Community-Based Exercise Intervention for Gait and Functional Fitness Improvement in an Older Population: Study Protocol

2017 ◽  
Vol 25 (1) ◽  
pp. 84-93 ◽  
Author(s):  
Fátima Ramalho ◽  
Filomena Carnide ◽  
Rita Santos-Rocha ◽  
Helô-Isa André ◽  
Vera Moniz-Pereira ◽  
...  
Keyword(s):  
Exercise Intervention ◽  
Survival Rates ◽  
Secondary Outcome ◽  
Functional Fitness ◽  
Exercise Programs ◽  
Community Based ◽  
Older Population ◽  
Exercise Interventions ◽  
Gait Parameters ◽  
And Control

Functional fitness (FF) and gait ability in older populations have been associated with increased survival rates, fall prevention, and quality of life. One possible intervention for the improvement of FF is well-structured exercise programs. However, there are inconsistent findings regarding the effects of exercise interventions in the maintenance of gait parameters. The aim of this protocol is to develop a community-based exercise intervention targeting an older population. The intervention aim is the improvement of gait parameters and FF. A control trial with follow-up will be performed. The primary outcome variables will be plantar pressure gait parameters. The secondary outcome variables will be aerobic endurance, lower limb strength, agility, and balance. These variables will be recorded at baseline and after 12, 24, and 36 weeks, in the intervention and control groups. If effective, this protocol can be used by exercise professionals in improving community exercise programs.

scholarly journals Effect of 6-month community-based exercise interventions on gait and functional fitness of an older population: a quasi-experimental study

2018 ◽  
Vol Volume 13 ◽  
pp. 595-606 ◽  
Author(s):  
Fátima Ramalho ◽  
Rita Santos-Rocha ◽  
Marco Branco ◽  
Vera Moniz-Pereira ◽  
Helô-Isa André ◽  
...  
Keyword(s):  
Experimental Study ◽  
Functional Fitness ◽  
Community Based ◽  
Older Population ◽  
Exercise Interventions ◽  
Quasi Experimental

scholarly journals Effective recruitment strategies in an exercise trial for patients with fibromyalgia

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Michelle Park ◽  
Raveendhara R. Bannuru ◽  
Lori Lyn Price ◽  
William F. Harvey ◽  
Jeffrey B. Driban ◽  
...  
Keyword(s):  
Exercise Intervention ◽  
Controlled Trial ◽  
Urban Setting ◽  
Phone Call ◽  
Recruitment Strategies ◽  
Racially Diverse ◽  
Community Based ◽  
Exercise Interventions ◽  
Recruitment Methods ◽  
The Cost

Abstract Background Recruitment of fibromyalgia populations into long-term clinical trials involving exercise interventions is a challenge. We evaluated the cost and randomization yields of various recruitment methods used for a fibromyalgia trial in an urban setting. We also investigated differences in participant characteristics and exercise intervention adherence based on recruitment source. Methods We recruited individuals with fibromyalgia in the greater Boston area to a randomized controlled trial (RCT) using six recruitment strategies: newspaper advertisements, web advertisements, flyers, clinic referrals, direct mailing to patients in a clinic database, and word of mouth. We used the American College of Rheumatology 1990 and 2010 diagnostic criteria to screen and enroll participants. During an initial phone call to an interested participant, the study staff asked how they heard about the study. In this study, we compared the cost and yield of the six recruitment strategies as well as baseline characteristics, adherence, and attendance rates of participants across strategies. Results Our recruitment resulted in 651 prescreens, 272 screening visits, and 226 randomized participants. Advertisements in a local commuter newspaper were most effective, providing 113 of 226 randomizations, albeit high cost ($212 per randomized participant). Low-cost recruitment strategies included clinical referrals and web advertisements, but they only provided 32 and 16 randomizations. Community-based strategies including advertisement and flyers recruited a more racially diverse participant sample than clinic referrals and mailing or calling patients. There was no evidence of difference in adherence among participants recruited from various strategies. Conclusions Newspaper advertisement was the most effective and most expensive method per randomized participant for recruiting large numbers of individuals with fibromyalgia in an urban setting. Community-based strategies recruited a more racially diverse cohort than clinic-based strategies. Trial registration ClinicalTrials.gov NCT01420640. Registered on 19 August 2011.

