1
|
Irandoust K, Parsakia K, Estifa A, Zoormand G, Knechtle B, Rosemann T, Weiss K, Taheri M. Predicting and comparing the long-term impact of lifestyle interventions on individuals with eating disorders in active population: a machine learning evaluation. Front Nutr 2024; 11:1390751. [PMID: 39171102 PMCID: PMC11337873 DOI: 10.3389/fnut.2024.1390751] [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: 02/23/2024] [Accepted: 07/15/2024] [Indexed: 08/23/2024] Open
Abstract
Objective This study aims to evaluate and predict the long-term effectiveness of five lifestyle interventions for individuals with eating disorders using machine learning techniques. Methods This study, conducted at Dr. Irandoust's Health Center at Qazvin from August 2021 to August 2023, aimed to evaluate the effects of five lifestyle interventions on individuals with eating disorders, initially diagnosed using The Eating Disorder Diagnostic Scale (EDDS). The interventions were: (1) Counseling, exercise, and dietary regime, (2) Aerobic exercises with dietary regime, (3) Walking and dietary regime, (4) Exercise with a flexible diet, and (5) Exercises through online programs and applications. Out of 955 enrolled participants, 706 completed the study, which measured Body Fat Percentage (BFP), Waist-Hip Ratio (WHR), Fasting Blood Sugar (FBS), Low-Density Lipoprotein (LDL) Cholesterol, Total Cholesterol (CHO), Weight, and Triglycerides (TG) at baseline, during, and at the end of the intervention. Random Forest and Gradient Boosting Regressors, following feature engineering, were used to analyze the data, focusing on the interventions' long-term effectiveness on health outcomes related to eating disorders. Results Feature engineering with Random Forest and Gradient Boosting Regressors, respectively, reached an accuracy of 85 and 89%, then 89 and 90% after dataset balancing. The interventions were ranked based on predicted effectiveness: counseling with exercise and dietary regime, aerobic exercises with dietary regime, walking with dietary regime, exercise with a flexible diet, and exercises through online programs. Conclusion The results show that Machine Learning (ML) models effectively predicted the long-term effectiveness of lifestyle interventions. The current study suggests a significant potential for tailored health strategies. This emphasizes the most effective interventions for individuals with eating disorders. According to the results, it can also be suggested to expand demographics and geographic locations of participants, longer study duration, exploring advanced machine learning techniques, and including psychological and social adherence factors. Ultimately, these results can guide healthcare providers and policymakers in creating targeted lifestyle intervention strategies, emphasizing personalized health plans, and leveraging machine learning for predictive healthcare solutions.
Collapse
Affiliation(s)
- Khadijeh Irandoust
- Department of Sport Sciences, Imam Khomeini International University, Qazvin, Iran
| | - Kamdin Parsakia
- Department of Psychology and Counseling, KMAN Research Institute, Richmond Hill, ON, Canada
| | - Ali Estifa
- Department of Sport Sciences, Imam Khomeini International University, Qazvin, Iran
| | - Gholamreza Zoormand
- Department of Physical Education, Huanggang Normal University, Huanggang, China
| | - Beat Knechtle
- Medbase St. Gallen Am Vadianplatz, St. Gallen, Switzerland
| | - Thomas Rosemann
- Institute of Primary Care, University of Zürich, Zürich, Switzerland
| | - Katja Weiss
- Institute of Primary Care, University of Zürich, Zürich, Switzerland
| | - Morteza Taheri
- Department of Cognitive and Behavioural Sciences in Sport, Faculty of Sport Science and Health, University of Tehran, Tehran, Iran
| |
Collapse
|
2
|
Holetzek T, Euler S, Jaehn P, Schliephacke LJ, Trunev A, Holmberg C. [On the Potential of Prevention Counselors in the Primary Care Setting: Evaluation Study of an Intervention in the State of Brandenburg (Germany)]. DAS GESUNDHEITSWESEN 2024. [PMID: 38653471 DOI: 10.1055/a-2266-9954] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/25/2024]
Abstract
PURPOSE OF THE STUDY The study investigates the extent to which medical assistants can support primary prevention measures in family practices as prevention advisors. METHODS Between July 2019 and December 2020, preventive measures were implemented by trained prevention counselors in general practitioners' practices in a rural region in Brandenburg. They consisted of longer-term support for individuals in lifestyle changes in the areas of "nutrition", "exercise" and "relaxation". The accompanying process and outcome evaluation included pre-post comparisons of selected medical parameters as well as the investigation of possible changes in health literacy and health-related quality of life using standardized questionnaires (HeiQ-Core, SF-12v2). Furthermore, thematic analyses of training documents, participant surveys using a questionnaire, two focus groups with prevention counselors, and five interviews with study participants were conducted. RESULTS Four primary care practices and two health care facilities were recruited and seven health care workers were trained as prevention counselors. Thirty-eight individuals were enrolled in the prevention program. Although overall counseling sessions were conducted according to training specifications, various individual as well as structural barriers ensured low uptake of the intervention. CONCLUSIONS The extent to which preventive measures adapted to the individual can be successfully established in primary care practices with the help of health care workers trained as prevention counselors depends strongly on the respective practice structures as well as the patient clientele. Temporal integration and coordination of the activities of prevention advisors in the daily practice routine seems to be likely to lead to success in interventions of the kind evaluated here.
