Understanding determinants of nutrition, physical activity and quality of life among older adults : the Wellbeing, Eating and Exercise for a Long Life (WELL) study

Background : Nutrition and physical activity are major determinants of health and quality of life; however, there exists little research focusing on determinants of these behaviours in older adults. This is important, since just as these behaviours vary according to subpopulation, it is likely that the determinants also vary. An understanding of the modifiable determinants of nutrition and physical activity behaviours among older adults to take into account the specific life-stage context is required in order to develop effective interventions to promote health and well-being and prevent chronic disease and improve quality of life.

Methods : The aim of this work is to identify how intrapersonal, social and environmental factors influence nutrition and physical activity behaviours among older adults living in urban and rural areas. This study is a cohort study of adults aged 55-65 years across urban and rural Victoria, Australia. Participants completed questionnaires at baseline in 2010 and will complete follow-up questionnaires in 2012 and 2014. Self-report questionnaires will be used to assess outcomes such as food intake, physical activity and sedentary behaviours, anthropometry and quality of life. Explanatory variables include socioeconomic position, and measures of the three levels of influence on older adults' nutrition and physical activity behaviours (intrapersonal, social and perceived environmental influences).

Discussion : Obesity and its determinant behaviours, physical inactivity and poor diet are major public health concerns and are significant determinants of the quality of life among the ageing population. There is a critical need for a better understanding of the determinants of nutrition and physical activity in this important target group. This research will provide evidence for the development of effective policies and programs to promote and support increased physical activity and healthy eating behaviours among older adults.

Driving down daily step counts: the impact of being driven to school on physical activity and sedentary behavior

This study investigated whether being driven to school was associated with lower weekday and weekend step counts, less active out-of-school leisure pursuits, and more sedentary behavior. Boys aged 10–13 years (n = 384) and girls aged 9–13 years (n = 500) attending 25 Australian primary schools wore a pedometer and completed a travel diary for one week. Parents and children completed surveys capturing leisure activity, screen time, and sociodemographics. Commute distance was objectively measured. Car travel was the most frequent mode of school transportation (boys: 51%, girls: 58%). After adjustment (sociodemographics, commute distance, and school clustering) children who were driven recorded fewer weekday steps than those who walked (girls: –1,393 steps p < .001, boys: –1,569 steps, p = .009) and participated in fewer active leisure activities (girls only: p = .043). There were no differences in weekend steps or screen time. Being driven to and from school is associated with less weekday pedometer-determined physical activity in 9- to 13-year-old elementary-school children. Encouraging children, especially girls, to walk to and from school (even for part of the way for those living further distances) could protect the health and well-being of those children who are insufficiently active.

Promoting healthy, productive ageing: plan early, plan well

This article reports that the population bulge of the post-war baby boom, increased life expectancy and declining birth rates are forcing governments to address the changing demographic of an "older" society. Successful ageing revolves around optimum health and well-being, active support networks and engagement in the community, and personal autonomy over life choices. Despite the social and financial advantages of work, many people look forward to retirement and begin retirement planning in the latter part of their working life.

Impact assessment: from theory to practice

Foreign aid is intended to be a major contributor to poverty reduction. However, significant questions arise as to the capacity for development funding to contribute to human development, through service provision, through advocacy, through actions and interventions that change power relations, change the social and institutional arrangements that reinforce inequality, threaten or reproduce well-being, and prevent the fulfillment of human rights. In conjunction with questions about what aid “does,” there is equal focus on how it does it. Questions of efficiency, effectiveness, transparency, accountability, social license to operate, relevance, and many others are all embedded in contemporary aid discourse and practice. The aim of this volume was to contribute to a critical understanding of Impact Assessment (IA) clearly informed by contemporary development theory and practice. There is a significantly increasing push for impact assessment, across the whole aid architecture. This is exacerbated by a much stronger focus on value for money, and accountability – to taxpayers specifically in the context of public funds, and donors in an increasingly competitive NGO environment. As was noted by many authors, since the GFC, a significant number of donor governments have reduced or are considering funding reduction for bilateral aid agencies and their contributions to multilateral aid agencies. At the same time they imposed a more stringent and rigorous requirement focusing on “aid-for-trade” and “value-for-money” strategies. There is a drive to ensure the positive impacts of the grant or loan in a sustainable manner.

Psychological health and lifestyle management preconception and in pregnancy

Healthful lifestyles before and during pregnancy are important to facilitate healthy outcomes for mother and baby. For example, behaviors such as a sedentary lifestyle and consuming an energy-dense/nutrient-poor diet increase the risk of overweight/obesity before pregnancy and excessive weight gain during pregnancy, leading to adverse maternal and child health outcomes. Maternal psychopathology may be implicated in the development of suboptimal maternal lifestyle behaviors before and during pregnancy, perhaps through impacts on motivation. This article explores this notion using maternal obesity and excessive gestational weight gain as examples of the health impacts of psychological states. We suggest that factors such as psychological well-being, individual motivation for behavior change, and broader environmental influences that affect both individual and system-wide determinants all play important roles in promoting healthy lifestyles periconception and are key modifiable aspects for intervention designers to consider when trying to improve dietary behaviors and increase physical activity before and during pregnancy. In addition, implementing system-wide changes that impact positively on individual and environmental barriers to behavior change that are sustainable, measureable, and effective is required.

Stickability, transformability and transmittability: alternative, pull-out programs within schools - what the literature says about effective practice and provision for disenfranchised young people

This paper draws on the findings of a recent and extensive literature review to examine the efficacy of pull-out education programs (alternative programs) in schools in relation to student learning, well-being, and pathways. It synthesises the research on alternative education programs and their contribution to student outcomes using three main conceptual categories: how sustainable these programs are their stickability; how effective these programs are in achieving their stated purpose of improving and enhancing vulnerable students’ learning, well-being, and pathways, their transformability; and how these programs may be used successfully in other locations and contexts— their transmittability. It concludes with recommendations for future practice, suggesting that school systems should prioritise prevention and early intervention in providing support to vulnerable students in ways that take account of students’ own reasons for why they are disengaged from schooling.

International development : issues and challenges

This comprehensive and broad-ranging introductory text examines the key aspects of contemporary international development from both a practical and theoretical perspective. It addresses the fundamental question of what 'development' actually is and examines social, economic and environmental development across the globe.Written by experts with extensive field experience across a range of development settings, the book addresses key issues in the development debate. These issues include definitions of development, global influences on development, measurements of development, the contribution of international aid, the relationship between global development and gender equality, the idea of development as 'modernization', theories of underdevelopment, and regional variation.The third edition has been revised and updated to include discussion of recent events and challenges in the field, as well as coverage of the rise of new economic powers, the impact of new security challenges, and the increasing importance of sustainable development goals.