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    See attached for word documents for instructions and samples. – 2 years ago **files (2)** – ## Instructions.docx – ## SampleInternetNavigationProject-1.docx **## Instructions.docx** **Internet Navigation Project** This project corresponds to health effects of exercise and physical activity and requi…

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    Assignment Prompt & Instructions

    See attached for word documents for instructions and samples.

    – 2 years ago

    **files (2)**

    – ## Instructions.docx

    – ## SampleInternetNavigationProject-1.docx

    **## Instructions.docx**

    **Internet Navigation Project**

    This project corresponds to health effects of exercise and physical activity and requires you to research a Centers for Disease Control national dataset to collect and interpret relevant physical activity (exposure) and outcome information (disease prevalence, economic cost of disease, morbidity and mortality statistics).

    Goal: Understanding the data by using online resources like CDC Behavioral Risk Factor surveillance website to underscore the magnitude of the obesity problem and why physical activity is so important to health.
    **You will be reporting prevalence rates for two topics: Physical Activity and Obesity.**

    TOPIC ONE: PHYSICAL ACTIVITY

    1. Search the Centers for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance Survey (BRFSS) link (
    [http://www.cdc.gov/brfss/brfssprevalence/index.html](http://www.cdc.gov/brfss/brfssprevalence/index.html)) and look to the "Explore BRFSS data by topic section. In the "Class" area choose: Physical Activity

    2. For the topic select: Physical Activity

    3. Choose one year at a time. Select the years of your choice. You will report on two different years (the larger the gap between the years the better). In the "question" link  choose: Adults with 30+ minutes of moderate activity five or more days per week (Do not select 20+ minutes question).

    4.  For each year report the following below:Then select "no" for the response

    1. For each of the two years choose two qualifiers to report on: Gender, Age group, Race/Ethnicity, Education, Household income. These are selected by clicking on the "view by" tab.

    5. Then report the crude prevalence for each category (there will be four displayed) shown. Tell the reader the percentages for each category and what states specifically correspond to each category.

    TOPIC TWO: BMI CATEGORIES

    1. Search the Centers for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance Survey (BRFSS) link (
    [http://www.cdc.gov/brfss/brfssprevalence/index.html](http://www.cdc.gov/brfss/brfssprevalence/index.html)) and look to the "Explore BRFSS data by topic section. In the "Class" area choose: Overweight and obesity

    2. For the topic select: BMI categories

    3. In the "question" link  choose the only question to select – Weight classification of BMI

    4. Select the same two years you reported on for physical activity. (Remember, the larger the gap between the years the better). For each year report the following below:Then for the response select "Obese (BMI 30.0 – 99.8)"

    1. For each of the two years choose two qualifiers to report on: Gender, Age group, Race/Ethnicity, Education, Household income.

    5. Then report the crude prevalence for each category (there will be four displayed) shown. Tell the reader the percentages for each category and what states specifically correspond to each category.

    Lastly, tell the reader how how the physical activity data correlate with the obesity/BMI data you found? What do the trend data suggest? How do you interpret these data? What does this mean for public health practitioners? Where should our programs focus in the future?

    **## SampleInternetNavigationProject-1.docx**

    Running Head: INTERNET NAVIGATION 1

    INTERNET NAVIGATION PROJECT 7

    Internet Navigation Project

    Student Name

    National University

    **Title of Paper Here**

    **Physical Activity (Qualifiers: Gender Female)**

    **1996**

    70.8 – 77.1%: Washington, Oregon, Nevada, Idaho, Utah, Montana, Wyoming, Colorado, New Mexico, Minnesota, Vermont, New Hampshire, Hawaii, Massachusetts

    77.2 – 79.8%: California, Alaska, Arizona, Texas, Wisconsin, Illinois, Michigan, Florida, Virginia, New Jersey, Connecticut, Rhode Island, Maine

    79.9 – 83.9%: North Dakota, South Dakota, Nebraska, Kansas, Oklahoma, Iowa, Missouri, Arkansas, Louisiana, Alabama, New York, Pennsylvania, District of Columbia

    84 – 89.9%: Indiana, Kentucky, Tennessee, Mississippi, Ohio, West Virginia, North Carolina, South Carolina, Georgia, Maryland, Delaware, Puerto Rico

    **2000**

    72.7 – 75.8%: Washington, Oregon, Alaska, Idaho, Montana, Utah, Wyoming, Colorado, Michigan, Virginia, Vermont, District of Columbia

    75.9 – 78.5%: California, Nevada, New Mexico, North Dakota, South Dakota, Wisconsin, Florida, Maine, New Hampshire, Massachusetts, Connecticut, Rhode Island, Pennsylvania

    78.6 – 82.3%: Arizona, Texas, Nebraska, Minnesota, Iowa, Missouri, Arkansas, Illinois, Alabama, Georgia, South Carolina, Maryland, New Jersey, New York,

    82.4 – 86.7%: Delaware, West Virginia, North Carolina, Ohio, Indiana, Kentucky, Tennessee, Mississippi, Louisiana, Kansas, Oklahoma, Puerto Rico

    **Physical Activity (Qualifiers: Age Group 18 – 24)**

    **1996**

    65.4 – 70.4%: Washington, Oregon, Montana, Wyoming, Utah, Colorado, South Dakota, Minnesota, New Jersey, Vermont, Puerto Rico

    70.5 – 75.7%: Idaho, Texas, Louisiana, Mississippi, Florida, Wisconsin, Michigan, Pennsylvania, Maine, Rhode Island, Connecticut

    75.8 – 80.2%: California, North Dakota, Kansas, Oklahoma, Iowa, Missouri, Illinois, Indiana, Alabama, North Carolina, New York, Delaware

    80.3 – 85.9%: Arizona, Nebraska, Arkansas, Ohio, Kentucky, Tennessee, Georgia, South Carolina, West Virginia, Virginia, Maryland

    **2000**

    62.6 – 69.2%: Washington, Oregon, Alaska, Wyoming, North Dakota, Illinois, Pennsylvania, Virginia, Rhode Island, Connecticut, District of Columbia

    69.3 – 73.1%: California, Nevada, Utah, Montana, Colorado, Michigan, Indiana, Arkansas, Alabama, New York, Vermont, , Massachusetts, New Jersey, Delaware

    73.2 – 76.9%: Idaho, Arizona, New Mexico, South Dakota, Texas, Oklahoma, Missouri, Mississippi, Georgia, Florida, South Carolina, West Virginia, Maryland, New Hampshire

    77 – 82.9%: Puerto Rico, Nebraska, Kansas, Louisiana, Iowa, Wisconsin, Minnesota, Tennessee, Kentucky, Ohio, North Carolina, Maine

    **BMI (Qualifiers: Gender Female)**

    **1996**

    10.7 – 14.1%: Nevada, Arizona, Utah, Montana, Wyoming, Colorado, South Dakota, Minnesota, Georgia, New Jersey, New Hampshire, Connecticut, Rhode Island, Massachusetts, Hawaii

    14.2 – 17.6%: Washington, Oregon, California, Idaho, New Mexico, North Dakota, Nebraska, Kansas, Oklahoma, Florida, Virginia, New York, Maine, Vermont

    17.7 – 19.1%: Alaska, Puerto Rico, Texas, Iowa, Arkansas, Wisconsin, Illinois, Kentucky, Michigan, Tennessee, North Carolina, Pennsylvania, Delaware, Maryland

    19.2 -21.4%: Missouri, Louisiana, Mississippi, Alabama, Indiana, Ohio, West Virginia, South Carolina, District of Columbia

    **2000**

    14.2 – 17.1%: Nevada, Montana, Wyoming, Colorado, Minnesota, Virginia, New Hampshire, Massachusetts, Rhode Island, Denver

    17.2 – 19.8%: Washington, California, Idaho, Utah, Arizona, New Mexico, North Dakota, South Dakota, Nebraska, Wisconsin, Florida, New York, New Jersey, Vermont

    19.9 – 22.1%: Oregon, Alaska, Kansas, Oklahoma, Iowa, Missouri, Illinois, Indiana, Michigan, Kentucky, Ohio, Maine, Pennsylvania, Maryland

    22.2 – 26.3%: Texas, Arkansas, Louisiana, Mississippi, Alabama, Georgia, Tennessee, Puerto Rico, South Carolina, North Carolina, West Virginia, District of Columbia

    **BMI (Qualifiers: Age Group 18 – 24)**

    **1996**

    3.7 – 6.8%: Idaho, Arizona, Colorado, Nebraska, Kansas, Minnesota Mississippi, Indiana, Georgia, New Hampshire, District of Columbia, Puerto Rico

    6.9 – 8.1%: Washington, Oregon, Wyoming, New Mexico, South Dakota, North Dakota, Wisconsin, Arkansas, Tennessee, Virginia, North Carolina, New Jersey, Connecticut

    8.2 – 10.4%: California, Nevada, Utah, Montana, Texas, Illinois, Florida, New York, Vermont, Massachusetts, Rhode Island, Delaware

    10.5 – 17.4%: Alaska, Oklahoma, Louisiana, Iowa, Missouri, Alabama, South Carolina, Michigan, Kentucky, Ohio, West Virginia, Pennsylvania, Maryland, Maine

    **2000**

    3.4 – 9.1%: Montana, Utah, Colorado, Minnesota, South Carolina, Virginia, New York, Maryland, Delaware, New Jersey, Rhode Island, District of Columbia

    9.2 – 11.2%: Washington, California, Alaska, Nevada, Idaho, Wyoming, South Dakota, Texas, Missouri, Florida, Puerto Rico, Massachusetts, Connecticut

    11.3 -12.8%: Hawaii, Arizona, New Mexico, North Dakota, Nebraska, Kansas, Wisconsin, Michigan, Indiana, Ohio, West Virginia, Pennsylvania, Georgia, Vermont

    12.9 – 19.2%: Oregon, Oklahoma, Arkansas, Louisiana, Iowa, Illinois, Mississippi, Alabama, Tennessee, Kentucky, North Carolina, New Hampshire, Maine

    Internet Navigation Project

    The Centers for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance Survey (BRFSS) was used to explore the years 1996 and 2000 on how physical activity correlates with body mass index (BMI). In both topics physical activity and BMI, the two qualifiers focused on the female gender and the age group 18 to 24 years old. The physical activity topic focused on adults whose response was no to engaging in thirty minutes or more of moderate activity five or more days per week. The BMI topic focused on weight classification by BMI.

    According to the BRFSS in 1996, thirty minutes of any physical activity five or more days per week said the female gender had a higher crude prevalence of 84 to 89.9 percent in the southern states compared to the states in the west coast region that had a lower crude prevalence between 77.8 to 77.1 percent. However, in 2000 there was an increase of states in the central and southern region that had a higher crude prevalence of 78.6 to 82.3 percent. The northwest states remained having a low crude prevalence similar to the year 1996. In 2000 the states that continued in the high crude prevalence similar to the year 1996 were Oklahoma, Louisiana, Iowa, Alabama, Kentucky, and Maine. Concentrating on the age group 18 to 24 year olds on physical activity in 1996, states in the east coast had a higher crude prevalence of 80.3 to 85.9 percent. The states that remained in this higher category in 2000 were Nebraska, Tennessee, Kentucky, and Ohio.

    Reviewing the BMI topic with a response of an obese BMI of 30.0 to 99.8 in the female gender in the year 1996 the state in the west coast had either a crude prevalence of 10.7 to 14.1 percent or 12.2 to 17.6 percent. The southern states and some states in the east coast had a high crude prevalence of 17.7 to 19.1 percent or 19.2 to 21.4 percent. However, in 2000 there was a drastic increase of states mainly in the southern area that hit the higher crude prevalence percentage of 22.2 to 26.3. These states included, Texas, Arkansas, Louisiana, Mississippi, Alabama, Georgia, Tennessee, South Carolina, North Carolina, and West Virginia. In 2000, the west coast remained in the lower crude prevalence percentage of 14.2 to 17.1 percent or 17.2 to 19.8 percent.

    Comparing the physical activity data and BMI data there is a comparison that show how states that do not stay physically active have a higher BMI. Physical activity in 1996 based on age group did not improve in the central states but increased in 2000. Along the same lines there is significant correlation comparing the physical activity data to the BMI data that focused on age. The BMI data displayed no improvement from 1996 to 2000 but an increase in the central states as well. The south and east coast displayed a higher crude prevalence percentage in physical activity in the age group of 18 to 24 years old and the female gender. This relates to the BMI data that also illustrates the same pattern in the age group of 18 to 24 years old and the female gender. The BMI in 1996 has increased in 2000 mainly in the south and east coast, similarly to the physical activity data where those states have indicated low physical activity.

