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Breast cancer survivors' perspectives on a home-based physical activity intervention utilizing wearable technology. Support Care Cancer 2018; 27:2885-2892. [PMID: 30554276 DOI: 10.1007/s00520-018-4581-7] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2018] [Accepted: 11/27/2018] [Indexed: 10/27/2022]
Abstract
PURPOSE To gain breast cancer survivors' perspectives on participation in a home-based physical activity intervention and the factors that contributed to their acceptance and adherence to physical activity. METHODS Semi-structured interviews were conducted with six women who had participated in a 12-week, home-based physical activity intervention using Polar A360® activity trackers. Additionally, 22 participants from the physical activity interventions provided scaled responses to barriers of physical activity on weeks 3, 6, 9, and 12. Interviews were transcribed verbatim. Thematic analysis was used for qualitative data. RESULTS Perceptions (n = 6) were categorized into three main themes including (i) Study Environment which consisted of three subthemes acrchversusfear of failure, power of results, and reminders of cancer and moving beyond. (ii) Influence of People encompassed two subthemes, i.e., personal relationships and self as a source of motivation; and (iii) Wearable Technology which was divided into two subthemes, i.e., objective insights into health and disconnect of person and technology. From the scaled responses, the most impactful barriers for participants within the intervention groups (n = 22) were "feeling busy," "lack of motivation," and "weather." CONCLUSION Wearable technology was perceived largely as a facilitator to physical activity in the current study, but technologic difficulties created a barrier to physical activity adherence. Additionally, participants' perceptions of study design elements and social support influenced their acceptance and adherence to the home-based physical activity interventions and should be considered to inform the design and implementation of future studies.
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The Relationship between Soccer Club Coaches’ Decision-Making Style, Basic Psychological Needs, and Intention to Continue to Exercise: Based on Amateur Male Soccer Club Members in Korea. SOCIAL SCIENCES-BASEL 2018. [DOI: 10.3390/socsci7100200] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Numerous studies in sports science have investigated the relationships between coaching behavior, basic psychological needs, and intention to continue to exercise in sport participants in order to promote their continued exercise participation. However, little is known about the effect of the coach’s decision-making style on sport participants’ basic psychological needs and intention to continue to exercise. Thus, this study empirically investigated the relationship between these three variables. For this purpose, a survey was given to a convenience sample of 200 members of amateur male soccer clubs in Seoul and Gyeonggi, Korea. The results of multiple regression analysis showed that the type of coach that makes decisions based on a thorough analysis and reasonable evaluation of all possible solutions had a greater effect on the satisfaction of basic psychological needs and a greater effect on intention to continue to exercise in soccer club members than the types of coaches who use other styles of decision making in coaching. In addition, the intention to continue to exercise in soccer club members was higher when they voluntarily participated in soccer activities and when they made a strong emotional bond with the people they were exercising with. The findings of this study may provide the basic data on the coaches’ decision-making style needed to improve sport participants’ internal motivation and to stimulate their intention to continue to exercise.
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Middle-aged women negotiating the ageing process through participation in outdoor adventure activities. AGEING & SOCIETY 2018. [DOI: 10.1017/s0144686x18001356] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
AbstractThis study sought to examine the motivations middle-aged women give for belonging to an outdoor adventure group. As part of this, how the women were negotiating the ageing process was also examined. Fourteen women aged 36–64 (average age 51.4 years) were individually interviewed with the purpose of exploring their perceptions, values, motivations and the beliefs they attach to their participation. Findings highlight the women's belief that participation delays the ageing process, gives them confidence in their lives and offers social support from other group members. In addition, pride, satisfaction and pleasure were expressed in the belief that they challenged the cultural norms and expectations of older women. Whilst delaying the ageing process, they also highlighted that they thought about a time in the future when they would not be able to continue to participate. The study emphasises that more adventurous activities are becoming more normalised and can be undertaken by women in middle age. This may also suggest that more needs to be done to promote diverse activities such as outdoor adventurous activities to women.
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Ranasinghe C, King NA, Arena R, Hills AP. FITTSBALL – a dynamic tool for supervision of clinical exercise prescription. Disabil Rehabil 2018; 41:3216-3226. [DOI: 10.1080/09638288.2018.1489564] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- Chathuranga Ranasinghe
- School of Exercise and Nutrition Sciences & Institute of Health and Biomedical Innovation Queensland, University of Technology, Brisbane, Australia
- Department of Allied Health Sciences, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka
| | - Neil A. King
- School of Exercise and Nutrition Sciences & Institute of Health and Biomedical Innovation Queensland, University of Technology, Brisbane, Australia
| | - Ross Arena
- Department of Physical Therapy, College of Applied Health Sciences, University of Illinois at Chicago, Chicago, IL, USA
| | - Andrew P. Hills
- College of Health Sciences, University of Tasmania, Launceston, Australia
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Saleh ZT, Elshatarat RA, Alhurani AS, Maharmeh M, Salami I, Alduraidi H, Alasad J. Perceptions related to cardiovascular disease and physical activity behavior in Arab men: A qualitative study. Heart Lung 2018; 47:345-350. [PMID: 29779704 DOI: 10.1016/j.hrtlng.2018.04.009] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2017] [Accepted: 04/26/2018] [Indexed: 10/16/2022]
Abstract
OBJECTIVES To describe the daily physical activity of Arab men living in the United States and to understand how perceptions of cardiovascular disease (CVD) risk influence their inclusion of physical activity into their daily routine. METHODS A qualitative descriptive method using a semi-structured face-to-face interview with each participant was conducted. Twenty young college males (age 26 ± 4 years) were recruited from Arab American community centers. RESULTS The qualitative inductive content analysis revealed three main themes: impact of perceived CVD risk on physical activity behavior and perceived barriers and motivators to be physically active. Arab men primarily perceived gaining weight as the most important CVD risk factor that could promote their physical activity behavior. CONCLUSIONS These findings demonstrate that unawareness about CVD risk and barriers to regular physical activity must be considered in any intervention to engage Arab men in regular physical activity.
