We evaluated a community-based physical activity intervention in Georgia senior centers. Participants were a convenience sample that completed the pre-test only (n = 592), or the pre-test, the intervention, and a post-test (n = 418, 98% aged 60 and older, mean age = 75, 83% female, 56% black). The 4-month physical activity intervention, based on the Health Belief Model, included 16 sessions that focused on educator-led chair exercises, promotion of walking, using a pedometer, and recording daily steps. Pre- and post-tests assessed physical activity and physical function, categorized as poor, moderate, or good (Short Physical Performance Battery). Following the intervention, participants improved their physical function (good physical function at pre-test vs. post-test: 16.5% vs. 25.3%, P < or = 0.001), increased minutes of physical activity by 26% (P < or = 0.001) and step counts by 29% (P < or = 0.0001, sub-sample, n = 95), and decreased reports of "it's not safe" as a barrier to physical activity (P < or = 0.05). Increased physical activity (P < or = 0.01) was associated with improved physical function following the intervention. The results of this evaluation provide an evidence base for the effectiveness of this community intervention for improving physical activity and physical function in older adults.

We present a case of an African‐American child with vitamin D‐deficient rickets. In addition to being solely breast‐fed for the period of 1 year, he resided in New England, where exposure to ultraviolet light is limited owing to its northern latitude and long cold winters. He presented with classical signs of nutritional rickets and was immediately responsive to treatment with vitamin D supplementation.

Background Public safety occupations are well-recognized to be dangerous and stressful. Despite recent attention on post-traumatic stress injuries among public safety personnel, there has been considerably less attention paid to the ongoing ways in which the risks and requirements associated with those occupations shape family life, and how families respond and adapt to those lifestyle dimensions. This systematic review aims to understand how day-to-day family life is affected and shaped when a family member works in a public safety sector, such as fire, police, paramedic, corrections, and emergency communications. Methods Qualitative studies that examine the experiences of families or family members of public safety personnel will be included in this review, with no date or language restrictions. An initial search of Embase and CINAHL will be conducted, followed by an analysis of text words contained in the title and abstract, and of the index terms used to describe the articles. Databases to be searched for published studies include MEDLINE, Embase, Web of Sciences, CINAHL, PsycINFO, and Sociological Abstracts. Titles and abstracts will be screened by two independent reviewers. The full texts of selected studies will be assessed in detail, and findings and their illustrations will be extracted and aggregated. Any disagreements between the reviewers that arise at each stage will be resolved through discussion, or by a third reviewer. Further analysis of the synthesized findings will be informed by family systems theory. Discussion The ways that occupational risks and requirements shape family life have been better investigated within other high-risk occupation groups, which has led to productive advancements in organizational policies and supports in the respective sectors. An understanding of the experiences which typify family life ongoing within PSP sectors is a critical gap in the development of meaningful family-informed occupational initiatives and supports. Systematic review registration Submitted to PROSPERO for systematic review registration: CRD42020208126

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The purpose of this study is to describe subjective and objective measures of food environments in relation to food insecurity in a random sample of 138 senior center participants in northeast GA (mean age 78 years, 77% women, 41% black). Subjective food environments were measured by an interviewer‐administered survey and food resources were geocoded to census blockgroups. Around 12% of the sample were food insecure, and they were more likely to be black, less educated, and at higher nutritional and functional risk than food secure participants. Food insecure participants were more likely to live in poorer urban areas where more and different kinds of food stores were available in a closer distance than where food secure participants lived. Most of the food insecure participants reported using a supermarket most frequently for grocery shopping, and around 70% of them reported traveling <5 miles and <10 minutes to get to their frequently used supermarket. However, food insecure participants were more likely to report lower perceived availability and affordability of food stores in their community than their counterparts. These data suggest that food insecure older adults may perceive limited access to food stores irrespective of actual availability of food stores in their community, and warrant further studies to understand the challenges low‐income older adults face in the community to meet their basic food needs.