Social Cognitive Factors Associated With Moderate to Vigorous Physical Activity In Perimenopausal and Postmenopausal Women: 985

Osteoporosis (OP) is a disease characterized by low bone mass and structural breakdown of the skeleton. The disease may be prevented through weight-bearing, moderate to vigorous physical activity (MVPA), which is important for periand postmenopausal women who are at great risk for OP. However, most women do not participate in activity according to guidelines, which can negatively impact bone health. A better understanding of multi-dimensional factors that influence MVPA may help inform physical activity interventions aiming for OP prevention. The purpose of this study was to utilize social cognitive theory (SCT) to understand the associations between social cognitive factors and MVPA among periand postmenopausal women. Eighty-seven periand postmenopausal women (aged 43 to 65) completed this cross-sectional study. Participants completed demographic, health, calcium, and SCT questionnaires. SCT variables assessed included task self-efficacy (SET) and barrier selfefficacy (SEB), perceived social support from friends (SSFR) and family (SSFA), and perceived access to facilities (ACF) and home equipment (ACH). Participants wore an NL-1000 pedometer for one week to assess total steps per day and minutes spent in MVPA. Past year MVPA, past week leisure MVPA, and past week occupational/ transport MVPA were assessed with the Modifiable Activity Questionnaire. Stepwise regression analysis was used to identify the direct relationships between cognitive variables and each of the physical activity outcome measures. Moderationmediation analysis was conducted to determine if significant interaction effects or confounding effects existed between social cognitive variables and each physical activity

[1]  C. Witham Osteoporosis and bone health , 2010 .

[2]  K. Kaveh,et al.  Osteoporosis and bone health , 2010 .

[3]  Barbara E Ainsworth,et al.  Evaluation of physical activity measures used in middle-aged women. , 2009, Medicine and science in sports and exercise.

[4]  J. Salmon,et al.  Effects of a multi-component exercise program and calcium–vitamin-D3-fortified milk on bone mineral density in older men: a randomised controlled trial , 2009, Osteoporosis International.

[5]  Lewis H Kuller,et al.  Monthly variation in physical activity levels in postmenopausal women. , 2009, Medicine and science in sports and exercise.

[6]  B. Sternfeld,et al.  Physical activity questionnaire comprehension: lessons from cognitive interviews. , 2009, Medicine and science in sports and exercise.

[7]  Rebecca E. Lee,et al.  Striding Toward Social Justice: The Ecologic Milieuof Physical Activity , 2009, Exercise and sport sciences reviews.

[8]  Y. Nakahara,et al.  Associations of daily walking steps with calcaneal ultrasound parameters and a bone resorption marker in elderly Japanese women. , 2008, Journal of physiological anthropology.

[9]  R. Brownbill,et al.  Habitual and Low-Impact Activities are Associated with Better Bone Outcomes and Lower Body Fat in Older Women , 2008, Calcified Tissue International.

[10]  Sara Wilcox,et al.  An Overview and Proposed Framework of Social-Environmental Influences on the Physical-Activity Behavior of Women , 2008, American journal of health promotion : AJHP.

[11]  Didier Hans,et al.  Assessment of the 10‐Year Probability of Osteoporotic Hip Fracture Combining Clinical Risk Factors and Heel Bone Ultrasound: The EPISEM Prospective Cohort of 12,958 Elderly Women , 2008, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[12]  Carolyn M. Brown,et al.  The relationship of calcium intake and exercise to osteoporosis health beliefs in postmenopausal women. , 2008, Research in social & administrative pharmacy : RSAP.

[13]  Shuqiang Zhang,et al.  Factors influencing osteoporosis preventive behaviours: testing a path model. , 2008, Journal of advanced nursing.

[14]  B. Weeks,et al.  The BPAQ: a bone-specific physical activity assessment instrument , 2008, Osteoporosis International.

[15]  Kelly R Evenson,et al.  Patterns of objectively measured physical activity in the United States. , 2008, Medicine and science in sports and exercise.

[16]  Corneel Vandelanotte,et al.  Recreational facilities and leisure-time physical activity: An analysis of moderators and self-efficacy as a mediator. , 2008, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[17]  A. Kriska,et al.  Lapses and psychosocial factors related to physical activity in early postmenopause. , 2007, Medicine and science in sports and exercise.

[18]  M. Gross,et al.  Walking intensity for postmenopausal bone mineral preservation and accrual. , 2007, Bone.

