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Cherelstein RE, Ulman S, Kuenze CM, Harkey MS, Butler LS. Greater changes in self-reported activity level are associated with decreased quality of life in patients following an anterior cruciate ligament reconstruction. Phys Ther Sport 2024; 67:149-154. [PMID: 38759381 DOI: 10.1016/j.ptsp.2024.04.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2024] [Revised: 04/03/2024] [Accepted: 04/04/2024] [Indexed: 05/19/2024]
Abstract
OBJECTIVE To determine the association between change in physical activity level, as defined as the change from pre-to post-operative Tegner Activity Scale, and quality of life (QOL) after anterior cruciate ligament reconstruction (ACLR), before patients are cleared for return to sport. PARTICIPANTS 1198 participants (42.9% male; 18.7 ± 3.6 years; 7.1 ± 3.7 months post-ACLR). MAIN OUTCOME MEASURES Surveys included Knee Injury and Osteoarthritis Outcome Score QOL (KOOS-QOL) subscale and Tegner Activity Scale. KOOS-QOL score ≥62.5 is considered as meeting a previously established patient acceptable symptom state. RESULTS The acceptable KOOS-QOL group reported a significantly smaller decrease in activity level from pre-injury to time of data collection (median: 2.00, IQR: 2.00) than the unacceptable KOOS-QOL group (median: 3.00, IQR: 3.00). Across the full cohort, for every one-point larger decrease in Tegner score from pre-to post-ACLR, there is a 52% increase in the odds of having an unacceptable KOOS-QOL score. For adolescents, the odds increase to 60% while the odds for adults were lower at 39%. CONCLUSIONS Following ACLR, greater decreases in physical activity level are associated with poorer QOL for both adolescents and adults at short-term follow-up, and this effect is larger amongst adolescents.
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Affiliation(s)
- Rachel E Cherelstein
- Inova Health System Department of Orthopaedics and Sports Medicine, Fairfax, VA, USA.
| | - Sophia Ulman
- Scottish Rite for Children, Frisco, TX, USA; University of Texas Southwestern Medical Center, Dallas, TX, USA
| | - Christopher M Kuenze
- Inova Health System Department of Orthopaedics and Sports Medicine, Fairfax, VA, USA; University of Virginia Department of Kinesiology, Charlottesville, VA, USA
| | - Matthew S Harkey
- Michigan State University Department of Kinesiology, East Lansing, MI, USA
| | - Lauren S Butler
- Florida International University Department of Physical Therapy, Miami, FL, USA; Nicklaus Children's Hospital, Miami, FL, USA
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Hao H, Yuan Y, Li J, Zhao D, Li P, Sun J, Zhou C. Association between physical activity and health-related quality of life among adults in China: the moderating role of age. Front Public Health 2024; 12:1334081. [PMID: 38601506 PMCID: PMC11005473 DOI: 10.3389/fpubh.2024.1334081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Accepted: 02/26/2024] [Indexed: 04/12/2024] Open
Abstract
Objective The aim of the study was to examine the association between physical activity (PA) and health-related quality of life (HRQOL) among adults and explore the role of age in the association between PA and HRQOL in Shandong, China. Methods We investigated the relationship between PA and HRQOL and examined the moderated role of age in this association among adults with different age groups and physical activity levels. Data were obtained from the sixth China National Health Services Survey conducted in Shandong province in 2018. The multi-stage-stratified cluster random sampling method was used to selected respondents, with individuals aged 18 and above included in the present study. The tool of assessing HRQOL was the three-level EuroQol Five Dimensions Questionnaire (EQ-5D-3L). Results The study found PA was significantly related to HRQOL (P < 0.05). The interaction analysis indicated that the relationship between PA and HRQOL was significantly different across young, middle-aged, and older adults (P < 0.05). Older adults with the sufficient PA (coefficient = 0.090, 95%CI: [0.081, 0.100]) and active PA (coefficient = 0.057, 95%CI: [0.043, 0.072]) had significantly higher HRQOL compared with young and middle-aged groups. Conclusion PA was positively associated with HRQOL among the adults. Age played a moderate role between the association between PA and HRQOL. Guidelines for PA should be specifically tailored to adults of different age groups in order to enhance their HRQoL.
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Affiliation(s)
- Hongying Hao
- Centre for Health Management and Policy, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China
- NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, China
- Shandong First Medical University and Shandong Academy of Medical Sciences, Graduate School, Jinan, China
| | - Yemin Yuan
- China Center for Health Development Studies, Peking University, Beijing, China
| | - Jie Li
- Centre for Health Management and Policy, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China
- NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, China
| | - Dan Zhao
- Centre for Health Management and Policy, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China
- NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, China
| | - Peilong Li
- Statistics and Evaluation Department of Shandong Health Commission Medical Management Service Center, Jinan, China
| | - Jingjie Sun
- Statistics and Evaluation Department of Shandong Health Commission Medical Management Service Center, Jinan, China
| | - Chengchao Zhou
- Centre for Health Management and Policy, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China
- NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, China
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Faria PA, Santos V, Massuça LM. Predictive Role of Physical Activity and Health-Related Quality of Life in Police Officers' Work Assessment. Eur J Investig Health Psychol Educ 2024; 14:299-310. [PMID: 38391487 PMCID: PMC10887996 DOI: 10.3390/ejihpe14020020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Revised: 01/14/2024] [Accepted: 01/26/2024] [Indexed: 02/24/2024] Open
Abstract
Police officers (POs) frequently encounter high stress and burnout risks in their demanding professional environment. This study delves into the relationship between physical activity (PA), health-related quality of life (HRQoL), and job performance among POs. A cross-sectional survey was conducted involving 1175 POs, with 691 providing complete responses. The survey included questions on biosocial and professional characteristics; the International Physical Activity Questionnaire-short form; the Short Form Health Survey version 2.0; and a qualitative job performance evaluation. The key findings highlight that vigorous PA significantly enhances job performance. About 46.2% of POs engage in vigorous PA, with a notable 73.7% participating in some form of PA weekly. This study also found that age and gender considerably impact the HRQoL, especially in mental health aspects like vitality and social functioning. Vigorous PA is linked to higher job performance ratings, especially when practised consistently. In conclusion, this research underscores the importance of vigorous PA in improving job performance among POs. We suggest that institutions prioritise facilitating environments that encourage regular PA, recognising its substantial benefits in both professional effectiveness and the overall health of POs. This study contributes to understanding the critical role of physical fitness in enhancing the occupational well-being of law enforcement personnel.
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Affiliation(s)
| | - Vanessa Santos
- ICPOL, Higher Institute of Police Sciences and Internal Security, 1300-663 Lisbon, Portugal
- First Responder Research Laboratory, University of Kentucky, Lexington, KY 40506, USA
- Exercise and Health Laboratory, CIPER, Faculty of Human Kinetics, University of Lisbon, 1495-751 Cruz Quebrada, Portugal
| | - Luís Miguel Massuça
- Higher Institute of Police Sciences and Internal Security, 1300-663 Lisbon, Portugal
- ICPOL, Higher Institute of Police Sciences and Internal Security, 1300-663 Lisbon, Portugal
- First Responder Research Laboratory, University of Kentucky, Lexington, KY 40506, USA
- CIDEFES, Lusófona University, 1749-024 Lisbon, Portugal
- CIFI2D, Faculty of Sport, University of Porto, 4200-450 Porto, Portugal
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Isern CB, Nilsson BB, Garratt A, Kramer-Johansen J, Tjelmeland IB, Berge HM. Health-related quality of life in young Norwegian survivors of out-of-hospital cardiac arrest related to pre-arrest exercise habits. Resusc Plus 2023; 16:100478. [PMID: 37818171 PMCID: PMC10560841 DOI: 10.1016/j.resplu.2023.100478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Revised: 09/11/2023] [Accepted: 09/15/2023] [Indexed: 10/12/2023] Open
Abstract
Aim To compare health-related quality of life (HRQoL) in young survivors of out-of-hospital cardiac arrest (OHCA) in Norway with an age and sex-matched reference population and to assess the associations between exercise volume prior to OHCA and HRQoL after. Methods We present data from survivors aged 18-50 years registered with OHCA in the Norwegian Cardiac Arrest Registry between January 1st 2015 and December 31st 2017. Survivors were invited to answer two questionnaires; (1) the Short Form 36 (SF-36) Health Survey Version 1, and (2) about exercise habits prior to OHCA. Respondents were randomly matched 1:1 for age and sex with a reference population (data were available from the Norwegian Centre for Research Data). Results Of the 175 survivors invited, 95 (54%) responded, median age was 44 (range 35-48) years, 26 (27%) females. Valid results for SF-36 were available for 91 survivors, of whom 87 reported pre-OHCA exercise-volume. Prior to OHCA, 21 did no regular exercise, 44 exercised 1-4 hours/week and 22 exercised ≥5 hours/week. Compared to the reference population survivors had significantly (p < 0.01) poorer SF-36 scores for scales relating to physical- and mental health. SF-36 scale scores were similar in survivors who did and did not exercise regularly. Within the regular exercisers, survivors reporting ≥5 hours of exercise/week had better SF-36 scores than those exercising less. Conclusion Poorer HRQoL in survivors compared to the reference population should prompt us to explore how treatment and rehabilitation could be improved and adapted. More exercise before OHCA favoured better HRQoL after, which aligns well with the recognised positive association between HRQoL and physical activity in general.
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Affiliation(s)
- Cecilie Benedicte Isern
- Division of Prehospital Services, Oslo University Hospital, Ullevål Hospital, P.O. Box 4956 Nydalen, NO-0424 Oslo, Norway
- Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, P.O. Box 1078 Blindern, NO-0316 Oslo, Norway
- Oslo Sports Trauma Research Center, Department of Sports Medicine, Norwegian School of Sport Sciences, P.O. Box 4014 Ullevål Stadion, NO-0806 Oslo, Norway
| | - Birgitta Blakstad Nilsson
- Section for Physiotherapy, Department of Clinical Services, Division of Medicine, Oslo University Hospital, Oslo, Norway
- Department of Rehabilitation Science and Health Technology, Faculty of Health Sciences, OsloMet – Oslo Metropolitan University, Oslo, Norway
| | - Andrew Garratt
- Norwegian Institute of Public Health, Oslo, Norway, Health Services Research Centre, Akershus University Hospital, Lorenskog, Norway
| | - Jo Kramer-Johansen
- Division of Prehospital Services, Oslo University Hospital, Ullevål Hospital, P.O. Box 4956 Nydalen, NO-0424 Oslo, Norway
- Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, P.O. Box 1078 Blindern, NO-0316 Oslo, Norway
| | - Ingvild B.M. Tjelmeland
- Division of Prehospital Services, Oslo University Hospital, Ullevål Hospital, P.O. Box 4956 Nydalen, NO-0424 Oslo, Norway
- Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, P.O. Box 1078 Blindern, NO-0316 Oslo, Norway
- University Hospital Schleswig-Holstein, Institute for Emergency Medicine, Holzkoppelweg 8-12, Kiel, Germany
| | - Hilde Moseby Berge
- Oslo Sports Trauma Research Center, Department of Sports Medicine, Norwegian School of Sport Sciences, P.O. Box 4014 Ullevål Stadion, NO-0806 Oslo, Norway
- Department of General Practice, Institute of Health and Society, University of Oslo, P.O. Box 1130 Blindern, NO-0318 Oslo, Norway
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de Melo Santana B, Raffin Moura J, Martins de Toledo A, Burke TN, Fernandes Probst L, Pasinato F, Luiz Carregaro R. Efficacy of mHealth Interventions for Improving the Pain and Disability of Individuals With Chronic Low Back Pain: Systematic Review and Meta-Analysis. JMIR Mhealth Uhealth 2023; 11:e48204. [PMID: 37962085 PMCID: PMC10662677 DOI: 10.2196/48204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2023] [Revised: 07/14/2023] [Accepted: 07/21/2023] [Indexed: 11/15/2023] Open
Abstract
Background Low back pain is one of the main causes of disability worldwide. Individuals with chronic conditions have been widely affected by the COVID-19 pandemic. In this context, mobile health (mHealth) has become popular, mostly due to the widespread use of smartphones. Despite the considerable number of apps for low back pain available in app stores, the effectiveness of these technologies is not established, and there is a lack of evidence regarding the effectiveness of the isolated use of mobile apps in the self-management of low back pain. Objective We summarized the evidence on the effectiveness of mHealth interventions on pain and disability for individuals with chronic low back pain. Methods We conducted a systematic review and meta-analysis comparing mHealth to usual care or no intervention. The search terms used were related to low back pain and mHealth. Only randomized controlled trials were included. The primary outcomes were pain intensity and disability, and the secondary outcome was quality of life. Searches were carried out in the following databases, without date or language restriction: PubMed, Scopus, Embase, Physiotherapy Evidence Database (PEDro), the Cochrane Library, and OpenGrey, in addition to article references. The risk of bias was analyzed using the PEDro scale. Data were summarized descriptively and through meta-analysis (pain intensity and disability). In the meta-analysis, eligible studies were combined while considering clinical and methodological homogeneity. The certainty of evidence was assessed using the GRADE (Grading of Recommendations, Assessment, Development, and Evaluations) criteria. Results A total of 5 randomized controlled trials were included, totaling 894 participants (447 allocated to the mHealth group and 445 to the usual care group), and they had similar methodological structure and interventions. Follow-up ranged from 6 weeks to 12 months. The studies did not demonstrate significant differences for pain intensity (mean difference -0.86, 95% CI -2.29 to 0.58; P=.15) and disability (standardized mean difference -0.24, 95% CI -0.69 to 0.20; P=.14) when comparing mHealth and usual care. All studies showed biases, with emphasis on nonconcealed allocation and nonblinding of the outcome evaluator. The certainty of evidence was rated as low for the analyzed outcomes. Conclusions mHealth alone was no more effective than usual care or no treatment in improving pain intensity and disability in individuals with low back pain. Due to the biases found and the low certainty of evidence, the evidence remains inconclusive, and future quality clinical trials are needed.
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Affiliation(s)
- Bruna de Melo Santana
- Graduate Program in Rehabilitation Sciences, School of Physical Therapy, University of Brasilia, Campus UnB Ceilândia, Brasilia, Brazil
| | - Julia Raffin Moura
- Graduate Program in Rehabilitation Sciences, School of Physical Therapy, University of Brasilia, Campus UnB Ceilândia, Brasilia, Brazil
| | - Aline Martins de Toledo
- Graduate Program in Rehabilitation Sciences, School of Physical Therapy, University of Brasilia, Campus UnB Ceilândia, Brasilia, Brazil
| | - Thomaz Nogueira Burke
- School of Physical Therapy, Universidade Federal do Mato Grosso do Sul, Campo Grande, Brazil
| | - Livia Fernandes Probst
- Unidade de Avaliação de Tecnologias em Saúde, Hospital Alemão Oswaldo Cruz, São Paulo, Brazil
| | - Fernanda Pasinato
- Graduate Program in Rehabilitation Sciences, School of Physical Therapy, University of Brasilia, Campus UnB Ceilândia, Brasilia, Brazil
| | - Rodrigo Luiz Carregaro
- Graduate Program in Rehabilitation Sciences, School of Physical Therapy, University of Brasilia, Campus UnB Ceilândia, Brasilia, Brazil
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Callahan CE, Stoner L, Zieff GH, Register-Mihalik JK. The Additive Benefits of Aerobic Exercise and Cognitive Training Postconcussion: Current Clinical Concepts. J Athl Train 2023; 58:602-610. [PMID: 35984726 PMCID: PMC10569252 DOI: 10.4085/1062-6050-0186.22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Concussion induces the rapid onset of a short-lived neurophysiological disturbance that often results in autonomic nervous system dysfunction. This dysfunction affects both cardiovascular functioning and higher cognitive processing, inducing postconcussion clinical symptoms (somatic, cognitive, or emotional or a combination) and functional disturbances (impaired balance, cognition, and visual-vestibular performance). Current concussion rehabilitation paradigms using aerobic exercise may improve concussion symptoms. Additionally, cognitive training-focused rehabilitation interventions may enhance cognitive function postinjury. Though aerobic exercise and cognitive training-based concussion rehabilitation are successful independently, the multifaceted nature of concussion suggests the potential benefit of integrating both to improve concussion outcomes and clinician implementation. To support this clinical recommendation, we critiqued the existing research in which authors investigated aerobic exercise and cognitive training as postconcussion rehabilitation modalities, identified keys gaps in the literature, and proposed a practical clinical recommendation to integrate both modalities during concussion rehabilitation.