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Affiliation(s)
- Zyad T Saleh
- Department of Clinical Nursing, School of Nursing, The University of Jordan, Amman, 11942, Jordan
| | - Rami A Elshatarat
- Department of Medical and Surgical Nursing, College of Nursing, Taibah University, Madinah, Saudi Arabia.
| | - Abdullah S Alhurani
- Department of Clinical Nursing, School of Nursing, The University of Jordan, Amman, 11942, Jordan
| | - Mahmoud Maharmeh
- Department of Clinical Nursing, School of Nursing, The University of Jordan, Amman, 11942, Jordan
| | - Ibrahim Salami
- Department of Clinical Nursing, School of Nursing, The University of Jordan, Amman, 11942, Jordan
| | - Hamza Alduraidi
- Department of Community Health Nursing, School of Nursing, The University of Jordan, Amman, 11942, Jordan
| | - Jafar Alasad
- Department of Clinical Nursing, School of Nursing, The University of Jordan, Amman, 11942, Jordan
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Forechi L, Mill JG, Griep RH, Santos I, Pitanga F, Molina MDCB. Adherence to physical activity in adults with chronic diseases: ELSA-Brasil. Rev Saude Publica 2018; 52:31. [PMID: 29641656 PMCID: PMC5893266 DOI: 10.11606/s1518-8787.2018052000215] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2017] [Accepted: 06/28/2017] [Indexed: 12/22/2022] Open
Abstract
OBJECTIVE The objective of this study is to investigate the adherence and the factors that influence adherence to physical activity in adults with dyslipidemia, hypertension, or diabetes. METHODS The analyses were based on data collected at the baseline of the 14,521 participants from the study ELSA-Brasil aged between 35 and 74 years. The level of leisure time physical activity was determined using the International Physical Activity Questionnaire. Logistic regression analyses were performed to examine the influence of the demographic data, socioeconomic conditions, perceived health status, and access to exercise facilities in the neighborhood on adherence to physical activity. RESULTS Men with hypertension and dyslipidemia were more active than women. The results show that 17.8%, 15.1%, and 13.9% of the subjects who reported dyslipidemia, hypertension, and diabetes, respectively, adhere to the physical activity recommendations. The factors positively associated with adherence were higher education and income. Older individuals who reported poor perceived health, were overweight and obese, regularly smoked, and had fewer opportunities to exercise in the neighborhood presented lower adherence. CONCLUSIONS The number of adults with dyslipidemia, hypertension, and diabetes who adhere to the physical activity recommendations is very low. Higher education and income are positively associated with adherence, while age, excess body weight, negative perceived health, regular smoking, and lack of opportunity to exercise in the neighborhood were considered barriers to physical activity.
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Affiliation(s)
- Ludimila Forechi
- Universidade Federal de Juiz de Fora. Departamento de Fisioterapia. Governador Valadares, MG, Brasil
| | - José Geraldo Mill
- Universidade Federal do Espírito Santo. Departamento de Ciências Fisiológicas. Programa de Pós-Graduação em Saúde Coletiva. Vitória, ES, Brasil
| | - Rosane Härter Griep
- Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Educação em Ambiente e Saúde. Rio de Janeiro, RJ, Brasil
| | - Itamar Santos
- Universidade de São Paulo. Faculdade de Medicina. Departamento de Clínica Médica. São Paulo, SP, Brasil
| | - Francisco Pitanga
- Universidade Federal da Bahia. Faculdade de Educação. Departamento de Educação Física. Salvador, BA, Brasil
| | - Maria Del Carmen Bisi Molina
- Universidade Federal do Espírito Santo. Departamento de Educação Integrada em Saúde. Programa de Pós-Graduação em Saúde Coletiva. Vitória, ES, Brasil
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Kalani Z, Pourmovahed Z, Farajkhoda T, Bagheri I. A Qualitative Approach to Women's Perspectives on Exercise in Iran. INTERNATIONAL JOURNAL OF COMMUNITY BASED NURSING AND MIDWIFERY 2018; 6:156-166. [PMID: 29607344 PMCID: PMC5845119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
BACKGROUND It is believed that women of all ages do less physical activities compared to men. The development of interventional projects for increasing the women's participation in physical activity needs the recognition of resources and exploration of women's perspectives on exercise in their lives in the Iranian culture and context. METHODS This qualitative study was conducted in an urban area of Iran on 46 women attending healthcare centers, volunteer health care providers, university students, sportswomen and one of the officials of the provincial women's sports. This study was done from April 2015 to June 2016. Four focus group discussions and one in depth semi-structured interview was conducted. A qualitative conventional content analysis approach was used for data analysis. RESULTS Four categories were developed as follows: 'preferences', 'planning', 'motivators' and 'inhibitors'. Preferences had three distinct subcategories: preferences to do exercise in specific settings, specific exercise and group exercise. The family role, exercise as one part of daily routines, and exercise as a habit were subcategories of planning. Motivators were physical, emotional and social benefits; physician advice and encouragement; being alarmed; and championship. The inhibitors of doing exercise were various: gender issues, economical and costs issues, geographical access, making excuses, cultural infrastructures, shortage of sports experts, fears, concerns and misconceptions, inappropriate facilities and inadequate administrative cooperation and official barriers. CONCLUSION The findings showed that the women were sensitive to and interested in doing exercise. However, barriers to exercise were multiple and complex. Nursing interventions are required to increase the individuals' awareness of misconceptions and also develop strategic programs for improving exercise among women.
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Affiliation(s)
- Zohreh Kalani
- Department of Nursing, School of Nursing and Midwifery, Research Center for Nursing and Midwifery Care, Shahid Sadoughi University of Medical Sciences, Yazd, Iran;
| | - Zahra Pourmovahed
- Department of Health Education and Promotion, School of Health, Social Determinants of Health Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran;
| | - Tahmineh Farajkhoda
- Department of Midwifery, School of Nursing and Midwifery, Research Center for Nursing and Midwifery Care, Shahid Sadoughi University of Medical Sciences, Yazd, Iran;
| | - Imane Bagheri
- Department of Nursing, School of Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
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Holliday A, Burgin A, Fernandez EV, Fenton SAM, Thielecke F, Blannin AK. Points-based physical activity: a novel approach to facilitate changes in body composition in inactive women with overweight and obesity. BMC Public Health 2018; 18:261. [PMID: 29454318 PMCID: PMC5816513 DOI: 10.1186/s12889-018-5125-2] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2017] [Accepted: 01/26/2018] [Indexed: 11/23/2022] Open
Abstract
Background Physical activity (PA) interventions for the promotion of weight-management may benefit from increased choice and flexibility to overcome commonly-perceived barriers to PA. The aim of this study was to investigate the effects of a novel “points-based” approach to PA on body composition in inactive women, who are overweight or obese. Methods Seventy-six overweight or obese, inactive women were randomly allocated to one of three conditions: ‘Points-based’ PA (PBPA; 30 “PA points”•week− 1), Structured exercise (StructEx; 150 min moderate-intensity exercise•week− 1) or control (CONT; continue habitual inactive lifestyle) for a 24-week intervention. PA points for activities were adapted from MET values, and 30 points was equivalent to 150 min of brisk walking. Measures of body composition (dual-energy x-ray absorptiometry) and anthropometry were obtained at weeks 0, 4, 12 and 24. Self-report activities were recorded weekly, with objective measures of PA (tri-axial accelerometry) and self-report measures of food intake obtained at weeks 0 and 24. Results Fifty-eight women completed the study and provided data for primary outcomes. Of these, n = 41 and n = 19 provided data for food intake and objectively assessed PA. Mixed-design ANOVAs demonstrated that those in PBPA achieved a significant weight-loss at 24 weeks of − 3.3 ± 5.9 kg (− 3.4 ± 7.1%, p = 0.004). Waist circumference was reduced in PBPA at 24 weeks (− 2.8 ± 4.6 cm), compared with CONT (+ 2.1 ± 6.6 cm, p = 0.024). There was a trend for greater reductions in fat mass for those in PBPA vs. CONT (− 2.3 ± 4.6 kg vs. + 0.1 ± 2.0 kg, p = 0.075). Android fat was reduced in PBPA at both 12 weeks (− 6.1 ± 12.6%, p = 0.005) and 24 weeks (− 10.1 ± 18.4%, p = 0.005), while there was a trend for greater reductions in visceral adipose tissue in PBPA (− 5.8 ± 26.0%) vs. CONT at 24 weeks (+ 7.8 ± 18.3%, p = 0.053). Body composition, body weight and waist circumference were unchanged in StructEx. There were trends for increases in light-activity and reductions in sedentary time in PBPA. There was a trend for a reduction in daily energy intake of − 445 ± 564 kcal (p = 0.074), and a significant reduction in daily fat intake (p = 0.042) in PBPA. Conclusion A “points-based” approach to physical activity appears to be an effective strategy for inducing modest reductions in body weight and body fat in inactive women with overweight and obesity. Trial registration NCT02020239. Registered 12th December 2013. Electronic supplementary material The online version of this article (10.1186/s12889-018-5125-2) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Adrian Holliday
- School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Edgbaston, Birmingham, UK. .,Institute for Sport, Physical Activity & Leisure, Leeds Beckett University, Leeds, UK.
