Feasibility and preliminary effectiveness of a physical exercise training program during neoadjuvant chemoradiotherapy in individual patients with rectal cancer prior to major elective surgery

Abstract Objective Physical exercise shows benefits to executive functioning (EF), a cognitive process that is relevant to goal-directed planning, application of complex rules, and dynamic control of action. However, many older adults have not engaged in exercise due to social distancing measures implemented to combat the Covid-19 pandemic. The present study aims to administer a remote physical exercise training program to older adults in Canada and examine its effects on EF and mood, beginning with the collection of the following baseline data. Methods So far, nine older adults (78% females, 66–78 years-old) have completed a remote assessment that examines current physical exercise engagement, Covid-related distress, general mood, and executive behavior. In addition, the assessment included computerized tasks measuring various aspects of EF. Pattern analyses were used to characterize trends in baseline data. Results 67% of participants reported undergoing no moderate-vigorous physical exercise in a typical week. Compared to other participants, more individuals in this subgroup performed at a lower rate on a higher-order EF task (i.e., the Balloon Analogue Risk Task). Similarly, more participants who endorsed higher Covid-related psychological distress performed worse in the same task compared to others (40% in the lower third of performance vs. 0%), and also endorsed more difficulties with organization. Conclusions These results suggest that those who do not engage in physical exercise are potential candidates to experience the mental health and cognitive benefits of a physical exercise training program.

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Changes in Central and Peripheral Hemodynamics Induced by Long-Term Physical Exercise Training in Patients With Chronic Heart Failure

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(97)84564-0 ◽

1998 ◽

Vol 31 (2) ◽

pp. 197A-198A

Author(s):

R Hambrecht

Keyword(s):

Heart Failure ◽

Chronic Heart Failure ◽

Exercise Training ◽

Physical Exercise ◽

Peripheral Hemodynamics ◽

Physical Exercise Training

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Supervised physical exercise training for chronic obstructive pulmonary disease: long-term efficacy and safety

10.1002/14651858.cd006906 ◽

2008 ◽

Author(s):

Rachel Garrod ◽

Dina Brooks ◽

Toby J Lasserson ◽

E. Haydn Walters ◽

Amanda Thomson

Keyword(s):

Chronic Obstructive Pulmonary Disease ◽

Exercise Training ◽

Physical Exercise ◽

Pulmonary Disease ◽

Chronic Obstructive ◽

Efficacy And Safety ◽

Obstructive Pulmonary Disease ◽

Term Efficacy ◽

Physical Exercise Training

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The talk test"s responsiveness to an 8-week exercise-training program in cardiovascular disease patients

European Journal of Preventive Cardiology ◽

10.1093/eurjpc/zwab061.323 ◽

2021 ◽

Vol 28 (Supplement_1) ◽

Author(s):

EM Martins ◽

LS Silveira ◽

GS Ribeiro ◽

AM Vieira ◽

ABAO Roque ◽

...

Keyword(s):