[19]  R. Zeller,et al.  DXA, Health Beliefs, and Osteoporosis Prevention Behaviors , 2007, Journal of aging and health.

[20]  Søren Brage,et al.  Accelerometers and pedometers: methodology and clinical application , 2007, Current opinion in clinical nutrition and metabolic care.

[21]  J. Brug,et al.  Potential environmental determinants of physical activity in adults: a systematic review , 2007, Obesity reviews : an official journal of the International Association for the Study of Obesity.

[22]  R. Hall,et al.  Structural Model for Osteoporosis Preventing Behavior in Postmenopausal Women , 2007, Nursing research.

[23]  J. Reginster Managing the osteoporotic patient today , 2007 .

[24]  A. Pipe,et al.  Who will be active? Predicting exercise stage transitions after hospitalization for coronary artery disease. , 2007, Canadian journal of physiology and pharmacology.

[25]  Florian Hartl,et al.  Prediction of Hip Fracture Risk by Quantitative Ultrasound in More Than 7000 Swiss Women ≥70 Years of Age: Comparison of Three Technologically Different Bone Ultrasound Devices in the SEMOF Study , 2006, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[26]  A. Díez-Pérez,et al.  Relationship Between Bone Quantitative Ultrasound and Fractures: A Meta‐Analysis , 2006, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[27]  J. Eisman,et al.  Exploring factors influencing osteoporosis prevention and control: a qualitative study of Iranian men and women in Australia. , 2006, Maturitas.

[28]  D. Warburton,et al.  Health benefits of physical activity: the evidence , 2006, Canadian Medical Association Journal.

[29]  Dixie L. Thompson,et al.  The relationship between daily steps and body composition in postmenopausal women. , 2006, Journal of women's health.

[30]  A. Stewart,et al.  Long‐Term Fracture Prediction by DXA and QUS: A 10‐Year Prospective Study , 2005, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[31]  Ross C Brownson,et al.  A multilevel ecological approach to promoting walking in rural communities. , 2005, Preventive medicine.

[32]  E. McAuley,et al.  Physical activity, symptoms, esteem, and life satisfaction during menopause. , 2005, Maturitas.

[33]  Scott E Crouter,et al.  Spring-levered versus piezo-electric pedometer accuracy in overweight and obese adults. , 2005, Medicine and science in sports and exercise.

[34]  W. Kalender,et al.  Power training is more effective than strength training for maintaining bone mineral density in postmenopausal women. , 2005, Journal of applied physiology.

[35]  J. Spence,et al.  Social ecological correlates of physical activity in normal weight, overweight, and obese individuals , 2005, International Journal of Obesity.

[36]  Jean-Michel Oppert,et al.  Sedentary behaviors, physical activity, and metabolic syndrome in middle-aged French subjects. , 2005, Obesity research.

[37]  C. Cooper,et al.  How Many Women Have Osteoporosis? , 2005 .

[38]  D. Bassett,et al.  Pedometer-determined walking and body composition variables in African-American women. , 2005, Medicine and science in sports and exercise.

[39]  Kerry Mummery,et al.  Psychosocial and environmental factors associated with physical activity among city dwellers in regional Queensland. , 2005, Preventive medicine.

[40]  C. Albright,et al.  Comparison of walking recommendations in previously inactive women. , 2005, Medicine and science in sports and exercise.

[41]  J. Reginster,et al.  Osteoporosis: a still increasing prevalence. , 2005, Bone.

[42]  B E Ainsworth,et al.  How many days of pedometer monitoring predict weekly physical activity in adults? , 2005, Preventive medicine.

[43]  S. Dhaliwal,et al.  Physical Activity and Calcium Consumption Are Important Determinants of Lower Limb Bone Mass in Older Women , 2004, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[44]  J. Iwamoto,et al.  Effect of walking exercise on bone metabolism in postmenopausal women with osteopenia/osteoporosis , 2004, Journal of Bone and Mineral Metabolism.

[45]  Martin Heller,et al.  Assessing Bone Status Beyond BMD: Evaluation of Bone Geometry and Porosity by Quantitative Ultrasound of Human Finger Phalanges , 2004, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[46]  Dixie L. Thompson,et al.  Relationship between accumulated walking and body composition in middle-aged women. , 2004, Medicine and science in sports and exercise.