    Due to the increase in obesity in the United States there has been many programs implemented to help this growing epidemic. However, public health practitioners should focus on promoting and educating exercise and physical activity. There are programs already implemented that will help our future generations such as the
    _Let’s Move!_ campaign, a national initiative launch by First Lady Michelle Obama on February 9, 2010 (Gibi, 2013). The campaign plays an important role to putting children on the path to a healthy future by educating people on the importance of supporting and practicing a healthy lifestyle. The campaign aims to change an environment of a community to ensure families have access to healthy and affordable foods. A campaign that works toward stopping obesity is very important because in the article
    _Vital Signs: Obesity Among Low-Income, Preschool-Ages Children – United States, 2008-2011_ mentioned, “overweight or obese preschoolers are five times as likely to become overweight or obese adults, compared with their normal eight peers. In older children and adolescents, obesity is associated with high cholesterol, high blood sugar, asthma and mental health problems” (May et al., 2013, p. 633). The lack of physical activity and poor diet is connected to the increase in BMI and obesity. It is important for health practitioners to encourage a healthy lifestyle by promoting healthy eating and physical activity; the combination reduces an individual’s risk of developing chronic diseases. The BRFSS data displays that the lack of exercise does play a factor with the increase in BMI.

    References

    Centers for Disease Control and Prevention. (2016).
    _BRFSS Prevalence & Trends Data_. Retrieved from http://www.cdc.gov/brfss/brfssprevalence/index.html

    Gibi, K. (2013). Let’s Move! Cities, Towns and Counties.
    _Parks & Recreation,_ 48 (10), 37-39.

    May, A. L., Liping, P., Sherry, B., Blanck, H. M., Galuska, D., Dalenius, K., & Grummer-Strawn, L. M. (2013). Vital Signs: Obesity Among Low-Income, Preschool-Aged Children — United States, 2008-2011.
    _MMWR: Morbidity & Mortality Weekly Report_,
    _62_(31), 629-634.

    **## SampleInternetNavigationProject-1.docx**

    Running Head: INTERNET NAVIGATION 1

    INTERNET NAVIGATION PROJECT 7

    Internet Navigation Project

    Student Name

    National University

    **Title of Paper Here**

    **Physical Activity (Qualifiers: Gender Female)**

    **1996**

    70.8 – 77.1%: Washington, Oregon, Nevada, Idaho, Utah, Montana, Wyoming, Colorado, New Mexico, Minnesota, Vermont, New Hampshire, Hawaii, Massachusetts

    77.2 – 79.8%: California, Alaska, Arizona, Texas, Wisconsin, Illinois, Michigan, Florida, Virginia, New Jersey, Connecticut, Rhode Island, Maine

    79.9 – 83.9%: North Dakota, South Dakota, Nebraska, Kansas, Oklahoma, Iowa, Missouri, Arkansas, Louisiana, Alabama, New York, Pennsylvania, District of Columbia

    84 – 89.9%: Indiana, Kentucky, Tennessee, Mississippi, Ohio, West Virginia, North Carolina, South Carolina, Georgia, Maryland, Delaware, Puerto Rico

    **2000**

    72.7 – 75.8%: Washington, Oregon, Alaska, Idaho, Montana, Utah, Wyoming, Colorado, Michigan, Virginia, Vermont, District of Columbia

    75.9 – 78.5%: California, Nevada, New Mexico, North Dakota, South Dakota, Wisconsin, Florida, Maine, New Hampshire, Massachusetts, Connecticut, Rhode Island, Pennsylvania

    78.6 – 82.3%: Arizona, Texas, Nebraska, Minnesota, Iowa, Missouri, Arkansas, Illinois, Alabama, Georgia, South Carolina, Maryland, New Jersey, New York,

    82.4 – 86.7%: Delaware, West Virginia, North Carolina, Ohio, Indiana, Kentucky, Tennessee, Mississippi, Louisiana, Kansas, Oklahoma, Puerto Rico

    **Physical Activity (Qualifiers: Age Group 18 – 24)**

    **1996**

    65.4 – 70.4%: Washington, Oregon, Montana, Wyoming, Utah, Colorado, South Dakota, Minnesota, New Jersey, Vermont, Puerto Rico

    70.5 – 75.7%: Idaho, Texas, Louisiana, Mississippi, Florida, Wisconsin, Michigan, Pennsylvania, Maine, Rhode Island, Connecticut

    75.8 – 80.2%: California, North Dakota, Kansas, Oklahoma, Iowa, Missouri, Illinois, Indiana, Alabama, North Carolina, New York, Delaware

    80.3 – 85.9%: Arizona, Nebraska, Arkansas, Ohio, Kentucky, Tennessee, Georgia, South Carolina, West Virginia, Virginia, Maryland

    **2000**

    62.6 – 69.2%: Washington, Oregon, Alaska, Wyoming, North Dakota, Illinois, Pennsylvania, Virginia, Rhode Island, Connecticut, District of Columbia

    69.3 – 73.1%: California, Nevada, Utah, Montana, Colorado, Michigan, Indiana, Arkansas, Alabama, New York, Vermont, , Massachusetts, New Jersey, Delaware

    73.2 – 76.9%: Idaho, Arizona, New Mexico, South Dakota, Texas, Oklahoma, Missouri, Mississippi, Georgia, Florida, South Carolina, West Virginia, Maryland, New Hampshire

    77 – 82.9%: Puerto Rico, Nebraska, Kansas, Louisiana, Iowa, Wisconsin, Minnesota, Tennessee, Kentucky, Ohio, North Carolina, Maine

    **BMI (Qualifiers: Gender Female)**

    **1996**

    10.7 – 14.1%: Nevada, Arizona, Utah, Montana, Wyoming, Colorado, South Dakota, Minnesota, Georgia, New Jersey, New Hampshire, Connecticut, Rhode Island, Massachusetts, Hawaii

    14.2 – 17.6%: Washington, Oregon, California, Idaho, New Mexico, North Dakota, Nebraska, Kansas, Oklahoma, Florida, Virginia, New York, Maine, Vermont

    17.7 – 19.1%: Alaska, Puerto Rico, Texas, Iowa, Arkansas, Wisconsin, Illinois, Kentucky, Michigan, Tennessee, North Carolina, Pennsylvania, Delaware, Maryland

    19.2 -21.4%: Missouri, Louisiana, Mississippi, Alabama, Indiana, Ohio, West Virginia, South Carolina, District of Columbia

    **2000**

    14.2 – 17.1%: Nevada, Montana, Wyoming, Colorado, Minnesota, Virginia, New Hampshire, Massachusetts, Rhode Island, Denver

    17.2 – 19.8%: Washington, California, Idaho, Utah, Arizona, New Mexico, North Dakota, South Dakota, Nebraska, Wisconsin, Florida, New York, New Jersey, Vermont

    19.9 – 22.1%: Oregon, Alaska, Kansas, Oklahoma, Iowa, Missouri, Illinois, Indiana, Michigan, Kentucky, Ohio, Maine, Pennsylvania, Maryland

    22.2 – 26.3%: Texas, Arkansas, Louisiana, Mississippi, Alabama, Georgia, Tennessee, Puerto Rico, South Carolina, North Carolina, West Virginia, District of Columbia

    **BMI (Qualifiers: Age Group 18 – 24)**

    **1996**

    3.7 – 6.8%: Idaho, Arizona, Colorado, Nebraska, Kansas, Minnesota Mississippi, Indiana, Georgia, New Hampshire, District of Columbia, Puerto Rico

    6.9 – 8.1%: Washington, Oregon, Wyoming, New Mexico, South Dakota, North Dakota, Wisconsin, Arkansas, Tennessee, Virginia, North Carolina, New Jersey, Connecticut

    8.2 – 10.4%: California, Nevada, Utah, Montana, Texas, Illinois, Florida, New York, Vermont, Massachusetts, Rhode Island, Delaware

    10.5 – 17.4%: Alaska, Oklahoma, Louisiana, Iowa, Missouri, Alabama, South Carolina, Michigan, Kentucky, Ohio, West Virginia, Pennsylvania, Maryland, Maine

    **2000**

    3.4 – 9.1%: Montana, Utah, Colorado, Minnesota, South Carolina, Virginia, New York, Maryland, Delaware, New Jersey, Rhode Island, District of Columbia

    9.2 – 11.2%: Washington, California, Alaska, Nevada, Idaho, Wyoming, South Dakota, Texas, Missouri, Florida, Puerto Rico, Massachusetts, Connecticut

    11.3 -12.8%: Hawaii, Arizona, New Mexico, North Dakota, Nebraska, Kansas, Wisconsin, Michigan, Indiana, Ohio, West Virginia, Pennsylvania, Georgia, Vermont

    12.9 – 19.2%: Oregon, Oklahoma, Arkansas, Louisiana, Iowa, Illinois, Mississippi, Alabama, Tennessee, Kentucky, North Carolina, New Hampshire, Maine

    Internet Navigation Project

    The Centers for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance Survey (BRFSS) was used to explore the years 1996 and 2000 on how physical activity correlates with body mass index (BMI). In both topics physical activity and BMI, the two qualifiers focused on the female gender and the age group 18 to 24 years old. The physical activity topic focused on adults whose response was no to engaging in thirty minutes or more of moderate activity five or more days per week. The BMI topic focused on weight classification by BMI.

    According to the BRFSS in 1996, thirty minutes of any physical activity five or more days per week said the female gender had a higher crude prevalence of 84 to 89.9 percent in the southern states compared to the states in the west coast region that had a lower crude prevalence between 77.8 to 77.1 percent. However, in 2000 there was an increase of states in the central and southern region that had a higher crude prevalence of 78.6 to 82.3 percent. The northwest states remained having a low crude prevalence similar to the year 1996. In 2000 the states that continued in the high crude prevalence similar to the year 1996 were Oklahoma, Louisiana, Iowa, Alabama, Kentucky, and Maine. Concentrating on the age group 18 to 24 year olds on physical activity in 1996, states in the east coast had a higher crude prevalence of 80.3 to 85.9 percent. The states that remained in this higher category in 2000 were Nebraska, Tennessee, Kentucky, and Ohio.

    Reviewing the BMI topic with a response of an obese BMI of 30.0 to 99.8 in the female gender in the year 1996 the state in the west coast had either a crude prevalence of 10.7 to 14.1 percent or 12.2 to 17.6 percent. The southern states and some states in the east coast had a high crude prevalence of 17.7 to 19.1 percent or 19.2 to 21.4 percent. However, in 2000 there was a drastic increase of states mainly in the southern area that hit the higher crude prevalence percentage of 22.2 to 26.3. These states included, Texas, Arkansas, Louisiana, Mississippi, Alabama, Georgia, Tennessee, South Carolina, North Carolina, and West Virginia. In 2000, the west coast remained in the lower crude prevalence percentage of 14.2 to 17.1 percent or 17.2 to 19.8 percent.

    Comparing the physical activity data and BMI data there is a comparison that show how states that do not stay physically active have a higher BMI. Physical activity in 1996 based on age group did not improve in the central states but increased in 2000. Along the same lines there is significant correlation comparing the physical activity data to the BMI data that focused on age. The BMI data displayed no improvement from 1996 to 2000 but an increase in the central states as well. The south and east coast displayed a higher crude prevalence percentage in physical activity in the age group of 18 to 24 years old and the female gender. This relates to the BMI data that also illustrates the same pattern in the age group of 18 to 24 years old and the female gender. The BMI in 1996 has increased in 2000 mainly in the south and east coast, similarly to the physical activity data where those states have indicated low physical activity.

