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Physical Activity Epidemiology 2nd Edition eBook

Physical Activity Epidemiology 2nd Edition eBook

$97.95 CAD

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    Physical Activity Epidemiology, Second Edition, provides a comprehensive discussion of current population-level studies showing the influence of physical activity on disease. Updated with extensive new research collected in the eight years since the previous edition, the second edition adds the expertise of respected epidemiologist I-Min Lee. To assist readers in understanding the public health significance of physical activity, Dishman, Heath, and Lee present a detailed review of research findings and what those findings suggest regarding the relationship between physical activity and a variety of health risks.

    The second edition of this groundbreaking text has been exhaustively updated to reflect the wealth of new research published in this fast-moving field of study. With more than 100 pages of additional content, the text also offers more detailed coverage of all-cause and coronary heart disease mortality, expanded coverage of pathophysiology and biological plausibility, new information on physical activity among various racial–ethnic populations, and the effects of physical activity on cognitive function, dementia, and HIV/AIDS. More than 250 tables and figures, twice the number found in the previous edition, highlight the latest epidemiological information in an easy-to-understand visual format. Physical Activity Epidemiology, Second Edition, assists readers in understanding how leisure-time physical activity can enhance people’s quantity and quality of life by summarizing the available knowledge, detailing the methods used to obtain it, considering its implications for public health, and outlining the important questions that remain. Readers will find comprehensive discussion of these topics:

    • Evidence that physical activity protects against the development of coronary heart disease and stroke and premature death from all causes

    • Population-based studies and clinical experiments providing evidence that physical activity and exercise play a role in the primary and secondary prevention of mild hypertension, dyslipidemia, and obesity

    • Contemporary epidemiologic evidence that physical activity reduces the risk of type 2 diabetes and osteoporosis and protects against the development of breast and colon cancers, some  inflammatory diseases, depression, and anxiety disorders

    • Considerations in the promotion of a safe, physically active lifestyle among all segments of the population

    Physical Activity Epidemiology, Second Edition, will engage and challenge students by examining the state of current research in all of its variation and even ambiguity. The text details the methodology and findings of classic and contemporary studies and then helps students begin to analyze the results. Special Strength of the Evidence sections found at the end of most chapters summarize the findings to determine the extent to which correlation and causation can be proven. Chapter objectives, chapter summaries, and sidebars in each chapter assist students in focusing on the key points of study, and an extensive glossary with detailed definitions provides a handy reference for review. Instructors will find a new image bank in this edition to enhance their class lecture materials.

    Physical Activity Epidemiology, Second Edition, offers students, sport and exercise scientists, health and fitness professionals, and public health administrators a comprehensive presentation of significant studies, how these studies contribute to understanding the relationship between activity and disease prevention, and how this information can be used in leading individuals, communities, and global society toward increased health and longevity.


    Text for upper-level undergraduate and graduate students in exercise science, public health, and behavioral medicine; reference for academic libraries, sport and exercise scientists, health and fitness professionals, and public health administrators.

    Table of Contents


    Part I. Introduction to physical Activity Epidemiology
    Chapter 1. Origins of Physical Activity Epidemiology
    Ancient History of Physical Activity and Health
    Modern History of Physical Activity and Health
    Physical Activity for Health Promotion in the United States and the World

    Chapter 2. Concepts and Methods in Physical Activity Epidemiology
    Epidemiologic Measures
    Crude, Specific, and Standardized Rates
    Research Design in Epidemiologic Studies
    Evaluating Associations in Epidemiologic Studies
    Models in Physical Activity Epidemiology
    Inferring Cause in Epidemiologic Studies
    Criteria for Causation

    Chapter 3. Measurement and Surveillance of Physical Activity and Fitness
    Why Is Behavioral Epidemiology Important?
    What Is Physical Activity?
    Measures of Physical Activity
    What Is Physical Fitness?
    Surveys and Surveillance of Physical Activity

    Part II. Physical Activity and Disease Mortality
    Chapter 4. All-Cause Mortality
    Life Expectancy at Birth
    Major Causes of Mortality
    Physical Activity and All-Cause Mortality
    Sedentary Behavior and All-Cause Mortality
    Physical Fitness and All-Cause Mortality
    Changes in Physical Activity or Fitness and All-Cause Mortality
    Are the Associations Real?
    Strength of the Evidence
    How Much Physical Activity Is Needed to Decrease Risk of Premature Mortality?