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Affiliation(s)
- Christine E. Callahan
- Matthew Gfeller Sport-Related Traumatic Brain Injury Research Center, Department of Exercise and Sport Science, The University of North Carolina at Chapel Hill
- Human Movement Science Curriculum, The University of North Carolina at Chapel Hill
| | - Lee Stoner
- Cardiometabolic Laboratory, Department of Exercise and Sport Science, The University of North Carolina at Chapel Hill
| | - Gabriel H. Zieff
- Human Movement Science Curriculum, The University of North Carolina at Chapel Hill
- Cardiometabolic Laboratory, Department of Exercise and Sport Science, The University of North Carolina at Chapel Hill
| | - Johna K. Register-Mihalik
- Matthew Gfeller Sport-Related Traumatic Brain Injury Research Center, Department of Exercise and Sport Science, The University of North Carolina at Chapel Hill
- Injury Prevention Research Center, The University of North Carolina at Chapel Hill
- STAR Heel Performance Laboratory, Department of Exercise and Sport Science, The University of North Carolina at Chapel Hill
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Lindsay RK, Smith L, Allen PM. Delphi Study: Designing Training to Enable Visual Impairment Services to Promote Physical Activity. Vision (Basel) 2023; 7:vision7010008. [PMID: 36810312 PMCID: PMC9944588 DOI: 10.3390/vision7010008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2022] [Revised: 01/12/2023] [Accepted: 01/20/2023] [Indexed: 01/25/2023] Open
Abstract
Research suggests adults with visual impairment would increase their physical activity (PA) if they were advised to by a professional working in visual impairment services. However, there are no training programs which are targeted at enabling these professionals to promote PA. Therefore, this study aims to inform a UK-based training program which facilitates PA promotion within visual impairment services. A modified Delphi technique was used, consisting of a focus group and two rounds of surveys. The panel included 17 experts in round one, and 12 experts in round two. Consensus was defined as equal to or greater than 70% agreement. The panel agreed training should: educate professionals on PA benefits, injury prevention, and wellbeing, address myths associated with PA, address health and safety concerns, help professionals to find local PA opportunities, and include a networking session for professionals in visual impairment services and local PA providers. The panel agreed training should also target PA providers and volunteers for visual impairment services, and that training should be delivered online and in-person. In conclusion, training should provide professionals with the capability to promote PA and to establish stakeholder partnerships. The present findings can inform future research which tests the panel's recommendations.
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Affiliation(s)
- Rosie K. Lindsay
- Vision and Hearing Sciences Research Centre, Anglia Ruskin University, Cambridge CB1 1PT, UK
- Correspondence:
| | - Lee Smith
- Centre for Health Performance and Wellbeing, Anglia Ruskin University, Cambridge CB1 1PT, UK
| | - Peter M. Allen
- Vision and Hearing Sciences Research Centre, Anglia Ruskin University, Cambridge CB1 1PT, UK
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Differences in Health-Related Quality of Life and Physical Condition of Two Community-Based Exercise Programs in Subjects with Cardiovascular Risk Factors: A Prospective Observational Cohort Study. J Pers Med 2022; 12:jpm12111894. [DOI: 10.3390/jpm12111894] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Revised: 10/29/2022] [Accepted: 11/09/2022] [Indexed: 11/16/2022] Open
Abstract
We compared the effect of two community-based physical activity (PA) programs on health-related quality of life (HRQL) and physical condition in people with cardiovascular risk factors. Fifty-one subjects participated in the “ACTIVA Murcia” AM3 program characterized by non-individualized training loads for 3 months, and forty-two participated in the AM6 program characterized by individualized progressive training loads for 6 months. Both programs included a 6-month follow-up period without PA. HRQL was assessed with the Short Form 36 Health Survey (SF-36) and physical condition by VO2 max, strength, flexibility, and balance. Participants in the AM6 program as compared with those in the AM3 program showed significantly higher scores in the subscales of physical functioning, mental health, energy/vitality, and general health. Mental health and general health at 6 months of follow-up were also scored significantly higher by AM6 participants. VO2 max and flexibility improved more in the AM6 group, whereas strength was better in the AM3 group. Half of the participants in the AM6 program expressed a strong willingness to continue exercising vs. 38% in the AM3 program. In this study, a community-based PA program with individualized progressive training loads of 6-month duration showed a more favorable impact on HRQL than a 3-month non-individualized PA program.
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Ringin E, Meyer D, Neill E, Phillipou A, Tan EJ, Toh WL, Sumner PJ, Owen N, Hallgren M, Dunstan DW, Rossell SL, Van Rheenen TE. Psychological-health correlates of physical activity and sedentary behaviour during the COVID pandemic. Ment Health Phys Act 2022; 23:100481. [PMID: 36406837 PMCID: PMC9664206 DOI: 10.1016/j.mhpa.2022.100481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Revised: 10/04/2022] [Accepted: 10/05/2022] [Indexed: 11/17/2022]
Abstract
BACKGROUND While physical inactivity is associated with adverse psychological outcomes, less is known about the psychological outcomes associated with sedentary behaviour, and specifically, its mentally active and passive forms. The COVID-19 pandemic represents a unique opportunity to study associations between these variables in light of widespread stay-at-home mandates and restrictions on outdoor exercise/social activities. Using a cross-sectional dataset acquired during the COVID-19 pandemic in Australia, we examined whether physical activity and sedentary behaviour were associated with subjective quality of life (sQoL) and subjective cognitive dysfunction, and whether these associations were mediated by depressive symptoms. METHODS 658 participants (males = 169, females = 489) self-reported data on physical activity and sedentary behaviour in an online survey during May 2020-May 2021. Data on physical activity and sedentary behaviour (both mentally active and passive types) was compared according to whether it was collected during or out of a lockdown period. Regression models were used to test associations of physical activity and sedentary behaviour with sQoL and subjective cognitive dysfunction, and whether these associations were mediated by depression severity. RESULTS Physical activity was beneficially associated with sQoL, whereas sedentary behaviour (both total hours and the reduction of mentally active/increase in mentally passive behaviour) was detrimentally associated with sQoL. These associations were mediated by depression severity. Physical activity and sedentary behaviour were also indirectly associated with subjective cognitive dysfunction by virtue of their associations with depression severity. CONCLUSIONS There are important differences in the psychological correlates of mentally passive and active sedentary behaviours. Our findings suggest that health promotion strategies should focus on not only increasing physical activity but also reducing passive sedentary behaviours as a means of maintaining good psychological health.
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Affiliation(s)
- Elysha Ringin
- Melbourne Neuropsychiatry Centre, Department of Psychiatry, University of Melbourne and Melbourne Health, Melbourne, Australia
| | - Denny Meyer
- Centre for Mental Health, School of Health Sciences, Swinburne University, Melbourne, Australia
| | - Erica Neill
- Centre for Mental Health, School of Health Sciences, Swinburne University, Melbourne, Australia
- St Vincent's Mental Health, St Vincent's Hospital, Victoria, Australia
| | - Andrea Phillipou
- Centre for Mental Health, School of Health Sciences, Swinburne University, Melbourne, Australia
- Department of Mental Health, Austin Hospital, Melbourne, Victoria, Australia
| | - Eric J Tan
- Centre for Mental Health, School of Health Sciences, Swinburne University, Melbourne, Australia
- St Vincent's Mental Health, St Vincent's Hospital, Victoria, Australia
| | - Wei Lin Toh
- Centre for Mental Health, School of Health Sciences, Swinburne University, Melbourne, Australia
| | - Philip J Sumner
- Centre for Mental Health, School of Health Sciences, Swinburne University, Melbourne, Australia
| | - Neville Owen
- Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia
- Centre for Urban Transitions, Swinburne University of Technology, Melbourne, Victoria, Australia
| | - Mats Hallgren
- Epidemiology of Psychiatric Conditions, Substance Use and Social Environment (EPiCSS), Department of Global Public Health Sciences, Karolinska Institutet, Stockholm, 171 77, Sweden
| | - David W Dunstan
- Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia
- Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Australia
| | - Susan L Rossell
- Centre for Mental Health, School of Health Sciences, Swinburne University, Melbourne, Australia
- St Vincent's Mental Health, St Vincent's Hospital, Victoria, Australia
| | - Tamsyn E Van Rheenen
- Melbourne Neuropsychiatry Centre, Department of Psychiatry, University of Melbourne and Melbourne Health, Melbourne, Australia
- Centre for Mental Health, School of Health Sciences, Swinburne University, Melbourne, Australia
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10
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de Souza ALK, dos Santos LP, Rech CR, Rodriguez-Añez CR, Alberico C, Borges LJ, Fermino RC. Barriers to physical activity among adults in primary healthcare units in the National Health System: a cross-sectional study in Brazil. SAO PAULO MED J 2022; 140:658-667. [PMID: 36043670 PMCID: PMC9514869 DOI: 10.1590/1516-3180.2021.0757.r1.20122021] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/08/2021] [Accepted: 12/20/2021] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Many factors may negatively impact physical activity (PA), but studies lack evidence of individual predictors of perceived barriers to PA among adults in primary healthcare units. OBJECTIVE To analyze associations between sociodemographic characteristics, health conditions, leisure-time physical activity (LTPA), PA counseling and perceived barriers to LTPA among adult patients in primary healthcare units of the National Health System in Brazil. DESIGN AND SETTING Cross-sectional study on a representative sample of adults in primary healthcare units in São José dos Pinhais, Paraná, Brazil. METHODS This study was conducted in 2019, among 779 adults (70% women). Barriers to LTPA, sociodemographic characteristics (sex, age, marital status, skin color, education and income), health conditions (body mass index, hypertension, diabetes, dyslipidemia, coronary disease and medications), LTPA level and PA counseling received were measured using validated, standardized procedures. The data were analyzed using chi-square and Mann-Whitney U tests. RESULTS The most prevalent barriers were "feeling too tired" (53%) and "lack of time" (52%). PA counseling was inversely associated with "lack of time" (45% versus 57%; P < 0.001) but positively associated with "injury or disease" (38% versus 29%; P = 0.008). There was an inverse linear trend between the number of barriers and LTPA (walking and total) (P < 0.001). Most barriers differed in comparisons of sociodemographic characteristics, health conditions, LTPA and counseling (P < 0.05). CONCLUSIONS The barriers vary according to the individual predictors. Counseling strategies need to be specific for each barrier and may be promising for promoting LTPA within primary healthcare.
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Affiliation(s)
- Ana Luísa Kuehn de Souza
- BHSc. Student, Multiprofessional Residency Program on Family Health, Sergio Arouca National School of Public Health, Fundação Oswaldo Cruz (FIOCRUZ), Rio de Janeiro (RJ), Brazil
| | - Letícia Pechnicki dos Santos
- MSc. Researcher, Postgraduate Program on Physical Education and Research Group on Environment, Physical Activity and Health, Universidade Tecnológica Federal do Paraná (UTFPR), Curitiba (PR), Brazil
| | - Cassiano Ricardo Rech
- PhD. Professor and Researcher, Postgraduate Program on Physical Education and Study Group on Urban Environment and Health, Universidade Federal de Santa Catarina (UFSC), Florianópolis (SC), Brazil
| | - Ciro Romelio Rodriguez-Añez
- PhD. Professor and Researcher, Postgraduate Program on Physical Education and Research Group on Environment, Physical Activity and Health, Universidade Tecnológica Federal do Paraná (UTFPR), Curitiba (PR), Brazil
| | - Claudia Alberico
- PhD. Researcher, Biomedical/Biotechnology Research Institute, North Carolina Central University (NCCU), Durham (NC), United States
| | - Lucélia Justino Borges
- PhD. Professor and Researcher, Department of Physical Education, Universidade Federal do Paraná (UFPR), Curitiba (PR), Brazil
| | - Rogério César Fermino
- PhD. Professor and Researcher, Postgraduate Program on Physical Education and Research Group on Environment, Physical Activity and Health, Universidade Tecnológica Federal do Paraná (UTFPR), Curitiba (PR), Brazil
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11
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Crist K, Benmarhnia T, Frank LD, Song D, Zunshine E, Sallis JF. The TROLLEY Study: assessing travel, health, and equity impacts of a new light rail transit investment during the COVID-19 pandemic. BMC Public Health 2022; 22:1475. [PMID: 35918683 PMCID: PMC9344230 DOI: 10.1186/s12889-022-13834-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Accepted: 07/20/2022] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND The COVID-19 pandemic disrupted life in extraordinary ways impacting health and daily mobility. Public transit provides a strategy to improve individual and population health through increased active travel and reduced vehicle dependency, while ensuring equitable access to jobs, healthcare, education, and mitigating climate change. However, health safety concerns during the COVID-19 pandemic eroded ridership, which could have longstanding negative consequences. Research is needed to understand how mobility and health change as the pandemic recedes and how transit investments impact health and equity outcomes. METHODS The TROLLEY (TRansit Opportunities for HeaLth, Livability, Exercise and EquitY) study will prospectively investigate a diverse cohort of university employees after the opening of a new light rail transit (LRT) line and the easing of campus COVID-19 restrictions. Participants are current staff who live either < 1 mile, 1-2 miles, or > 2 miles from LRT, with equal distribution across economic and racial/ethnic strata. The primary aim is to assess change in physical activity, travel mode, and vehicle miles travelled using accelerometer and GPS devices. Equity outcomes include household transportation and health-related expenditures. Change in health outcomes, including depressive symptoms, stress, quality of life, body mass index and behavior change constructs related to transit use will be assessed via self-report. Pre-pandemic variables will be retrospectively collected. Participants will be measured at 3 times over 2 years of follow up. Longitudinal changes in outcomes will be assessed using multilevel mixed effects models. Analyses will evaluate whether proximity to LRT, sociodemographic, and environmental factors modify change in outcomes over time. DISCUSSION The TROLLEY study will utilize rigorous methods to advance our understanding of health, well-being, and equity-oriented outcomes of new LRT infrastructure through the COVID-19 recovery period, in a sample of demographically diverse adult workers whose employment location is accessed by new transit. Results will inform land use, transportation and health investments, and workplace interventions. Findings have the potential to elevate LRT as a public health priority and provide insight on how to ensure public transit meets the needs of vulnerable users and is more resilient in the face of future health pandemics. TRIAL REGISTRATION The TROLLEY study was registered at ClinicalTrials.gov ( NCT04940481 ) June 17, 2021, and OSF Registries ( https://doi.org/10.17605/OSF.IO/PGEHU ) June 24, 2021, prior to participant enrollment.