| | - Alice Burgin
- School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Edgbaston, Birmingham, UK.,Institute of Sport and Exercise Science, University of Worcester, Worcester, UK
| | - Elyzabeth Vargas Fernandez
- School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Edgbaston, Birmingham, UK
| | - Sally A M Fenton
- School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Edgbaston, Birmingham, UK
| | - Frank Thielecke
- T2 Bene Ltd. Thielecke Consulting, Bettenstrasse 60a, 4123, Allschwil, Switzerland
| | - Andrew K Blannin
- School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Edgbaston, Birmingham, UK
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Masterson Creber RM, Fleck E, Liu J, Rothenberg G, Ryan B, Bakken S. Identifying the Complexity of Multiple Risk Factors for Obesity Among Urban Latinas. J Immigr Minor Health 2018; 19:275-284. [PMID: 27225251 PMCID: PMC5209298 DOI: 10.1007/s10903-016-0433-z] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
The prevalence of obesity is rising rapidly among Hispanics/Latinas. We evaluated the prevalence of being obese or overweight and associated risk factors among 630 low-income, Latina women from ambulatory care clinics in Upper Manhattan. Overall, 37 % of the sample was overweight and 41 % of the sample was obese, and yet, almost half of women who are overweight considered their weight "just about right." After adjusting for socio-demographic, behavioral, and biological risk factors, being obese was strongly associated with having hypertension [relative risk ratio (RRR) 3.93, 1.75-8.82], pre-hypertension (RRR 2.59, 1.43-4.67), diabetes (RRR 2.50, 1.21-5.14) and moderate/moderately severe/severe depression (RRR 2.09, 1.03-4.26). Women who reported that finding time was a barrier to physical activity were also more likely to be obese (RRR 1.78, 1.04-3.02). Chronic financial stress was associated with lower risk of being overweight (RRR 0.47, 0.28-0.79) or obese (RRR 0.51, 0.31-0.86), as well as eating out at restaurants (RRR 0.75, 0.62-0.89). Opportunities for intervention relate to understanding cultural factors around perceptions of weight and helping women find the time for physical activity.
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Affiliation(s)
| | - Elaine Fleck
- Columbia University Medical Center/New York Presbyterian Hospital, 622 W 168th St, New York, NY, 10032, USA
| | - Jianfang Liu
- School of Nursing, Columbia University, 617 W 168th St, New York, NY, 10032, USA
| | | | - Beatriz Ryan
- The Value Institute at New York Presbyterian Hospital, 622 W 168th St, New York, NY, 10032, USA
| | - Suzanne Bakken
- School of Nursing, Columbia University, 617 W 168th St, New York, NY, 10032, USA
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Izzicupo P, D’Amico MA, Di Blasio A, Napolitano G, Nakamura FY, Di Baldassarre A, Ghinassi B. Aerobic Training Improves Angiogenic Potential Independently of Vascular Endothelial Growth Factor Modifications in Postmenopausal Women. Front Endocrinol (Lausanne) 2017; 8:363. [PMID: 29312152 PMCID: PMC5742914 DOI: 10.3389/fendo.2017.00363] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/21/2017] [Accepted: 12/11/2017] [Indexed: 11/13/2022] Open
Abstract
PURPOSE The purpose of this study is to evaluate the effect of walking-training on the balance between pro- and antiangiogenic signals and on the angiogenic potential in postmenopausal women. MATERIALS AND METHODS Thirty-four postmenopausal women (56.18 ± 4.24 years) participated in a 13 weeks program of walking-training. Anthropometric measures, vascular endothelial growth factor (VEGF), interleukin (IL)-1α, IL-1β, IL-2, IL-8, IL-10, IL-12p70, tumor necrosis factor-α (TNF-α), C-reactive protein, insulin, IGF-1, cortisol, dehydroepiandrosterone sulfate (DHEA-S), leptin, visfatin, resistin, and adiponectin were evaluated before and after training. Moreover, serum samples were tested for their ability to chemo-attract endothelial cells and to support the in vitro formation of capillary-like structures. RESULTS After training, the levels of IL-8, TNF-α, leptin, and resistin were significantly lower, levels of DHEA-S and adiponectin increased, serum angiogenic properties improved, whereas no changes in anthropometric parameters or VEGF were detected. CONCLUSION Walking training reduces inflammatory status and leads to a significant improvement in serum angiogenic properties in the absence of modifications in body composition and VEGF level.
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Affiliation(s)
- Pascal Izzicupo
- Department of Medicine and Aging Science, University “G. d’Annunzio” of Chieti - Pescara, Chieti, Italy
| | - Maria A. D’Amico
- Department of Medicine and Aging Science, University “G. d’Annunzio” of Chieti - Pescara, Chieti, Italy
| | - Andrea Di Blasio
- Department of Medicine and Aging Science, University “G. d’Annunzio” of Chieti - Pescara, Chieti, Italy
| | - Giorgio Napolitano
- Department of Medicine and Aging Science, University “G. d’Annunzio” of Chieti - Pescara, Chieti, Italy
| | - Fabio Y. Nakamura
- Department of Medicine and Aging Science, University “G. d’Annunzio” of Chieti - Pescara, Chieti, Italy
| | - Angela Di Baldassarre
- Department of Medicine and Aging Science, University “G. d’Annunzio” of Chieti - Pescara, Chieti, Italy
| | - Barbara Ghinassi
- Department of Medicine and Aging Science, University “G. d’Annunzio” of Chieti - Pescara, Chieti, Italy
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Understanding the Contextual Factors Affecting Women's Health in Sistan and Baluchestan Province in Iran: A Qualitative Study. INTERNATIONAL JOURNAL OF COMMUNITY BASED NURSING AND MIDWIFERY 2017; 5:317-328. [PMID: 29043278 PMCID: PMC5635552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Abstract
BACKGROUND Contextual factors impact health the same way social and cultural conditions do. Women's health, with its varying dimensions, is also under the influence of biological, societal, and cultural contexts. This typical condition has been developed along the continuum of their life cycle, bearing close correlation with their lif style. Therefore, identifying those marices within which women's health behaviors are formed is important.This study aims at exploring the contextual factors affecting women's health in Sistan and Baluchestan in Iran. METHODS This study was carried out using a qualitative method, on a content analysis approach. Participants were 20 middle-aged women from Zahedan who entered the study with purposive sampling method. The method of collecting data was face-to- face and through conducting semi-structured interviews. After data collection, all interviews were transcribed, andreviewed, from which categories were extracted. The semantic similarities were revised and subcategories were identified, and then the related subcategories were arranged under one category. RESULTS Two main categories of "features of context-based structure" and "changes in the cultural context" prove to be the basis for health behaviors in women. As for the category of "characteristics of context-based structure", individual, familial and environmental characteristics were identified, and regarding the category of "changes in the cultural context", the context-based cultural features were identified. CONCLUSION The findings of the study suggest that effective contextual factors influencing women's living conditions had a decisive role in their health behaviors. In fact, the context- based structure in association with the cultural changes that have occurred in the beliefs of men and women, have had a decisive role in the women's health behaviors.
