to mention, many ...
Students who did more hours of homework experienced greater behavioral engagement in school but also more academic stress, physical health problems, and lack of balance in their lives. To better understand the role homework played as a stressor in students' lives, the authors explored students' qualitative descriptions of their experiences ...
"Their findings were troubling: Research showed that excessive homework is associated with high stress levels, physical health problems and lack of balance in children's lives; 56% of the students in the study cited homework as a primary stressor in their lives," according to the CNN story.
Little is known about the health effects of dedicating such a large amount of time to academic‐related studies on obesity in children of this age group 3. An emerging body of research has related obesity with physical activity, sedentary behaviour and diet in Chinese children, similar to those conducted in developed countries 7, 8. However, a ...
Background: This study examined the effect of using physical activity homework on physical activity levels of college students. Methods: Students in randomly assigned sections of a university health course were assigned 30 minutes of physical activity homework 3 days a week or no homework for 12 weeks. Participants completed self-reports of physical activity before the homework intervention ...
Workers decreased overall physical activity and physical exercise, combined with increased overall food intake. Decreased physical and mental well-being was correlated with increased food or junk ...
Our physical activity recommendations clear up any confusion about how much exercise you need to stay healthy and what counts as moderate and vigorous intensity aerobic activity. What does the science say? Adults and kids benefit from being more active and sitting less. We've got tips and resources on how to be more physically active and less sedentary for weight loss, better health and ...
Move Your Way® Toolkit for Schools. This toolkit is for anyone working to encourage physical activity in a school setting — like physical education and health education teachers, classroom teachers, coaches, after-school program leaders, and school administrators. Others promoting student health and well-being — like school nurses and ...
Examining the Relationship Between Physical Activity and Health. In many studies covering a wide range of issues, researchers have focused on exercise, as well as on the more broadly defined concept of physical activity.Exercise is a form of physical activity that is planned, structured, repetitive, and performed with the goal of improving health or fitness.
Abstract. A comprehensive school physical activity program (CSPAP) is a multi-component whole-school approach designed to assist schools in targeting opportunities for students to be more ...
In many studies covering a wide range of issues, researchers have focused on exercise, as well as on the more broadly defined concept of physical activity.Exercise is a form of physical activity that is planned, structured, repetitive, and performed with the goal of improving health or fitness.
A physical therapist is a healthcare provider who helps you improve how your body performs physical movements. They'll help you manage symptoms like pain, stiffness and discomfort. Many people work with a physical therapist while they're recovering from an injury or surgery. But rehabilitation (rehab) isn't the only time you might work ...
Health, both physical and mental, is not just a personal asset but a professional one as well. It is arguably a leader's greatest advantage in achieving success and fostering a positive work culture.
Playing music builds cognitive skills and enhances learning. And just one art experience per month can extend your life by 10 years. The process, not the product, is what's important. Bosker ...
The Exercise, Sport, and Health Sciences curriculum includes courses such as: The program incorporates classroom teaching, hands-on learning, and service learning projects to give you an opportunity to apply the skills you have learned in real-world and laboratory settings. Enroll in University of Idaho's Exercise, Sport, and Health Sciences ...
HHS will work collaboratively with federal partners and external organizations and communities to develop resources that can be used to advance Food is Medicine approaches across the country. Our plans include the following steps: 1. Listen to Communities and Implementation Partners. HHS will engage with a variety of external partners across ...
Get important info on occupational & physical therapy coverage. Learn about therapy caps, skilled nursing care, speech-language pathology services, more. ... Your doctor or other health care provider may recommend you get services more often than Medicare covers. Or, they may recommend services that Medicare doesn't cover. If this happens ...
Headaches, dizziness or shaking. High blood pressure. Muscle tension or jaw clenching. Stomach or digestive problems. Weakened immune system (which can leave you more vulnerable to contagious ...
Sword Health, an AI-powered virtual physical therapy startup, has raised $30 million and let employees sell $100 million worth of equity to new and existing investors, including Khosla Ventures ...