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Affiliation(s)
- Katie Crist
- Department of Urban Studies & Planning, UC San Diego, 9500 Gilman Drive, La Jolla, San Diego, CA, 92093, USA.
| | - Tarik Benmarhnia
- Scripps Institution of Oceanography, UC San Diego, 9500 Gilman Drive, La Jolla, San Diego, CA, 92093, USA
| | - Lawrence D Frank
- Department of Urban Studies & Planning, UC San Diego, 9500 Gilman Drive, La Jolla, San Diego, CA, 92093, USA
| | - Dana Song
- Department of Urban Studies & Planning, UC San Diego, 9500 Gilman Drive, La Jolla, San Diego, CA, 92093, USA
| | - Elizabeth Zunshine
- Moores Cancer Center, UC San Diego, 9500 Gilman Drive, La Jolla, San Diego, CA, 92093, USA
| | - James F Sallis
- Herbert Wertheim School of Public Health and Human Longevity Science, UC San Diego, 9500 Gilman Drive, La Jolla, San Diego, CA, 92093, USA
- Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia
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12
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BMI, Body Image, and Quality of Life—Moderating Role of Physical Activity. APPLIED SCIENCES-BASEL 2022. [DOI: 10.3390/app12147061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/10/2022]
Abstract
Body mass index (BMI) and body image (BI) are constructs worth examining in the context of physical activity (PA), and they are both related to quality of life (QoL). PA, BMI, and BI should all be considered as associated parameters, and their effect on QoL should be examined and understood. This study aimed to determine the moderating role of PA in the relationship of BMI and BI with QoL. The sample of examinees consisted of 500 respondents (307 women; aged 39 ± 6 years). A physical activity self-evaluation questionnaire (IPAQ-SF) was used to estimate PA; BI was evaluated by using the Body Image Dimensional Assessment (BIDA) questionnaire, while QoL was determined with the WHOQOL-BREF questionnaire. The results showed that vigorous PA moderates the relationship between BMI and social relationships in adults (Sig. = 0.000). Walking and vigorous PA affect the relationship between BMI and environmental health (Sig. = 0.017 and Sig. = 0.049, respectively). Both walking (Sig. = 0.035) and moderate PA (Sig. = 0.032) alternate the relationships between BI and social relationships. Walking (Sig. = 0.000) and vigorous PA (Sig. = 0.016) moderate the relationship between BI and environmental health. The influence of PA on the moderation of the relationship of BMI and BI with physical and psychological health in the working population was not statistically significant.
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Effectiveness of Preoperative Chest Physiotherapy in Patients Undergoing Elective Cardiac Surgery, a Systematic Review and Meta-Analysis. MEDICINA (KAUNAS, LITHUANIA) 2022; 58:medicina58070911. [PMID: 35888629 PMCID: PMC9319848 DOI: 10.3390/medicina58070911] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Revised: 06/29/2022] [Accepted: 07/05/2022] [Indexed: 12/02/2022]
Abstract
Background and Objectives: Patients undergoing cardiac surgery are particularly vulnerable for developing postoperative pulmonary complications (PPCs). This systematic review and meta-analysis aimed to evaluate the role of preoperative chest physiotherapy in such patients. Materials and Methods: All original articles that assessed patients undergoing elective cardiac surgery, with preoperative chest physiotherapy, and compared them to patients undergoing elective cardiac surgery, without preoperative chest physiotherapy, were included. Animal studies, studies conducted prior to the year 2000, commentaries, or general discussion papers whose authors did not present original data were excluded. Studies assessing physiotherapy regimens other than chest physiotherapy were also excluded. The search was performed using the following electronic resources: the Cochrane Central Register of Controlled Trials, the PubMed central database, and Embase. The included studies were assessed for potential bias using the Cochrane Collaboration’s tool for assessing the risk of bias. Each article was read carefully, and any relevant data were extracted. The extracted data were registered, tabulated, and analyzed using Review Manager software. Results: A total of 10 articles investigating 1458 patients were included in the study. The studies were published from 2006 to 2019. The populations were patients scheduled for elective CABG/cardiac surgery, and they were classified into two groups: the interventional (I) group, involving 651 patients, and the control (C) group, involving 807 patients. The meta-analysis demonstrated no significant differences between the interventional and control groups in surgery time and ICU duration, but a significant difference was found in the time of mechanical ventilation and the length of hospital stay, favoring the interventional group. A significant difference was shown in the forced expiratory volume in 1s (FEV1% predicted), forced vital capacity (FVC% predicted), and maximum inspiratory pressure (Pi-max), favoring the interventional group. Conclusions: This study is limited by the fact that one of the included ten studies was not an RCT. Moreover, due to lack of the assessment of certain variables in some studies, the highest number of studies included in a meta-analysis was the hospital stay length (eight studies), and the other variables were analyzed in a fewer number of studies. The data obtained can be considered as initial results until more inclusive RCTs are conducted involving a larger meta-analysis. However, in the present study, the intervention was proved to be protective against the occurrence of PPCs. The current work concluded that preoperative chest physiotherapy can yield better outcomes in patients undergoing elective cardiac surgery.
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14
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Abrantes LCS, de Souza de Morais N, Gonçalves VSS, Ribeiro SAV, de Oliveira Sediyama CMN, do Carmo Castro Franceschini S, dos Santos Amorim PR, Priore SE. Physical activity and quality of life among college students without comorbidities for cardiometabolic diseases: systematic review and meta-analysis. Qual Life Res 2022; 31:1933-1962. [PMID: 34800221 PMCID: PMC8605778 DOI: 10.1007/s11136-021-03035-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/03/2021] [Indexed: 11/24/2022]
Abstract
PURPOSE To systematically review studies on the relationship between physical activity (PA) and quality of life (QOL) in university students without comorbidities for cardiometabolic diseases from around the world. METHODS We included observational studies with university students of both sexes, from public or private institutions, and that investigated the association or correlation between physical activity and quality of life among these students, without delimitation of date, language, or location. Reviews, letters to the editors, studies with qualitative methodologies, case studies, book chapters, articles with college students who had some specific disease or condition, such as obesity, diabetes, and others; studies with children of parents with chronic diseases, and those that were institutions aimed only at very specific populations, were excluded. Meta-analysis was calculated. RESULTS Thirty studies, consisting of 19,731 students, were included. The most commonly used instruments to assess the quality of life of the university population were the Quality of Life Questionnaire-short version (WHOQOL-BREF), and the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). The International Physical Activity Questionnaire (IPAQ) was the most commonly used instrument to assess PA. For the meta-analysis, 22 studies were included. Weak but positive correlations were found between PA and the QOL domains: physical health (0.16. 95% CI 0.11 0.22; I2 = 99.96%); mental health (0.14; 95% CI 0.07-0.20; I2 = 99.97%); social relations (0.24, 95% CI 0.08-0. 38; I2 = 99.99%); environment (0.23, 95% CI 0.14-0.32; I2 = 99.90%); vitality (0.17. 95% CI 0.15-0.20; I2 = 99.49%) pain (0.02. 95% CI - 0.02 to 0.12; I2 = 99.96%); QOL and PA (0.21, 95% CI 0.08-0.34; I2 = 99.99%).An association of R = 0.60 (95% CI 0.25-0.95; I2 = 85.61%) was found between QOL and PA in total. CONCLUSION The results of our study showed a weak but positive relationship between physical activity and overall quality of life in college students, and also between PA and the domains of QL: physical health, social relationships, mental health, environment, and vitality, in this same population. It is important to study this population, since risk behaviors in this phase tend to perpetuate in the other phases of life.
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Affiliation(s)
- Lívia Carvalho Sette Abrantes
- Federal University of Viçosa (UFV), Viçosa, Brazil
- Department of Nutrition and Health, Ed. Biological Sciences Center II, Universidade Federal de Viçosa (UFV), Avenida Peter Henry Rolfs, S/no., University Campus, Viçosa, MG CEP: 36570-900 Brazil
| | - Núbia de Souza de Morais
- Department of Nutrition and Health, Ed. Biological Sciences Center II, Universidade Federal de Viçosa (UFV), Avenida Peter Henry Rolfs, S/no., University Campus, Viçosa, MG CEP: 36570-900 Brazil
| | | | - Sarah Aparecida Vieira Ribeiro
- Department of Nutrition and Health, Ed. Biological Sciences Center II, Universidade Federal de Viçosa (UFV), Avenida Peter Henry Rolfs, S/no., University Campus, Viçosa, MG CEP: 36570-900 Brazil
| | | | - Sylvia do Carmo Castro Franceschini
- Department of Nutrition and Health, Ed. Biological Sciences Center II, Universidade Federal de Viçosa (UFV), Avenida Peter Henry Rolfs, S/no., University Campus, Viçosa, MG CEP: 36570-900 Brazil
| | | | - Silvia Eloiza Priore
- Department of Nutrition and Health, Ed. Biological Sciences Center II, Universidade Federal de Viçosa (UFV), Avenida Peter Henry Rolfs, S/no., University Campus, Viçosa, MG CEP: 36570-900 Brazil
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Govindaraju T, McCaffrey TA, McNeil JJ, Reid CM, Smith BJ, Campbell DJ, Liew D, Owen AJ. Quality of life and associations with health-related behaviours among older adults with increased cardiovascular risk. Nutr Metab Cardiovasc Dis 2022; 32:1146-1153. [PMID: 35260311 DOI: 10.1016/j.numecd.2022.01.025] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Revised: 01/13/2022] [Accepted: 01/17/2022] [Indexed: 11/28/2022]
Abstract
BACKGROUND AND AIMS A better understanding of the relationship between cardiovascular disease risk factors and quality of life (QoL) in older age is needed to inform development of risk reduction strategies. This cross-sectional study investigated the association of QoL with health-related behaviours in older adults at risk of heart failure. METHODS AND RESULTS Older adults (N = 328) at risk of heart failure residing in Melbourne, Australia, provided data on QoL and health-related behaviours including physical activity, diet, smoking and alcohol consumption. Multiple linear regression modelling was used to examine associations between health-related behaviours, QoL and its constituent domains. After adjustment for age, gender, body mass index and comorbidities, current smoking was found to have a negative association with the mental component score (MCS) of QoL (β = -0.174, p ≤ 0.01), with a positive association seen between MCS and physical activity (β = 0.130, p = 0.01). Current alcohol use had a positive association with the physical component score (PCS) (β = 0.120, p = 0.02) and saturated fat intake consumption had a negative association with the physical functioning domain of QoL (β = -0.105, p = 0.03) but was not associated with either PCS or MCS. CONCLUSION Engagement of older adults at increased cardiovascular risk with behavioural risk factor modification using QoL as a driver of change may offer new opportunities to promote healthy ageing. Development of such strategies should consider that for some behaviours which are cardiovascular risk factors (alcohol intake, in particular), the positive association to QoL is complicated and needs further deliberation.
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Affiliation(s)
- Thara Govindaraju
- Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia
| | - Tracy A McCaffrey
- Department of Nutrition, Dietetics and Food, Monash University, Melbourne, Australia
| | - John J McNeil
- Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia
| | - Christopher M Reid
- Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia; School of Public Health, Curtin University, Perth, Australia
| | - Ben J Smith
- Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia; Sydney School of Public Health, The University of Sydney, Sydney, Australia
| | - Duncan J Campbell
- St. Vincent's Institute of Medical Research, Melbourne, Australia; University of Melbourne, Parkville, Melbourne, Australia; Department of Medicine, St. Vincent's Hospital, Melbourne, Australia
| | - Danny Liew
- Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia
| | - Alice J Owen
- Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia.
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Scarabottolo CC, Tebar WR, Gobbo LA, Ohara D, Ferreira AD, da Silva Canhin D, Christofaro DGD. Analysis of different domains of physical activity with health-related quality of life in adults: 2-year cohort. Health Qual Life Outcomes 2022; 20:71. [PMID: 35488344 PMCID: PMC9052447 DOI: 10.1186/s12955-022-01981-3] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2021] [Accepted: 04/22/2022] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND It is estimated that, worldwide, 9% of deaths occur as a result of insufficient physical activity (PA) practice. Practicing PA can prevent and/or reduce the deleterious effects of different types of diseases and can improve general health aspects related to health-related quality of life (HRQoL). PURPOSE To analyze the relationship of different PA domains with different HRQoL domains over a two-year period. METHODS This is an observational study with a two-year longitudinal design. The sample, composed of adults, was selected from a randomization of the streets of the different regions (north, south, east, west and center) covering individuals from all areas of the city. To assess the practice of PA, the Baecke questionnaire was used. The instrument Medical Outcomes Study SF-36-Item Short Form Health Survey was used to assess the HRQoL domains. Linear regression models were used to analyzed the association of different PA domains with changes in HRQoL. Multivariate statistical models were adjusted for gender, age, socioeconomic status, marital status, the respective PA score at baseline, smoking, body mass index, and morbidity. RESULTS 331 adults were evaluated. There was a decrease in the practice of PA in the occupational domain and an increase in the leisure/locomotion domain. Regarding HRQoL, there was an increase in the scores of body pain and mental health, and a decrease in scores of general health, vitality, social aspects and emotional aspects. The PA practice in the occupational domain was inversely related to functional capacity (β = - 7.2 [CI 95% - 13.0; - 1.4]). The practice of PA through sports in leisure time was positively associated with vitality (β = 5.5 [CI 95% 0.2; 10.7]) and mental health (β = 15.2 [CI 95% 6.8; 23.7]). PA practice during leisure and locomotion was inversely associated with functional capacity (β = - 5.68 [CI 95% - 10.7; - 0.6]) and positively associated with vitality β = 4.8 [CI 95% 0.8; 8.7]) and mental health (β = 8.4 [CI 95% 2.0; 14.9]). The total PA practice was inversely associated with functional capacity (β = - 3.8 [CI 95% - 6.5; - 1.2]) and positively associated with pain in the body (β = 4.9 [CI 95% 0.3; 9.4]), vitality (β = 2.9 [CI 95% 0.7; 5.0]) and mental health (β = 5.7 [CI 95% 2.2; 9.2]). CONCLUSIONS It is suggested that practicing PA continuously within a period of two years can positively affect some physical aspects and some mental aspects related to HRQoL, but not all of them. A strategy for public policy actions is to explore these variables by domain and thus detect the real needs and improvements that can be made for the population.
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Affiliation(s)
- Catarina Covolo Scarabottolo
- School of Technology and Sciences, Graduate Program in Movement Sciences, Physical Education Department, São Paulo State University (Unesp), Rua Roberto Simonsen, 305, Presidente Prudente, São Paulo, CEP: 19060-900, Brazil.
| | - William Rodrigues Tebar
- Center of Clinical and Epidemiological Research, University Hospital, University of Sao Paulo, São Paulo, Brazil
| | - Luis Alberto Gobbo
- School of Technology and Sciences, Graduate Program in Movement Sciences, Physical Education Department, São Paulo State University (Unesp), Rua Roberto Simonsen, 305, Presidente Prudente, São Paulo, CEP: 19060-900, Brazil
| | - David Ohara
- Department of Health Sciences, Santa Cruz State University, Ilhéus, Brazil
| | - Aline Duarte Ferreira
- Physiotherapy Department, University of Western São Paulo (UNOESTE), Presidente Prudente, Brazil
| | - Daniel da Silva Canhin
- School of Technology and Sciences, Graduate Program in Movement Sciences, Physical Education Department, São Paulo State University (Unesp), Rua Roberto Simonsen, 305, Presidente Prudente, São Paulo, CEP: 19060-900, Brazil
| | - Diego Giulliano Destro Christofaro
- School of Technology and Sciences, Graduate Program in Movement Sciences, Physical Education Department, São Paulo State University (Unesp), Rua Roberto Simonsen, 305, Presidente Prudente, São Paulo, CEP: 19060-900, Brazil.,School of Technology and Sciences, Graduate Program in Physiotherapy, Physiotherapy Department, São Paulo State University (Unesp), Presidente Prudente, Brazil
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Sung H, Kim G, Ma X, Choe H, Han Y, Yoon J, Ryu Y, Kim YS. Physical Activity Trends in Korean Adults from Korea National Health and Nutritional Examination Survey from 2014 to 2019. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:5213. [PMID: 35564610 PMCID: PMC9100085 DOI: 10.3390/ijerph19095213] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Revised: 04/19/2022] [Accepted: 04/20/2022] [Indexed: 11/20/2022]
Abstract
The current study aimed to examine the adherence trend for aerobic and muscle-strengthening physical activity (PA) guidelines among Korean adults using the Korea National Health and Nutritional Examination Survey from 2014 to 2019. Korean adults (N = 2642) were included in the current study to examine the trend of PA adherence from 2014 to 2019. The PA guidelines are: (a) aerobic activity (a minimum of 150 min moderate to vigorous PA weekly) and (b) muscle-strengthening activity (a minimum of two days weekly). Self-report questionnaires in the survey measured both activities. The adherence to PA guidelines by survey year was examined using a multivariable logistic regression analysis adjusted for covariates. There was a significant decreasing trend in which the adherence rate to aerobic PA guidelines changed from 57.0% in 2014 to 45.6% in 2019 (p < 0.001). On the other hand, the trend in adherence rate to muscle-strengthening activity was not significant (p = 0.976). The adherence rate to muscle-strengthening activity guideline was slightly increased but still low from 20.8% to 23.3% during 2014−2019. The aerobic PA guidelines are significantly decreasing, and more than half of the Korean adults in 2019 have not followed the guidelines. In addition, there has been a slight increase in muscle-strengthening activity; however, the adherence rate is meager. Therefore, this study suggests that Korean adults’ aerobic and muscle-strengthening PA participation is necessary for their low adherence rate and decline tendency.