[47]  Reinhard Barkmann,et al.  Association of Five Quantitative Ultrasound Devices and Bone Densitometry With Osteoporotic Vertebral Fractures in a Population‐Based Sample: The OPUS Study , 2004, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[48]  A. Bandura Health Promotion by Social Cognitive Means , 2004, Health education & behavior : the official publication of the Society for Public Health Education.

[49]  M. A. Singh Physical activity and bone health. , 2004, Australian family physician.

[50]  D. Bassett,et al.  Pedometer measures of free-living physical activity: comparison of 13 models. , 2004, Medicine and science in sports and exercise.

[51]  R. Cohen,et al.  Osteoporosis and Health-Related Quality-of-Life Outcomes in the Alameda County Study Population , 2003, Preventing chronic disease.

[52]  Ali H Mokdad,et al.  Associations between recommended levels of physical activity and health-related quality of life. Findings from the 2001 Behavioral Risk Factor Surveillance System (BRFSS) survey. , 2003, Preventive medicine.

[53]  D R Bassett,et al.  Effects of Body Mass Index on the Accuracy of an Electronic Pedometer , 2003, International journal of sports medicine.

[54]  Scott E Crouter,et al.  Accuracy and reliability of 10 pedometers for measuring steps over a 400-m walk. , 2003, Medicine and science in sports and exercise.

[55]  M. Pardilla,et al.  Personal, social, and environmental correlates of physical activity in Native American women. , 2003, American journal of preventive medicine.

[56]  Scott E Crouter,et al.  Validity of 10 electronic pedometers for measuring steps, distance, and energy cost. , 2003, Medicine and science in sports and exercise.

[57]  Edward McAuley,et al.  Predicting long-term maintenance of physical activity in older adults. , 2003, Preventive medicine.

[58]  Erika S. Trapl,et al.  Social support, knowledge, and self-efficacy as correlates of osteoporosis preventive behaviors among preadolescent females. , 2003, Journal of pediatric psychology.

[59]  R. Rizzoli,et al.  Comparison of Three Bone Ultrasounds for the Discrimination of Subjects With and Without Osteoporotic Fractures Among 7562 Elderly Women , 2003, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[60]  J. Reginster,et al.  Health-related quality of life and cost of ambulatory care in osteoporosis: how may such outcome measures be valuable information to health decision makers and payers? , 2003, Bone.

[61]  W. Kalender,et al.  The Erlangen Fitness Osteoporosis Prevention Study: a controlled exercise trial in early postmenopausal women with low bone density-first-year results. , 2003, Archives of physical medicine and rehabilitation.

[62]  Volker Kuhn,et al.  Can Novel Clinical Densitometric Techniques Replace or Improve DXA in Predicting Bone Strength in Osteoporosis at the Hip and Other Skeletal Sites? , 2003, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[63]  F. Omasu,et al.  Effect of daily walking steps on ultrasound parameters of the calcaneus in elderly Japanese women , 2003, Osteoporosis International.

[64]  B. Sternfeld,et al.  Sport and home physical activity are independently associated with bone density. , 2003, Medicine and science in sports and exercise.

[65]  B. Resnick,et al.  Testing A Theoretical Model of Exercise Behavior for Older Adults , 2003, Nursing research.

[66]  A. Bauman,et al.  Correlates of adults' participation in physical activity: review and update. , 2002, Medicine and science in sports and exercise.

[67]  L. Cunningham-Sabo,et al.  Environmental, Policy, and Cultural Factors Related to Physical Activity in Sedentary American Indian Women , 2002, Women & health.

[68]  Kelly R Evenson,et al.  Environmental, Policy, and Cultural Factors Related to Physical Activity Among Latina Immigrants , 2002, Women & health.

[69]  S. Gabriel,et al.  Mortality, Disability, and Nursing Home Use for Persons with and without Hip Fracture: A Population‐Based Study , 2002, Journal of the American Geriatrics Society.

[70]  Gregory J. Welk,et al.  Physical Activity Assessments for Health-Related Research , 2002 .

[71]  Abby C King,et al.  Intervention-related cognitive versus social mediators of exercise adherence in the elderly. , 2002, American journal of preventive medicine.

[72]  A. Dunn,et al.  Psychosocial mediators of physical activity behavior among adults and children. , 2002, American journal of preventive medicine.

[73]  A. King,et al.  Theoretical approaches to the promotion of physical activity: forging a transdisciplinary paradigm. , 2002, American journal of preventive medicine.

