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Physical Activity Epidemiology

Physical Activity Epidemiology

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Physical Activity Epidemiology, Third Edition, provides a discussion of current studies showing the influence of physical activity on disease. Updated with extensive new content in alignment with the 2018 Physical Activity Guidelines Advisory Committee Scientific Report, the third edition benefits from the expertise of authors Rod Dishman, Gregory Heath, Michael Schmidt, and I-Min Lee. These authors offer insight gained from their professional experiences, which include leadership roles within the Centers for Disease Control and Prevention, contributions to the 2008 Physical Activity Guidelines for Americans, and a combined 1,000 peer-reviewed articles in high-impact journals across each of their disciplines.

Physical Activity Epidemiology, Third Edition, explores how physical activity can enhance quality of life. The text summarizes the available knowledge, examines the methods used to obtain these findings, considers the implications for public health, and outlines the important questions that remain. Readers will find comprehensive discussions of these topics::
  • Part I introduces physical activity epidemiology and provides an extensive background in research methods as well as physical activity measurement and surveillance.
  • Part II focuses on the evidence that physical activity protects against premature death from all causes and inhibits the development of coronary heart disease and stroke.
  • Part III offers population-based studies and clinical experiments providing evidence that physical activity plays a role in the prevention of hypertension, dyslipidemia, and obesity.
  • Part IV compiles the latest data on two chronic diseases that are increasing in prevalence worldwide:: type 2 diabetes and osteoporosis.
  • Part V describes the evidence that physical activity is associated with reduced risks of certain cancers and explores the use of immunotherapy in cancer treatment.
  • Part VI addresses mental health and the promotion of a safe, physically active lifestyle among all segments of the population.
The third edition of this text offers expanded coverage of the measurement of sedentary behavior; the effects of physical activity on osteoporosis and bone health, cancers, and inflammatory diseases; and the potential of exercise to complement immunotherapy in cancer treatment. More than 200 tables and figures highlight information in an easy-to-understand visual format.

Physical Activity Epidemiology, Third Edition, examines the methodology and findings of classic and contemporary studies and then helps students analyze the results. The special Strength of the Evidence sections summarize the findings to determine the extent to which correlation and causation can be proven. Chapter objectives, chapter summaries, sidebars, and a glossary assist students in finding key information. Instructors will find a test package, image bank, and downloadable learning activities to assist with student comprehension.

Physical Activity Epidemiology, Third Edition, offers a comprehensive presentation of significant studies, discusses how these studies contribute to understanding the relationship between activity and disease prevention, and explores how this information can be used in leading global society toward increased health and longevity.
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Human Kinetics


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  • Part I. Introduction to Physical Activity Epidemiology

    Chapter 1. Origins of Physical Activity Epidemiology
    Ancient History of Physical Activity and Health
    Modern History of Physical Activity and Health
    Physical Activity for Health Promotion in the United States and the World

    Chapter 2. Concepts and Methods in Physical Activity Epidemiology
    Epidemiologic Measures
    Crude, Specific, and Standardized Rates
    Research Design in Epidemiologic Studies
    Evaluating Associations in Epidemiologic Studies
    Models in Physical Activity Epidemiology
    Inferring Cause in Epidemiologic Studies
    Criteria for Causation

    Chapter 3. Measurement and Surveillance of Physical Activity and Fitness
    Why Is Behavioral Epidemiology Important?
    What Is Physical Activity?
    Measures of Physical Activity
    What Is Sedentary Behavior?
    What Is Physical Fitness?
    Surveys and Surveillance of Physical Activity

    Part II. Physical Activity and Disease Mortality

    Chapter 4. All-Cause Mortality
    Life Expectancy at Birth
    Major Causes of Mortality
    Physical Activity and All-Cause Mortality
    Leisure-Time Physical Activity and All-Cause Mortality:: Exemplar Cohort Studies
    Resistance (Strengthening) Exercise and All-Cause Mortality
    Device-Measured Physical Activity
    Sedentary Behavior and All-Cause Mortality
    Physical Fitness and All-Cause Mortality
    Changes in Physical Activity or Fitness and All-Cause Mortality
    Are the Associations Real?
    Strength of the Evidence
    How Much Physical Activity Is Needed to Decrease Risk of Premature Mortality?

    Chapter 5. Coronary Heart Disease
    History and Magnitude of the Problem
    Coronary Heart Disease Risk Factors
    Coronary Heart Disease Etiology
    Physical Activity and Coronary Heart Disease
    Sedentary Behavior and Coronary Heart Disease Risk
    Physical Fitness and Coronary Heart Disease Risk
    Individuals With Other Risk Factors or Existing Coronary Heart Disease
    Physical Inactivity Compared With Other Risk Factors
    Are the Associations Real?
    Strength of the Evidence
    How Much Physical Activity Is Needed to Decrease Coronary Heart Disease Risk?

