Marines diagnosed with eating disorders more than any other services

Marines diagnosed with eating disorders more than any other services

The Marine Corps’ relentless concentration on physical look is resulting in Marines turning to harmful and harmful eating issues at virtually double the price of other company associates, in accordance to a new report from the RAND Company

The 106-site report produced very last Friday says the Marine Corps “places a heavier emphasis on the need to sustain personalized appearance” than the other solutions, and that its needs to boost muscle are “at odds with Marine Corps policy encouraging a ‘lean and trim’ Marine.” In purchase to meet people benchmarks, RAND’s report reported, Marines “are adopting unhealthy taking in condition behaviors.” 

“Marines are identified with taking in issues at larger costs than other company users, and women of all ages Marines in unique are identified much more than many others,” in accordance to the report, which suggests that Marines are identified “at almost two times the price of other services.” Feminine Marines are at amplified chance and have the highest price of prognosis “across the providers and all teams.” 

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The Marine Corps has an eating disorder problem
U.S. Marine recruits with Lima Business, 3rd Recruit Instruction Battalion, hold out in groups to run during a overcome exercise exam (CFT) at Maritime Corps Recruit Depot, San Diego, Sept. 24, 2021. (U.S. Maritime Corps/Cpl. Grace J. Kindred)

1st Lt. Phillip Parker, a spokesman for the Maritime Corps Education and Schooling Command, claimed Wednesday that the service was mindful of the report and “is at this time reviewing” its conclusions and recommendations. He noted that the Maritime Corps has been studying its system composition program considering that 2021, which, according to Parker, is “the most comprehensive and technologically superior analysis of system composition requirements we have executed due to the fact the 1980s.” 

Even though the RAND report focuses on the Maritime Corps, they are not the only services whose troops working experience taking in conditions and disordered ingesting, which are harmful habits that can lay the groundwork for having disorders but really do not nevertheless meet up with the healthcare standards for a analysis. The Military is also finding out its entire body composition specifications, which are very similar to the Maritime Corps expectations in numerous strategies. 

In the scenario of ingesting problems specially, nonetheless, there is tiny being done by the Pentagon in terms of knowing the problem, regardless of knowledge suggesting ingesting disorders can have major lengthy-term wellness impacts, such as infertility, cognitive impairments, skeletal troubles, and even bigger hazard of suicide and mortality.

Reports about disordered ingesting and its impacts on the military “have been reasonably rare” in comparison with research on the civilian populace, the RAND report states. For the reason that of the deficiency of data, it’s probable that the documented rates among the the providers “significantly underestimate” just how popular it actually is. 

The Marine Corps has an eating disorder problem
U.S. Marines with 1st Battalion, 12th Marines, 3d Maritime Division and Soldiers with 25th Infantry Division stand in formation all through an award ceremony on Schofield Barracks, Hawaii, Feb. 4, 2022. (U.S. Marine Corps/Sgt. Melanye Martinez)

“Although diagnoses are rare, ingesting problems are between the most widespread and quickly concealed mental health and fitness circumstances, and the navy way of life and lifestyle is primed to cover dangerous actions,” RAND’s report states. “Additionally, a service member can be separated from the provider for an having dysfunction analysis if the health issues does not react to remedy … The stigma linked with feeding on conditions, together with the expectation that they predominantly have an affect on women of all ages, possibly serves to change interest from the phenomenon or mask its existence amid services users.” 

In accordance to the report, the correlation concerning vocation advancement and system measurements is also a important problem, which “codifies the notion that overall look and condition can decide individual price.” An Military key who spoke to Job & Reason last August also lambasted the notion that “so significantly of people’s reputations are on these silly” top and pounds assessments. 

The Marine Corps’ body composition policy directly ties how a Maritime seems to their capability to do their job: “Simply place,” the policy states, “Marines who do not existing a appropriate armed service look fall short to have the traits vital to efficiently guide Marines.” 

System composition expectations ensure Marines “present a ‘suitable navy appearance’” and pass the service’s actual physical exercise specifications, the RAND report states, but individuals requirements “use outdated info,” and “do not mirror the present-day Maritime Corps populace.” 