[74]  J. Chandler,et al.  The impact of osteoporosis on quality-of-life: the OFELY cohort. , 2002, Bone.

[75]  B. Giles-Corti,et al.  The relative influence of individual, social and physical environment determinants of physical activity. , 2002, Social science & medicine.

[76]  B. Belza,et al.  CAUSAL ANALYSIS OF EXERCISE AND CALCIUM INTAKE BEHAVIORS FOR OSTEOPOROSIS PREVENTION AMONG YOUNG WOMEN IN THAILAND , 2002, Health care for women international.

[77]  S. Cummings,et al.  Epidemiology and outcomes of osteoporotic fractures , 2002, The Lancet.

[78]  D. Burr,et al.  Effects of biomechanical stress on bones in animals. , 2002, Bone.

[79]  James F Sallis,et al.  How the environment shapes physical activity: a transdisciplinary research agenda. , 2002, American journal of preventive medicine.

[80]  N. Owen,et al.  Environmental factors associated with adults' participation in physical activity: a review. , 2002, American journal of preventive medicine.

[81]  I. Vuori,et al.  Associations of Calcium Intake and Physical Activity With Bone Density and Size in Premenopausal and Postmenopausal Women: A Peripheral Quantitative Computed Tomography Study , 2002, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[82]  S. Biddle,et al.  A Meta-Analytic Review of the Theories of Reasoned Action and Planned Behavior in Physical Activity: Predictive Validity and the Contribution of Additional Variables , 2002 .

[83]  B. Resnick,et al.  The Effect of Social Support on Exercise Behavior in Older Adults , 2002, Clinical nursing research.

[84]  D. Hans,et al.  Discriminatory Ability of Quantitative Ultrasound Parameters and Bone Mineral Density in a Population‐Based Sample of Postmenopausal Women With Vertebral Fractures: Results of the Basel Osteoporosis Study , 2002, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[85]  Ilse de Bourdeaudhuij,et al.  Relative contribution of psychosocial variables to the explanation of physical activity in three population-based adult samples. , 2002, Preventive medicine.

[86]  A. Bauman,et al.  Perceived environmental aesthetics and convenience and company are associated with walking for exercise among Australian adults. , 2001, Preventive medicine.

[87]  R. Ferrell,et al.  Moderate Physical Activity is Associated with Higher Bone Mineral Density in Postmenopausal Women , 2001, Journal of the American Geriatrics Society.

[88]  J. Jurvelin,et al.  Leisure-time physical activity and rate of bone loss among peri- and postmenopausal women: a longitudinal study. , 2001, Bone.

[89]  B. Rimer,et al.  Depressive Symptoms, Menopausal Status, and Climacteric Symptoms in Women at Midlife , 2001, Psychosomatic medicine.

[90]  A. Stewart,et al.  CHAMPS physical activity questionnaire for older adults: outcomes for interventions. , 2001, Medicine and science in sports and exercise.

[91]  N Gledhill,et al.  Musculoskeletal fitness and health. , 2001, Canadian journal of applied physiology = Revue canadienne de physiologie appliquee.

[92]  D. Warburton,et al.  The effects of changes in musculoskeletal fitness on health. , 2001, Canadian journal of applied physiology = Revue canadienne de physiologie appliquee.

[93]  C. Tudor-Locke,et al.  Challenges and Opportunities for Measuring Physical Activity in Sedentary Adults , 2001, Sports medicine.

[94]  J. Woo,et al.  Assessment of total energy expenditure in a Chinese population by a physical activity questionnaire: examination of validity , 2001, International journal of food sciences and nutrition.

[95]  Alan D. Martin,et al.  Calcium Accretion in Girls and Boys During Puberty: A Longitudinal Analysis , 2000, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[96]  R. Recker,et al.  Characterization of Perimenopausal Bone Loss: A Prospective Study , 2000, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[97]  D. Baran,et al.  Reconciling Quantitative Ultrasound of the Calcaneus with X‐Ray‐Based Measurements of the Central Skeleton , 2000, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[98]  J. Sallis Age-related decline in physical activity: a synthesis of human and animal studies. , 2000, Medicine and science in sports and exercise.

[99]  R. Brownson,et al.  Determinants of leisure time physical activity in rural compared with urban older and ethnically diverse women in the United States , 2000, Journal of epidemiology and community health.

[100]  Mark A Pereira,et al.  Changes in physical activity patterns in the United States, by sex and cross-sectional age. , 2000, Medicine and science in sports and exercise.