    Due to the increase in obesity in the United States there has been many programs implemented to help this growing epidemic. However, public health practitioners should focus on promoting and educating exercise and physical activity. There are programs already implemented that will help our future generations such as the
    _Let’s Move!_ campaign, a national initiative launch by First Lady Michelle Obama on February 9, 2010 (Gibi, 2013). The campaign plays an important role to putting children on the path to a healthy future by educating people on the importance of supporting and practicing a healthy lifestyle. The campaign aims to change an environment of a community to ensure families have access to healthy and affordable foods. A campaign that works toward stopping obesity is very important because in the article
    _Vital Signs: Obesity Among Low-Income, Preschool-Ages Children – United States, 2008-2011_ mentioned, “overweight or obese preschoolers are five times as likely to become overweight or obese adults, compared with their normal eight peers. In older children and adolescents, obesity is associated with high cholesterol, high blood sugar, asthma and mental health problems” (May et al., 2013, p. 633). The lack of physical activity and poor diet is connected to the increase in BMI and obesity. It is important for health practitioners to encourage a healthy lifestyle by promoting healthy eating and physical activity; the combination reduces an individual’s risk of developing chronic diseases. The BRFSS data displays that the lack of exercise does play a factor with the increase in BMI.

    References

    Centers for Disease Control and Prevention. (2016).
    _BRFSS Prevalence & Trends Data_. Retrieved from http://www.cdc.gov/brfss/brfssprevalence/index.html

    Gibi, K. (2013). Let’s Move! Cities, Towns and Counties.
    _Parks & Recreation,_ 48 (10), 37-39.

    May, A. L., Liping, P., Sherry, B., Blanck, H. M., Galuska, D., Dalenius, K., & Grummer-Strawn, L. M. (2013). Vital Signs: Obesity Among Low-Income, Preschool-Aged Children — United States, 2008-2011.
    _MMWR: Morbidity & Mortality Weekly Report_,
    _62_(31), 629-634.

    **## Instructions.docx**

    **Internet Navigation Project**

    This project corresponds to health effects of exercise and physical activity and requires you to research a Centers for Disease Control national dataset to collect and interpret relevant physical activity (exposure) and outcome information (disease prevalence, economic cost of disease, morbidity and mortality statistics).

    Goal: Understanding the data by using online resources like CDC Behavioral Risk Factor surveillance website to underscore the magnitude of the obesity problem and why physical activity is so important to health.
    **You will be reporting prevalence rates for two topics: Physical Activity and Obesity.**

    TOPIC ONE: PHYSICAL ACTIVITY

    1. Search the Centers for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance Survey (BRFSS) link (
    [http://www.cdc.gov/brfss/brfssprevalence/index.html](http://www.cdc.gov/brfss/brfssprevalence/index.html)) and look to the "Explore BRFSS data by topic section. In the "Class" area choose: Physical Activity

    2. For the topic select: Physical Activity

    3. Choose one year at a time. Select the years of your choice. You will report on two different years (the larger the gap between the years the better). In the "question" link  choose: Adults with 30+ minutes of moderate activity five or more days per week (Do not select 20+ minutes question).

    4.  For each year report the following below:Then select "no" for the response

    1. For each of the two years choose two qualifiers to report on: Gender, Age group, Race/Ethnicity, Education, Household income. These are selected by clicking on the "view by" tab.

    5. Then report the crude prevalence for each category (there will be four displayed) shown. Tell the reader the percentages for each category and what states specifically correspond to each category.

    TOPIC TWO: BMI CATEGORIES

    1. Search the Centers for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance Survey (BRFSS) link (
    [http://www.cdc.gov/brfss/brfssprevalence/index.html](http://www.cdc.gov/brfss/brfssprevalence/index.html)) and look to the "Explore BRFSS data by topic section. In the "Class" area choose: Overweight and obesity

    2. For the topic select: BMI categories

    3. In the "question" link  choose the only question to select – Weight classification of BMI

    4. Select the same two years you reported on for physical activity. (Remember, the larger the gap between the years the better). For each year report the following below:Then for the response select "Obese (BMI 30.0 – 99.8)"

    1. For each of the two years choose two qualifiers to report on: Gender, Age group, Race/Ethnicity, Education, Household income.

    5. Then report the crude prevalence for each category (there will be four displayed) shown. Tell the reader the percentages for each category and what states specifically correspond to each category.

    Lastly, tell the reader how how the physical activity data correlate with the obesity/BMI data you found? What do the trend data suggest? How do you interpret these data? What does this mean for public health practitioners? Where should our programs focus in the future?

    **## SampleInternetNavigationProject-1.docx**

    Running Head: INTERNET NAVIGATION 1

    INTERNET NAVIGATION PROJECT 7

    Internet Navigation Project

    Student Name

    National University

    **Title of Paper Here**

    **Physical Activity (Qualifiers: Gender Female)**

    **1996**

    70.8 – 77.1%: Washington, Oregon, Nevada, Idaho, Utah, Montana, Wyoming, Colorado, New Mexico, Minnesota, Vermont, New Hampshire, Hawaii, Massachusetts

    77.2 – 79.8%: California, Alaska, Arizona, Texas, Wisconsin, Illinois, Michigan, Florida, Virginia, New Jersey, Connecticut, Rhode Island, Maine

    79.9 – 83.9%: North Dakota, South Dakota, Nebraska, Kansas, Oklahoma, Iowa, Missouri, Arkansas, Louisiana, Alabama, New York, Pennsylvania, District of Columbia

    84 – 89.9%: Indiana, Kentucky, Tennessee, Mississippi, Ohio, West Virginia, North Carolina, South Carolina, Georgia, Maryland, Delaware, Puerto Rico

    **2000**

    72.7 – 75.8%: Washington, Oregon, Alaska, Idaho, Montana, Utah, Wyoming, Colorado, Michigan, Virginia, Vermont, District of Columbia

    75.9 – 78.5%: California, Nevada, New Mexico, North Dakota, South Dakota, Wisconsin, Florida, Maine, New Hampshire, Massachusetts, Connecticut, Rhode Island, Pennsylvania

    78.6 – 82.3%: Arizona, Texas, Nebraska, Minnesota, Iowa, Missouri, Arkansas, Illinois, Alabama, Georgia, South Carolina, Maryland, New Jersey, New York,

    82.4 – 86.7%: Delaware, West Virginia, North Carolina, Ohio, Indiana, Kentucky, Tennessee, Mississippi, Louisiana, Kansas, Oklahoma, Puerto Rico

    **Physical Activity (Qualifiers: Age Group 18 – 24)**

    **1996**

    65.4 – 70.4%: Washington, Oregon, Montana, Wyoming, Utah, Colorado, South Dakota, Minnesota, New Jersey, Vermont, Puerto Rico

    70.5 – 75.7%: Idaho, Texas, Louisiana, Mississippi, Florida, Wisconsin, Michigan, Pennsylvania, Maine, Rhode Island, Connecticut

    75.8 – 80.2%: California, North Dakota, Kansas, Oklahoma, Iowa, Missouri, Illinois, Indiana, Alabama, North Carolina, New York, Delaware

    80.3 – 85.9%: Arizona, Nebraska, Arkansas, Ohio, Kentucky, Tennessee, Georgia, South Carolina, West Virginia, Virginia, Maryland

    **2000**

    62.6 – 69.2%: Washington, Oregon, Alaska, Wyoming, North Dakota, Illinois, Pennsylvania, Virginia, Rhode Island, Connecticut, District of Columbia

    69.3 – 73.1%: California, Nevada, Utah, Montana, Colorado, Michigan, Indiana, Arkansas, Alabama, New York, Vermont, , Massachusetts, New Jersey, Delaware

    73.2 – 76.9%: Idaho, Arizona, New Mexico, South Dakota, Texas, Oklahoma, Missouri, Mississippi, Georgia, Florida, South Carolina, West Virginia, Maryland, New Hampshire

    77 – 82.9%: Puerto Rico, Nebraska, Kansas, Louisiana, Iowa, Wisconsin, Minnesota, Tennessee, Kentucky, Ohio, North Carolina, Maine

    **BMI (Qualifiers: Gender Female)**

    **1996**

    10.7 – 14.1%: Nevada, Arizona, Utah, Montana, Wyoming, Colorado, South Dakota, Minnesota, Georgia, New Jersey, New Hampshire, Connecticut, Rhode Island, Massachusetts, Hawaii

    14.2 – 17.6%: Washington, Oregon, California, Idaho, New Mexico, North Dakota, Nebraska, Kansas, Oklahoma, Florida, Virginia, New York, Maine, Vermont

    17.7 – 19.1%: Alaska, Puerto Rico, Texas, Iowa, Arkansas, Wisconsin, Illinois, Kentucky, Michigan, Tennessee, North Carolina, Pennsylvania, Delaware, Maryland

    19.2 -21.4%: Missouri, Louisiana, Mississippi, Alabama, Indiana, Ohio, West Virginia, South Carolina, District of Columbia

    **2000**

    14.2 – 17.1%: Nevada, Montana, Wyoming, Colorado, Minnesota, Virginia, New Hampshire, Massachusetts, Rhode Island, Denver

    17.2 – 19.8%: Washington, California, Idaho, Utah, Arizona, New Mexico, North Dakota, South Dakota, Nebraska, Wisconsin, Florida, New York, New Jersey, Vermont

    19.9 – 22.1%: Oregon, Alaska, Kansas, Oklahoma, Iowa, Missouri, Illinois, Indiana, Michigan, Kentucky, Ohio, Maine, Pennsylvania, Maryland

    22.2 – 26.3%: Texas, Arkansas, Louisiana, Mississippi, Alabama, Georgia, Tennessee, Puerto Rico, South Carolina, North Carolina, West Virginia, District of Columbia

    **BMI (Qualifiers: Age Group 18 – 24)**

    **1996**

    3.7 – 6.8%: Idaho, Arizona, Colorado, Nebraska, Kansas, Minnesota Mississippi, Indiana, Georgia, New Hampshire, District of Columbia, Puerto Rico

    6.9 – 8.1%: Washington, Oregon, Wyoming, New Mexico, South Dakota, North Dakota, Wisconsin, Arkansas, Tennessee, Virginia, North Carolina, New Jersey, Connecticut

    8.2 – 10.4%: California, Nevada, Utah, Montana, Texas, Illinois, Florida, New York, Vermont, Massachusetts, Rhode Island, Delaware

    10.5 – 17.4%: Alaska, Oklahoma, Louisiana, Iowa, Missouri, Alabama, South Carolina, Michigan, Kentucky, Ohio, West Virginia, Pennsylvania, Maryland, Maine

    **2000**

    3.4 – 9.1%: Montana, Utah, Colorado, Minnesota, South Carolina, Virginia, New York, Maryland, Delaware, New Jersey, Rhode Island, District of Columbia

    9.2 – 11.2%: Washington, California, Alaska, Nevada, Idaho, Wyoming, South Dakota, Texas, Missouri, Florida, Puerto Rico, Massachusetts, Connecticut

    11.3 -12.8%: Hawaii, Arizona, New Mexico, North Dakota, Nebraska, Kansas, Wisconsin, Michigan, Indiana, Ohio, West Virginia, Pennsylvania, Georgia, Vermont

    12.9 – 19.2%: Oregon, Oklahoma, Arkansas, Louisiana, Iowa, Illinois, Mississippi, Alabama, Tennessee, Kentucky, North Carolina, New Hampshire, Maine

    Internet Navigation Project

    The Centers for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance Survey (BRFSS) was used to explore the years 1996 and 2000 on how physical activity correlates with body mass index (BMI). In both topics physical activity and BMI, the two qualifiers focused on the female gender and the age group 18 to 24 years old. The physical activity topic focused on adults whose response was no to engaging in thirty minutes or more of moderate activity five or more days per week. The BMI topic focused on weight classification by BMI.

    According to the BRFSS in 1996, thirty minutes of any physical activity five or more days per week said the female gender had a higher crude prevalence of 84 to 89.9 percent in the southern states compared to the states in the west coast region that had a lower crude prevalence between 77.8 to 77.1 percent. However, in 2000 there was an increase of states in the central and southern region that had a higher crude prevalence of 78.6 to 82.3 percent. The northwest states remained having a low crude prevalence similar to the year 1996. In 2000 the states that continued in the high crude prevalence similar to the year 1996 were Oklahoma, Louisiana, Iowa, Alabama, Kentucky, and Maine. Concentrating on the age group 18 to 24 year olds on physical activity in 1996, states in the east coast had a higher crude prevalence of 80.3 to 85.9 percent. The states that remained in this higher category in 2000 were Nebraska, Tennessee, Kentucky, and Ohio.

