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© 2010 McGraw-Hill Higher Education. All rights reserved.
Chapter 11
Physical Activity Epidemiology
© 2010 McGraw-Hill Higher Education. All rights reserved.
What is Epidemiology?
 The study of health events in a population
 Seeks to address three applications:
 Describe the distribution of a disease/
condition/health event. The who, what, where,
and when
 Analyze descriptive information by identifying
potential risk factors
 Use this information for the prevention of a health-
related occurrence by developing and
implementing strategies
© 2010 McGraw-Hill Higher Education. All rights reserved.
Physical Activity Epidemiology
 Concerned with the systematic examination
of factors related to participation in the health
behavior of physical activity.
 How does this behavior relate to the
likelihood of improved health or function
and/or disease occurrence.
© 2010 McGraw-Hill Higher Education. All rights reserved.
Health Goals for the Nation
 “Objectives for the Nation”
 Published each decade since 1980 by the Dept. of Health
and Human Services
 Healthy People 2010
 Surveillance systems are necessary to monitor
progress
 Behavioral Risk Factor Surveillance System (BRFSS)
 National Health Interview Surveys (NHIS)
 National Health and Nutrition Examination Surveys
(NHANES I, II, III, IV)
© 2010 McGraw-Hill Higher Education. All rights reserved.
Epidemiologic Methods
 Web of causation
 A complex interaction of causes rather than the
result of a single cause
 Causal factors
 Agent--genetic, physical, nutritive, exogenous
chemical
 Host--personal attributes including age, sex, immune
status, behavioral attributes, race/ ethnicity
 Environment--climate altitude, urban, rural
© 2010 McGraw-Hill Higher Education. All rights reserved.
Epidemiologic Methods
 Measures used to quantify disease/ injury/
event occurrence in the population
 Incidence/ Incidence rate
 Cumulative incidence
 Prevalence
 If the incidence or prevalence of a condition is
known, incidence and prevalence rates can be
calculated
© 2010 McGraw-Hill Higher Education. All rights reserved.
Epidemiologic Methods
 Rate
 The frequency or number of events that occur
over some defined time period divided by the
average size of the population risk
 Rate= Numerator X Constant
Denominator
Proportion
© 2010 McGraw-Hill Higher Education. All rights reserved.
Epidemiologic Methods
 Prevalence rates
 Useful for planning purposes
 Not useful when trying to determine which factors
may be related to an increased probability of
disease
© 2010 McGraw-Hill Higher Education. All rights reserved.
Measurement of Physical
Activity and Fitness
 Physical Activity is measured using three
approaches
 Questionnaires
 Activity diaries
 Direct measurement
 Observation
 Movement technology
© 2010 McGraw-Hill Higher Education. All rights reserved.
Measurement of Physical
Activity and Fitness
 Direct Measurement
 Observation
 Watching and recording playground/ park/ facility use
during a specified time
 Movement technology
 Pedometers, motion detectors, heart rate monitors
© 2010 McGraw-Hill Higher Education. All rights reserved.
Study Designs in
Epidemiology
 Cross-sectional/ Observational
 Case-control
 Prospective Cohort
 Randomized Clinical Trial
© 2010 McGraw-Hill Higher Education. All rights reserved.
Study Designs in
Epidemiology
 Cross sectional/Observational study
 Physical Activity or fitness is measured
simultaneously with a measure of the frequency
of disease, injury or death
 Least convincing design
 Proper temporal sequence is not provided
 Iowa Farmers Study
© 2010 McGraw-Hill Higher Education. All rights reserved.
Study Designs in
Epidemiology
 Case-Control Study
 There are no clear suspected causes of a
disease. Attempt to piece together the causes
after the fact.
 Retrospective case-control study
 Likened to a flashback in cinematography
 Seattle Heart Watch Study
© 2010 McGraw-Hill Higher Education. All rights reserved.
Study Designs in
Epidemiology
 Prospective Cohort Study
 Permits observation of the characteristics and
behaviors of a group or cohort of people across
time
 Longitudinal
 Aerobics Center Longitudinal Study (ACLS)
© 2010 McGraw-Hill Higher Education. All rights reserved.
Study Designs in
Epidemiology
 The Randomized Clinical Trial
 Determines whether associations uncovered in
epidemiologic observations represent cause and
effect relations
 Random assignment of subjects to treatment or
control groups
 National Exercise and Heart Disease Project
© 2010 McGraw-Hill Higher Education. All rights reserved.
Assessment of Causality
 Strength of Association
 Consistency of association
 Specificity of association
 Temporality
 Biologic gradient
 Plausibility
 Coherence
© 2010 McGraw-Hill Higher Education. All rights reserved.
Assessment of Causality
 Experimental Evidence
 Analogy
© 2010 McGraw-Hill Higher Education. All rights reserved.
Key Journals
 Medicine and Science in Sports & Exercise
 Journal of Physical Activity and Health
(JPAH)
 Preventing Chronic Disease (PCD)
 The American Journal of Preventive Medicine
 British Journal of Sports Medicine
© 2010 McGraw-Hill Higher Education. All rights reserved.
Educational Requirements
 Undergraduate degree
 Exercise science, kinesiology, social sciences, life
sciences
 Master’s degree
 Master of Public Health (MPH) in epidemiology,
biostatistics, or health promotion
 Good quantitative skills/ inquisitive mind
© 2010 McGraw-Hill Higher Education. All rights reserved.
