Gender Differences in Perceived Fitness Disappear When Exercise Activity Is Standardized

Participation in sport is an important correlate of perceptions of physical competence, with physically active adolescents having more favorable perceptions than sedentary adolescents. Exercise activity has not, however, been standardized in earlier studies in which girls have consistently scored lower than boys in measures of perceived physical competence. The purpose of this study is to examine gender differences in perceived fitness among adolescents in relation to exercise activity during a four-year follow-up. The participants (n=88) were divided into sedentary (20 girls, 15 boys), physically active (10 girls, 20 boys), and highly active (8 girls, 15 boys) groups. Perceived physical competence was measured by Lintunen’s Perceived Fitness Scale. Data were analyzed using one-and twoway analyses of variance and the least significant difference test. No differences were found in perceived fitness between the girls and boys in any activity group at any age. More physically active groups showed higher perceived fitness among both sexes than the sedentary group when measured at the ages 11,12,13,14, and 15. I concluded that physical activity level is more important than gender as a determinant of perceived physical competence. Boys are, on the average, more actively involved in exercise than girls. This may be the reason that they have consistently scored higher in measures of perceived physical competence.

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POS0208 GENDER DIFFERENCES IN RESPONSE TO BIOLOGICALS. WOMEN FARE WORSE ACROSS INFLAMMATORY ARTHRITIS DISEASES - DATA FROM THE BIOREG

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2021-eular.3596 ◽

2021 ◽

Vol 80 (Suppl 1) ◽

pp. 320.1-321

Author(s):

E. Loibner ◽

V. Ritschl ◽

B. Leeb ◽

P. Spellitz ◽

G. Eichbauer-Sturm ◽

...

Keyword(s):

