Abstract 15269: Baseline Relationships of Walking, Physical Activity Habits and Self-perceived Recovery After Stroke in People Engaged in a Healthy Lifestyle Program

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Chad Swank ◽  
Evan Elizabeth McShan ◽  
Stephanie Calhoun ◽  
Megan Douglas ◽  
Megan Reynolds ◽  
...  
Keyword(s):  
Physical Activity ◽  
Healthy Lifestyle ◽  
Community Dwelling ◽  
Self Report ◽  
Stroke Recovery ◽  
Walk Test ◽  
Post Stroke ◽  
Lifestyle Program ◽  
Walking Performance ◽  
Healthy Lifestyle Program

Introduction: Recovery of walking is an important goal for people after stroke and is linked with acquiring secondary conditions deleterious to health. Our purpose was to assess the baseline relationships between walking performance, physical activity habits and self-perceived recovery after stroke in people engaged in a healthy lifestyle program. Hypothesis: We hypothesized that walking performance would be strongly related to self-reported stroke recovery and physical activity habits. Methods: Community dwelling adults at least 12 months post-stroke with a body mass index (BMI) of 25 or greater were recruited to participate in a healthy lifestyle program adapted for people with stroke. Baseline measures of walking performance [10-meter walk test (10MWT); 6-minute walk test (6MWT)] and self-reported outcomes [Self-Report Habits Index (SRHI); Stroke Impact Scale (SIS)] were correlated. Results: Adults (34 male, 31 female; 64.6% scored as having some disability on the Modified Rankin Scale) aged 57.9±12.8 years with a BMI of 33.0±5.9 and median of 3 years post-stroke participated. 10MWT walking speed was 1.0±0.4m/s and 6MWT distance walked was 343.3±132.3m. SRHI physical activity scores of 4.6±1.7 (above average habit formation; scale = 1 - 7) and SIS subscales ADL/IADL and mobility normed scores of -0.1±0.7 and -1.3±0.8 respectively, and perceived recovery of 70.9±16.9% were reported. The 10MWT was significantly and moderately correlated with SIS ADL/IADL (r=0.48; p<0.001) and mobility (r=0.41; p<0.001), but weakly with SIS perceived recovery (r=0.34; p<0.01) and SRHI physical activity (r=-0.32; p<0.01). The 6MWT was significantly and moderately correlated with SIS ADL/IADL (r=0.48; p<0.001) and mobility (r=0.47; p<0.001), but weakly with SIS perceived recovery (r=0.33; p<0.01) and SRHI physical activity (r=-0.33; p<0.01). Conclusions: Walking performance among our participants post-stroke was consistent with community dwelling adults, but only somewhat related to their perception of recovery of function and mobility. Additional factors beyond perceived recovery likely contribute to walking abilities post-stroke.

Personal and social factors that influence physical activity levels in community-dwelling stroke survivors: A systematic review of qualitative literature

2021 ◽  
pp. 026921552199369
Author(s):  
Karl R Espernberger ◽  
Natalie A Fini ◽  
Casey L Peiris
Keyword(s):  
Physical Activity ◽  
Social Factors ◽  
Self Efficacy ◽  
Data Extraction ◽  
Community Dwelling ◽  
Stroke Survivors ◽  
Activity Levels ◽  
Post Stroke ◽  
Physical Activity Levels ◽  
Mobile Community

Objectives: To determine the personal and social factors perceived to influence physical activity levels in stroke survivors. Data sources: Four electronic databases (MEDLINE, CINAHL, PubMed and Embase) were searched from inception to November 2020, including reference and citation list searches. Study selection: The initial search yielded 1499 papers, with 14 included in the review. Included articles were peer-reviewed, qualitative studies, reporting on the perceived factors influencing physical activity levels of independently mobile community-dwelling adults, greater than 3 months post stroke. Data extraction: Data extracted included location, study aim, design, participant and recruitment information and how data were collected and analysed. Data synthesis: Thematic analysis was undertaken to identify meanings and patterns, generate codes and develop themes. Five main themes were identified: (i) Social networks are important influencers of physical activity; (ii) Participation in meaningful activities rather than ‘exercise’ is important; (iii) Self-efficacy promotes physical activity and physical activity enhances self-efficacy; (iv) Pre-stroke identity related to physical activity influences post-stroke physical activity; and (v) Formal programmes are important for those with low self-efficacy or a sedentary pre-stroke identity. Conclusions: Physical activity levels in stroke survivors are influenced by social activities and support, pre-stroke identity, self-efficacy levels and completion of activities that are meaningful to stroke survivors.