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Affiliation(s)
| | | | | | | | | | | | | | - Yeon Soo Kim
- Department of Physical Education, Seoul National University, Seoul 08826, Korea; (H.S.); (G.K.); (X.M.); (H.C.); (Y.H.); (J.Y.); (Y.R.)
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18
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Pojednic R, D’Arpino E, Halliday I, Bantham A. The Benefits of Physical Activity for People with Obesity, Independent of Weight Loss: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:4981. [PMID: 35564376 PMCID: PMC9102424 DOI: 10.3390/ijerph19094981] [Citation(s) in RCA: 23] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Revised: 04/10/2022] [Accepted: 04/14/2022] [Indexed: 02/06/2023]
Abstract
Purposeful weight loss continues to be the primary focus for treating obesity. However, this strategy appears to be inadequate as obesity rates continue to rise and a myriad of benefits of physical activity that affect multiple health outcomes related to obesity and associated comorbidities are not integrated into treatment strategies. There are emerging correlational data in individuals with obesity that demonstrate physical activity can be beneficial to many critical health markers, independent of weight loss or changes in BMI. This systematic review investigates interventional studies that examine health markers, independent of weight loss, in individuals with obesity. Fourteen studies were identified that utilized a variety of physical activity interventions with primary endpoints that included cellular, metabolic, systemic and brain health outcomes. The review of the literature demonstrates that for individuals with obesity, there are both small-scale and large-scale physiologic benefits that occur with increased physical activity of various modalities. Focusing on these benefits, rather than a narrow focus of weight loss alone, may increase physical activity behavior and health for individuals with obesity.
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Affiliation(s)
- Rachele Pojednic
- Department of Health and Human Performance, Norwich University, Northfield, VT 05663, USA
- Institute of Lifestyle Medicine, Harvard Medical School, Boston, MA 02115, USA
| | - Emma D’Arpino
- Harvard Extension School, Cambridge, MA 02138, USA; (E.D.); (I.H.)
- MGH Institute of Health Professions, Charlestown, Boston, MA 02129, USA
| | - Ian Halliday
- Harvard Extension School, Cambridge, MA 02138, USA; (E.D.); (I.H.)
| | - Amy Bantham
- Move to Live More, LLC, Somerville, MA 02144, USA;
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Blake HT, Buckley JD, Stenner BJ, O'Connor EJ, Burgess SA, Crozier AJ. Sport Participation and Subjective Outcomes of Health in Middle-Aged Men: A Scoping Review. Am J Mens Health 2022; 16:15579883221084493. [PMID: 35300537 PMCID: PMC8935418 DOI: 10.1177/15579883221084493] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Although sport participation is intrinsically motivating and improves the physical health of middle-aged men, its influence on subjective health measures, such as health-related quality of life, self-rated health, or well-being is unclear. The purpose of this scoping review was to describe the existing literature that has assessed male sport participants and their subjective health. MEDLINE, Embase, Emcare, PsycInfo, SPORTDiscus, Cochrane Library, and Web of Science were searched, and reference lists of included studies were pearled. Included were original peer-reviewed studies reporting a marker of subjective health in males, 35 to 54 years (average), who participated in sport. The search identified 21 eligible articles, 18 quantitative, 2 mixed-methods, and 1 qualitative, from 13 different countries. Eighteen studies were cross-sectional. A broad range of outcomes were assessed, with the most common being quality of life/health-related quality of life (n = 6) and self-rated health (n = 6). Most studies assessing quality of life, health-related quality of life, or self-rated health demonstrated a positive association with sport participation, while sport participation was not related to measures of life satisfaction, flourishing, happiness or global well-being; however, limited studies examined these latter outcomes. Sport participation appears to be related to better select subjective health outcomes in middle-aged men. However, most available data are cross-sectional and thus causation cannot be determined. Randomized intervention trials are required to determine whether sport participation improves the subjective health of middle-aged men. Open Science Framework registration:https://osf.io/zypds
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Affiliation(s)
- Henry T Blake
- UniSA Allied Health & Human Performance, University of South Australia, Adelaide, South Australia, Australia.,Alliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, Adelaide, South Australia, Australia
| | - Jonathan D Buckley
- UniSA Allied Health & Human Performance, University of South Australia, Adelaide, South Australia, Australia.,Alliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, Adelaide, South Australia, Australia
| | - Brad J Stenner
- UniSA Allied Health & Human Performance, University of South Australia, Adelaide, South Australia, Australia.,Alliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, Adelaide, South Australia, Australia
| | - Edward J O'Connor
- UniSA Allied Health & Human Performance, University of South Australia, Adelaide, South Australia, Australia.,Alliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, Adelaide, South Australia, Australia
| | - Shane A Burgess
- UniSA Allied Health & Human Performance, University of South Australia, Adelaide, South Australia, Australia.,Alliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, Adelaide, South Australia, Australia
| | - Alyson J Crozier
- UniSA Allied Health & Human Performance, University of South Australia, Adelaide, South Australia, Australia.,Alliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, Adelaide, South Australia, Australia
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20
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Association between dietary acid load and clinical features of migraine headaches among Iranian individuals. Sci Rep 2022; 12:2460. [PMID: 35165363 PMCID: PMC8844046 DOI: 10.1038/s41598-022-06515-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Accepted: 01/24/2022] [Indexed: 11/09/2022] Open
Abstract
There is limited evidence regarding the possible role of dietary acid load (DAL) in the pathophysiology of migraine headaches. Therefore, we sought to examine DAL in relation to the clinical features of migraine including headache frequency, severity and duration, headache impact test-6 (HIT-6), and serum levels of nitric oxide (NO). In the present cross-sectional study, 262 patients (38 men and 224 women aged 20–50 years) were recruited through a simple random sampling method. Dietary intakes were obtained by using a validated 168-item semi-quantitative food frequency questionnaire (FFQ). DAL was then calculated by two different methods; potential renal acid load (PRAL) and net endogenous acid production (NEAP). In total, 262 patients with a mean (SE) age of 36.1 (0.53) and a BMI of 25.55 (0.21) were included in the current study. After controlling for potential confounders, a higher DAL was positively associated with headache frequency in those with the highest DAL score compared to the lowest (PRAL; β = 2.33; 95% CI 0.78, 3.88; NEAP; β = 1.74; 95% CI 0.13, 3.34). Increasing NEAP from 28.96 to 35.89 resulted in a 3.43 and 2.74 increment in HIT-6 scores in the crude (95% CI 1.35, 5.52) and fully-adjusted models (95% CI 0.40, 5.07), respectively. Moreover, a higher dietary PRAL was significantly associated with migraine-related disability, as shown by HIT-6, in subjects of the third tertile compared to those in the first tertile after controlling for confounders (β = 2.42; 95% CI 0.13, 4.70). In conclusion, our study highlighted the importance of the acid–base properties of a diet in the pathophysiology of migraine headaches. However, further well-designed studies are needed to confirm our findings.
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Kwiecień-Jaguś K, Mędrzycka-Dąbrowska W, Kopeć M, Piotrkowska R, Czyż-Szypenbejl K, Hansdorfer-Korzon R, Lemska M, Jarzynkowski P. Level and factors associated with physical activity among university teacher: an exploratory analysis. BMC Sports Sci Med Rehabil 2021; 13:114. [PMID: 34563257 PMCID: PMC8464149 DOI: 10.1186/s13102-021-00346-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Accepted: 09/21/2021] [Indexed: 11/29/2022]
Abstract
Background Physical inactivity is one of the primary factors that leads to obesity and overweight. What is more, it is becoming an increasingly common problem among the population of those who work. The causes of obesity and the lack of physical activity are multifactorial. The aims of the study were: to (1) measure the level of physical activity among the university staff, (2) evaluate what factors have a significant influence on undertaking the physical activity and lack of. Methods A cross-sectional study was conducted via the Internet questionnaires among university staff in Northern Poland and Pomeranian Region. Taking into consideration the climate and cultural factors in Poland, a physical activity test with the usage of IPAQ scale was performed between September and November 2018 and between March and June 2019. The data was collected on the basis of the standardized long form of the IPQA questionnaire, the GSE Scale and the interview questionnaire including questions about sex, age and health assessment. Results The study group consisted of 276 respondents, including 143 women (51.8%) and 133 men (48.2%). The average age of the respondents was 42.22 with SD ± 11.01. The weight status was categorized with the use of BMI index. 51.3% (142) of the respondents had normal body mass, 93 (33.8%) were overweight, while 23 (8.4%) were obese. The mean BMI index was 25.23 points (SD ± 4.04). One hundred and twenty five (45.1%) respondents were the employees of the Medical University, and 54.9% were employed by the Technical University. Detailed analyses using Spearman correlation test confirmed the presence of a statistically higher level of physical activity among respondents employed at the Medical University (M 513.37; SD ± 609.13) than the employees of Technical University (M 378.38; SD ± 328.26). The odds ratio analysis shows that a low level of physical activity in the group of technical university staff has a significant correlation with the other social behavior which is the alcohol consumption. Conclusion This study confirms that the number of points obtained in the IPAQ scale, classified the academics in the workgroup presenting low physical activity which does not exceed 600 MET-min/week. The most common form of activity in this group was walking. There was no correlation between physical activity and self-efficacy, age, marital status or the number of children.
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Affiliation(s)
- Katarzyna Kwiecień-Jaguś
- Department of Anaesthesiology and Intensive Care Nursing, Nursing and Midwife Institute, Medical University of Gdańsk, Gdańsk, Poland.
| | - Wioletta Mędrzycka-Dąbrowska
- Department of Anaesthesiology and Intensive Care Nursing, Nursing and Midwife Institute, Medical University of Gdańsk, Gdańsk, Poland
| | - Monika Kopeć
- Department of Human Nutrition, University of Warmia and Mazury, Olsztyn, Poland
| | - Renata Piotrkowska
- Department of Surgical Nursing, Medical University of Gdańsk, Gdańsk, Poland
| | - Katarzyna Czyż-Szypenbejl
- Department of Anaesthesiology and Intensive Care Nursing, Nursing and Midwife Institute, Medical University of Gdańsk, Gdańsk, Poland
| | | | - Magdalena Lemska
- Department of Social Medicine, Medical University of Gdańsk, Gdańsk, Poland
| | - Piotr Jarzynkowski
- Department of Surgical Nursing, Medical University of Gdańsk, Gdańsk, Poland
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22
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Shetty A, Afroz A, Ali L, Siddiquea BN, Sumanta M, Billah B. Health-related quality of life among people with type 2 diabetes mellitus - A multicentre study in Bangladesh. Diabetes Metab Syndr 2021; 15:102255. [PMID: 34479101 DOI: 10.1016/j.dsx.2021.102255] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Revised: 08/14/2021] [Accepted: 08/16/2021] [Indexed: 11/21/2022]
Abstract
AIMS This study aimed to explore the health-related quality of life and the various demographics and clinical characteristics associated with it among people with type 2 diabetes mellitus in Bangladesh. METHODS A total of 1253 participants with type 2 diabetes were recruited from a cross-sectional and retrospective study conducted in Bangladesh in 2017. Participants were recruited from six rural and urban diabetes hospitals. The health-related quality of life of the participants was assessed using the validated EuroQol-5D-5L scale and EuroQol-VAS score. Information was collected via face-to-face interviews and existing medical records. Data was analysed using univariate and multivariable regression analyses with bootstrap resampling. RESULTS The average health-related quality of life was 0.64 (±0.20) for EQ-5D-5L score and 61.69 (±34.98) for EQ-VAS score. Old age, low income, low education level, residing in an urban area, longer duration of diabetes, being physically inactive, the presence of macro- and/or micro-vascular complications, impaired cognitive function, being depressed and having anxiety were related to poor health-related quality of life. CONCLUSION The health-related quality of life among people with type 2 diabetes in Bangladesh is low, and various socio-demographic and psychological factors and diabetes-related complications are associated with it. This finding will help reform treatments and enforce lifestyle modifications to ensure that the burden of diabetes on people's quality of life is minimal.
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Affiliation(s)
- Aishwarya Shetty
- Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia.
| | - Afsana Afroz
- Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia
| | - Liaquat Ali
- Bangladesh University of Health Sciences (BUHS), Dhaka, Bangladesh
| | - Bodrun N Siddiquea
- Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia
| | | | - Baki Billah
- Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia
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Marquez DX, Aguiñaga S, Vásquez PM, Conroy DE, Erickson KI, Hillman C, Stillman CM, Ballard RM, Sheppard BB, Petruzzello SJ, King AC, Powell KE. A systematic review of physical activity and quality of life and well-being. Transl Behav Med 2021; 10:1098-1109. [PMID: 33044541 DOI: 10.1093/tbm/ibz198] [Citation(s) in RCA: 140] [Impact Index Per Article: 46.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
Maintaining or improving quality of life (QoL) and well-being is a universal goal across the lifespan. Being physically active has been suggested as one way to enhance QoL and well-being. In this systematic review, conducted in part for the 2018 U.S. Health and Human Services Physical Activity Guidelines for Americans Scientific Advisory Committee Report, we examined the relationship between physical activity (PA) and QoL and well-being experienced by the general population across the lifespan and by persons with psychiatric and neurologic conditions. Systematic reviews, meta-analyses, and pooled analyses from 2006 to 2018 were used for the evidence base. Strong evidence (predominantly from randomized controlled trials [RCTs]) demonstrated that, for adults aged 18-65 years and older adults (primarily 65 years and older), PA improves QoL and well-being when compared with minimal or no-treatment controls. Moderate evidence indicated that PA improves QoL and well-being in individuals with schizophrenia and Parkinson's disease, and limited evidence indicated that PA improves QoL and well-being for youth and for adults with major clinical depression or bipolar disorder. Insufficient evidence existed for individuals with dementia because of a small number of studies with mixed results. Future high-quality research designs should include RCTs involving longer interventions testing different modes and intensities of PA in diverse populations of healthy people and individuals with cognitive (e.g., dementia) and mental health conditions (e.g., schizophrenia) to precisely characterize the effects of different forms of PA on aspects of QoL and well-being.
