TIGA Best Practice in Games Education Conference: There’s a skills gap in the UK video game industry

TIGA Best Practice in Games Education Conference: There’s a skills gap in the UK video game industry

LONDON, Feb. 21, 2022 /PRNewswire/ — TIGA, the community for online games builders and digital publishers and the trade affiliation representing the video clip games sector, emphasised the worth of producing ‘soft’ as properly as technical abilities in the video video games field, like team performing and conversation capabilities.  TIGA manufactured the remarks next its Finest Exercise in Online games Education and learning Convention on 15th February 2022. The purpose of TIGA’s Convention, sponsored by Resourceful Assembly, was to share very best follow and bring marketplace leaders and education professionals collectively to aid drive excellence in training and techniques in the video clip game titles sector.

Speakers from award-winning games studios, together with Inventive Assembly, Payload and Rebel, delivered very important insights on the techniques and traits wanted in present-day graduates and staff. Emma Smith, Head of Expertise at Innovative Assembly, mentioned in a keynote speech that there had been graduate degree skill gaps facing the business, but not always exactly where you consider that they are.  She said the ability gaps expert by Creative Assembly ended up not simply complex in nature, but relatively ‘softer’ capabilities, such as interaction capabilities and crew functioning, Emma observed that thriving college students required to establish a feeling of resilience, an capacity to operate as a crew and a ability to give and obtain feed-back.

Kirsty Moore, Rebellion’s Head of People and Expertise and Tasha Nathani, Senior Technical Producer at Riot emphasised the have to have for learners to discover C++ and debugging capabilities. Jason Howard, Artwork Director at Payload Studios, urged students to go above and further than what they are needed so that their portfolios far better reflect a few years of function.

Winners of the 2021 TIGA UK Games Education Awards disclosed how they are acquiring excellence in colleges and universities educating and study doing the job with sector and endorsing diversity.  Contributors integrated:

  • Stuart Butler, system director for Games Technology at Staffordshire College, who stressed the value of constructing powerful relationships with the video online games field
  • Neil Gallagher, senior lecturer BA and MA Online games Art and Style at the University of Hertfordshire, who encouraged universities to persuade learners to enter competitions, showcase do the job at conclusion-of-yr displays and put up their work on community forums.
  • Carlo Harvey, Director of Upcoming Video games and Graphics at Birmingham Town College, who explained it was important to simulate a studio surroundings in education.
  • Jake Habgood, Director of Instruction Partnerships at Sumo Team plc, who emphasised that TIGA accreditation aided universities by making certain that industry pros presented enter and suggestions on games classes.
  • Thom Kaczmarek, Lecturer in Game titles Style at the College of the Arts London, who proposed the relevance of college students finding out to acquire playable prototypes as speedily as probable.
  • Ruth Falconer, Head of Division: Games Technological innovation and Mathematics at Abertay College, who pressured the will need to help a varied college student population by producing video games and technological innovation programmes that charm to all.
  • Robert Reed, Programme Supervisor: Computer Games at Leeds City College, who identified as on faculties to establish capabilities which include teamwork, interaction and particular duty
  • Dr Chris Lowthorpe, Head of Collaborative R&D at InGAME, who mentioned that universities really should make use of collaborative R&D partnerships involving field and academia.
  • Adam Jerrett, Game Studies Educational, Lecturer and Video game Structure Qualified, at the University of Portsmouth, who advised the use of Discord for speaking with pupils.

Dr Richard Wilson OBE, TIGA CEO, explained:

“At TIGA our target is to make the Uk the most effective location in the earth to establish online video game titles. Excellence in training is crucial to accomplishing this objective. Education and learning is the ladder on which students, studios and our overall sector climb to good results. 

“At TIGA we advance excellence in education and learning by accrediting fantastic online games classes we rejoice excellence via our Games Training Awards, and we boost excellence in mastering by bringing business and instruction alongside one another as a result of our conferences.

“I would like to thank Innovative Assembly, our headline sponsor, for supporting our Meeting. Thank you also to all our speakers from business and schooling for sharing their information and insights. By performing collectively we are improving skills and training in the online video games field.”  

