scholarly journals A-24 Influence of Biopsychosocial Factors on First-Appointment Presentation After Sport Related Concussion (SRC)

2020 ◽  
Vol 35 (5) ◽  
pp. 620-620
Author(s):  
S Jennings ◽  
N Blaney ◽  
R J Elbin ◽  
M N Womble ◽  
M W Collins ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cognitive Function ◽  
Verbal Memory ◽  
Recovery Time ◽  
Factor Scores ◽  
Behavioral Regulation ◽  
Chi Square ◽  
Stress Regulation ◽  
Post Hoc ◽  
Sleep Factor

Abstract Objective To examine the influence of biopsychosocial factors on clinical outcomes and recovery time following SRC Method 59 athletes with SRC (51% male) aged 14.42, SD= 1.65 years from two concussion specialty clinics between May 2019 and January 2020. Patients completed the Behavioral Regulation Assessment for Concussion (BRAC) inventory measuring sleep, diet, hydration, physical activity and stress; on a 4-point Likert scale, ImPACT, and PCSS. Analyses included one-way ANOVAs with Tukey’s post-hoc test and chi-square analyses. Results Verbal memory scores were higher F(3,55)= 2.85, p<.05 in participants reporting 8-10hrs of sleep “most of the time” (M= 85.12, SD = 10.58) vs. “some of the time “ (M= 75.65, SD= 11.91). Verbal memory differed when engaged in stress regulation F(4,54)= 2.65, p<.05; “MOT” (M=81.38, SD= 10.95); “SOT” (M=82.33, SD= 12.64) and “never” (M= 84.05, SD= 13.07). PCSS sleep factor scores increased when individuals obtained 8-10hrs of sleep “MOT” (M=.30, SD=.423) “SOT” (M= 1.40, SD= 1.54) and “seldom/rarely” (M= 1.95, SD= 1.58). PCSS somatic scores were associated with decreased sleep X2(1, N=57) = 37.68; p= .001, and hydration X2(1, N=57) = 60.70 p< .001. Sleep and recovery time X2(1, N=55) = 120.82 p= .028. Conclusions Findings suggest that biopsychosocial factors including sleep, stress, and hydration are associated with symptoms, cognitive function, and recovery time following SRC and should be monitored by clinicians.

scholarly journals ANALISIS FUNGSI KOGNITIF PADA LANSIA DITINJAU DARI JENIS KELAMIN, RIWAYAT PENDIDIKAN, RIWAYAT PENYAKIT, AKTIVITAS FISIK, AKTIVITAS KOGNITIF, DAN KETERLIBATAN SOSIAL

2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Arti Febriyani Hutasuhut ◽  
Marisa Anggraini ◽  
Reza Angnesti
Keyword(s):  
Physical Activity ◽  
Cognitive Function ◽  
Significant Relationship ◽  
Social Engagement ◽  
Cognitive Activity ◽  
The Elderly ◽  
Education History ◽  
Chi Square ◽  
Cross Sectional ◽  
History Of