The Marine Corps has an eating disorder problem
U.S. Marine Corps Gunnery Sgt. Devon M. McNeil, the administrative chief with Headquarters and Support Battalion, executes a reduced crawl all through the battle health examination on Camp Foster, Okinawa, Japan, Nov. 25, 2020. (U.S. Maritime Corps/Cpl. Brennan J. Beauton)

For instance, the army usually uses overall body mass index, or BMI, as an indicator of well being, but authorities say BMI is an outdated and inaccurate way to measure a person’s wellbeing. BMI is “a flawed tool” that “cannot differentiate body fat from muscle mass mass,” according to RAND, which is problematic for Marines with physical health expectations pushing them to acquire muscle mass. 

In fact, whilst the Marine Corps’ physical conditioning requirements have advanced in excess of time, the body composition expectations have not, RAND stated, which in flip can force Marines “to adopt unhealthy behaviors to comply with policy.” But it’s not only the peak and fat standards that can result in harmful patterns the society and special encounters in the navy can generate a “perfect storm” for eating disorders, Katrina Velasquez, main policy officer for the Taking in Disorders Coalition, told Job & Reason in August 2021. 

Put up-traumatic tension ailment from battle or army sexual trauma, the tension to glimpse the element of a excellent soldier or Maritime, and obtaining weighed in entrance of peers are all aspects that can result in harmful eating behavior. 

“PTSD, navy sexual trauma, and ingesting conditions go so, regrettably effectively alongside one another,” mentioned Dr. Jillian Lampert, the chief method officer for The Emily Software and Veritas Collaborative which aim on ingesting ailments. “That’s why we believe that we see a increased prevalence, and the diagnoses of ingesting conditions do appear to be to be escalating more than the previous five yrs or so.” 

The Marine Corps has an eating disorder problem
U.S. Maritime Sgt. Andrew Hodgkins, a portion leader with 2d Platoon, Bravo Organization, 1st Battalion, 2d Maritime Regiment, attempts to acquire communications with increased command for the duration of a stability patrol in Washir District, Helmand Province, Afghanistan on September 29, 2014. (U.S. Maritime Corps/Cpl. John A. Martinez Jr. / Released)

Military services veterans with disordered having behavior “reported greater costs of despair and PTSD than their friends,” according to the report, which claimed that woman veterans identified with PTSD have been “nearly five occasions as likely” to have anorexia. A study in 2009 showed that 30 to 40{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf} of female veterans trying to find procedure for army sexual trauma experienced “some form of disordered having conduct,” according to RAND. 

Other elements driving taking in ailments contain the variety of food services customers are consuming, particularly in deployed or subject environments, together with adverse daily life experiences or childhood activities. The report also claims that persons already battling with disordered feeding on could select to enter the armed forces because the tradition “offers a way to disguise dangerous behaviors whilst earning oneself seem invulnerable.” 

Some Marines may possibly embrace harmful ingesting behavior since of their personal management, in accordance to RAND’s report. Superiors are “often not cognizant or thoughtful” about how their words and phrases can have an effect on their subordinates, the report says, but “words and criteria that woman services members are continuously uncovered to” could have really serious long-lasting consequences. 

When it arrives down to it, for an institution that puts wellbeing and conditioning on a pedestal in the way the armed forces does, making it a core value instilled in its users, the armed forces does not know approximately sufficient about how eating issues and disordered having are hurting its troops. 

The Marine Corps has an eating disorder problem
U.S. Marine Cpl. Armondo Cortez(Left), a details community expert, and Cpl. Estevan D. Hernandez(Ideal), a telephone switchboard and personalized laptop intermediate repairer, with Charlie Organization, 1st Battalion, 2d Marine Regiment, explore their plan for the deconstruction of the command operation centre throughout the retrograde of Patrol Base Boldak in Helmand Province, Afghanistan on Aug. 14, 2014. The remediation and closure of Patrol Foundation Boldak permits Charlie Organization to go on their operations aboard the Bastion-Leatherneck Advanced. (Formal U.S. Marine Corps photo by Cpl. John A. Martinez Jr. / Launched)

Just one of the means RAND indicates the Marine Corps can get started to discover more about this issue is by searching more intently at the Marines who are passing height and bodyweight, not just those who are not. Knowledge on Marines who are at possibility of not assembly the conventional will likely display some harmful behaviors, as they are attempting to “make body weight.” But Marines who are within just the policy could just as easily have the very same unhealthy behaviors, while not getting held underneath the similar scrutiny.

“In truth,” RAND’s report claims, “given how the service prizes and praises peak actual physical health and fitness and visual appeal, Marines who develop and maintain dangerous behaviors to conform to the coverage and criteria are not only hiding these behaviors and the potential impacts they bring, but they may be, concerningly, viewed as product Marines.”  