ABOUT TIGA

TIGA is the trade association for the Uk video clip online games industry.  Our vision is to make the Uk the very best put in the globe to develop online video games. Our core function is to bolster the games enhancement and electronic publishing sector. To this stop, we emphasis on four strategic goals:

For much more facts contact TIGA:

Tel: 0845 468 2330
E mail: [email protected] 
World-wide-web: www.tiga.org
Twitter: www.twitter.com/tigamovement
Facebook: www.fb.com/TIGAMovement
LinkedIn: http://www.linkedin.com/firm/tiga 

Resource TIGA

TIGA Best Practice in Games Education Conference: There’s a skills gap in the UK video game industry

South Carolina elementary school student takes grandfather’s gun to school “to shoot zombies” | News

South Carolina elementary school student takes grandfather’s gun to school “to shoot zombies” | News

Pandemic created opportunity for more parental involvement in schooling

Pandemic created opportunity for more parental involvement in schooling
Pandemic created opportunity for more parental involvement in schooling

School closings – and college limitations – have built a generation of K-12 mother and father de facto lecturers.

By means of distant learning, thousands and thousands of caretakers of small children have been quickly pressured into the challenging environment that instructors – and probably a lot more to the position – residence university moms and dads and caretakers facial area just about every day: what to instruct, how substantially, what should be avoided what is valuable and what is not, and what is borderline? For the first time in many years, common Americans are confronting the fundamental principles of the K-12 curriculum and this is bracing. We’re chatting education and learning at the most basic levels. 

And the option is (potentially) colossally beneficial and great.

Parents – local communities far more broadly – have normally been the basic creating blocks of schooling in the U.S. But the introduction of the two-earnings home, transforming family members structures, and ever more competitive arena in the career industry began to limit the time that mothers and fathers could get to require themselves straight in their children’s training. PTA corporations commenced to founder, university board meetings lacked attendance, and a lot more and more nearby features and authentic choices were suctioned up by point out companies and by the legislature.

Going the Distance: NC State’s Leadership in the Public Sector Program

Going the Distance: NC State’s Leadership in the Public Sector Program

Remote work isn’t an option for Kelly Blair. As a tree crew supervisor for the city of Wilmington, North Carolina, a routine workday is apt to find him in the bucket of a boom truck 40 feet off the ground, trimming the limbs of a laurel oak. Long hours on the job are followed by a long commute to his home near Chapel Hill, where he spends the weekends with his wife — a nurse with Duke Health in Durham — and three children.

So when Blair decided to go back to college midcareer, remote learning seemed like the ideal option. “At this point in my life, unless it’s a distance education program, I just don’t have the time,” he says.

In May, Blair will graduate from NC State with a Bachelor of Arts in leadership in the public sector, the university’s only fully online undergraduate degree — and he’ll likely have a perfect 4.0 grade point average when he does.

“It’s taken a lot of time away from my family,” he says, reflecting on the years he spent at a community college followed by four years at NC State. “But my family has always supported me. They see the bigger picture. This is what I needed to do to be where I want to be in life.”

His goal is to finish his degree at NC State, earn a graduate certificate in urban forestry and then advance into a more public-facing role on the job. “I love communicating with the public and handling issues that can cause some pretty severe safety hazards in the community,” he says. “I don’t really desire to be — and I’m probably not physically capable of being — a climbing arborist into my seventies. Moving into management is a natural progression.”

Kelly Blair in a bucket truck, trimming a tree branch with a chain saw.
Kelly Blair commutes from his home in the Triangle to Wilmington, North Carolina, where he works as a tree crew supervisor.
Kelly Blair loads a tree branch into a chipper truck.
Blair’s passion for the outdoors led him to a career as a municipal arborist.

NC State’s degree in leadership in the public sector, or LPS, is designed for students who have already completed some college coursework — typically 60 credit hours — through a community college or four-year institution. The program’s four core courses cover the basics, including the ethical, theoretical and analytical skills students need to be effective leaders.

Another six courses from an approved list allow students to delve into a wide range of topics, including grant writing, fundraising, the justice system and the American political process, organizational psychology, and the intersection of science, technology and human values.

Students round out the curriculum with free electives from across the university, making it a highly engaging and personalized course of study.

Blair’s experience in the LPS program is a world away from his high school days in Virginia, where he struggled with his studies. “As a young adult, it was really hard for me to find a passion,” he says. “I preferred the outdoors to going to class. I can’t tell you how many times I went fishing instead of doing my schoolwork.”