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Affiliation(s)
- David X Marquez
- Department of Kinesiology and Nutrition, Center for Research on Health and Aging, Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, IL, USA
| | - Susan Aguiñaga
- Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Urbana, IL, USA
| | - Priscilla M Vásquez
- Department of Neurosciences, University of California San Diego, La Jolla, CA, USA
| | - David E Conroy
- Department of Kinesiology, The Pennsylvania State University, University Park, PA, USA
| | - Kirk I Erickson
- Department of Psychology, Brain Aging and Cognitive Health Lab, University of Pittsburgh, Pittsburgh, PA, USA
| | - Charles Hillman
- Department of Psychology and Department of Physical Therapy, Movement, and Rehabilitation Sciences, Center for Cognitive and Brain Health, Northeastern University, Boston, MA, USA
| | - Chelsea M Stillman
- Department of Psychology, Brain Aging and Cognitive Health Lab, University of Pittsburgh, Pittsburgh, PA, USA
| | - Rachel M Ballard
- Office of Disease Prevention, Office of the Director, National Institutes of Health, Bethesda, MD 20892, USA
| | | | - Steven J Petruzzello
- Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign; Urbana, IL, USA
| | - Abby C King
- Department of Health Research and Policy, Stanford Prevention Research Center, Department of Medicine, Stanford University, Stanford, CA, USA
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24
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DURAN M, KEKLİK SS, ÇOBANOĞLU G. The Comparison of Physical Activity, Fatigue and Quality of Life in Different Age Groups. CLINICAL AND EXPERIMENTAL HEALTH SCIENCES 2021. [DOI: 10.33808/clinexphealthsci.858588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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25
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Quality of life in Brazilian martial arts and combat sports practitioners. BIOMEDICAL HUMAN KINETICS 2021. [DOI: 10.2478/bhk-2021-0026] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Abstract
Abstract
Study aim: Martial arts and combat sports have been an alternative for individuals seeking the health benefits of physical activity and exercise, but little is known about its practitioners’ quality of life. Therefore, this study aimed to investigate the quality of life of practitioners of five of the most common modalities in Brazil.
Material and methods: A total of 922 young men, competitive and recreational practitioners of Brazilian jiu-jitsu, judo, karate, kung-fu, and taekwondo, answered the Brazilian version of the WHOQOL-BREF questionnaire.
Results: The results for each domain – physical, psychological, social, and environmental – are, respectively, as follow (mean ± standard deviation): Brazilian jiu-jitsu: 74 ± 11, 75 ± 12, 77 ± 17, 67 ± 14; judo: 74 ± 13, 75 ± 12, 77 ± 15, 64 ± 12; karate: 76 ± 13, 75 ± 12, 78 ± 15, 64 ± 13; kung-fu: 77 ± 13, 75 ± 13, 74 ± 17, 65 ± 13; taekwondo: 76 ± 12, 76 ± 11, 78 ± 16, 64 ± 13; total: 75 ± 13, 75 ± 12, 77 ± 16, 65 ± 13. There was no difference between modalities and no interaction between modalities and experience level. All groups and the total sample presented higher values than the normative national data in the physical and psychological domains. This was also the case for the judo, karate, and taekwondo groups, as well as the total sample in the social domain, and for the Brazilian jiu-jitsu and the whole sample in the environmental domain. Additionally, in the whole sample competitors scored higher than recreational practitioners in the psychological domain.
Conclusion: These findings reveal that the practice of these modalities is associated with higher quality of life than the normative values. Longitudinal studies are warranted for a better understanding of this association.
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Heidke P, Vandelanotte C, Irwin C, Williams S, Saluja S, Khalesi S. Associations between health-related quality of life and health behaviors in Australian nursing students. Nurs Health Sci 2021; 23:477-489. [PMID: 33792130 DOI: 10.1111/nhs.12832] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2020] [Revised: 03/16/2021] [Accepted: 03/17/2021] [Indexed: 11/29/2022]
Abstract
Health-related quality of life (HRQoL) is being increasingly studied as an indicator of wellbeing. This study evaluated the HRQoL of nursing students and relationships between lifestyle behaviors including smoking, diet, alcohol intake and physical activity. A cross-sectional study was conducted in 2018 using the Short-Form 12V2 to measure the HRQoL of 475 students from both regional and metropolitan universities in Queensland, Australia. z-scores were aggregated into a Physical Composite Score (PCS) and a Mental Composite Score (MCS). Multivariate linear regression was used to explore the associations. Nursing students (94.5% female) had lower HRQoL scores relative to the general Australian population. Students enrolled at the regional university, with higher income; higher intakes of vitamin A, calcium, and iodine; and more physical activity had a higher Mental Composite Score, but those with health conditions and high intakes of meat, fat, carbohydrates, and sugar reported lower Physical Composite Score compared to their counterparts. Skipping breakfast, physical inactivity, and alcohol score were inversely associated with HRQoL. This study highlights the need for strategies to address the poor lifestyle and HRQoL in nursing students to support their physical and mental health.
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Affiliation(s)
- Penny Heidke
- School of Nursing, Midwifery and Social Sciences, Central Queensland University, Rockhampton, Queensland, Australia
| | - Corneel Vandelanotte
- Physical Activity Research Group, Appleton Institute, School of Health Medical and Applied Sciences, Central Queensland University, Rockhampton, Queensland, Australia
| | - Christopher Irwin
- School of Allied Health Sciences, Griffith University, Gold Coast, Queensland, Australia
| | - Susan Williams
- Physical Activity Research Group, Appleton Institute, School of Health Medical and Applied Sciences, Central Queensland University, Rockhampton, Queensland, Australia
| | - Sonia Saluja
- School of Health Medical and Applied Sciences, Central Queensland University, Rockhampton, Queensland, Australia
| | - Saman Khalesi
- Physical Activity Research Group, Appleton Institute, School of Health Medical and Applied Sciences, Central Queensland University, Rockhampton, Queensland, Australia
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Wilson OWA, Galascio MM, Bopp M. Freshmen weight and body composition change determinants: A scoping review. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2021; 69:298-307. [PMID: 31589100 DOI: 10.1080/07448481.2019.1665053] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/08/2019] [Revised: 08/18/2019] [Accepted: 09/02/2019] [Indexed: 06/10/2023]
Abstract
Scoping review of freshmen weight and body composition change determinants in order to inform practice, policymaking, and research that improve health and well-being. Methods: A systematic search of the literature identified potential sources. Duplicates were removed before a title and abstract review. A full-text review was then conducted on the remaining sources. Retained sources were then reviewed systematically before synthesis. Results: Eighty-five sources were synthesized. Variation in study design, measurement, reporting, and analyses of determinants, in particular dietary characteristics and physical activity, complicate comparisons. Dietary characteristics and physical activity appear to influence freshmen weight and body composition changes, while evidence indicates alcohol consumption is associated with deleterious weight and body composition changes. Conclusions: Design, measurement, analyses, and reporting can be improved considerably to better examine relationship between body composition changes and determinants in order to provide insight into, and inform, interventions and policies to benefit students' health and well-being.
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Affiliation(s)
- Oliver W A Wilson
- Department of Kinesiology, Pennsylvania State University, University Park, PA, USA
| | - Madison M Galascio
- Department of Kinesiology, Pennsylvania State University, University Park, PA, USA
- Department of Nutrition, Pennsylvania State University, University Park, PA, USA
| | - Melissa Bopp
- Department of Kinesiology, Pennsylvania State University, University Park, PA, USA
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DeJong AF, Fish PN, Hertel J. Running behaviors, motivations, and injury risk during the COVID-19 pandemic: A survey of 1147 runners. PLoS One 2021; 16:e0246300. [PMID: 33577584 PMCID: PMC7880469 DOI: 10.1371/journal.pone.0246300] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Accepted: 01/15/2021] [Indexed: 01/06/2023] Open
Abstract
The COVID-19 pandemic has influenced activity behaviors worldwide. Given the accessibility of running as exercise, gaining information on running behaviors, motivations, and running-related injury (RRI) risk during the pandemic is warranted. The purpose of this study was to assess the influence of the COVID-19 pandemic on running volume, behaviors, motives, and RRI changes from the year prior to the pandemic to the timeframe during social isolation restrictions. Runners of all abilities were recruited via social media to complete a custom Qualtrics survey. Demographics, running volume, behaviors, motivations, and injury status were assessed for the year prior to the pandemic, and during social isolation measures. Descriptive statistics and Student’s t-tests were used to assess changes in running outcomes during the pandemic. Logistic regressions were used to assess the influence of demographics on running behaviors and injury. Adjusted RRI risk ratios were calculated to determine the odds of sustaining an injury during the pandemic. Alpha was set to.05 for all analyses. A total of 1147 runners (66% females, median age: 35 years) across 15 countries (96% United States) completed the survey. Runners reported increased runs per week (Mean Difference with Standard Error [MD]: 0.30 [0.05], p < .001), sustained runs (MD: 0.44 [0.05], p < .001), mileage (MD: 0.87 [0.33], p = .01), and running times of day (MD: 0.11 [0.03], p < .001) during the pandemic, yet reported less workouts (i.e. sprint intervals; MD: -0.33 [0.06], p < .001), and less motives (MD [SE]: -0.41 [0.04], p < .001). Behavior changes were influenced by running experience and age. There was 1.40 (CI: 1.18,1.61) times the RRI risk during the pandemic compared to prior to the social isolation period. The COVID-19 pandemic influenced runners’ behaviors with increased training volume, decreased intensity and motivation, and heightened injury risk. These results provide insights into how physical activity patterns were influenced by large-scale social isolation directives associated with the pandemic.
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Affiliation(s)
- Alexandra F. DeJong
- University of Virginia Exercise and Sport Injury Laboratory, Charlottesville, Virginia, United States of America
- * E-mail:
| | - Pamela N. Fish
- University of Virginia Exercise and Sport Injury Laboratory, Charlottesville, Virginia, United States of America
| | - Jay Hertel
- University of Virginia Exercise and Sport Injury Laboratory, Charlottesville, Virginia, United States of America
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29
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Collins KA, Fos LB, Ross LM, Slentz CA, Davis PG, Willis LH, Piner LW, Bateman LA, Houmard JA, Kraus WE. Aerobic, Resistance, and Combination Training on Health-Related Quality of Life: The STRRIDE-AT/RT Randomized Trial. Front Sports Act Living 2021; 2:620300. [PMID: 33644749 PMCID: PMC7905223 DOI: 10.3389/fspor.2020.620300] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2020] [Accepted: 12/02/2020] [Indexed: 11/13/2022] Open
Abstract
Purpose: The main purpose of this study was to determine the differential effects of aerobic training (AT), resistance training (RT), and a combination of aerobic and resistance training (AT/RT) on changes in self-rated HrQoL measures, including the Short-Form 36 (SF-36) survey and Satisfaction with Physical Function and Appearance survey. We also sought to determine if combination training (AT/RT) has a more or less additive effect compared to AT or RT alone on self-rated HrQoL measures. Materials and Methods: Participants (n = 137) completed one of three 8-month exercise interventions: (1) AT: 14 kcal exercise expenditure per kg of body weight per week (KKW; equivalent to roughly 12 miles/week) at 65-80% of peak oxygen consumption; (2) RT: 3 days per week, 8 exercises, 3 sets per exercise, 8-12 repetitions per set; (3) AT/RT: full combination of the AT and RT interventions. The SF-36 survey, Satisfaction with Physical Function and Appearance survey, physical fitness, and anthropometrics were assessed at baseline and post-intervention. Paired t-tests determined significant pre- vs. post-intervention scores within groups (p < 0.05). Analyses of covariance determined differences in change scores among groups (p < 0.05). Results: On average, participants were 49.0 ± 10.6 years old, obese (BMI: 30.6 ± 3.2 kg/m2), female (57.7%), and Caucasian (84.7%). Following the 8-month intervention, exercise groups improved peak VO2 (all groups), strength (RT and AT/RT), and anthropometric measures (AT and AT/RT). For the SF-36, RT (p = 0.03) and AT/RT (p < 0.001) significantly improved their physical component score; only AT/RT (p < 0.001) significantly improved their mental component score. Notably, all groups significantly improved both their satisfaction with physical function and appearance scores (All Groups: p < 0.001 for both outcomes). Conclusions: We found that aerobic, resistance, or combination exercise training improves several components of self-rated HrQoL, including physical function, appearance, and mental well-being. Clinical Trial Registration: No. NCT00275145.
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Affiliation(s)
- Katherine A Collins
- Duke University Medical Center, Duke Molecular Physiology Institute, Durham, NC, United States
| | - Liezl B Fos
- Duke University Medical Center, Duke Molecular Physiology Institute, Durham, NC, United States
| | - Leanna M Ross
- Duke University Medical Center, Duke Molecular Physiology Institute, Durham, NC, United States
| | - Cris A Slentz
- Duke University Medical Center, Duke Molecular Physiology Institute, Durham, NC, United States.,Division of Cardiology, Duke University School of Medicine, Durham, NC, United States
| | - Paul G Davis
- Department of Kinesiology, University of North Carolina at Greensboro, Greensboro, NC, United States
| | - Leslie H Willis
- Duke University Medical Center, Duke Molecular Physiology Institute, Durham, NC, United States
| | - Lucy W Piner
- Duke University Medical Center, Duke Molecular Physiology Institute, Durham, NC, United States
| | - Lori A Bateman
- Genomics and Informatics Center, Collaborative Studies Coordinating Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
| | - Joseph A Houmard
- Department of Exercise and Sports Science and Human Performance Laboratory, East Carolina University, Greenville, NC, United States
| | - William E Kraus
- Duke University Medical Center, Duke Molecular Physiology Institute, Durham, NC, United States.,Division of Cardiology, Duke University School of Medicine, Durham, NC, United States
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30
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Parameshwar A, Maiya GA, Kamath SU, Shastry BA. Lifestyle Modification with Physical Activity Promotion on Leptin Resistance and Quality of Life in Metabolic Syndrome - A Systematic Review with Meta-Analysis. Curr Diabetes Rev 2021; 17:345-355. [PMID: 32072915 DOI: 10.2174/1573399816666200211102917] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/23/2019] [Revised: 12/30/2019] [Accepted: 01/20/2020] [Indexed: 11/22/2022]
Abstract
OBJECTIVE This study focused to systematically extract, summarize and analyse the data on the effect of lifestyle modification on leptin resistance and quality of life in metabolic syndrome. METHODS The systematic search was done using PubMed, Cochrane Database, EMBASE, Science Direct, CINAHL, Springer link, Web of Science from 2000-2018. English language articles and quantitative studies focusing on leptin resistance and quality of life were included. Random effect analysis was adopted to pool data and estimate 95% CI. The meta-analysis was done separately for leptin resistance and quality of life which included a total of 9 studies on both RCTs and Non-RCTs. RESULTS The meta-analysis of RCTs reported insignificant effect of lifestyle modification on leptin resistance in metabolic syndrome when compared to comparison group (-5.94(-14.28, 2.41). Two clinical trials showed a significant effect with pooled data (5.52(2.14, 8.91). Meta-analysis of RCTs focusing on quality of life showed significant effect on mental component (4.89 (0.16, 9.62) of quality of life (2.36 (-3.67, 8.39) when compared to comparison group. CONCLUSION This meta-analysis suggested that lifestyle modification has a potential to improve leptin resistance and mental component of quality of life in metabolic syndrome. However, more clearly defined studies are required to come to a stronger conclusion.