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Tabatabaei SVA, Ardabili HE, Haghdoost AA, Nakhaee N, Shams M. Promoting physical activity in Iranian women: A qualitative study using social marketing. Electron Physician 2017; 9:5279-5286. [PMID: 29038710 PMCID: PMC5633226 DOI: 10.19082/5279] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2016] [Accepted: 03/15/2017] [Indexed: 01/19/2023] Open
Abstract
BACKGROUND AND AIM In social marketing, at the center of the program is consumer perception. The objective of this study was to explore the viewpoints of Iranian women for tailoring interventions so as to increase physical activity. METHODS The social marketing model served as the framework of the study. Qualitative data were collected via six semi-structured focus group discussions (FGDs), in 2014 in Iran. Participants were 51 women, 20 to 60 years old, selected by purposive sampling, with a maximum diversity. Qualitative content analysis of the data was conducted by researchers. RESULTS After data analysis and extracting initial codes, they were all categorized in four predefined categories of social marketing model (product, price, place and promotion) and related sub-categories. Most of the participants were inactive. Price was addressed by women as the dominant category of this study. The majority of participants emphasized the benefits of prevention of chronic diseases, fitness, staying young, and improving family relations. Most women preferred to do physical activity in a secure and enclosed female environment. And the majority of participants considered radio, television, face to face training, texting, and advertising billboards as promotional strategies. CONCLUSION This study provides a unique insight into consumers' values and motivations that affect consumers' decisions to adopt physical activity, in Iran. It could also help researchers to design and implement intervention programs to increase physical activity.
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Affiliation(s)
- Seyed Vahid Ahmadi Tabatabaei
- M.D., Ph.D. of Health Education & Health Promotion, Department of Health Education and Promotion, School of Public Health, Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran
| | - Hassan Eftekhar Ardabili
- M.D., MPH, Professor, Department of Health Education and Promotion, School of Public Health, Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran
| | - Ali Akbar Haghdoost
- M.D., Ph.D. of Epidemiology, Professor, HIV/STI Surveillance Research Center, WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Nouzar Nakhaee
- M.D., MPH, Professor, the Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Mohsen Shams
- M.D., Ph.D. of Health Education, Associate Professor, Social Determinant of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
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Izzicupo P, D'Amico MA, Di Blasio A, Napolitano G, Di Baldassarre A, Ghinassi B. Nordic walking increases circulating VEGF more than traditional walking training in postmenopause. Climacteric 2017; 20:533-539. [PMID: 28920458 DOI: 10.1080/13697137.2017.1366979] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
OBJECTIVES Nordic walking (NW) is widely practiced by postmenopausal women. Its effects are peculiar owing to the involvement of more muscle groups than in traditional walking training (WT). Since mechanical load promotes secretion of vascular endothelial growth factor (VEGF) from both skeletal muscle and muscle endothelium, the aim of the study was to compare the effect of NW and WT on VEGF levels. METHOD Thirty postmenopausal women were randomly assigned to NW or WT. Both groups trained 40-50 min/day, three times per week, at a mean intensity of 12 on a 15-category scale of the ratings of perceived exertion. Since VEGF is also released from adipocytes, anthropometric parameters were assessed. RESULTS NW increased circulating VEGF more than WT (p = 0.041). Furthermore, both study groups exhibited an average decrease in weight (p = 0.023), body mass index (p = 0.024), hip circumference (p = 0.001), and arm fat index, although WT participants had higher values for this index at baseline (p < 0.001) and thus exhibited a greater net decrease compared with the NW participants (p < 0.011). CONCLUSIONS These data imply that NW increases the level of circulating VEGF more than does traditional walking when the intensity of training is equivalent.
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Affiliation(s)
- P Izzicupo
- a Department of Medicine and Aging Science , University "G. d'Annunzio", Chieti-Pescara , Chieti , Pescara , Italy
| | - M A D'Amico
- a Department of Medicine and Aging Science , University "G. d'Annunzio", Chieti-Pescara , Chieti , Pescara , Italy
| | - A Di Blasio
- a Department of Medicine and Aging Science , University "G. d'Annunzio", Chieti-Pescara , Chieti , Pescara , Italy
| | - G Napolitano
- a Department of Medicine and Aging Science , University "G. d'Annunzio", Chieti-Pescara , Chieti , Pescara , Italy
| | - A Di Baldassarre
- a Department of Medicine and Aging Science , University "G. d'Annunzio", Chieti-Pescara , Chieti , Pescara , Italy
| | - B Ghinassi
- a Department of Medicine and Aging Science , University "G. d'Annunzio", Chieti-Pescara , Chieti , Pescara , Italy
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Does attending an exercise class with a spouse improve long-term exercise adherence among people aged 65 years and older: a 6-month prospective follow-up study. BMC Geriatr 2017; 17:170. [PMID: 28760148 PMCID: PMC5537932 DOI: 10.1186/s12877-017-0554-9] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2016] [Accepted: 07/16/2017] [Indexed: 11/21/2022] Open
Abstract
Background Family support can help older adults better adhere to exercise routine, but it remains unclear whether an exercise program targeting older married couples would have stronger effects on exercise adherence than would a program for individuals. The purpose of this study was to determine the effects of an exercise program on the exercise adherence of older married couples over a 24-week follow-up period. Methods Thirty-four older married couples and 59 older adults participated in this study as couple and non-couple groups (CG and NCG, respectively). All participants attended an 8-week supervised program (once a week and a home-based exercise program comprising walking and strength exercises) and then participated in a follow-up measurement (24 weeks after post-intervention measurement). Exercise adherence was prospectively measured via an exercise habituation diary during the follow-up period—specifically, we asked them to record practice rates for walking (≥2 days/week) and strength exercises (≥6 items for 2 days/week). A multivariate logistic regression analysis was conducted to obtain the CG’s odds ratios (ORs) and 95% confidence intervals (CIs) for adherence to walking and strength exercise adjusted for potential confounders (with NCG as the reference). Results Although the adherence rate of walking exercise in the CG was significantly higher than that in the NCG (29.2%; P < 0.001), there was no significant difference in the adherence rate of strength exercise between the two groups (P = 0.199). The multivariate logistic regression analysis showed that CG had significantly higher odds of adherence to walking exercise compared with the NCG (3.68 [1.57–8.60]). However, the odds of adherence to strength exercise did not significantly differ between the two groups (1.30 [0.52–3.26]). Conclusions These results suggest that an exercise program targeting older married couples may be a useful strategy for maintaining walking adherence, even six months after the supervised program has ceased. A blinded randomized controlled trial will be needed to confirm this conclusion. Trial registration Retrospectively registered. UMIN Clinical Trials Registry (Registered: 02/11/16) UMIN000024689.