Gender Differences ◽

Psoriatic Arthritis ◽

Gender Difference ◽

Disease Activity ◽

Inflammatory Arthritis ◽

Tnf Inhibitors ◽

Significant Difference ◽

The Difference ◽

All Diseases

Background:Gender differences in prevalence and disease course are known in various rheumatic diseases; however, investigations of gender difference concerning therapeutical response have yielded variable results.Objectives:The aim of this retrospective study was to investigate, whether a gender difference in response rate to biological disease-modifying antirheumatic drugs (bDMARDs) and apremilast in bDMARD-naïve patients could be observed across the three most prevalent inflammatory arthritis diseases: rheumatoid arthritis (RA), spondylarthritis (SpA) and psoriatic arthritis (PsA). Additionally, a response to individual TNF blockers was investigated in this respect.Methods:Data from bDMARD-naïve RA-, SpA- and PsA-patients from Bioreg, the Austrian registry for biological DMARDs in rheumatic diseases, were used. Patients with a baseline (Visit 1=V1) and follow-up visits at 6 months (Visit 2=V2) and 12 months (Visit 3=V3) were included and response to therapy with TNF-inhibitors (TNFi), furthermore to therapy with rituximab, tocilizumab and apremilast was analyzed according to gender. The remaining bDMARDs were not analyzed due to small numbers. Key response-parameter for RA was disease activity score (DAS28), whereas for PsoA the Stockerau Activity Score for Psoriatic Arthritis (SASPA) and for SpA the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) were employed; in addition, the Health assessment Questionnaire (HAQ) was used. Data were analyzed in R Statistic stratified by gender using Kruskal-Wallis and Wilcoxon tests.Results:354 women and 123 men with RA (n=477), 81 women and 69 men with PsA (n=150), 121 women and 191 men with SpA (n=312) were included. No significant differences in biometrics was seen between female and male patients at baseline in all diseases.In RA patients overall DAS28 decreased from baseline (V1) to V2 and V3 (DAS28: V1: male: 4.38 [3.66, 5.11], female: 4.30 [3.68, 5.03], p(m/f) = 0.905; V2: male: 2.66 [1.73, 3.63], female: 3.10 [2.17, 3.98], p(m/f) = 0.015; V3: male: 2.25 [1.39, 3.36], female: 3.01 [1.87, 3.87], p(m/f) = 0.002). For TNF inhibitors (n=311), there was a significant difference between genders at V2 (Fig.1a). Patients receiving Rituximab (n=41) displayed a significantly higher DAS28 at baseline in females, which diminished in the follow up: V1: (p(m/f) p=0.002; V2: p=0.019; V3: p=0.13); response to tocilizumab (n=63) did not show any gender differences.In PsA patients overall SASPA decreased from baseline (V1) to V2 and V3 (SASPA: V1: male: 4.00 [2.80, 5.20], female: 4.40 [2.80, 5.80], p(m/f) = 0.399; V2: male: 2.20 [1.20, 3.50], female: 3.40 [2.00, 5.00], p(m/f) = 0.071; V3: male: 1.80 [0.80, 2.70], female: 3.01 [2.35, 4.80], p(m/f) = 0.001). For TNF inhibitors (n=79), there was a significant difference between genders at V3 (Fig 1a). For Apremilast (n=39), there was a significant difference between genders at V2 (Fig.1c).In SpA patients overall BASDAI decreased from baseline (V1) to V2 and V3 (BASDAI: V1: male: 4.70 [2.88, 6.18], female: 4.80 [3.30, 6.20], p(m/f) = 0.463; V2: male: 3.05 [2.00, 4.60], female: 3.64 [2.62, 5.41], p(m/f) = 0.039; V3: male: 3.02 [1.67, 4.20], female: 3.65 [2.18, 5.47], p(m/f) = 0.016). In V3 a differential BASDAI in response to TNFi (n=299) was observed (Fig.1a).Possible differences of response to individual TNFi (etanercept, infliximab, other TNFi) measured by HAQ were investigated in all diseases together. The difference between male and females was significant at baseline for all 3 TNFi; whereas with the use of ETA the significant difference was carried through to V2 and V3, it was lost with the use of IFX and was variable with the other TNFi (Fig.1b)Figure 1.Conclusion:Female patients showed a statistically lower response to TNFi in all three disease entities (RA, SpA and PsoA) to a variable degree in our homogenous central european population. Interestingly, the difference was not uniform across individual TNFi when measured by HAQ. Gender differences were also seen in response to Apremilast.Disclosure of Interests:Elisabeth Loibner: None declared, Valentin Ritschl: None declared, Burkhard Leeb Speakers bureau: AbbVie, Roche, MSD, Pfizer, Actiopharm, Boehringer-Ingelheim, Kwizda, Celgene, Sandoz, Grünenthal, Eli-Lilly, Grant/research support from: TRB, Roche, Consultancies: AbbVie, Amgen, Roche, MSD, Pfizer, Celgene, Grünenthal, Kwizda, Eli-Lilly, Novartis, Sandoz;, Peter Spellitz: None declared, Gabriela Eichbauer-Sturm: None declared, Jochen Zwerina: None declared, Manfred Herold: None declared, Miriam Stetter: None declared, Rudolf Puchner Speakers bureau: AbbVie, BMS, Janssen, Kwizda, MSD, Pfizer, Celgene, Grünenthal, Eli-Lilly, Consultant of: AbbVie, Amgen, Pfizer, Celgene, Grünenthal, Eli-Lilly, Franz Singer: None declared, Ruth Fritsch-Stork: None declared

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A real world feasibility trial of the PLAYshop: an intervention to facilitate parent engagement in developing their child’s physical literacy

10.21203/rs.3.rs-23520/v1 ◽

2020 ◽

Author(s):

Cassandra Lane ◽

Kendra Reno ◽

Madison Predy ◽

Valerie Carson ◽

Chris Wright ◽

...

Keyword(s):

