The Healthy Youth Places (HYP) intervention targeted increased fruit and vegetable consumption (FV) and physical activity (PA) through building the environmental change skills and efficacy of adults and youth. HYP included group training for adult school site leaders, environmental change skill curriculum, and youth-led FV and PA environment change teams. Sixteen schools were randomized to either implement the HYP program or not. Participants (N =1,582) were assessed on FV and PA and hypothesized HYP program mediators (e.g., proxy efficacy) at the end of sixth grade (baseline), seventh grade (Postintervention Year 1), and eighth grade (Postintervention Year 2). After intervention, HYP schools did not change in FV but did significantly change in PA compared to control schools. Proxy efficacy to influence school PA environments mediated the program effects. Building the skills and efficacy of adults and youth to lead school environmental change may be an effective method to promote youth PA.

BackgroundTo investigate the association between gestational weight gain, maternal age and lifestyle habits (e.g., physical activity, smoking, and alcohol consumption) during pregnancy, with Body Mass Index of the offspring at the age of 8.MethodsΑ random sample of 5,125 children was extracted from a national database and matched with their mothers. With the use of a standardised questionnaire, telephone interviews were carried out for the collection of information like: maternal age at pregnancy, gestational weight gain (GWG), exercise levels, smoking and alcohol consumption. The Body Mass Index (BMI) status of the offspring at the age of 8 was calculated from data retrieved from the national database (e.g., height and weight).ResultsThe odds for being overweight/obese at the age of 8 for 1 kg GWG, for smoking, and for mild exercise during pregnancy compared to sedentary was 1.01 (95%CI: 1.00, 1.02), 1.23 (95%CI: 1.03, 1.47) and 0.77 (95%CI: 0.65, 0.91), respectively. Further analysis revealed that offspring of women who exceeded the Institute of Medicine (IOM) maternal weight gain recommendations were at an increased risk of obesity (OR: 1.45; 95%CI, 1.26, 1.67) compared with offspring of women with GWG within the recommended range. Maternal age and alcohol consumption were not associated with the outcome (p > 0.05).ConclusionGWG, physical activity and smoking status during pregnancy were significantly associated with obesity for the offspring at the age of 8. Health care professionals should strongly advise women to not smoke and to perform moderate exercise during pregnancy to prevent obesity in the offspring in later life.

The purposes of the current study were to examine (a) the differences in Flow State Scale (FSS) subscales between the 4 experiential states of the orthogonal model (apathy, anxiety, relaxation, and flow), (b) the relationship between challenge, skills, and flow experience; and (c) the relationship between flow experience and athletes’ performance. Two hundred twenty athletes volunteered to participate in this study. Challenge of the game and skills of the athlete were measured before and after competition. Thirty minutes after the competition, the FSS was used to measure flow experience. In addition, subjective and objective measures of athletes’ performance were assessed. Athletes in the flow and relaxation states revealed the most optimal states, whereas the athletes in the apathy state showed the least optimal state. There were positive associations between athletes’ flow experience and their performance measures, indicating that positive emotional states are related to elevated levels of performance. On the other hand, there were low or no correlations between athletes’ performance and reported challenge of the game, whereas skills of the athlete were moderately correlated with flow. Multiple-regression analysis demonstrated significant prediction of athletes’ performance based on flow experience during competition. Future research should examine the relationship between flow, athletes’ performance, and additional dispositional and state variables.

Breathing retraining resulted in improvement not only in asthma control but in physiological indices across time as well. Further studies are needed to confirm the benefits of this training in order to help patients with stable asthma achieve the control of their disease.

BACKGROUND:  Social cognitive theory describes self‐efficacy and proxy efficacy as influences on fruit and vegetable consumption (FVC). Proxy efficacy was defined as a child’s confidence in his or her skills and abilities to get others to act in one’s interests to provide fruit and vegetable (FV) opportunities. The purpose of this study was to develop a scale assessing children’s self‐efficacy and proxy efficacy for FVC at after‐school programs and at home. METHODS:  Elementary‐aged children (n = 184) attending 7 after‐school programs completed a self‐efficacy questionnaire relevant to FVC. Questionnaire validity was investigated with exploratory factor analysis and mixed‐model analysis of covariance. Internal consistency reliability and readability were also assessed. RESULTS:  The questionnaire assessed 4 constructs: self‐efficacy expectations for fruit consumption, self‐efficacy expectations for vegetable consumption, proxy efficacy to influence parents to make FV available, and proxy efficacy to influence after‐school staff to make FV available. Children perceiving FV opportunities in after‐school had greater self‐efficacy expectations for FVC and greater proxy efficacy to influence after‐school staff compared to students who did not perceive FV opportunities. Children attending schools of higher socioeconomic status (SES) and less diversity were more confident they could influence their parents to make FV available than students attending lower SES and less diverse schools. Adequate internal consistency and test‐retest reliabilities were established. CONCLUSIONS:  Self‐efficacy is a multicomponent construct that can be assessed in children using the reliable and valid instrument evaluated by the current study.