[101]  B E Ainsworth,et al.  Compendium of physical activities: an update of activity codes and MET intensities. , 2000, Medicine and science in sports and exercise.

[102]  J F Sallis,et al.  Personal and environmental factors associated with physical inactivity among different racial-ethnic groups of U.S. middle-aged and older-aged women. , 2000, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[103]  B. Ainsworth,et al.  Evaluation of the kaiser physical activity survey in women. , 2000, Medicine and science in sports and exercise.

[104]  A. Bauman,et al.  Social-cognitive and perceived environment influences associated with physical activity in older Australians. , 2000, Preventive medicine.

[105]  B. Ainsworth Issues in the Assessment of Physical Activity in Women , 2000, Research quarterly for exercise and sport.

[106]  A. Kriska Ethnic and Cultural Issues in Assessing Physical Activity , 2000, Research quarterly for exercise and sport.

[107]  J F Sallis,et al.  Promoting physical activity in rural communities: walking trail access, use, and effects. , 2000, American journal of preventive medicine.

[108]  D. Kiel,et al.  Risk Factors for Longitudinal Bone Loss in Elderly Men and Women: The Framingham Osteoporosis Study , 2000, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[109]  B. Resnick,et al.  Understanding what motivates older adults to exercise. , 2000, Journal of gerontological nursing.

[110]  A. King,et al.  Patterns and correlates of physical activity among US women 40 years and older. , 2000, American journal of public health.

[111]  W. O'Fallon,et al.  Determinants of Bone Loss from the Femoral Neck in Women of Different Ages , 2000, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[112]  Bess H. Marcus,et al.  How are We Doing with Physical Activity? , 1999, American journal of health promotion : AJHP.

[113]  J. Martínez,et al.  Physical inactivity, sedentary lifestyle and obesity in the European Union , 1999, International Journal of Obesity.

[114]  Robert J. Schinke,et al.  Does the Theory of Planned Behavior Mediate the Relation Between Personality and Exercise Behavior , 1999 .

[115]  J F Sallis,et al.  Physical activity social support and middle- and older-aged minority women: results from a US survey. , 1999, Social science & medicine.

[116]  A. Bandura Social cognitive theory: an agentic perspective. , 1999, Annual review of psychology.

[117]  C. Njeh,et al.  Does Combining the Results from Multiple Bone Sites Measured by a New Quantitative Ultrasound Device Improve Discrimination of Hip Fracture? , 1999, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[118]  B E Ainsworth,et al.  Physical activity patterns in a diverse population of women. , 1999, Preventive medicine.

[119]  M. Sowers,et al.  The Reproducibility of Ultrasound Bone Measures in a Triethnic Population of Pregnant Adolescents and Adult Women , 1998, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[120]  T. Baranowski,et al.  Mediating variable framework in physical activity interventions. How are we doing? How might we do better? , 1998, American journal of preventive medicine.

[121]  R. Froman,et al.  Development and evaluation of the Osteoporosis Self-Efficacy Scale. , 1998, Research in nursing & health.

[122]  J. Eisman,et al.  Bone Loss, Physical Activity, and Weight Change in Elderly Women: The Dubbo Osteoporosis Epidemiology Study , 1998, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[123]  A. Bandura Health promotion from the perspective of social cognitive theory , 1998 .

[124]  S. Cummings,et al.  The Association of Radiographically Detected Vertebral Fractures with Back Pain and Function: A Prospective Study , 1998, Annals of Internal Medicine.

[125]  A Heinonen,et al.  Effect of Two Training Regimens on Bone Mineral Density in Healthy Perimenopausal Women: A Randomized Controlled Trial , 1998, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[126]  C. Friedenreich,et al.  The lifetime total physical activity questionnaire: development and reliability. , 1998, Medicine and science in sports and exercise.

[127]  J. Sallis,et al.  Assessing perceived physical environmental variables that may influence physical activity. , 1997, Research quarterly for exercise and sport.

[128]  R. Epstein,et al.  Excess mortality attributable to hip fracture in white women aged 70 years and older. , 1997, American journal of public health.

[129]  B. Guy-grand,et al.  Weight gain at the time of menopause. , 1997, Human reproduction.

[130]  D. Dzewaltowski The ecology of physical activity and sport: Merging science and practice , 1997 .

