Physical Activity, Physical Function, and Quadriceps Muscle Thickness in Male Patients with Sub-Acute Stroke during Hospitalization: A Pilot Study

2018 ◽  
Vol 80 (3-4) ◽  
pp. 157-162 ◽  
Author(s):  
Masafumi Nozoe ◽  
Hiroki Kubo ◽  
Asami Furuichi ◽  
Masashi Kanai ◽  
Miho Yamamoto ◽  
...  
Keyword(s):  
Physical Activity ◽  
Acute Stroke ◽  
Physical Function ◽  
Muscle Thickness ◽  
Haemorrhagic Stroke ◽  
Quadriceps Muscle ◽  
Stroke Recurrence ◽  
Daily Number ◽  
Paretic Side ◽  
Male Patients

Increasing physical activity (PA) is an important rehabilitation target for patients with sub-acute stroke during hospitalization in order to recover physical function and prevent stroke recurrence. However, the characteristics of low PA in stroke patients during hospitalization who were targets for increased intervention have not been reported. The purpose of this study was to investigate the relationship between the daily number of steps and physical function and quadriceps muscle thickness (QMT) in patients with sub-acute stroke during hospitalization for convalescence rehabilitation. Twenty-nine patients with ischemic or haemorrhagic stroke (mean age, 69 ± 11 years) hospitalized for inpatient convalescent rehabilitation were included. PA was measured using a three-dimensional accelerometer that calculates the daily number of steps taken. Physical function was measured by a short physical performance battery (SPPB; 0–12 points) and the leg motor selectivity score (6 motor stages defined by Brunnstrom), and the QMT of both legs was measured using ultrasonography. PA was significantly correlated with the SPPB score (r = 0.63, p = 0.0002), QMT on the paretic side (r = 0.41, p = 0.02), and QMT on non-paretic side (r = 0.56, p = 0.002). There were no significant effects of the leg motor selectivity score on daily PA (F = 1.37, p = 0.27). In the multiple regression analysis, only the SPPB score showed significant linear regression (β = 0.44, p = 0.02). PA in male patients with sub-acute stroke during hospitalization was related to physical function and QMT and not with the severity of paresis.

scholarly journals Relationship between quadriceps thickness and 60-second sit-to-stand test in patients with chronic kidney disease

2021 ◽  
Author(s):  
Marthley J. C. Costa ◽  
Frederico C. B. Cavalcanti ◽  
Shirley Dias Bezerra ◽  
José Candido de Araújo Filho ◽  
Juliana Fernandes ◽  
...  
Keyword(s):  
Physical Activity ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Functional Performance ◽  
Handgrip Strength ◽  
Muscle Thickness ◽  
Quadriceps Muscle ◽  
Stand Test ◽  
Sit To Stand ◽  
The Relationship

Abstract Background: This study aimed to evaluate the relationship between quadriceps muscle thickness and functional performance on the 60s sit-to-stand test (60s-STS), the six-minute walk test (6MWT), and handgrip strength in non-dialytic stage 4 and 5 chronic kidney disease (CKD) patients. Methods: This was a cross-sectional study that evaluated 40 CKD patients aged between 30-70 years. Participants were submitted to an assessment that included quadriceps muscle thickness evaluated by a portable ultrasound. Functional performance tests included the 60s-STS, distance walked in the 6MWT, and handgrip strength. Also, body composition evaluated using electrical bioimpedance analysis and physical activity level through the short version of International Physical Activity were measured. Multiple linear regression was used to investigate the relationship between the quadriceps thickness and functional performance. Results: Quadriceps muscle thickness was correlated to 60s-STS (R2 = 43.6%; 95% CI = 0.022 - 0.665; β = 0.34; p = 0.037). Also, a moderate correlation between this muscle thickness and appendicular skeletal muscle (ALM) was found in CKD patients (r = 0.603, p <0.001). No relationship was found between quadriceps muscle thickness with the 6MWT and handgrip strength. Conclusion: Quadriceps muscle thickness is associated to 60s-STS, thus our results demonstrate the repercussions of the disease on the musculoskeletal system.

scholarly journals The Impact of strengthening exercises on the functioning of quadriceps muscle in teenagers children involved sport activity and not involved in sport activity

2019 ◽  
Vol 2 ◽  
pp. 28-33
Author(s):  
Lina Levickiene ◽  
Monika Pociene
Keyword(s):  
Physical Activity ◽  
Muscle Strength ◽  
Sport Activity ◽  
Muscle Thickness ◽  
Quadriceps Muscle ◽  
Sports Activity ◽  
Quadriceps Muscle Strength ◽  
Strength Exercises ◽  
Strengthening Exercises ◽  
The Impact

Research shows that the involvement of majority of Lithuanian schoolchildren in sports activities is insufficient. Lack of physical activity has an adverse effect on their growth and maturity. Scientists, who have studied the issue of physical activity of children in Lithuania, envisage obviously declining trends of physical activity. Research data show that physical activity of more than 50% of boys and over 60% of girls in Lithuania are not sufficient (Skurvydas, 2017). Physical activity is defined as any bodily movement produced by skeletal muscles that’s requires energy expenditure. The objective of the research: to assess the impact of strengthening exercises on the functioning of quadriceps muscle for teenagers children who are involved in sports activity or not involved in sports activity. Conclusions: 1. After application of strength exercises the increase in thigh volume, quadriceps muscle thickness and strength were statistically significant (p<0.05) in both groups: sporting and non-sporting. Quadriceps muscle thickness and muscle strength were statistically significantly greater (p<0.05) in sporting group, and thigh volume increase was statistically insignificant greater (p>0.05) in non-sporting group. 2. Difference in thigh volume, quadriceps muscle thickness and strength between the dominant and non-dominant leg was statistically insignificant (p>0.05) prior to and after the application of strength exercises. 3. The closest correlation was between the quadriceps muscle thickness and thigh volume as well as between the quadriceps muscle strength and thickness. The relation between the quadriceps muscle strength and thigh volume was average or weak.