ABSTRACT: ANALYSIS OF COGNITIVE FUNCTIONS IN ELDERLY IN TERMS OF GENDER, EDUCATION HISTORY, DISEASE HISTORY, PHYSICAL ACTIVITY, COGNITIVE ACTIVITIES, AND SOCIAL ENGAGEMENT One of the disorders caused by degeneration in the elderly is cognitive impairment This study aims to determine the factors that influence cognitive function in the elderly in the work area of the Kedaton Bandar Lampung Health Center in 2018. This research is an analytical survey with a cross-sectional approach. The research subjects were 107 elderly people living in the working area of the Kedaton Health Center in Bandar Lampung. Data in this study were obtained through interviews using questionnaires, social disengagement scale, and MMSE. Data analyzed using chi-square test. The results showed that there was a significant relationship between education, history of illness, physical activity, cognitive activity, and social involvement with cognitive function, whereas for sex, no significant relationship was found with cognitive function. Keywords:  Cognitive Function, Gender, Educational History, History of Illness, Physical Activity, Cognitive Activity, Social Engagement, Elderly Salah satu gangguan akibat degenerasi pada lansia yaitu gangguan kognitif. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi fungsi kognitif pada lansia di wilayah kerja Puskesmas Kedaton Bandar Lampung tahun 2018. Penelitian ini merupakan survey analitik dengan pendekatan cross-sectional. Subyek penelitian adalah 107 orang lansia yang tinggal di wilayah kerja Puskesmas Kedaton Bandar Lampung. Data dalam penelitian ini diperoleh melalui wawancara menggunakan kuesioner, skala social disengagement, dan MMSE. Analisis data menggunakan uji chi-square. Hasil penelitian menunjukan bahwa terdapat hubungan yang signifikan antara pendidikan, riwayat penyakit, aktivitas fisik, aktivitas kognitif, dan keterlibatan sosial dengan fungsi kognitif, sedangkan untuk jenis kelamin, tidak ditemukan hubungan signifikan dengan fungsi kognitif.  Kata Kunci : Fungsi Kognitif, Jenis Kelamin, Riwayat Pendidikan, Riwayat Penyakit, Aktivitas Fisik, Aktivitas Kognitif, Keterlibatan Sosial, Lansia

scholarly journals Comparison of Clinical Outcomes Following Patients' First and Second Concussions

2019 ◽  
Vol 34 (5) ◽  
pp. 766-766
Author(s):  
S Jennings ◽  
J French ◽  
C Holland ◽  
M Collins ◽  
A P Kontos
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Clinical Outcomes ◽  
Verbal Memory ◽  
Recovery Time ◽  
Significant Risk ◽  
Significant Risk Factor ◽  
Neurocognitive Performance ◽  
Chi Square ◽  
Paired Samples

Abstract Purpose The objective of this study was to examine differences in self-reported symptoms, neurocognitive performance, and vestibular-ocular insufficiencies between patients’ first and second concussions. A secondary purpose was to explore the role of risk factors on recovery. Methods We conducted a retrospective medical chart review of 73 (32-M/41-F) patients aged 15.69 (SD=1.67) years from a concussion specialty clinic with two separate concussions (84.9% of 1st and 79.5% of 2nd sport-related) that occurred between August 2010 and April 2018. Clinical outcomes included the PCSS, ImPACT, and the Vestibular/Ocular Motor Screening (VOMS). A series of paired samples t-tests were used to compare clinical outcomes along with chi-square analyses for risk factor associations. Results Verbal memory scores were higher following the second (M=80.67, SD=15.3) (M=76.32, SD=15.65) (t[73]=–2.18, p=.03) concussion. Visual motor processing speed was faster following the second concussion (M=35.04, SD= 7.90) (M=31.35, SD=7.63) (t[73]=–5.72, p<.001). There were no other significant differences observed. Recovery time was similar for the first (61.07, SD=58.41.5) and second (67.91 SD=70.10) respectively, t(70)=–.91, p=.37. There was no relationship between any risk factors, and recovery time for either injury with the exception a significant association between gender and recovery time (>21 days) with the 1st injury for females (χ2, N=73)=10.58, p=.001. Conclusion Findings suggest that a second concussion does not result in more pronounced symptoms, worse neurocognitive performance, or increased deficits on vestibular/ocular performance and/or longer recovery time. The only significant risk factor to a recovery over 21 days included gender.

scholarly journals Exercise Improves Cognitive Function—A Randomized Trial on the Effects of Physical Activity on Cognition in Type 2 Diabetes Patients

2021 ◽  
Vol 11 (6) ◽  
pp. 530
Author(s):  
Roman Leischik ◽  
Katharina Schwarz ◽  
Patrick Bank ◽  
Ania Brzek ◽  
Birgit Dworrak ◽  
...  
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Cognitive Function ◽  
Verbal Memory ◽  
Brain Function ◽  
Abdominal Circumference ◽  
Control Group ◽  
Random Allocation ◽  
Walking Group

