Individual forms of leisure-time physical activity across generations: Determinants in an obesogenic environment

Heat tolerance and acclimatization to work in the heat in relation to age.

A Millennial Leader's Views on the Millennial Workforce

Obesity on the scales

Urgently needed: a framework convention for obesity control

Background: Cancer survivors are recommended to consume a diet high in fruits and vegetables (F/V), low in energy dense foods, and engage in 150 minutes of moderate-to-vigorous physical activity (MVPA). Hispanic/Latina breast cancer (BC) survivors have higher rates of obesity and lower rates of physical activity compared to non-Hispanic white women. The Mi Vida Saludable (My Healthy Life) trial is testing the effectiveness of a culturally based behavioral intervention on improving and maintaining diet and physical activity changes among Hispanic/Latina BC survivors (R01CA186080, PI: H Greenlee). The primary outcomes are changes, from baseline to 12 months, in daily servings of F/V, total energy density, and physical activity. Methods: Mi Vida Saludable is a 2 × 2 factorial randomized controlled trial conducted in Hispanic/Latina BC survivors living in New York City. The eligibility criteria include: self-identified as Hispanic/Latina female; aged 21 years; diagnosed with stage 0-III BC with no detectable disease; >3 months post-treatment (current use of hormonal therapy allowed); have access to text messaging and the Internet; and available for Saturday intervention classes. Additional eligibility criteria include intake of <5 servings of F/V per day (assessed using NIH's Quick Food Scan Questionnaire) and/or <150 minutes of MVPA per week (assessed via a modified International Physical Activity Questionnaire Short Form). Baseline data collection includes self-reported demographic, medical history, anthropometric measures, technology use, diet, and physical activity. Participants (target enrollment n=200) are randomized to four arms: A) in-person education plus e-communication, B) e-communication alone, C) in-person education alone, or D) control. Randomization is stratified on preferred language (English vs. Spanish) and current use of hormonal therapy. All participants receive a Fitbit, 30-minute health coaching session, and printed materials. Here, we report the screening and baseline characteristics of participants enrolled to date. Results: As of July 2018, a total of 128 participants have been enrolled and randomized into the study. Baseline characteristics include: mean age of 56 years (SD 9), 56% with annual household income $15,000, 54% with some college education or higher, 44% overweight (BMI 25-<30 kg/m2), 41% obese (BMI 30 kg/m2), mean time since diagnosis 5 years (SD 4), average 2 servings/day of F/V (SD 1), and mean 51 minutes/week of MVPA (SD 92), 59% comfortable using email, and 80% comfortable using text messaging. Conclusion: To date, the majority of participants enrolled are overweight/obese and on average do not meet the recommendations for cancer survivors on daily F/V intake and MVPA. Over half of participants enrolled have some college education or more, and more women are comfortable using text messaging compared to email. Trial enrollment will be completed in fall 2019 with a target goal of 200 participants. Citation Format: Kathleene T. Ulanday, Margarita Santiago-Torres, Zaixing Shi, Rachel Paul, Amanda Marin-Chollom, Marisol Castellano, Yanette Fuentes, Isobel Contento, Pam Koch, Heewon L. Gray, Ann O. Gaffney, Dawn Hershman, Heather Greenlee. Baseline characteristics of participants enrolled in a randomized controlled trial of a diet and physical activity intervention among Hispanic/Latina breast cancer survivors (in progress) [abstract]. In: Proceedings of the Eleventh AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2018 Nov 2-5; New Orleans, LA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2020;29(6 Suppl):Abstract nr A034.