Eight days after graduating from high school, Blair joined the U.S. Army. At Fort Polk, Louisiana, which encompasses parts of the Kisatchie National Forest, he realized that his passion for the outdoors could lay the foundation for a rewarding career.

“I fell into the green industry: landscape maintenance, landscape management. I even became a certified grounds manager at one point,” he says. “Then I started to focus on woody ornamental plants and trees. And that’s been my passion ever since.”

At NC State, Blair found professors whose passion for teaching matched his emerging passion for soaking up knowledge. “I’m floored by most of the professors I’ve had,” he says. “They have just knocked my socks off.”

Asked to name a favorite course, he’s quick with an answer that might surprise even the wonkiest professor. “I recently took a class titled Research Methodology for the Public Sector, and it was a real eye-opener,” he says. “I’ve looked at a lot of scientific papers while studying to be a board-certified master arborist, but I never really had any idea what went into leading a research study.”

He values the curriculum’s multifaceted approach to teaching key aspects of transformational leadership. “You learn about compassion, integrity, ethics and morals,” he says. “As a leader, you learn not only to get things done, but also to incorporate people skills to a much greater degree. As that happens, I believe the workplace becomes more sustainable, equitable and enjoyable.”

Quality Matters

Traciel “Trace” Reid, an associate professor of political science, is director of the LPS program. She says military members and their families were the program’s primary focus when it launched a decade ago; now, that’s changing.

Although the program continues to attract and cater to the needs of service members, the student population is much broader these days. Some students, like Blair, are driven by a desire to advance in their careers. Others want to complete a degree for family or personal reasons. An increasing number are comfortable with the technologies used in distance education and like the flexibility of taking courses online at their own pace.

“The program is really evolving in terms of the kinds of students who are looking for an alternative to the four-year campus experience,” Reid says. “What they share in common is the belief that going to a traditional college is not compatible with where they are in their lives.”

The program is really evolving in terms of the kinds of students who are looking for an alternative to the four-year campus experience.

What isn’t changing is the program’s commitment to academic excellence. “We combine a strong theoretical base with an opportunity for students to interact with faculty who have a practical applied dimension, too,” Reid says. “Our instructors have worked in a variety of settings, and they bring those experiences to the virtual classroom.”

Tracy Appling, a teaching assistant professor of public and international affairs, teaches some of the program’s core courses, including Introduction to Public Leadership. She has 20 years’ experience in higher education administration as well as a background in nonprofit management and fundraising. She also directs external relations and internships for NC State’s School of Public and International Affairs, the academic home for the LPS program.

In addition to her academic training and real-world experience, Appling brings a passion for student success to her work. “What makes us different is that our instructors give our students as much help as they need, and as much help as if they were in a classroom face to face,” she says. “For myself, I really take a personal approach because I absolutely love these students.”

Professor Tracy Appling stands in front of a window in her NC State office.
Tracy Appling says the public-sector leadership curriculum is relevant for people in all walks of life. She tells her students, “Regardless of your title, you are a leader in some way, shape or form.”

A lot of work has gone on behind the scenes to build LPS into one of the top 10 online undergraduate degree programs in the country. A few years ago, Appling and four other instructors went through the rigorous process of getting the program’s core courses Quality Matters certified, an international standard for online education.

“It’s the gold standard,” she says. “We had to meet quality expectations for 42 standards with a score of 85{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf} or better. It’s all focused on whether you’re providing the student with the best online learning experience possible.”

Bethanne Winzeler, assistant director of course quality for DELTA, NC State’s distance education division, says QM rubrics and standards encompass eight areas: course overview and introduction, learning objectives, assessment and measurement, instructional materials, learning activities, course technology, student support and accessibility.

“The main concept in QM is alignment,” she says, noting that every aspect of a course must work together to ensure student success.

“That’s very important because when students go into an online course, every course is different and structured differently,” she says. “So they need to know exactly where to go, how to get started, how to communicate with the instructor and with each other, and how to navigate the course.

“That sets them up for success right from the start.”

Winzeler, who has a Master of Science in instructional technology, worked with the LPS faculty to achieve QM certification. “It involved a tremendous time commitment and, honestly, a lot of blood, sweat and tears,” she says. “I’m proud of them for taking the time to do it. It really shows their dedication to their teaching and to their students.”