Eventually, RAND urged the Maritime Corps to pause its top and weight requirements even though it considers their suggestions, which incorporates re-assessing irrespective of whether peak and body weight “are still vital demands,” and transform the wording of its guidelines that tie bodily appearance to Marines’ leadership and character. 

RAND also advised that the Marine Corps construct consciousness around eating problems, specially when units are nearing a weigh-in, by escalating schooling and screening for ingesting problems to enable them “better understand the scope and scale of the challenge.” 

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South Reno’s newest elementary school to be named after JWood Raw

South Reno’s newest elementary school to be named after JWood Raw
South Reno’s newest elementary school to be named after JWood Raw

Starting in 2023, students in southeast Reno will go to JWood Uncooked Elementary University.

The Washoe County university board voted 6-1 Tuesday evening to identify the district’s most recent college after the previous instructor and principal.

Born in Reno and raised in Sparks, Raw worked for the district for 37 several years, including 23 as principal of Dilworth Middle College. Recognized for offering trainer paychecks by roller-skating by way of school hallways, Raw retired in 1989. He served as a U.S. Navy aviator for the duration of World War II and also invested yrs with the Reno Junior Ski Method at Sky Tavern. Uncooked died in 2011 at age 85.

Two other names have been regarded as Tuesday as finalists: Classes S. “Buck” Wheeler and Rio Wrangler.

Wheeler, a released creator and Reno Substantial College teacher from 1936 to 1966, chaired the Reno Substantial science section and also served as the to start with executive director of the Nevada Fish and Video game Fee, now the Nevada Department of Wildlife. 

Ivy League acceptance rates drop to new low. They’re not alone.

Ivy League acceptance rates drop to new low. They’re not alone.

The Ivies have constantly been challenging to get into, but the pandemic has made getting entry into the colleges even tougher. With many U.S. faculties opting to make SAT or ACT scores optional above the past two many years, the selection of applications has jumped, major to history lower acceptance prices.

The 8 Ivy League universities —Brown, Columbia, Cornell, Dartmouth, Harvard, Princeton, College of Pennsylvania and Yale — issued their acceptances on Thursday night, with some reporting the most affordable admission premiums in their histories.

Harvard’s acceptance charge fell to 3.19{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf}, the lowest because it was established 386 decades ago, as a document quantity of candidates used for spots in the course of 2026, in accordance to pupil newspaper The Harvard Crimson. Yale and Brown also noted record low acceptance premiums, though Columbia was unchanged from its 3.7{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf} acceptance price final 12 months, which was a document minimal at the time. Dartmouth’s 6.24{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf} price edged up from very last year. 

Three Ivy League educational institutions opted out of sharing their acceptance charges mainly because they want to play down their selectivity, according to the Wall Street Journal. But it is really not just these elite faculties that are harder to get into than at any time. Lots of U.S. universities this calendar year are reporting record lower acceptance premiums soon after switching to exam-optional guidelines all through the pandemic that opened the door to a much larger pool of applicants.

“Pupils who typically would self-pick out out of the admissions pool — they would search at the average SAT rating and not apply — individuals kids are implementing,” Michelle McAnaney, president of college or university counseling organization The Faculty Spy, informed CBS MoneyWatch.


New report finds major colleges and universities slide shorter in dealing with men’s and women’s sports equally

03:20

She additional, “These are straight-A learners who are having tough lessons and conduct well” but who may not score very on standardized assessments. “They are placing their hat in the ring.”

McAnaney mentioned that some impartial academic consultants are also viewing a bigger share of waitlisted applicants this 12 months, which could show that colleges are obtaining a complicated time evaluating their “yield,” or the proportion of admitted pupils who will end up accepting a place in their freshman course. 

“For college students, it keeps them hanging,” she mentioned. “The most selective faculties are even far more selective than they were.”

It can be an challenge that extends outside of Ivy League colleges. Other universities that have reported report-small acceptance rates this 12 months consist of Rice University (8.56{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf}) and Tufts (9{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf}). Lots of universities also reported a file variety of apps, from the University of Virginia to College of Pittsburgh.

Likely again to the SATs

At least a single prestigious college is ditching test-optional procedures after attempting that solution during the pandemic, when it was difficult for a lot of pupils to agenda SAT or ACT examinations amid cancellations and COVID-related disruptions

MIT on March 28 explained it would all over again demand SAT or ACT scores, noting that the checks assistance the university determine no matter if candidates are academically well prepared. 