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Affiliation(s)
- Anche Parameshwar
- Department of Physiotherapy, Centre for Diabetic Foot Care & Research, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, India
| | - G Arun Maiya
- Department of Physiotherapy, Centre for Diabetic Foot Care & Research, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, India
| | - Shobha Ullas Kamath
- Department of Biochemistry, Kasturba Medical College, Manipal Academy of Higher Education, India
| | - B Ananthakrishna Shastry
- Department of Medicine, Kasturba Medical College, Manipal Academy of Higher Education Manipal, India
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Dias TG, Nunes APBDO, Santos CDO, Cruz MDSD, Guerra PH, Bernal RTI, Uvinha RR, Florindo AA. Leisure-time physical activity in São Paulo adults: a trend analysis from 2006 to 2016. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2020; 23:e200099. [PMID: 33053092 DOI: 10.1590/1980-549720200099] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2020] [Accepted: 06/10/2020] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To investigate the temporal trend of practicing physical exercise and sports during leisure time in adults in São Paulo between 2006 to 2016. METHODS Time series analysis study using the VIGITEL System. Adding up the number of people who participated each year, a total 21,357 people were studied. Analyzes of the physical exercises and sports practiced during leisure time (yes or no) stratified by sex, age and education were performed. The prevalences and the differences for all of the years were calculated using the Prains-Winster regression. RESULTS Practice of physical exercises or sports increased by 7.9 percentage points in the period (p = 0.003) (from 39.9% 95%CI 37.4 - 42.4 to 47.8% 95%CI 45.2 - 50.4). There was a significant increase for women (p = 0.011), for people between 18-24 years old (p = 0.001), 25-34 years old (p = 0.003), 45-54 years old (p = 0.003), and for people with up to eight years of schooling (p = 0.010). There was a decrease in walking and playing soccer and there was an increase in doing gymnastics. CONCLUSION There was an increase in the practice of physical exercise and sports during leisure time in adults from São Paulo. These increases were observed mainly in women, in people between 18 and 34 years old, between 45 and 54 years old, and in people with up to eight years of schooling. These results are important, as they have shown an increase in general and in more vulnerable groups, and may be related to environmental changes and interventions that have occurred in the city in the last 15 years.
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Affiliation(s)
- Tulio Gamio Dias
- Escola de Artes, Ciências e Humanidades, Universidade de São Paulo - São Paulo (SP), Brasil.,Grupo de Estudos e Pesquisas Epidemiológicas em Atividade Física e Saúde, Universidade de São Paulo - São Paulo (SP), Brasil
| | | | - Crislaine de Oliveira Santos
- Grupo de Estudos e Pesquisas Epidemiológicas em Atividade Física e Saúde, Universidade de São Paulo - São Paulo (SP), Brasil.,Programa de Pós-Graduação em Ciências da Atividade Física, Escola de Artes, Ciências e Humanidades, Universidade de São Paulo - São Paulo (SP), Brasil
| | - Michele Dos Santos da Cruz
- Grupo de Estudos e Pesquisas Epidemiológicas em Atividade Física e Saúde, Universidade de São Paulo - São Paulo (SP), Brasil
| | | | - Regina Tomie Ivata Bernal
- Programa de Pós-Graduação da Escola de Enfermagem, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brasil
| | - Ricardo Ricci Uvinha
- Escola de Artes, Ciências e Humanidades, Universidade de São Paulo - São Paulo (SP), Brasil
| | - Alex Antonio Florindo
- Escola de Artes, Ciências e Humanidades, Universidade de São Paulo - São Paulo (SP), Brasil.,Grupo de Estudos e Pesquisas Epidemiológicas em Atividade Física e Saúde, Universidade de São Paulo - São Paulo (SP), Brasil
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The association between practicing sport and non-sport physical activities and health-related quality of life of Brazilian adolescents: A cross-sectional study. Sci Sports 2020. [DOI: 10.1016/j.scispo.2020.02.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Noto S, Takahashi O, Kimura T, Moriwaki K, Masuda K. The relationship between preference-based health-related quality of life and lifestyle behavior: a cross-sectional study on a community sample of adults who had undergone a health check-up. Health Qual Life Outcomes 2020; 18:267. [PMID: 32746837 PMCID: PMC7398297 DOI: 10.1186/s12955-020-01518-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2018] [Accepted: 07/29/2020] [Indexed: 12/25/2022] Open
Abstract
Background Preference-based Health-Related Quality of Life (HRQL) is one of the most important indicators for calculating QALY (Quality-Adjusted Life Years) in a cost-effectiveness analysis. This study aimed to collect data on healthy individuals’ HRQL based on the preferences of Japanese people who had undergone a comprehensive health check-up, and to examine the influence of relevant factors, such as blood biochemical data and lifestyle behavior. Methods We conducted a cross-sectional study targeting people who had undergone a comprehensive health check-up in 2015. Participants were asked to respond to a medical interview sheet. We then examined the utility value, as well as lifestyle habits such as alcohol intake, smoking, and exercise. HRQL was examined using EQ-5D-5L. Using a multiple regression analysis, we examined the influence of related factors, such as lifestyle and biochemical test data. Results We collected 2037 responses (mean age = 54.98 years; 55.0% female). The average preference-based health-related HRQL was 0.936 ± 0.087. A total of 1167 people (57.2%) responded that they were completely healthy. The biochemical test data that were recognized to correlate with HRQL were hemoglobin, total cholesterol, creatinine, all of which were weak (r = − 0.045–0.113). The results of multiple regression analysis showed that significant facts were: being female, age (≧70 year-old), drinking alcohol (sometimes), activity (very often), and lack of sleep. Conclusions The HRQL of participants who had undergone a comprehensive health check-up was generally high, and only declined for those over 70 years of age. It is suggested that preference-based HRQL is related to physical activity, and that decrease of activity and lack of sleep leads to a decrease in HRQL.
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Affiliation(s)
- Shinichi Noto
- Department of Occupational Therapy, Niigata University of Health and Welfare, Niigata, Japan.
| | - Osamu Takahashi
- Graduate School of Public Health, St. Luke's International University, Tokyo, Japan
| | - Takeshi Kimura
- Center for Preventive Medicine, St. Luke's International Hospital, Tokyo, Japan
| | - Kensuke Moriwaki
- Comprehensive Unit for Health Economic Evidence Review and Decision Support (CHEERS), Research Organization of Science and Technology, Ristumeikan University, Kyoto, Japan
| | - Katsunori Masuda
- Center for Preventive Medicine, St. Luke's International Hospital, Tokyo, Japan
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Sun KP, Xu N, Huang ST, Chen LW, Cao H, Chen Q. Comparison of Short-Term Quality of Life between Percutaneous Device Closure and Surgical Repair via Median Sternotomy for Atrial Septal Defect in Adult Patients. J INVEST SURG 2020; 34:1223-1230. [PMID: 32654541 DOI: 10.1080/08941939.2020.1793037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
OBJECTIVE To compare the quality of life and psychological state of patients after receiving different closure treatments for atrial septal defect (ASD) and to explore some factors affecting the quality of life of patients after ASD closure. METHODS Fifty-five patients who underwent percutaneous device closure of ASD (group A) and fifty-five patients who underwent surgical repair via median sternotomy of ASD (group B) were followed up from before to one year after surgery to assess their quality of life. We used the Medical Outcomes Study 36-Item Short-Form (SF-36) and the Hospital Anxiety and Depression Scale (HADS) to evaluate the quality of life of patients. RESULTS Both groups had improved HADS scores after operation. In the comparison of the postoperative quality of life between the two groups, group A was superior to group B on some dimensions of the SF-36, and there was a significant difference in HADS scores. Age was negatively correlated with quality of life. CONCLUSIONS In adults over 18 years of age, the quality of life after surgical repair or percutaneous device closure of ASD improved significantly. Compared with surgical repair via median sternotomy, percutaneous device closure has a more significant effect on the improvement in some aspects of people's quality of life.
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Affiliation(s)
- Kai-Peng Sun
- Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University Fuzhou, China.,Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, China
| | - Ning Xu
- Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University Fuzhou, China.,Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, China
| | - Shu-Ting Huang
- Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University Fuzhou, China.,Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, China
| | - Liang-Wan Chen
- Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, China
| | - Hua Cao
- Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University Fuzhou, China
| | - Qiang Chen
- Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University Fuzhou, China.,Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, China
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Blom EE, Aadland E, Skrove GK, Solbraa AK, Oldervoll LM. Health-related quality of life and physical activity level after a behavior change program at Norwegian healthy life centers: a 15-month follow-up. Qual Life Res 2020; 29:3031-3041. [PMID: 32562195 PMCID: PMC7591434 DOI: 10.1007/s11136-020-02554-x] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/08/2020] [Indexed: 02/06/2023]
Abstract
Purpose The long-term impact of primary care behavior change programs on health-related quality of life (HRQoL) and physical activity (PA) level is unknown. The aim of this study was to investigate changes in HRQoL and PA among participants after a 3-month behavior change intervention at Norwegian healthy life center (HLCs) and at a 15-month follow-up. Furthermore, we aimed to study associations between changes in PA and HRQoL. Methods We followed 524 adult participants (18–83 years), recruited from 32 HLCs in August 2016–January 2018, who provided data on HRQoL (SF-36) and PA (ActiGraph accelerometers) 12 months after a 3-month behavior change intervention. Changes in HRQoL and PA between baseline, 3-month and 15-month follow-ups, and associations between changes in PA and HRQoL were analyzed by linear mixed models. Results All HRQoL dimensions improved from baseline to 3-month follow-up, and the improvements maintained at 15-month follow-up (mean 3.1–13.1 points, p < 0.001). PA increased from baseline to 3 months (mean 418 steps/day, p < 0.001), but declined from 3 to 15 months (mean − 371 steps/day, p < 0.001). We observed positive associations between changes in PA and HRQoL (0.84–3.23 points per 1000 steps/day, p < 0.023). Conclusions Twelve months after completing a 3-month HLC intervention we found improved HRQoL, but not PA level. Still, there were positive associations between PA and HRQoL over this period, indicating that participants increasing their PA were more likely to improve their HRQoL.
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Affiliation(s)
- Ellen Eimhjellen Blom
- Department of Sport, Food and Natural Sciences, Faculty of Education, Arts and Sports, Western Norway University of Applied Sciences, Campus Sogndal, Postbox 133, 6851, Sogndal, Norway. .,Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, 7491, Trondheim, Norway.
| | - Eivind Aadland
- Department of Sport, Food and Natural Sciences, Faculty of Education, Arts and Sports, Western Norway University of Applied Sciences, Campus Sogndal, Postbox 133, 6851, Sogndal, Norway
| | - Guri Kaurstad Skrove
- Department of Social Sciences, Møreforsking Molde AS, Britvegen 4, 6410, Molde, Norway
| | - Ane Kristiansen Solbraa
- Department of Sport, Food and Natural Sciences, Faculty of Education, Arts and Sports, Western Norway University of Applied Sciences, Campus Sogndal, Postbox 133, 6851, Sogndal, Norway
| | - Line Merethe Oldervoll
- Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, 7491, Trondheim, Norway.,LHL-Clinics Trondheim, Postbox 3015 Lade, 7441, Trondheim, Norway
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36
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Quality of Life with Respect to Physical Activity Level in the Unemployed. SUSTAINABILITY 2020. [DOI: 10.3390/su12104219] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
Sustainable development is related to the quality of life of individuals and societies. The unemployed have limited opportunities for sustainable individual development. Their life quality conditions remain unclear. The study aim was to assess the relationship between life quality and physical activity level of the unemployed. The research was performed in 2014 and 2015 in Wrocław, Poland, among 403 unemployed persons. The participants’ quality of life was evaluated with the World Health Organization Quality of Life questionnaire. Physical activity was assessed with the International Physical Activity Questionnaire. Most respondents evaluated their general life quality as ≤3 points in the scale of 1–5. The assessments were highest in the social and psychological domains and lowest in the physical and environmental domains. Significant relationships were observed between general life quality and physical activity level. Subjects with the minimum physical activity level recommended by WHO presented higher life quality assessments in the psychological and social domains. Unemployed people with physical activity levels optimal for health benefit evaluated their life quality in the psychological domain worse than people with physical activity below WHO recommendations. Comprehensive health programs should be addressed to the unemployed, including systematic physical activities as health training, which would improve their life quality and promote sustainable individual development.
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37
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León-Guereño P, Tapia-Serrano MA, Sánchez-Miguel PA. The relationship of recreational runners' motivation and resilience levels to the incidence of injury: A mediation model. PLoS One 2020; 15:e0231628. [PMID: 32392229 PMCID: PMC7213716 DOI: 10.1371/journal.pone.0231628] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2019] [Accepted: 02/19/2020] [Indexed: 12/02/2022] Open
Abstract
Running participation has increased significantly in the last decade. Despite its association with different health-related aspects, athletes may experience adverse outcomes, including injuries. The aim of this study was twofold: to examine the relationship between runners’ resilience levels, motivation and incidence of injury, on the one hand; and to analyse the mediation that intrinsic and extrinsic motivation has on the association between the number of injuries and psychological resilience levels among amateur athletes. The sample consisted of a total of 1725 runners (age: 40.40 ± 9.39 years), 1261 of whom were male (age: 43.16 ± 9.38), and 465 of whom were female (age: 40.34 ± 9.14). Athletes completed the Behavioural Regulation in Exercise Questionnaire (BREQ-3), the Resilience scale (CD-RISC 10), and an Injury retrospective survey. Three mediation models were constructed, and the results showed a significant indirect association of athletes’ intrinsic motivation and resilience on the number of injuries (β = 0.022, CI = 0.007, 0.0) in mediation model 1, whereas extrinsic motivation was found to have no significant association on those variables (β = -0.062, CI = -0.137, 0.009) in mediation model 2. Model 3 showed significant differences with respect to resilience (p < 0.05) and intrinsic motivation (p < 0.05). Therefore, the mediation of intrinsic motivation on athletes’ resilience levels and incidence of injury was demonstrated, i.e., it was found that intrinsic motivation was associated with a higher incidence of injury, while no such correlation was found for extrinsic motivation. This study shows that the amateur long distance runners with a high level of intrinsic motivation tend to suffer from a greater number of injuries, and at the same time psychological resilience was associated with a lower number of injuries.
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Affiliation(s)
- Patxi León-Guereño
- Faculty of Psychology and Education, University of Deusto, Donostia-San Sebastian, Spain
| | - Miguel Angel Tapia-Serrano
- Department of Didactics of Musical, Plastic and Body Expression, Faculty of Teacher Training, University of Extremadura, Cáceres, Spain
- * E-mail:
| | - Pedro Antonio Sánchez-Miguel
- Department of Didactics of Musical, Plastic and Body Expression, Faculty of Teacher Training, University of Extremadura, Cáceres, Spain
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Makin RD, Argyle D, Hirahara S, Nagasaka Y, Zhang M, Yan Z, Kerur N, Ambati J, Gelfand BD. Voluntary Exercise Suppresses Choroidal Neovascularization in Mice. Invest Ophthalmol Vis Sci 2020; 61:52. [PMID: 32460310 PMCID: PMC7405794 DOI: 10.1167/iovs.61.5.52] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2019] [Accepted: 04/16/2020] [Indexed: 11/28/2022] Open
Abstract
Purpose To determine the effect of voluntary exercise on choroidal neovascularization (CNV) in mice. Methods Age-matched wild-type C57BL/6J mice were housed in cages equipped with or without running wheels. After four weeks of voluntary running or sedentariness, mice were subjected to laser injury to induce CNV. After surgical recovery, mice were placed back in cages with or without exercise wheels for seven days. CNV lesion volumes were measured by confocal microscopy. The effect of wheel running only in the seven days after injury was also evaluated. Macrophage abundance and cytokine expression were quantified. Results In the first study, exercise-trained mice exhibited a 45% reduction in CNV volume compared to sedentary mice. In the replication study, a 32% reduction in CNV volume in exercise-trained mice was observed (P = 0.029). Combining these two studies, voluntary exercise was found to reduce CNV by 41% (P = 0.0005). Exercise-trained male and female mice had similar CNV volumes (P = 0.99). The daily running distance did not correlate with CNV lesion size. Exercise only after the laser injury without a preconditioning period did not reduce CNV size (P = 0.41). CNV lesions of exercise-trained mice also exhibited significantly lower F4/80+ macrophage staining and Vegfa and Ccl2 mRNA expression. Conclusions These findings provide the first experimental evidence that voluntary exercise improves CNV outcomes. These studies indicate that exercise before laser treatment is required to improve CNV outcomes.