Real World ◽

Self Efficacy ◽

Controlled Trial ◽

Literacy Intervention ◽

Feasibility Trial ◽

Physical Literacy ◽

Physical Competence ◽

Physically Active ◽

Implementation Challenges

Abstract Background Development of physical literacy, defined as “the motivation, confidence, physical competence, knowledge and understanding to value and take responsibility for engagement in physical activities for life”, can support children’s physically active behaviors and consequent health benefits. Little research exploring interventions to improve children's physical literacy exist, although substantive evidence shows parents play a key role in children's physically active behaviors and development of fundamental movement skills. The purpose of this study is to explore a novel, physical literacy intervention designed to assist parents to engage with their child in purposeful play; play that facilitates the development of physical literacy. Methods The PLAYshop was a 75-minute workshop to build parents' self-efficacy to support their child’s physical literacy through interactive activities and educational messages as well as educational resources focused on core physical literacy concepts. We collected quantitative pre- and post-workshop surveys of parents’ satisfaction, knowledge, confidence and intention to adopt practices as well as qualitative follow-up implementation focused interviews from both parents and facilitators. We used paired t-tests to examine changes in parents' self-reported physical literacy knowledge and confidence and thematic analysis of interviews to explore workshop feasibility. Results Six workshops were delivered to 33 parents of young children (3–8 years of age). 23 parents completed both pre- and post-workshop surveys. Follow-up interviews were completed with 11 parents and four workshop facilitators. Parents’ self-reported knowledge and confidence to support their child’s physical literacy development significantly increased after PLAYshop participation. Further, the majority of parents were satisfied with the workshop and motivated to apply workshop learnings at-home with their child. Workshop facilitators identified seven workshop strengths (e.g., workshop champions and skilled facilitators) and four challenges (e.g., recruitment and unfavorable spaces). Conclusions The PLAYshop was perceived positively by parents and facilitators and appeared to improve parent self-efficacy and intention to promote physical literacy with their child. Recruitment and attendance were key implementation challenges. The findings from this real world trial address an important evidence gap, highlighting areas for adaptations to improve the intervention and recruitment and suggesting that the PLAYshop is ready for efficacy testing in a more rigorous randomized controlled trial.

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A real world feasibility trial of the PLAYshop: a brief intervention to facilitate parent engagement in developing their child’s physical literacy

10.21203/rs.3.rs-23520/v2 ◽

2020 ◽

Author(s):

Cassandra Lane ◽

Valerie Carson ◽

Kayla Morton ◽

Kendra Reno ◽

Chris Wright ◽

...

Keyword(s):

Real World ◽

Self Efficacy ◽

Controlled Trial ◽

Literacy Intervention ◽

Feasibility Trial ◽

Physical Literacy ◽

Physical Competence ◽

Physically Active ◽

Implementation Challenges

Abstract Background: Development of physical literacy, defined as “the motivation, confidence, physical competence, knowledge and understanding to value and take responsibility for engagement in physical activities for life”, can support children’s physically active behaviors and consequent health benefits. Little research exploring interventions to improve children's physical literacy exist, although substantive evidence shows parents play a key role in children's physically active behaviors and development of fundamental movement skills. The purpose of this study is to explore a novel, physical literacy intervention designed to assist parents to engage with their child in purposeful play; play that facilitates the development of physical literacy. Methods: The PLAYshop was a 75-minute workshop to build parents' self-efficacy to support their child’s physical literacy through interactive activities and educational messages as well as educational resources focused on core physical literacy concepts. We collected quantitative pre- and post-workshop surveys of parents’ satisfaction, knowledge, confidence and intention to adopt practices as well as qualitative follow-up implementation focused interviews from both parents and facilitators. We used paired t-tests to examine changes in parents' self-reported physical literacy knowledge and confidence and thematic analysis of interviews to explore workshop feasibility.Results: Six workshops were delivered to 33 parents of young children (3-8 years of age). Twenty-three parents completed both pre- and post-workshop surveys. Follow-up interviews were completed with 11 parents and four workshop facilitators. Parents’ self-reported knowledge and confidence to support their child’s physical literacy development significantly increased after PLAYshop participation. Further, the majority of parents were satisfied with the workshop and motivated to apply workshop learnings at-home with their child. Workshop facilitators identified seven workshop strengths (e.g., workshop champions and skilled facilitators) and four challenges (e.g., recruitment and unfavorable spaces).Conclusions: The PLAYshop was perceived positively by parents and facilitators and appeared to improve parent self-efficacy and intention to promote physical literacy with their child. Recruitment and attendance were key implementation challenges. The findings from this real world trial address an important evidence gap, highlighting areas for adaptations to improve the intervention and recruitment and suggesting that the PLAYshop is ready for efficacy testing in a more rigorous randomized controlled trial.