Little is known about whether the substantial clustering of obesity and overweight within social and geographic networks results from causal pathways, such as social contagion and shared environments, or from self-selection. This study aimed to determine whether exposure to communities with higher rates of obesity increases the body mass index (BMI) of individuals, calculated as weight in kilograms divided by height in meters squared, and their risk of being overweight or obese, and whether social contagion, shared environments, or self-selection can account for identified differences. This natural experiment study used the routine assignment of military service members to installations as a source of exogenous variation in exposure to communities with higher vs lower rates of obesity. The study, which used data collected by the Military Teenagers' Environments, Exercise, and Nutrition Study, examined families from 38 military installations around the United States to determine if individuals had higher BMI and greater odds of overweight and obesity when assigned to installations in counties with higher rates of obesity. The study also examined if the relationship persisted after controlling for shared built environments. The participants included 1 parent and 1 child aged 12 or 13 years from 1519 families of Army-enlisted personnel. Data analysis was completed from November 2016 to October 2017. Adult obesity rate in the county where the assigned installation of the service member was located. Time at installation and location of residence (on-installation vs off-installation) were used to measure the degree of exposure. For parents, outcomes were BMI, overweight/obesity (BMI, ≥25) and obesity (BMI, ≥30). For children, outcomes were BMI z score, overweight/obesity (BMI percentile for age and sex, ≥85), and obesity (BMI percentile for age and sex, ≥95). These outcomes were based on self-reports for parents, self-reports and parent reports for all children, and anthropometric measurements for a subsample of children. Members of 1519 families participated, including 1314 adults (of whom 740, or 56%, were fathers) and 1111 children (of whom 576, or 52%, were boys); anthropometric measurements were performed on 458 children. The sample was 40% white, 22% black, 24% Hispanic, and 14% other races/ethnicities. A 1-percentage point higher county obesity rate was associated with a higher BMI (a difference of 0.08; 95% CI, 0.02-0.13) and greater odds of obesity (adjusted odds ratio [aOR], 1.05; 95% CI, 1.02-1.08) in parents, and a higher BMI z score (0.01; 95% CI, 0.003-0.02) and greater odds of overweight/obesity (aOR, 1.04; 95% CI, 1.01-1.06) in children. The evidence supported stronger associations among families with more time at installation and off-installation residence. Associations persisted even after controlling for shared built environments. Exposure to counties with higher rates of obesity was associated with higher BMI and higher odds of overweight and/or obesity in parents and children. There was no evidence to support self-selection or shared built environments as possible explanations, which suggests the presence of social contagion in obesity.

Longitudinal variations in maximal oxygen intake with age and activity.

Generations: The Real Differences between Gen Z, Millennials, Gen X, Boomers, and Silents—and What They Mean for America’s Future

PurposeAlthough extensive research exists regarding job satisfaction, many previous studies used a more restrictive, quantitative methodology. The purpose of this qualitative study is to capture the perceptions of hospital nurses within generational cohorts regarding their work satisfaction.Design/methodology/approachA preliminary qualitative, phenomenological study design explored hospital nurses’ work satisfaction within generational cohorts – Baby Boomers (1946-1964), Generation X (1965-1980) and Millennials (1981-2000). A South Florida hospital provided the venue for the research. In all, 15 full-time staff nurses, segmented into generational cohorts, participated in personal interviews to determine themes related to seven established factors of work satisfaction: pay, autonomy, task requirements, administration, doctor–nurse relationship, interaction and professional status.FindingsAn analysis of the transcribed interviews confirmed the importance of the seven factors of job satisfaction. Similarities and differences between the generational cohorts related to a combination of stages of life and generational attributes.Practical implicationsThe results of any qualitative research relate only to the specific venue studied and are not generalizable. However, the information gleaned from this study is transferable and other organizations are encouraged to conduct their own research and compare the results.Originality/valueThis study is unique, as the seven factors from an extensively used and highly respected quantitative research instrument were applied as the basis for this qualitative inquiry into generational cohort job satisfaction in a hospital setting.

Purpose – This paper aims to compare the levels of status consumption for Baby Boomers, Generation X, and Generation Y (Millennials).Design/methodology/approach – With an email sample of 220 adult consumers living in the southeast USA, this study measures status consumption, generational cohort, and demographics.Findings – The study finds significant differences in the level of status consumption by generational cohort. The average level of status consumption was highest for Generation Y, followed by Generation X and then Baby Boomers. In looking at the significance of these differences between individual cohorts, there was a significant difference between Generation Y and Baby Boomers. This suggests that while there are differences in the level of status consumption by generation, this difference is only significant between Generation Y and Baby Boomers. This paper then examines if this relationship between generational cohort and status consumption is impacted by demographic variables, such as gender, i...