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Breast cancer survivors' experience of making weight, dietary and physical activity changes during participation in a weight loss intervention. Support Care Cancer 2016; 25:1455-1463. [PMID: 27988868 DOI: 10.1007/s00520-016-3542-2] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2016] [Accepted: 12/12/2016] [Indexed: 12/21/2022]
Abstract
PURPOSE The aim of this study is to explore breast cancer survivors' experience of a weight loss intervention and identify potential facilitators and barriers of initiating and maintaining weight, dietary or physical activity changes. METHOD Fourteen women randomised to and completing the 12-month weight loss intervention completed semi-structured interviews 7.5 ± 0.5 months after intervention completion. An inductive thematic analysis was conducted whereby interviews were independently coded and themes identified. RESULTS Women were (mean ± SD) 55.6 ± 8.5 years, 30.2 ± 4.6 kg/m2 and 17.1 ± 3.4 months post-diagnosis at study baseline. Four themes emerged: (1) perceived motivation to participate in the intervention, (2) facilitators, (3) challenges and (4) maintenance of weight loss and behaviour changes. All women noted the impact of social/family environments, either to facilitate (e.g., support from family members) or impede (e.g., major family event) changes. The structure and support of the intervention, particularly accountability to their coach, was also seen as facilitating. Formation of habitual physical activity facilitated dietary changes. Dietary change strategies most perceived to facilitate weight loss were reducing energy intake by dietary self-monitoring, increasing vegetable intake and portion control. Challenges included breast cancer-specific issues such as post-diagnosis weight gain, treatment-related side effects and psychological issues around readiness to change and self-regulation. Diminished accountability following intervention completion impacted the maintenance of weight loss and behaviour changes, notably dietary self-monitoring. CONCLUSIONS Results suggest that formal involvement of a support person (e.g. family member/friend) and referring women to ongoing, community-based services to maintain patient-perceived accountability may be particularly useful strategies for future weight loss intervention trials targeting women with breast cancer.
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Kushner RF, Choi SW, Burns JL. Development of a six-factor questionnaire for use in weight management counseling. PATIENT EDUCATION AND COUNSELING 2016; 99:2018-2025. [PMID: 27395751 DOI: 10.1016/j.pec.2016.06.022] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/16/2016] [Revised: 06/20/2016] [Accepted: 06/20/2016] [Indexed: 06/06/2023]
Abstract
OBJECTIVE To develop and validate a new 6 factor questionnaire (6-FQ) that identifies unhealthful behavioral, cognitive and affective lifestyle pattern factors among a large sample of adults who are overweight or obese. METHODS Based on a previously developed 53-item lifestyle patterns questionnaire completed by 10,000 subjects, a new 6-FQ was developed and validated by using two prospective subject groups (n=640) with combined mean age of 43±11.4years and BMI 33.8±9.1kg/m2. RESULTS An exploratory factor analysis and multidimensional scaling were conducted that identified 6 distinct factors with excellent psychometric properties. Cronbach's internal consistency reliability estimates ranged from 0.76 to 0.85. The prevalence rates and odds ratios of the factors are generally and directly related with increasing BMI categories. The 6-FQ is highly correlated with multiple subscales from the co-administered IWQOL-Lite questionnaire. CONCLUSIONS The 6-FQ is a 27-item self-administered instrument with excellent psychometric properties that measures patients' lifestyle pattern factors. PRACTICE IMPLICATIONS The 6-FQ is a convenient, short, self-administered instrument that has potential to target patients' self-identified lifestyle patterns related to body weight, and should allow clinicians to efficiently and effectively counsel patients on targeted treatment recommendations.
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Affiliation(s)
- Robert F Kushner
- Department of Medicine, Northwestern University, Feinberg School of Medicine, 750 North Lake Shore Drive, Rubloff 9-976, Chicago, IL 60611, USA.
| | | | - James L Burns
- Department of Medical Social Sciences, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA
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Al-Baho AK, Al-Naar A, Al-Shuaib H, Panicker JK, Gaber S. Levels of Physical Activity among Kuwaiti Adults and Perceived Barriers. ACTA ACUST UNITED AC 2016. [DOI: 10.2174/1874944501609010077] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Background:
Regular Physical activity is associated with many positive health outcomes related to prevention and control of obesity and non-communicable diseases which have a high prevalence in Kuwait. The aim of our study was to investigate the level of physical activity among Kuwaiti adults and interfering barriers.
Methods:
A cross sectional randomized study was used to collect data about physical activity level among 858 Kuwaiti adults using the International Physical Activity Questionnaire, Arabic version and perceived barriers to physical activity were investigated using an ecological framework. Regression analysis was used to determine the predictors of physical activity among participants.
Results:
The results revealed that 19.13% of the sample did not perform any physical activity and 38.1% had low physical activity level, with no significant difference between males and females. The most common perceived barriers were hot weather (75.9%), work duties (71.21%), laziness (44.3%), lack of time (38.6%), family responsibilities (36.1%) and chronic diseases (33.33%).
Conclusion:
The level of physical activity among Kuwaiti adults was found to be low. This could be a reason for high levels of obesity in Kuwait. A comprehensive health promotion program including environmental and social modifications in addition to health education is suggested to improve physical activity among Kuwaiti adults.