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Physical Activity and Risk of Atrial Fibrillation: A Nationwide Cohort Study in General Population

Scientific Reports ◽

10.1038/s41598-019-49686-w ◽

2019 ◽

Vol 9 (1) ◽

Cited By ~ 6

Author(s):

Moo-Nyun Jin ◽

Pil-Sung Yang ◽

Changho Song ◽

Hee Tae Yu ◽

Tae-Hoon Kim ◽

...

Keyword(s):

Physical Activity ◽

Atrial Fibrillation ◽

Cohort Study ◽

General Population ◽

Physical Activity Level ◽

Activity Level ◽

Target Range ◽

Vigorous Exercise ◽

Highly Active

Abstract Although exercise prevents cardiovascular disease and mortality, vigorous exercise and endurance athletics can cause atrial fibrillation (AF). However, no large cohort study has assessed the relationship between physical activity and AF in the general population. We assessed the effect of physical activity at different energy expenditures on the incidence of AF. We studied 501,690 individuals without pre-existing AF (mean age, 47.6 ± 14.3 years; 250,664 women [50.0%]) included in the Korean National Health Insurance Service database. The physical activity level was assessed using a standardized self-reported questionnaire at baseline. During a median follow-up of 4 years, 3,443 participants (1,432 women [41.6%]) developed AF. The overall incidence of AF at follow-up was 1.79 per 1,000 person-years. The subjects who met the recommended physical activity level (500–1,000 metabolic equivalent task [MET] minutes/week) had a 12% decreased AF risk (adjusted hazard ratio [HR]: 0.88, 95% confidence interval [CI]: 0.80–0.97), but not the insufficiently (1–500 MET-minutes/week; HR: 0.94, 95% CI: 0.86–1.03) and highly active subjects (≥1,000 MET-minutes/week; HR: 0.93, 95% CI: 0.85–1.03). The recommended minimum key target range of physical activity level was associated with the maximum benefit for reduced AF risk in the general population. The dose-response relationship between physical activity level and AF risk showed a U-shaped pattern. Although exceeding the key target range attenuated this benefit, it did not increase the AF risk beyond that during inactivity.

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Effects of three protocols of hamstring muscle stretching and paravertebral lumbar

Fisioterapia em Movimento ◽

10.1590/0103-5150.027.001.ao09 ◽

2014 ◽

Vol 27 (1) ◽

pp. 85-92 ◽

Cited By ~ 3

Author(s):

Juliana Moesch ◽

Juliana Schmatz Mallmann ◽

Flávia Tomé ◽

Lizyana Vieira ◽

Rodolfo Tozeto Ciqueleiro ◽

...

Keyword(s):

Repeated Measures ◽

Activity Level ◽

Hamstring Muscle ◽

Significance Level ◽

Repeated Measures Anova ◽

Control Stage ◽

Muscle Stretching ◽

Significant Difference ◽

Proprioceptive Neuromuscular Facilitation

Introduction the muscle stretching is widely used to gain extensibility and flexibility, it is important to know the duration of these effects, after return to usual activity level. Thus, the aim of this study was to analyze the effect of three protocols of hamstring and paravertebral lumbar muscles stretching, and joint flexibility and muscle extensibility after six weeks. Methods participants were 40 volunteers, with limited hamstring extensibility, randomized into three groups: active stretching static (n = 14), proprioceptive neuromuscular facilitation (n = 14) and kinesiostretching (n = 12). The protocol was divided into 3 stages: the 1st control (six weeks), the 2nd application of stretch (six weeks) and the 3rd follow-up (eight weeks). The project was approved by the Ethics Committee on Human Research Unioeste, under protocol number 25536/2008. Four evaluations were conducted with board coupled to a system and goniometry and Well´s bench, distributed at the beginning and end of each step. Data were analyzed with repeated measures ANOVA, and one-way, with a significance level of 5%. Results there was no significant difference for the three groups in the control stage. There were significant differences in the three protocols in the stage of stretching. After follow-up stage, there was significant difference in the ratings to the board goniometry, and there was no difference in the Well’s Bench. Conclusion the three techniques promoted significant gain in extensibility and flexibility, extensibility was not maintained after the follow-up stage, and the flexibility of the posterior chain continued gains.