    Reviewing the BMI topic with a response of an obese BMI of 30.0 to 99.8 in the female gender in the year 1996 the state in the west coast had either a crude prevalence of 10.7 to 14.1 percent or 12.2 to 17.6 percent. The southern states and some states in the east coast had a high crude prevalence of 17.7 to 19.1 percent or 19.2 to 21.4 percent. However, in 2000 there was a drastic increase of states mainly in the southern area that hit the higher crude prevalence percentage of 22.2 to 26.3. These states included, Texas, Arkansas, Louisiana, Mississippi, Alabama, Georgia, Tennessee, South Carolina, North Carolina, and West Virginia. In 2000, the west coast remained in the lower crude prevalence percentage of 14.2 to 17.1 percent or 17.2 to 19.8 percent.

    Comparing the physical activity data and BMI data there is a comparison that show how states that do not stay physically active have a higher BMI. Physical activity in 1996 based on age group did not improve in the central states but increased in 2000. Along the same lines there is significant correlation comparing the physical activity data to the BMI data that focused on age. The BMI data displayed no improvement from 1996 to 2000 but an increase in the central states as well. The south and east coast displayed a higher crude prevalence percentage in physical activity in the age group of 18 to 24 years old and the female gender. This relates to the BMI data that also illustrates the same pattern in the age group of 18 to 24 years old and the female gender. The BMI in 1996 has increased in 2000 mainly in the south and east coast, similarly to the physical activity data where those states have indicated low physical activity.

    Due to the increase in obesity in the United States there has been many programs implemented to help this growing epidemic. However, public health practitioners should focus on promoting and educating exercise and physical activity. There are programs already implemented that will help our future generations such as the
    _Let’s Move!_ campaign, a national initiative launch by First Lady Michelle Obama on February 9, 2010 (Gibi, 2013). The campaign plays an important role to putting children on the path to a healthy future by educating people on the importance of supporting and practicing a healthy lifestyle. The campaign aims to change an environment of a community to ensure families have access to healthy and affordable foods. A campaign that works toward stopping obesity is very important because in the article
    _Vital Signs: Obesity Among Low-Income, Preschool-Ages Children – United States, 2008-2011_ mentioned, “overweight or obese preschoolers are five times as likely to become overweight or obese adults, compared with their normal eight peers. In older children and adolescents, obesity is associated with high cholesterol, high blood sugar, asthma and mental health problems” (May et al., 2013, p. 633). The lack of physical activity and poor diet is connected to the increase in BMI and obesity. It is important for health practitioners to encourage a healthy lifestyle by promoting healthy eating and physical activity; the combination reduces an individual’s risk of developing chronic diseases. The BRFSS data displays that the lack of exercise does play a factor with the increase in BMI.

    References

    Centers for Disease Control and Prevention. (2016).
    _BRFSS Prevalence & Trends Data_. Retrieved from http://www.cdc.gov/brfss/brfssprevalence/index.html

    Gibi, K. (2013). Let’s Move! Cities, Towns and Counties.
    _Parks & Recreation,_ 48 (10), 37-39.

    May, A. L., Liping, P., Sherry, B., Blanck, H. M., Galuska, D., Dalenius, K., & Grummer-Strawn, L. M. (2013). Vital Signs: Obesity Among Low-Income, Preschool-Aged Children — United States, 2008-2011.
    _MMWR: Morbidity & Mortality Weekly Report_,
    _62_(31), 629-634.

    **## Instructions.docx**

    **Internet Navigation Project**

    This project corresponds to health effects of exercise and physical activity and requires you to research a Centers for Disease Control national dataset to collect and interpret relevant physical activity (exposure) and outcome information (disease prevalence, economic cost of disease, morbidity and mortality statistics).

    Goal: Understanding the data by using online resources like CDC Behavioral Risk Factor surveillance website to underscore the magnitude of the obesity problem and why physical activity is so important to health.
    **You will be reporting prevalence rates for two topics: Physical Activity and Obesity.**

    TOPIC ONE: PHYSICAL ACTIVITY

    1. Search the Centers for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance Survey (BRFSS) link (
    [http://www.cdc.gov/brfss/brfssprevalence/index.html](http://www.cdc.gov/brfss/brfssprevalence/index.html)) and look to the "Explore BRFSS data by topic section. In the "Class" area choose: Physical Activity

    2. For the topic select: Physical Activity

    3. Choose one year at a time. Select the years of your choice. You will report on two different years (the larger the gap between the years the better). In the "question" link  choose: Adults with 30+ minutes of moderate activity five or more days per week (Do not select 20+ minutes question).

    4.  For each year report the following below:Then select "no" for the response

    1. For each of the two years choose two qualifiers to report on: Gender, Age group, Race/Ethnicity, Education, Household income. These are selected by clicking on the "view by" tab.

    5. Then report the crude prevalence for each category (there will be four displayed) shown. Tell the reader the percentages for each category and what states specifically correspond to each category.

    TOPIC TWO: BMI CATEGORIES

    1. Search the Centers for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance Survey (BRFSS) link (
    [http://www.cdc.gov/brfss/brfssprevalence/index.html](http://www.cdc.gov/brfss/brfssprevalence/index.html)) and look to the "Explore BRFSS data by topic section. In the "Class" area choose: Overweight and obesity

    2. For the topic select: BMI categories

    3. In the "question" link  choose the only question to select – Weight classification of BMI

    4. Select the same two years you reported on for physical activity. (Remember, the larger the gap between the years the better). For each year report the following below:Then for the response select "Obese (BMI 30.0 – 99.8)"

    1. For each of the two years choose two qualifiers to report on: Gender, Age group, Race/Ethnicity, Education, Household income.

    5. Then report the crude prevalence for each category (there will be four displayed) shown. Tell the reader the percentages for each category and what states specifically correspond to each category.

    Lastly, tell the reader how how the physical activity data correlate with the obesity/BMI data you found? What do the trend data suggest? How do you interpret these data? What does this mean for public health practitioners? Where should our programs focus in the future?

    **## SampleInternetNavigationProject-1.docx**

    Running Head: INTERNET NAVIGATION 1

    INTERNET NAVIGATION PROJECT 7

    Internet Navigation Project

    Student Name

    National University

    **Title of Paper Here**

    **Physical Activity (Qualifiers: Gender Female)**

    **1996**

    70.8 – 77.1%: Washington, Oregon, Nevada, Idaho, Utah, Montana, Wyoming, Colorado, New Mexico, Minnesota, Vermont, New Hampshire, Hawaii, Massachusetts

    77.2 – 79.8%: California, Alaska, Arizona, Texas, Wisconsin, Illinois, Michigan, Florida, Virginia, New Jersey, Connecticut, Rhode Island, Maine

    79.9 – 83.9%: North Dakota, South Dakota, Nebraska, Kansas, Oklahoma, Iowa, Missouri, Arkansas, Louisiana, Alabama, New York, Pennsylvania, District of Columbia

    84 – 89.9%: Indiana, Kentucky, Tennessee, Mississippi, Ohio, West Virginia, North Carolina, South Carolina, Georgia, Maryland, Delaware, Puerto Rico

    **2000**

    72.7 – 75.8%: Washington, Oregon, Alaska, Idaho, Montana, Utah, Wyoming, Colorado, Michigan, Virginia, Vermont, District of Columbia

    75.9 – 78.5%: California, Nevada, New Mexico, North Dakota, South Dakota, Wisconsin, Florida, Maine, New Hampshire, Massachusetts, Connecticut, Rhode Island, Pennsylvania

    78.6 – 82.3%: Arizona, Texas, Nebraska, Minnesota, Iowa, Missouri, Arkansas, Illinois, Alabama, Georgia, South Carolina, Maryland, New Jersey, New York,

    82.4 – 86.7%: Delaware, West Virginia, North Carolina, Ohio, Indiana, Kentucky, Tennessee, Mississippi, Louisiana, Kansas, Oklahoma, Puerto Rico

    **Physical Activity (Qualifiers: Age Group 18 – 24)**

    **1996**

    65.4 – 70.4%: Washington, Oregon, Montana, Wyoming, Utah, Colorado, South Dakota, Minnesota, New Jersey, Vermont, Puerto Rico

    70.5 – 75.7%: Idaho, Texas, Louisiana, Mississippi, Florida, Wisconsin, Michigan, Pennsylvania, Maine, Rhode Island, Connecticut

    75.8 – 80.2%: California, North Dakota, Kansas, Oklahoma, Iowa, Missouri, Illinois, Indiana, Alabama, North Carolina, New York, Delaware

    80.3 – 85.9%: Arizona, Nebraska, Arkansas, Ohio, Kentucky, Tennessee, Georgia, South Carolina, West Virginia, Virginia, Maryland

    **2000**

    62.6 – 69.2%: Washington, Oregon, Alaska, Wyoming, North Dakota, Illinois, Pennsylvania, Virginia, Rhode Island, Connecticut, District of Columbia

    69.3 – 73.1%: California, Nevada, Utah, Montana, Colorado, Michigan, Indiana, Arkansas, Alabama, New York, Vermont, , Massachusetts, New Jersey, Delaware

    73.2 – 76.9%: Idaho, Arizona, New Mexico, South Dakota, Texas, Oklahoma, Missouri, Mississippi, Georgia, Florida, South Carolina, West Virginia, Maryland, New Hampshire

    77 – 82.9%: Puerto Rico, Nebraska, Kansas, Louisiana, Iowa, Wisconsin, Minnesota, Tennessee, Kentucky, Ohio, North Carolina, Maine

    **BMI (Qualifiers: Gender Female)**

    **1996**

    10.7 – 14.1%: Nevada, Arizona, Utah, Montana, Wyoming, Colorado, South Dakota, Minnesota, Georgia, New Jersey, New Hampshire, Connecticut, Rhode Island, Massachusetts, Hawaii

    14.2 – 17.6%: Washington, Oregon, California, Idaho, New Mexico, North Dakota, Nebraska, Kansas, Oklahoma, Florida, Virginia, New York, Maine, Vermont

    17.7 – 19.1%: Alaska, Puerto Rico, Texas, Iowa, Arkansas, Wisconsin, Illinois, Kentucky, Michigan, Tennessee, North Carolina, Pennsylvania, Delaware, Maryland

    19.2 -21.4%: Missouri, Louisiana, Mississippi, Alabama, Indiana, Ohio, West Virginia, South Carolina, District of Columbia

    **2000**

    14.2 – 17.1%: Nevada, Montana, Wyoming, Colorado, Minnesota, Virginia, New Hampshire, Massachusetts, Rhode Island, Denver

    17.2 – 19.8%: Washington, California, Idaho, Utah, Arizona, New Mexico, North Dakota, South Dakota, Nebraska, Wisconsin, Florida, New York, New Jersey, Vermont

    19.9 – 22.1%: Oregon, Alaska, Kansas, Oklahoma, Iowa, Missouri, Illinois, Indiana, Michigan, Kentucky, Ohio, Maine, Pennsylvania, Maryland

    22.2 – 26.3%: Texas, Arkansas, Louisiana, Mississippi, Alabama, Georgia, Tennessee, Puerto Rico, South Carolina, North Carolina, West Virginia, District of Columbia

    **BMI (Qualifiers: Age Group 18 – 24)**

    **1996**

    3.7 – 6.8%: Idaho, Arizona, Colorado, Nebraska, Kansas, Minnesota Mississippi, Indiana, Georgia, New Hampshire, District of Columbia, Puerto Rico

    6.9 – 8.1%: Washington, Oregon, Wyoming, New Mexico, South Dakota, North Dakota, Wisconsin, Arkansas, Tennessee, Virginia, North Carolina, New Jersey, Connecticut

    8.2 – 10.4%: California, Nevada, Utah, Montana, Texas, Illinois, Florida, New York, Vermont, Massachusetts, Rhode Island, Delaware

    10.5 – 17.4%: Alaska, Oklahoma, Louisiana, Iowa, Missouri, Alabama, South Carolina, Michigan, Kentucky, Ohio, West Virginia, Pennsylvania, Maryland, Maine

    **2000**

    3.4 – 9.1%: Montana, Utah, Colorado, Minnesota, South Carolina, Virginia, New York, Maryland, Delaware, New Jersey, Rhode Island, District of Columbia

    9.2 – 11.2%: Washington, California, Alaska, Nevada, Idaho, Wyoming, South Dakota, Texas, Missouri, Florida, Puerto Rico, Massachusetts, Connecticut

    11.3 -12.8%: Hawaii, Arizona, New Mexico, North Dakota, Nebraska, Kansas, Wisconsin, Michigan, Indiana, Ohio, West Virginia, Pennsylvania, Georgia, Vermont

    12.9 – 19.2%: Oregon, Oklahoma, Arkansas, Louisiana, Iowa, Illinois, Mississippi, Alabama, Tennessee, Kentucky, North Carolina, New Hampshire, Maine

    Internet Navigation Project

    The Centers for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance Survey (BRFSS) was used to explore the years 1996 and 2000 on how physical activity correlates with body mass index (BMI). In both topics physical activity and BMI, the two qualifiers focused on the female gender and the age group 18 to 24 years old. The physical activity topic focused on adults whose response was no to engaging in thirty minutes or more of moderate activity five or more days per week. The BMI topic focused on weight classification by BMI.