Collapse
Affiliation(s)
- Tim Holetzek
- Medizinische Hochschule Brandenburg Theodor Fontane, Institut für Sozialmedizin und Epidemiologie, Brandenburg an der Havel, Germany
| | - Sylvia Euler
- Medizinische Hochschule Brandenburg Theodor Fontane, Institut für Sozialmedizin und Epidemiologie, Brandenburg an der Havel, Germany
| | - Philipp Jaehn
- Medizinische Hochschule Brandenburg Theodor Fontane, Institut für Sozialmedizin und Epidemiologie, Brandenburg an der Havel, Germany
- Medizinische Hochschule Brandenburg Theodor Fontane, Fakultät für Gesundheitswissenschaften, Brandenburg an der Havel, Germany
| | - Laura Josephin Schliephacke
- Medizinische Hochschule Brandenburg Theodor Fontane, Institut für Sozialmedizin und Epidemiologie, Brandenburg an der Havel, Germany
| | - Andrea Trunev
- Ärztenetz Südbrandenburg e.V., Finsterwalde, Germany
| | - Christine Holmberg
- Medizinische Hochschule Brandenburg Theodor Fontane, Institut für Sozialmedizin und Epidemiologie, Brandenburg an der Havel, Germany
- Medizinische Hochschule Brandenburg Theodor Fontane, Fakultät für Gesundheitswissenschaften, Brandenburg an der Havel, Germany
| |
Collapse
|
3
|
Mincarone P, Bodini A, Tumolo MR, Sabina S, Colella R, Mannini L, Sabato E, Leo CG. Association Between Physical Activity and the Risk of Burnout in Health Care Workers: Systematic Review. JMIR Public Health Surveill 2024; 10:e49772. [PMID: 38498040 PMCID: PMC10985610 DOI: 10.2196/49772] [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: 06/09/2023] [Revised: 09/18/2023] [Accepted: 12/12/2023] [Indexed: 03/19/2024] Open
Abstract
BACKGROUND Burnout is a multidimensional psychological syndrome that arises from chronic workplace stress. Health care workers (HCWs), who operate in physically and emotionally exhausting work contexts, constitute a vulnerable group. This, coupled with its subsequent impact on patients and public economic resources, makes burnout a significant public health concern. Various self-care practices have been suggested to have a positive effect on burnout among HCWs. Of these, physical activity stands out for its ability to combine psychological, physiological, and biochemical mechanisms. In fact, it promotes psychological detachment from work and increases self-efficacy by inhibiting neurotransmitters and neuromodulators, increasing endorphin levels, enhancing mitochondrial function, and attenuating the hypothalamic pituitary-adrenal axis response to stress. OBJECTIVE Our objective was to conduct a systematic review of the evidence on the association between physical activity and burnout among HCWs. METHODS We considered HCWs, physical activity, and burnout, framing them as population, exposure, and outcome, respectively. We searched APA PsycArticles, MEDLINE, and Scopus until July 2022. We extracted relevant data on study design, methods to measure exposure and outcome, and statistical approaches. RESULTS Our analysis encompassed 21 independent studies. Although 10% (2/21) of the studies explicitly focused on physical activity, the remaining investigations were exploratory in nature and examined various predictors, including physical activity. The most commonly used questionnaire was the Maslach Burnout Inventory. Owing to the heterogeneity in definitions and cutoffs used, the reported prevalence of burnout varied widely, ranging from 7% to 83%. Heterogeneity was also observed in the measurement tools used to assess physical activity, with objective measures rarely used. In total, 14% (3/21) of the studies used structured questionnaires to assess different types of exercise, whereas most studies (18/21, 86%) only recorded the attainment of a benchmark or reported the frequency, intensity, or duration of exercise. The reported prevalence of physically active HCWs ranged from 44% to 87%. The analyses, through a variety of inferential approaches, indicated that physical activity is often associated with a reduced risk of burnout, particularly in the domains of emotional exhaustion and depersonalization. Furthermore, we compiled and classified a list of factors associated with burnout. CONCLUSIONS Our comprehensive overview of studies investigating the association between physical activity and burnout in HCWs revealed significant heterogeneity in definitions, measurements, and analyses adopted in the literature. To address this issue, it is crucial to adopt a clear definition of physical activity and make thoughtful choices regarding measurement tools and methodologies for data analysis. Our considerations regarding the measurement of burnout and the comprehensive list of associated factors have the potential to improve future studies aimed at informing decision-makers, thus laying the foundation for more effective management measures to address burnout.