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Effect of activity level after a posterior-stabilized TKA on the relative bone mineral density measured on standard radiographs in periprosthetic tibial bone: a five-year follow-up study

10.21203/rs.3.rs-37186/v2 ◽

2020 ◽

Author(s):

Yong Liu ◽

Peiheng He ◽

Xing Li ◽

Yongheng Ye ◽

Minghao Liu ◽

...

Keyword(s):

Bone Mineral Density ◽

Activity Level ◽

Moderate Activity ◽

Posterior Stabilized ◽

Mineral Density ◽

Ucla Activity Score ◽

Tibial Bone ◽

Significant Difference ◽

Standard Radiographs

Abstract Background: The aim of this study was to evaluate the effect of activity level after a posterior-stabilized TKA on the relative bone mineral density measured on standard radiographs in periprosthetic tibial bone. Methods: A retrospective review identified 121 patients (121 knees，19 men/102 women) that underwent PS TKA with 5-year follow-up. Patients activity level was evaluated by University of California Los Angeles (UCLA) activity score, and the relative BMD in periprosthetic tibial bone was measured by ImageJ software on anteroposterior X-ray images. Clinical assessments included Western Ontario and McMaster Universities (WOMAC), Knee Society, VAS score and UCLA activity score. Nonlinear regression analysis was used to assess the impact of activity levels on periprosthesis bone density.Results: Activity level significantly affected rBMD in the proximal tibia, with the smallest reduction in rBMD observed with moderate activity. The difference in rBMD% between the lateral and medial metaphysis was significant. The regions with a significant difference in rBMD% between the lateral and medial metaphysis were closest to the base plate of the prosthesis. The lateral and medial regions closest to the stem of the prosthesis showed no significant difference in rBMD%.Conclusions: We found that activity level had a significant effect on radiographic measurements of BMD at 1 and 3 years but not at 5 years and moderate activity was associated with a minimal reduction in proximal tibial BMD.

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Activity Level and Function 2 Years After Anterior Talofibular Ligament Repair: A Comparison Between Arthroscopic Repair and Open Repair Procedures

The American Journal of Sports Medicine ◽

10.1177/0363546517698675 ◽

2017 ◽

Vol 45 (9) ◽

pp. 2044-2051 ◽

Cited By ~ 33

Author(s):

Hong Li ◽

Yinghui Hua ◽

Hongyun Li ◽

Kui Ma ◽

Shengkun Li ◽

...

Keyword(s):

Open Repair ◽

Ankle Instability ◽

Activity Level ◽

Arthroscopic Repair ◽

Open Group ◽

Anterior Talofibular Ligament ◽

Aofas Score ◽

Lateral Ankle ◽

Significant Difference

Background: The open modified Broström anatomic repair technique is widely accepted as the reference standard for lateral ankle stabilization. Despite recent increases in publications regarding arthroscopic repair of the anterior talofibular ligament (ATFL) for treatment of chronic ankle instability, research is lacking that compares the functional outcomes between arthroscopic repair and open repair procedures for chronic ankle instability. Purpose: To compare function and activity level after arthroscopic repair versus open repair of the ATFL in patients with lateral ankle instability. Study Design: Cohort study; Level of evidence, 3. Methods: All patients who underwent arthroscopic or open surgical Broström repair of the ATFL between January 2012 and August 2014 were invited to participate in this study. All of the patients had consented for arthroscopic repair if feasible. In cases in which arthroscopic repair was impossible, the open modified Broström procedure was performed after arthroscopy. Patients accepted a systematic rehabilitation program postoperatively. American Orthopaedic Foot and Ankle Society (AOFAS) score, Karlsson Ankle Functional Score (KAFS), and Tegner activity score were used to evaluate ankle function preoperatively and at a minimum follow-up of 2 years. Magnetic resonance imaging (MRI) was performed to evaluate the signal to noise ratio (SNR) of the repaired ATFL. Results: A total of 60 patients were included in this study. They were assigned to 1 of 2 groups according to their surgical procedure: 23 patients underwent arthroscopic repair (arthroscopic group) and 37 patients underwent open repair (open group). No patient in either group had ankle instability at follow-up postoperatively. After surgery, the AOFAS score ( P < .001), KAFS ( P < .001), and Tegner activity score ( P < .001) increased significantly in both groups. However, no significant difference was found in AOFAS score (93.3 ± 8.9 vs 92.4 ± 8.6; P = .7), KAFS (90.3 ± 12.5 vs 89.4 ± 10.6; P = .75), and Tegner score (5 ± 2 vs 5 ± 2; P = .61) between the arthroscopic group and the open group, respectively. As well, no significant difference was found in the mean SNR value of ATFL between the arthroscopic group and the open group (9.1 ± 2.7 vs 8.8 ± 2.3; P = .39, respectively). Conclusion: When compared with open lateral ankle repair, arthroscopic repair of lateral ankle ligament when feasible produced similarly favorable outcomes. Arthroscopic ATFL repair, as a minimally invasive technique, provided favorable outcomes.