Cardiovascular Disease ◽

Exercise Training ◽

Training Program ◽

Ventilatory Threshold ◽

Rehabilitation Program ◽

Wilcoxon Test ◽

Heart Rate Variability Analysis ◽

Funding Sources ◽

Exercise Training Program ◽

6Mwt Distance

Abstract Funding Acknowledgements Type of funding sources: None. Background Talk test (TT) is an alternative and accessible tool for prescribing and monitoring aerobic training intensity. Although the TT is reliable and valid for cardiorespiratory assessment, its responsiveness to exercise training remains unexplored. Purpose To evaluate the responsiveness of TT in cardiovascular disease (CVD) patients who underwent an exercise training program. Methods Twenty-one CVD patients (61.7 ± 8.4 years) performed an exercise-training program on phase II of cardiac rehabilitation (45-min 3-times a week). The six-minute walk test (6MWT) and TT were done to assess functional capacity at baseline and after 8 weeks. In the individualized TT the treadmill’s speed and/or grade were increased every 2-min, with speed changes based on a reference equation for the 6MWT distance (6MWD). The subjects were asked to read a 38 words standard paragraph at the last 30s of each stage and to answer if they could talk comfortably. Answer options were i) YES (TT+), ii) UNCERTAIN (TT±), or iii) NO (TT-). The first ventilatory threshold (VT1) was identified by two reviewers using the heart rate variability analysis. A paired t-test was applied to analyze the TT duration and 6MWD. The VT1 and TT workload were analyzed by the Wilcoxon test. Spearman correlation was adopted to compare the TT± and VT1 stages. Results Improvement in the VT1 (2.9 ± 1.2 vs 4.4 ± 1.4 min; p < 0.001), duration (12.1 ± 4.4 vs 14.9 ± 5.2 min; p < 0.001), workload at TT- (67.8 ± 48.4 vs 104.5 ± 65.9 w; p < 0.001), and in the 6MWD (471.5 ± 100.3 vs 533.7 ± 92.9 m; p < 0.001) were observed. There was strong correlation between TT± and VT1 in pre (r = 0.613; p < 0.05) and post-rehabilitation (r = 0.678; p < 0.05). Conclusion Talk test performed on a treadmill showed responsiveness after eight weeks of exercise training, being sensitive to the physiological changes provided by the rehabilitation program in CVD patients.

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“CoVidentary”: an online exercise training program to reduce sedentary behaviours in children with type 1 diabetes during the COVID-19 pandemic

Journal of Clinical & Translational Endocrinology ◽

10.1016/j.jcte.2021.100261 ◽

2021 ◽

pp. 100261

Author(s):

Valeria Calcaterra ◽

Dario Iafusco ◽

Vittoria Carnevale Pellino ◽

Chiara Mameli ◽

Gianluca Tornese ◽

...

Keyword(s):

Type 1 Diabetes ◽

Exercise Training ◽

Training Program ◽

Sedentary Behaviours ◽

Exercise Training Program

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Enhancing Patient Motivation through Intelligibility in Cardiac Tele-rehabilitation

Interacting with Computers ◽

10.1093/iwc/iwz008 ◽

2019 ◽

Vol 31 (2) ◽

pp. 122-137

Author(s):

Supraja Sankaran ◽

Kris Luyten ◽

Dominique Hansen ◽

Paul Dendale ◽

Karin Coninx

Keyword(s):

Medication Adherence ◽

Exercise Training ◽

Physical Exercise ◽

Health Outcomes ◽

Cardiac Rehabilitation ◽

Field Studies ◽

Activity Levels ◽

Patient Motivation ◽

Physical Exercise Training ◽

The Impact

Abstract Physical exercise training and medication compliance are primary components of cardiac rehabilitation. When rehabilitating independently at home, patients often fail to comply with their prescribed medication and find it challenging to interpret exercise targets or be aware of the expected efforts. Our work aims to assist cardiac patients in understanding their condition better, promoting medication adherence and motivating them to achieve their exercise targets in a tele-rehabilitation setting. We introduce a patient-centric intelligible visualization approach to present prescribed medication and exercise targets to patients. We assessed efficacy of intelligible visualizations on patients’ comprehension in two lab studies. We evaluated the impact on patient motivation and health outcomes in field studies. Patients were able to adhere to medication prescriptions, manage their physical exercises, monitor their progress and gained better self-awareness on how they achieved their rehabilitation targets. Patients confirmed that the intelligible visualizations motivated them to achieve their targets better. We observed an improvement in overall physical activity levels and health outcomes of patients. Research Highlights Presents challenges currently faced in cardiac tele-rehabilitation. Demonstrates how intelligibility was applied to two core aspects of cardiac rehabilitation- promoting medication adherence and physical exercise training. Lab., field and clinical studies to demonstrate efficacy of intelligible visualization, impact on patient motivation and resultant health outcomes. Reflection on how similar HCI approaches could be leveraged for technology-supported management of critical health conditions such as cardiac diseases.

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