    Chapter 5. Coronary Heart Disease
    History and Magnitude of the Problem
    Coronary Heart Disease Risk Factors
    Coronary Heart Disease Etiology
    Physical Activity and Coronary Heart Disease
    Sedentary Behavior and Coronary Heart Disease Risk
    Physical Fitness and Coronary Heart Disease Risk
    Individuals With Other Risk Factors or Existing Coronary Heart Disease
    Physical Inactivity Compared With Other Risk Factors
    Are the Associations Real?
    Strength of the Evidence
    How Much Physical Activity Is Needed to Decrease Coronary Heart Disease Risk?

    Chapter 6. Cerebrovascular Disease and Stroke
    Magnitude of the Problem
    Risk Factors for Stroke
    Etiology of Stroke
    Physical Activity and Stroke Risk: The Evidence
    Strength of the Evidence

    Part III. Physical Activity and Risk Factors
    Chapter 7. Physical Activity and Hypertension
    Magnitude of the Problem
    Treating Hypertension
    Hypertension Etiology
    Autonomic Nervous System
    Physical Activity and Reduced Hypertension Risk: The Evidence
    Physical Activity and Treatment of Hypertension: The Evidence
    Strength of the Evidence

    Chapter 8. Physical Activity and Dyslipidemia
    Magnitude of the Problem
    Drug Treatment
    Dyslipidemia Etiology and Physical Activity
    Physical Activity and Lipoprotein Levels: The Evidence
    Strength of the Evidence

    Chapter 9. Physical Activity and Obesity
    Magnitude of the Problem
    Treatment of Overweight and Obesity
    Assessing and Defining Overweight and Obesity
    Etiology of Overweight and Obesity: Set Point or Settling Point?
    Physical Activity and Fitness and the Health Risks of Obesity: The Evidence        
    Physical Activity and Prevention of Excess Weight Gain: The Evidence
    Physical Activity and Weight Loss: The Evidence
    Physical Activity and Weight Maintenance: The Evidence
    The Ultimate Goal: Weight Loss or Risk Reduction?

    Part IV. Physical Activity and Chronic Diseases
    Chapter 10. Physical Activity and Diabetes
    Magnitude of the Problem
    Demographics of Diabetes
    Clinical Features
    Health Burden of Diabetes
    Risk Factors
    Insulin and Glucose Transport
    Etiology of Type 2 Diabetes
    Effects of Physical Activity on Diabetes Risk: The Evidence
    Strength of the Evidence

    Chapter 11. Physical Activity and Osteoporosis
    Magnitude of the Problem
    Fractures and Mortality
    Etiology of Osteopenia and Osteoporosis
    Risk Factors and Prevention
    Bone Measurement Techniques
    Physical Activity and Osteoporosis: The Evidence
    Strength of the Evidence

    Part V. Physical Activity, Cancer, and Immunity
    Chapter 12. Physical Activity and Cancer
    Magnitude of the Problem
    Etiology of Cancer
    Risk Factors
    Population Studies of Physical Activity: Specificity of Protection?
    Colon and Rectal Cancer
    Breast Cancer
    Other Cancers
    Physical Activity and Cancer Survivors

    Chapter 13. Physical Activity and the Immune System
    An Abridged History of Immunology
    HIV and AIDS
    The Immune System
    Immunomodulation by the Nervous and Endocrine System
    Physical Activity and Immunity: The Evidence
    Mechanisms of Alterations in Monocytes, Granulocytes, and Natural Killer Cells After Acute Exercise
    Exercise and Cytokines

    Part VI. Physical Activity and Special Concerns
    Chapter 14. Physical Activity and Mental Health
    Magnitude of the Problem
    Results From the National Comorbidity Survey
    Etiology of Depression
    Brain Neurobiology in Depression
    Treatment of Depression
    Physical Activity and Depression: The Evidence
    Anxiety Disorders
    Magnitude of the Problem
    Etiology of Anxiety Disorders
    Brain Neurobiology in Anxiety Disorders
    Treatment of Anxiety Disorders
    Physical Activity and Anxiety: The Evidence
    Cognitive Function and Dementia
    Physical Activity and Cognitive Function: The Evidence

    Chapter 15. Physical Activity and Special Populations
    Physical Activity Among Diverse Racial–Ethnic Populations
    Physical Activity and Disability
    Inactivity and Aging
    Physical Activity and Long-Term Health Amoung People With Disabilities
    Role of Physical Activity in the Prevention of Secondary Complications