Paying It Forward

The program’s quality was at the top of Amy Bisset’s mind when she decided to transfer from a traditional bachelor’s program in history to the LPS program. A native of South Korea, Bisset is committed to enhancing her English writing skills as she earns her degree.

“I rewrote one paper more than 10 times,” she says, laughing.

Unlike Blair, Bisset is just beginning her LPS coursework, and she has about two years of work to complete before she graduates. As the mother of an 11-year-old daughter and a 16-year-old son, she appreciates the flexible schedule made possible by distance education.

Thankfully, her efforts in the history department won’t go to waste; she has enough credit hours to earn a minor in history.

“I’m very excited,” she says. “The leadership courses align with my career goals. As soon as I graduate, I plan to start a business helping students who want to study abroad — especially students in Korea who want to study in the United States.”

Bisset says her main motivation for returning to college was personal, not professional. “I wanted to show my kids that I’m serious about the importance of studying. They’ll never be able to say, ‘You always tell me to study, but you’re not doing anything.’”

LaShica Waters, the LPS program’s academic advisor for the past 10 years, is a key resource for students like Bisset. She works with incoming students to map out their future course of study while accounting for the college courses they’ve already completed. She is nearly always available to answer questions about online resources such as Moodle and is quick to give LPS students advice on study tools and techniques.

LaShica Waters in front of academic building on campus.
LaShica Waters, the academic advisor for the Leadership in the Public Sector program, is the 2021-22 recipient of the Barbara Solomon Advising Award from NC State’s Division of Academic and Student Affairs.

“I tell my students everything I wish somebody would have told me when I was first going to college,” says Waters.

For students and prospective students alike, Waters is at times a mentor, confidant, ally and friend.

“When I first meet with them, adult students want to talk about everything,” she says. “They tell me their life history, how they got where they are today and why they’re now coming back for their degree. They want to plan all their courses, and they have a lot of questions: How long will it take? How much money will it cost? When do I graduate? What’s the celebration like?”

Waters delights in her role, recalling the assistance she received from a neighbor after she graduated from high school. The neighbor, surprised to hear that Waters had no college plans, drove her to East Carolina University and helped her apply for admission and financial aid. “That’s what propelled me to go to college,” Waters says. “If it hadn’t been for her, I don’t know if I would have found anyone else to help me.”

Waters, a first-generation college graduate, has since earned a bachelor’s degree in communication and a master’s degree in counselor education from ECU, as well as a Ph.D. in adult workforce and continuing professional education from NC State.

Her primary goal for LPS is to find ways to help students connect with each other, with faculty and with the program’s many alumni, near and far. “They want more engagement, and they want more inclusion,” she says. “Even though they’re online students, they want to feel a part of the campus community.”

A Rewarding Journey

Amanda Buchanan understands the importance of student engagement. A 2012 graduate of the LPS program, she now works as director of financial aid at Blue Ridge Community College in Flat Rock, North Carolina.

“I think a lot of people have a preconceived notion that they’re just going to breeze through an online program,” she says. “But online learning takes a lot of the responsibility and puts it squarely on you. Yes, the instructor is going to build the class and provide you with content, but you have to prepare, you have to read, you have to plan ahead. And more than anything, you have to be comfortable asking questions.”

During her time in the LPS program, Buchanan made a point of staying in touch with her professors. “The instructors made it very interactive. They recorded lecture videos, they had online office hours so we could log in and talk with them, they made themselves very accessible,” she says. “I never felt like I was alone in the program.”

Amanda Buchanan posing in front of sign in financial aid office at Blue Ridge Community College.
LPS graduate Amanda Buchanan oversees the financial aid office at Blue Ridge Community College. Photo courtesy of Rich Keen.

She credits her career advancement to the lessons she learned in the leadership program. “When I started working on my degree, I was an administrative assistant at a community college,” she says. “At work, I found myself using what I learned in my courses: how to work with people, how to hold difficult conversations, how to implement change. Because of that, I was given opportunities that I truly believe I would not have had otherwise.”

One opportunity was a trip to Washington, D.C., where Buchanan spoke with public officials about the financial challenges facing college students. “I got to use my knowledge of leadership and public policy and what goes into writing public policy to frame how I approached that conversation and how I spoke with them,” she says.

I never felt like I was alone in the program.