Collapse
Affiliation(s)
- Pierpaolo Mincarone
- Research Unit of Brindisi, Institute for Research on Population and Social Policies, National Research Council, Brindisi, Italy
- MOVE-Mentis s.r.l, Cesena, Italy
| | - Antonella Bodini
- Institute for Applied Mathematics and Information Technologies "Enrico Magenes", National Research Council, Milan, Italy
| | - Maria Rosaria Tumolo
- Biological and Environmental Sciences and Technology Department, University of Salento, Lecce, Italy
| | - Saverio Sabina
- MOVE-Mentis s.r.l, Cesena, Italy
- Institute of Clinical Physiology, National Research Council, Lecce, Italy
| | - Riccardo Colella
- Institute of Clinical Physiology, National Research Council, Lecce, Italy
- Innovation Engineering Department, University of Salento, Lecce, Italy
| | - Linda Mannini
- Institute of Clinical Physiology, National Research Council, Lecce, Italy
| | - Eugenio Sabato
- Research Unit of Brindisi, Institute for Research on Population and Social Policies, National Research Council, Brindisi, Italy
- Respiratory Diseases Unit, "Antonio Perrino" P.O., Local Health Unit "ASL Brindisi", Brindisi, Italy
| | - Carlo Giacomo Leo
- MOVE-Mentis s.r.l, Cesena, Italy
- Institute of Clinical Physiology, National Research Council, Lecce, Italy
| |
Collapse
|
4
|
Wattanapisit A, Lapmanee S, Chaovalit S, Lektip C, Chotsiri P. Prevalence of physical activity counseling in primary care: A systematic review and meta-analysis. Health Promot Perspect 2023; 13:254-266. [PMID: 38235006 PMCID: PMC10790122 DOI: 10.34172/hpp.2023.31] [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: 07/18/2023] [Accepted: 10/20/2023] [Indexed: 01/19/2024] Open
Abstract
Background This systematic review aimed to summarize and evaluate the prevalence of physical activity (PA) counseling in primary care. Methods Five databases (CINAHL Complete, Embase, Medline, PsycInfo, and Web of Science) were searched. Primary epidemiological studies on PA counseling in primary care were included. The Joanna Briggs Institute critical appraisal checklist for studies reporting prevalence data was used to assess the quality of studies. The review protocol was registered with PROSPERO (CRD42021284570). Results After duplicate removal, 4990 articles were screened, and 120 full-text articles were then assessed. Forty studies were included, with quality assessment scores ranging from 5/9 to 9/9. The pooled prevalence of PA counseling based on 35 studies (199830 participants) was 37.9% (95% CI 31.2 to 44.6). The subgroup analyses showed that the prevalence of PA counseling was 33.1% (95% CI: 22.6 to 43.7) in females (10 studies), 32.1% (95% CI: 22.6 to 41.7) in males (10 studies), 65.5% (95% CI: 5.70 to 74.1) in people with diabetes mellitus (6 studies), 41.6% (95% CI: 34.9 to 48.3) in people with hypertension (5 studies), and 56.8% (95% CI: 31.7 to 82.0) in people with overweight or obesity (5 studies). All meta-analyses showed high levels of heterogeneity (I2=93% to 100%). Conclusion The overall prevalence of PA counseling in primary care was low. The high levels of heterogeneity suggest variability in the perspectives and practices of PA counseling in primary care. PA counseling should be standardized to ensure its optimum effectiveness in primary care.