    According to the BRFSS in 1996, thirty minutes of any physical activity five or more days per week said the female gender had a higher crude prevalence of 84 to 89.9 percent in the southern states compared to the states in the west coast region that had a lower crude prevalence between 77.8 to 77.1 percent. However, in 2000 there was an increase of states in the central and southern region that had a higher crude prevalence of 78.6 to 82.3 percent. The northwest states remained having a low crude prevalence similar to the year 1996. In 2000 the states that continued in the high crude prevalence similar to the year 1996 were Oklahoma, Louisiana, Iowa, Alabama, Kentucky, and Maine. Concentrating on the age group 18 to 24 year olds on physical activity in 1996, states in the east coast had a higher crude prevalence of 80.3 to 85.9 percent. The states that remained in this higher category in 2000 were Nebraska, Tennessee, Kentucky, and Ohio.

    Reviewing the BMI topic with a response of an obese BMI of 30.0 to 99.8 in the female gender in the year 1996 the state in the west coast had either a crude prevalence of 10.7 to 14.1 percent or 12.2 to 17.6 percent. The southern states and some states in the east coast had a high crude prevalence of 17.7 to 19.1 percent or 19.2 to 21.4 percent. However, in 2000 there was a drastic increase of states mainly in the southern area that hit the higher crude prevalence percentage of 22.2 to 26.3. These states included, Texas, Arkansas, Louisiana, Mississippi, Alabama, Georgia, Tennessee, South Carolina, North Carolina, and West Virginia. In 2000, the west coast remained in the lower crude prevalence percentage of 14.2 to 17.1 percent or 17.2 to 19.8 percent.

    Comparing the physical activity data and BMI data there is a comparison that show how states that do not stay physically active have a higher BMI. Physical activity in 1996 based on age group did not improve in the central states but increased in 2000. Along the same lines there is significant correlation comparing the physical activity data to the BMI data that focused on age. The BMI data displayed no improvement from 1996 to 2000 but an increase in the central states as well. The south and east coast displayed a higher crude prevalence percentage in physical activity in the age group of 18 to 24 years old and the female gender. This relates to the BMI data that also illustrates the same pattern in the age group of 18 to 24 years old and the female gender. The BMI in 1996 has increased in 2000 mainly in the south and east coast, similarly to the physical activity data where those states have indicated low physical activity.

    Due to the increase in obesity in the United States there has been many programs implemented to help this growing epidemic. However, public health practitioners should focus on promoting and educating exercise and physical activity. There are programs already implemented that will help our future generations such as the
    _Let’s Move!_ campaign, a national initiative launch by First Lady Michelle Obama on February 9, 2010 (Gibi, 2013). The campaign plays an important role to putting children on the path to a healthy future by educating people on the importance of supporting and practicing a healthy lifestyle. The campaign aims to change an environment of a community to ensure families have access to healthy and affordable foods. A campaign that works toward stopping obesity is very important because in the article
    _Vital Signs: Obesity Among Low-Income, Preschool-Ages Children – United States, 2008-2011_ mentioned, “overweight or obese preschoolers are five times as likely to become overweight or obese adults, compared with their normal eight peers. In older children and adolescents, obesity is associated with high cholesterol, high blood sugar, asthma and mental health problems” (May et al., 2013, p. 633). The lack of physical activity and poor diet is connected to the increase in BMI and obesity. It is important for health practitioners to encourage a healthy lifestyle by promoting healthy eating and physical activity; the combination reduces an individual’s risk of developing chronic diseases. The BRFSS data displays that the lack of exercise does play a factor with the increase in BMI.

    References

    Centers for Disease Control and Prevention. (2016).
    _BRFSS Prevalence & Trends Data_. Retrieved from http://www.cdc.gov/brfss/brfssprevalence/index.html

    Gibi, K. (2013). Let’s Move! Cities, Towns and Counties.
    _Parks & Recreation,_ 48 (10), 37-39.

    May, A. L., Liping, P., Sherry, B., Blanck, H. M., Galuska, D., Dalenius, K., & Grummer-Strawn, L. M. (2013). Vital Signs: Obesity Among Low-Income, Preschool-Aged Children — United States, 2008-2011.
    _MMWR: Morbidity & Mortality Weekly Report_,
    _62_(31), 629-634.

  • [Solved] Health P D3

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  • [Solved] Health P D1

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  • [Solved] Educating Clients on Wearable Technologies

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    ### Assignment #### Purpose The purpose of this assignment is to provide education to clients on the use of the selected wearable technology in health and wellness. #### Course Outcomes This assignment enables the student to meet the following course outcomes: – CO 2: Demonstrate how current and eme…

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    ### Assignment

    #### Purpose

    The purpose of this assignment is to provide education to clients on the use of the selected wearable technology in health and wellness.

    #### Course Outcomes

    This assignment enables the student to meet the following course outcomes:

    – CO 2: Demonstrate how current and emerging information and communication technologies are utilized to address the needs of a diverse population. (POs 3, 4)
    – CO 5: Apply ethical, legal, regulatory, and professional standards to the use of information systems and communication technologies. (POs 2, 6)

    #### Due Date

    Students must complete the Part 3: Educating Clients on Wearable Technologies assignment and submit it to the Dropbox by Sunday at 11:59 p.m. MT.

    #### Total Points Possible

    This assignment is worth 175 points.

    #### Preparing the Assignment

    Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions.

    **Directions:**

    Complete the Part 3: Educating Clients on Wearable Technologies template, following the steps below.

    1. Download the [Part 3: Educating Clients on Wearable Technologies templateLinks to an external site.](https://cdn.brandfolder.io/74235FBJ/at/gwkm8phg38gj3t96n7xcxfb/Week6_NR361_Part_3_EducatingClientsonWearableTechnologies_Template_1.docx). Use of this template is required. A 10% deduction will be applied if the template is not used. See the rubric.
    2. Save the template and include your name in the file name.
    3. To complete the template, use the wearable technology device, population, and health condition you selected in the Week 3 Part 1: Examining Wearable Technologies assignment.
    4. On the template, click into each [Text Box] that contains the client education to include. Remove the words [Text Box] and answer the questions.
    1. Please use a combination of full sentences and bullet points within the template, keeping in mind the chosen population and health condition/health behavior.
    2. Do not change the font size. Ensure the font color is black and your answer fits within the box.
    3. Use information from the previous assignments and at least two external scholarly sources of evidence from the Chamberlain Library to complete the template for educating clients on the chosen wearable technology.
    4. To add an image to the template, save the image to your device. Select Insert > Pictures > This Device. Select the image and click Insert.
    5. Provide APA in-text citations for all listed references. Reference sources should be no more than five years old unless they are historical references. The required scholarly sources should come from the Chamberlain Library and should include the full APA reference plus the permalink.
    6. Follow grammar, spelling, word usage, and punctuation rules consistent with professional writing.
    7. Abide by Chamberlain University’s academic integrity policy.

    **Include the following sections (detailed criteria listed below and in the grading rubric). Answer the questions under each section with explanation and detail. A combination of complete sentences and bullet points may be used.**

    **Safety Precautions and Appropriate Use**

    Provide education on:

    1. Safety precautions
    2. Appropriate usage of the device
    3. Possible limitations

    **Features and Functions**

    Provide education on:

    1. Core function
    2. Additional features
    3. Potential benefit

    **Interoperability**

    Provide education on:

    1. How the device communicates with other healthcare applications
    2. The advantages of data sharing
    3. Privacy settings

    **Device Maintenance**

    Provide education on:

    1. Maintenance
    2. Software updates
    3. User information

    **Troubleshooting**

    Provide education on:

    1. Common issues
    2. How to troubleshoot issues
    3. How to get user support

    **Photos**

    1. Insert a photo of the chosen wearable technology onto the first page of the brochure.
    2. Insert a photo of the chosen wearable technology onto the second page of the brochure.
    3. Photos are appropriate and maintain the format of the brochure.

    **Format**

    1. Answer all questions/criteria with explanation and detail appropriate to the assignment.
    2. A minimum of two scholarly sources with permalinks from the Chamberlain Library are used.
    3. Answers are written using professional language.
    4. Scholarly sources pertain to the topic and are no more than five years old unless they are historical references.
    5. Removes [Text Boxes], uses the proper font, and maintains the template format.

    **Citation and Reference Formation**

    1. Use the current APA format to format citations and references and is free of errors.

    **Writing Requirements**

    1. Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.

    Submit the completed Part 3: Educating Clients on Wearable Technologies template to the Week 6 Dropbox by Sunday at 11:59 p.m. MT.

    – 2 years ago

  • [Solved] Discussion Prompt: Lifestyle Changes for Disease Prevention and Management

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    Overview: Lifestyle modifications play a crucial role in preventing and managing chronic diseases such as Hypertension discussion, you will explore how lifestyle changes—such as nutrition, physical activity, stress management, and avoiding harmful behaviors—can prevent or modify disease processes an…

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    Overview: Lifestyle modifications play a crucial role in preventing and managing chronic diseases such as Hypertension discussion, you will explore how lifestyle changes—such as nutrition, physical activity, stress management, and avoiding harmful behaviors—can prevent or modify disease processes and promote restoration of health.

    2. Discuss Lifestyle Changes: Describe at least two lifestyle changes that can prevent, modify, or restore health in relation to your selected disease. Use evidence-based practice (EBP) to support your discussion.

    o Include specific examples of dietary changes, physical activity, smoking cessation, or stress management techniques.

    3. Explain the Impact: Discuss how these lifestyle changes influence the disease process. Explain the physiological or behavioral changes that occur as a result.

    4. Relate to Nursing Practice: Identify the nurse's role in educating and promoting these lifestyle modifications. How can nurses empower patients to adopt and sustain these changes?

    5. Support with Evidence: Integrate at least two peer-reviewed scholarly sources published within the last five years. Use APA format for in-text citations and your reference list.

    6. Use 400 to 500 words

    – 2 years ago

  • [Solved] DISCUSSION CHAMB

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    Imagine a case scenario where you are the nurse leader for a clinical healthcare environment of your choosing. As the nurse leader, you have been asked to determine the best patient care delivery model to use on the unit. Consider this situation, and respond to the following. – What two patient care…

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    Assignment Prompt & Instructions

    Imagine a case scenario where you are the nurse leader for a clinical healthcare environment of your choosing. As the nurse leader, you have been asked to determine the best patient care delivery model to use on the unit. Consider this situation, and respond to the following.

    – What two patient care delivery models could be considered for use within the clinical healthcare environment you identified? Describe how each model would support safe, high-quality, person-centered care.
    – What decision-making model would you apply to facilitate the selection of the model best suited for the environment, and what steps would you take to apply the model?
    – What leadership competencies will be needed to implement the new model?

    1 PAGE

    DUE DATE JANUARY 8, 2025

    NO PLAGIO MORE THAN 10%

    REFERENCES IN APA STYLE

    PROPER GRAMMAR, spelling, syntax, and organizational flow of the content reflects professional standards

    – 2 years ago

  • [Solved] week 1 re

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    #1 Levels of evidence are used to differentiate between credible and unreliable research resources. A "levels of evidence pyramid" is a way to visualize different types of research studies and how strong their findings are (Walden University, n.d.). The strongest evidence, like systematic reviews an…

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    Assignment Prompt & Instructions

    #1

    Levels of evidence are used to differentiate between credible and unreliable research resources. A "levels of evidence pyramid" is a way to visualize different types of research studies and how strong their findings are (Walden University, n.d.). The strongest evidence, like systematic reviews and meta-analyses, sits at the top, while the weaker stuff, like expert opinions and case reports, is at the bottom. Basically, this pyramid shows that the best and most reliable evidence is at the peak, and the less reliable evidence is at the base.