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Transtibial Aperfix System in Reconstruction of ACL Injuries

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967114s00205 ◽

2014 ◽

Vol 2 (11_suppl3) ◽

pp. 2325967114S0020

Author(s):

Gökay Görmeli ◽

Cemile Ayşe Görmeli ◽

Mustafa Karakaplan ◽

Mehmet Fatih Korkmaz ◽

Uğur Diliçıkık ◽

...

Keyword(s):

Range Of Motion ◽

Cruciate Ligament ◽

Treatment Decision ◽

Activity Level ◽

Tunnel Widening ◽

Arthroscopic Reconstruction ◽

Radiological Results ◽

Significant Difference ◽

Clinical And Radiological Results

Objectives: The aim of this this study was to assess the clinical outcomes and fixation durability of the AperFix (Cayenne Madical, Scottsdale, Arizona) system and to determine the effect of patient’s age in arthroscopic reconstruction of the anterior cruciate ligament. Methods: Patients with symphtomatic anterior cruciat ligament rupture underwent arthroscopic reconstruction. Patients were evaluated in terms of range of motion values; Lysholm, Cincinati and Tegner activity scales; laxity testing and complications. Tunnel widening was assessed by AP and lateral radiographs. Early postoperative and last follow-up radiographs were compared. Results: Fifty-one patients were evaluated at a 29 months (range: 25-34 months) follow-up. Mean age at the surgery was 26.5 ± 7.2 years. Lysholm, Cincinati and Tegner activity scales were significantly higher from preop scores. (Lysholm scores: preop: 51.4 ± 17.2 postop: 88.6 ± 7.7 (p<0.001); Tegner activity scores: preop 3.3 ± 1.38 postop: 5,3 ± 1,6 (p<0,001); Cincinati scores: preop: 44.3±17 postop:81,3 ± 13.9 (p<0.001)). There was no significant difference for knee score, range of motion deficits and femoral tunnel enlargement of the patients with below and above 30 years. Conclusion: According to our results with <30 years and above >30 years patient comparison we think that patient’s age is less important than activity level for the surgical treatment decision. The AperFix system performed satisfactory clinical and radiological results with low complication rate. But long-term clinical and radiological results are needed to decide the ideal ACL reconcstruction method.

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A real-world feasibility study of the PLAYshop: a brief intervention to facilitate parent engagement in developing their child’s physical literacy

Pilot and Feasibility Studies ◽

10.1186/s40814-021-00849-5 ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Cassandra Lane ◽

Valerie Carson ◽

Kayla Morton ◽

Kendra Reno ◽

Chris Wright ◽

...

Keyword(s):