The exams “also aid us determine socioeconomically deprived college students who lack access to advanced coursework or other enrichment opportunities that would if not exhibit their readiness for MIT,” wrote MIT dean of admissions Stu Schmill in a website write-up about the conclusion. “We think a necessity is a lot more equitable and clear than a take a look at-optional coverage.”

Other universities are extending their examination-optional policies, this kind of as Boston University, or are dropping assessments altogether from their admissions process. The University of California’s 10 colleges claimed very last calendar year that they would no for a longer period use SAT and ACT scores in its admissions approach. In February, the faculty claimed it experienced a record selection of applicants for the 2022-2023 school calendar year, adding that it noticed a sharp increase in socioeconomic variety. 

Total, the admissions system continues to be fraught for pupils and their families, but McAnaney mentioned that most U.S. schools acknowledge the the vast majority of learners who use.

“The difficulty is that men and women are wanting at the rankings — the exact same top 30 to 50 colleges — and they are thinking about all people faculties,” she stated. “If you glimpse outside them, there are excellent concealed gems.”

Howard University’s Graduate Social Work, Education, Business Programs Rise in Rankings on U.S. News and World Report’s List of 2023 Best Graduate Schools

Howard University’s Graduate Social Work, Education, Business Programs Rise in Rankings on U.S. News and World Report’s List of 2023 Best Graduate Schools

Howard College School of Medicine maintains the No. 1 ranking for Most Varied Clinical Schools

WASHINGTON – Howard University’s graduate packages in social do the job, schooling, and business each obtained major raises in the yearly national rankings generated by U.S. News and Earth Report’s 2023 “Best Graduate Schools” listing. Howard University College of Social Work is ranked No. 16, the College of Schooling (HUSOE) is rated No. 71, and the School of Business is ranked No. 57 for its total-time MBA program. In the healthcare university rankings, the Howard College Higher education of Medicine rated No. 1 for Most Diverse Clinical School and No. 49 ranking for Most Graduates in Primary Treatment Specialties.

“The increase in our graduate program’s rankings affirm the initiatives of Howard College school, employees, and learners who perform tirelessly to sustain the optimum standard of academic excellence,” mentioned President Wayne A. I. Frederick, MD, MBA. “We credit score the collective energy of our campus community who try to fulfill our mission of truth and company and persistently supply Howard pupils with one of a kind and ground breaking programing. It is mainly because of their provider that our graduate college students depart Howard’s campus geared up with a wide assortment of competencies and a deep perception of objective, well prepared to have an affect on their communities.”

The Howard College University of Social Perform jumped nine spots on the list this yr with a position of No. 16. Rooted in a social justice framework, the faculty delivers interprofessional programming that improves students’ preparedness to enter the subject soon after graduation. In January, the College of Social Perform introduced an on-line MSW application that boosts accessibility, making it attainable for students to get the program’s earth-course, instructional experience from nearly any where.

“Our founding dean, Dr. Inabel Burns Lindsay, set out to have a social do the job application at Howard that was revered and suitable to the needs of African Individuals and other marginalized and underserved populations,” reported Sandra Crewe, Ph.D., dean of the University of Social Perform. “Being highly ranked by our peer institutions reflects our optimistic associations and ongoing dedication to excellence and currently being daring in addressing inequities in our society. I am grateful to our college, team, alumni, learners, colleagues, and buddies for recognizing and investing in our excellence.”

Howard University’s University of Schooling soared 20 places to No. 71. Ranking among the major 30 per cent of graduate schooling universities in the nation, the University of Instruction has highly developed its placement in the planet by means of continuous innovation in studying and self-analysis of its different systems.

“The earlier two tutorial yrs have been crammed with challenge, resiliency and triumph,” reported Dawn Williams, Ph.D., dean of the University of Schooling. “The Faculty of Education school have been of support not only to our students, but also to the greater instructional local community as we managed learning transitions and threats to providing a culturally affirming education and learning. All the while, we have held a steadfast commitment to our mission to empower men and women, educational facilities and communities by means of the advertising of racial and social justice. It provides me wonderful joy to know that our tricky work has not gone unrecognized.”