After completing her undergraduate degree at NC State, Buchanan continued her educational journey, earning a master’s in executive leadership from Liberty University and a master’s in adult and continuing education from ECU.

Looking back, she doesn’t make light of the struggles involved in balancing work, home and school.

“I vividly remember sitting at my kitchen table with my youngest son in a baby carrier up against my chest, rocking him to sleep while working on a paper,” she says. “My husband would take care of the oldest and I had the baby because he would sleep as long as he was close to me. And that’s how we survived.”

But, she adds, she has no regrets.

“It’s not a quick journey and it’s not an easy journey and it’s not something that’s going to happen overnight,” she says. “But what I always tell students is that it’s worth every sleepless night. It’s worth every snooze button that you have to hit in the morning. It’s worth every tear you cry onto your keyboard when you’re typing that paper. It’s worth all of those things, because in the end you have grown as a person. And you have earned something that nobody will ever take away from you.”


How Video Games Teach Kids About Money

How Video Games Teach Kids About Money

Today’s little ones spend a big sum of their absolutely free time taking part in online video online games on any range of gaming systems or products. In reality, according to the American Academy of Child and Adolescent Psychiatry, small children between the ages of 8 and 12 shell out 4 to 6 several hours per day looking at or utilizing screens. For teenagers, that quantity increases to as a great deal as 9 hrs for each working day. And though it may perhaps feel like most of that time is squandered, it does not have to be. While numerous of today’s online video game titles are not academic, there are however chances for little ones to find out about revenue while participating in for pleasurable. 

Essential Takeaways

  • Online video online games really don’t have to be about funds and finances to educate children about funds.
  • Mastering how to handle in-sport purchases teaches young ones about shelling out habits.
  • Placing a gaming budget can enable young ones established discounts targets and priorities. 

Get started With the Gaming Programs

Gaming devices are expensive. They expense hundreds of pounds just for standard gaming consoles and accessories that could include a activity controller and just one video game. Throw in extra controllers, gaming headsets, and other equipment, and you can effortlessly move 4 figures in paying. Future you have to shell out for new video games, which can array anywhere from $5 to $70 or far more for each sport. All of that mixed quantities to a significant chunk of modify just to engage in a recreation. 

A terrific way to train your kid about cash is to commence by listing the pricing for every single component of their gaming devices. Demonstrate them how a lot it expenditures to purchase these products and solutions and then demonstrate how a great deal you have to perform to spend for these items. Perhaps it is the equivalent of two weeks’ salary. Probably it is the equivalent of 75 hrs of function. 

This illustrates how a lot we have to perform to pay back for the items we want. It also allows them to comprehend that there is a limit to how we can invest the income we generate and no infinite stream of cash to purchase regardless of what we want each time we want it.  

Go About Present Game Elements 

Back again when Monopoly and Daily life had been a regime section of enjoyment for young ones, it was easy to train young children how to use cash although enjoying a video game. Immediately after all, the video game essential you to have a sure total of revenue to get matters and shell out rent, and you “earned” a selected income alongside the way. Although there are video recreation variations of these board online games, they may possibly not be very as captivating to youngsters as Mario, Fortnite, and Madden. 

Even so, kids can nevertheless master about cash from today’s well-liked movie video games. For a far more immediate discovering practical experience, Animal Crossing: New Horizons characteristics lessons on economics and finance as players pay out their home loan and make investments. Nonetheless, even game titles these kinds of as those people in the Mario franchise have gamers gathering cash that serve as forex to unlock new karts, wheels, and gliders, buy further life, and order electricity-up instruments. 

Although playing, young ones know if they acquire ample coins, they can get that further product. Use this as an prospect to speak with them about placing savings goals to get a thing they want. Also, chat with them about how to prioritize their savings objectives. 

Probably they want an excess energy-up and that upgraded kart. How several cash do they need? How will they get people coins? What transpires if they commit all those cash for a flashy piece of armor instead of saving them? How a great deal will that delay their purpose of finding the upgraded kart? Stimulate them to really think through their cost savings and expending plans.  