Job Opportunities
 Federal, state, and local public health
agencies
 Universities and colleges
 Non-governmental health agencies
 Private and community foundations
 National, regional, and local park and
recreation organizations

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FW275 Epidemiology

  • 1. © 2010 McGraw-Hill Higher Education. All rights reserved. Chapter 11 Physical Activity Epidemiology
  • 2. © 2010 McGraw-Hill Higher Education. All rights reserved. What is Epidemiology?  The study of health events in a population  Seeks to address three applications:  Describe the distribution of a disease/ condition/health event. The who, what, where, and when  Analyze descriptive information by identifying potential risk factors  Use this information for the prevention of a health- related occurrence by developing and implementing strategies
  • 3. © 2010 McGraw-Hill Higher Education. All rights reserved. Physical Activity Epidemiology  Concerned with the systematic examination of factors related to participation in the health behavior of physical activity.  How does this behavior relate to the likelihood of improved health or function and/or disease occurrence.
  • 4. © 2010 McGraw-Hill Higher Education. All rights reserved. Health Goals for the Nation  “Objectives for the Nation”  Published each decade since 1980 by the Dept. of Health and Human Services  Healthy People 2010  Surveillance systems are necessary to monitor progress  Behavioral Risk Factor Surveillance System (BRFSS)  National Health Interview Surveys (NHIS)  National Health and Nutrition Examination Surveys (NHANES I, II, III, IV)
  • 5. © 2010 McGraw-Hill Higher Education. All rights reserved. Epidemiologic Methods  Web of causation  A complex interaction of causes rather than the result of a single cause  Causal factors  Agent--genetic, physical, nutritive, exogenous chemical  Host--personal attributes including age, sex, immune status, behavioral attributes, race/ ethnicity  Environment--climate altitude, urban, rural
  • 6. © 2010 McGraw-Hill Higher Education. All rights reserved. Epidemiologic Methods  Measures used to quantify disease/ injury/ event occurrence in the population  Incidence/ Incidence rate  Cumulative incidence  Prevalence  If the incidence or prevalence of a condition is known, incidence and prevalence rates can be calculated
  • 7. © 2010 McGraw-Hill Higher Education. All rights reserved. Epidemiologic Methods  Rate  The frequency or number of events that occur over some defined time period divided by the average size of the population risk  Rate= Numerator X Constant Denominator Proportion
  • 8. © 2010 McGraw-Hill Higher Education. All rights reserved. Epidemiologic Methods  Prevalence rates  Useful for planning purposes  Not useful when trying to determine which factors may be related to an increased probability of disease
  • 9. © 2010 McGraw-Hill Higher Education. All rights reserved. Measurement of Physical Activity and Fitness  Physical Activity is measured using three approaches  Questionnaires  Activity diaries  Direct measurement  Observation  Movement technology
  • 10. © 2010 McGraw-Hill Higher Education. All rights reserved. Measurement of Physical Activity and Fitness  Direct Measurement  Observation  Watching and recording playground/ park/ facility use during a specified time  Movement technology  Pedometers, motion detectors, heart rate monitors
  • 11. © 2010 McGraw-Hill Higher Education. All rights reserved. Study Designs in Epidemiology  Cross-sectional/ Observational  Case-control  Prospective Cohort  Randomized Clinical Trial
  • 12. © 2010 McGraw-Hill Higher Education. All rights reserved. Study Designs in Epidemiology  Cross sectional/Observational study  Physical Activity or fitness is measured simultaneously with a measure of the frequency of disease, injury or death  Least convincing design  Proper temporal sequence is not provided  Iowa Farmers Study
  • 13. © 2010 McGraw-Hill Higher Education. All rights reserved. Study Designs in Epidemiology  Case-Control Study  There are no clear suspected causes of a disease. Attempt to piece together the causes after the fact.  Retrospective case-control study  Likened to a flashback in cinematography  Seattle Heart Watch Study
  • 14. © 2010 McGraw-Hill Higher Education. All rights reserved. Study Designs in Epidemiology  Prospective Cohort Study  Permits observation of the characteristics and behaviors of a group or cohort of people across time  Longitudinal  Aerobics Center Longitudinal Study (ACLS)
  • 15. © 2010 McGraw-Hill Higher Education. All rights reserved. Study Designs in Epidemiology  The Randomized Clinical Trial  Determines whether associations uncovered in epidemiologic observations represent cause and effect relations  Random assignment of subjects to treatment or control groups  National Exercise and Heart Disease Project
  • 16. © 2010 McGraw-Hill Higher Education. All rights reserved. Assessment of Causality  Strength of Association  Consistency of association  Specificity of association  Temporality  Biologic gradient  Plausibility  Coherence
  • 17. © 2010 McGraw-Hill Higher Education. All rights reserved. Assessment of Causality  Experimental Evidence  Analogy
  • 18. © 2010 McGraw-Hill Higher Education. All rights reserved. Key Journals  Medicine and Science in Sports & Exercise  Journal of Physical Activity and Health (JPAH)  Preventing Chronic Disease (PCD)  The American Journal of Preventive Medicine  British Journal of Sports Medicine
  • 19. © 2010 McGraw-Hill Higher Education. All rights reserved. Educational Requirements  Undergraduate degree  Exercise science, kinesiology, social sciences, life sciences  Master’s degree  Master of Public Health (MPH) in epidemiology, biostatistics, or health promotion  Good quantitative skills/ inquisitive mind
  • 20. © 2010 McGraw-Hill Higher Education. All rights reserved. Job Opportunities  Federal, state, and local public health agencies  Universities and colleges  Non-governmental health agencies  Private and community foundations  National, regional, and local park and recreation organizations