scholarly journals Parental Participation in a Healthy Lifestyle Program for Middle Schoolers Improves Their Family Meal Patterns and Social Support and Self-Regulation for Healthy Eating (P16-041-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Henna Muzaffar ◽  
Cassandra Nikolaus ◽  
Sharon Nickols-Richardson
Keyword(s):  
Social Support ◽  
Healthy Lifestyle ◽  
Self Regulation ◽  
Parental Participation ◽  
Post Intervention ◽  
Meal Patterns ◽  
Family Meal ◽  
Lifestyle Program ◽  
Post Assessment ◽  
Healthy Lifestyle Program

Abstract Objectives The development and dissemination of appropriate integrated curricula for parents represent a critical need and a novel approach in the obesity prevention field. Our objective was to assess if parental participation in a healthy lifestyle program (PAWS [Peer-education About Weight Steadiness] Club) for middle school students would improve parental anthropometrics, social cognitive theory (SCT) mediators of dietary behavior, and family mealtime frequency and environment. Methods A total of 42 parents participated in five weekly 1.5-hour sessions, delivered four times from 2015–2017. The sessions were led by a trained research assistant; focused on family fitness, meal planning, family mealtimes, label reading, energy balance, making healthy choices and simple recipes, self-reflection and goal setting. Data on anthropometrics, blood pressure (BP), SCT mediators (social/family support, self-efficacy, self-regulation, and outcome expectations) of eating, and family meal patterns (frequency and environment) was collected from the parents at pre-and post-intervention. Wilcoxon Signed Rank test was used to determine any changes from baseline to post assessment for SCT mediators of dietary behavior and family meal patterns. Paired t-test was used to determine any changes from pre-to post-intervention for anthropometric and BP measurements. Significance was set at P < 0.05. Results Of the 42 participants, 67% were females (mothers); 33% self-reported White and 33% self-reported African American race/ethnicity. Participants significantly improved in their self-regulation for reducing unhealthy foods (P = 0.011), social support for balancing calories (P = 0.007), and family mealtime patterns (P = 0.003) from pre- to post-assessment. No significant changes were observed for anthropometric and BP measures. Conclusions Parental participation in a healthy lifestyle program can potentially improve family mealtime environment and frequency and increase self-regulation and social support for dietary behaviors of the family. These results have implications for planning future health programs with adolescents in schools. Funding Sources Supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, under award number 2012-68001-22032.

scholarly journals Peer-led healthy lifestyle program in supportive housing: study protocol for a randomized controlled trial

Trials ◽  
2015 ◽  
Vol 16 (1) ◽  
Author(s):  
Leopoldo J. Cabassa ◽  
Ana Stefancic ◽  
Kathleen O’Hara ◽  
Nabila El-Bassel ◽  
Roberto Lewis-Fernández ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Study Protocol ◽  
Healthy Lifestyle ◽  
Controlled Trial ◽  
Supportive Housing ◽  
Randomized Controlled ◽  
Lifestyle Program ◽  
Healthy Lifestyle Program

scholarly journals Effects of Reallocating Time Spent in Different Physical Activity Intensities on Sarcopenia Risk in Older Adults: An Isotemporal Substitution Analysis

Biology ◽  
2022 ◽  
Vol 11 (1) ◽  
pp. 111
Author(s):  
Jort Veen ◽  
Diego Montiel-Rojas ◽  
Fawzi Kadi ◽  
Andreas Nilsson
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Protein Intake ◽  
Handgrip Strength ◽  
Community Dwelling ◽  
Self Report ◽  
Linear Regression Models ◽  
Age Related ◽  
Muscle Health ◽  
The Impact