scholarly journals Caregivers’ perception about their participation in a community-based exercise intervention - Body & Brain Project

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 900-900
Author(s):  
Oscar Ribeiro ◽  
Pedro Marques ◽  
Duarte Barros ◽  
Paula Silva ◽  
Joana Carvalho ◽  
...  
Keyword(s):  
Exercise Intervention ◽  
Decisive Role ◽  
Structured Interview ◽  
Training Intervention ◽  
Community Based ◽  
Exercise Interventions ◽  
Care Recipients ◽  
And Performance ◽  
Time And Being ◽  
Age Range

Abstract Evidence is scarce on caregivers’ perception regarding their participation in exercise interventions targeting individuals with neurocognitive disorder (NCD). This study aims to investigate the views of family caregivers of people with NCD about taking part in a community-based physical exercise intervention with their care-recipients. Twenty caregivers (N Male: 13; 66.5 ± 14.39 years old; age range: 36-88) answered to a semi-structured interview conducted by telephone about their perception on participating or not as class members of a 6-month multicomponent training intervention. Transcribed data from the interview were analyzed through thematic analysis. Main themes regard their perceived key-role in the care recipients’ participation, which included knowing their limitations, making them feel accompanied and motivated, and the possibility of providing comfort and tranquility throughout the intervention. Caregivers also mentioned the possibility of fulfilling own needs for physical activity and being engaged in new experiences. Disturbing the care recipients’ involvement and performance, the opportunity for respite during the sessions’ time, and being enrolled in the program only in specific moments or by telephone were also mentioned. Findings highlight the inclusive perspective of caregivers to take part of exercise programs designed for people with NCD, not only due to their decisive role on care-recipients engagement but also due to the associated (in-/)direct personal benefits. This data may be useful for planning and prescribing future community-based exercise interventions for NCD caregiving dyads. Trial registration: ClinicalTrials.gov - NCT04095962. Supported by FCT: “Body and Brain” (POCI-01-0145-FEDER-031808), CIAFEL (FCT/UIDB/00617/2020), and Ph.D. Grants (SFRH/BD/136635/2018) to FM (2020.05911.BD) to DB.

scholarly journals ¿Puede el entrenamiento de fuerza prevenir y controlar la dinapenia pediátrica? (Can resistance training prevent and control pediatric dynapenia?)

Retos ◽  
2017 ◽  
pp. 298-307
Author(s):  
Iván Chulvi Medrano ◽  
Avery D. Faigenbaum ◽  
Juan Manuel Cortell-Tormo
Keyword(s):  
Resistance Training ◽  
Resistance Exercise ◽  
Functional Limitations ◽  
Developmentally Appropriate ◽  
Well Being ◽  
Exercise Programs ◽  
Exercise Interventions ◽  
Daily Exercise ◽  
Physical Abilities ◽  
And Control