    Chapter 6. Cerebrovascular Disease and Stroke
    Magnitude of the Problem
    Risk Factors for Stroke
    Etiology of Stroke
    Treatment of Ischemic Stroke
    Physical Activity and Stroke Risk:: The Evidence
    Strength of the Evidence

    Part III. Physical Activity and Risk Factors

    Chapter 7. Physical Activity and Hypertension
    Magnitude of the Problem
    Treating Hypertension
    Hypertension Etiology
    Autonomic Nervous System
    Physical Activity and Reduced Hypertension Risk:: The Evidence
    Physical Activity and Treatment of Hypertension:: The Evidence
    Strength of the Evidence

    Chapter 8. Physical Activity and Dyslipidemia
    Magnitude of the Problem
    Drug Treatment
    Dyslipidemia Etiology and Physical Activity
    Physical Activity and Lipoprotein Levels:: The Evidence
    Strength of the Evidence

    Chapter 9. Physical Activity and Obesity
    Magnitude of the Problem
    Treatment of Overweight and Obesity
    Assessing and Defining Overweight and Obesity
    Etiology of Overweight and Obesity:: Set Point or Settling Point?
    Physical Activity and Fitness and the Health Risks of Obesity:: The Evidence
    Physical Activity and Prevention of Excess Weight Gain:: The Evidence
    Physical Activity and Weight Loss:: The Evidence
    Physical Activity and Weight Maintenance:: The Evidence
    Strength of the Evidence
    The Ultimate Goal:: Weight Loss or Risk Reduction?

    Part IV. Physical Activity and Chronic Diseases

    Chapter 10. Physical Activity and Diabetes
    Magnitude of the Problem
    Demographics of Diabetes
    Clinical Features
    Health Burden of Diabetes
    Risk Factors
    Insulin and Glucose Transport
    Etiology of Type 2 Diabetes
    Effects of Physical Activity on Diabetes Risk:: The Evidence
    Strength of the Evidence

    Chapter 11. Physical Activity and Osteoporosis
    Magnitude of the Problem
    Fractures and Mortality
    Etiology of Osteopenia and Osteoporosis
    Bone Measurement Techniques
    Risk Factors and Prevention
    Pharmacotherapy for Osteoporosis
    Physical Activity and Osteoporosis:: The Evidence
    Strength of the Evidence

    Part V. Physical Activity, Cancer, and Immunity

    Chapter 12. Physical Activity and Cancer
    Magnitude of the Problem
    Etiology of Cancer
    Risk Factors
    The Evidence for Physical Activity:: Specificity of Protection?
    Colon and Rectal Cancer
    Breast Cancer
    Lung Cancer
    Endometrial Cancer
    Physical Activity and Cancer Survivors

    Chapter 13. Physical Activity and the Immune System
    An Abridged History of Immunology
    HIV and AIDS
    The Immune System
    Immunomodulation by the Nervous and Endocrine Systems
    Immunotherapy in Cancer
    Physical Activity and Immunity:: The Evidence
    Mechanisms of Alterations in Monocytes, Granulocytes, and Natural Killer Cells After Acute Exercise
    Exercise and Cytokines

    Part VI. Physical Activity and Special Concerns

    Chapter 14. Physical Activity and Mental Health
    Anxiety Disorders
    Cognitive Function and Dementia

    Chapter 15. Physical Activity and Special Populations
    Physical Activity Among Diverse Racial–Ethnic Populations
    Physical Activity and Disability
    Inactivity and Aging
    Physical Activity and Long-Term Health Among People With Disabilities
    Role of Physical Activity in the Promotion of Health

    Chapter 16. Adverse Events and Hazards of Physical Activity
    Magnitude of the Problem
    Evaluating Risk
    Methods of Research
    Myocardial Infarction and Sudden Death
    Joint and Muscle Injury
    Injury Features
    Risk of Physical Activity Injuries:: The Evidence
    Other Medical Hazards
    Psychological Hazards

    Chapter 17. Adopting and Maintaining a Physically Active Lifestyle
    Individual Barriers to Physical Activity
    How Do People Decide to Be Active?
    Environmental Barriers to Physical Activity
    Genetics of Physical Activity
    Environmental Intervention and Self-Regulation
    Effectiveness of Physical Activity Interventions
    Types of Interventions to Increase Physical Activity
    Mediators and Moderators of Physical Activity Change and Interventions
    Features of Physical Activity That Promote Adoption and Maintenance
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