    The article I selected was "The Correlation Between Effort–Reward Imbalance at Work and the Risk of Burnout Among Nursing Staff Working in an Emergency Department—A Pilot Study", by Braun et al., 2024. The study interviewed 35 nurses in an emergency department and concluded that 41% of those interviewed were at risk for developing burnout syndrome. This article showcases primary research because the publishers conducted the original experiment. I would classify this article as a level 3, on the evidence pyramid, as it is quasi-experimental and observational.

    #2

    Chosen Article: Relation between Nurses- Patients Ratio and Nursing Outcomes at Intensive Care Units.

    1. Explain whether the selected article is original/primary or secondary research.

    The article I chose is primary research. The article is the original study and is reported by the researchers who conducted the study. The journal authors conducted a survey on nursing staff at two different hospitals (Intensive Care Units at Tanta University Main and Emergency Hospitals-in Egypt) and then reported their findings.

    1. State the level of evidence for the research article you selected.

    Level 5: Uncontrolled cohort studies and synthesis of qualitative and descriptive studies. The journal article states that a “descriptive correlation design was used”.

    1. Discuss the importance of the levels of evidence and explain whether or not the article you selected is a good choice for the use of research, and why?

    The levels of evidence in research are important for determining the reliability and validity of findings, guiding clinical decision-making, and ensuring that nursing practices are based on the highest quality of evidence. The article I selected is not an ideal choice for research because it is Level 5 evidence, which is lower on the reliability scale, and its findings are limited as the study was conducted in only two hospitals in Egypt, reducing its generalizability.

    – 2 years ago

  • [Solved] Prsentation physical activity

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    See attached files for instructions and samples – 2 years ago **files (2)** – ## Instructions3.docx – ## ExamplePAPresentation-1.pptx **## Instructions3.docx** Physical Activity Plan Presentation Develop a presentation outlining a physical activity plan for populations with a medical/physical limita…

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    Assignment Prompt & Instructions

    See attached files for instructions and samples

    – 2 years ago

    **files (2)**

    – ## Instructions3.docx

    – ## ExamplePAPresentation-1.pptx

    **## Instructions3.docx**

    Physical Activity Plan Presentation

    Develop a presentation outlining a physical activity plan for populations with a medical/physical limitation,  or populations in a specific setting  (e.g.  public school system).  Background information regarding the population and how you will assess the group will be presented.  One activity plan specific to the population chosen will be presented.  Health benefits of the exercise plan for the population will be reviewed.

    Charts and handouts to share with the class are encouraged.  Presentations should be 7-10  minutes in length.

    **## ExamplePAPresentation-1.pptx**

    Prostate Cancer

    Physical activity plan

    Targeted Population

    Prostate cancer only affects men

    Most at risk are black males

    Asian Pacific Islanders are at lowest risk

    Men greater than age 60 are at greatest risk

    6/100 men over age 60 will develop Prostate cancer by age 70

    Division of Cancer Center and Control, 2015

    All race incidence total, age adjusted, 2009-2013

    Total combined rate was 123.2

    Among blacks 194.8/100,000

    Whites 113.3

    Hispanics 104.4

    AI/AN 65.9

    Asian/Pacific Islander 63.5

    Division of Cancer Center and Control, 2015

    Incidence Rate by State

    Risk varies greatly among states

    Louisiana has the highest incidence while Arizona has the lowest rate

    Louisiana 131.2

    Delaware 129.4

    Mississippi 127.2

    New York 125.6

    Maryland 124.4

    New Jersey 123.4

    District of Columbia 120.1

    Alabama 118.5

    Georgia 117.7

    New Hampshire 115.6

    Utah 111.9

    Kansas 108.5

    Arizona 69.1

    Division of Cancer Center and Control, 2015

    Incidence Rates

    Division of Cancer Center and Control, 2015

    Death Rate by State

    DC has the highest rate of death and the 7th spot for incidence

    Mississippi has the 2nd highest rate but the 3rd highest incidence

    District of Columbia 33.2 (7th in Incidence)

    Mississippi 24.8 (3rd in Incidence)

    Nevada 23.5 (33rd in Incidence)

    Maine 23.2 (45th in Incidence)

    Georgia 22.8 (9th in Incidence)

    Alabama 22.1 (8th in Incidence)

    Idaho 21.8 (28th in Incidence)

    Nebraska 21.6 (16th in Incidence)

    Wisconsin 21.5 (21st in Incidence)

    South Carolina 21.4 (17th in Incidence)

    Louisiana 21.1 (1st in Incidence)

    Oklahoma 21.1 (36th in Incidence)

    Division of Cancer Center and Control, 2015

    Death Rate by State

    DC has the highest rate of death and the 7th spot for incidence

    Mississippi has the 2nd highest rate but the 3rd highest incidence

    Overall Blacks suffer the greatest burden of death from Prostate Cancer

    The overall incidence and death rates are lowering

    Division of Cancer Center and Control, 2015

    Death Rates

    Division of Cancer Center and Control, 2015

    Why Physical Activity is important

    Research indicates that exercising during cancer treatment can significantly improve mood, social and cognitive well being as well as overall fitness (Garber, et al., 2007)

    Furthermore, physical activity can reduce or prevent overweight and obesity, two factors that have been linked to longer term survival among cancer patients (Garber, et al., 2007)

    Assessment

    All patients who are screened for participation in a physical activity program would need to be screened using a set of standard questions such as

    The revised Physical Activity Readiness Questionnaire (PAR-Q)

    The RAPA questionnaire can also be used

    Any patient should be excluded if any exercise precaution is identified such as fever, severe cachexia, extreme fatigue, sickness or bone pain

    High-intensity or high-impact exercise should be avoided in the beginning

    Calculate a baseline physical activity level utilizing a self-reported physical activity questionnaire

    The Walking Exercise Program

    Walking exercise program composed of

    Progressive structured exercise and progressive target daily step counts

    The structured exercise routine will initially begin with a 10-minute walking session, 3 sessions per week

    Patients will be instructed to perform a 5-minute warm-up period by walking slowly prior to the 10-minute walking session

    This will be followed up by a 5-minute cool-down period by walking slowly

    Finally, each patient will follow a stretching routine after the walking session. A stretching instruction sheet will be given to each person as well

    During the warm-up/cool-down periods the goal will be to maintain an exertion level between 7.5 and 8 on the Borg Scale of Ratings of Perceived Exertion (RPE)

    Walking Exercise Program cont’

    During the 10-minute walking session, each person will gradually increase their speed until they attain and maintain an RPE level between 9 and 13, the exact target will be calculated based on the initial self reported physical activity questionnaire

    9 being the target for initially sedentary men and 13 being the target for initially physically active men

    Modifications may be made based on physical limitations

    Each participant should perform this routine 3 times per week

    Walking Exercise Program cont’

    Daily step counts measured using pedometers will measure goals

    Goals will increase every two weeks by 1,000 steps until a total goal of 10,000 is reached

    Step counts will start at 4,000, 6,000 and 7,000 respectively for each initial physically active level, sedentary, moderately active and very active

    The end goal is to have each person aerobically exercising at a level of 15 RPE after 6 months and maintain that level throughout treatment

    Muscle Strengthening

    Muscle strengthening has been shown to increase bone density and muscle loss among men being treated for prostate cancer (Galvão, Joseph, Newton, Spry & Taffe, 2009)

    Testosterone levels are reduced in men undergoing treatment

    Regular exercise, especially muscle building exercises have been shown to restore testosterone levels, leading to increased bone density, lower reported rates of fatigue and overall better quality of life (Galvão et al., 2009)

    Muscle Strengthening

    Muscle strengthening doesn’t need to involve weights or the gym

    Body weight can be used

    Even bed ridden patients can benefit

    Start by performing mild intensity exercises such as

    Ankle exercises

    Knee bends (in the bed)

    Static quadriceps exercises

    Abductor/Abductor exercises

    (Christie MHS Foundation Trust, 2014)

    Muscle Strengthening

    For those able they can perform exercises

    Seated in a chair

    Inner range quadriceps

    Sitting to Standing (Christie MHS Foundation Trust, 2014)

    Pool

    Water Aerobics

    Swimming

    Water Weights

    Gym

    Free Weights

    Muscle Strengthening

    Machines

    Machines can help reduce the occurrence of injury by helping to ensure proper form

    Assessment

    Pre and Post assessment are key

    Pre-assessments include

    RAPA

    PAR-Q

    As well as psycho-social assessments

    These are needed to determine if the patient is eligible to participate and if so at what level

    Also measures the level of a persons cognitive abilities as well as their mental status

    Assessment cont’

    Important to measure reported fatigue levels both before, during and after the intervention to determine effectiveness

    Goals and exercises can be modified according to the individuals abilities

    References and sources

    Christie MHS Foundation Trust. (2014, July). Retrieved August 24, 2016, from http://www.christie.nhs.uk/media/2538/540.pdf

    Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2015, December 15). Prostate Cancer. Retrieved August 24, 2016, from http://www.cdc.gov/cancer/prostate/statistics/age.htm

    Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2016, July 06). Prostate Cancer. Retrieved August 24, 2016, from http://www.cdc.gov/cancer/prostate/statistics/state.htm

    Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2016, June 16). Prostate Cancer. Retrieved August 25, 2016, from http://www.cdc.gov/cancer/prostate/statistics/race.htm

    Galvão, D., Joseph D., Newton R.U., Spry, N., & Taafe, D.R., (2009, January 10). Combined resistance and aerobic exercise program reverses muscle loss in men undergoing androgen suppression therapy for prostate cancer without bone metastases: A randomized controlled trial. Journal of Clinical Oncology, 28(2), 330-347. doi:10.1200/JCO.2009.23.2488

    Garber, S.L., Kerrigan, A.J., Monga, T.N., Monga, U., Thornby, J., Vallbona, C., & Zimmerman, K.P., (2007, November). Exercise prevents fatigue and improves quality of life in prostate cancer patients undergoing radiotherapy. Arch Phys Med Rehabil, 88, 1416-22.

    Keog, J., & McLeod, R.D. (2012). Body Composition, Physical Fitness, Functional Performance, Quality of life, and fatigue benefits of exercise for prostate cancer patients: A systematic review. Journal of Pain and Symptom Management, 43(1), 96-110. doi:http://dx.doi.org/10.1016/j.jpainsymman.2011.03.006

    Lau, Y. J., Lee, C. E., & Leslie, W. D., (2012). A pilot study of exercise in men with prostate cancer receiving androgen deprivation therapy. BMC Cancer, 12(103). doi:10.1186/1471-2407-12-103

    References and sources cont’

    U.S. Cancer Statistics Working Group. (2016). United States Cancer Statistics: 1999–2013 Incidence and Mortality Web-based Report. Retrieved from United States Cancer Statistics: https://nccd.cdc.gov/uscs/cancersbyraceandethnicity.aspx

    ## image1.jpeg

    ## image2.gif

    ## image3.gif

    **## ExamplePAPresentation-1.pptx**

    Prostate Cancer

    Physical activity plan

    Targeted Population

    Prostate cancer only affects men

    Most at risk are black males

    Asian Pacific Islanders are at lowest risk

    Men greater than age 60 are at greatest risk

    6/100 men over age 60 will develop Prostate cancer by age 70

    Division of Cancer Center and Control, 2015

    All race incidence total, age adjusted, 2009-2013

    Total combined rate was 123.2

    Among blacks 194.8/100,000

    Whites 113.3

    Hispanics 104.4

    AI/AN 65.9

    Asian/Pacific Islander 63.5

    Division of Cancer Center and Control, 2015

    Incidence Rate by State

    Risk varies greatly among states

    Louisiana has the highest incidence while Arizona has the lowest rate

    Louisiana 131.2

    Delaware 129.4

    Mississippi 127.2

    New York 125.6

    Maryland 124.4

    New Jersey 123.4

    District of Columbia 120.1

    Alabama 118.5

    Georgia 117.7

    New Hampshire 115.6

    Utah 111.9

    Kansas 108.5

    Arizona 69.1

    Division of Cancer Center and Control, 2015

    Incidence Rates

    Division of Cancer Center and Control, 2015

    Death Rate by State

    DC has the highest rate of death and the 7th spot for incidence

    Mississippi has the 2nd highest rate but the 3rd highest incidence

    District of Columbia 33.2 (7th in Incidence)