Collapse
Affiliation(s)
- Apichai Wattanapisit
- Department of Clinical Medicine, School of Medicine, Walailak University, Nakhon Si Thammarat, Thailand
- Family Medicine Clinic, Walailak University Hospital, Nakhon Si Thammarat, Thailand
| | - Sarawut Lapmanee
- Department of Basic Medical Sciences, Faculty of Medicine, Siam University, Bangkok, Thailand
| | - Sirawee Chaovalit
- Department of Physical Therapy, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand
| | - Charupa Lektip
- Department of Physical Therapy, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat, Thailand
| | - Palang Chotsiri
- Department of Clinical Pharmacology, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
| |
Collapse
|
5
|
Christian-Khalifa EB, Aliocha NN, Constant NE, Jean-Paul DN, Eleuthère KV, Benjamin LM, Jean-Réné MK, Bernard KP. Knowledge and practice of the physical activity prescription by generalists and specialist physicians of the city of Kinshasa: a cross-sectional study. BMC Sports Sci Med Rehabil 2023; 15:124. [PMID: 37770923 PMCID: PMC10537417 DOI: 10.1186/s13102-023-00737-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Accepted: 09/19/2023] [Indexed: 09/30/2023]
Abstract
BACKGROUND The health benefits of regular physical activity (PA) are well documented. However, several people in both developed and developing countries do not meet PA recommendations. Health professionals are believed to be potential PA promoters. The purpose of this study is to gain insight into general and specialist practitioners' knowledge, practices and PA prescription-related factors in private and public hospitals in Kinshasa. METHODS A multicenter cross-sectional analytical study was conducted among general and specialist practitioners in the Democratic Republic of the Congo's capital using a declarative and anonymous questionnaire. RESULTS Overall, 40.2% of the participants were interested in their patient's PA, 2.3% prescribed PA, and 0.9% did it correctly. Specialist physicians (SPs) prescribed PA more frequently than general practitioners (GP), and private hospital physicians prescribed PA more frequently than public hospital physicians. Five factors were independently associated with participants in prescribing PA: being in a private hospital increased the likelihood of prescribing PA by twofold (aOR, 1.83; 95% CI, 0.99-3.39; p = 0.055), being an SP increased the likelihood by sixfold (aOR, 6.22; 95% CI, 3.78-10.51; p = 0.000), being an internist increase the likelihood by sixfold (aOR, 5.81; 95% CI, 3.45-9.78; p = 0.000), being cardiologist by a factor of 12 (aOR, 12.91; 95% CI, 4.37-38.15; p = 0.000) and knowing the benefits of PA by a factor of 2 (aOR, 2.29; 95% CI, 1.29-4.08; p = 0.006). The most common reason given for a lack of interest in patients' PA, followed by a lack of knowledge about current PA prescribing recommendations and a lack of time. CONCLUSIONS SPs and professionals in the private health sector were the most interested in their patients' PA. A small portion of them actually prescribed it, and only a tiny proportion did it correctly. This bleak picture highlights a need to rethink the undergraduate medical curricula, especially about teachings on the importance and use of PA as a medicine in its own right in disease prevention and treatment.
Collapse
Affiliation(s)
- Emeka Bowamou Christian-Khalifa
- Faculty of Medicine, Department of Physical Medicine and Rehabilitation, University of Kinshasa, Kinshasa, Democratic Republic of the Congo
| | - Nkodila Natuhoyila Aliocha
- School of Public Health, Department of Statistics, University of Kinshasa, Kinshasa, Democratic Republic of the Congo
| | - Nkiama Ekisawa Constant
- Faculty of Medicine, Department of Physical Medicine and Rehabilitation, University of Kinshasa, Kinshasa, Democratic Republic of the Congo
| | | | - Kintoki Vita Eleuthère
- Cardiology Unit, University Hospital of Kinshasa, University of Kinshasa, Kinshasa, Democratic Republic of Congo
| | - Longo-Mbenza Benjamin
- Cardiology Unit, University Hospital of Kinshasa, University of Kinshasa, Kinshasa, Democratic Republic of Congo
| | - M'buyamba-Kabangu Jean-Réné
- Cardiology Unit, University Hospital of Kinshasa, University of Kinshasa, Kinshasa, Democratic Republic of Congo
| | - Kianu Phanzu Bernard
- Cardiology Unit, University Hospital of Kinshasa, University of Kinshasa, Kinshasa, Democratic Republic of Congo.