[131]  W. Kohrt,et al.  Effects of Exercise Involving Predominantly Either Joint‐Reaction or Ground‐Reaction Forces on Bone Mineral Density in Older Women , 1997, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[132]  C. Glüer,et al.  Quantitative Ultrasound Techniques for the Assessment of Osteoporosis: Expert Agreement on Current Status , 1997, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[133]  C C Glüer,et al.  Comparisons of Noninvasive Bone Mineral Measurements in Assessing Age‐Related Loss, Fracture Discrimination, and Diagnostic Classification , 1997, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[134]  S. Taylor,et al.  Relations between compressive axial forces in an instrumented massive femoral implant, ground reaction forces, and integrated electromyographs from vastus lateralis during various 'osteogenic' exercises. , 1997, Journal of biomechanics.

[135]  G. Kok,et al.  The Theory of Planned Behavior: A Review of its Applications to Health-Related Behaviors , 1996, American journal of health promotion : AJHP.

[136]  Roberto Pacifici,et al.  Estrogen, cytokines, and pathogenesis of postmenopausal osteoporosis , 1996, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[137]  M. Pratt,et al.  Physical activity and health , 1996, BMJ.

[138]  D. Stokols Translating Social Ecological Theory into Guidelines for Community Health Promotion , 1996, American journal of health promotion : AJHP.

[139]  D. Gold The clinical impact of vertebral fractures: quality of life in women with osteoporosis. , 1996, Bone.

[140]  S. Cummings,et al.  Hip and calcaneal bone loss increase with advancing age: Longitudinal results from the study of osteoporotic fractures , 1995, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[141]  N. Ali,et al.  Health promotion and osteoporosis prevention among postmenopausal women. , 1995, Preventive medicine.

[142]  A Heinonen,et al.  Bone mineral density in female athletes representing sports with different loading characteristics of the skeleton. , 1995, Bone.

[143]  P. Freedson,et al.  Validity of the Computer Science and Applications, Inc. (CSA) activity monitor. , 1995, Medicine and science in sports and exercise.

[144]  A M Schott,et al.  Do ultrasound measurements on the os calcis reflect more the bone microarchitecture than the bone mass?: a two-dimensional histomorphometric study. , 1995, Bone.

[145]  M. Fiatarone,et al.  Effects of High-Intensity Strength Training on Multiple Risk Factors for Osteoporotic Fractures: A Randomized Controlled Trial , 1994 .

[146]  C. J. Smith,et al.  Energy intake and physical activity in Pima Indians: comparison with energy expenditure measured by doubly-labeled water. , 1994, Obesity research.

[147]  K. Matthews,et al.  Influence of the perimenopause on cardiovascular risk factors and symptoms of middle-aged healthy women. , 1994, Archives of internal medicine.

[148]  S. J. Ramsdale,et al.  Increase in femoral bone density in young women following high-impact exercise , 1994, Osteoporosis International.

[149]  A. Kriska,et al.  An epidemiological perspective of the relationship between physical activity and NIDDM: from activity assessment to intervention. , 1992, Diabetes/metabolism reviews.

[150]  J. Fortney,et al.  Moderate physical activity and bone density among perimenopausal women. , 1992, American journal of public health.

[151]  R. Niaura,et al.  Self-efficacy and the stages of exercise behavior change. , 1992, Research quarterly for exercise and sport.

[152]  K. Glanz,et al.  Health behavior and health education : theory, research, and practice , 1991 .

[153]  Frederick J. Gravetter,et al.  Essentials of Statistics for the Behavioral Sciences , 1991 .

[154]  C. Slemenda,et al.  The contribution of bone loss to postmenopausal osteoporosis , 1990, Osteoporosis International.

[155]  Lewis H Kuller,et al.  Development of Questionnaire to Examine Relationship of Physical Activity and Diabetes in Pima Indians , 1990, Diabetes Care.

[156]  M. Hovell,et al.  Determinants of Exercise Behavior , 1990, Exercise and sport sciences reviews.

[157]  A. Bandura Human agency in social cognitive theory. , 1989, The American psychologist.

[158]  K. Glanz,et al.  An Ecological Perspective on Health Promotion Programs , 1988, Health education quarterly.

[159]  A. Ehsani,et al.  Weight-bearing exercise training and lumbar bone mineral content in postmenopausal women. , 1988, Annals of internal medicine.

[160]  G Block,et al.  Evaluation of two food frequency methods of measuring dietary calcium intake. , 1987, American journal of epidemiology.

