Hair practices may be barrier to physical activity for some African-American women

Dec. 17, 2012 — A study that surveyed 103 African-American women suggests that nearly 40 percent of the women reported avoiding exercise at times because of their hair, according to a report published Online First by Archives of Dermatology, a JAMA Network publication.

Regular physical activity (PA) is associated with a decreased risk for obesity, but African-American women have been among the least likely to meet some of the targeted PA goals. Sufficient physical activity has been defined as moderate-intensity aerobic PA for at least 150 minutes per week or vigorous-intensity aerobic PA for at least 75 minutes per week. Hair care and hairstyle maintenance can be costly for African-American women and because of the relative infrequency of hair washing needed to maintain many common hairstyles they may opt to avoid exercise and the associated sweating, according to the study background.

Rebecca R. Hall, M.D., of the Wake Forest School of Medicine, Winston-Salem, N.C., and colleagues surveyed African-American women about their hair care practices and PA to characterize the relationship of hairstyle maintenance with exercise. The average age of the 103 women surveyed was about 42 years.

"Hair maintenance in African-American women in this study limited their participation in PA with more than half of the women exercising less than 75 minutes/week and 26.2 percent reporting 0 minutes of exercise per week," the authors note.

Most of the women (62.1 percent) wore their hair in a relaxed (chemically straightened) style and most of the women washed their hair every one to two weeks (81.6 percent).

Hair concerns caused 35.9 percent of the women surveyed to avoid swimming and water activities, while 29.1 percent avoided aerobic and gym activities. Women with normal scalps (not dry or oily) were significantly more like to participate in aerobic/gym activities than those with scalp complaints. Women who exercised less because of hair concerns were 2.9 times less likely to exercise more than 150 minutes per week, according to study results.

"Effective strategies to promote PA in African-American women, known to disproportionately have obesity and associated sedentary diseases, must include addressing dermatologic barriers to PA with strategies that address hairstyle maintenance. The high percentage of African-American women with baseline scalp complaints suggests that dermatologists need to consider these symptoms when providing care for African-American women," the authors conclude.

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Rebecca R. Hall. Hair Care Practices as a Barrier to Physical Activity in African American WomenHair Practices and PA in African American Women. Archives of Dermatology, 2012; DOI: 10.1001/jamadermatol.2013.1946

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Kids need at least seven minutes a day of 'vigorous' physical activity, but most aren't getting that

Nov. 9, 2012 — Children need a minimum of seven minutes a day of vigorous physical activity, demonstrates recently published findings by University of Alberta medical researchers and their colleagues across Canada.

"If you watch late-night television, or look in the backs of magazines, you'll see magical ads saying you need just 10 minutes a day or five minutes a day of exercise to stay fit. And for those of us in the medical field, we just rolled our eyes at that. But surprisingly, they may actually be right and that's what this research shows," says co-principal investigator Richard Lewanczuk, a researcher with the Faculty of Medicine & Dentistry at the U of A.

"Our research showed children don't need a lot of intense physical activity to get the health benefits of exercise -- seven minutes or more of vigorous physical activity was all that was required. But the seven minutes had to be intense to prevent weight gain, obesity and its adverse health consequences. And most kids weren't getting that."

Lewanczuk worked on this study with Jonathan McGavock, his co-principal investigator, and former post-doctoral fellow, who now works with the Manitoba Institute of Child Health. They collaborated with Black Gold Regional Schools in Leduc and surrounding communities just south of Edmonton, as well as researchers from the University of Manitoba, Queen's University, the University of Newcastle, and U of A researchers from the Faculty of Medicine & Dentistry, the School of Public Health, Physical Education and Recreation, and Agricultural, Life and Environmental Sciences. The team's findings were recently published in the peer-reviewed journal Archives of Pediatrics & Adolescent Medicine.

More than 600 children, between the ages of nine to 17 from Leduc and surrounding areas, wore monitors that tracked their physical activity levels for seven days. These children also had their weight, waist circumference and blood pressure regularly monitored.

Researchers reviewed the data collected through the Healthy Hearts program via Black Gold Regional Schools and determined the children spent almost 70 per cent of their time doing sedentary activities; nearly 23 per cent was devoted to light physical activity; almost seven per cent to moderate physical activity and 0.6 per cent to vigorous physical activity.

Overall, boys were less sedentary than girls. And the more vigorous the physical activity, the less apt the children were to be overweight. Children who were overweight had improved fitness levels and shrinking waist lines when they increased the amount of time spent doing vigorous activities.