La dinapenia pediátrica es una condición seria que ha visto incrementada su prevalencia entre los niños de hoy en día. Este fenómeno está caracterizado por bajos niveles de fuerza y potencia que no son consecuencia de una enfermedad y que generan limitaciones funcionales en el rendimiento de las habilidades motrices, así como alteraciones cardiometabólicas. Para evitar esta condición e incrementar la salud y el bienestar de los niños y adolescentes es necesario incluir, dentro de la práctica regular de actividad física, un programa de entrenamiento de fuerza. Se ha comprobado que el entrenamiento de fuerza tiene un papel fundamental a la hora de prevenir y controlar la dinapenia pediátrica. No obstante, requiere de una combinación específica entre investigadores, médicos y entrenadores de forma que permita diseñar e implementar de forma segura programas de entrenamiento de fuerza progresivos y adecuados a las necesidades y habilidades de los niños. Esta revisión recoge las principales aportaciones respecto al entrenamiento de fuerza pediátrico y proporciona datos basados en la evidencia para prevenir y controlar la dinapenia pediátrica en los niños.  La participación regular en programas de entrenamiento de fuerza contribuirá a prevenir la dinapenia pediátrica en las primeras etapas de la vida. Por tanto, los niños tendrán más posibilidad de ganar confianza y de adquirir las competencias necesarias para aumentar sus posibilidades físicas y de esta forma podrán cumplir en mayor y mejor medida la cantidad de ejercicio diario recomendado. La intervención se hace especialmente necesaria para mejorar los niveles de fuerza y potencia en los niños ya que, de no ser así, se dificultará en gran medida la posibilidad de prevenir una cascada de consecuencias adversas para la salud en etapas posteriores.Abstract. Pediatric dynapenia is a serious condition with a growing prevalence within youth nowadays. This phenomenon is characterized by low levels of strength and power not provoked by any disease, which produce functional limitations in motor skill performance and consequent cardio-metabolic abnormalities. In order to improve this condition and enhance the health and well-being of children and adolescents, regular participation in physical activities including resistance training is needed. The unique role of resistance training in preventing and managing pediatric dynapenia implies a joint effort from researchers, clinicians and practitioners in order to design, implement and safely progress developmentally appropriate resistance exercise programs consistent with each child’s needs and abilities. This review synthesizes the latest information on youth resistance training and provides evidence-based rationale for preventing and managing pediatric dynapenia in youth. Regular participation in resistance exercise programs in early ages prevent pediatric dynapenia. Consequently, youth will be more likely to gain confidence and competence on their physical abilities and accumulate the recommended amount of daily exercise. Interventions in schools and communities are needed to increase muscular strength and power in youth, with the aim to prevent inevitable cascade of adverse health consequences later in individuals’ life.

scholarly journals Aerobic exercise improves hippocampal blood flow for hypertensive APOE4 carriers

2020 ◽  
Author(s):  
Carolyn S Kaufman ◽  
Robyn A Honea ◽  
Joseph Pleen ◽  
Rebecca J Lepping ◽  
Amber Watts ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Blood Flow ◽  
Aerobic Exercise ◽  
Genetic Risk ◽  
Significant Interaction ◽  
Exercise Intervention ◽  
Secondary Outcome ◽  
Control Group ◽  
Carrier Status ◽  
Exercise Interventions

Background: Evidence increasingly suggests cerebrovascular dysfunction plays an early and important role in the pathogenesis of Alzheimer′s disease (AD). Studies have shown the strongest known genetic risk factor for sporadic AD, Apolipoprotein E4 (APOE4), may act synergistically with vascular risk factors to promote dementia development. Aerobic exercise may attenuate cognitive decline at least partially through improvements in cerebral blood flow. Therefore, exercise interventions that improve vascular health may be particularly beneficial for APOE4 carriers. Objectives: To test the hypothesis that exercise would more effectively increase hippocampal blood flow (HBF) in hypertensive APOE4 carriers than non carriers, we performed an analysis of arterial spin labeling MRI data (ASL MRI) from a randomized controlled trial (secondary outcome). Additionally, we tested the hypothesis that changes in systolic blood pressure (ΔSBP) would be more negatively associated with ΔHBF for APOE4 carriers than non carriers. Methods: We assigned cognitively normal adults (65 to 87 years) to a 52-week aerobic exercise intervention or education only. Genotyping was performed by Taqman SNP allelic discrimination assay. ASL MRI measured HBF before and after the 52 week intervention. We selected participants with hypertension at enrollment (n ≡ 44), defined as SBP ≥ 130mmHg or diastolic blood pressure (DBP) ≥ 80mmHg. Results: A two way ANCOVA showed a significant interaction between APOE4 carrier status and treatment group on change in HBF (ΔHBF) over the 52 weeks, controlling for age and sex (p = 0.040). For APOE4 carriers, ΔHBF was significantly (p = 0.006) higher for participants who underwent the exercise intervention (4.09 mL/100g/min) than for the control group (-2.08 mL/100g/min). There was no difference in ΔHBF between the control (-0.32 mL/100g/min) and exercise (-0.54 mL/100g/min) intervention groups for APOE4 non carriers (p = 0.918). Additionally, a multiple linear regression showed a significant interaction between ΔSBP and APOE4 carrier status on ΔHBF (p = 0.035), with a reduction in SBP associated with an increase in HBF for APOE4 carriers only. Conclusions: Aerobic exercise significantly improved HBF for hypertensive APOE4 carriers only. Additionally, only APOE4 carriers exhibited an inverse relationship between ΔSBP and ΔHBF. This suggests exercise interventions, particularly those that lower SBP, may be beneficial for individuals at highest genetic risk of AD.