    Chapter 16. Adverse Events and Hazards of Physical Activity
    Magnitude of the Problem
    Evaluating Risk
    Methods of Research
    Myocardial Infarction and Sudden Death
    Joint and Muscle Injury
    Injury Features
    Risk of Physical Activity Injuries: The Evidence
    Other Medical Hazards
    Psychological Hazards

    Chapter 17.Adopting and Maintaining a Physically Active Lifestyle
    Individual Barriers to Physical Activity
    How Do People Decide to Be Active?
    Environmental Barriers to Physical Activity
    Genetics of Physical Activity
    Environmental Intervention and Self-Regulation
    Effectiveness of Physical Activity Interventions
    Interventions to Increase Physical Activity
    Mediators and Moderators of Physical Activity Change and Interventions
    Features of Physical Activity That Promote Adoption and Maintenance


    About the Authors

    About the Author

    Rod K. Dishman, PhD, is a professor of exercise science, adjunct professor of psychology, and the director of the Exercise Psychology Laboratory at the University of Georgia at Athens. He is also adjunct professor in the Arnold School of Public Health at the University of South Carolina at Columbia. Dr. Dishman is a reviewer for more than 50 journals, including Journal of the American Medical Association (JAMA) and American Journal of Public Health. He has served on editorial boards of numerous journals in preventive medicine and public health, such as Exercise and Sport Science Reviews, Medicine & Science in Sports & Exercise, and Health Psychology and as an exercise consultant to public health agencies in the United States, Canada, and Europe. He has published approximately 150 peer-reviewed articles and written or edited several books related to physical activity and health.

    Dr. Dishman is an American College of Sports Medicine fellow, where he has served as a member of the Research Advisory Committee and the Board of Trustees. He was a member of the jury for selection of the Olympic Prize in Sport Sciences awarded by the International Olympic Committee's Medical Commission and served on the scientific advisory committee for the 2008 Physical Activity Guidelines for Americans. He resides in Athens, Georgia.

    Gregory Heath, DHSc, MPH, has been contributing to the field of exercise science and health promotion for over 25 years. Dr. Heath is Guerry professor and head of the department of health and human performance at the University of Tennessee at Chattanooga. Previously, he worked at the Centers for Disease Control and Prevention as lead health scientist in the Physical Activity and Health Branch. He has extensive experience in conducting studies and data analyses in the areas of physical activity epidemiology and public health practice.

    Dr. Heath is a fellow in the Council on Epidemiology and Prevention, the American Heart Association, and the American College of Sports Medicine. He earned his doctor of health science degree in applied physiology and nutrition and his master's of public health in epidemiology from Loma Linda University.

    I-Min Lee, MBBS, MPH, ScD, is an associate professor of medicine at Harvard Medical School, an associate professor of epidemiology at Harvard School of Public Health, and associate epidemiologist at Brigham and Women's Hospital in Boston. Her main research interest is in the role of physical activity in promoting health and preventing chronic disease. This extends to characteristics associated with a physically active way of life, such as maintenance of ideal body weight. She also is concerned with issues relating to women's health. Lee has published more than 190 peer-reviewed articles and is a frequent invited presenter, teacher, and speaker at local, national, and international levels.

    A reviewer for 30 journals, including Lancet and New England Journal of Medicine, Lee also serves on the editorial board for Harvard Women’s Health Watch, Medicine & Science in Sports & Exercise, and the Brazilian Journal of Physical Activity and Health.

    Lee is an elected member of the American Epidemiological Society and a member of the Society for Epidemiologic Research, the American Heart Association, and the International Society for Physical Activity and Health. She is a member and fellow of the American College of Sports Medicine (ACSM) and has served on the ACSM’s Research Advisory Committee and Board of Trustees. Dr. Lee also served on the scientific advisory committee for the 2008 Physical Activity Guidelines for Americans.

    Lee is the recipient of numerous awards and recognitions, in particular the Young Epidemiologist Award from the Royal Society of Medicine in the United Kingdom (1999); the William G. Anderson Award from the American Alliance for Health, Physical Education, Recreation and Dance (2007); the Charles C. Shepard Award from the Centers for Disease Control and Prevention (2009); and the ACSM’s Citation Award (2011).

    Lee resides in Brookline, Massachusetts.


    All ancillary materials are FREE to course adopters and available online at

    Image bank. Includes most of the figures, tables, and photos from the text, sorted by chapter, that can be used in developing a customized presentation based on specific course requirements.

    The image bank is also available for purchase • ISBN 978-1-4504-2479-0.