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Adachi-Mejia AM, Schifferdecker KE. A mixed-methods approach to assessing barriers to physical activity among women with class I, class II, and class III obesity. Public Health 2016; 139:212-215. [PMID: 27245784 PMCID: PMC5061596 DOI: 10.1016/j.puhe.2016.04.013] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2015] [Revised: 04/21/2016] [Accepted: 04/25/2016] [Indexed: 11/24/2022]
Affiliation(s)
- A M Adachi-Mejia
- Department of Community and Family Medicine, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA; The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH, USA; Cancer Control Research Program, Norris Cotton Cancer Center, Lebanon, NH, USA; Center for Program Design and Evaluation at Dartmouth, Lebanon, NH, USA; Pediatrics, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA.
| | - K E Schifferdecker
- Department of Community and Family Medicine, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA; Center for Program Design and Evaluation at Dartmouth, Lebanon, NH, USA
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Jenkins WD, Zahnd WE, Spenner A, Wiley C, Roles R, Potini Y, Jones LS. Comparison of Cancer-specific and General Health Literacy Assessments in an Educated Population: Correlations and Modifying Factors. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2016; 31:268-271. [PMID: 25820603 DOI: 10.1007/s13187-015-0816-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
An information onslaught accompanies cancer diagnoses, but patient comprehension (health literacy; HL) is frequently low, impacting both immediate care and longer term follow-up. Knowledge and adoption of preventive measures is especially important for cancer survivors due to their increased risk of secondary malignant neoplasms. We sought to evaluate the Test of Functional Health Literacy Adult (S-TOFHLA) against the recently developed cancer-specific Cancer Message Literacy Test (CMLT-r) among an educated population of both cancer survivors and those cancer-free. Participants were recruited 2013 (May through December) from various units within a local hospital and from several local churches, and each completed the S-TOFHLA and CMLT-r and provided demographic information and cancer status. The 109 participants had a mean age of 58 years and were as follows: 65.1 % female; 92.7 % white, 50.4 % college graduates, and 41.3 % cancer survivors. S-TOFHLA scores ranged from 12-36 (mean 34.1) and non-significantly varied by gender, education, cancer status, and age. CMLT-r scores ranged from 28.6-100 % (mean 86.4 %) and significantly varied by education (p = 0.013), but not by gender, cancer status, or age. Overall, CMLT-r and S-TOFHLA significantly correlated (p < 0.001). Assessment scores were skewed towards the maximum with non-significant differences by cancer status. As cancer survivorship improves and as the population becomes more educated, more refined approaches to assess health literacy should be considered. Increased education does not imply increased health literacy, and cancer survivorship does not imply higher health or cancer literacy. Concerted efforts to improve patient understanding and implementation of preventive measures are imperative.
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Affiliation(s)
- Wiley D Jenkins
- Population Health Science Program, Southern Illinois University School of Medicine, 801 N. Rutledge St, Springfield, IL, 62794-9664, USA.
| | - Whitney E Zahnd
- Population Health Science Program, Southern Illinois University School of Medicine, 801 N. Rutledge St, Springfield, IL, 62794-9664, USA
| | - Allison Spenner
- Population Health Science Program, Southern Illinois University School of Medicine, 801 N. Rutledge St, Springfield, IL, 62794-9664, USA
| | | | | | - Yogitha Potini
- Southern Illinois University School of Medicine, Springfield, IL, USA
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Gordon R, Bloxham S. A Systematic Review of the Effects of Exercise and Physical Activity on Non-Specific Chronic Low Back Pain. Healthcare (Basel) 2016; 4:healthcare4020022. [PMID: 27417610 PMCID: PMC4934575 DOI: 10.3390/healthcare4020022] [Citation(s) in RCA: 156] [Impact Index Per Article: 19.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2016] [Revised: 04/15/2016] [Accepted: 04/19/2016] [Indexed: 01/14/2023] Open
Abstract
Back pain is a major health issue in Western countries and 60%–80% of adults are likely to experience low back pain. This paper explores the impact of back pain on society and the role of physical activity for treatment of non-specific low back pain. A review of the literature was carried out using the databases SPORTDiscuss, Medline and Google Scholar. A general exercise programme that combines muscular strength, flexibility and aerobic fitness is beneficial for rehabilitation of non-specific chronic low back pain. Increasing core muscular strength can assist in supporting the lumbar spine. Improving the flexibility of the muscle-tendons and ligaments in the back increases the range of motion and assists with the patient’s functional movement. Aerobic exercise increases the blood flow and nutrients to the soft tissues in the back, improving the healing process and reducing stiffness that can result in back pain.
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Affiliation(s)
- Rebecca Gordon
- Department of Sport and Health Sciences, University of St Mark and St John, Plymouth PL6 8BH, UK.
| | - Saul Bloxham
- Department of Sport and Health Sciences, University of St Mark and St John, Plymouth PL6 8BH, UK.
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Lin CH, Chiang SL, Heitkemper MM, Hung YJ, Lee MS, Tzeng WC, Chiang LC. Effects of telephone-based motivational interviewing in lifestyle modification program on reducing metabolic risks in middle-aged and older women with metabolic syndrome: A randomized controlled trial. Int J Nurs Stud 2016; 60:12-23. [PMID: 27297365 DOI: 10.1016/j.ijnurstu.2016.03.003] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2015] [Revised: 02/23/2016] [Accepted: 03/04/2016] [Indexed: 10/22/2022]
Abstract
BACKGROUND Lifestyle modification is often difficult for middle-aged and older women living in the community who are at high risk of physical inactivity and metabolic syndrome. OBJECTIVES To examine the effects of telephone-based motivational interviewing in a 12-week lifestyle modification program on physical activity, MetS, metabolic risks (fasting plasma glucose, blood pressure, triglyceride, high-density lipoprotein, and central obesity), and the number of metabolic risks in community-living middle-aged and older women diagnosed with metabolic syndrome. RESEARCH DESIGN AND METHOD A randomized controlled trial was conducted. Recruited were 328 middle-aged and older women from a community health center in Taiwan. Eligible women medically diagnosed with metabolic syndrome (n=115) were randomly assigned to one of three groups: The experimental group received an individualized telephone delivered lifestyle modification program that included motivational interviewing delivered by an experienced nurse. The brief group received a single brief lifestyle modification counseling session with a brochure. The usual care group received standard care. Physical activity was assessed with the International Physical Activity Questionnaire and metabolic risks were determined by serum markers and anthropometric measures at pre- and post-intervention. One hundred women completed the study and an intention-to-treat analysis was performed. Generalized estimating equations were used to examine the intervention effects. RESULTS Women in the experimental group increased physical activity from 1609 to 1892 MET-min/week (β=846, p=.01), reduced the percentage of diagnosed with metabolic syndrome to 81.6% (β=-0.17, p=.003), and decreased the number of metabolic risks from 4.0 to 3.6 (β=-0.50, p<.001), compared to the usual care group (4.4-4.6). There was not a reduction in the percentage of diagnosed with metabolic syndrome in the brief group, but they had fewer metabolic risks after 12 weeks (mean=4.0 vs. 4.6, β=-0.2, p=.02) compared to the usual care group. CONCLUSIONS Motivational interviewing as a component of an individualized physical activity and lifestyle modification program has positive benefit in reducing metabolic risks in middle-aged and older women.
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Affiliation(s)
- Chia-Huei Lin
- Department of Nursing at Tri-Service General Hospital, School of Nursing, National Defense Medical Center, Taipei, Taiwan, ROC
| | - Shang-Lin Chiang
- Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei, Taiwan, ROC
| | - Margaret McLean Heitkemper
- Department of Biobehavioral Nursing and Health Systems, Division of Gastroenterology, School of Medicine, University of Washington, USA
| | - Yi-Jen Hung
- Division of Endocrinology & Metabolism, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei, Taiwan, ROC
| | - Meei-Shyuan Lee
- School of Public Health & Graduated Institute of Medical Science, National Defense Medical Center, Taipei, Taiwan, ROC
| | - Wen-Chii Tzeng
- School of Nursing, National Defense Medical Center, Taipei, Taiwan, ROC
| | - Li-Chi Chiang
- School of Nursing & Graduated Institute of Medical Sciences, National Defense Medical Center & China Medical University, Taipei & Taichung, Taiwan, ROC.
