scholarly journals Community-based physical activity for osteoarthritis: the emerging role of non-healthcare professionals

Rheumatology ◽  
2015 ◽  
Author(s):  
Robert Zarr ◽  
William Bird

There is a shift in healthcare from treatment of diseases based on the medical model, to a more holistic approach based on prevention and health promotion, using social and environmental factors that impact on an individual to improve their health and prevent disease. This shift is in response to the rapid rise in long-term conditions such as obesity, diabetes, dementia, and mental illness. Healthcare professionals are only slowly adjusting to this shift of healthcare and in this chapter we will look at how the healthcare professional can connect patients with green space to help them increase physical activity and reduce stress. Four initiatives have been used to illustrate how healthcare professionals can engage patients with nature to help tackle the main disease burden.


2015 ◽  
Vol 23 (4) ◽  
pp. 559-568 ◽  
Author(s):  
Jennifer L. Etnier ◽  
Jeffrey D. Labban ◽  
William B. Karper ◽  
Laurie Wideman ◽  
Aaron T. Piepmeier ◽  
...  

Physical activity is predictive of better cognitive performance and lower risk of Alzheimer’s disease (AD). The apolipoprotein E gene (APOE) is a susceptibility gene for AD with the e4 allele being associated with a greater risk of AD. Cross-sectional and prospective research shows that physical activity is predictive of better cognitive performance for those at greater genetic risk for AD. However, the moderating role of APOE on the effects of a physical activity intervention on cognitive performance has not been examined. The purpose of this manuscript is to justify the need for such research and to describe the design, methods, and recruitment tactics used in the conductance of a study designed to provide insight as to the extent to which cognitive benefits resulting from an 8-month physical activity program are differentiated by APOE e4 status. The effectiveness of the recruitment strategies and the feasibility of recruiting APOE e4 carriers are discussed.


2021 ◽  
pp. 175791392097825
Author(s):  
D Vishnubala ◽  
A Pringle

The UK Chief Medical Officer guidelines provide convincing evidence of the role of physical activity (PA) in the prevention and management of a number of long-term conditions. Yet physical inactivity remains an important public health priority. Healthcare professionals (HCP) have been identified as being very important for the promotion of PA to their patients. Yet a number of barriers are faced by HCP in this respect including awareness, knowledge, self-efficacy, perceived competence, and time. This paper aims to share current projects and practices and reflect on the challenges of changing the behaviour of HCP to provide physical activity advice.


Author(s):  
Marlize De Vivo ◽  
Hayley Mills

The aim of this study was to examine the predictive utility of the theory of planned behaviour (TPB) in explaining pregnant women’s physical activity (PA) intentions and behaviour and to scrutinise the role of past behaviour within this context. Pregnant women (n = 89) completed the pregnancy physical activity questionnaire (PPAQ) and newly developed TPB questionnaire on two separate occasions during their pregnancy. Analyses were carried out in relation to three scenarios. Firstly, when considering the original TPB, intention emerged as the strongest determinant of pregnant women’s PA behaviour. Secondly, controlling for past behaviour attenuated the influence of intention and perceived behavioural control on behaviour, with neither of the original variables providing a unique influence. Finally, the addition of past behaviour added significantly to the prediction of intention with the model as a whole, explaining 85% of the variance in pregnant women’s PA intention, and with past behaviour uniquely contributing 44.8% of the variance. Pregnancy physical activity profiling based on intention and behaviour status is subsequently introduced as a novel and practical framework. This provides healthcare professionals with the opportunity and structure to provide tailored advice and guidance to pregnant women, thereby facilitating engagement with PA throughout motherhood.


2020 ◽  
Vol 4 (3) ◽  
pp. 69-72
Author(s):  
Ravneet Sandhu ◽  
Gurnoor Kaur Pannu

INTRODUCTION: Physical Activity is well known to keep illness at bay and promote healthy living among people. In today’s fast paced life, obesity is increasing amongst people and this can be eliminated through proper physical activity. AIM: To assess the physical activity among various Canadian healthcare professionals. MATERIALS AND METHOD: The present study was a multi-institution based observational study using a pre-tested, pre-validated questionnaire distributed among various colleges and privately practicing healthcare professionals in Canada using a close-ended questionnaire divided into five sections and containing 28 questions. Data analysis was done using SPPS version 19.0 and the independent samples t-test and multiple logistic regression was applied. Data was only considered significant when p was less than or equal to 0.05.RESULTS: Most males belonged to the “overweight” category (56.3%), while females belonged to the “normal” category (56.3%). A lesser number of females reported being obese (5.4%) as compared to their male counterparts; significant difference (p=0.05) was observed between males and females in the underweight category. Males were found to be insufficiently active (41.8%), while 44.8% females were found to be in the active category. Statistical differences were observed while comparing the physical activity levels between the males and females belonging to the Insufficiently Active category(p=0.02).CONCLUSION: Healthcare professionals should be reminded regarding their general health and the role of physical exercise in keeping them healthy.


BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e053586
Author(s):  
Nina Abrahams ◽  
Estelle V Lambert ◽  
Frederick Marais ◽  
Zoi Toumpakari ◽  
Charlie Foster

IntroductionThe World Health Organisation endorses community-based programmes as a cost-effective, feasible and a ‘best buy’ in the prevention and management of non-communicable diseases (NCDs). These programmes are particularly successful when the community actively participates in its design, implementation and evaluation. However, they may be only useful insofar as they can be scaled up and sustained in some meaningful way. Social network research may serve as an important tool for determining the underlying mechanisms that contribute to this process. The aim of this planned scoping review is to map and collate literature on the role of social networks in scaling-up and sustaining community-based physical activity and diet programmes in low-income and middle-income countries.Methods and analysisThis scoping review protocol has been planned around the Arksey and O'Malley framework and its enhancement. Inclusion criteria are peer-reviewed articles and grey literature exploring the role of social networks in the scale-up and/or sustainability of NCD prevention community-based programmes in adult populations. Studies must have been published since 2000, in English, and be based in a low-income or middle-income country. The following databases will be used for this review: PubMed, Cochrane, Scopus, Web of Science, CINAHL, SocIndex, the International Bibliography of the Social Sciences, Google and Google Scholar. Books, conference abstracts and research focused only on children will be excluded. Two reviewers will independently select and extract eligible studies. Included publications will be thematically analysed using the Framework Approach.Ethics and disseminationEthical approval will not be sought for this review as no individual-level data or human participants will be involved. This protocol is registered on the Open Science Framework (https://doi.org/10.17605/OSF.IO/KG7TX). The findings from the review will be published in an accredited journal. The Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for Scoping Reviews checklist will be used to support transparency and guide translation of the review.


2020 ◽  
Vol 20 (S1) ◽  
Author(s):  
Alexandra Makai ◽  
Kata Füge ◽  
Zita Breitenbach ◽  
József Betlehem ◽  
Pongrác Ács ◽  
...  

2021 ◽  
Vol 15 ◽  
pp. 263349412110318
Author(s):  
Mahnaz Bahri Khomami ◽  
Ruth Walker ◽  
Michelle Kilpatrick ◽  
Susan de Jersey ◽  
Helen Skouteris ◽  
...  

Women with maternal obesity, an unhealthy lifestyle before and during pregnancy and excess gestational weight gain have an increased risk of adverse pregnancy and birth outcomes that can also increase the risk of long-term poor health for them and their children. Pregnant women have frequent medical appointments and are highly receptive to health advice. Healthcare professionals who interact with women during pregnancy are in a privileged position to support women to make lasting healthy lifestyle changes that can improve gestational weight gain and pregnancy outcomes and halt the intergenerational nature of obesity. Midwives and obstetrical nurses are key healthcare professionals responsible for providing antenatal care in most countries. Therefore, it is crucial for them to build and enhance their ability to promote healthy lifestyles in pregnant women. Undergraduate midwifery curricula usually lack sufficient lifestyle content to provide emerging midwives and obstetrical nurses with the knowledge, skills, and confidence to effectively assess and support healthy lifestyle behaviours in pregnant women. Consequently, registered midwives and obstetrical nurses may not recognise their role in healthy lifestyle promotion specific to healthy eating and physical activity in practice. In addition, practising midwives and obstetrical nurses do not consistently have access to healthy lifestyle promotion training in the workplace. Therefore, many midwives and obstetrical nurses may not have the confidence and/or skills to support pregnant women to improve their lifestyles. This narrative review summarises the role of midwives and obstetrical nurses in the promotion of healthy lifestyles relating to healthy eating and physical activity and optimising weight in pregnancy, the barriers that they face to deliver optimal care and an overview of what we know works when supporting midwives and obstetrical nurses in their role to support women in achieving a healthy lifestyle.


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