The role of daily time spent sedentary and in different intensities of physical activity (PA) for the maintenance of muscle health currently remains unclear. Therefore, we investigated the impact of reallocating time spent in different PA intensities on sarcopenia risk in older adults, while considering PA type (muscle strengthening activities, MSA) and protein intake. In a sample of 235 community-dwelling older adults (65–70 years), a sarcopenia risk score (SRS) was created based on muscle mass assessed by bioimpedance, together with handgrip strength and performance on the five times sit-to-stand (5-STS) test assessed by standardized procedures. Time spent in light-intensity PA (LPA), moderate-to-vigorous PA (MVPA), and being sedentary was assessed by accelerometry, and PA type (MSA) by self-report. Linear regression models based on isotemporal substitution were employed. Reallocating sedentary time to at least LPA was significantly (p < 0.05) related to a lower SRS, which remained evident after adjustment by PA type (MSA) and protein intake. Similarly, reallocating time in LPA by MVPA was related to a significantly (p < 0.05) lower SRS. Our results emphasize the importance of displacing sedentary behaviours for more active pursuits, where PA of even light intensities may alleviate age-related deteriorations of muscle health in older adults.

Abstract MP33: The Deaf Weight Wise Study: A Unique Clinical Trial of Health Behavior Modification with Deaf Adults

Circulation ◽  
2014 ◽  
Vol 129 (suppl_1) ◽  
Author(s):  
Steven Barnett ◽  
Erika Sutter ◽  
Thomas Pearson ◽  
Keyword(s):  
Public Health ◽  
Repeated Measures ◽  
Lifestyle Modification ◽  
Healthy Lifestyle ◽  
Controlled Trial ◽  
Intervention Group ◽  
Lifestyle Program ◽  
Deaf Adults ◽  
Delayed Group ◽  
Healthy Lifestyle Program

Introduction: Deaf people who use American Sign Language (ASL) comprise linguistic and cultural minority populations without access to language-concordant health information and healthcare. Deaf ASL users are rarely included in health research or public health surveillance. Recent research with Deaf ASL users found a higher prevalence of obesity than in the general population. No randomized trials of lifestyle modification or weight reduction have ever been attempted with Deaf ASL users. Methods: We worked with the Rochester (NY) Deaf community to adapt a 16-week healthy lifestyle program previously shown to be effective with hearing people. We adapted the curriculum and research measures to be culturally and linguistically appropriate. We used a group intervention format recommended by our Deaf partners, and trained group leaders who were Deaf, ASL fluent and had backgrounds in counseling, public health, or healthcare. For this Deaf Weight Wise (DWW) trial, we recruited Deaf adults aged 40-70 with a BMI of 25-45 from community settings, and randomized participants to immediate intervention or intervention delayed 1 year. We will collect data from DWW trial participants over two years. We present analyses of data after 6 months here. Primary outcomes were changes in weight, BMI and scores on two standard measures: Dietary Risk Assessment (DRA) and Physical Activity Assessment (PAA). We used group by time repeated measures ANOVA to examine changes from baseline to 6 months for the immediate group and delayed group (no intervention yet). Hypothesis: The immediate intervention group would have greater reduction in weight and BMI as well as improvement in DRA and PAA scores six months after baseline compared with the delayed intervention group. Results: At baseline, the 104 participants’ mean age was 53.5 years; 68.3% (71 of 104) were female and 91.3% (95/104) were White. Randomization was successful based on baseline data. At 6 months, the immediate group weight changed -3.35kg (1.0 s.e.; p=.002) and BMI changed -1.35 (0.4 s.e.; p≤.0001) compared with the delayed group. Most of the immediate group (58.3%, 28/48) lost ≥ 5% of baseline weight versus 14.3% (8/56) of the delayed group (p≤.0001). Changes in mean DRA (p=.055) and moderate PAA (p=.054) scores numerically favored the immediate group. Conclusions: Deaf Weight Wise is the first randomized controlled trial of a healthy lifestyle program with Deaf ASL users. This culturally appropriate and language accessible behavioral intervention was feasible and highly effective with this underserved and rarely studied population.

GIRTH (get involved, reach top health): A community-based, peer-lead, healthy lifestyle program for men

2011 ◽  
Vol 5 ◽  
pp. 14
Author(s):  
V. Glennon ◽  
M. Noakes ◽  
G. Brinkworth ◽  
J. Lynch ◽  
D. Salon ◽  
...  
Keyword(s):  
Healthy Lifestyle ◽  
Community Based ◽  
Lifestyle Program ◽  
Healthy Lifestyle Program
Sign in / Sign up

Export Citation Format

Share Document