Real World ◽

Self Efficacy ◽

Control Group ◽

Physical Literacy ◽

Physical Competence ◽

Physically Active ◽

Implementation Challenges ◽

Intention To Adopt ◽

Recruitment Challenges

Abstract Background Development of physical literacy, defined as “the motivation, confidence, physical competence, knowledge and understanding to value and take responsibility for engagement in physical activities for life,” can support children’s physically active behaviors and consequent health benefits. Little research has explored interventions to improve children’s physical literacy, although substantive evidence shows parents play a key role in children’s physically active behaviors and development of fundamental movement skills. The purpose of this study was to explore the feasibility of a novel, physical literacy program (the PLAYshop) designed to build parents’ self-efficacy to support their child’s physical literacy. Methods A non-randomized, one-arm concurrent nested design was used. Thirty-five parents of young children (3–8 years of age) attended a 75-min workshop inclusive of interactive activities, educational messages, and the provision of resources focused on core physical literacy concepts. Pre- and post-workshop surveys used quantitative measures to assess parents’ satisfaction, knowledge, confidence, and intention to adopt practices. Follow-up interviews qualitatively explored the implementation experiences of both parents and facilitators. Paired t tests and thematic analysis were undertaken. Results Of the 33 eligible parents, 23 completed both pre- and post-workshop surveys. Follow-up interviews were completed with 11 parents and four workshop facilitators. Parents’ self-reported knowledge and confidence to support their child’s physical literacy development significantly increased after PLAYshop participation. The majority of parents were satisfied with the workshop and motivated to apply learnings at home with their child. Workshop facilitators identified seven workshop strengths (e.g., workshop champions and skilled facilitators) and four challenges (e.g., recruitment and unfavorable spaces). Limitations include the lack of control group and recruitment challenges. Conclusions The PLAYshop was perceived positively by parents and facilitators and appeared to improve parent self-efficacy and intention to promote physical literacy with their child. Recruitment and attendance were key implementation challenges. The findings from this real-world study support the preliminary feasibility of the PLAYshop intervention and highlight areas to improve the intervention and recruitment prior to efficacy testing in a more rigorous trial format.

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Abstract TP301: Gender Differences in Short- and Long-Term Outcome of Patients With Suspected Acute Stroke

Stroke ◽

10.1161/str.51.suppl_1.tp301 ◽

2020 ◽

Vol 51 (Suppl_1) ◽

Author(s):

Naveed Akhtar ◽

Saadat Kamran ◽

Rajvir Singh ◽

Zain Bhutta ◽

Debby Morgan ◽

...

Keyword(s):

Gender Differences ◽

Regression Analysis ◽

Acute Stroke ◽

Short Term ◽

Term Outcome ◽

Long Term Outcome ◽

Poor Outcome ◽

Significant Difference

Background: There are gender differences in the short-term prognosis following acute stroke suggesting that outcome is less favorable in women. Factors contributing to this poor outcome include preexisting morbidity, stroke severity and higher age. Most previous studies have looked at short-term prognosis. PURPOSE: We investigated whether gender differences have a differential impact on incidence of short-term outcome and long-term major adverse cardiovascular events (MACE) including stroke, myocardial infarction, unstable angina, coronary revascularization procedure, and death in patients with suspected acute stroke. Methods: The study used a prospective cohort of Qatari patients with suspected acute stroke between January 2014 and February 2019. We calculated the modified Rankin score (mRS) at discharge and 90-days (short-term) and MACE (long-term) outcomes in both genders. To determine the independent predictor for MACE, the Cox proportional hazards regression analysis was used and summarized as hazard ratio and 95% confidential interval. Results: A total of 1372 patients identified. At 90-days, women found to have significantly poorer outcome (34.0% vs 23.4%, p<0.001) mortality (8.5% vs 5.2%, p<0.03) overall. MACE was present in 30.5% (418/1372) during follow-up (57.2% males and 54.3% females, p=0.32). Median follow-up was 44.6 months for females and 47.2 months for males. Mean age in MACE group was significantly higher (65.5±15.3 vs 60.1±15.9, p< 0.001). Hypertension, diabetes, prior history of stroke, coronary artery disease, and atrial fibrillation on admission was more significant in MACE group, while obesity (BMI ≥ 30 kg/m2) was more common in non-MACE group. Patients with MACE had higher NIHSS on admission (6.1±7.4 vs 3.5±5.3, p<0.001), HbA1c (7.7±2.3 vs 7.4±2.3, p=0.02) and poorer prognosis (44.5% vs 18.6%, p<0.001) and higher mortality at 90-days. Once corrected, the hazard regression analysis showed that no difference in MACE between the two genders. Conclusion: Our results show that despite higher mortality and poor outcome at 90-days, the long-term outcome in women did not show any significant difference from men in this cohort. This may be related to older age and presence of cardiovascular risk factors.

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