Body temperatures and sweating during exhaustive exercise.

Purpose This study aims to enhance the definition of wellness tourism as a continuous, culturally embedded process of self-regulation, identity formation and transformation, rather than as a singular, destination-based experience. Design/methodology/approach This study examined the interactions among Baby Boomers, Gen X, Gen Y and Gen Z from the USA and Turkiye with wellness products and services, using generational cohort theory (GCT), the Stimulus-Organism-Response (S-O-R) model and a holistic and integrative health framework as guiding frameworks. To gain insights, we conducted 32 interviews and carried out both thematic and content analysis on the gathered data. Findings The results reveal that Baby Boomers and Gen X are more inclined toward integrative and alternative wellness services. In contrast, Gen Y and Gen Z demonstrate a stronger interest in preventative, aesthetic and digital wellness options. Younger generations often view wellness to emotionally navigating their identities considering the limitations posed by traditional healthcare. Research limitations/implications This research highlights the potential to effectively promote wellness services in the healthcare sector and tourism destinations, positioning them not only as valuable economic opportunities but also as significant therapeutic experiences. Originality/value This study contributes to the existing body of literature on wellness tourism and consumer behavior by exploring the intersections of generational identities, cultural influences and decision-making processes. Furthermore, it provides essential insights for destinations and health and wellness service providers aiming to develop targeted and inclusive wellness offerings that address a diverse array of consumer needs.

Background: Lower back pain is a prevalent musculoskeletal disorder among young adults, with potential implications for academic performance and quality of life. This study explored the relationship between anthropometric parameters, lifestyle behaviors, and the prevalence of low back pain among the student population. Methods: A cross-sectional descriptive survey was conducted among 193 randomly selected University students aged 18–30 years. Data were collected using structured questionnaires and anthropometric measurements, including body weight, height, body mass index, waist circumference, hip circumference, and waist-to-hip ratio. Descriptive statistics, chi-square tests, independent t-tests, Pearson correlations, and logistic regression analysis were employed to analyze the data. Results: The prevalence of low back pain among participants was 75.1%, with a higher proportion of females (61.1%) affected. Pain was most commonly reported at night (62.2%), and 95.3% managed it with painkillers. Anthropometric analysis showed a mean body mass index of 23.71 ± 4.95, with no significant differences between participants with and without low back pain. Behavioral factors, including academic stress, physical activity, and carrying heavy backpacks, were not significantly associated with low back pain occurrence (p > 0.05). Similarly, demographic and anthropometric parameters showed no significant correlation with low back pain prevalence. Conclusion: Lower back pain is highly prevalent among university students, but its occurrence was not significantly associated with demographic, anthropometric, or behavioral variables in this study.

Generation Y vs. Baby Boomers: Shopping behavior, buyer involvement and implications for retailing

This study aimed to investigate whether aging expectations predict engagement in healthy lifestyles. Furthermore, it aimed to determine whether self-efficacy mediates the relationship between aging expectations and engagement in healthy lifestyles. This study enlisted 95 respondents who were 60 years old and older in a large metropolitan area in the Philippines. A four-part instrument package was utilized to measure the respondent’s (1) demographic profile, (2) aging expectations using the Expectations Regarding Aging (ERA-12) Survey, (3) engagement in healthy lifestyles using Health-Promoting Lifestyle Profile II (HPLP-II), and (4) self-efficacy using the Self-efficacy for Self-direction in Health Scale. Data were analyzed using linear regression and mediation analysis. Results show that aging expectations and self-efficacy predicted engagement in healthy lifestyles. Moreover, self-efficacy was found to be a significant mediator between the variables. Programs that promote a positive aging expectation and high self-efficacy should be pursued by the government and non-government organizations.