scholarly journals The Italian Diabetes and Exercise Study 2 (IDES-2): a long-term behavioral intervention for adoption and maintenance of a physically active lifestyle

Trials ◽  
2015 ◽  
Vol 16 (1) ◽  
Author(s):  
Stefano Balducci ◽  
◽  
Massimo Sacchetti ◽  
Jonida Haxhi ◽  
Giorgio Orlando ◽  
...  
Author(s):  
Peet Du Toit ◽  
Lee-Anne Naicker ◽  
Evangeline Nortje ◽  
Michael Kleynhans ◽  
Ronél Ferreira ◽  
...  

The concept of wellness has changed over the decades with the ever-changing lifestyle of society as it adapts to technological advances. The contemporary view is that wellness is the primary responsibility of the individual and is accomplished by practising health-promoting behaviour. There are various factors that contribute to wellness in the sense of an individual’s long-term sense of overall well-being. One of the most essential factors is physical activity, and there is a large body of research that explores the benefits of a physically active lifestyle. This article is based on the assumption that the most accurate way to measure these benefits are to compare an active with a sedentary lifestyle. The purpose of this review is to clarify the concept of wellness and highlight the benefits of a physically active working environment as opposed to the disadvantages of a sedentary environment in attaining overall wellbeing.


Diabetes Care ◽  
2017 ◽  
Vol 40 (11) ◽  
pp. 1444-1452 ◽  
Author(s):  
Stefano Balducci ◽  
Valeria D’Errico ◽  
Jonida Haxhi ◽  
Massimo Sacchetti ◽  
Giorgio Orlando ◽  
...  

Author(s):  
Amy V. Creaser ◽  
Stacy A. Clemes ◽  
Silvia Costa ◽  
Jennifer Hall ◽  
Nicola D. Ridgers ◽  
...  

Wearable activity trackers (wearables) embed numerous behaviour change techniques (BCTs) that have previously been shown to increase adult physical activity (PA). With few children and adolescents achieving PA guidelines, it is crucial to explore ways to increase their PA. This systematic review examined the acceptability, feasibility, and effectiveness of wearables and their potential mechanisms of action for increasing PA in 5 to 19-year-olds. A systematic search of six databases was conducted, including data from the start date of each database to December 2019 (PROSPERO registration: CRD42020164506). Thirty-three studies were included. Most studies (70%) included only adolescents (10 to 19 years). There was some—but largely mixed—evidence that wearables increase steps and moderate-to-vigorous-intensity PA and reduce sedentary behaviour. There were no apparent differences in effectiveness based on the number of BCTs used and between studies using a wearable alone or as part of a multi-component intervention. Qualitative findings suggested wearables increased motivation to be physically active via self-monitoring, goal setting, feedback, and competition. However, children and adolescents reported technical difficulties and a novelty effect when using wearables, which may impact wearables’ long-term use. More rigorous and long-term studies investigating the acceptability, feasibility, and effectiveness of wearables in 5 to 19-year-olds are warranted.


2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Sanket Kalpande ◽  
P. R. Saravanan ◽  
K. Saravanan

Abstract Background Long-term catheterisation is frequently necessary for patients with retention of urine or intractable incontinence who are unfit for definitive treatment or being evaluated for definitive treatment. In this study, the important factors influencing the encrustation of indwelling catheters are analysed. Methods A total of 52 patients on catheter drainage for a period ranging from 1 month to 1 year were taken in the study. Patients reported either for problems like catheter block or routine changing of catheter. The catheters were removed, and encrustation was subjected to chemical analysis. Urine was examined for pH, specific gravity, culture sensitivity and appearance. Blood samples were taken for estimation of calcium, phosphorus and uric acid. Results Out of 52 patients, 28 with urea splitting and 15 with non-urea splitting had positive urine culture (43 out of 52). Amongst 28, 27 (96%) had encrustation compared to 10 (50%) out of 15 with non-urea splitting bacteria (p value < .05). Amongst 24 patients having pH > 6, 22 (92%) had encrustation (p value < .05). The encrustation was found to be more common in bedridden patients (91%) when compared to physically active patients (54%) (p value < .05). The encrustation was more common in patients having single catheter for more than 15 days (86%) when compared to patients having catheter for shorter period (43%) (p value < .05). Conclusion This study showed definitive influence of the following factors in encrustation formation: infection with urea splitting organism, alkaline pH, physical activity of patient and duration of keeping a particular catheter.


2010 ◽  
Vol 90 (10) ◽  
pp. 1493-1505 ◽  
Author(s):  
Diane Borello-France ◽  
Kathryn L. Burgio ◽  
Patricia S. Goode ◽  
Alayne D. Markland ◽  
Kimberly Kenton ◽  
...  

Background Behavioral intervention outcomes for urinary incontinence (UI) depend on active patient participation. Objective The purpose of this study was to describe adherence to behavioral interventions (pelvic-floor muscle [PFM] exercises, UI prevention strategies, and delayed voiding), patient-perceived exercise barriers, and predictors of exercise adherence in women with urge-predominant UI. Design This was a prospectively planned secondary data analysis from a 2-stage, multicenter, randomized clinical trial. Patients and Intervention Three hundred seven women with urge-predominant UI were randomly assigned to receive either 10 weeks of drug therapy only or 10 weeks of drug therapy combined with a behavioral intervention for UI. One hundred fifty-four participants who received the combined intervention were included in this analysis. Measurements Pelvic-floor muscle exercise adherence and exercise barriers were assessed during the intervention phase and 1 year afterward. Adherence to UI prevention strategies and delayed voiding were assessed during the intervention only. Results During intervention, 81% of women exercised at least 5 to 6 days per week, and 87% performed at least 30 PFM contractions per day. Ninety-two percent of the women used the urge suppression strategy successfully. At the 12-month follow-up, only 32% of the women exercised at least 5 to 6 days per week, and 56% performed 15 or more PFM contractions on the days they exercised. The most persistent PFM exercise barriers were difficulty remembering to exercise and finding time to exercise. Similarly, difficulty finding time to exercise persisted as a predictor of PFM exercise adherence over time. Limitations Co-administration of medication for UI may have influenced adherence. Conclusions Most women adhered to exercise during supervised intervention; however, adherence declined over the long term. Interventions to help women remember to exercise and to integrate PFM exercises and UI prevention strategies into daily life may be useful to promote long-term adherence.


2020 ◽  
pp. 095001702095475
Author(s):  
Ginny M Sargent ◽  
Julia McQuoid ◽  
Jane Dixon ◽  
Cathy Banwell ◽  
Lyndall Strazdins

Flexible work provisions are justified as enabling workers to manage their personal lives, including their health, around work. This study deploys social theories of practice to investigate how the temporal characteristics of flexible work can produce, alter and disrupt the health improvement efforts of workers, concentrating on healthy eating and keeping physically active. Drawing from in-depth interviews with 12 Australian workers, the study explores the temporal mechanisms linking flexible work to health practices, focusing on routines, rhythms and rituals (the three Rs). This research finds that work-time arrangements can provide the temporal scaffolding necessary for health practices (through routines, rhythms and rituals), but only when there is day-to-day, mid-term, and long-term work predictability. Australia’s flexible work policies do not provide this requisite temporal predictability. Health promoting employment provisions would have to reinstate employment standards from the 1970s, providing the desired predictability for flexible provisions to benefit workers.


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