Predictors of the physical impact of Multiple Sclerosis following community-based, exercise trial

2014 ◽  
Vol 21 (5) ◽  
pp. 590-598 ◽  
Author(s):  
M Kehoe ◽  
J Saunders ◽  
P Jakeman ◽  
S Coote
Keyword(s):  
Multiple Sclerosis ◽  
Exercise Intervention ◽  
Walking Distance ◽  
Intervention Period ◽  
Community Based ◽  
Large Variability ◽  
Exercise Interventions ◽  
Positive Effects ◽  
Lower Baseline ◽  
Physical Impact

Background: Studies evaluating exercise interventions in people with multiple sclerosis (PwMS) demonstrate small to medium positive effects and large variability on a number of outcome measures. No study to date has tried to explain this variability. Objective: This paper presents a novel exploration of data examining the predictors of outcome for PwMS with minimal gait impairment following a randomised, controlled trial evaluating community-based exercise interventions ( N = 242). Methods: The primary variable was the physical component of the Multiple Sclerosis Impact Scale-29, version 2 (MSIS-29, v2) after a 10-week, controlled intervention period. Predictors were identified a priori and were measured at baseline. Multiple linear regression was conducted. Results: Four models are presented lower MSIS-29, v2 scores after the intervention period were best predicted by a lower baseline MSIS-29,v2, a lower baseline Modified Fatigue Impact Score (physical subscale), randomisation to an exercise intervention, a longer baseline walking distance measured by the Six Minute Walk Test and female gender. This model explained 57.4% of the variance (F (5, 211) = 59.24, p < 0.01). Conclusion: These results suggest that fatigue and walking distance at baseline contribute significantly to predicting MSIS-29, v29 (physical component) after intervention, and thus should be the focus of intervention and assessment. Exercise is an important contributor to minimising the physical impact of MS, and gender-specific interventions may be warranted.

scholarly journals Adverse Events During Supervised Exercise Interventions in Pediatric Oncology—A Nationwide Survey

2021 ◽  
Vol 9 ◽  
Author(s):  
Gabriele Gauß ◽  
Ronja Beller ◽  
Joachim Boos ◽  
Julia Däggelmann ◽  
Hannah Stalf ◽  
...  
Keyword(s):  
Adverse Events ◽  
Cancer Treatment ◽  
Cancer Patients ◽  
Pediatric Cancer ◽  
Exercise Intervention ◽  
Exercise Programs ◽  
Exercise Interventions ◽  
Supervised Exercise ◽  
Pediatric Cancer Patients ◽  
Safety Procedures

Objectives: Exercise interventions during and after treatment for pediatric cancer are associated with beneficial physical, psychological, and social effects. However, valid data about adverse events (AEs) of such interventions have rarely been evaluated. This retrospective study evaluates AEs that occurred during supervised oncological exercise programs for pediatric cancer patients and survivors.Methods: This Germany-wide study used a self-administered online survey focusing on general program characteristics and AEs retrospectively for 2019. The questionnaire included (a) basic data on the offered exercise program, (b) AEs with consequences (Grade 2–5) that occurred in 2019 during an exercise intervention, (c) number of Grade 1 AEs, (d) safety procedures as part of the exercise programs, and (e) possibility to give feedback and describe experience with AEs in free text.Results: Out of 26 eligible exercise programs, response rate of program leaders was 92.3% (n = 24). Representatives working for Universities (n = 6), rehabilitation clinics (n = 3), acute cancer clinics (n = 12), and activity camps (n = 3) participated. In total, 35,110 exercise interventions with varying duration were recorded for 2019. Six AEs with consequences (Grade 2–3) occurred during exercise interventions after cancer treatment resulting in an incidence of 17 per 100,000 exercise interventions (0.017%). No life-threatening consequences or death were reported and no serious AE occurred during acute cancer treatment. Grade 1 AE occurred with a frequency of 983, corresponding to an incidence of 2,800 per 100,000 interventions (2.8%). Most frequent Grade 1 AE were muscle soreness, circulatory problems, and abdominal pain. The most frequent preventive safety procedures at the institutions were regular breaks, consultations with the medical treatment team, and material selection with low injury potential.Conclusions: Supervised exercise interventions for pediatric cancer patients and survivors seem to be safe and AEs with consequences comparatively rare when compared to general childhood population data. Occurrence of grade 1 AEs was common, however, causality was probably not evident between AEs and the exercise intervention. Future research should standardize assessment of AEs in clinical practice and research, and prospectively register and evaluate AEs that occur in the context of exercise interventions in pediatric cancer patients and survivors.