Background: Lifestyle habits strongly influence health. It is strongly believed that physical activity may improve cognitive function. We examined the association between two kinds of physical activity and cognitive function in patients with type 2 diabetes. Methods: Using a random allocation sequence, 49 patients with type 2 diabetes (metformin, insulin, and diet-controlled) were randomized to a 12-week intervention of either walking 40 min three times a week (n = 17), performing pedometer-controlled activity (E-health, goal 10,000 steps a day, n = 17), or receiving standard care (n = 16 controls). We prospectively examined cognitive function, metabolic parameters, height, and weight. The groups were compared using linear regression adjusted for age. Results: Compared with the control group (n = 16), nonverbal memory improved significantly after the intervention in the walking group (n = 16) (28.2 (+/−6.1) vs. 35.3 (+/−5.3) p < 0.001) and the E-health (pedometer) group ((n = 17) (29.7 (+/−3.9) vs. 35.6 (+/−3.8) p < 0.001). The verbal memory test showed improvement in the walking and E-health groups. Cognitive attention/performance measured by the FAIR-test was also significantly enhanced in the walking group (252.4/304.3 p < 0.001, 51.87 (CI 27.13–76.62)) and the E-health-group (85.65 (CI: 52.04–119.26, p < 0.001)). Abdominal circumference (−3 cm (CI: −9.69–3.31, p < 0.001)), heart rate (−6.50 (CI: −9.69, −3.31, p < 0.001)) and fat percentage (−2.74 (CI: −4.71, −0.76, p < 0.007)) changed significantly in only the walking group. Conclusions: This is the first intervention study in patients with type 2 diabetes that shows that pedometer-supported training significantly improves brain function. Walking additionally improves body composition and waist circumference. Physical activity is an inexpensive treatment with substantial preventative and restorative properties for cognitive and memory brain function in patients with type 2 diabetes.

scholarly journals Hubungan Antara Tingkat Aktivitas Fisik dengan Fungsi Kognitif pada Usila di Kelurahan Jati Kecamatan Padang Timur

2014 ◽  
Vol 3 (2) ◽  
Author(s):  
Milfa Sari Muzamil ◽  
Afriwardi Afriwardi ◽  
Rose Dinda Martini
Keyword(s):  
Physical Activity ◽  
General Practice ◽  
Cognitive Function ◽  
Mental State ◽  
Mini Mental State Examination ◽  
The Elderly ◽  
Chi Square ◽  
Cross Sectional ◽  
State Examination ◽  
Activity Questionnaire

AbstrakGangguan kognitif merupakan masalah yang sering terjadi pada golongan usia lanjut. Prevalensi gangguan kognitif tinggi pada negara yang memiliki populasi usila yang tinggi. Indonesia merupakan negara keempat dunia yang memiliki populasi usila tertinggi dan diperkirakan akan menjadi ketiga tertinggi pada 2020. Antara usaha preventif yang dilakukan adalah dengan beraktivitas fisik. Penelitian ini dilakukan untuk melihat apakah ada hubungan antara tingkat aktivitas fisik terhadap fungsi kognitif pada usila. Jenis penelitian ini adalah studi cross sectional dengan metode non probability sampling. Populasi penelitian adalah usila ≥60 tahun yang berada di Kelurahan Jati Kecamatan Padang Timur dan memenuhi kriteria inklusi dan eksklusi. Total sampel seramai 51 orang dengan 13 laki-laki dan 38 perempuan. Tingkat aktivitas fisik dinilai menggunakan General Practice Physical Activity Questionnaire (GPPAQ) dan fungsi kognitif dinilai menggunaan Mini Mental State Examination (MMSE). Data diolah dengan uji statistik chi square menggunakan program SPSS. Hasil univariat didapatkan persentase usila yang aktif sebanyak 29.4% dan yang kurang aktif 70.6%. Persentase usila dengan fungsi kognitif yang normal sebanyak 82.4% dan yang mengalami penurunan 17.6%. Hasil bivariat didapatkan ada hubungan antara tingkat aktivitas fisik dengan fungsi kognitif dimana nilai p = 0.044 (p < 0.05). Penelitian ini menunjukkan terdapat hubungan antara tingkat aktivitas fisik dengan fungsi kognitif usila di Kelurahan Jati Kecamatan Padang Timur.Kata kunci: fungsi kognitif, aktivitas fisik, usia lanjutAbstractCognitive impairment is common and highly age-related in the world. The prevalence of cognitive impairment is high in the country with high proportion of elderly. Indonesia is the fourth country with the highest population of elderly and estimated to be the third highest in 2020. Little attention has been paid to the identification of modifiable lifestyle habits for its prevention. This study aimed to determine whether there is a relationship between the level of physical activity and cognitive function in the elderly. This study was a cross sectional study with non probability sampling method. The study population was elderly ≥ 60 years who reside in the Village of Jati, East Padang district and fit the inclusion and exclusion criteria. There were 51 samples with 13 males and 38 females. The level of physical activity was measured by using General Practice Physical Activity Questionnaire (GPPAQ) and the cognitive function was assessed by using Mini Mental State Examination (MMSE). Data processed by the chi-square statistical tests using SPSS. Results of univariate analysis level of physical activity showed the percentage of active elderly is 29.4% and less active is 70.6%. Elderly with normal cognition is 82.4% and with impaired cognition is 17.6%. Results of bivariate analysis showed a significant relationship exists between the level of physical activity and cognitive function in the elderly p = 0.044 (p < 0.05). This study showed that there is a relationship between the level of physical activity and cognitive function in the elderly.Keywords: cognitive function, physical activity, elderly