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Holahan CK, Holahan CJ, Li X, Chen YT. Association of health-related behaviors, attitudes, and appraisals to leisure-time physical activity in middle-aged and older women. Women Health 2016; 57:121-136. [PMID: 26909556 DOI: 10.1080/03630242.2016.1157127] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Physical activity carries immediate and long-term benefits for middle-aged and older women; however, physical activity decreases in adulthood and aging in women. In this study, the authors investigate the relation of health behaviors, health attitudes, and health appraisals to leisure-time physical activity among middle-aged and older women in a cross-sectional analysis of the second wave of the Study of Midlife Development in the United States (MIDUS2) conducted during the period from 2004 to 2006. The sample consisted of 829 women, ranging in age from 40 to 75 years of age (Mean = 56 years). In multiple logistic regression analyses, controlling for socio-demographic factors and functional restrictions, most of the psychosocial variables examined showed unique associations with physical activity, including health behaviors of having a routine checkup and not smoking, health attitudes involving commitment to health and valuing physical fitness and strength, and the health appraisal that one's health is better compared to others of the same age. Older women (aged 61-75 years) were less active, but reported greater health commitment than middle-aged women (aged 40-60 years). Neither health commitment nor any other psychosocial variable interacted with age in relation to physical activity. Understanding characteristics of middle-aged and older women who are physically active is essential in tailoring interventions to this population.
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Affiliation(s)
- Carole K Holahan
- a Department of Kinesiology and Health Education , University of Texas at Austin , Austin , Texas , USA
| | - Charles J Holahan
- b Department of Psychology , University of Texas at Austin , Austin , Texas , USA
| | - Xiaoyin Li
- a Department of Kinesiology and Health Education , University of Texas at Austin , Austin , Texas , USA
| | - Yen T Chen
- a Department of Kinesiology and Health Education , University of Texas at Austin , Austin , Texas , USA
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ZumBeat: Evaluation of a Zumba Dance Intervention in Postmenopausal Overweight Women. Sports (Basel) 2016; 4:sports4010005. [PMID: 29910253 PMCID: PMC5968936 DOI: 10.3390/sports4010005] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2015] [Revised: 01/18/2016] [Accepted: 01/19/2016] [Indexed: 01/24/2023] Open
Abstract
Physical inactivity is a major public health concern since it increases individuals’ risk of morbidity and mortality. A subgroup at particular risk is postmenopausal overweight women. The aim of this study was to assess the feasibility and effect of a 12-week ZumBeat dance intervention on cardiorespiratory fitness and psychosocial health. Postmenopausal women with a body mass index (BMI) >30 kg/m2 or a waist circumference >94 cm who were not regularly physically active were asked to complete a 12-week ZumBeat dance intervention with instructed and home-based self-training sessions. Before and after the intervention, peak oxygen consumption (VO2peak) was assessed on a treadmill; and body composition and several psychometric parameters (including quality of life, sports-related barriers and menopausal symptoms) were investigated. Of 17 women (median age: 54 years; median BMI: 30 kg/m2) enrolled in the study, 14 completed the study. There was no apparent change in VO2peak after the 12-week intervention period (average change score: −0.5 mL/kg/min; 95% confidence interval: −1.0, 0.1); but, quality of life had increased, and sports-related barriers and menopausal symptoms had decreased. A 12-week ZumBeat dance intervention may not suffice to increase cardiorespiratory fitness in postmenopausal overweight women, but it increases women’s quality of life.
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Effect of a 4-week Nordic walking training on the physical fitness and self-assessment of the quality of health of women of the perimenopausal age. PRZEGLAD MENOPAUZALNY = MENOPAUSE REVIEW 2015; 14:105-11. [PMID: 26327897 PMCID: PMC4498029 DOI: 10.5114/pm.2015.52152] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/07/2014] [Revised: 11/03/2014] [Accepted: 01/22/2015] [Indexed: 11/18/2022]
Abstract
Aim of the study To determine the effect of a 4-week Nordic walking training on the physical fitness of women of the perimenopausal age and self-assessment of the quality of their health. Material and methods Eighty-four women between 48 and 58 years of age were included in the study. Half of the group (42) was assigned to the control group and the other half was assigned to the experimental group. In both groups studied, physical fitness was evaluated using a modified Fullerton's test and a quality of life self-assessment SF-36 (Short Form of Health Status Questionnaire). Similar tests were repeated 4 weeks later. In the experimental group, a Nordic walking training was conducted between the two tests. During 4 weeks, 10 training sessions were performed, each session was 60 minutes long, and there was an interval of 2 days between the sessions. Results A 4-week Nordic walking training resulted in a significant improvement (p < 0.001) of physical fitness as demonstrated by an increased strength and flexibility of the upper and lower part of the body and the ability to walk a longer distance during a 6-minute walking test. Women participating in the training also showed a significant improvement in health in terms of both physical health (p < 0.001) and mental health (p < 0.001). Conclusions A 4-week Nordic walking training has a positive effect on the physical fitness of the women in the perimenopausal age. Participation in training contributes also to a clearly higher self-assessment of the quality of health.
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Moin T, Ertl K, Schneider J, Vasti E, Makki F, Richardson C, Havens K, Damschroder L. Women veterans' experience with a web-based diabetes prevention program: a qualitative study to inform future practice. J Med Internet Res 2015; 17:e127. [PMID: 26006697 PMCID: PMC4468391 DOI: 10.2196/jmir.4332] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2015] [Revised: 04/20/2015] [Accepted: 05/07/2015] [Indexed: 01/30/2023] Open
Abstract
Background Diabetes prevention is a national goal and particularly important in the Veterans Health Administration (VHA) where 1 in 4 veterans has diabetes. There is growing evidence to support the use of Web-based diabetes prevention program (DPP) interventions, shown to be as effective and often more feasible than in-person interventions. Objective Our primary objective was to qualitatively explore women veterans’ early experiences with a Web-based DPP intervention. Our secondary objective was to estimate weight loss, participation, and engagement to provide context for our qualitative findings. Methods We conducted and analyzed semistructured interviews and collected data on weight change, participation, and engagement. A total of 17 women veterans with prediabetes from a Midwest VA Women’s Health Clinic were eligible to participate; 15 completed interviews. Results Participants perceived the DPP program as an appealing way of initiating lifestyle changes and made them feel accountable in achieving their daily goals. The online program was convenient because it could be accessed at any time, and many found that it integrated well into daily life. However, some did not like the logging aspect and some found it to be too impersonal. Participants logged in a mean 76 times, posted a mean 46 group messages, and sent a mean 20.5 private messages to the health coach over 16 weeks. Participants lost 5.24% of baseline weight, and 82% (14/17) of participants completed at least 9 of 16 core modules. Conclusions Women veterans’ early experiences with a Web-based DPP intervention were generally positive. Accountability and convenience were key enabling factors for participation and engagement. A Web-based DPP intervention appears to be a promising means of translating the DPP for women veterans with prediabetes.