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Affiliation(s)
- Ryan D. Makin
- Center for Advanced Vision Science, University of Virginia School of Medicine, Charlottesville, Virginia, United States
- Department of Ophthalmology, University of Virginia School of Medicine, Charlottesville, Virginia, United States
- Molecular and Cellular Basis of Disease Graduate Program, University of Virginia School of Medicine, Charlottesville, Virginia, United States
| | - Dionne Argyle
- Center for Advanced Vision Science, University of Virginia School of Medicine, Charlottesville, Virginia, United States
- Department of Ophthalmology, University of Virginia School of Medicine, Charlottesville, Virginia, United States
- Molecular and Cellular Basis of Disease Graduate Program, University of Virginia School of Medicine, Charlottesville, Virginia, United States
| | - Shuichiro Hirahara
- Center for Advanced Vision Science, University of Virginia School of Medicine, Charlottesville, Virginia, United States
- Department of Ophthalmology, University of Virginia School of Medicine, Charlottesville, Virginia, United States
| | - Yosuke Nagasaka
- Center for Advanced Vision Science, University of Virginia School of Medicine, Charlottesville, Virginia, United States
- Department of Ophthalmology, University of Virginia School of Medicine, Charlottesville, Virginia, United States
| | - Mei Zhang
- Center for Skeletal Muscle Research at the Robert M. Berne Cardiovascular Research Center, University of Virginia School of Medicine, Charlottesville, Virginia, United States
- Department of Medicine, University of Virginia School of Medicine, Charlottesville, Virginia, United States
| | - Zhen Yan
- Center for Skeletal Muscle Research at the Robert M. Berne Cardiovascular Research Center, University of Virginia School of Medicine, Charlottesville, Virginia, United States
- Department of Medicine, University of Virginia School of Medicine, Charlottesville, Virginia, United States
- Molecular Physiology and Biological Physics, University of Virginia School of Medicine, Charlottesville, Virginia, United States
- Department of Pharmacology, University of Virginia School of Medicine, Charlottesville, Virginia, United States
| | - Nagaraj Kerur
- Center for Advanced Vision Science, University of Virginia School of Medicine, Charlottesville, Virginia, United States
- Department of Ophthalmology, University of Virginia School of Medicine, Charlottesville, Virginia, United States
| | - Jayakrishna Ambati
- Center for Advanced Vision Science, University of Virginia School of Medicine, Charlottesville, Virginia, United States
- Department of Ophthalmology, University of Virginia School of Medicine, Charlottesville, Virginia, United States
- Department of Pathology, University of Virginia School of Medicine, Charlottesville, Virginia, United States
- Department of Microbiology, Immunology, and Cancer Biology, University of Virginia School of Medicine, Charlottesville, Virginia, United States
| | - Bradley D. Gelfand
- Center for Advanced Vision Science, University of Virginia School of Medicine, Charlottesville, Virginia, United States
- Department of Ophthalmology, University of Virginia School of Medicine, Charlottesville, Virginia, United States
- Department of Biomedical Engineering, University of Virginia, Charlottesville, United States
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de Lira C, Taveira H, Rufo-Tavares W, Santos D, Celini P, Oliveira L, Andrade M, Nikolaidis P, Rosemann T, Knechtle B, Vancini R. Does Health Professional Counseling Impact the Quality-of-Life Levels of Older Adults Enrolled in Physical Activity Programs? MEDICINA (KAUNAS, LITHUANIA) 2020; 56:E146. [PMID: 32218371 PMCID: PMC7231264 DOI: 10.3390/medicina56040146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/25/2020] [Revised: 03/13/2020] [Accepted: 03/20/2020] [Indexed: 11/16/2022]
Abstract
Background and objectives: There are studies showing that exercise counseled by health professionals can improve physical fitness. However, less is known about the effects of exercise counseling on quality of life. The aim of this study was to investigate health-related quality of life of older adults who received or did not receive physical exercise counseling by sport and exercise professionals or physicians. Materials and Methods: This was a cross-sectional study that investigated quality of life of older adults who did or did not receive exercise counseling from health professionals. Older adults who were physically active took part in this study: 45 participants performed exercise advised by sport and exercise professionals (SEPCG), 19 participants performed exercise advised by physicians (PCG), and 26 participants performed exercise without counseling (NCG). Participants answered the SF-36 to estimate quality of life. Results: Analysis revealed that responses on all SF-36 subscales were higher in those participants who received counseling by sport and exercise professionals (Functioning capacity, β = -26.283, p < 0.001 and β = -26.482, p < 0.001, Role limitations due to physical problems, β = -43.372, p < 0.001 and β = -45.177, p < 0.001, Pain, β = -17.634, p < 0.001 and β = -16.015, p < 0.001, General health perceptions, β = -38.008, p < 0.001 and β = -32.529, p < 0.001, Vitality, β = -18.573, p < 0.001 and β = -16.406, p = 0.001, Social functioning, β = -37.963, p < 0.001 and β = -29.224, p < 0.001, Role limitations due to emotional problems, β = -52.246, p < 0.001 and β = -40.173, p < 0.001, Mental health, β = -17.381, p < 0.001 and β = -12.121, p < 0.001, PCG and NCG respectively). Conclusions: The results showed that those older adults who were counseled by sport and exercise professionals presented better quality of life, possibly because these professionals counseled exercise based on current guidelines for exercise prescription.
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Affiliation(s)
- Claudio de Lira
- Faculdade de Educação Física e Dança, Universidade Federal de Goiás, Goiânia 74690-900, Brazil
| | - Henrique Taveira
- Centro de Educação Física e Desportos, Universidade Federal do Espírito Santo, Vitória 29075-910, Brazil; (H.T.); (W.R.-T.); (P.C.); (L.O.); (R.V.)
| | - Weverton Rufo-Tavares
- Centro de Educação Física e Desportos, Universidade Federal do Espírito Santo, Vitória 29075-910, Brazil; (H.T.); (W.R.-T.); (P.C.); (L.O.); (R.V.)
| | - Douglas Santos
- Colegiado de Educação Física, Universidade do Estado da Bahia, Teixeira de Freitas 45992-255, Brazil;
| | - Paulo Celini
- Centro de Educação Física e Desportos, Universidade Federal do Espírito Santo, Vitória 29075-910, Brazil; (H.T.); (W.R.-T.); (P.C.); (L.O.); (R.V.)
| | - Lucas Oliveira
- Centro de Educação Física e Desportos, Universidade Federal do Espírito Santo, Vitória 29075-910, Brazil; (H.T.); (W.R.-T.); (P.C.); (L.O.); (R.V.)
| | - Marilia Andrade
- Departamento de Fisiologia, Universidade Federal de São Paulo, São Paulo 04023-900, Brazil;
| | | | - Thomas Rosemann
- Institute of Primary Care, University of Zurich, 8091 Zurich, Switzerland;
| | - Beat Knechtle
- Medbase St. Gallen Am Vadianplatz, 9001 St. Gallen, Switzerland;
| | - Rodrigo Vancini
- Centro de Educação Física e Desportos, Universidade Federal do Espírito Santo, Vitória 29075-910, Brazil; (H.T.); (W.R.-T.); (P.C.); (L.O.); (R.V.)
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Pires T, Pires P, Moreira H, Gabriel R, Viana S, Viana R. Assessment of pelvic floor muscles in sportswomen: Quality of life and related factors. Phys Ther Sport 2020; 43:151-156. [PMID: 32200260 DOI: 10.1016/j.ptsp.2020.02.015] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2019] [Revised: 02/20/2020] [Accepted: 02/26/2020] [Indexed: 10/24/2022]
Abstract
OBJECTIVES To evaluate Maximum Voluntary Contraction (MVC) of the Pelvic Floor Muscles (PFM) in sportswomen, to observe the urinary symptoms and their impact on the Quality of Life (QoL). DESIGN Observational cross-sectional study. SETTING Gyms and teams in the North of Portugal. PARTICIPANTS Sportswomen (n = 197). MAIN OUTCOME MEASURES The measurement was performed using a manometer. The sportswomen were instructed to perform 3 MVC of the perineum, held for 3 s. The Kings Health Questionnaire (KHQ) was used to evaluate urinary symptoms and the QoL of the sportswomen. RESULTS Age significantly influenced (p < 0.05) the QoL in all domains. An increase in BMI was also significantly associated with a decrease in the QoL. MVC values had a highly significant effect on the overall QoL and all domains, including a reduction in urinary symptoms. The weekly time of physical activity was associated with a better QoL in symptomatology. The practice of high-impact activities decreased the QoL (compared to low-impact activities). The vaginal resting pressure values ranged from 1.60 to 59.80 (24.34 ± 11.00). CONCLUSIONS Age, BMI and high-impact sports appear to be the leading factors that promote the onset of SUI, which in turn decrease the QoL in sportswomen. There was a positive association between MVC and weekly time of physical activity in the QoL.
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Affiliation(s)
- Telma Pires
- Department Sports Sciences, University of Trás-os-Montes and Alto Douro, Vila Real, Portugal.
| | - Patrícia Pires
- Department Sports Sciences, University of Trás-os-Montes and Alto Douro, Vila Real, Portugal.
| | - Helena Moreira
- Department Sports Sciences, University of Trás-os-Montes and Alto Douro, Vila Real, Portugal.
| | - Ronaldo Gabriel
- Department Sports Sciences, University of Trás-os-Montes and Alto Douro, Vila Real, Portugal.
| | - Sara Viana
- Department of Health Sciences, University of Fernando Pessoa, Porto, Portugal.
| | - Rui Viana
- Department of Health Sciences, University of Fernando Pessoa, Porto, Portugal.
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Oviedo-Caro MA, Mayolas-Pi C, López-Laval I, Reverter-Masia J, Munguía-Izquierdo D, Bueno-Antequera J, Guillén-Correas R, Lapetra-Costa S, Legaz-Arrese A. Amateur endurance cycling practice and adult's physical and psychosocial health: a cross-sectional study of the influence of training volume. Res Sports Med 2020; 28:383-396. [PMID: 32091243 DOI: 10.1080/15438627.2020.1731689] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
This study aimed to analyse the association between amateur cycling training volume and physical and psychosocial health. A cross-sectional study was developed, via self-reported survey, among 1669 cyclists and 1039 controls, where analysis of variance and hierarchical multiple linear regression test were developed. Independent of gender, high volumes of amateur endurance cycling practice benefited cyclists' body mass index and male cyclists' physical conditioning, while psychosocial health did not differ among the training volume groups. Hierarchical multiple linear regression analysis highlighted the contribution of training volume to lower cyclists' body mass index and better male cyclists' physical conditioning. All cyclist groups presented better physical and psychosocial health than controls. High volumes of amateur endurance cycling training were associated with better physical health without jeopardizing psychosocial health. The practice of amateur endurance cycling, both in low and high volumes, was associated with better physical and psychosocial health compared with inactivity.
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Affiliation(s)
- Miguel Angel Oviedo-Caro
- Physical Performance & Sports Research Center, Department of Sports and Computer Science, Section of Physical Education and Sports, Faculty of Sports Sciences, University Pablo de Olavide , Seville, Spain.,Research Group in Development Movimiento Humano, Universidad de Zaragoza , Zaragoza, Spain
| | - Carmen Mayolas-Pi
- Research Group in Development Movimiento Humano, Universidad de Zaragoza , Zaragoza, Spain.,Department of Physiatry and Nursery, Section of Physical Education and Sports, Faculty of Health and Sport Sciences, University of Zaragoza , Zaragoza, Spain
| | - Isaac López-Laval
- Research Group in Development Movimiento Humano, Universidad de Zaragoza , Zaragoza, Spain.,Department of Physiatry and Nursery, Section of Physical Education and Sports, Faculty of Health and Sport Sciences, University of Zaragoza , Zaragoza, Spain
| | - Joaquín Reverter-Masia
- Research Group in Development Movimiento Humano, Universidad de Zaragoza , Zaragoza, Spain.,Section of Physical Education and Sports, Faculty of Education, Psychology and Social Work, University of Lleida , Lleida, Spain
| | - Diego Munguía-Izquierdo
- Physical Performance & Sports Research Center, Department of Sports and Computer Science, Section of Physical Education and Sports, Faculty of Sports Sciences, University Pablo de Olavide , Seville, Spain.,Research Group in Development Movimiento Humano, Universidad de Zaragoza , Zaragoza, Spain.,Biomedical Research Networking Center on Frailty and Healthy Aging , Madrid, Spain
| | - Javier Bueno-Antequera
- Physical Performance & Sports Research Center, Department of Sports and Computer Science, Section of Physical Education and Sports, Faculty of Sports Sciences, University Pablo de Olavide , Seville, Spain.,Research Group in Development Movimiento Humano, Universidad de Zaragoza , Zaragoza, Spain
| | - Roberto Guillén-Correas
- Research Group in Development Movimiento Humano, Universidad de Zaragoza , Zaragoza, Spain.,Department of Physiatry and Nursery, Section of Physical Education and Sports, Faculty of Health and Sport Sciences, University of Zaragoza , Zaragoza, Spain
| | - Susana Lapetra-Costa
- Research Group in Development Movimiento Humano, Universidad de Zaragoza , Zaragoza, Spain.,Department of Physiatry and Nursery, Section of Physical Education and Sports, Faculty of Health and Sport Sciences, University of Zaragoza , Zaragoza, Spain
| | - Alejandro Legaz-Arrese
- Research Group in Development Movimiento Humano, Universidad de Zaragoza , Zaragoza, Spain.,Department of Physiatry and Nursery, Section of Physical Education and Sports, Faculty of Health and Sport Sciences, University of Zaragoza , Zaragoza, Spain
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Manta SW, Del Duca GF, da Silva KS, Rech CR, Gomes RDS, Maximiano GP, Malta DC. Is the availability of open public spaces associated with leisure-time physical activity in Brazilian adults? Health Promot Int 2020; 35:e51-e58. [PMID: 30689849 DOI: 10.1093/heapro/day120] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
This study aims to analyse the association between perceived presence of public spaces near residences and practice of physical activity during leisure time by adults in the state capitals of Brazil, based on sociodemographic characteristics. Participants were individuals aged ≥18 years living in the 27 state capitals of Brazil (n = 52 929, 53.9% female) who responded to a national survey called VIGITEL in 2013. Physical activity during leisure time (≥1 time/week), perception of space, population and sociodemographic variables (sex, age, years of study and geographic region) were self-reported. The adjusted binary logistic regression analysis was used. Among adults, the prevalence of physical activity during leisure was 45.1% (95% CI [44.2; 46.0]), and 71.1% (95% CI [70.2, 71.8]) perceived public space near their residence. A direct association between perceiving public space and physical activity ([OR] = 1.43; 95% CI [1.32; 1.55]) was observed. No significant difference was observed in the population groups (men and women, younger and older adults, and those with more and fewer years of study). Thus, even with the possible regional differences in Brazilian state capitals, the presence of public spaces increases the practice of physical activity during leisure time, independent of sociodemographic variables.