scholarly journals Caracterização do Turista de Levadas, Veredas e Btt no Parque Natural da Madeira

2021 ◽  
Vol 7 (1) ◽  
pp. 61-70
Author(s):  
João Prudente ◽  
Helder Lopes ◽  
João Noiteq ◽  
Ana Rodrigues ◽  
Ricardo Alves ◽  
...  
Keyword(s):  
Physical Activity ◽  
Higher Education ◽  
Risk Factor ◽  
Lower Risk ◽  
Mountain Bike ◽  
Chi Square ◽  
Safety Standards ◽  
Natural Park ◽  
Weekly Physical Activity ◽  
Post Hoc

This study characterizes the tourist who performs Mountain Bike (BTT) activities and walks in Levadas (G1) and Veredas (G2) in Madeira Natural Park. Through a survey, we collected 449 surveys from participants from 21 different nationalities. The sample was characterized (mean, standard deviation and percentage), the association between variables was tested (Chi-Square) and the differences between groups (Anova to one factor) according to the practiced activity (Post Hoc, Bonferrioni). G1 (41.5 ± 16.1 years) and G2 (42.9 ± 16.1 years) present a higher average age than BTT (36.73 ± 9.0 years); more women participated in G2 (58%) and G1 (56.8%) activities and more men in BTT (92.2%); the sample is mostly composed by foreign tourists (G1-73.4%; G2-82.3% and BTT-96.1%). In general, the sample is mostly active (between 67.5% to 89.5%), with higher education (54.1%) and performs regular physical activity (86.4%). 80.6% performs at least thirty minutes of daily physical activity. BTT practitioners are more involved in organized physical activity (98%), presenting a lower risk factor (3.9%) (USDHHS, 2018) and higher values of weekly physical activity (8.6 ± 4.9 hours), compared to G1 and G2. These data will allow address the offer to specific groups of tourists and to develop safety standards. It is necessary to deepen the study, expanding the sample and the number of routes in Levadas, paths and BTT.

HUBUNGAN AKTIVITAS FISIK DENGAN FUNGSI KOGNITIF LANSIA DI PANTI WREDHA YAYASAN SOSIAL SALIB PUTIH SALATIGA

2019 ◽  
pp. 137-143
Author(s):  
Dennys Christovel Dese ◽  
Cahyo Wibowo
Keyword(s):  
Physical Activity ◽  
Cognitive Function ◽  
The Elderly ◽  
Moderate Physical Activity ◽  
Cross Sectional ◽  
Significance Level ◽  
The Social ◽  
Normal Cognitive Function ◽  
Intellectual Capacity ◽  
Independent Variable