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Affiliation(s)
- Tannaz Moin
- VA Health Services Research and Development (HSR&D) Center for Healthcare Innovation, Implementation, and Policy, VA Greater Los Angeles, VA Greater Los Angeles Healthcare System, Los Angeles, CA, David Geffen School of Medicine, University of California, Los Angeles, CA, Los Angeles, CA, United States.
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Delextrat A, Neupert E. Physiological load associated with a Zumba(®) fitness workout: a comparison pilot study between classes and a DVD. J Sports Sci 2015; 34:47-55. [PMID: 25854638 DOI: 10.1080/02640414.2015.1031162] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
The objectives were to compare the metabolic load elicited by Zumba(®) classes and DVD workouts and link the physiological responses to participants' psychological characteristics. Fifteen women (25.4 ± 4.3 years old; 164.9 ± 5.1 cm; 56.9 ± 5.8 kg; 23.9 ± 4.9% body fat) performed three Zumba(®) classes and three Zumba(®) DVD workouts using a repeated measure design. Energy expenditure was assessed by extrapolating oxygen cost from heart rate (HR) using regressions from a preliminary incremental running test. Differences between Zumba(®) classes and Zumba(®) DVD workouts were assessed by Student's T tests and repeated measures analysis of variance and correlations between physiological and psychological variables by the Pearson's coefficient. Results showed that Zumba(®) classes allowed greater energy expenditure compared to Zumba(®) DVD workouts (6.8 ± 0.9 vs 5.6 ± 0.9 kcal · min(-1), 95% confidence interval (CI) limits: 0.3-2.1, P = 0.016), with significant differences in the time spent with a HR above 85% of HR reserve (14.7 vs 1.7%, 95% CI: 5.6-20.4, P = 0.021). Furthermore, women with a greater autonomy score showed a smaller difference between DVD and class (r = 0.511, P = 0.048), while greater differences were shown in women with greater interpersonal skills (r = -0.563, P = 0.028). The results suggest that while both types of workouts are suitable to maintain fitness Zumba(®) classes allow greater energy expenditure.
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Affiliation(s)
- Anne Delextrat
- a Department of Sport and Health Sciences , Oxford Brookes University , Oxford , UK
| | - Emma Neupert
- b Department of Sport Studies , University of Winchester , Winchester , UK
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Viljoen JE, Christie CJA. The change in motivating factors influencing commencement, adherence and retention to a supervised resistance training programme in previously sedentary post-menopausal women: a prospective cohort study. BMC Public Health 2015; 15:236. [PMID: 25884764 PMCID: PMC4362642 DOI: 10.1186/s12889-015-1543-6] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2014] [Accepted: 02/16/2015] [Indexed: 02/04/2023] Open
Abstract
Background Understanding motivators for exercise participation in post-menopausal women may impact retention to exercise programmes and inform intervention trial designs. The purpose of this investigation was to assess self-reported motivational factors influencing adherence and retention to a 24-week progressive resistance training programme. Methods Post-menopausal females (n = 34) were passively recruited to undertake a 24-week progressive resistance training protocol, in small-group sessions, on three non-consecutive days of the week. Attendance was recorded by the researcher. Qualitative reports were sourced from the sample for four phases of the study: pre-study (prior to week 1), recruitment (week 1), during study (weeks 2 – 24), and post-intervention (beyond week 24). Responses were categorised according to ten descriptors: specific health index improvement, education, flexibility of time, social contact, conscience (loyalty to the researcher), wellness, weight management, organisation parameters (pertaining to the study programme) and enjoyment of the exercises. Results Of the initial sample, 76.5% (n = 26) met the specified ≥80% attendance criterion. The primary findings were that motivation to volunteer for the study was driven by a perceived need for a structured exercise programme (50% of respondents). A commitment to the researcher was the primary motivator for continued adherence to the study for 50% of participants. Social contact with other participants was cited by 60% of the sample as the primary reason for adherence for the full duration of 24 weeks. A desire to maintain the “wellness” derived from the programme was cited by 60% as a reason for continuing an exercise routine post-study. Conclusion This study identified that routine and supervision initially attract women to exercise programmes, while social cohesion of the group setting contributes to retention over time. Understanding the changing nature of motivating factors may contribute to better overall adherence and retention to exercise programmes and interventions.
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Affiliation(s)
- Janet Erica Viljoen
- Department of Human Kinetics and Ergonomics, Rhodes University, African Street, PO Box 94, Grahamstown, 6140, South Africa.
| | - Candice Jo-Anne Christie
- Department of Human Kinetics and Ergonomics, Rhodes University, African Street, PO Box 94, Grahamstown, 6140, South Africa.
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Anderson D, Seib C, Rasmussen L. Can physical activity prevent physical and cognitive decline in postmenopausal women? A systematic review of the literature. Maturitas 2014; 79:14-33. [PMID: 25008420 DOI: 10.1016/j.maturitas.2014.06.010] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2014] [Accepted: 06/13/2014] [Indexed: 12/23/2022]
Abstract
BACKGROUND Participation in regular physical activity is among the most promising and cost effective strategies to reduce physical and cognitive decline and premature death. However, confusion remains about the amount, frequency, and duration of physical activity that is likely to provide maximum benefit as well as the way in which interventions should be delivered. AIMS This paper aimed to review research on the impact of leisure-time and general physical activity levels on physical and cognitive decline in postmenopausal women. In a systematic review of the literature, empirical literature from 2009 to 2013 is reviewed to explore the potential impact of either commencing or sustaining physical activity on older women's health. RESULTS All studies found that physical activity was associated with lower rates of cognitive and physical decline and a significant reduction in all-cause mortality. In this review we found that exercise interventions (or lifestyle activities) that improved cardiorespiratory exercise capacity showed the most positive impact on physical health. CONCLUSIONS Findings suggest that programs should facilitate and support women to participate in regular exercise by embedding physical activity programs in public health initiatives, by developing home-based exercise programs that require few resources and by creating interventions that can incorporate physical activity within a healthy lifestyle. The review also suggests that clinicians should consider prescribing exercise in a tailored manner for older women to ensure that it is of a high enough intensity to obtain the positive sustained effects of exercise.
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Affiliation(s)
- Debra Anderson
- Institute of Health and Biomedical Innovation, Queensland University of Technology, Victoria Park Road, Kelvin Grove, QLD 4059, Australia.
| | - Charlotte Seib
- Institute of Health and Biomedical Innovation, Queensland University of Technology, Victoria Park Road, Kelvin Grove, QLD 4059, Australia
| | - Laura Rasmussen
- School of Nursing, Queensland University of Technology, Australia
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