scholarly journals Remote interventions to improve exercise behaviour in sedentary people living with and beyond cancer: a systematic review and meta-analysis

BMC Cancer ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Saïd Ibeggazene ◽  
Rebecca Turner ◽  
Derek Rosario ◽  
Liam Bourke
Keyword(s):  
Systematic Review ◽  
Exercise Intervention ◽  
Meta Analysis ◽  
Exercise Interventions ◽  
Exercise Behaviour ◽  
Cancer Services ◽  
The Social ◽  
Intervention Adherence ◽  
Randomised Controlled ◽  
Exercise Guidelines

Abstract Background The COVID-19 pandemic has forced many cancer services to consider a transition to a remote format of delivery that is largely untested. Accordingly, we sought to perform a systematic review of the effects of remotely delivered interventions to improve exercise behaviour in sedentary adults living with and beyond cancer. Methods Eligible studies were randomised controlled trials comparing a remotely delivered exercise intervention to a usual care comparison in sedentary people over 18 years old with a primary cancer diagnosis. Nine electronic databases were searched from inception to November 2020. Results The review included three trials, totalling 186 participants. Two of the included trials incorporated prescriptions that meet current aerobic exercise recommendations, one of which also meets the guidelines for resistance exercise. No trials reported an intervention adherence of 75% or more for a set prescription that meets current exercise guidelines. Conclusion There is little evidence suggesting that remote exercise interventions promote exercise behaviours or improve physical function in sedentary adults living with and beyond cancer. The development and evaluation of novel remote exercise interventions is needed to establish their usefulness for clinical practice. Given the social response to the COVID-19 pandemic, further research in this area is urgently needed.

scholarly journals Are the needs of people with multiple long-term conditions being met? Evidence from the 2018 General Practice Patient Survey

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e041569
Author(s):  
Lucina Rolewicz ◽  
Eilís Keeble ◽  
Charlotte Paddison ◽  
Sarah Scobie
Keyword(s):  
General Practice ◽  
Unmet Need ◽  
Patient Survey ◽  
Secondary Outcome ◽  
Community Based ◽  
Long Term Conditions ◽  
Local Services ◽  
Community Based Services ◽  
Practice Patient

ObjectivesTo investigate individual, practice and area level variation in patient-reported unmet need among those with long-term conditions, in the context of general practice (GP) appointments and support from community-based services in England.DesignCross-sectional study using data from 199 150 survey responses.SettingPrimary care and community-based services.ParticipantsRespondents to the 2018 English General Practice Patient Survey with at least one long-term condition.Primary and secondary outcome measuresThe primary outcomes were the levels of unmet need in GP and local services among patients with multiple long-term conditions. Secondary outcomes were the proportion of variation explained by practice and area-level factors.ResultsThere was no relationship between needs being fully met in patients’ last practice appointment and number of long-term conditions once sociodemographic characteristics and health status were taken into account (5+conditions−OR=1.04, 95% CI 0.99 to 1.09), but there was a relationship for having enough support from local services to manage conditions (5+conditions−OR=0.84, 95% CI 0.80 to 0.88). Patients with multimorbidity that were younger, non-white or frail were less likely to have their needs fully met, both in GP and from local services. Differences between practices and local authorities explained minimal variation in unmet need.ConclusionsLevels of unmet need are high, particularly for support from community services to manage multiple conditions. Patients who could be targeted for support include people who feel socially isolated, and those who have difficulties with their day-to-day living. Younger patients and certain ethnic groups with multimorbidity are also more likely to have unmet needs. Increased personalisation and coordination of care among these groups may help in addressing their needs.

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