    Mississippi 24.8 (3rd in Incidence)

    Nevada 23.5 (33rd in Incidence)

    Maine 23.2 (45th in Incidence)

    Georgia 22.8 (9th in Incidence)

    Alabama 22.1 (8th in Incidence)

    Idaho 21.8 (28th in Incidence)

    Nebraska 21.6 (16th in Incidence)

    Wisconsin 21.5 (21st in Incidence)

    South Carolina 21.4 (17th in Incidence)

    Louisiana 21.1 (1st in Incidence)

    Oklahoma 21.1 (36th in Incidence)

    Division of Cancer Center and Control, 2015

    Death Rate by State

    DC has the highest rate of death and the 7th spot for incidence

    Mississippi has the 2nd highest rate but the 3rd highest incidence

    Overall Blacks suffer the greatest burden of death from Prostate Cancer

    The overall incidence and death rates are lowering

    Division of Cancer Center and Control, 2015

    Death Rates

    Division of Cancer Center and Control, 2015

    Why Physical Activity is important

    Research indicates that exercising during cancer treatment can significantly improve mood, social and cognitive well being as well as overall fitness (Garber, et al., 2007)

    Furthermore, physical activity can reduce or prevent overweight and obesity, two factors that have been linked to longer term survival among cancer patients (Garber, et al., 2007)

    Assessment

    All patients who are screened for participation in a physical activity program would need to be screened using a set of standard questions such as

    The revised Physical Activity Readiness Questionnaire (PAR-Q)

    The RAPA questionnaire can also be used

    Any patient should be excluded if any exercise precaution is identified such as fever, severe cachexia, extreme fatigue, sickness or bone pain

    High-intensity or high-impact exercise should be avoided in the beginning

    Calculate a baseline physical activity level utilizing a self-reported physical activity questionnaire

    The Walking Exercise Program

    Walking exercise program composed of

    Progressive structured exercise and progressive target daily step counts

    The structured exercise routine will initially begin with a 10-minute walking session, 3 sessions per week

    Patients will be instructed to perform a 5-minute warm-up period by walking slowly prior to the 10-minute walking session

    This will be followed up by a 5-minute cool-down period by walking slowly

    Finally, each patient will follow a stretching routine after the walking session. A stretching instruction sheet will be given to each person as well

    During the warm-up/cool-down periods the goal will be to maintain an exertion level between 7.5 and 8 on the Borg Scale of Ratings of Perceived Exertion (RPE)

    Walking Exercise Program cont’

    During the 10-minute walking session, each person will gradually increase their speed until they attain and maintain an RPE level between 9 and 13, the exact target will be calculated based on the initial self reported physical activity questionnaire

    9 being the target for initially sedentary men and 13 being the target for initially physically active men

    Modifications may be made based on physical limitations

    Each participant should perform this routine 3 times per week

    Walking Exercise Program cont’

    Daily step counts measured using pedometers will measure goals

    Goals will increase every two weeks by 1,000 steps until a total goal of 10,000 is reached

    Step counts will start at 4,000, 6,000 and 7,000 respectively for each initial physically active level, sedentary, moderately active and very active

    The end goal is to have each person aerobically exercising at a level of 15 RPE after 6 months and maintain that level throughout treatment

    Muscle Strengthening

    Muscle strengthening has been shown to increase bone density and muscle loss among men being treated for prostate cancer (Galvão, Joseph, Newton, Spry & Taffe, 2009)

    Testosterone levels are reduced in men undergoing treatment

    Regular exercise, especially muscle building exercises have been shown to restore testosterone levels, leading to increased bone density, lower reported rates of fatigue and overall better quality of life (Galvão et al., 2009)

    Muscle Strengthening

    Muscle strengthening doesn’t need to involve weights or the gym

    Body weight can be used

    Even bed ridden patients can benefit

    Start by performing mild intensity exercises such as

    Ankle exercises

    Knee bends (in the bed)

    Static quadriceps exercises

    Abductor/Abductor exercises

    (Christie MHS Foundation Trust, 2014)

    Muscle Strengthening

    For those able they can perform exercises

    Seated in a chair

    Inner range quadriceps

    Sitting to Standing (Christie MHS Foundation Trust, 2014)

    Pool

    Water Aerobics

    Swimming

    Water Weights

    Gym

    Free Weights

    Muscle Strengthening

    Machines

    Machines can help reduce the occurrence of injury by helping to ensure proper form

    Assessment

    Pre and Post assessment are key

    Pre-assessments include

    RAPA

    PAR-Q

    As well as psycho-social assessments

    These are needed to determine if the patient is eligible to participate and if so at what level

    Also measures the level of a persons cognitive abilities as well as their mental status

    Assessment cont’

    Important to measure reported fatigue levels both before, during and after the intervention to determine effectiveness

    Goals and exercises can be modified according to the individuals abilities

    References and sources

    Christie MHS Foundation Trust. (2014, July). Retrieved August 24, 2016, from http://www.christie.nhs.uk/media/2538/540.pdf

    Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2015, December 15). Prostate Cancer. Retrieved August 24, 2016, from http://www.cdc.gov/cancer/prostate/statistics/age.htm

    Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2016, July 06). Prostate Cancer. Retrieved August 24, 2016, from http://www.cdc.gov/cancer/prostate/statistics/state.htm

    Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2016, June 16). Prostate Cancer. Retrieved August 25, 2016, from http://www.cdc.gov/cancer/prostate/statistics/race.htm

    Galvão, D., Joseph D., Newton R.U., Spry, N., & Taafe, D.R., (2009, January 10). Combined resistance and aerobic exercise program reverses muscle loss in men undergoing androgen suppression therapy for prostate cancer without bone metastases: A randomized controlled trial. Journal of Clinical Oncology, 28(2), 330-347. doi:10.1200/JCO.2009.23.2488

    Garber, S.L., Kerrigan, A.J., Monga, T.N., Monga, U., Thornby, J., Vallbona, C., & Zimmerman, K.P., (2007, November). Exercise prevents fatigue and improves quality of life in prostate cancer patients undergoing radiotherapy. Arch Phys Med Rehabil, 88, 1416-22.

    Keog, J., & McLeod, R.D. (2012). Body Composition, Physical Fitness, Functional Performance, Quality of life, and fatigue benefits of exercise for prostate cancer patients: A systematic review. Journal of Pain and Symptom Management, 43(1), 96-110. doi:http://dx.doi.org/10.1016/j.jpainsymman.2011.03.006

    Lau, Y. J., Lee, C. E., & Leslie, W. D., (2012). A pilot study of exercise in men with prostate cancer receiving androgen deprivation therapy. BMC Cancer, 12(103). doi:10.1186/1471-2407-12-103

    References and sources cont’

    U.S. Cancer Statistics Working Group. (2016). United States Cancer Statistics: 1999–2013 Incidence and Mortality Web-based Report. Retrieved from United States Cancer Statistics: https://nccd.cdc.gov/uscs/cancersbyraceandethnicity.aspx

    ## image1.jpeg

    ## image2.gif

    ## image3.gif

    **## Instructions3.docx**

    Physical Activity Plan Presentation

    Develop a presentation outlining a physical activity plan for populations with a medical/physical limitation,  or populations in a specific setting  (e.g.  public school system).  Background information regarding the population and how you will assess the group will be presented.  One activity plan specific to the population chosen will be presented.  Health benefits of the exercise plan for the population will be reviewed.

    Charts and handouts to share with the class are encouraged.  Presentations should be 7-10  minutes in length.

    **## ExamplePAPresentation-1.pptx**

    Prostate Cancer

    Physical activity plan

    Targeted Population

    Prostate cancer only affects men

    Most at risk are black males

    Asian Pacific Islanders are at lowest risk

    Men greater than age 60 are at greatest risk

    6/100 men over age 60 will develop Prostate cancer by age 70

    Division of Cancer Center and Control, 2015

    All race incidence total, age adjusted, 2009-2013

    Total combined rate was 123.2

    Among blacks 194.8/100,000

    Whites 113.3

    Hispanics 104.4

    AI/AN 65.9

    Asian/Pacific Islander 63.5

    Division of Cancer Center and Control, 2015

    Incidence Rate by State

    Risk varies greatly among states

    Louisiana has the highest incidence while Arizona has the lowest rate

    Louisiana 131.2

    Delaware 129.4

    Mississippi 127.2

    New York 125.6

    Maryland 124.4

    New Jersey 123.4

    District of Columbia 120.1

    Alabama 118.5

    Georgia 117.7

    New Hampshire 115.6

    Utah 111.9

    Kansas 108.5

    Arizona 69.1

    Division of Cancer Center and Control, 2015

    Incidence Rates

    Division of Cancer Center and Control, 2015

    Death Rate by State

    DC has the highest rate of death and the 7th spot for incidence

    Mississippi has the 2nd highest rate but the 3rd highest incidence

    District of Columbia 33.2 (7th in Incidence)

    Mississippi 24.8 (3rd in Incidence)

    Nevada 23.5 (33rd in Incidence)

    Maine 23.2 (45th in Incidence)

    Georgia 22.8 (9th in Incidence)

    Alabama 22.1 (8th in Incidence)

    Idaho 21.8 (28th in Incidence)

    Nebraska 21.6 (16th in Incidence)

    Wisconsin 21.5 (21st in Incidence)

    South Carolina 21.4 (17th in Incidence)

    Louisiana 21.1 (1st in Incidence)

    Oklahoma 21.1 (36th in Incidence)

    Division of Cancer Center and Control, 2015

    Death Rate by State

    DC has the highest rate of death and the 7th spot for incidence

    Mississippi has the 2nd highest rate but the 3rd highest incidence

    Overall Blacks suffer the greatest burden of death from Prostate Cancer

    The overall incidence and death rates are lowering

    Division of Cancer Center and Control, 2015

    Death Rates

    Division of Cancer Center and Control, 2015

    Why Physical Activity is important

    Research indicates that exercising during cancer treatment can significantly improve mood, social and cognitive well being as well as overall fitness (Garber, et al., 2007)

    Furthermore, physical activity can reduce or prevent overweight and obesity, two factors that have been linked to longer term survival among cancer patients (Garber, et al., 2007)

    Assessment

    All patients who are screened for participation in a physical activity program would need to be screened using a set of standard questions such as

    The revised Physical Activity Readiness Questionnaire (PAR-Q)

    The RAPA questionnaire can also be used

    Any patient should be excluded if any exercise precaution is identified such as fever, severe cachexia, extreme fatigue, sickness or bone pain

    High-intensity or high-impact exercise should be avoided in the beginning

    Calculate a baseline physical activity level utilizing a self-reported physical activity questionnaire

    The Walking Exercise Program

    Walking exercise program composed of

    Progressive structured exercise and progressive target daily step counts

    The structured exercise routine will initially begin with a 10-minute walking session, 3 sessions per week

    Patients will be instructed to perform a 5-minute warm-up period by walking slowly prior to the 10-minute walking session

    This will be followed up by a 5-minute cool-down period by walking slowly

    Finally, each patient will follow a stretching routine after the walking session. A stretching instruction sheet will be given to each person as well

    During the warm-up/cool-down periods the goal will be to maintain an exertion level between 7.5 and 8 on the Borg Scale of Ratings of Perceived Exertion (RPE)

    Walking Exercise Program cont’

    During the 10-minute walking session, each person will gradually increase their speed until they attain and maintain an RPE level between 9 and 13, the exact target will be calculated based on the initial self reported physical activity questionnaire

    9 being the target for initially sedentary men and 13 being the target for initially physically active men

    Modifications may be made based on physical limitations

    Each participant should perform this routine 3 times per week

    Walking Exercise Program cont’

    Daily step counts measured using pedometers will measure goals

    Goals will increase every two weeks by 1,000 steps until a total goal of 10,000 is reached

    Step counts will start at 4,000, 6,000 and 7,000 respectively for each initial physically active level, sedentary, moderately active and very active

    The end goal is to have each person aerobically exercising at a level of 15 RPE after 6 months and maintain that level throughout treatment

    Muscle Strengthening

    Muscle strengthening has been shown to increase bone density and muscle loss among men being treated for prostate cancer (Galvão, Joseph, Newton, Spry & Taffe, 2009)