The Howard University College of Small business ranked No. 57 for its complete-time MBA plan, a seven-place boost in its ranking from prior yr. The Faculty of Business and its award-winning programs have been the to start with organization school in Washington, D.C to obtain accreditation from the Association to Advance Collegiate Colleges of Enterprise. In addition to its total-time MBA plan, the university has labored to expand its on line offerings with an online portion-time MBA and two new specialised courses: an on the web Learn of Accountancy and on the internet Learn of Finance.

“Howard Faculty of Business is very pleased to see our rankings continue to increase between the best company programs in the state,” mentioned Anthony D. Wilbon, Ph.D., dean of Howard College University of Small business. “Our students and school have worked hard about the previous 12 months to uphold a typical of excellence and I am glad that our efforts are getting acknowledged and revered. We are continuously innovating the way we method schooling, as evidenced by our at any time-expanding on the net offerings and we are psyched for what the future retains.”

The School of Medicine rated No. 1 for Most Varied Clinical Educational facilities for the X calendar year in a row and jumped to No. 49 in the rating for Most Graduates in Key Treatment Specialties.

“For more than a century, Howard College College of Medicine has been giving learners of large academic opportunity with a medical schooling of fantastic top quality and thereby making ready long run doctors and experts to provide the underserved,” mentioned Hugh E. Mighty, MD, Howard University College or university of Medicine dean and senior vice president of medical affairs. “We are delighted that numerous of our systems saw notable gains in this year’s U.S. Information & Environment Report rankings.”

Considering the fact that 1983, the U.S. News and Planet Report has been the foremost authority in rating academic institutions. Their rankings are often used in the selection-earning system for people pursuing increased schooling. Howard’s bounce in the rankings demonstrates the good results of the school’s mission to be a best-rating institution that generates impactful investigate. Howard continues to go after excellence and forward development in educating transformational leaders and educators.

About Howard College

Established in 1867, Howard University is a non-public, analysis college that is comprised of 14 colleges and colleges. Students pursue more than 140 applications of examine primary to undergraduate, graduate and specialist levels. The College operates with a motivation to Excellence in Truth of the matter and Provider and has produced 1 Schwarzman Scholar, a few Marshall Students, four Rhodes Students, 12 Truman Scholars, 25 Pickering Fellows and extra than 165 Fulbright recipients. Howard also generates more on-campus African American Ph.D. recipients than any other college in the United States. For far more details on Howard College, visit www.howard.edu.

Media Get hold of: Misha Cornelius, [email protected]

The “Neurospeed” game: a fun tool to learn the neurological semiology | BMC Medical Education

The “Neurospeed” game: a fun tool to learn the neurological semiology | BMC Medical Education
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  • The association of resilience with depression, anxiety, stress and physical activity during the COVID-19 pandemic | BMC Public Health

    The association of resilience with depression, anxiety, stress and physical activity during the COVID-19 pandemic | BMC Public Health

    Research design and contributors

    On the net surveys have been executed to collect both of those longitudinal and cross-sectional details at a few time details. The 1st study was performed early on through the COVID-19 pandemic from 9th to 19th April 2020 the second from 30th July to 16th August 2020 and the third concerning 1st and 25th December 2020. Throughout the initially time position, Australian point out governments had adopted remarkable actions to reduce the rates of infection which includes social distancing, lockdowns, and travel constraints. During the second time stage, all Australian states except Victoria experienced peaceful constraints because of to minimal case numbers of the an infection. At the time of the 3rd study, most COVID-19 limits were being lifted in all States and Territories as the premiums of infection were being mostly below command [21, 22].

    At each and every study, participants (together with new contributors recruited for survey 2) were requested if they would like to take part in foreseeable future data selection chances. Individuals completing at minimum two surveys turned section of a longitudinal cohort while all those who elected to entire only one survey formed the cross-sectional cohort. The surveys ended up anonymous and hosted on the Qualtrics survey system. Australian older people aged 18 years and above have been invited to complete the surveys using paid Facebook advertising, social media (e.g., Twitter) and institutional sources such as electronic mail lists. On line educated consent was provided by all members just after they experienced read the data sheet that outlined the mother nature of their participation, the challenges and gains of participation, and how the knowledge would be utilised. Ethical approval was granted by Central Queensland University’s Human Investigate Ethics Committee (Acceptance range 22332).