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Affiliation(s)
| | | | | | | | | | | | - Débora Carvalho Malta
- Department of Surveillance of Diseases and Noncommunicable Diseases and Health Promotion, Secretariat of Health Surveillance, Ministry of Health, Brasilia-DF, Brazil
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Jalali-Farahani S, Amiri P, Torshizi K, Cheraghi L, AvatefFazeli M, Azizi F. Association of leisure and occupational physical activities and health-related quality of life: Tehran Lipid and Gluycose Study. Health Qual Life Outcomes 2020; 18:13. [PMID: 31959177 PMCID: PMC6972000 DOI: 10.1186/s12955-020-1272-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2019] [Accepted: 01/09/2020] [Indexed: 11/13/2022] Open
Abstract
Background Little is known about the association between different levels of physical activity (PA) and health-related quality of life (HRQoL) in the general Iranian population across sex groups. The current study aims to investigate the association between PA and HRQoL across sex groups, various types of physical activity (leisure time and occupational) and different dimensions of HRQoL in a large population of Tehranian adults. Methods This cross-sectional study was conducted using data from the Tehran Lipid and Glucose Study (TLGS). Data was collected from 7800 adults on their PA habits and HRQoL. Information on PA and HRQoL were assessed using the Modifiable Activity Questionnaire (MAQ) and Short-Form 12-Item Health Survey version 2 (SF-12v2), respectively. Poor HRQoL was defined as the first quartile of HRQoL scores and logistic regression analysis was used to assess the association between physical activity levels and poor HRQoL. Results The mean age of participants was 46.4 ± 14.9 years and 45.6% of them were male. Levels of PA were significantly associated with most subscales of HRQoL in both men (p < 0.05) and women (p < 0.01). In both sexes, leisure time PA was significantly correlated to all subscales of HRQoL (p < 0.05) except for bodily pain in both sexes and for social functioning and role emotional in men. In adjusted models, men with both moderate (OR: 1.55, 95%CI: 1.18–2.04; p = 0.002) and low (OR: 1.46, 95%CI: 1.11–1.91; p = 0.007) levels of PA had a significantly higher chance of reporting poor mental component summary (MCS) compared to their counterparts with high levels of PA. Furthermore, women with low levels of PA had a significantly higher chance of reporting poor physical component summary (PCS) (OR: 2.39, 95% CI: 1.63–3.49; p < 0.001) compared to those with high levels of PA. Conclusion The findings show an association between PA and both domains of HRQoL in men and mostly the physical domain in women, suggesting a sex-specific pattern for this association, which could be considered to motivate participation in PA programs in future health promotion interventions.
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Affiliation(s)
- Sara Jalali-Farahani
- Research Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, P.O.Box: 19395-4763, Tehran, IR, Iran.,Students' Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Parisa Amiri
- Research Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, P.O.Box: 19395-4763, Tehran, IR, Iran.
| | - Kiana Torshizi
- Dalla Lana School of Public Health, University of Toronto, Toronto, Canada
| | - Leila Cheraghi
- Biostatistics Department, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Masoume AvatefFazeli
- Research Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, P.O.Box: 19395-4763, Tehran, IR, Iran.,Students' Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Fereidoun Azizi
- Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Pucci GCMF, Neves EB, Santana FSD, Neves DDA, Saavedra FJF. Efeito do Treinamento Resistido e do Pilates na Qualidade de vida de Idosas: um ensaio clínico randomizado. REVISTA BRASILEIRA DE GERIATRIA E GERONTOLOGIA 2020. [DOI: 10.1590/1981-22562020023.200283] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Resumo Objetivo comparar os efeitos do treinamento resistido (TR) e Pilates na qualidade de vida (QV) de idosas. Foi realizado um estudo de delineamento experimental com intervenção de 12 semanas. Métodos Foram avaliadas mulheres idosas (≥60 anos) que não praticavam nenhum tipo de exercício físico regularmente há pelo menos 3 meses. Participaram do estudo 41 idosas que foram aleatoriamente divididas em três grupos:1- grupo Pilates (GP), 2- grupo treinamento resistido (GTR) e 3- grupo controle (GC). Para avaliar a QV, foram utilizados os questionários WHOQOL-OLD, WHOQOL-BREF e SF-36. Foi utilizado o teste de Wilcoxon-Mann-Whitney para analisar a evolução das variáveis intragrupo e o teste de Kruskal-Wallis com post hoc de Dunn para as análises intergrupos. Para a comparação das variáveis de caracterização da amostra entre os grupos foi utilizado o teste qui-quadrado. Resultados Observou-se melhora do domínio Participação Social para o GP (p=0,016). No GTR, foi encontrada diferença significativa para o domínio Saúde Mental (p=0,019). No GC, observou-se melhora do domínio Participação Social (p=0,044) e Escore Total do WHOQOL-OLD (p=0,044). Nas comparações intergrupos, observou-se diferença do Escore Total do WHOQOL-BREF do GP e GTR, com o GP apresentando uma melhor QV no início do estudo (p=0,039). A Vitalidade (p=0,010) e Saúde Mental (p=0,024) do GTR melhorou em relação ao GP. Conclusão Os grupos analisados melhoraram sua QV após o período de intervenção.
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Affiliation(s)
| | | | | | | | - Francisco José Felix Saavedra
- Universidade de Trás-os-Montes e Alto Douro (UTAD), Portugal; Universidade de Trás-os-Montes e Alto Douro (UTAD), Portugal
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Blom EE, Aadland E, Skrove GK, Solbraa AK, Oldervoll LM. Health-related quality of life and intensity-specific physical activity in high-risk adults attending a behavior change service within primary care. PLoS One 2019; 14:e0226613. [PMID: 31860678 PMCID: PMC6924667 DOI: 10.1371/journal.pone.0226613] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2019] [Accepted: 12/01/2019] [Indexed: 01/22/2023] Open
Abstract
Objectives Health-related quality of life (HRQoL) is an important outcome for health interventions, such as physical activity (PA) promotion among high-risk populations. The aim of this study was to investigate levels of PA and HRQoL, and associations between PA and HRQoL, in participants attending a behavior change service within primary care in Norway. Methods Adult participants (≥ 18 years) from 32 Healthy Life Centers (HLCs) in four regions of Norway, who provided valid data on HRQoL (SF-36) and PA (ActiGraph accelerometer) were included (N = 835). HRQoL scores were compared to normative data by independent sample t-tests. Associations between eight dimensions of HRQoL and time spent sedentary (SED), in light PA (LPA) or in moderate to vigorous PA (MVPA) were determined using general linear models adjusted for relevant confounders. Results Nineteen percent of the participants (mean age 50; body mass index 32) met PA recommendations of > 150 min MVPA per week. SF-36 scores were 10 to 28 points lower than the norm (all p < 0.001). Positive associations were found between MVPA and the SF-36 dimensions physical functioning, role physical, general health and vitality, (all p < 0.045). LPA was positively associated with physical functioning, role physical, general health, vitality and role emotional (all p < 0.046). Time spent SED was negatively associated with physical functioning, general health, vitality, social functioning and mental health (all p < 0.030). Conclusions Individuals attending a Norwegian behavior change service within primary care had low PA level and low HRQoL compared to the general population. Our study suggest there is a positive dose-response relationship between PA and HRQoL, and a negative relationship between SED and HRQoL. Furthermore, that specific PA intensities and SED are related to different dimensions of HRQoL.
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Affiliation(s)
- Ellen Eimhjellen Blom
- Department of Sport, Food and Natural Sciences, Faculty of Education, Arts and Sports, Western Norway University of Applied Sciences, Sogndal, Norway
- Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway
- * E-mail:
| | - Eivind Aadland
- Department of Sport, Food and Natural Sciences, Faculty of Education, Arts and Sports, Western Norway University of Applied Sciences, Sogndal, Norway
| | | | - Ane Kristiansen Solbraa
- Department of Sport, Food and Natural Sciences, Faculty of Education, Arts and Sports, Western Norway University of Applied Sciences, Sogndal, Norway
| | - Line Merethe Oldervoll
- Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway
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Sanchez HM, Sanchez EGDM, Barbosa MA, Guimarães EC, Porto CC. Impact of health on quality of life and quality of working life of university teachers from different areas of knowledge. CIENCIA & SAUDE COLETIVA 2019; 24:4111-4123. [PMID: 31664384 DOI: 10.1590/1413-812320182411.28712017] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2017] [Accepted: 04/07/2018] [Indexed: 11/22/2022] Open
Abstract
This study aimed to determine the impact of health on the quality of life (QoL) and quality of working life (QWL) of university teachers. A cross-sectional study was conducted with 284 teachersin the areas of health, sciences, human sciences, and agricultural sciences using a sociodemographic questionnaire containing health-related questions, the WHOQOL-bref, and TQWL-42. Results: the findings showed that teachers who practiced physical activity had better QoL,QWL, and sleep quality. Advanced age was also associated with better QoL.Furthermore, QoL and QWL were lower in teachers who used medications, had an imbalanced diet, and did not practice leisure activities. QoL and QWL are influenced by health-related factors.
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Affiliation(s)
- Hugo Machado Sanchez
- Curso de Fisioterapia, Universidade Federal de Goiás (UFGO). Rodovia BR-364, Setor Francisco Antônio. 75801-615 Jataí GO Brasil.
| | - Eliane Gouveia de Morais Sanchez
- Curso de Fisioterapia, Universidade Federal de Goiás (UFGO). Rodovia BR-364, Setor Francisco Antônio. 75801-615 Jataí GO Brasil.
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Rajati F, Rajati M. Validity and reliability of the Iranian version of the Cardiac Exercise Self-Efficacy Scale. ARYA ATHEROSCLEROSIS 2019; 15:113-122. [PMID: 31452659 PMCID: PMC6698084 DOI: 10.22122/arya.v15i3.1839] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND The assessment of exercise self-efficacy in patients with cardiovascular disease (CVD) is necessary to conduct tailored interventions. The aim of the current study was to validate the Iranian version of the Cardiac Exercise Self-efficacy Scale (CESE) for patients with CVD. METHODS To develop the Iranian version of the CESE scale, a forward and back translation procedure was followed. Data were collected from 260 patients with CVD who were admitted to Imam Ali Cardiovascular Hospital, Iran, using convenience sampling. Psychometric properties of the scale including validity (face and content validity, discriminant, concurrent, convergent, divergent, and construct validity) and reliability (internal consistency, and test-retest reliability) were assessed. SPSS software was used for statistical analysis. RESULTS The questionnaire had a good face and content validity and reliability, with Cronbach's alpha of 0.87 and intraclass correlation coefficient (ICC) of 0.42. The questionnaire discriminated well between subgroups according to their medical conditions and the “health transition” item in the Short-Form Health Survey (SF-36). There was a significant correlation between CESE and the physical components of the SF-36 (P < 0.001). In addition, a strong to moderate significant correlation was found between the CESE and the Exercise Self-efficacy Scale (ESES) (r = 0.77; P < 0.01) and between CESE and the Hospital Anxiety and Depression Scale (HADS) total (r = -0.45; P < 0.001). The exploratory factor analysis (EFA) identified a four-factor structure model, explaining 71.02% of the observed variance. CONCLUSION The Persian version of the CESE is a valid and reliable instrument for the evaluation of CVD patients’ exercise self-efficacy level in performing regular exercise behaviors.
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Affiliation(s)
- Fatemeh Rajati
- Associate Professor, Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Mojgan Rajati
- Assistant Professor, Department of Gynecology and Obstetrics, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran
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Abstract
Older females experience higher rates of disability than males, potentially due to sex-specific differences in gait and muscle function. The authors evaluated the effects of age and physical activity (PA) on gait mechanics and knee extensor muscle function in males and females. Three groups of 20 individuals (each 10 females) participated: young (21-35 y) and highly and less active older (55-70 y) adults. Knee extensor strength and joint mechanics during preferred speed gait were collected before and after 30 minutes of walking. Age by sex and PA by sex interactions indicated older and less active older females had lower concentric knee extensor muscle power and larger hip extension moments than males. After 30 minutes of walking, older less active adults had larger decreases in knee extensor power than their highly active older counterparts, and older adults of both sexes had decreases in ankle dorsiflexion moments while young adults did not. These results suggest that older, particularly less active, adults are susceptible to knee extensor muscle fatigue from moderate activity. For older adults, high levels of PA may be necessary to preserve gait mechanics in response to a bout of exercise. This new information may be important for targeting interventions in at-risk older adults.
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Maniccia DM, Leone JM. Theoretical framework and protocol for the evaluation of Strong Through Every Mile (STEM), a structured running program for survivors of intimate partner violence. BMC Public Health 2019; 19:692. [PMID: 31164113 PMCID: PMC6549320 DOI: 10.1186/s12889-019-6991-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2019] [Accepted: 05/16/2019] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND Intimate partner violence can have a devastating impact on victims' psychological and physical health and ability to maintain and preserve interpersonal relationships. The aim of the current study is to empirically test the effectiveness of Strong Through Every Mile (STEM), a 10-week structured running (exercise) program designed to increase psychological, social, and physical well-being among survivors of intimate partner violence. To the authors' knowledge, STEM is the only community-based structured running program designed to improve the quality of life of survivors of intimate partner violence. This paper will describe the STEM program and present the theoretical basis of the program and the program evaluation design. METHODS The current study will utilize an interdisciplinary lens to evaluate a community-based intervention aimed at decreasing the negative effects of intimate partner violence on women's lives. The study will use a mixed method approach (qualitative and quantitative), including a pre- and post-test evaluation of the STEM running program. Primary data will be collected using paper and pencil surveys which assess women's psychological, social, and physical well-being prior to participation in the program and following the completion of the program. Qualitative data from focus groups will also be collected and allow for a more rich understanding of the changes that women experience over the course of the program and specific mechanisms underlying these changes. DISCUSSION The current study will employ an interdisciplinary lens to examine the extent to which a structured exercise program, specifically running, impacts the psychological, social and physical well-being of women survivors of intimate partner violence. Findings of this study can influence the development and implementation of similar programs for survivors of intimate partner violence and other types of trauma by identifying mechanisms central in achieving positive outcomes for participants.
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Affiliation(s)
- Dayna M. Maniccia
- School of Management, The Sage Colleges, 140 New Scotland Avenue, Albany, New York 12208 USA
| | - Janel M. Leone
- Department of Interdisciplinary Studies, The Sage Colleges, 140 New Scotland Avenue, 12208 Albany, New York USA
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Saquib N, Brunner R, Desai M, Kroenke C, Martin LW, Daviglus M, Allen NB, Robinson J, Tindle H, Stefanick ML. Changes in physical and mental health are associated with cardiovascular disease incidence in postmenopausal women. Age Ageing 2019; 48:448-453. [PMID: 30753250 DOI: 10.1093/ageing/afy213] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2017] [Revised: 08/08/2018] [Accepted: 12/16/2018] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND physical and mental health are important risk factors for cardiovascular disease (CVD) incidence and death among postmenopausal women. The objective of this study was to assess whether changes in physical and mental health were associated with CVD incidence and death. METHODS in the Women's Health Initiative Observational Study, 48,906 women (50-79 years) had complete data at baseline on physical and mental health (assessed with Short Form-36) and key covariates. Changes in self-reported physical and mental health were calculated between baseline and year 3. Incident CVD and death between year 3 and end of the study were verified with medical records. RESULTS over a median 8.2-year follow-up, 2,319 women developed CVD, and 1,571 women died, including 361 CVD deaths. Women with continued poor health and those with worsened health had significantly increased risk of CVD incidence, CVD-specific death and all-cause death relative to women with continued good health. Both major and minor declines in physical health were associated with an increased risk of these outcomes relative to women with no change in physical health. Only major declines in mental health were associated with poor prognosis. CONCLUSIONS changes in physical and mental health over 3 years were independently associated with subsequent CVD events.
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Affiliation(s)
- Nazmus Saquib
- College of Medicine, Sulaiman Al-Rajhi Colleges, Al-Qassim, Saudi Arabia
| | | | - Manisha Desai
- Department of Medicine, School of Medicine, Stanford University, Stanford, USA
| | | | | | | | | | | | | | - Marcia L Stefanick
- Department of Medicine, School of Medicine, Stanford University, Stanford, USA
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