Lewanczuk said the team made some other notable findings including the following: there weren't the expected health benefits from doing only mild or moderate activity even if the time spent doing this type of activity increased. What seemed to be critical was taking part in intense physical activity. For kids who took part in vigorous physical activity that lasted longer than seven minutes, their health benefits were significantly better. And the whole notion of being overweight but fit? The team's data didn't support that finding in children. If children were overweight, they were also unhealthy, Lewanczuk says.

"This research tells us that a brisk walk isn't good enough," says Lewanczuk, a professor in the Department of Medicine who has been studying this topic for eight years. "Kids have to get out and do a high-intensity activity in addition to maintaining a background of mild to moderate activity. There's a strong correlation between obesity, fitness and activity. Activity and fitness is linked to a reduction in obesity and good health outcomes."

Getting young children to make vigorous physical activity part of their daily routines is important, especially considering activity levels in the teenage years drop right off, Lewanczuk says. And previously published research from the same group of children shows kids are more active at school than they are at home.

"Quite often the activity levels on evenings or weekends would be almost flat," he says. "We made the presumption that kids were just sitting in front of a screen the whole time."

Lewanczuk hopes the research findings will help schools decide what type of mandatory physical activity is needed.

He praised the school district involved in the study, noting the research wouldn't have been possible without its support.

Paul Wozny with Black Gold Regional Schools said physical activity is always worthwhile and noted that increased moderate to intense activity was closely associated with lower weights from year to year. He said the Healthy Hearts project has truly created "a school and community culture where regular physical activity and healthy nutrition are seen as essential ingredients for students' health, wellness and life-long learning. Everyone is involved -- students, their parents, teachers, staff, researchers and the community as a whole.

"We are always striving to improve, so we regularly review the research results to help us fine tune and develop future activity and wellness programming at all of our school communities. Black Gold Regional Schools' Health Hearts project has received both national and international recognition as a world-leading school and community initiative dedicated to the improvement of student cardiovascular health through regular physical activity and multi-stakeholder support."

The primary funders of the research were: the Canadian Diabetes Association and the Alberta Centre for Child, Family and Community Research.

"The Canadian Diabetes Association is proud to be a leading supporter of diabetes research in Canada, investing more than $7 million annually in diabetes research," said Janet Hux, chief scientific advisor for the Canadian Diabetes Association. "The Association encourages Canadians to pursue healthy lifestyles in order to prevent and manage diabetes. Dr. Lewanczuk's work provides important new insights that may make enhanced activity more feasible for children and youth."

The Alberta Centre for Child, Family and Community Research added: "Having this kind of evidence should make it easier for parents, schools and daycare programs to do activities with children that will help develop lifelong healthy attitudes towards exercise and activity," stated Alberta Centre for Child, Family and Community Research President and CEO, Robyn Blackadar.

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The above story is reprinted from materials provided by University of Alberta Faculty of Medicine & Dentistry.

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Journal Reference:

Jacqueline Hay. Physical Activity Intensity and Cardiometabolic Risk in YouthPA Intensity and Cardiometabolic Risk in Youth. Archives of Pediatrics & Adolescent Medicine, 2012; : 1 DOI: 10.1001/archpediatrics.2012.1028

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Leisure-time physical activity extends life expectancy as much as 4.5 years

Nov. 6, 2012 — Leisure-time physical activity is associated with longer life expectancy, even at relatively low levels of activity and regardless of body weight, according to a study by a team of researchers led by the National Cancer Institute (NCI), part of the National Institutes of Health. The study, which found that people who engaged in leisure-time physical activity had life expectancy gains of as much as 4.5 years, appeared Nov. 6, 2012, in PLoS Medicine.

In order to determine the number of years of life gained from leisure-time physical activity in adulthood, which translates directly to an increase in life expectancy, researchers examined data on more than 650,000 adults. These people, mostly age 40 and older, took part in one of six population-based studies that were designed to evaluate various aspects of cancer risk.

The U.S. Department of Health and Human Services, the parent agency of NIH, recommends that adults ages 18 to 64 engage in regular aerobic physical activity for 2.5 hours at moderate intensity -- or 1.25 hours at vigorous intensity -- each week. Moderate activities are those during which a person could talk but not sing. Vigorous activities are those during which a person could say only a few words without stopping for breath.

After accounting for other factors that could affect life expectancy, the researchers found that life expectancy was 3.4 years longer for people who reported they got the recommend level of physical activity. People who reported leisure-time physical activity at twice the recommended level gained 4.2 years of life. In general, more physical activity corresponded to longer life expectancy.