| |
Collapse
|
6
|
Wangler J, Jansky M. Promotion of Exercise and Health for Older People in Primary Care: A Qualitative Study on the Potential, Experiences and Strategies of General Practitioners in Germany. JOURNAL OF PREVENTION (2022) 2023; 44:477-490. [PMID: 36997796 PMCID: PMC10423120 DOI: 10.1007/s10935-023-00730-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 03/14/2023] [Indexed: 04/01/2023]
Abstract
In advanced age, physical activity becomes an important element in maintaining one's individual health. GPs are considered to be well suited for advising and attending to older patients according to the principles of (preventive) healthcare. The subject was examined in the context of a study that determined options for action, experiences and strategies relating to the physical activation of older patients by GPs. Between 2021 and 2022, 76 semi-standardised interviews amongst GPs were conducted in all federal states of Germany. The data were evaluated by qualitative content analysis. The category system includes: importance of promoting physical activity; focus of exercise counselling; procedure of counselling; overview of exercise offers and cooperation with healthcare stakeholders; challenges and optimisation approaches. Many interviewees were aware of the significance of promoting health and exercise among older persons. Some physicians paid attention to identifying suitable activities for patients and motivating them to participate on a long-term basis. Cooperations with local health stakeholders have been identified. The interviewees recognised various challenges, which were mainly attributable to the lack of structures for health promotion. Several of the GPs lacked an overview of the physical activity programmes. GPs should assume an active role in exercise and health promotion for older patients. For them to be able to refer their patients effectively to exercise opportunities offered, it will be of importance to integrate the GP setting into a community-based network of prevention. Training measures could support the GP team to refer to the value of physical activity and address need-based recommendations.
Collapse
Affiliation(s)
- Julian Wangler
- Centre for General Medicine and Geriatrics, University Medical Center of the Johannes Gutenberg University Mainz, Am Pulverturm 13, 55131 Mainz, Germany
| | - Michael Jansky
- Centre for General Medicine and Geriatrics, University Medical Center of the Johannes Gutenberg University Mainz, Am Pulverturm 13, 55131 Mainz, Germany
| |
Collapse
|
7
|
Guerra PH, Sposito LAC, da Costa FF, Fermino RC, Papini CB, Rech CR. Effectiveness of the 5A Counseling Model-Based Interventions on Physical Activity Indicators in Adults: A Systematic Review. Behav Sci (Basel) 2023; 13:476. [PMID: 37366729 DOI: 10.3390/bs13060476] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2023] [Revised: 05/23/2023] [Accepted: 05/25/2023] [Indexed: 06/28/2023] Open
Abstract
BACKGROUND To identify and appraise the effectiveness of the 5A-counseling-model-based interventions on indicators of physical activity in adults. METHODS A systematic review was conducted from systematic searches in Embase, Lilacs, Pubmed, Scielo, Scopus, Sportdiscus and Web of Science, involving studies published from its inception until May 2022. To avoid potential losses, searches also were made in Google Scholar and in reference lists. The assessment of studies, data extraction, and synthesis were carried out independently by two researchers. RESULTS Four studies composed the synthesis, which involved people with an average age between 40 and 55 years, most of the samples being women. It was observed that counseling was carried out in conjunction with other strategies, such as drawing up an action plan, sending text messages, and offering educational material. Only one study showed a statistically significant difference between the intervention and control groups in the "daily number of steps" indicator. CONCLUSIONS Based on available studies, 5A-counseling-model-based interventions did not reflect significant findings in relation to physical activity. However, given the potential of the model, future studies are recommended with a better description of the strategies, as well as a more robust methodology, to strengthen the evidence.