    Testosterone levels are reduced in men undergoing treatment

    Regular exercise, especially muscle building exercises have been shown to restore testosterone levels, leading to increased bone density, lower reported rates of fatigue and overall better quality of life (Galvão et al., 2009)

    Muscle Strengthening

    Muscle strengthening doesn’t need to involve weights or the gym

    Body weight can be used

    Even bed ridden patients can benefit

    Start by performing mild intensity exercises such as

    Ankle exercises

    Knee bends (in the bed)

    Static quadriceps exercises

    Abductor/Abductor exercises

    (Christie MHS Foundation Trust, 2014)

    Muscle Strengthening

    For those able they can perform exercises

    Seated in a chair

    Inner range quadriceps

    Sitting to Standing (Christie MHS Foundation Trust, 2014)

    Pool

    Water Aerobics

    Swimming

    Water Weights

    Gym

    Free Weights

    Muscle Strengthening

    Machines

    Machines can help reduce the occurrence of injury by helping to ensure proper form

    Assessment

    Pre and Post assessment are key

    Pre-assessments include

    RAPA

    PAR-Q

    As well as psycho-social assessments

    These are needed to determine if the patient is eligible to participate and if so at what level

    Also measures the level of a persons cognitive abilities as well as their mental status

    Assessment cont’

    Important to measure reported fatigue levels both before, during and after the intervention to determine effectiveness

    Goals and exercises can be modified according to the individuals abilities

    References and sources

    Christie MHS Foundation Trust. (2014, July). Retrieved August 24, 2016, from http://www.christie.nhs.uk/media/2538/540.pdf

    Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2015, December 15). Prostate Cancer. Retrieved August 24, 2016, from http://www.cdc.gov/cancer/prostate/statistics/age.htm

    Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2016, July 06). Prostate Cancer. Retrieved August 24, 2016, from http://www.cdc.gov/cancer/prostate/statistics/state.htm

    Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2016, June 16). Prostate Cancer. Retrieved August 25, 2016, from http://www.cdc.gov/cancer/prostate/statistics/race.htm

    Galvão, D., Joseph D., Newton R.U., Spry, N., & Taafe, D.R., (2009, January 10). Combined resistance and aerobic exercise program reverses muscle loss in men undergoing androgen suppression therapy for prostate cancer without bone metastases: A randomized controlled trial. Journal of Clinical Oncology, 28(2), 330-347. doi:10.1200/JCO.2009.23.2488

    Garber, S.L., Kerrigan, A.J., Monga, T.N., Monga, U., Thornby, J., Vallbona, C., & Zimmerman, K.P., (2007, November). Exercise prevents fatigue and improves quality of life in prostate cancer patients undergoing radiotherapy. Arch Phys Med Rehabil, 88, 1416-22.

    Keog, J., & McLeod, R.D. (2012). Body Composition, Physical Fitness, Functional Performance, Quality of life, and fatigue benefits of exercise for prostate cancer patients: A systematic review. Journal of Pain and Symptom Management, 43(1), 96-110. doi:http://dx.doi.org/10.1016/j.jpainsymman.2011.03.006

    Lau, Y. J., Lee, C. E., & Leslie, W. D., (2012). A pilot study of exercise in men with prostate cancer receiving androgen deprivation therapy. BMC Cancer, 12(103). doi:10.1186/1471-2407-12-103

    References and sources cont’

    U.S. Cancer Statistics Working Group. (2016). United States Cancer Statistics: 1999–2013 Incidence and Mortality Web-based Report. Retrieved from United States Cancer Statistics: https://nccd.cdc.gov/uscs/cancersbyraceandethnicity.aspx

    ## image1.jpeg

    ## image2.gif

    ## image3.gif

    **## Instructions3.docx**

    Physical Activity Plan Presentation

    Develop a presentation outlining a physical activity plan for populations with a medical/physical limitation,  or populations in a specific setting  (e.g.  public school system).  Background information regarding the population and how you will assess the group will be presented.  One activity plan specific to the population chosen will be presented.  Health benefits of the exercise plan for the population will be reviewed.

    Charts and handouts to share with the class are encouraged.  Presentations should be 7-10  minutes in length.

    **## ExamplePAPresentation-1.pptx**

    Prostate Cancer

    Physical activity plan

    Targeted Population

    Prostate cancer only affects men

    Most at risk are black males

    Asian Pacific Islanders are at lowest risk

    Men greater than age 60 are at greatest risk

    6/100 men over age 60 will develop Prostate cancer by age 70

    Division of Cancer Center and Control, 2015

    All race incidence total, age adjusted, 2009-2013

    Total combined rate was 123.2

    Among blacks 194.8/100,000

    Whites 113.3

    Hispanics 104.4

    AI/AN 65.9

    Asian/Pacific Islander 63.5

    Division of Cancer Center and Control, 2015

    Incidence Rate by State

    Risk varies greatly among states

    Louisiana has the highest incidence while Arizona has the lowest rate

    Louisiana 131.2

    Delaware 129.4

    Mississippi 127.2

    New York 125.6

    Maryland 124.4

    New Jersey 123.4

    District of Columbia 120.1

    Alabama 118.5

    Georgia 117.7

    New Hampshire 115.6

    Utah 111.9

    Kansas 108.5

    Arizona 69.1

    Division of Cancer Center and Control, 2015

    Incidence Rates

    Division of Cancer Center and Control, 2015

    Death Rate by State

    DC has the highest rate of death and the 7th spot for incidence

    Mississippi has the 2nd highest rate but the 3rd highest incidence

    District of Columbia 33.2 (7th in Incidence)

    Mississippi 24.8 (3rd in Incidence)

    Nevada 23.5 (33rd in Incidence)

    Maine 23.2 (45th in Incidence)

    Georgia 22.8 (9th in Incidence)

    Alabama 22.1 (8th in Incidence)

    Idaho 21.8 (28th in Incidence)

    Nebraska 21.6 (16th in Incidence)

    Wisconsin 21.5 (21st in Incidence)

    South Carolina 21.4 (17th in Incidence)

    Louisiana 21.1 (1st in Incidence)

    Oklahoma 21.1 (36th in Incidence)

    Division of Cancer Center and Control, 2015

    Death Rate by State

    DC has the highest rate of death and the 7th spot for incidence

    Mississippi has the 2nd highest rate but the 3rd highest incidence

    Overall Blacks suffer the greatest burden of death from Prostate Cancer

    The overall incidence and death rates are lowering

    Division of Cancer Center and Control, 2015

    Death Rates

    Division of Cancer Center and Control, 2015

    Why Physical Activity is important

    Research indicates that exercising during cancer treatment can significantly improve mood, social and cognitive well being as well as overall fitness (Garber, et al., 2007)

    Furthermore, physical activity can reduce or prevent overweight and obesity, two factors that have been linked to longer term survival among cancer patients (Garber, et al., 2007)

    Assessment

    All patients who are screened for participation in a physical activity program would need to be screened using a set of standard questions such as

    The revised Physical Activity Readiness Questionnaire (PAR-Q)

    The RAPA questionnaire can also be used

    Any patient should be excluded if any exercise precaution is identified such as fever, severe cachexia, extreme fatigue, sickness or bone pain

    High-intensity or high-impact exercise should be avoided in the beginning

    Calculate a baseline physical activity level utilizing a self-reported physical activity questionnaire

    The Walking Exercise Program

    Walking exercise program composed of

    Progressive structured exercise and progressive target daily step counts

    The structured exercise routine will initially begin with a 10-minute walking session, 3 sessions per week

    Patients will be instructed to perform a 5-minute warm-up period by walking slowly prior to the 10-minute walking session

    This will be followed up by a 5-minute cool-down period by walking slowly

    Finally, each patient will follow a stretching routine after the walking session. A stretching instruction sheet will be given to each person as well

    During the warm-up/cool-down periods the goal will be to maintain an exertion level between 7.5 and 8 on the Borg Scale of Ratings of Perceived Exertion (RPE)

    Walking Exercise Program cont’

    During the 10-minute walking session, each person will gradually increase their speed until they attain and maintain an RPE level between 9 and 13, the exact target will be calculated based on the initial self reported physical activity questionnaire

    9 being the target for initially sedentary men and 13 being the target for initially physically active men

    Modifications may be made based on physical limitations

    Each participant should perform this routine 3 times per week

    Walking Exercise Program cont’

    Daily step counts measured using pedometers will measure goals

    Goals will increase every two weeks by 1,000 steps until a total goal of 10,000 is reached

    Step counts will start at 4,000, 6,000 and 7,000 respectively for each initial physically active level, sedentary, moderately active and very active

    The end goal is to have each person aerobically exercising at a level of 15 RPE after 6 months and maintain that level throughout treatment

    Muscle Strengthening

    Muscle strengthening has been shown to increase bone density and muscle loss among men being treated for prostate cancer (Galvão, Joseph, Newton, Spry & Taffe, 2009)

    Testosterone levels are reduced in men undergoing treatment

    Regular exercise, especially muscle building exercises have been shown to restore testosterone levels, leading to increased bone density, lower reported rates of fatigue and overall better quality of life (Galvão et al., 2009)

    Muscle Strengthening

    Muscle strengthening doesn’t need to involve weights or the gym

    Body weight can be used

    Even bed ridden patients can benefit

    Start by performing mild intensity exercises such as

    Ankle exercises

    Knee bends (in the bed)

    Static quadriceps exercises

    Abductor/Abductor exercises

    (Christie MHS Foundation Trust, 2014)

    Muscle Strengthening

    For those able they can perform exercises

    Seated in a chair

    Inner range quadriceps

    Sitting to Standing (Christie MHS Foundation Trust, 2014)

    Pool

    Water Aerobics

    Swimming

    Water Weights

    Gym

    Free Weights

    Muscle Strengthening

    Machines

    Machines can help reduce the occurrence of injury by helping to ensure proper form

    Assessment

    Pre and Post assessment are key

    Pre-assessments include

    RAPA

    PAR-Q

    As well as psycho-social assessments

    These are needed to determine if the patient is eligible to participate and if so at what level

    Also measures the level of a persons cognitive abilities as well as their mental status

    Assessment cont’

    Important to measure reported fatigue levels both before, during and after the intervention to determine effectiveness

    Goals and exercises can be modified according to the individuals abilities

    References and sources

    Christie MHS Foundation Trust. (2014, July). Retrieved August 24, 2016, from http://www.christie.nhs.uk/media/2538/540.pdf

    Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2015, December 15). Prostate Cancer. Retrieved August 24, 2016, from http://www.cdc.gov/cancer/prostate/statistics/age.htm

    Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2016, July 06). Prostate Cancer. Retrieved August 24, 2016, from http://www.cdc.gov/cancer/prostate/statistics/state.htm

    Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2016, June 16). Prostate Cancer. Retrieved August 25, 2016, from http://www.cdc.gov/cancer/prostate/statistics/race.htm

    Galvão, D., Joseph D., Newton R.U., Spry, N., & Taafe, D.R., (2009, January 10). Combined resistance and aerobic exercise program reverses muscle loss in men undergoing androgen suppression therapy for prostate cancer without bone metastases: A randomized controlled trial. Journal of Clinical Oncology, 28(2), 330-347. doi:10.1200/JCO.2009.23.2488

    Garber, S.L., Kerrigan, A.J., Monga, T.N., Monga, U., Thornby, J., Vallbona, C., & Zimmerman, K.P., (2007, November). Exercise prevents fatigue and improves quality of life in prostate cancer patients undergoing radiotherapy. Arch Phys Med Rehabil, 88, 1416-22.

    Keog, J., & McLeod, R.D. (2012). Body Composition, Physical Fitness, Functional Performance, Quality of life, and fatigue benefits of exercise for prostate cancer patients: A systematic review. Journal of Pain and Symptom Management, 43(1), 96-110. doi:http://dx.doi.org/10.1016/j.jpainsymman.2011.03.006

    Lau, Y. J., Lee, C. E., & Leslie, W. D., (2012). A pilot study of exercise in men with prostate cancer receiving androgen deprivation therapy. BMC Cancer, 12(103). doi:10.1186/1471-2407-12-103

    References and sources cont’

    U.S. Cancer Statistics Working Group. (2016). United States Cancer Statistics: 1999–2013 Incidence and Mortality Web-based Report. Retrieved from United States Cancer Statistics: https://nccd.cdc.gov/uscs/cancersbyraceandethnicity.aspx

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