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  • New in the Literature: Endurance Exercise Training and Small AAA (Arch Phys Med Rehabil. 2012 July 27 [Epub ahead of print])

    Despite a low recruitment rate, findings from an article published online last week in Archives of Physical Medicine and Rehabilitation suggest that moderate-intensity endurance exercise training is feasible in patients with small abdominal aortic aneurysm (AAA), and can evoke improvements in important health outcomes.

    For this study conducted in the United Kingdom, researchers randomized 28 patients with small AAA (age 72 ± 7 years; mean ± SD) to a 12-week program of moderate-intensity endurance exercise or standard care control (encouragement to exercise only). They assessed safety in terms of the frequency of adverse events and changes in maximum AAA diameter. Outcomes were assessed at baseline and 12 weeks, including cardiopulmonary fitness (ventilatory threshold), health-related quality of life (SF-36v2), and markers of vascular risk (blood pressure and High Sensitivity C-reactive Protein [hs-CRP]).

    Adherence to the exercise program was 94%. There were no paradoxical increases in AAA size or adverse clinical events. Ventilatory threshold increased in the exercise group, but not the control group (adjusted mean difference 2.5 mL/kg/min). Systolic blood pressure and hs-CRP decreased in the exercise group compared with the control group. There were no substantial changes in anthropometric variables or quality of life.

    Last Call: Photo Contest Deadline Approaches

    APTA members have until August 15 to submit their entries for this year's photo contest. Winners will be selected by a distinguished panel of judges. Winning entries will be displayed at APTA headquarters, may appear in APTA's online or print publications, and on the APTA.org or MoveForwardPT.com websites.

    The first-place winner will receive $500. The second and third place winners will receive $250 each. No cash prizes will be awarded for honorable mentions. Winners will be announced in a future issue of PT in Motion.

    Visit the 2012 Photo Contest webpage for descriptions of winning entries and to download the consent, release, and entry forms.

    Student Assembly Leaders Discuss the Brand and Interprofessional Professionalism

    APTA's Student Assembly leadership shared their views and personal experiences in a video-recorded panel discussion at PT 2012 about how the "Move Forward" brand provides a foundation for professionalism and interprofessional professionalism. Student Assembly President Colleen Sullivan, PT, DPT, Director Samantha Letizio, PT, DPT,  Nominating Committee member Chukuemeka Nwigwe, PT, DPT, Secretary Leiselle Pilgrim, PT, DPT, and Treasurer Ken Swantek, PT, DPT, composed the panel, which was moderated by APTA Lead Academic Affairs Specialist Jody Frost, PT, DPT, PhD. View the video on www.apta.org/BrandBeat.

    Preparing for Falls Prevention Awareness Day

    Learn how you can participate in Falls Prevention Awareness Day (FPAD), recognized September 22, by attending a free webinar on August 28 hosted by the National Council on Aging (NCOA). The webinar will explore:

    • the issue of older adult falls in the United States
    • effective strategies for bringing greater awareness to older adult falls prevention and how organizations can participate in FPAD
    • the Centers for Disease Control and Prevention's new STEADI (Stopping Elderly Accidents, Deaths, and Injuries) toolkit for health care providers to assess falls risks, create action plans to reduce risk, and link patients to community-based programs
    • funding options, including Medicare coverage for falls and Title IIID falls prevention community program funding 

    More than 40 states and numerous countries worldwide are coalescing to address this growing public health issue; many are working closely with physical therapists as key contributors to reducing falls. This year's theme, Standing Together to Prevent Falls, seeks to unite professionals, older adults, caregivers, and family members to play a part in raising awareness and preventing falls in the older adult population. Forty-six states will participate in FPAD this year, joining more than 70 national organizations, including APTA, professional associations and federal agencies that constitute the Falls Free© Initiative. Find ideas for observing FPAD and your State Falls Prevention Coalition on NCOA's website.

    Weight Training Associated With Lower Risk of Diabetes

    A new study published August 6 in Archives of Internal Medicine finds that weight training is associated with a significantly lower risk of type 2 diabetes, independent of aerobic exercise.

    Researchers conducted a prospective study of 32,002 men from the Health Professionals Follow-up Study observed from 1990 to 2008. They obtained the weekly time spent on weight training and aerobic exercise (including brisk walking, jogging, running, bicycling, swimming, tennis, squash, and calisthenics/rowing) through questionnaires at baseline and biennially during follow-up.  

    In the 18-year follow-up, the researchers documented 2,278 new cases of type 2 diabetes. In multivariable-adjusted models, they observed a dose-response relationship between an increasing amount of time spent on weight training or aerobic exercise and lower risk of the disease. Engaging in weight training or aerobic exercise for at least 150 minutes per week was independently associated with a lower risk of type 2 diabetes—34% and 52%, respectively. Men who engaged in aerobic exercise and weight training for at least 150 minutes per week had the greatest reduction in type 2 diabetes (59%).

    For people who have difficulty engaging in or adhering to aerobic exercise, the results suggest "that weight training, to a large extent, can serve as an alternative to aerobic exercise for type 2 diabetes prevention," lead researcher Anders Grøntved, MPH, MSc, told HealthDay News

    A separate study also published yesterday in the journal found that higher levels of physical activity were associated with lower mortality risk in people with diabetes. Even study participates who engaged in moderate amounts of activity were "at appreciably lower risk for early death compared with inactive persons," say the study's authors.