9 hrs

The higher regular volume of time youngsters spend every day looking at or making use of screens

Know How In-Game Purchases Work 

Match developers often launch a free of charge variation of a video game with limited capabilities and applications, all of which can be purchased even though playing the recreation. Probably it’s $1.99 for 3 added electric power-ups or $5.99 for endless life for one hour. Whatsoever the acquire, it most likely appears smaller to a child. Following all, what is 99 cents? Well, those people in-sport purchases can insert up swiftly, and you could be hit with a monthly bill of $20, $50, or more just before you know it. 

It’s vital to communicate with your little ones at the onset of actively playing a new game about your limits on in-sport purchases. If you don’t want them to make any in-recreation buys, you can turn off in-app buys or in-video game purchases via the device’s settings or community account configurations.

If you allow for your young children to make in-video game buys, it’s important to established a limit on these purchases and keep them accountable for that volume. A shelling out restrict forces them to consider what they want to spend that money on, so they understand how to prioritize buys and worth conserving. 

Set a Gaming Budget 

Speaking of environment limitations, it’s essential to build a gaming funds for your kids. This includes not only in-activity buys but also purchases of new online games, extras, and even new gaming methods. Sit down with your youngster and go more than what they want to obtain and how a great deal that would price tag. Then talk about strategies for them to earn money towards that price. 

Placing a online video-match price range with your young children not only teaches them about dollars it also would make them feel invested in the procedure. They will see how significantly revenue they will need just about every thirty day period, how substantially of their allowance or other monies is desired for that spending plan, and what happens if they don’t stick to the spending plan (for instance, they really do not get a new recreation that thirty day period). 

Have Finances Talks 

Working with online video video games to instruct children about money should not be a a single-off discussion. It is significant to retain the dialogue heading by inquiring your young ones inquiries about no matter whether they are sticking to their gaming finances, if and how their personal savings plans have changed, and what their strategies are to proceed earning funds for their price range. Established a time each thirty day period to have this chat. Place it on your calendar so you really don’t forget it. 

Does a Video Video game Have to Be About Cash to Be a Useful Instructing Put into practice?

No. Several movie video games have very little to do with money as a subject issue but entail the accumulation of it in purchase to attain some thing of worth in participating in the game. You can use that accumulation to teach them about how income performs.

What Do Video Games Price?

Video clip online games have a vast rate range—anywhere from $5 to $100. There are also cost-free video clip video games that get your income by charging for include-ons that give the participant an edge. Nonetheless, at the time you increase in the value of getting a console or Computer system, controllers, headsets, and other add-ons, you are quickly looking at a four-figure investment decision.

How Do I Make My Kids Have an understanding of the Value of Enjoying Online video Game titles?

The finest way is to generate a gaming spending plan, make them adhere to it, and have to have them to pay back for the add-ons or new online games they want out of their have income, at least in portion. Have standard chats with them to talk about their gaming dreams and how to make modifications if necessary to get what they want. Established discounts aims and demand them to abide by by means of in meeting them.

The Bottom Line

Whilst it may possibly seem like youngsters never study lots of lifestyle lessons even though actively playing online video game titles, there is actually a great deal they could learn about money. However, it requires parental involvement to go in excess of the economic elements of playing video games with their youngsters to deliver those people classes to the forefront. By accomplishing so, young men and women can discover about setting personal savings ambitions, building good expending practices, and arranging and adhering to a spending budget. These are classes they can use extensive just after the video clip video game has been replaced with a thing else.  

Physical activity can yield better health for everyone with diabetes

Physical activity can yield better health for everyone with diabetes

December 20, 2021

3 min read


Source:
Healio interview


Disclosures:
Kemmis and Weiner report no relevant financial disclosures.


We were unable to process your request. Please try again later. If you continue to have this issue please contact [email protected].

Susan Weiner, MS, RDN, CDCES, FADCES, talks with Karen Kemmis, PT, RN, DPT, MS, GCS, CDCES, FADCES, about the benefits and challenges of helping people with diabetes to increase physical activity.

Weiner: How can physical activity or lack of activity affect health for a person with diabetes?


Benefits of physical activity for people with diabetes

Any physical activity can improve health for people with diabetes, and a higher level of activity can yield greater benefits.

Kemmis: Physical activity and exercise have long been known to benefit individuals with diabetes by improving immediate and long-term blood glucose, reducing cardiovascular risk factors, increasing strength and fitness, delaying or preventing type 2 diabetes, and promoting psychological and emotional health. More recently, we have learned that lack of physical activity can be harmful to health, leading to our focus on encouraging an increase in general movement throughout the day.