Collapse
Affiliation(s)
| | | | - Filipe Ferreira da Costa
- Associated Post-Graduation Program in Physical Education, University of Pernambuco/Federal University of Paraíba, João Pessoa 58051-900, Brazil
| | - Rogério César Fermino
- Postgraduate Program in Physical Education, Federal University of Technology-Paraná, Curitiba 81310-900, Brazil
| | - Camila Bosquiero Papini
- Department of Sports Sciences, Federal University of Triângulo Mineiro, Uberaba 38025-180, Brazil
| | - Cassiano Ricardo Rech
- Post-Graduation Program in Physical Education, Federal University of Santa Catarina, Florianopolis 88040-900, Brazil
| |
Collapse
|
8
|
La prescription d’activité physique adaptée chez les adultes atteints de pathologies chroniques par les médecins généralistes, en France et à l’étranger : étude des freins et leviers. Une revue systématique de la littérature. Sci Sports 2023. [DOI: 10.1016/j.scispo.2022.07.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
|
9
|
AlMarzooqi MA, Saller F. Physical Activity Counseling in Saudi Arabia: A Systematic Review of Content, Outcomes, and Barriers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16350. [PMID: 36498424 PMCID: PMC9735878 DOI: 10.3390/ijerph192316350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/19/2022] [Revised: 12/02/2022] [Accepted: 12/03/2022] [Indexed: 06/17/2023]
Abstract
OBJECTIVES This study aimed to map the characteristics and the predominant components of clinical physical activity (PA) counseling in Saudi Arabia for adult patients and outline evidence of outcomes and prevalent barriers to its implementation. METHODS We conducted a systematic literature search of four online databases: Web of Science, PubMed, ScienceDirect, and The Cochrane Library. Each study was assessed and evaluated using the Mixed Methods Appraisal Tool (MMAT) for methodological quality. RESULTS A total of 120 studies were screened, and 47 studies were sought for retrieval. In total, 25 articles were eligible and were subjected to extensive review. After a detailed evaluation, only nine studies met the inclusion criteria. All included were quantitative studies that compiled descriptive and numerical data on physical activity counseling. Four studies described PA counseling information in Saudi Arabia or prescription as lifestyle modification and program structure. The programs used various techniques to motivate patients to adhere to PA protocols. In general, practitioners indicated a high perceived competence in helping patients meet PA guidelines. The most frequently stated barrier was a lack of time for PA discussions with patients, followed by a lack of training in PA counseling, and a lack of patient compliance. Significant improvements in clinical parameters and smoking, food, and exercise habits were detected in experimental trials with respective intervention programs. CONCLUSION This review provides preliminary insights into the delivered intervention and standard care content, its outcomes, and clinicians' perceived competence and barriers regarding current PA counseling approaches in Saudi Arabia. Despite the small number of studies included, this review contributes to the limited understanding of current PA counseling practices in Saudi Arabia and serves as an informational source for clinicians and policymakers and a starting point for further research.
Collapse
Affiliation(s)
- Mezna A. AlMarzooqi
- Department of Community Health Sciences, College of Applied Medical Science, King Saud University, Riyadh 11451, Saudi Arabia
| | - Franziska Saller
- Department of Project Management, Universidad Internacional Iberoamericana, Campeche 24560, Mexico
| |
Collapse
|
10
|
Tokgoz G, Arman N, Seyit H, Karabulut M. Effects of pre-surgical aerobic dance-based exercise on lower extremity in people with morbid obesity awaiting bariatric surgery: Randomized controlled study. Clin Obes 2022; 12:e12529. [PMID: 35611581 DOI: 10.1111/cob.12529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Revised: 03/23/2022] [Accepted: 05/01/2022] [Indexed: 11/29/2022]
Abstract
To investigate what are the effects of pre-surgical aerobic dance-based exercise programme (PSADBE) and physical activity counselling (PAC) programme on lower extremity functions after surgery in people with morbid obesity awaiting bariatric surgery (PMOABS). This study was a single-blind, randomized controlled study. Groups were divided into Group I (PSADBE and PAC) and Group II (PAC). Both groups received PAC, Group I completed the PSADBE programme accompanied by music for 60 min/2 days/8 weeks. Thirty-four PMOABS were included in the study. The 6-Minute Walking Test, as primary outcomes, and The Stair Climbing Up-Down Test for evaluating functional capacity, Biodex Isokinetic Test and Exercise System® for evaluating muscle strength were used. Besides, muscle endurance, physical activity (PA) level, fatigue and quality of life (QoL) were also assessed. All measurements were repeated three times; pre-treatment, post-treatment and the fifth-month post-surgery. After 8 weeks, significant changes were found in functional capacity, muscle strength and endurance, PA level, fatigue and QoL in both groups (p < .05). Comparing the groups, the changes in functional capacity, muscle strength and endurance, PA and fatigue scores after treatment and the fifth-month post-surgery were statistically superior in Group I (p < .05). Adding an 8-week PSADBE programme to PAC is an effective treatment option for improving postoperative functional capacity, muscle strength and endurance, PA level and fatigue in PMOABS.