The researchers even saw benefit at low levels of activity. For example, people who said they got half of the recommended amount of physical activity still added 1.8 years to their life.

"Our findings highlight the important contribution that leisure-time physical activity in adulthood can make to longevity," said study author Steven Moore, Ph.D., of NCI's Division of Cancer Epidemiology and Genetics, and lead author of the study. "Regular exercise extended the lives in every group that we examined in our study -- normal weight, overweight, or obese."

The researchers found that the association between physical activity and life expectancy was similar between men and women, and blacks gained more years of life expectancy than whites. The relationship between life expectancy and physical activity was stronger among those with a history of cancer or heart disease than among people with no history of cancer or heart disease.

The researchers also examined how life expectancy changed with the combination of both activity and obesity. Obesity was associated with a shorter life expectancy, but physical activity helped to mitigate some of the harm. People who were obese and inactive had a life expectancy that was between five to seven years shorter (depending on their level of obesity) than people who were normal weight and moderately active.

Physical activity has been shown to help maintain a healthy body weight, maintain healthy bones, muscles and joints, promote psychological well-being, and reduce the risk of certain diseases, including some cancers.

"We must not underestimate how important physical activity is for health -- even modest amounts can add years to our life," said I-Min Lee, M.D., Sc.D. , professor of Medicine, Harvard Medical School, Cambridge, Mass., and senior author on the study.

This work was supported by NCI's Division of Cancer Epidemiology and Genetics under intramural project number ZIACP010196 and by NCI's Division of Cancer Control and Population Sciences under grants CA105069 and CA047988. Additional support was received from two other parts of the NIH, the National Institute on Aging (AG18033), and the National Heart, Lung, Blood Institute (HL043851 and HL080467).

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Journal Reference:

Steven C. Moore, Alpa V. Patel, Charles E. Matthews, Amy Berrington de Gonzalez, Yikyung Park, Hormuzd A. Katki, Martha S. Linet, Elisabete Weiderpass, Kala Visvanathan, Kathy J. Helzlsouer, Michael Thun, Susan M. Gapstur, Patricia Hartge, I-Min Lee. Leisure Time Physical Activity of Moderate to Vigorous Intensity and Mortality: A Large Pooled Cohort Analysis. PLoS Medicine, 2012; 9 (11): e1001335 DOI: 10.1371/journal.pmed.1001335

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Regular physical activity reduces risk of dementia in older people

Nov. 1, 2012 — Regular physical activity may help older people reduce their chances of getting dementia.

In a new study published in the American Heart Association journal Stroke, older, non-disabled people who regularly engaged in physical activity reduced their risk of vascular-related dementia by 40 percent and cognitive impairment of any etiology by 60 percent.

The protective effect of regular physical activity remained regardless of age, education, changes in the brain's white matter and even previous history of stroke or diabetes, researchers said.

The findings are based on a prospective multinational European study that included yearly comprehensive cognitive assessments for three years. The results are part of increasing evidence that regular physical activity promotes brain health, researchers said.

"We strongly suggest physical activity of moderate intensity at least 30 minutes three times a week to prevent cognitive impairment," said Ana Verdelho, M.D., lead author of the study and a neuroscience researcher at the University of Lisbon, Santa Maria Hospital in Portugal. "This is particularly important for people with vascular risk factors such as hypertension, stroke or diabetes."

The analysis included 639 people in their 60s and 70s; 55 percent were women and almost 64 percent said they were active at least 30 minutes a day three times a week. The activity included gym classes, walking and biking.

The American Heart Association recommends at least 150 minutes of moderate exercise every week or 75 minutes of vigorous exercise for optimal health.

Researchers performed magnetic resonance imaging (MRI) tests at the beginning and end of the study to gauge white matter changes in the brain, an indicator of possible cognitive decline.

"Damage of the cerebral white matter is implicated in cognitive problems including depression, walking difficulties and urinary complaints," Verdelho said. "White matter changes are very common in older people and mainly associated with vascular risk factors like hypertension and stroke."

Throughout the study, researchers asked participants in phone interviews and clinical visits about depression, quality of life and performing everyday activities.

At the end of the follow-up, 90 patients had dementia, including 54 with vascular dementia in which impaired blood flow to the brain causes cognitive decline, and 34 patients met criteria for Alzheimer's disease. Another 147 patients developed cognitive impairment, but not dementia.

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Ana Verdelho et al. Physical Activity Prevents Progression for Cognitive Impairment and Vascular Dementia Results From the LADIS (Leukoaraiosis and Disability) Study. Stroke, 2012 DOI: 10.1161/STROKEAHA.112.661793

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