Susan Weiner

Karen Kemmis

Weiner: What is the difference between physical activity and exercise?

Kemmis: Physical activity includes any movement that uses energy. Exercise is a type of physical activity that is planned and structured with a goal of improving fitness. Some examples of physical activity include work activity, house and yard chores, child care, recreational activities and general movement throughout the day. Exercise examples include going for a planned walk, riding a bike, swimming, a resistance-training session, yoga or tai chi.

Both physical activity and exercise can provide health benefits that increase as the frequency, duration and intensity of the activity increases. For example, brief leisurely gardening can provide some benefit, whereas longer, more strenuous gardening will produce greater health benefits. The same is seen with exercise; a leisurely daily 10-minute walk or a low-intensity yoga session will provide some health benefit, but there will be a greater change with a longer walk at a brisk pace or a high-intensity aerobics class.

Weiner: Why might a person with diabetes need guidance with physical activity?

Kemmis: It can be challenging to start and maintain an active lifestyle for many reasons. For a person who is relatively inactive, the types and amount of exercise recommended for health benefits may seem overwhelming. Also, many people have physical barriers to being active, such as pain, decreased balance, lack of strength or poor general mobility. It is important to individualize activity recommendations to promote long-term success. Choosing the right type of activity, starting with a small increase from the current activity level and progressing at a pace to allow success without negative consequences are critical.

Weiner: What might be a good starting place for someone wishing to increase physical activity?

Kemmis: Combining an increase in physical activity and a decrease in sedentary time can promote early success. Both aerobic activity, such as walking, biking, swimming, dancing, vacuuming and yardwork, and strengthening, such as resistance training, stair climbing, lifting and carrying, and standing from sitting using only the legs, are beneficial for health and mobility. All physical activity can be done in short bouts spread throughout the day or as an exercise session. It is important to explain these options to the person with diabetes, especially someone who is leading a fairly sedentary life.

Weiner: How realistic is it to expect someone who has been sedentary to increase physical activity to a level that can affect their health?

Kemmis: Health benefits can start with any increase in physical activity, but improvements might not be obvious to the individual. It is important to describe various changes that might be seen when moving from a sedentary lifestyle to low level activity as a starting point. Small improvements in blood glucose, easier movement and perhaps changes in how clothes fit might be observed. It takes a lot of exercise, generally combined with a decrease in caloric intake, to create substantial changes in weight. Explaining this can help set realistic expectations and decrease frustration from lack of obvious improvement. A decrease in waist size may come before a change in weight with the benefit of less visceral fat and improved metabolic parameters. As the individual experiences these small changes, improved physical ability, greater motivation and better health can follow.

Some people with complications may have limitations in their physical activity, but generally some beneficial activity is still possible and can create positive effects. For example, a person with peripheral neuropathy should do daily foot checks and be sure shoes fit well, those with cardiovascular disease may need to exercise at a lower intensity and those with eye problems from diabetes may need to avoid straining during activity.

Weiner: When should someone be referred to physical therapy or another exercise specialist?

Kemmis: Many health care providers, including diabetes care and education specialists, can educate an individual on the recommendations for physical activity and exercise and provide general guidance. However, if pain, balance dysfunction, low vision or challenges with mobility are limitations, a referral to a physical or occupational therapist should be initiated. These specialists can prescribe exercise to create health benefits without increasing problems and can even work on decreasing the physical challenges. An exercise physiologist can guide and monitor a safe and effective exercise program for those with limitations, such as from cardiac issues or immobility, in an individual or group setting. Motivation or lack of understanding of exercise can be overcome with a referral to a personal trainer or a community exercise program.

For more information:

Karen Kemmis, PT, RN, DPT, MS, GCS, CDCES, FADCES, is the Diabetes Care and Eeducation Specialists team leader at the Joslin Diabetes Center Affiliate at SUNY Upstate Medical University. She can be reached at [email protected]; Twitter: @karen_kemmis.

Susan Weiner, MS, RDN, CDN, CDCES, FADCES, is co-author of The Complete Diabetes Organizer and Diabetes: 365 Tips for Living Well. She is the owner of Susan Weiner Nutrition PLLC and is the Endocrine Today Diabetes in Real Life column editor. She can be reached at [email protected]; Twitter: @susangweiner.