[161]  T. Patterson,et al.  The development of scales to measure social support for diet and exercise behaviors. , 1987, Preventive medicine.

[162]  G Block,et al.  A data-based approach to diet questionnaire design and testing. , 1986, American journal of epidemiology.

[163]  D A Bloch,et al.  Long-distance running, bone density, and osteoarthritis. , 1986, JAMA.

[164]  A. Bandura Social Foundations of Thought and Action: A Social Cognitive Theory , 1985 .

[165]  Clinton T. Rubin,et al.  Regulation of bone mass by mechanical strain magnitude , 1985, Calcified Tissue International.

[166]  J. Sallis,et al.  The determinants of physical activity and exercise. , 1985, Public health reports.

[167]  L. Lanyon,et al.  Regulation of bone formation by applied dynamic loads. , 1984, The Journal of bone and joint surgery. American volume.

[168]  J. Prochaska,et al.  Stages and processes of self-change of smoking: toward an integrative model of change. , 1983, Journal of consulting and clinical psychology.

[169]  J. S. Stevenson RESEARCH ON THE MENOPAUSE , 1982, The Lancet.

[170]  A. Bandura The self system in reciprocal determinism. , 1978 .

[171]  W. Hayes,et al.  Bone compressive strength: the influence of density and strain rate. , 1976, Science.

[172]  M. Becker,et al.  Health Belief Model and Personal Health Behavior , 1976 .

[173]  M. R. Fields HEALTH EDUCATION MONOGRAPHS , 1960 .

[174]  B. Israel,et al.  Social networks and social support. , 2008 .

[175]  L. Mâsse,et al.  Physical activity in the United States measured by accelerometer. , 2008, Medicine and science in sports and exercise.

[176]  M. McClung,et al.  Quantitative ultrasound of the heel: Correlation with densitometric measurements at different skeletal sites , 2006, Osteoporosis International.

[177]  B. Dawson-Hughes,et al.  Risk factors for bone loss in healthy postmenopausal women , 2005, Osteoporosis International.

[178]  Adult participation in recommended levels of physical activity--United States, 2001 and 2003. , 2005, MMWR. Morbidity and mortality weekly report.

[179]  Catrine Tudor-Locke,et al.  How Many Steps/Day Are Enough? Preliminary Pedometer Indices for Public Health , 2004 .

[180]  Rebecca E. Lee,et al.  Toward a comprehensive model of physical activity , 2003 .

[181]  M. Barrera Social Support Research in Community Psychology , 2000 .

[182]  Rebecca E. Lee,et al.  A prospective study of psychosocial correlates of physical activity for ethnic minority women , 1999 .

[183]  M. Clark,et al.  Weight control smoking among sedentary women. , 1999, Addictive behaviors.

[184]  D. Kleinbaum,et al.  Applied regression analysis and other multivariable methods, 3rd ed. , 1998 .

[185]  Mark A Pereira,et al.  A collection of Physical Activity Questionnaires for health-related research. , 1997, Medicine and science in sports and exercise.

[186]  L E Lanyon,et al.  Using functional loading to influence bone mass and architecture: objectives, mechanisms, and relationship with estrogen of the mechanically adaptive process in bone. , 1996, Bone.

[187]  J. E. Maddux,et al.  Self-Efficacy Theory , 1995 .

[188]  J. E. Maddux Self-efficacy, adaptation, and adjustment: Theory, research, and application. , 1995 .

[189]  D. Sartoris,et al.  Bone Mineral Density Responses to High-Intensity Strength Training in Active Older Women , 1995 .

[190]  K. Matthews,et al.  Stress reactivity and exercise training in premenopausal and postmenopausal women. , 1991, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[191]  J. Fox Regression Diagnostics: An Introduction , 1991 .

[192]  K. Glanz,et al.  Health Behavior and Health Education , 1990 .

[193]  D. J. Cavanaugh,et al.  Brisk walking does not stop bone loss in postmenopausal women. , 1988, Bone.

[194]  K. Mann,et al.  Evidence of estrogen receptors in normal human osteoblast-like cells. , 1988, Science.

[195]  D. A. Kenny,et al.  The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. , 1986, Journal of personality and social psychology.

[196]  J. House Work stress and social support , 1981 .

[197]  A. Bandura Self-Efficacy: The Exercise of Control , 1977 .

[198]  Sidney Siegel Nonparametric statistics for the behavioral sciences , 1956 .