Collapse
Affiliation(s)
- Gulfidan Tokgoz
- Department of Physiotherapy and Rehabilitation, Institute of Graduates Studies, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Nilay Arman
- Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Hakan Seyit
- Faculty of Medicine, Department of General Surgery, Bakirkoy Dr. Sadi Konuk Health Practice & Research Center, University of Health Sciences, Istanbul, Turkey
| | - Mehmet Karabulut
- Faculty of Medicine, Department of General Surgery, Bakirkoy Dr. Sadi Konuk Health Practice & Research Center, University of Health Sciences, Istanbul, Turkey
| |
Collapse
|
11
|
Wattanapisit A, Amaek W, Wattanapisit S, Tuangratananon T, Wongsiri S, Pengkaew P. Challenges of Implementing an mHealth Application for Personalized Physical Activity Counselling in Primary Health Care: A Qualitative Study. Int J Gen Med 2021; 14:3821-3831. [PMID: 34335048 PMCID: PMC8318008 DOI: 10.2147/ijgm.s317241] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2021] [Accepted: 07/09/2021] [Indexed: 12/23/2022] Open
Abstract
Introduction A mobile health (mHealth) technology has the potential to facilitate personalized physical activity (PA) counselling. We aimed to explore the feasibility and challenges of implementing a newly developed mHealth application (PAC app) for personalized PA counselling. Material and Methods A qualitative design employed a descriptive phenomenology approach. Data were collected through focus group discussions (FGDs) with primary health care (PHC) providers and were analyzed using a deductive thematic approach. Results A total of 16 participants participated in four FGDs. Four major themes were found: application for personalized PA counselling, barriers to the use of the application by providers, patient involvement, and impact on PHC services. Discussion The results showed that the new mHealth application can potentially facilitate PA counselling. However, its use in PHC settings requires an understanding of the context of service delivery; the challenges faced by providers and patients and effects on services must be considered. Conclusion Future research should focus on the long-term use of PAC app and its impact on behavioral and health outcomes.
Collapse
Affiliation(s)
- Apichai Wattanapisit
- School of Medicine, Walailak University, Nakhon Si Thammarat, Thailand.,Walailak University Hospital, Nakhon Si Thammarat, Thailand
| | - Waluka Amaek
- College of Graduate Studies, Walailak University, Nakhon Si Thammarat, Thailand
| | | | | | - Sunton Wongsiri
- Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand
| | - Prasert Pengkaew
- School of Informatics, Walailak University, Nakhon Si Thammarat, Thailand
| |
Collapse
|
12
|
Foresight for the Fitness Sector: Results from a European Delphi Study and Its Relevance in the Time of COVID-19. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17238941. [PMID: 33271932 PMCID: PMC7730891 DOI: 10.3390/ijerph17238941] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/11/2020] [Revised: 11/25/2020] [Accepted: 11/27/2020] [Indexed: 02/02/2023]
Abstract
The fitness sector is an essential player in the promotion of physical activity and healthy behaviour in Europe. However, the sector is confronted with numerous socio-demographic trends that will shape its ability to be financially successful and contribute to public health. The sector must understand current drivers of change and the skills its workforce needs to navigate them. As such, using the results of a 2019 Delphi Survey of over 50 fitness experts from 26 countries, we aim to define the drivers of change facing the sector and identify the skills needed by the fitness workforce to navigate these changes. We find that several technological, social, health and economic trends affect the sector. As a result, so-called soft skills such as communication or customer service, along with digital technology skills, are becoming increasingly important. There is also growing recognition that fitness professionals need to be trained to work with a number of special populations. Furthermore, we argue that many of the trends identified here—such as the increasing use of technology or the focus on individual customer needs—have been accelerated by the COVID-19 pandemic. We conclude by arguing that well-developed, pan-European qualifications are needed to address these common issues.
Collapse
|