    Actions

    Demographic qualities provided age (several years), gender, several years of education, weekly household profits (< 1000 AUD, 1000 - < 2000 AUD, or ≥ 2000 AUD), and marital status (in a relationship or not). Chronic disease status (Yes/No) was identified using the question “Have you ever been told by a doctor that you have any chronic health problems?”. These included one or a combination of heart disease, high blood pressure, stroke, cancer, depressive disorder, anxiety disorder, psychotic illness, bipolar disorder, diabetes, arthritis, chronic back/neck pain, asthma, COPD, and chronic kidney/renal diseases [23].

    Resilience was assessed using the six-item Brief Resilience Scale (BRS). The BRS measures an individuals’ ability to bounce back from an adverse event and focuses on the ability to recover [24]. The BRS is a reliable measure of resilience, with Cronbach’s alpha ranging from 0.80 to 0.91 and a 1 month test-retest reliability (ICC) of 0.69 [24]. The BRS is comprised of six items with three positively worded items (1, 3, and 5) and negatively worded items (2, 4, and 6). For example, a positive item states “I tend to bounce back quickly after hard times” while a negative item states “I have a hard time making it through stressful events”. Responses were provided on a 5-point Likert scale with anchors at 1 (strongly disagree) and 5 (strongly agree). The scale was scored by reverse coding the negative items and then averaging the total score for the six items. Final scores range from 1.0–5.0 with a score of 3.0–4.3 considered a normal level of resilience [25].

    Psychological distress was measured using the 21-item Depression, Anxiety and Stress Scale (DASS-21) [26]. The DASS-21 has shown acceptable construct validity and high reliability (Cronbach’s alphas were 0.88, 0.82 and 0.90 for depression, anxiety and stress respectively) in a non-clinical adult population [27]. Each domain has seven items scored on a 4-point Likert scale between 0 (did not apply to me at all) and 3 (applied to me very much, or most of the time). Example items were “I was aware of dryness of my mouth” or “I found myself getting agitated”. A score was calculated for each domain by adding the scores for the relevant items and multiplying by two. Standard cut-points were used to determine whether participants had symptom severity above normal for depression (≥10 points), anxiety (≥8 points), and stress (≥15 points) [26].

    Physical activity was assessed using the Active Australia Survey (AAS), which comprises eight items identifying the duration and frequency of walking, and moderate and vigorous (MVPA) physical activities, over the past 7 days. For example, questions about walking are “In the last week, how many times have you walked continuously, for at least 10 minutes, for recreation, exercise or to get to or from places?” and “What do you estimate was the total time that you spent walking in this way in the last week?”. The AAS guidelines were used to calculate total physical activity by summing minutes of walking, minutes of moderate activity, and minutes of vigorous activity (multiplied by 2). Participants were then categorised as meeting the physical activity guidelines (≥150 min of moderate – vigorous (MVPA) per week) or not (< 150 min MVPA per week) [28]. The AAS criterion validity has been found to be acceptable for use in self-administered format, with correlations between self-reported physical activity and weekly pedometer steps, and accelerometry being 0.43 and 0.52 respectively [29].

    Analyses

    Statistical analysis was undertaken using SAS software v9.4. Two datasets, longitudinal and repeated cross-sectional, were analysed separately. Participants completing at least two surveys were included in the longitudinal dataset. The repeated cross-sectional dataset excluded those in the longitudinal dataset and therefore included only those completing one survey. Descriptive statistics (mean, standard deviation, and percentages) were calculated and are presented for each time point. Changes in resilience scores were examined using general linear mixed models for the longitudinal data, and general linear models for cross-sectional data. In addition to bivariate analyses, estimated changes in resilience scores were also adjusted for age, gender, years of education, weekly household income, relationship status, and chronic disease status. Multiple comparison correction was applied using the simulation option in PROC GLIMMIX.

    Associations between resilience scores with physical activity and depression, anxiety, and stress were also examined using general linear mixed models for the longitudinal data and general linear models for the cross-sectional data. Three models were run for both datasets. Model 1 included resilience scores, time and either physical activity, depression, anxiety, or stress. Model 2 included the additional covariates: age, gender, years of education, weekly household income, relationship status, and chronic disease status. To examine whether the observed associations were independent, physical activity, depression, anxiety, and stress were also included in Model 3 together with time and all other covariates.

    Due to missing values for the household income variable being higher than 10{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf}, analyses were conducted with and without household income as a covariate. As the results between these two analyses did not change the findings, only models including household income are presented. Crude and adjusted differences in resilience scores with 95{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf} confidence intervals are reported. All p-values were two sided and considered significant if < 0.05.