Peningkatan jumlah lansia setiap tahunnya harus dijadikan perhatian, akibat adanya peningkatan jumlah lansia masalah yang dihadapi akan menjadi semakin kompleks, salah satunya adalah masalah yang berkaitan dengan gejala penuaan. Menurunnya kapasitas intelektual berhubungan erat dengan fungsi kognitif pada lansia. Aktivitas fisik diidentifikasi sebagai salah satu faktor yang mempengaruhi fungsi kognitif. Aktivitas fisik bermanfaat untuk lansia sebagai pencegahan dan demensia. Penelitian ini merupakan penelitian analitik observasional dengan menggunakan pendekatan cross sectional. Penelitian dilakukan di yayasan sosial Panti Wredha Salib Putih Salatiga pada bulan Juni 2018. Populasi dalam penelitian ini adalah lansia yang berumur ?60 tahun. Subjek pada penelitian ini berjumlah 16 responden. Variabel independen dalam penelitian ini adalah aktivitas fisik yang dinilai dengan menggunakan instrument GPAQ. Sedangkan variabel dependen dalam penelitian ini adalah fungsi kognitif yang dinilai dengan instrument MMSE. Terdapat 4 orang (25%) yang masuk dalam kategori fungsi kognitif normal dengan kategori aktifitas fisik sedang 1 orang dan aktifitas berat 3 orang, kemudian yang termasuk dalam kategori gangguan fungsi kognitif ringan sebanyak 11 orang (68,75%), dengan kategori aktifitas fisik sedang 8 orang dan aktifitas ringan 3 orang. Sedangkan yang termasuk dalam kategori gangguan fungsi kognitif berat, terdapat 1 orang (6,25%) dengan kategori aktifitasnya ringan. Taraf signifikansi antar variabel tingkat aktifitas fisik dan fungsi kognitif pada lansia adalah p=0.007 atau p<0,05, sehingga dapat disimpulkan ada  hubungan antara tingkat aktifitas fisik dengan fungsi kognitif pada lansia.   Increasing the number of elderly people every year should be a concern, due to an increase in the number of elderly problems faced will become increasingly complex, one of which is a problem related to the symptoms of aging. Decreased intellectual capacity is closely related to cognitive function in the elderly. Physical activity is identified as one of the factors that influence cognitive function. Physical activity is beneficial for the elderly as prevention and dementia. This study was an observational analytic study using a cross sectional approach. The study was conducted at the social foundation nursing home in the white cross in June 2018. The population in this study was elderly aged ≥60 years. The subjects in this study were 16 respondents. The independent variable in this study is physical activity that is assessed using the GPAQ instrument. While the dependent variable in this study was cognitive function which was assessed by the MMSE instrument. There are 4 people (25%) who fall into the category of normal cognitive function with moderate physical activity categories 1 person and heavy activities 3 people, then those included in the category of mild cognitive function disorders are 11 people (68.75%), with the category of physical activity being 8 people and 3 light activities. While those included in the category of severe cognitive function disorders, there is 1 person (6.25%) with a mild activity category. The significance level between the level of physical activity and cognitive function in the elderly is p = 0.007 or p <0.05, so it can be concluded that there is a relationship between the level of physical activity and cognitive function in the elderly.

Physical activity and cognitive function in older persons

2016 ◽  
Vol 64 (2) ◽  
Keyword(s):  
Physical Activity ◽  
Cognitive Impairment ◽  
Cognitive Function ◽  
Executive Functions ◽  
Cognitive Aging ◽  
Clinical Studies ◽  
Older Persons ◽  
Positive Effects ◽  
Critical Challenge

Strategies to improve cognitive aging are highly needed. Among those, promotion of exercise and physical activity appears as one of the most attractive and beneficial intervention. Indeed, results from basic and clinical studies suggest that exercise and physical activity have positive effects on cognition in older persons without cognitive impairment, as well as in those with dementia. Despite inconsistent results, aerobic exercise appears to have the strongest potential to enhance cognition. However, even limited periods of walking (45 minutes, three times a week, over a 6-month period) have also been shown to enhance cognition, particularly executive functions. Changing long-term lifestyle habits in these older persons remains a critical challenge and attractive programs susceptible to gain adherence are needed to succeed in achieving improved cognitive aging.

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