Differences in physical function and metabolic syndrome risk factors according to the level of physical activity in elderly Korean men: a pilot study

2020 ◽  
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Metabolic Syndrome ◽  
Physical Function ◽  
Vigorous Physical Activity ◽  
Density Lipoprotein ◽  
The Elderly ◽  
Berg Balance Scale ◽  
Lower Percentage ◽  
Mineral Density

Background and objective: Managing the decrease in physical function in the elderly is a major task in aging societies globally. Here, we aimed to compare the physical function and metabolic syndrome (MetS) risk factors according to levels of physical activity (PA). Material and methods: We measured PA in 77 elderly Korean men (74.21 ± 6.26 years old) with an accelerometer and recorded body composition, physical function, and MetS-related risk factors. Participants were divided into three groups based on daily moderate-vigorous physical activity (MVPA): low (under 60 min), middle (60-120 min), and high (over 120 min). The groups were compared using a one-way analysis of variance and the Scheffe post hoc test. Odds ratios (OR) were calculated by logistic regression analysis. Results: Significant differences were found between the groups for sedentary behavior time (P < 0.001), light PA (P < 0.05), moderate PA (P < 0.001), vigorous PA (P < 0.05), and total energy expenditure (P < 0.001). The high PA group showed a significantly lower percentage of body fat and fat mass and higher muscle mass than did the low and middle PA groups (P < 0.05). The 6-min walk test was significantly better in the high PA group than in the low and middle PA groups (P < 0.05). Grip strength and the Berg balance scale were also significantly better in the high PA group (P < 0.05). Bone mineral density (BMD) and high-density lipoprotein cholesterol (HDL-C) were significantly higher in the high PA group than in the low PA group (P < 0.05). Systolic blood pressure (SBP) was significantly higher in the middle PA group than in the low PA group (P < 0.05). Participants with more than three MetS criteria showed an OR of 0.09 (95% confidence interval 0.01-0.82) in the high PA group as compared with the low PA group (P < 0.05). Conclusions: Moderate-vigorous physical activity of more than 120 min daily showed better physical function and lower OR of MetS than did lower MVPA levels in elderly Korean men.

scholarly journals Considerations for assessing physical function and physical activity in clinical trials during the COVID-19 pandemic

2021 ◽  
Vol 105 ◽  
pp. 106407
Author(s):  
Seol Ju E. Moon ◽  
Annette DeVito Dabbs ◽  
Andrea L. Hergenroeder ◽  
Melissa L. Vendetti ◽  
Kristen B. Jones ◽  
...  
Keyword(s):  
Physical Activity ◽  
Clinical Trials ◽  
Physical Function

scholarly journals Women’s Health Initiative Strong and Healthy Pragmatic Physical Activity Intervention Trial for Cardiovascular Disease Prevention: Design and Baseline Characteristics

2021 ◽  
Author(s):  
Marcia L Stefanick ◽  
Abby C King ◽  
Sally Mackey ◽  
Lesley F Tinker ◽  
Mark A Hlatky ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cardiovascular Disease ◽  
Physical Function ◽  
Women’S Health ◽  
Women's Health ◽  
Physical Activity Intervention ◽  
Women's Health Initiative ◽  
Women’S Health Initiative ◽  
Health Initiative ◽  
Race Ethnicity

Abstract Background National guidelines promote physical activity to prevent cardiovascular disease (CVD), yet no randomized controlled trial has tested whether physical activity reduces CVD. Methods The Women’s Health Initiative (WHI) Strong and Healthy (WHISH) pragmatic trial used a randomized consent design to assign women for whom cardiovascular outcomes were available through WHI data collection (N = 18 985) or linkage to the Centers for Medicare and Medicaid Services (N30 346), to a physical activity intervention or “usual activity” comparison, stratified by ages 68–99 years (in tertiles), U.S. geographic region, and outcomes data source. Women assigned to the intervention could “opt out” after receiving initial physical activity materials. Intervention materials applied evidence-based behavioral science principles to promote current national recommendations for older Americans. The intervention was adapted to participant input regarding preferences, resources, barriers, and motivational drivers and was targeted for 3 categories of women at lower, middle, or higher levels of self-reported physical functioning and physical activity. Physical activity was assessed in both arms through annual questionnaires. The primary outcome is major cardiovascular events, specifically myocardial infarction, stroke, or CVD death; primary safety outcomes are hip fracture and non-CVD death. The trial is monitored annually by an independent Data Safety and Monitoring Board. Final analyses will be based on intention to treat in all randomized participants, regardless of intervention engagement. Results The 49 331 randomized participants had a mean baseline age of 79.7 years; 84.3% were White, 9.2% Black, 3.3% Hispanic, 1.9% Asian/Pacific Islander, 0.3% Native American, and 1% were of unknown race/ethnicity. The mean baseline RAND-36 physical function score was 71.6 (± 25.2 SD). There were no differences between Intervention (N = 24 657) and Control (N = 24 674) at baseline for age, race/ethnicity, current smoking (2.5%), use of blood pressure or lipid-lowering medications, body mass index, physical function, physical activity, or prior CVD (10.1%). Conclusion The WHISH trial is rigorously testing whether a physical activity intervention reduces major CV events in a large, diverse cohort of older women. Clinical Trials Registration Number: NCT02425345

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